Training activity information
Details
Review and present the results of one of the following gastrointestinal physiology investigations for a paediatric patient case, making recommendations for treatment to other colleagues:
- 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 are the key elements to include when presenting paediatric investigation results and treatment recommendations to colleagues?
- What are the typical findings and interpretation of results for Anorectal physiology, Oesophageal manometry, Ambulatory studies, and Breath testing in paediatric patients?
- Are you familiar with the common treatment approaches for the gastrointestinal disorders that these investigations help to diagnose in children?
- Do you know how to synthesise investigation results, patient history, and clinical presentation to formulate appropriate treatment recommendations?
- What are the key considerations when communicating paediatric investigation results and treatment plans to colleagues?
- What specific skills in interpreting paediatric gastrointestinal physiology results, formulating treatment plans, and presenting this information to colleagues do you hope to develop?
- Think about your current understanding of paediatric gastrointestinal disorders and their management. How will this activity enhance your ability to contribute to the multidisciplinary team?
- Discuss this training activity with your training officer or supervisor to understand which investigation and patient case you will be focusing on, the expected format for your presentation, and the colleagues you will be presenting to.
- Consider possible challenges, such as complex or inconclusive results or differing opinions on treatment approaches. How will you prepare for these?
- Identify how confident you feel in your ability to interpret paediatric investigation results and make appropriate treatment recommendations. What resources or case examples might be helpful to review?
- Will you review any relevant guidelines or protocols for the interpretation and management of conditions diagnosed by these investigations in children?
In action
- How are you approaching the task of interpreting the findings in the context of the patient’s history and formulating treatment recommendations? Why are you highlighting specific aspects of the results?
- What key findings are you identifying from the investigation results that are relevant to treatment? What decisions are you making about which information to include in your presentation?
- How are you structuring your presentation to effectively communicate the results and your recommendations to your colleagues?
- How effective is your current approach in understanding the clinical significance of the investigation results and formulating appropriate treatment recommendations for this paediatric patient?
- What challenges are you facing as you review the results and prepare your presentation? For example, are the findings complex or inconclusive, is it difficult to determine the most appropriate treatment, or are you unsure how to present the information clearly?
- Are you improving your skills in interpreting paediatric gastrointestinal physiology investigations, formulating treatment plans, and presenting clinical information to colleagues?
- Are there alternative ways you could be interpreting the investigation results or formulating your treatment recommendations? Could you consider different treatment algorithms or consult relevant guidelines?
- As you prepare your presentation, are you anticipating potential questions from your colleagues and considering how you will respond?
On action
- Describe the paediatric patient case and the results of the gastrointestinal physiology investigation you reviewed.
- What were the key findings of the investigation?
- What were the main challenges or complexities in interpreting the results in the context of the patient’s clinical picture?
- What treatment recommendations did you formulate based on the investigation results and the patient’s history?
- What were your initial thoughts about presenting these results and recommendations to your colleagues?
- What did you learn about interpreting the results of Anorectal physiology, Oesophageal manometry, Ambulatory studies, or Breath testing in paediatric patients?
- How do you integrate investigation results with clinical history to make informed treatment recommendations for children with gastrointestinal disorders?
- What considerations are specific to paediatrics when interpreting these investigations and planning treatment?
- How does this activity contribute to your ability to plan and perform gastrointestinal investigations in paediatrics and make recommendations?
- In what ways did reviewing the results enhance your understanding of the relationship between investigation findings and clinical management in paediatric cases?
- What aspects of interpreting paediatric gastrointestinal physiology investigation results and formulating treatment recommendations do you feel you need to develop further?
- How will you approach reviewing and presenting paediatric investigation results in the future?
- What resources or knowledge will you seek to improve your interpretation skills and ability to make appropriate recommendations?
Beyond action
- Consider evaluating and re-evaluating your analysis of the investigation results, your presentation to colleagues, and the treatment recommendations you made for the paediatric patient. How confident were you in your interpretation and recommendations?
- Have you revisited your understanding of the normal and abnormal findings for the specific paediatric gastrointestinal physiology investigation you presented? Has your ability to interpret these results improved?
- How has this experience enhanced your ability to interpret paediatric results and communicate them effectively?
- How has this activity influenced your understanding of the range of disorders diagnosed by these investigations in children and the potential treatment options?
- Identify the transferable skills you developed such as advanced data analysis, clinical reasoning in a paediatric context, effective communication with colleagues, and formulating patient management plans. How will these skills be crucial in your future role?
- Identify clear actions for continued development in your ability to interpret paediatric gastrointestinal physiology investigations and contribute to treatment planning. What further opportunities can you seek to present paediatric cases and receive feedback?
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. |
| # 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. |