Each of these tutorials goes through a series of video clips to demonstrate the clinical examination of system in question. The clips are interspersed with questions for you to answer. Before you start any of the tutorials please make sure that you have a pen and paper ready. These are meant as a guide to examination and clinical signs and it is essential that you extend knowledge you gain in these tutorials with practical experience on the wards.
Watch this clip before you use this material: Introduction to clinical examination
These are a series of videos covering the basic clinical skills you should be familiar with by the end of the 3rd year.
|
Skill |
Level of competence expected | Speciality |
|---|---|---|
| Administering oxygen | Maintaining the airway, and allowing the patient to breathe a higher concentration of oxygen than normal | |
| Injection technique | Proficient at explaining and performing in different settings | All |
| Blood pressure measurement | Proficient at explaining and performing procedure and demonstrating to others how to perform this investigation | All |
| Venepuncture | Proficient at explaining and performing procedure | All |
| Asepsis - scrubbing and setting up a sterile field | Proficient at explaining and performing procedures aseptically | All |
| Setting up an IV infusion | Proficient at explaining and performing procedure | All |
| NG tube insertion | Awareness of procedure and observation on the wards | All |
| Male catheterisation | Awareness of procedure and observation on the wards | All |
| Female catheterisation | Awareness of procedure and observation on the wards | All |
| ECG | Able to perform ECG | All |
| CXR interpretation | Able to look at CXR in a structured way and recognise common problems | All |
| Suturing | Awareness of procedure and observation on the wards | All |
| Capillary blood glucose measurement | Proficient at explaining and performing procedure | All |
| Urinalysis | Proficient at explaining MSU and performing stick testing urinalysis | All |
| Rectal examination and assessment of prostate | Proficient and able to translate findings | All |
| Use of inhalers | Proficient in explaining the use of inhalers and able to demonstrate technique to others | Respiratory |
| Peak flow measurement | Proficient at explaining, demonstrating and performing procedure and understanding proper use | Respiratory |
| Spirometry | Awareness of method and observation in respiratory clinic. Understanding of correct use | Respiratory |
| Cardiac catheterisation | Awareness of procedure and observation of case | Cardiology |
| Pacemaker placement | Awareness of procedure and observation of case | Cardiology |
| Echocardiography | Awareness of procedure and observation in radiology department | Cardiology |
| Vascular dopplers | Proficient at explaining and performing procedure and interpretation of findings | Vascular Surgery |
| Aortic and lower limb angiography | Observation of procedure in radiology department and able to name major vessels and recognise stenosis, occlusion and collaterals | Vascular Surgery |
| Proctoscopy and sigmoidoscopy | Familiarity with procedure and observation on endoscopy suite/ on wards/ in clinic | GI Medicine and Surgery |
| FNA of breast lump | Familiarity with procedure an observation in breast clinic | Breast Surgery |
| Laryngoscopy | Awareness of procedure and observation in ENT clinic | ENT |
| Tympannometry | Awareness of procedure and understanding of role and limitations | ENT |
| Pure tone audiometry | Awareness of procedure and understand use and ability to recognise a conductive and sensorineural hearing loss | ENT |
| Fine needle aspiration | Awareness of procedure and observation in radiology, on wards or in general surgery clinic | All |