Guidance on required assessments, electives and learning outcomes for the STP Reproductive Science rotations

text

What are the required assessments?

In each rotational module you will need one Case Based Discussion (CBD) and one of either a DOPS or OCE.

Some requested DOPS will exist for samples and equipment that are present in your Reproductive Science laboratory. An alternative is to find a published method or protocol for a relevant technique and demonstrate it, using a simulation if necessary (i.e., using tubes, slides etc but no sample or chemicals). You may be able to find a resource that shows how the technique is carried out, for instance on a supplier’s website. You will need to demonstrate a good understanding of the procedure and be able to answer the DOPS questions regarding use of this method. There are no OCE’s defined for the rotational training.

Suggestions for rotational specialism DOP’s in the context of Reproductive Science

  • Demonstrate understanding and use of the range of microscopes in your laboratory and the microscopes that would be used in the specialist laboratories, to include an understanding of the different illumination and visualisation techniques.
  • Set up a microscope for kohler illumination, describing the function of each of the components of the microscope and how to optimise the illumination.
  • Describe and use any fixatives or stains in use in your laboratory, for instance sperm vitality staining by dye exclusion, fixing and staining sperm for morphology assessment.
  • Discuss with your supervisor the RCPath ‘Tissue pathways for gynaecological pathology’ in the context of the specimen handling and processing SOPs and diagnosis of disease.
  • Demonstrate understanding of PCR in the context of embryo biopsy.
  • Demonstrate understanding of chromosome analysis using images of normal and abnormal karyotypes.

For Cytopathology, you need to choose one DOP from this list:

  • Label and store of a wide range of cytopathology specimens
  • Prepare, select and use appropriate fixative solutions.
  • Perform Haematoxylin and eosin staining technique to a variety of tissue samples.
  • Use light microscopy at various magnifications in the investigation of a range of cytopathology specimens.
  • Set up a microscope for Kohler illumination.

For Histopathology, you need to choose one DOP from this list:

  • Label and storage of a wide range of histopathology specimens.
  • Select and use decalcifying agents on appropriate specimens.
  • Prepare and use a microtome on a range of tissue samples within different embedding materials.
  • Perform Haematoxylin and eosin staining technique on a variety of tissue samples.
  • Set up and use light microscopy at various magnifications in the investigation of a range of tissue specimens.

For Genetics, you need to choose one DOP from this list:

  • Review a referral form for genetic testing for appropriateness.
  • Perform an analysis of the results of a molecular genetic test.
  • Perform analysis for a sample referred for chromosome assessment.
  • Prepare draft genetics report.
text

The elective component

The Elective component of Specialist work-based learning spans the Rotational and Specialist period of training. Each trainee is also expected to build on and apply the knowledge, skills and experience gained from the MSc in Clinical Science

Aim

The aim of the elective period is to facilitate wider experience of healthcare and/or the practice of Healthcare Science in a cultural and/or clinical setting that is different from the usual training environment. This may involve healthcare or Healthcare Science in a different area of the health service, or in pursuit of a particular clinical or research interest.

Scope

The elective provides opportunities for you (the trainee) to:

  • explore in depth areas of particular interest beyond the scope of the scientist training programme
  • increase awareness of important health issues and develop an understanding of the effect of disease on communities and individuals in different cultural contexts
  • explore unfamiliar scientific, social, economic or cultural areas
  • become more proficient at communication with individuals from different social, cultural and ethnic backgrounds
  • gain hands-on experience that might not otherwise be possible in a scientist training programme
  • design and undertake a significant assignment with appropriate guidance and supervision, thereby developing personal and organisational skills
  • undertake a small audit or research project in a different clinical setting
  • relate your experiences to your own area of practice
text

The learning outcomes

Learning outcomes are specific to each student: with guidance, you are expected to identify your own educational objectives and organise an elective to achieve them.

On successful completion of this module the trainee will:

  1. Agree, organise and complete a period of education and training that provides a wider experience of healthcare and/or the practice of healthcare science, and aligns with Good Scientific Practice.
  2. Critically reflect on your experience in your elective and develop an action plan as part of your continuing personal and professional development.
  3. Prepare a presentation and present your elective experiences to colleagues, including trainee healthcare scientists.
text

Clinical experiential learning

Cytology

The clinical experiential learning for this module is:

  • Participate in multidisciplinary review meetings at which cytopathology results are presented as part of the clinical record. Reflect and discuss in terms of the benefits of a multidisciplinary approach to patient care and the importance for the patient pathway.
  • Review and discuss the application of the range of cytochemical, immunocytochemical and molecular techniques available in the training department, including application to non-gynaecological specimens.
  • Review, reflect on and discuss the operation of current cervical screening programmes, with particular reference to their importance to patient groups, to identification and prevention of disease and to the patient pathway.
  • Review, and discuss the application and interpretation of quality assurance methodologies in Cytopathology.
  • Discuss with practitioners the preparation and interpretation of cytopathological reports. Reflect and report on the importance and implications of effective reporting.
  • Undertake a range of work activities that involve working in partnership between the cytopathology laboratory and other clinical specialisms in the investigation of disease. Reflect and report on the importance of this partnership approach to the patient experience of investigation, treatment and management.

Histopathology

The clinical experiential learning for this module is:

  • Participate in multidisciplinary review meetings at which histopathology results are presented as part of the clinical record. Reflect and report on the importance of a multidisciplinary approach to patient investigation, treatment and management.
  • Review discuss and report on the application of the range of histochemical, immunocytochemical and molecular techniques available in the training department.
  • Observe, review and discuss the application and interpretation of quality assurance methodologies in Histopathology.
  • Discuss, with practitioners, the preparation and reporting of FRCPath category A, B and C specimens.
  • Undertake activities that demonstrate the partnership between the histopathology laboratory and other clinical specialisms in the investigation of disease. Reflect on your experiences and the implications for patient investigation, treatment and care.

Genetics

The clinical experiential learning for this module is:

  • Attend multidisciplinary team meetings at which the results of genetic and genomic investigations are discussed and reflect on discussion and the impact of multidisciplinary working on patient treatment and management, in addition to the partnership between Genetics and other clinical specialisms in the investigation of genetic and genomic disorders functions in the patient pathway.
  • Attend specialist genetics clinics and review/report on the process, patient engagement and experience in connection with the work of these clinics.

The laboratory experiential learning for this module is:

  • Observe cell culture and chromosome preparation techniques and reflect on their importance in the investigation process.
  • Gain experience of each of the following and personally reflect on the importance, application and effect on patient management:
    • Investigation of chromosomal abnormality, the correct sampling technique, relevant quality parameters and the correct use of nomenclature
    • Investigation of the molecular basis of disease, the correct sampling technique, relevant quality parameters and the correct use of nomenclature
    • Interpretation and reporting of laboratory results in the context of named genetic disorders.
text

Professional practice

Trainees should ensure they refer to the professional practice learning framework and continue to achieve the professional practice competences alongside the competences defined in this module. All of these experiences should be recorded in your e-portfolio.