Training activity information
Details
Contribute to a database of intraoperative neuromonitoring cases performed
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 intended outcomes?
- How does contributing to a case database support the achievement of the learning outcomes in relation to ensuring the integrity of data and describing patient pathways?
What specific knowledge do you need?
- What information regarding the patient’s journey—from referral to archival—must be captured to ensure the database serves as a robust resource for clinical audit?
- What are the local data security protocols you must adhere to when entering case details into a shared repository?
What actions will you take in preparation?
- How do you feel about the responsibility of maintaining accurate clinical records, and what steps will you take to ensure consistency and quality in your data entry?
In action
What are you doing?
- How are you approaching the entry of case data to ensure the integrity of the record for future clinical audits?
- What decisions are you making regarding which patient pathway milestones are most essential for this database?
How are you progressing?
- How effective are your actions in accurately capturing the IONM modalities used and the significance of any reported alerts?
- What challenges are you facing in adhering to local data security protocols while navigating the shared database?
How are you adapting?
- Are you identifying any gaps in the case documentation that require you to consult the original theatre logs or a senior scientist?
- What are you learning about the systematic flow of patient data as you translate individual reports into a collective database?
On action
What did you notice?
- How would you summarise the types of data you were required to extract from individual reports to contribute to the case database?
What did you learn from the activity?
- What did you learn about the importance of consistent data entry for the integrity of recorded data within a specialist service?
- How has this activity deepened your understanding of the patient pathway from initial referral to the long-term archival of results?
What will you take from the experience moving forward?
- What next steps will you take to ensure that your routine documentation always includes the specific parameters required for clinical audit?
- How will your familiarity with the case database influence how you structure your own future reports to facilitate easier data retrieval?
Beyond action
Have you revisited the experiences?
- As you revisit the data you entered into the case database, how has analysing the outcomes of multiple patients transformed your view of the importance of long-term data integrity?
How have these experiences impacted upon your current practice?
- How has contributing to this collective record informed your understanding of the entire patient pathway from initial referral to the archival of results?
How might these experiences contribute towards your future practice?
- What transferable skills in clinical audit and information management did you develop through this activity?
- How will these help you evaluate the clinical effectiveness of your department’s IONM service in the future?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Practice according to local protocols and national and international guidelines to ensure the integrity of data recorded for intraoperative neuromonitoring. |
| # 3 |
Outcome
Describe patient pathways for those undergoing intraoperative neuromonitoring during spinal surgery. |