Information:

Module information

Details

Title
Multidisciplinary Practice in Nuclear Medicine
Type
Specialist
Module code
S-NM-S5-1
Credits
10
Requirement
Compulsory

Aim of this module

In this module trainees are given the opportunity to apply knowledge and skills in an integrated way to tasks arising within a Nuclear Medicine Scientist role.

This module will provide trainees with opportunities to develop the ability to select the appropriate specialist knowledge and skills applicable in different situations. Trainees will be able to practice directing their own actions in support of service delivery and patient care, including understanding the wider context of the patient journey, how and when to escalate to more senior colleagues, and seeking help from other professional groups.

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1 Competency

Undertake a clinical audit in Nuclear Medicine and make recommendations for improving care based on the findings

Action View
# 2 Learning outcome 4, 6 Competency

Implement appropriate action(s) from an audit, review or gap analysis

Action View
# 3 Learning outcome 3, 4 Competency

Analyse a quality control failure or performance deterioration, assessing the cause and appropriate response. Plan and carry out necessary further investigative and/or corrective steps

Action View
# 4 Learning outcome 3, 4 Competency

Investigate artefacts in patient images and non-imaging data-sets with consideration of the cause of the artefact, including scope for corrective action and the implications for qualitative and quantitative interpretation

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

Process diagnostic data acquired with a bespoke protocol or a deviation to standard protocol and provide advice on interpretation of the resultant dataset

Action View
# 6 Learning outcome 1, 2 Competency

Present case studies of imaging investigations following the patient pathways from referral, justification/authorisation, image acquisition and processing, reporting and discussion of results. To include image investigations using:

  • Static
  • Dynamic
  • Gated acquisitions
Action View
# 7 Learning outcome 1, 2 Competency

Present case studies of imaging investigations following the patient pathways from referral, justification/authorisation, image acquisition and processing, reporting and discussion of results. To include image investigations using:

  • Tomographic nuclear medicine
  • Hybrid techniques
Action View
# 8 Learning outcome 1, 2 Competency

Present case studies of non-imaging investigations following the patient pathways from referral, justification/authorisation, image acquisition and processing, reporting and discussion of results. To include:

  • GFR test
  • A gamma probe study
Action View
# 9 Learning outcome 5 Competency

Produce new or revised patient information for a nuclear medicine procedure

Action View
# 10 Learning outcome 4, 5, 6 Competency

Undertake a review of an emerging technology or practice with potential to benefit the department and present the results to a local audience

Action View

Assessments

Complete 2 Case-Based Discussions

Complete 2 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Report a quality control fault to a service engineer and coordinate initial practical aspects of the resolution.
  • Prepare samples and standards for GFR measurement.

Observed Communication Event Titles

  • Provide advice to another healthcare professional on the impact of variation from routine protocol.
  • Disseminate learning from a case study to a suitable group.
  • Present a change in departmental practice at a staff meeting.

Learning outcomes

# Learning outcome
1

Evaluate practice with respect to published guidelines and expected standards.

2

Identify the role of Nuclear Medicine procedures within patient pathways and their own role within a multidisciplinary team delivering these.

3

Identify deviations and errors, evaluate their impact, and formulate appropriate responses to best mitigate adverse effects on patient care and outcomes.

4

Devise and apply solutions to commonly arising issues to meet patient care objectives in a safe and non-discriminatory manner, drawing on both own relevant specialist knowledge and skills, and those of others.

5

Communicate effectively across professional boundaries and with patients to ensure high quality, safe patient care.

6

Evaluate and promote appropriate opportunities for improvement and innovation for patient benefit.

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. Discuss techniques for the creation of radionuclides for medical use.
  2. Demonstrate a critical awareness of GMP requirements for radiophamaceutical manufacturing.
  3. Apply integrative knowledge of human anatomy and physiology relevant to common nuclear medicine procedures.
  4. Critically analyse normal and abnormal nuclear medicine image appearances, identifying artefacts and likely causes.
  5. Critically evaluate the requirements for and governance of information technology and networking in nuclear medicine.

 

Indicative content

Radionuclide production Generators, types in clinical use, equilibrium, nuclear reactor production, cyclotron production and common isotopes produced
Radiopharmaceutical production Radiopharmacy production, use of cold kits, basic understanding of GMP facilities and techniques required to produce sterile medicines, environmental testing and chromatography
Clinical studies

 

Aware of normal appearances of common nuclear medicine and PET studies and typical pathological appearances and CT anatomy
 

Physiology and anatomy

 

Basic physiology and anatomy relevant to nuclear medicine and hybrid imaging
Image artefacts Appearance and causes of artefacts that may be present in nuclear medicine images, radiopharmaceutical mislabeling, incorrect scanner settings, patient movement, extravasation and mis-registration of hybrid images
Emerging technologies Emerging technologies and practices such as new camera developments or PET-MR
Information technology Information governance, informatics and IT relevant to NM imaging, e.g. DICOM etc

Clinical experiences

Important information

Clinical experiential learning is the range of activities trainees may undertake in order to gain the experience and evidence to demonstrate their achievement of module competencies and assessments. The list is not definitive or mandatory, but training officers should ensure, as best training practice, that trainees gain as many of these clinical experiences as possible. They should be included in training plans, and once undertaken they should support the completion of module assessments and competencies within the e-portfolio.

Activities

  1. Talk to a patient about their experience of their nuclear medicine procedure.
  2. Observe appointments involving patients with additional and specialist needs e.g. paediatric imaging, patients with learning disabilities or dementia.
  3. Attend multidisciplinary team meetings for referring specialties.
  4. Attend theatre to see a probe localisation procedure.
  5. Observe radiopharmaceutical manufacture and product release procedures.

Module assigned to

Specialties

Specialty code Specialty title View
Specialty code SPE1-5-22 Specialty title Nuclear Medicine [2022] Action View
Specialty code SPE1-5-23 Specialty title Nuclear Medicine [2023] Action View
Specialty code SPE1-5-24 Specialty title Nuclear Medicine [2024] Action View
Specialty code SPE1-5-25 Specialty title Nuclear Medicine [2025] Action View