Training activity: 1

Details

Review and triage patient referrals under supervision, and determine suitability for upper gastrointestinal physiology investigations

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

• Indications and contraindications for upper gastrointestinal physiology investigations
• Priority testing and triaging
• Suitable referral routes
• Requirements for a complete referral, including information about patient needs
• Roles and responsibilities
• Scope of practice
• Interpretation of OGD and other relevant results
• Pharmacological history and impact on reporting
• Local, national and international guidelines and standards
• Indications for changing test on referral using clinical judgement

Relevant learning outcomes

#	Outcome
# 1	Outcome Perform high-resolution oesophageal manometry in the complex patient, including a full range of adjunctive tests as appropriate.
# 2	Outcome Perform combined oesophageal pH-impedance monitoring in adult patients presenting with a wide range of conditions.
# 5	Outcome Practice professionally within the multidisciplinary team.
# 8	Outcome Identify situations where physiological measurements are affected by pharmacological interactions and the impact this may have on test results.