Training activity information
Details
Audit an intraoperative neuromonitoring corrective spinal surgery case report against guidelines and report findings to a relevant department meeting.
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 this audit activity assist you in practicing according to national and international guidelines and producing accurate reports?
What specific knowledge do you need?
- Which specific national and international reporting guidelines will you use as the benchmark for this audit?
- What are the key elements of a ‘complete factual report’ that you should be looking for in the audited case?
What do you anticipate learning?
- What insights do you hope to gain regarding common reporting omissions or areas where documentation of theatre communication could be improved?
In action
What are you doing?
- How are you systematically comparing the audited report against the current national and international reporting guidelines?
- What decisions are you making about which omissions or strengths in the documentation are most critical to report to the department?
- Which aspects of identifying guideline compliance feel intuitive, and what requires more conscious reference to local protocols?
How are you progressing?
- How effectively are your audit findings highlighting the integrity of the recorded data?
- What challenges are you facing in evaluating the clarity of theatre communication documented in the written report?
How are you adapting?
- Are you discovering any common reporting patterns that suggest a need for an alternative approach to departmental templates?
- Are you ensuring your audit recommendations are presented with a professional and constructive attitude at the department meeting?
On action
What did you notice?
- How would you summarise the main findings of your audit, and which specific national or international guidelines did you use for the comparison?
What did you learn from the activity?
- What did you learn about common omissions or strengths in the documentation of specialist reports within your department?
- How does this audit experience relate to the requirements for producing accurate, ‘complete factual reports’ in your own practice?
What will you take from the experience moving forward?
- What changes will you implement in your own reporting style as a result of the ‘best practice’ patterns you identified during the audit?
- What actions will you now take to present these findings and support service improvements at a relevant department meeting?
Beyond action
Have you revisited the experiences?
- Since revisiting the findings of your audit, how has this systematic review of departmental standards transformed your own practice in producing concise and accurate reports?
How have these experiences impacted upon your current practice?
- How has your ability to identify reporting omissions informed your preparation for your DOPS on completing a final IONM report?
How might these experiences contribute towards your future practice?
- What transferable skills in quality assurance and clinical governance have you developed?
- How will you apply these to support future service improvement initiatives in your department?
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. |
| # 2 |
Outcome
Produce concise and accurate reports for intraoperative neuromonitoring during spinal surgery according to local, national, and international guidelines. |
| # 5 |
Outcome
Demonstrate effective and professional communication. |