Shows understanding of contemporary knowledge of the range of
factors that control gastrointestinal motility, as well as the means by
which symptoms arising from the GI tract are perceived.
In particular, can describe the enteric nervous system and
understands the ways in which drugs can modify its functioning
Can describe the brain-gut axis and the role of psychological factors
in the genesis of symptoms
Can describe the symptomatology and range of clinical presentations
of patients with irritable bowel syndrome
Knows the diagnostic criteria
Realises the importance of careful clinical assessment as well as the
need for appropriate selection of investigations
Knows the evidence-based treatment options for IBS and the
importance of a holistic and individualised approach to patient
management
Skills
Can make an accurate clinical assessment of patients with irritable
bowel syndrome
Uses investigations selectively
Communicates the diagnosis clearly and sympathetically
Appreciates the degree to which functional gut problems can impair
quality of life. Involves patients in making choice of treatment options
Can explain, where appropriate, that a psychological treatment might
be helpful and refer appropriately
Behaviours
Show a sympathetic understanding of the relevance of symptoms to
the individual and never appears dismissive
Takes time to explain nature of the condition, the treatment options
and appreciates their (often) limited effectiveness
AL
Hirschprungs Disease
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