Training activity: 5

Details

Perform digital rectal examinations

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Patient centred care and support
• Local, national and international guidelines and standards for carrying out a digital rectal examination
• Local infection control training, policies and procedures
• Local chaperone policy
• The principles of valid informed consent and confirming ongoing consent
• Scope of practice and when to seek advice
• The principles of dignity, privacy and confidentiality
• Communicating with and reassuring patients during a digital rectal examination
• Communicating findings to the patient

Relevant learning outcomes

#	Outcome
# 1	Outcome Describe the requirements of anorectal physiology investigations including indications and contraindications, and take a patient history.
# 4	Outcome Perform a digital rectal examination to ensure safe intubation with manometric equipment.
# 7	Outcome Apply and adapt their approach to the patient’s individual tolerance, personal experience and anxieties, demonstrating sensitivity to the emotional implications of intimate and invasive investigations on a patient’s wellbeing.