Training activity: 3

Details

Perform, analyse and interpret oesophageal manometry studies on a range of patients with the following complex presentations:

• Cricopharyngeal abnormality
• OGJ outflow disorders
• Peristalsis disorders
• Surgically altered oesophagus
• Large hiatus hernia
• Rumination syndrome

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
• Adaption of test for patients
• Patient safety and risk management
• Limitations of the study
• Communication with patients and colleagues
• Local, national and international guidelines and standards
• Pathophysiology
• Patient history and referrals
• Patient experience and support during complex investigations
• Physiological data and symptom association metrics
• Effects of pathology on physiological data
• Documentation
• Pharmacological history and impact on reporting
• Disorders
• The principles of dignity, privacy, and confidentiality

Relevant learning outcomes

#	Outcome
# 1	Outcome Perform high-resolution oesophageal manometry in the complex patient, including a full range of adjunctive tests as appropriate.
# 4	Outcome Analyse and interpret the data producing preliminary reports from high-resolution manometry (HRM), differentiating between artefact and physiological occurrences.
# 6	Outcome Employ effective communication skills to present information to a variety of audiences including patients, carers and healthcare professional colleagues.
# 7	Outcome Interpret manometric patterns in the proximal oesophagus/crycopharynx and identify abnormalities, using knowledge from the wider multidisciplinary team.
# 8	Outcome Identify situations where physiological measurements are affected by pharmacological interactions and the impact this may have on test results.