Training activity: 10

Details

Undertake cardiopulmonary exercise testing, generating a report appropriate for physiological interpretation, including relevant technical comments

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
• National and international guidelines for exercise testing
• Regression/reference equations appropriate for the ethnicity
• Cultural and socioeconomic implications
• Role of the chaperone
• Equipment calibration and quality assurance
• Standard operating procedures
• Contraindications and indications for performing tests
• Differences in exercise modalities
• Test termination criteria
• Informed consent
• Underlying pathologies
• Clinical history
• Normal responses to exercise
• Patient safety considerations, including risk assessment
• Safety procedures, infection control and emergency procedures
• Equipment and consumables available
• Risk assessments and risk mitigation
• Health and safety, including protective equipment
• Patient communication
• Patient information
• Communication skills

Relevant learning outcomes

#	Outcome
# 1	Outcome Prepare equipment and the environment in order to undertake clinical exercise assessments.
# 2	Outcome Prepare patients to undertake field and formal clinical exercise assessments.
# 4	Outcome Undertake clinical exercise assessments.
# 5	Outcome Identify, critically analyse and report key clinical exercise assessment parameters.
# 6	Outcome Prepare reports answering clinical questions using the results of exercise tests, in conjunction with other physiological parameters and patient history.
# 7	Outcome Employ effective communication skills and compassion with a range of patients enabling patients to understand their treatment pathway.
# 8	Outcome Demonstrate a patient centered approach to practice, considering communication with patients and relatives and the patient experience.