Specialist Investigations in Gastrointestinal Physiology —
Training activity: 3

Details

Review acquired data for two of the following investigation techniques identifying relevant anatomical features

• Antroduodenal manometry
• Sphincter of Oddi manometry
• Barostat
• Capsule studies
• Endoflip
• Liver eleastography/fibroscan

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What specific anatomical features are relevant to the interpretation of data from each of these investigation techniques?
• What is your current understanding of the normal anatomical landmarks and physiological patterns observed in data from Antroduodenal manometry, Sphincter of Oddi manometry, Barostat, Capsule studies, Endoflip, and Liver eleastography/fibroscan?
• Are you familiar with how these anatomical features are represented in the acquired data (e.g., waveforms, images)?
• Do you know what to look for that might indicate an abnormality related to specific anatomical structures?
• What specific skills in interpreting physiological data and correlating it with anatomical features do you hope to develop?
• Do you anticipate learning more about the technical aspects of data acquisition and how anatomical positioning might influence the results?
• Discuss this training activity with your training officer or supervisor to understand which investigation data you will be reviewing and what specific anatomical features you should focus on identifying.
• Consider possible challenges, such as poor data quality or variability in anatomical presentation. How will you approach these?
• Will you review any examples of normal and abnormal data from these investigations, paying particular attention to the representation of anatomical features?

In action

• How are you approaching the task of examining the traces, images, or other data outputs? Why are you focusing on specific aspects of the data?
• What anatomical features are you actively looking for within the data?
• What decisions are you making as you identify and interpret the visual or numerical information related to anatomical structures?
• How effective is your current approach in helping you identify the relevant anatomical features within the acquired data?
• What challenges are you facing as you review the data? For example, is the data quality poor, are the anatomical features subtle, or are you unfamiliar with certain data presentations?
• What can you learn from the process of reviewing this data as it unfolds? Are you improving your ability to recognise specific anatomical landmarks in different investigation outputs?
• Are there alternative approaches you could be considering for analysing the data to identify anatomical features? For example, could you focus on expected patterns first, or compare the data to normal examples?
• Are you ensuring that you are correctly identifying the anatomical features relevant to the specific investigation technique?

On action

• Describe the types of data you reviewed for each of the two investigation techniques.
  • What format was the data in (e.g., tracings, images, numerical data)?
  • What relevant anatomical features were you able to identify in the acquired data for each technique?
  • What were the key characteristics or patterns in the data that corresponded to these anatomical features?
  • Were there any challenges in identifying the relevant anatomical features in the data?
  • What were your initial interpretations of the data based on the identified anatomical features?
• What did you learn about the visual or quantitative representation of the gastrointestinal tract and its components through Antroduodenal manometry, Sphincter of Oddi manometry, Barostat, Capsule studies, Endoflip, Liver eleastography/fibroscan?
  • How do these investigation techniques provide information about the anatomy and function of the gastrointestinal system?
  • Did you gain a better understanding of the normal and abnormal appearances of relevant anatomical features in these investigations?
  • How does the identification of anatomical features relate to the diagnosis of gastrointestinal disorders?
  • In what ways did reviewing the data enhance your understanding of the technical aspects of these investigations?
• What aspects of identifying relevant anatomical features in gastrointestinal physiology investigation data do you need to develop further?
  • How will you approach reviewing and interpreting acquired data in the future?
  • What resources or training materials will you seek out to improve your ability to identify anatomical features in these investigations?

Beyond action

• Consider evaluating and re-evaluating your initial review of the acquired data and your identification of relevant anatomical features. Were there any aspects that were challenging to identify?
• What have you learned about the relationship between data presentation and anatomical structures?
• Have you revisited your understanding of the normal and abnormal anatomical features relevant to these investigation techniques? Has your ability to recognise these features improved since this training activity?
• Recognise that this training activity contributes to your ability to produce written technical draft reports from a range of specialist gastrointestinal physiology investigations. How has identifying anatomical features in the data informed your subsequent report writing?
• How has this experience influenced your ability to label traces/images with the appropriate physiological/anatomical landmarks? Are you more confident in your ability to do this accurately?
• Identify the transferable skills you developed such as detailed data analysis, pattern recognition, and understanding the anatomical basis of physiological measurements. How will these skills be valuable in your future role?
• Identify clear actions for continued development in your ability to interpret data from these specialist investigations and accurately identify relevant anatomical features. What further opportunities can you seek to review a wider variety of data sets?

Relevant learning outcomes

#	Outcome
# 1	Outcome Apply the requirements for performing specialist gastrointestinal physiology investigations in a range of patients including paediatrics.
# 4	Outcome Produce written technical draft reports from a range of specialist gastrointestinal physiology investigations.
# 5	Outcome Perform routine maintenance and calibration of equipment, identifying and managing faults, out of specification results and artefacts which may result in an inaccurate study being performed.