Training activity: 7

Details

Perform anorectal physiology investigations according to department protocol

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 anorectal physiology investigations
• Local and national health and safety regulations, potential hazards and risks, and actions taken to minimise these
• Communication with patients throughout their investigation
• Control settings, use of software and annotation of the recording
• Identifying and rectifying equipment issues that may compromise the investigation
• Scope of practice, including termination of the investigation and where to seek advice if required
• The principles of dignity, privacy and confidentiality
• Local infection control training, policies and procedures
• The principles of valid informed consent and confirming ongoing consent
• Legislation
• Discharge information requirements and notification of results

Relevant learning outcomes

#	Outcome
# 1	Outcome Describe the requirements of anorectal physiology investigations including indications and contraindications, and take a patient history.
# 5	Outcome Perform, analyse and report anorectal physiology investigations in a range of patient conditions adapting the procedure to answer the scientific question and to meet the patient’s needs.
# 6	Outcome Perform routine maintenance and calibration of anorectal manometry equipment, recognising problems and artefacts which may result in an inaccurate study being performed.
# 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.