Electrophysiology —
Training activity: 9

Details

Review patients imaging and electrophysiology results and present to colleagues

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 knowledge do you need before reviewing the imaging and electrophysiology results? This includes understanding the principles of the tests performed, the appearance of normal and abnormal results, and ideally some understanding of the imaging modalities being reviewed. You also need to know the context of the patient’s case.
• Consider the specific insights you hope to gain from this activity.
  • Will you improve your ability to correlate different types of diagnostic information, formulate a coherent interpretation of the findings, or present complex information clearly and concisely to colleagues?
  • Think about your current experience in reviewing diagnostic results and presenting clinical information. What are your strengths and areas for development in these areas?
• Discuss this training activity with your training officer to understand which cases you will be reviewing, the format of the presentation, and the expected audience.
  • Consider possible challenges you might face, such as discrepancies between different results, uncertainty in interpretation, or answering questions from colleagues. Think about how you will approach these challenges, potentially by preparing talking points or seeking clarification beforehand.
  • Identify how you feel about presenting to colleagues. Consider any concerns about public speaking or knowledge gaps and how you can build your confidence through preparation.

In action

• Pay attention to your actions as you examine the imaging and electrophysiology data.
  • How are you systematically reviewing each set of results? What aspects are you focusing on first?
  • How are you comparing the different data sources?
  •  When presenting, how are you structuring your presentation? What key findings are you highlighting?
  • How are you explaining the connections between the data? What decisions are you making as you review the data and prepare your presentation? For example, how are you prioritising the findings?
  • How are you deciding which images or waveforms to include in your presentation? How are you formulating your interpretation of the results?
  • During the presentation, how are you responding to non-verbal cues from your colleagues? How are you deciding how much detail to provide?
  • What aspects of reviewing the data and presenting feel more intuitive (e.g., recognising a particular pattern in the ERG) versus requiring more conscious effort (e.g., integrating the imaging findings with the electrophysiology)?
• How effective are your methods for analysing the data and preparing your presentation?
  • Are you identifying key correlations and discrepancies? Are you structuring your presentation in a logical and understandable way?
  • What challenges are you facing while reviewing the results? For example, are you finding it difficult to reconcile conflicting information?
  • Are you unsure about the significance of a particular finding? Are you struggling to summarise the key points concisely?
  • During the presentation, are you encountering any difficulties in explaining your interpretation or answering questions?
  • What can you learn from this activity as it unfolds? Are you developing a better understanding of how different diagnostic modalities complement each other? Are you learning how to present complex information more effectively?
  • How does this activity connect to your existing knowledge of electrophysiology, imaging, and presentation skills?
  •  Are you able to apply your prior learning to this specific case? Are you identifying areas where your understanding or presentation skills could be improved?
• Are there alternative ways you could be interpreting the data if your initial interpretation seems unclear or incomplete?
  • Could you consider other potential diagnoses? Could you focus on different aspects of the results?
  • During the presentation, if your colleagues seem confused, are there alternative ways you could explain the findings? Are you prepared to adjust your presentation based on their questions?
  • What support or guidance might you need in this moment? If you are struggling to interpret a specific finding, would seeking a second opinion from a colleague be beneficial now?
  • During the presentation, if you are unsure how to answer a question, is it appropriate to acknowledge that and offer to follow up?
  • Are you ensuring your review and presentation remain within the appropriate professional boundaries and focus on the relevant information?

On action

• Summarise the key aspects of the patient imaging and electrophysiology results you reviewed.
  • What were the main findings from each modality? What were your initial interpretations of the data?
  • Describe the process of preparing and delivering your presentation to colleagues. How did you structure your presentation? What information did you choose to highlight? How did your colleagues respond?
  • Reflect on any questions or discussion points that arose during or after your presentation. What insights did these exchanges provide?
• What skills or knowledge did you develop or improve through reviewing these results and presenting to colleagues?
  • Did you enhance your ability to integrate different diagnostic data?
  • Did you improve your presentation and communication skills in a professional setting?
  • Were there any unexpected challenges or successes during the review and presentation process? What did you learn from these?
  • Did you find any discrepancies between the imaging and electrophysiology results?
  • Did your colleagues offer any alternative interpretations that you found insightful?
  • In what ways did your reflection-in-action (during the activity) influence how you presented the information or responded to questions?
  •  Did you adapt your presentation based on your colleagues’ reactions or understanding?
  • How does this experience relate to the requirements for post-programme practice in terms of multidisciplinary team working and communication of diagnostic findings?
  • How did this activity contribute to your understanding of how electrophysiology fits within the broader clinical picture?
• Do you want to improve your ability to synthesise complex diagnostic information?
  • Do you want to become more confident in presenting to colleagues?
  • Will you approach the review of multidisciplinary data with a different mindset?
  • Will you incorporate any new strategies into your future presentations?
  • Will you seek opportunities to present cases to colleagues more regularly?
  • Will you review literature on integrating different ophthalmic diagnostic modalities?
  • Would it be beneficial to receive feedback on your presentation skills? Are there any examples of effective case presentations you could review?

Beyond action

• Have you thought about specific cases you presented and the feedback you received since your initial reflection-on-action?
  • Compare this experience with other instances where you have had to synthesise information from different sources or present to colleagues. What improvements do you notice in your ability to integrate information and present it effectively?
  • What communication strategies have you adopted?
  • Revisit your reflections on this presentation activity. What lessons about interpreting complex data or presenting to peers are particularly relevant now? Has discussing the case or the presentation process with others provided new insights into multidisciplinary communication?
• Recognise that reviewing and presenting these results is a building block in your ability to contribute to multidisciplinary discussions.
  • How has this experience enhanced your understanding of how electrophysiology findings fit within the broader clinical context alongside imaging results?
  • How have you applied the skills gained in data synthesis and presentation in subsequent case discussions or when communicating with the wider healthcare team?
  • Consider how this learning will support you in the interpretation of patient data.
• Identify the transferable skills you are developing, such as critical thinking, data integration, and effective communication.
  • How will your experience in presenting complex cases contribute to your ability to contribute to multidisciplinary team meetings as a qualified scientist?
  • Identify clear actions for continued development in your ability to review and present complex patient data.
  • What strategies will you employ to further refine your skills in integrating different diagnostic modalities and communicating your findings to colleagues?

Relevant learning outcomes

#	Outcome
# 3	Outcome Perform recordings of the electrophysiological tests and perform basic troubleshooting.
# 4	Outcome Prepare data obtained for reporting, including correct annotation of waveforms and indications of factors that may alter the ability to reliably report data.
# 5	Outcome Identify and differentiate normal and abnormal waveforms produced during testing.