Training activity: 7

Details

Perform the following adjunctive testing during oesophageal manometry as appropriate:

• Solid swallows
• Multiple rapid swallows
• Rapid drinking challenge
• Positional changes
• Prolonged investigation with a test meal

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
• Indications for adjunctive testing
• Limitations of techniques
• Patient history and referral
• Patient safety and experience
• Application of upper gastrointestinal biofeedback to rumination studies
• Local, national and international guidelines and standards
• Communication skills
• 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.