OBSTETRIC AND GYNAECOLOGICAL ULTRASOUND

SHE Level 5
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MMB824474
Module Leader Elaine Gardiner
School School of Health and Life Sciences
Subject Diagnostic Imaging
Trimesters
  • A (September start)-B (January start)-C (May start)
  • B (January start)-C (May start)-A (September start)

Summary of Content

This theory/practice module enables students to achieve clinical competency in obstetric and gynaecological ultrasound by delivering the theory underpinning obstetric and gynaecological ultrasound imaging, whilst students concurrently engage in clinical practice. The module learning enables the student to develop: -359b7 knowledge and understanding of normal and abnormal human genetics b7 in-depth knowledge and critical understanding of the aetiology, pathophysiology, diagnosis and treatment of abnormalities of the fetus, placenta and umbilical cord as relevant to ultrasound b7 comprehensive knowledge and understanding of the normal and abnormal female pelvis and pregnant and non-pregnant reproductive tract b7 critical awareness in synthesizing information and evaluative skills for the competent and safe performance of obstetric and gynaecological ultrasound examinations b7 comprehensive understanding of techniques applicable for obstetric and gynaecological ultrasound investigations . a range of communication strategies, which can be utilised in complex or sensitive ultrasound situations. A learning plan will be compiled by the student in collaboration with their mentor and the module leader to map a structured learning process in the clinical environment to fulfil the standardised assessment methods. This approach will enable students to attain achievement of competency to practice in obstetric and gynaecological ultrasound through a robust and standardised assessment strategy, which meet professional practice recommendations.

Syllabus

The standard Ultrasound syllabus of work is essential to demonstrate competency to practice in the student's defined area of Ultrasound practice. All students will engage with the syllabus and will focus their participation with this content in the context of obstetric and gynaecological ultrasound practice. -360b7 Developing a learning contract -360b7 Reflection b7 Relevant information retrieval, critical evaluation of literature b7 Review of current relevant international, national and local legislation, healthcare policy and professional guidelines b7 Communication and counselling skills; breaking bad news b7 Physical and psychological care of service users b7 Patient presentation, preparation and use of chaperones b7 Clinical history and clinical examination of the patient, clinical investigations and implications for Ultrasound examination b7 Selection, evaluation and safe use of ultrasound equipment, prevention of risk to the patient, self and others b7 Image appraisal and reporting b7 Professional conduct and accountability b7 Performance and evaluation of trans-abdominal and trans-vaginal scanning techniques b7 Review of female pelvic anatomy, normal and abnormal appearances and the physiology of pregnancy b7 Embryology, normal fetal development and anatomy and associated ultrasound appearances b7 Assisted conception b7 Fetal biometry, growth profiles and well-being b7 The role of ultrasound in routine antenatal screening b7 Congenital anomalies, detailed assessment of fetal anatomy and ultrasound limitations b7 Complications of pregnancy: early pregnancy failure, multiple pregnancy, maternal complications, intrauterine growth retardation, fetal death b7 Placental assessment; morphology, function and complications b7 Principles of maternal and fetal Doppler assessment; normal flow patterns and pathological variations b7 Ultrasound directed invasive procedures: Amniocentesis, chorion villus sampling, cordocentesis and recent advances -360b7 Liaison with obstetric, gynaecological and neonatal teams

Learning Outcomes

On successful completion of this module students should be able to:1. Critically analyse and reflect on the effectiveness of local obstetric ultrasound services to determine development or enhancement opportunities.2. Analyse the needs of service users, reflecting critically on their communication skills and the level of care provided.3. Critically demonstrate in-depth knowledge and understanding of relevant anatomy, physiology and pathology associated with obstetric and gynaecological ultrasound.4. Apply the complex skills necessary to plan and perform high-quality obstetric and gynaecological ultrasound examinations, safely, competently and professionally according to the evidence base.5. Interpret, critically analyse and report upon the ultrasound findings to contribute to case management according to evidence base6. Critically reflect on how achievement of the learning outcomes enhanced own practice or service.

Teaching / Learning Strategy

The teaching and learning strategy involves a range of student-centred, blended learning methods. These include key note lectures, tutorials, directed and self-directed study, group work, clinical supervision and practice based learning. Peer support will also be provided through the wider student group within the Medical Ultrasound Programme. Students will be required to undertake formative assessment as part of the teaching and learning strategy in both the academic and practice based setting. Practice based learning is an integral part of the module and will take place at the students' workplace or placement site. All students must therefore, have access to a suitable clinical placement and clinical mentor who has the necessary skills and experience to assess final competence in obstetric and gynaecological ultrasound. Tutorials led by the clinical mentor or practice education team are encouraged to problem solve and reflect on practice. The goal of training is competency and this must be demonstrated rather than a rigid adherence to fixed number of training scans/hours. However, in line with CASE recommendations, students are expected to undertake supervised ultrasound examinations for at least 14 hours per week for the duration of the module. All students must have access to a Clinical Mentor who has the necessary skill and experience to assess final competence in the student's specialist area.

Indicative Reading

Texts: Chudleigh, P. Smith, A and Cumming S. (2016), Obstetric and Gynaecological Ultrasound: How, Why and When . 4 th ed. Elsevier Churchill Livingstone, Edinburgh. Fleischer, A.C. Toy, E.C. Lee, W. Manning, F.A. & Romero R. 2014, Sonography in Obstetrics and Gynecology: Principles and Practice , 8 th ed, McGraw-Hill Medical, New York. Hollins Martin C. & Forrest E. 2013, Bereavement care for childbearing women and their families , Routledge, London Milligan, E. 2011, Ethics of consent and choice in prenatal screening , Cambridge Scholars Publishing, Newcastle upon Tyne. Rolfe, G. (2011), Critical reflection in practice: Generating knowledge for care, 2 nd ed, Palgrave Macmillan, London. SCoR and BMUS (2015), Guidelines for Professional Ultrasound Practice, available on-line at <https://www.bmus.org/policies-statements-guidelines/professional-guidance/guidelines-for-professional-ultrasound-practice/> ter Haar G and Duck FA. (2012) The Safe Use of Ultrasound in Medical Diagnosis, 3rd ed, British Institute of Radiology, London. Websites: <http://www.bmus.org> <http://www.cochrane.org> <http://www.dh.gov.uk> <http://evidence-based-medicine.co.uk> <http://fetalanomaly.screening.nhs.uk> <http://fetalmedicine.org/fmf> <http://www.rcog.org.uk> <http://www.soundergonomics.com> Bloom's taxonomy (verbs) <http://www.clinton.edu/curriculumcommittee/listofmeasurableverbs.cxml>

Transferrable Skills

Participation in this module will enable the student to develop transferable skills associated with Masters level study including: -360b7 Working in a self-directed manner, taking responsibility for own learning and personal development and where appropriate practice competence. b7 Developing study and ICT skills; information literacy, media literacy, digital creation, and digital research and scholarship to underpin effective learning. -360b7 Developing knowledge and understanding in the context of a subject, which can be transferred within different clinical settings. b7 Demonstrate critical thinking and problem solving skills in a range of situations. b7 Developing communication skills, written, oral, listening, and presentational. b7 Evidencing enhanced cognitive, affective and psychomotor skills b7 Underpin professional practice through: the integration of theory with practice; Reflection on practice and reflection in practice; Structuring of professional development activities; Depth of practice knowledge.

Module Structure

Activity Total Hours
Practicals (PT) 20.00
Placement 150.00
Lectures (PT) 25.00
Assessment (PT) 25.00
Tutorials (PT) 20.00
Independent Learning (PT) 60.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 02 n/a 30.00 50% Coursework (2000 words)
Course Work 01 n/a 30.00 50% Coursework (2000 words)
Course Work 03 n/a 0.00 50% Evidence of clinical competency.
Exam (Dept) 01 1.00 40.00 50% Exam