Example of organisation of

Rotation D Clinical Assessment and Investigation

Neurosensory Sciences

(Audiology, Neurophysiology, Ophthalmic and Vision Sciences)

Aims:

This rotation provides trainees with the opportunity to develop the application of their knowledge of, and skills in the diagnosis, care and treatment of patients with neurosensory disease/disorders to the wider context of clinical assessment and investigations. The module provides an opportunity for trainees to gain a greater understanding of the role of related diagnostic modalities and gives the knowledge and understanding of the interpretation and clinical decision making associated with clinical assessment and investigations in the context of differential diagnosis together with an understanding of the principles of operation, data acquisition and quality assurance of other diagnostic service modalities.

This guidance has been produced using the published learning guides 2010/2011

Work-based Learning Outcomes
Learning Outcome 1
Appraise the different auditory, visual, central and peripheral neurological imaging related assessments and investigations that contribute to the holistic patient approach in the diagnosis, management, prognosis and care
Learning Outcome 2
Review how different assessments and investigations are used in primary or secondary care services who undertake auditory, visual, central and peripheral neurological disorders e.g. healthcare for older people; neonatal care (NICU, SCBU), integrated care, critical care, primary care, independent sector
Learning Outcome 3
Characterise how different auditory, visual, central and peripheral neurological disease and disorders can influence the differential diagnosis of a neurosensory disease or disability
Learning Outcome 4
Identify the range of auditory, visual, central and peripheral neurological assessments and investigations and the implications of the results on patient care in a variety of different environments e.g.:
Healthcare for older people
Primary Care
Post-natal Clinics and Assessments
Healthcare in the community
Screening
Independent Sector
Neonatal Care Units
ICT/Operating Theatres
Learning Outcome 5
5.1
Assist experienced imaging staff with the preparation, as appropriate, using screening or diagnostic ionising and non-ionising imaging equipment, observing current safety and legislative requirements.
5.2
Assist in the processing and analysis of samples in the pathology laboratory observing current safety and legislative requirements.
5.3
View and identify key anatomical landmarks of auditory, visual, central and peripheral neurological systems obtained using ionising and non-ionising imaging media.
5.4
View and identify common pathology test results compared to standard reference ranges and possible effect on either auditory, visual, central and peripheral neurological disease or disorder.
5.5
Recognise the errors or potential risks of using defective imaging and pathology equipment in clinical practice.
Learning Outcome 6
6.1
Discuss the needs of people with disabilities within neurosensory patient pathways
6.2
Describe the role different healthcare services play in the care of patients following neurosensory patient pathways e.g. healthcare for older people, neonatal care, integrated care, critical care, primary care, independent sector.
6.3
Undertake a range of procedures and understand the implications of the results on patient care in a range of clinical environments, to include:
Medical Assessment Unit
Primary and community care
Care of older people
Independent Sector
ICU/CCU/NICU/SCBU
6.4
Work in partnership with colleagues, other professionals, patients and their carers to maximise patient care.
Below is an example of how the rotation could be organised to maximise its effectiveness:
Month 1 / Month 2 / Month 3
Work-based trainer & Trainee briefing
Follow a patient through their care pathway from referral through diagnostic to treatment and follow-up
2 sessions observing consultations in outpatient clinics
2 ward rounds/clinical activity on wards
Attendance at audit meetings in all specialities
Review with trainer / Observation and assistance in x-ray to include:
  • Routine x ray
  • CT/MRI and PET scanning
  • General ultrasound
  • PACS and data management
Observation and assistance in pathology Labs to include Quality Assurance systems
Observation and assistance in a healthcare setting for older people
Review with trainer / Observation & assistance on a Medical Assessment Unit
Observation & assistance in imaging (with lasers)
Observation & assistance on ICU, NICU, SCBU
Safety testing and QA in Medical Physics
Observation of GP surgery, community based services and the independent sector
Observation in an operating theatre (related to neurosensory pathway)
Review with trainer
Reflective account of rotation

Rotation D Guidance NS V2 CBTF 171011