Teaching Responsibility
LJMU Schools involved in Delivery:
Nursing and Advanced Practice
Learning Methods
Lecture
Tutorial
Module Offerings
62383MMADV-APR-CTY
62383MMADV-JAN-CTY
62383MMADV-SEP-CTY
Aims
To facilitate the development of a safe and effective Endoscopist, by equipping the student with the knowledge and skills to perform diagnostic Upper GI Endoscopy incorporating the professional attributes that underpin an advanced practice role.
Learning Outcomes
1.
Demonstrate understanding of the broadened level of responsibility and autonomy of the advanced practice role and the professional scope of practice set within legal, ethical, professional and organisational governance.
2.
Examine the principles, practice of the Endoscopist role, and critically apply knowledge of the key concepts involved in clinical reasoning and decision-making.
3.
Appraise the evidence base underpinning the Endoscopist role in relation to consent, effective patient report writing, legal, regulatory and ethical aspects of advanced practice.
4.
Obtain relevant information by history taking, physical assessment and examination of a patient's clinical records to guide interpretation of endoscopic findings.
5.
Acquire and synthesise all necessary evidence to manage effectively patients with individual or complex comorbidities when presenting for diagnostic Upper GI Endoscopy.
6.
Interpret endoscopic findings based on knowledge of the anatomy, physiology and pathophysiology of the gastrointestinal tract to recommend further investigations and develop an evidence-based management plan.
Module Content
Outline Syllabus:
- The principles of professionalism, regulatory and legal foundations of Upper GI Endoscopist Practice.
- Therapeutic communication, consultation, history taking and the principles of delivering significant news.
- Common clinical presentations, weight loss, Dyspepsia, Dysphagia, Reflux symptoms, bloating and early satiety, Iron Deficiency Anaemia, Haematemesis or Melena, acute and chronic upper abdominal pain.
- Formulating a differential diagnosis.
- Medico-legal issues and ethical implications including Consent, Mental Capacity, Accountability, Responsibility, Record Keeping and Negligence.
- Indications for urgent and routine Upper GI Endoscopy procedures.
- Principals of pre assessment, impact of age, comorbidities, concomitant medication and other patient factors on the risks of upper GI Endoscopy, patient selection, risk management and patient centred care.
- Upper GI Endoscopy contraindicated or not in the patient’s best interest.
- Pharmacology for Upper GI Endoscopy Practice, anaesthetic throat spray, conscious sedation, proton pump inhibitors, Helicobacter eradication therapy, H2RAS, prokinetics and the implication of concomitant medications for the endoscopic procedure and patient safety.
- Medicines management and the role of the Endoscopist.
- Anatomy & physiology, vascular supply and lymphatic drainage of the Upper G.I. tract, endoscopic landmarks and anatomical variations. The upper GI tract relationship to adjoining organs and structures, mechanisms of swallowing and the principles of UGI physiological measurement tests.
- Improving Safety and Reducing Error in Endoscopy (I.S.R.E.E), human factors, non-technical and technical skills associated with Upper GI Endoscopy.
- Normal/ abnormal mucosal endoscopic appearances, lesion recognition, location and appearance, Paris, Prague, Forrest, Los Angeles classification systems, image enhancement to improve diagnostic interpretation, mucolytics and bubble-breakers to optimise mucosal visualisation, optimal strategy for photo-documenting endoscopic findings and obtaining biopsies and pathology specimens.
- Advanced clinical reasoning, thinking diagnostically, differential diagnosis, formulating a diagnostic and therapeutic plan, advanced clinical decision-making and referral for urgent M.D.T.
- Effective, unambiguous and comprehensive endoscopy report writing.
- Pathophysiology and histopathology of the Upper G.I tract and histopathology report interpretation.
- Upper GI premalignant cancer change and endoscopic features, risk factors, Barrett’s oesophagus and squamous dysplasia, biopsy strategy, surveillance intervals.
- Upper GI gastric mucosal changes and endoscopic features that may predispose to gastric cancer, multifocal atrophic gastritis atrophy, intestinal metaplasia and dysplasia, biopsy strategy and surveillance.
- Siewert classification
- Histological types of gastric and duodenal polyps.
- Evidence based clinical management, treatment options and follow-up of Helicobacter Pylori infection, Peptic Ulcer Disease, Reflux Oesophagitis, Candidiasis, Gastritis, Duodenitis, Coeliac Disease, benign gastric polyps, Vascular Ectasias, Oesophageal or Gastric Varices, benign strictures or stenosis, Oesophageal rings and webs, Eosinophilic Oesophagitis, Dysmotility syndromes and submucosal mass lesions.
- Emergency management and complications during Upper GI Endoscopy procedures.
- Health promotion for the Upper GI Endoscopy patient.
- Role of the Upper GI Cancer Nurse Specialist and MDT.
- Quality assurance for upper GI endoscopy, G.R.S. audits.
- Advanced practice, role development, continuing education and career pathways for Endoscopist.
Module Overview:
The Endoscopist module cater to a national footprint and adopts an innovative, blended approach to learning. The module contents are delivered by experts in the field of Endoscopy or Advancing Practice via an interactive virtual classroom. This module places an emphasis on robust clinical leadership, advanced communication skills, in-depth anatomy, physiology, pathophysiology, image interpretation, autonomous decision-making, diagnosis, evidence base patient management. The curriculum challenges the Endoscopist to critically explore, reflect and benchmark the technical and non-technical aspects of their practice against the current recognised evidence base.
The Endoscopist module cater to a national footprint and adopts an innovative, blended approach to learning. The module contents are delivered by experts in the field of Endoscopy or Advancing Practice via an interactive virtual classroom. This module places an emphasis on robust clinical leadership, advanced communication skills, in-depth anatomy, physiology, pathophysiology, image interpretation, autonomous decision-making, diagnosis, evidence base patient management. The curriculum challenges the Endoscopist to critically explore, reflect and benchmark the technical and non-technical aspects of their practice against the current recognised evidence base.
Additional Information:
This module is specifically designed to meet the requirements set by National Health Service England (NHSE) formally Health Education England (HEE). The overall aim of the module is to facilitate the Endoscopist evidence base practice. Teaching will take place via the Virtual Learning Environment, the students will return to their practice settings to reflect upon and develop expertise within their own clinical settings supported by their regional academy. Attendance is required throughout the module and will be monitored by the module leader and Regional Endoscopy Academy.
The students will have access to Canvas and the University's range of other electronic support such as access to the electronic library facilities. The Programme Leader will provide academic student support via a range of mechanisms including, phone contact, e-mail; Classroom Contact (Lectures; Seminars; Tutorials); Canvas and Personal Tutorials for Pastoral Support as appropriate. A module guide will be provided, which guides students to the wider range of support available.
The course will be informed by the Quality Assurance Agency for Higher Education Benchmark Statement for Health and Social Care Programmes and students on the course will be expected to adhere to their relevant Professional Code of Practice. The module has been aligned to the Level 6 descriptors for a Level 6 Higher Education Qualification. The module is part time, delivered over a seven-month period, three per year. After the seven-month period, the student will be required to have successfully completed all required components of the module.
The final award is a Continuing Professional Development Introduction to Upper GI Endoscopy.
This module is specifically designed to meet the requirements set by National Health Service England (NHSE) formally Health Education England (HEE). The overall aim of the module is to facilitate the Endoscopist evidence base practice. Teaching will take place via the Virtual Learning Environment, the students will return to their practice settings to reflect upon and develop expertise within their own clinical settings supported by their regional academy. Attendance is required throughout the module and will be monitored by the module leader and Regional Endoscopy Academy.
The students will have access to Canvas and the University's range of other electronic support such as access to the electronic library facilities. The Programme Leader will provide academic student support via a range of mechanisms including, phone contact, e-mail; Classroom Contact (Lectures; Seminars; Tutorials); Canvas and Personal Tutorials for Pastoral Support as appropriate. A module guide will be provided, which guides students to the wider range of support available.
The course will be informed by the Quality Assurance Agency for Higher Education Benchmark Statement for Health and Social Care Programmes and students on the course will be expected to adhere to their relevant Professional Code of Practice. The module has been aligned to the Level 6 descriptors for a Level 6 Higher Education Qualification. The module is part time, delivered over a seven-month period, three per year. After the seven-month period, the student will be required to have successfully completed all required components of the module.
The final award is a Continuing Professional Development Introduction to Upper GI Endoscopy.