Training activity: 2

Details

Perform optimised extracranial arterial ultrasound scans to identify and grade significant extracranial disease to include:

• Minor
• Moderate
• Severe
• Occlusive

 

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Patient centred care and support
• Techniques to work around limitations common to the scanning of disease vessels in the neck
• Plaque appearance in B-mode
• Optimising the image
• The appearance of a hemodynamically significant plaque using colour Doppler
• Local SOPs
• National and international guidelines and guidance
• Cursor placements and angle correction
• Collateral pathways
• Limitations of the scan or protocol
• Scope of personal and professional practice
• Rare or incidental findings
• Artifact causes and corrections
• Referrals and escalation

Relevant learning outcomes

#	Outcome
# 2	Outcome Assess disease in the extracranial arteries using ultrasound.
# 3	Outcome Apply ultrasound physics to correctly optimise an ultrasound scan.
# 4	Outcome Analyse and interpret the ultrasound findings for extracranial arteries with reference haemodynamics.
# 7	Outcome Appraise the impact of research evidence on national guidelines.
# 8	Outcome Critically evaluate the clinical significance of incidental findings.
# 9	Outcome Summarise surgical and endovascular interventions performed for carotid disease.