Knowledge

Knows the differential diagnosis of IBD including bacterial and
amoebic infection, CMV, IBS, drug induced injury (NSAIDs)
microscopic colitis and vasculitis.

Skills
Uses appropriate investigations including blood tests, stool cultures
and intestinal imaging modalities.

Behaviours
Exhibits sympathy to patient, orders appropriate tests in a timely
manner, and involves members of the multidisciplinary team including
IBD nurse and surgeon as appropriate.

Also...
Knowledge


Knows the major differential diagnoses of IBD including infection –
viral bacterial and amoebic vasculitis ischaemia Behcet’s disease
irritable bowel syndrome etc

Knows the appropriate investigations to distinguish the above and
their limitations

Knows the differential when patient with know IBD presents with
symptoms including – active IBD bacterial overgrowth bile salt
malabsorption obstruction

Skills
Able to identify appropriate investigations to make a positive
diagnosis of IBD or to exclude it

Able to interpret the results of the above investigations
Behaviours
Outline to patients the possible causes of their symptoms
Explains and initiates the appropriate sequence of investigations
Can explain to patients the outcome of the investigations and their
implications

Also...

Knowledge
Assessment
Methods GMP
Understands the appropriate investigations for assessing disease
activity and extent including:
• inflammatory markers in blood (ESR, CRP, highly sensitive
CRP) and stool (faecal calprotectin, lactoferrin etc)
and imaging techniques, including
• upper and lower GI endoscopy, CT and MRI scanning,
capsule endoscopy, enteroscopy and barium imaging
SCE, mini-CEX, CbD 1
Understands the circumstances in which disease activity and extent
should be reassessed, and when complications should be suspected
(e.g. perforation, abscess formation, fistulisation)
SCE, CbD 1 Gastroenterology 2009 Page 106 of 155
Skills
Able to make a clinical assessment of a patient and determine the
requirement for further assessment using inflammatory markers and
imaging
SCE, mini-CEX, CbD 1
Can suspect the presence of complications appropriately and take
appropriate action in terms of investigation and management
SCE, mini-CEX, CbD 1,2
Behaviours
Explains the extent and activity of disease to patients, and to explain
their implications
mini-CEX, MSF 1,2,3,4,
Can liaise with IBD nurses, radiologists and other healthcare
professionals to ensure timely investigation and appropriate
management of IBD and its complications