Module specification

Transcription

1 Module specification 1. Factual information Module title Spirometry Performing and Interpreting QA Diagnostic Spirometry Level Module tutor Chris Loveridge Credit value 30 Module type elearning supported by facilitated study days Optional module Notional learning hours NQF Level 6 (HE Level 3) Rationale for the module and its links with other modules Spirometry is key to underpinning the diagnosis of COPD and other respiratory conditions. The outcomes strategy for people with COPD and asthma in England (DH 2011) promotes: Early diagnosis of patients with COPD Screening for the missing millions who have COPD and are as yet undiagnosed (BLF 2008) And highlights: The needs for all health care professionals undertaking diagnostic spirometry to be competent to do so. The BTS/SIGN (2008) Guidelines for Management of Asthma also recommend Spirometry as an assessment of lung function in the diagnosis of Asthma.. The Guide to Quality Assured Diagnostic spirometry (PCC 2013) identifies the current misdiagnosis of respiratory disease in primary care and advocates the need for accredited education and training to underpin spirometry performance with a commitment to demonstrate competence. This module will therefore support health care professionals to recognise the importance of the practical aspects of spirometry. It will also address the issues of patient centred services, protocol/policy implementation, differential diagnosis patient presentations and the importance of referral to appropriate follow up. Its focus on a specific area of care, complements and underpins the concepts of the disease specific modules by enabling students to develop skills in a broad range of related subject areas. As such, the module has strong links with the optional disease focussed modules offered within the programme pathways. 3. Aims of the module This module aims to equip students with the knowledge and skills to develop as autonomous Module Specification. Updated January 2013 Page 1 of 7

2 3. Aims of the module practitioners in safe, effective and evidence-based practice in the technique and interpretation of spirometry. Successful students will demonstrate sound knowledge of the role of spirometry in respiratory disease assessment. They will also demonstrate competent and safe practice in the technique and interpretation of spirometry and will be able to recommend subsequent treatment and management of common respiratory conditions based on findings from the spirometry assessments. Successful students will demonstrate an insight into the strategic approaches to delivery of patient centred care, to enable them to take a lead on the development of services where diagnostic spirometry is integral. 4. Pre-requisite modules or specified entry requirements A prior knowledge of how to use spirometry is useful and a one day introduction to workshop is recommended in the absence of this. Module Specification. Updated January 2013 Page 2 of 7

3 5. Intended learning outcomes A. Knowledge and understanding Learning and teaching strategy At the end of the module, students will be able to: A1: Evaluate the role of reversibility/post bronchodilator testing in supporting a diagnosis in respiratory disease. A2: Critically analyse the reasons for acceptable and unacceptable traces. B. Cognitive skills Learning and teaching strategy At the end of the module students will be able to: B1: Evaluate the evidence to support the use of spirometry in the diagnosis and management of respiratory disease B2: Justify the current guidelines relating to infection control and apply these to develop protocols and policies in their area of work C. Practical and professional skills Learning and teaching strategy At the end of the module, students will be able to: C1: Undertake spirometry testing with patients in accordance with current recommended guidelines C2: Interpret spirometry traces and evaluate the role of these traces in Module Specification. Updated January 2013 Page 3 of 7

4 C. Practical and professional skills Learning and teaching strategy diagnosis and monitoring of common respiratory conditions C3: Recommend appropriate treatment or management including appropriate referral or further diagnostic testing following spirometry assessment D Key transferable skills At the end of the module, students will be able to: D1: Reflect systematically on own performance to further develop learning Learning and teaching strategy 6. Indicative content. The subjects covered will include: Preparation, calibration, cleaning of equipment and infection control policies Preparation of the patient-considering the patient perspective Contraindications to spirometry testing Performing spirometry including reversibility/post bronchodilator testing Recognising an acceptable trace Interpretation of spirometry testing- restrictive and obstructive patterns Reporting problems in obtaining a trace Referral pathways- role of the multidisciplinary team Module Specification. Updated January 2013 Page 4 of 7

5 6. Indicative content. 7. Assessment strategy, assessment methods and their relative weightings Students are assessed by practical examination, portfolio and written assignment Part 1 Practical examination Students will be asked to demonstrate their ability to perform spirometry according to current recommended guidelines This will be a pass/fail component of the module. Students must obtain a pass in this element to pass the module. Part 2 Portfolio (50% of the total marks) Students will be asked to submit a portfolio containing 9 technically acceptable spirometry traces demonstrating varying degrees of airflow limitation that they have obtained from patients in their area of work. Students will be asked to interpret and analyse these traces and discuss their immediate management of the patient including referral routes where appropriate. Students must also show evidence of their knowledge and understanding of policies and protocols for patient preparation, equipment maintenance, including infection control. They will demonstrate QA by including 10 traces of physiological control and 20 copies of calibration/verification. Part 3 Assignment (50% of the total marks) A 1500 word case study which incorporates a patient s spirometry trace and reflects on a particular element such as validity and reproducibility. It should demonstrate how learning has changed practice and use real life examples applicable to their area of work Criteria for a pass The pass mark for the module is 40%. Students must achieve a minimum of 40% in each assessment element and a pass mark in the practical examination. Reassessment is as per regulations in the Student Guide. Module Specification. Updated January 2013 Page 5 of 7

6 8. Mapping of assessment tasks to learning outcomes Assessment tasks Practical PASS/FAIL A1 A2 B1 B2 C1. C2 C3 D1 Portfolio (50%) Assignment (50%) Learning outcomes 9. Teaching staff associated with the module Name and contact details Chris Loveridge, Education for Health 10. Key reading list Author Year Title Publisher Location National Institute for Health and Care Excellence National Institute for Health and Care Excellence 2010 COPD National Clinical guidelines on management of COPD in adults in primary and secondary care. (partial update) Department of Health 2011 An Outcomes Strategy for people with Chronic Obstructive Pulmonary Disease (COPD) and Department of Health, Crown Copyright, 2011, First published 18 July g.uk/cg101 blications Module Specification. Updated January 2013 Page 6 of 7

7 10. Key reading list Author Year Title Publisher Location Asthma in England British Thoracic Society, Scottish Intercollegiate Guidelines Network (2003). British guideline on the management of asthma Thorax 58 (Suppl 1), i1-i94. (This guideline was updated in 2009 and can be downloaded from: Department of Health A Guide to Performing Quality Assured Diagnostic Spirometry 11. Other indicative text (e.g. websites) cs/asthmafull.pdf) guide-qualityassureddiagnosticspirometry Module Specification. Updated January 2013 Page 7 of 7