Module information

Module details

Title
Advanced Electrophysiology
Type
Specialist
Module code
S-OV-S3
Credits
15
Phase
3
Requirement
Compulsory

Aim of this module

This module aims to enable trainees to create test plans, perform additional advanced electrophysiological tests, interpret and report the results to another health professional and combine electrophysiology results with retinal imaging findings to inform a diagnosis. Trainees will be exposed to and participate in delivery of safe and effective patient centered care.

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1,4,5,7 Competency

Review and select appropriate diagnostic test from patient referrals

Action View
# 2 Learning outcome 2,3,4,6 Competency

Perform equipment set up and assist in calibration and maintenance

Action View
# 3 Learning outcome 2,3,4,7 Competency

Perform extended protocol ERGs including two of the following:

  • S cones
  • On/off ERGs
  • PHNR
  • Dark adapted red flash
  • Luminance response series
  • STR
Action View
# 4 Learning outcome 1,2,3,4,7 Competency

Perform and interpret multifocal electroretinograms and review the results

Action View
# 5 Learning outcome 1,2,3,4,7 Competency

Modify diagnostic test paradigms for patient compliance with testing

Action View
# 6 Learning outcome 1,2,3,4,7 Competency

Modify diagnostic test paradigms for equipment issues during testing

Action View
# 7 Learning outcome 5,6,7 Competency

Review raw data for EOG and apply data modelling principles in line with local protocols

Action View
# 8 Learning outcome 1,2,3,4,5,7 Competency

Perform and interpret diagnostic tests and create clinical reports for:

  • Maculopathy
  • Optic neuropathy
  • Retinopathy
Action View
# 9 Learning outcome 1,2,3,4,5,7 Competency

Perform and interpret diagnostic tests for paediatric patients and create clinical reports

Action View
# 10 Learning outcome 1,2,3,4,5,7 Competency

Perform and interpret diagnostic tests for patients with complex needs and create clinical reports

Action View
# 11 Learning outcome 6,7 Competency

Perform a departmental audit report the conclusions and make recommendations

Action View
# 12 Learning outcome 2,3,4,5 Competency

Direct a testing team in performing a paediatric patient electrophysiological test

Action View
# 13 Learning outcome 4,5,7 Competency

Review and develop a departmental standard operating procedure (SOP)

Action View
# 14 Learning outcome 1,2,3,4,6 Competency

Use multichannel VEPs to assess:

  • Pre-chiasmal
  • Chiasmal
  • Post chiasmal pathway function
Action View
# 15 Learning outcome 2,3,4,5 Competency

Train another healthcare professional to perform an electrophysiology test and provide constructive feedback on their performance

Action View

Assessments

Complete 3 Case-Based Discussions

Complete 3 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Perform an advanced VEP test on a patient.
  • Perform an extended ERG protocol.
  • Perform a test on a patient with complex needs.
  • Draft a liaison communication to a colleague to address clinical management issue.

Observed Clinical Event Titles

  • Give verbal report to a member of the multidisciplinary team.
  • Take a patient history where there are communication barriers/adjustments needed.
  • Discuss a patient result and give indication of interpretation to a supervisor.

Learning outcomes

# Learning outcome
1

Develop test plans from information given on referrals.

2

Prepare patients and the clinical environment for both standard and advanced electrophysiological techniques.

3

Perform standard and advanced electrophysiological techniques using correct procedures.

4

Identify, assess and remedy issues encountered while performing testing.

5

Interpret and report results of electrophysiological tests.

6

Prepare and participate in quality assurance activity in the department.

7

Employ effective communication with a range of individuals, including the patient and the multidisciplinary team.

Clinical experiences

Important information

Clinical experiences help you to develop insight into your practice and greater understanding of your specialty. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. While Clinical Experiences are not assessed, reflections and observations from your experiences can be used to support evidence for competencies to demonstrate your awareness and appreciation of your specialty and it’s impact on patient care. You may find it helpful to capture thoughts from your experiences in your reflective log.

Activities

  1. Observe electrophysiology procedures outside the department e.g. in a theatre visit, neurophysiology theatre visit or on a ward.
  2. Attend a research clinic.
  3. Attend a follow up clinic for a patient seen in the electrophysiology department.
  4. Attend a uveitis clinic.
  5. Attend an intravitreal injection clinic.
  6. Attend a botulinum clinic.
  7. Attend a neuro-ophthalmology clinic.

Academic content (MSc in Clinical Science)

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning outcomes

On successful completion of this module the trainee will be able to:

  1. Critique academic literature and technical information regarding measurement techniques and pathology to formulate strategies to adopt in clinical practice.
  2. Critically analyse the waveforms from multifocal ERG and multichannel VEP and be able to effectively communicate to a patient how the waveform relates to retinal pathology.

Indicative content

A detailed understanding of the science and professional guidelines on:

  • Data models and optimisation
  • Calibration – techniques and frequency
  • Equipment and safety – risk analysis and clinic setup
  • Extended protocols – established protocols and methodology for evaluating and adopting new approached
  • Principles of multifocal ERG and multichannel VEPs
  • Filter settings and amplifications – specific for different clinical instrumentation
  • Analysis techniques – critique of approaches
  • Appropriate test types for different pathologies and disease – review of the academic literature on emerging techniques
  • ERG stimuli and separation of different responses

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS2-2-22 Specialty title Ophthalmic & Vision Science [2022] Action View