Training activity information

Details

Prepare a case study for an inherited bleeding disorder or thrombotic disorder which uses two or more appropriate multidisciplinary techniques

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

  • Considering results where appropriate to:
    • Inform diagnosis
    • Inform further tests
    • Inform treatment
    • Guide transfusion support
  • Guidelines and standards
  • Testing algorithms

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

  • Which specific inherited bleeding or thrombotic disorder will you focus on for your case study?
  • What are two or more relevant multidisciplinary techniques (e.g., coagulation assays, molecular testing, imaging, clinical assessment) used in the investigation of this disorder?
  • How will you structure your case study to effectively demonstrate the application and interpretation of these techniques and their contribution to diagnosis and management?
  • Consider the specific insights you hope to gain, such as appreciating the synergistic value of multidisciplinary testing in diagnosing and managing these complex disorders.
  • Reflect on your current understanding of inherited bleeding and thrombotic disorders and how this case study preparation will enhance your analytical and interpretive skills.
  • Discuss with your training officer potential cases that would be suitable for this case study and the expected format and scope.
  • Review the principles and applications of various laboratory techniques relevant to inherited bleeding and thrombotic disorders.
  • Think about potential challenges, such as integrating potentially discordant results from different techniques or presenting the case study clearly and concisely, and consider how you might address them (e.g., reviewing similar case studies, seeking feedback on your draft).
  • Consider your current experience in case analysis and identify areas where you need to focus your preparation for this task.

In action

  • As you select and integrate data from different techniques (e.g., coagulation assays, genetic testing, imaging reports) for your case study, why have you chosen these specific techniques to highlight?
  • What connections are you making between the results from these different approaches?
  • How effectively do you believe you are demonstrating the value of a multidisciplinary approach in this case?
  • What challenges are you encountering in combining and interpreting data from different sources?
  • What are you learning about how different laboratory disciplines contribute to the diagnosis of inherited bleeding or thrombotic disorders?
  • How does this integration of data enhance your understanding of the patient’s condition?
  • Are there alternative ways you could present or integrate this multidisciplinary information?
  • Do you need to seek clarification or further information from other departments?
  • Are you ensuring that your use of data from different sources is accurate and appropriately referenced?

On action

  • Describe the key elements of the case study you prepared.
    • What was the clinical presentation, and what were the key laboratory findings?
    • Which two or more multidisciplinary techniques did you incorporate into your case study?
    • Why were these techniques appropriate for the case?
    • What challenges did you encounter while integrating information from different techniques or disciplines?
  • How did preparing this case study enhance your understanding of inherited bleeding or thrombotic disorders from a multidisciplinary perspective?
    • What did you learn about the strengths and limitations of different laboratory techniques in the context of this case?
    • How did this activity improve your ability to synthesise information from various sources to build a comprehensive understanding of a clinical case?
    • How does this experience relate to the skills required for multidisciplinary team discussions?
  • What aspects of case study preparation or multidisciplinary understanding have you identified for further development?
    • How will you apply the skills gained from this activity to future case studies or discussions involving multidisciplinary approaches?
    • What specific actions will you take to improve your ability to integrate and interpret information from different disciplines?
    • What resources or support would be beneficial for further developing your skills in multidisciplinary case analysis?

Beyond action

  • Reflect on the process of preparing your case study, including selecting appropriate techniques, interpreting the results, and integrating multidisciplinary aspects. Have your understanding of the chosen disorder and the interplay of different diagnostic modalities deepened since you completed this training activity?
  • Compare the experience of preparing this case study with other Training activities involving practical laboratory work or interpretation. What unique learning opportunities did the case study preparation provide?
  • Review your original reflections on this training activity. Have any aspects of case presentation, multidisciplinary collaboration, or the diagnostic pathway for inherited bleeding or thrombotic disorders become clearer with further experience or learning?
  • Understand how preparing a multidisciplinary case study enhances your ability to synthesise information from various sources. How has this experience influenced your approach to understanding complex patient cases in your current practice?
  • Can you identify specific instances where the skills developed during case study preparation, such as critical evaluation of data or clear presentation of findings, have been beneficial in your current work?
  • What transferable skills, such as critical thinking, problem-solving in complex scenarios, effective communication of scientific information, and an appreciation for multidisciplinary working, did you develop through this training activity? How will these skills be valuable in your future career?
  • Based on your reflection, what aspects of case study preparation or the understanding of inherited bleeding/thrombotic disorders would you like to explore further in your future development?

Relevant learning outcomes

# Outcome
# 1 Outcome

Select techniques for the investigation of clinical presentations in haematology, haemostasis and transfusion science and medicine.

# 3 Outcome

Interpret the results of the laboratory investigations for cases including red and white cell disorders and haemostatic and platelet disorders, haematological malignancy and transfusion serology.

# 4 Outcome

Describe the limitations of techniques applied in the investigation of clinical presentations in haematology, haemostasis and transfusion science.