Training activity information
Details
Review and triage under supervision, paediatric patient referrals (0 to 16 years), and determine suitability for two of the following gastrointestinal physiology investigations:
Anorectal physiology
- Oesophageal manometry
- Ambulatory studies
- Breath testing, including SIBO, LI and FI
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 factors need to be considered when triaging paediatric referrals for these investigations?
- What are the specific clinical indications and criteria for referring paediatric patients for Anorectal physiology, Oesophageal manometry, Ambulatory studies, and Breath testing?
- Are you familiar with the typical symptoms and presentations in children that might warrant these investigations?
- Do you know how to prioritise referrals based on clinical urgency and the appropriateness of the requested investigation?
- What specific skills in reviewing paediatric referral information and making triage decisions do you hope to develop?
- Think about your current understanding of paediatric gastrointestinal disorders and their investigation. How will this activity enhance your ability to assess the suitability of these tests for children?
- Discuss this training activity with your training officer or supervisor to understand the referral review process, the criteria for triage, and the types of paediatric cases you will be assessing under supervision.
- Consider possible challenges, such as incomplete referral information or complex clinical presentations in young children. How will you approach these?
- Will you review any protocols or guidelines related to paediatric gastrointestinal physiology referral and triage?
In action
- How are you approaching the task of assessing the information provided and prioritising referrals based on urgency and investigation suitability? Why are you using these specific criteria?
- What key information are you looking for in the referral to determine the most appropriate investigation? What decisions are you making about which referrals require immediate attention or further clarification?
- How are you considering the age and specific needs of the paediatric patients when determining investigation suitability?
- How effective is your current approach in efficiently and appropriately triaging the referrals and determining investigation suitability?
- What challenges are you facing as you review and triage the referrals? For example, is the information incomplete, are the clinical presentations complex, or are there multiple potential investigations?
- Are you improving your ability to assess paediatric referrals, understand the indications for different investigations in children, and prioritise cases effectively?
- How does this activity connect with your understanding of paediatric gastrointestinal disorders and the appropriate use of diagnostic investigations in this population?
- Are there alternative approaches you could be considering for reviewing and triaging the referrals? For example, could you focus on specific age groups or presenting symptoms first?
- What support or guidance might you need in the moment from your supervisor if you are uncertain about how to triage a particular referral or determine investigation suitability?
- Are you adhering to any specific protocols or guidelines for paediatric gastrointestinal physiology referrals and triage?
On action
- Describe the paediatric patient referrals you reviewed and the reasons for the referrals.
- What factors did you consider when triaging the referrals and determining suitability for Anorectal physiology, Oesophageal manometry, Ambulatory studies, Breath testing?
- What were your initial assessments of the suitability of the requested investigations for each patient?
- What were the different outcomes of your triage process (e.g., suitable, unsuitable, more information needed)? Did you consult any specific guidelines or protocols during the triage process?
- What did you learn about the indications and contraindications for using Anorectal physiology, Oesophageal manometry, Ambulatory studies, Breath testing in paediatric patients?
- How do you prioritise and manage paediatric referrals for gastrointestinal physiology investigations?
- What information is crucial to consider when determining the suitability of these investigations for children?
- How does this activity contribute to your understanding of planning and performing gastrointestinal investigations in paediatrics?
- In what ways did the referral information influence your decisions regarding suitability for investigation?
- Were there any challenging cases, and what did you learn from them?
- What aspects of reviewing and triaging paediatric referrals for gastrointestinal physiology investigations do you feel you need to develop further?
- How will you approach triaging paediatric referrals in the future?
- What resources or knowledge will you seek to improve your ability to determine the suitability of these investigations for children?
Beyond action
- Consider evaluating and re-evaluating your initial review and triage of the paediatric patient referrals and your decisions regarding the suitability of the investigations. What factors did you prioritise when making these decisions?
- Have you revisited your understanding of the indications and contraindications for these paediatric gastrointestinal physiology investigations? Has your knowledge base expanded since this training activity?
- How has this experience of reviewing and triaging referrals informed your subsequent planning of paediatric investigations?
- How has this training activity enhanced your ability to identify the range of disorders diagnosed by these investigations in children?
- Identify the transferable skills you developed such as critical evaluation of paediatric clinical information, decision-making in the context of paediatric care, and understanding age-specific considerations for investigations. How will these skills be essential in your future work with paediatric patients?
- Identify clear actions for continued development in your ability to review and triage paediatric referrals for gastrointestinal physiology investigations effectively. What further opportunities can you seek to gain experience in this area under supervision?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Apply the requirements for performing specialist gastrointestinal physiology investigations in a range of patients including paediatrics. |
| # 2 |
Outcome
Perform a range of the specialist gastrointestinal physiology investigations, including safe intubation of the upper and lower gastrointestinal tract in a variety of adult and paediatric patient conditions. |
| # 6 |
Outcome
Identify the range of disorders diagnosed by advanced gastrointestinal investigations, the implications for the patient, impact their quality of life, potential treatments and the differential diagnosis. |
| # 7 |
Outcome
Plan and perform gastrointestinal investigations in paediatrics, adapting practice to consider the practicalities and emotional aspects including age of the child, parental input, guardianship and external factors such as social services. |