Training activity: 6

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.

Considerations

• Patient centred care and support
• Indications and contraindications for gastrointestinal physiology investigations
• Priority testing and triaging
• Suitable referral routes
• Requirements for a complete referral, including information about patient needs
• Multidisciplinary team roles and responsibilities
• Scope of practice
• Interpretation of OGD and other relevant results
• Pharmacological history and impact on reporting
• Local, national and international guidelines and standards
• Indications for changing test on referral using clinical judgement
• Safeguarding

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.