Work-based content
Competencies
| # | Learning outcome | Competency | Action |
|---|---|---|---|
| # 1 | Learning outcome 1 |
Competency
Control infection risks in accordance with departmental protocols. |
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| # 2 | Learning outcome 1 |
Competency
Minimise risks and hazards in compliance with health and safety policies. |
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| # 3 | Learning outcome 1 |
Competency
Select suitable technology for each type of investigation, choosing and adapting the appropriate diagnostic technique, patient position and equipment settings for each patient. |
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| # 4 | Learning outcome 1 |
Competency
Set up equipment ready for use for each type of investigation, including resuscitation equipment. |
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| # 5 | Learning outcome 1 |
Competency
Obtain a suitably completed request form, greet the patient, check patient ID and ensure that the patient’s identity is confirmed as correct and fully identified on each type of recording system |
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| # 6 | Learning outcome 1 |
Competency
Explain the procedure for each type of investigation to the patient and address any questions they may have relating to the procedure, including the process after the procedure and how the patient will be informed of the results |
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| # 7 | Learning outcome 1 |
Competency
Gain informed consent for each investigation |
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| # 8 | Learning outcome 1 |
Competency
Position and align the patient correctly for the investigation, avoiding patient discomfort |
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| # 9 | Learning outcome 2 |
Competency
Screen the globe with A- and B- scan, understanding normal features and artefacts, and distinguishing features of dense cataract, vitreous haemorrhage, retinal detachment and ocular tumours |
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| # 10 | Learning outcome 2,5 |
Competency
Obtain images of suitable clarity and in sufficient quantity to answer the clinical question |
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| # 11 | Learning outcome 3,5 |
Competency
Measure with ultrasound the dimensions of ocular masses and other lesions in the eye and orbit |
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| # 12 | Learning outcome 4,5 |
Competency
Screen the orbits and image and measure the optic nerve and extraocular muscles |
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| # 13 | Learning outcome 6 |
Competency
Evaluate, interpret and annotate images as required to obtain the appropriate result |
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| # 14 | Learning outcome 6 |
Competency
Record and store images in accordance with the relevant protocols and procedures |
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| # 15 | Learning outcome 6 |
Competency
Record and report on results of the investigations in the correct clinical context |
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Assessments
You must complete:
- 2 case-based discussion(s)
- 1 of the following DOPS/ OCEs:
| Prepare the clinical environment for taking an image of the eye | DOPS |
| Prepare and position the patients head to optimise images | DOPS |
| Select appropriate transducer and perform A and B ultrasound | DOPS |
| Measure ocular features | DOPS |
| Perform ultrasound and measurements for axial length and intraocular lens replacement | DOPS |
| Perform Doppler US imaging of ocular blood flow | DOPS |
| Perform high frequency ultrasound biomicroscopy (UBM) of the anterior segment | DOPS |
| Take account of clinical information to understand aim of US image and region of interest | OCE |
| Explain the procedure and address any questions | OCE |
| Select artefact free, pertinent images and present these with interpretations in the clinical record | OCE |
| Discuss and explain the images and next steps with the patient | OCE |
Learning outcomes
- Prepare the patient and the clinical environment for ultrasonography investigations
- Screen the globe with A- and B-scan, understanding normal features and artefacts, and distinguishing features of dense cataract, vitreous haemorrhage, retinal detachment and ocular tumours
- Measure the dimensions of ocular masses and other lesions in the eye and orbit using ultrasound imaging
- Screen the orbits and image and measure the optic nerve and extraocular muscles
- Assess image quality
- Annotate, interpret and report results of ultrasonography investigations