Training activity: 5

Details

Perform, analyse and interpret a range of complex pH-impedance traces for patients, choosing at least three from the following conditions:

• Barrett’s oesophagus
• Reflux following treatment for achalasia
• Supragastric belching
• Oesophageal diverticulum
• Pharyngeal pouch
• Suspected acid-generating gastric inlet patch
• Connective tissue disorders

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
• Basic pH-impedance interpretation
• Pharmacological history and impact on reporting
• The principles of dignity, privacy, and confidentiality

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.
# 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.
# 8	Outcome Identify situations where physiological measurements are affected by pharmacological interactions and the impact this may have on test results.