Training activity information
Details
Observe procedures conducted in the following clinics, and present an overview of the techniques and cases observed to colleagues:
- Wireless pH clinics
- High-resolution impedance manometry (HRiM) investigations clinics
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What specific knowledge about wireless pH monitoring and High-resolution impedance manometry (HRiM) techniques, indications, and case applications are you expected to gain? How will this enhance your professional practice and communication skills?
- What is your current understanding of wireless pH monitoring and its advantages and limitations compared to conventional pH monitoring?
- What is your current understanding of High-resolution impedance manometry (HRiM) and how it differs from conventional manometry? What kind of clinical information can it provide?
- Are you aware of the typical patient populations who might undergo these investigations and the common clinical questions they aim to answer?
- What format is expected for your presentation to colleagues?
- What specific technical aspects of wireless pH monitoring and HRiM do you hope to observe and understand better?
- How do you anticipate the findings from these investigations contribute to patient management?
- Consider possible challenges you might face during the observation, such as understanding technical jargon or the clinical context of specific cases. How might you address these (e.g., asking clarifying questions, reviewing relevant protocols beforehand)?
- Think about how you will structure your overview presentation to colleagues to ensure it is informative and engaging. Will you focus on specific techniques, types of cases, or key learning points?
- Identify how you feel about observing these clinics and presenting to colleagues. How will you ensure you are actively engaged during the observation and confident in your presentation?
- Will you review any literature or protocols on wireless pH monitoring and HRiM before your observation to better understand the procedures and their clinical utility?
In action
- How are you focusing your attention on the different aspects of the procedures (e.g., patient preparation, equipment setup, data acquisition, initial interpretation)? Why are you focusing on these aspects?
- What are you noting down or mentally recording as the procedures progress? What information seems most important for your understanding and future presentation?
- What aspects of the techniques being used (wireless pH and HRiM) feel somewhat familiar from prior learning, and what aspects are entirely new or require more focused observation?
- How effective is your observational approach in helping you understand the practical application of these techniques? Are you gaining insights into the strengths and limitations of each procedure?
- What challenges are you facing during the observation? For example, are you struggling to understand the technical terminology, the clinical rationale behind certain steps, or the interpretation of the data as it is being acquired?
- What can you learn from observing these clinics as the sessions unfold? Are you noticing patterns in how different patient symptoms correlate with the investigation findings, or how the clinicians interact with patients?
- How does this observation connect with your existing theoretical knowledge of wireless pH monitoring and High-resolution impedance manometry? Are you seeing concepts you’ve learned about being applied in practice?
- Are there alternative ways you could be observing the procedures to gain a better understanding? For example, could you focus on a specific part of the process for a longer duration, or try to follow the data on the monitoring screens more closely?
- As you observe different cases, are you starting to think about how you will structure your overview presentation to colleagues? Are you identifying key themes or interesting cases to highlight?
On action
- Describe the key aspects of the procedures you observed in the Wireless pH clinics.
- This might include patient preparation, the administration of the wireless capsule, the monitoring process, and any initial feedback or findings shared by the clinicians.
- Describe the key aspects of the procedures you observed in the High-resolution impedance manometry (HRiM) investigations clinics. This could include patient positioning, catheter insertion, the different swallow manoeuvres performed, and how the data was displayed and initially interpreted.
- What were the different types of patient cases you observed in each clinic? Note any specific symptoms or presenting problems that were being investigated.
- What were the main techniques and technologies being used in each clinic? Pay attention to the equipment and the steps involved in performing the investigations.
- What were the key interactions between the clinicians and the patients during the procedures?
- What were your initial impressions and understanding of the utility of Wireless pH monitoring and HRiM after the observation?
- What new insights did you gain into the practical application of Wireless pH monitoring and High-resolution impedance manometry (HRiM)?
- Did observing the procedures clarify aspects you had previously only understood theoretically?
- What did you learn about the indications for each of these investigations based on the patient cases you observed?
- Were there any specific techniques or aspects of the procedures that were particularly interesting or surprising to you?
- How did the observed procedures align with your understanding of upper gastrointestinal physiology and diagnostic techniques?
- What aspects of Wireless pH monitoring and HRiM do you feel you need to understand better?
- How will your observations inform the overview of the techniques and cases that you will present to your colleagues?
- What key points or interesting cases will you highlight?
- What specific actions will you take to prepare for your presentation? This might include reviewing literature on these techniques, discussing your observations with the clinicians, or looking at example reports.
- What support or resources might you need to further develop your understanding and presentation skills in this area?
Beyond action
- Have you revisited the overview of the techniques and cases that you presented to your colleagues?
- Would you present it differently now, based on subsequent learning or understanding of these investigations?
- Engage in professional storytelling with peers or colleagues about your experiences in these clinics. Has discussing your observations with others provided new perspectives on the utility or limitations of these techniques?
- How has observing these procedures influenced your ability to analyse and interpret data from Wireless pH monitoring or HRiM studies that you may encounter later in your training or practice?
- Consider how the communication skills developed in presenting your overview to colleagues will support you in other professional interactions, such as explaining procedures to patients or discussing cases in multidisciplinary team meetings.
- Identify the transferable skills you developed through this training activity, such as observational skills, the ability to synthesise information, and presentation skills. How will these skills be applicable in your future role?
- Identify clear actions for continued development in understanding and potentially performing or interpreting Wireless pH monitoring and HRiM studies.
- What further learning resources or practical experiences would you seek out to deepen your knowledge in these areas?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 5 |
Outcome
Practice professionally within the multidisciplinary team. |
| # 6 |
Outcome
Employ effective communication skills to present information to a variety of audiences including patients, carers and healthcare professional colleagues. |