Training activity information
Details
Review and identify the characteristic features of a pH-impedance investigation, including:
- Swallows (gas and liquid)
- Reflux events (gas, liquid, mixed, acid, weakly acid and non-acid)
- Baseline impedance (normal, low and nocturnal)
- Artefacts
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
- Normal and abnormal findings
- Presenting symptoms
- Patient history
- Patient referral
- Pathophysiology
- Reference ranges
- Quality assurance of traces
- Artefacts management
- Local, national and international guidelines and standards
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Perform combined oesophageal pH-impedance monitoring in adult patients presenting with a wide range of conditions. |
| # 3 |
Outcome
Analyse and interpret the data producing complete reports for both high-resolution oesophageal manometry and oesophageal pH-impedance monitoring, making recommendations for subsequent management/treatment. |
| # 8 |
Outcome
Identify situations where physiological measurements are affected by pharmacological interactions and the impact this may have on test results. |