PSYG08006 2023 Respiratory Physiology II
This module facilitates learners to develop a conceptual and applied understanding of the role of advanced respiratory diagnostic measurement methods in a clinical setting, building on the knowledge and skills developed in Respiratory Physiology I Module.
Learning Outcomes
On completion of this module the learner will/should be able to;
Apply advanced clinical knowledge and technical skills in Respiratory Physiology to appraise Respiratory conditions and independently perform physiological measurements in the evaluation of patient conditions.
Critically evaluate a range of advanced equipment and techniques appropriate to investigate the presenting Respiratory condition, explaining the principles, indications, contraindications, limitations, and potential complications of specific techniques.
Demonstrate competence in the calibration and operation of specialist equipment while undertaking specified investigations in Respiratory Physiology, aligning with relevant standards and guidelines, and adapting techniques appropriately as required.
Describe how medication used in the treatment of Respiratory disorders can affect specific investigations.
Apply reference parameters accurately to interpret advanced diagnostic tests in Respiratory Physiology, compiling a comprehensive patient history and diagnostic report correlating with disease pathology.
Evaluate treatment options for Respiratory disorders and recognise the role of the Respiratory physiologist in patient management, suggesting or adjusting therapy as would fall under the practitioners scope of practice.
Communicate specialised knowledge of Respiratory conditions and testing procedures appropriately and apply patient-centred skills to patient education.
Portray a professional commitment to reflective practice, revising judgements and behaviour considering reflection.
Teaching and Learning Strategies
This module takes a blended learning approach.
Online lectures will expose students to relevant theory.
Lectures will be supported by online tutorials from expert practitioners to guide students using a case study approach, facilitating discussion, peer-teaching & learning, groupwork, problem-based learning and interpretation of measured data.
Experiential learning through hospital-based placement will be guided by specialists synthesising student learning and guiding in the use of clinical equipment and national and international standards to inform practice. An observational competency-based assessment method will be used frequently across this module as a means of formative learning through feedback.
Leaners will be encouraged to commit to reflective practice and revise judgements and behaviour considering reflection.
Students will be directed to supports provided on the University eLearning platform including discussion forums, articles, websites, eLearning activities and recommended reading.
A formal agreement will be made with hospital sites as regards a quantum of protected time for the delivery of clinical education during placement hours to progressing scaffolded learning.
Students undertake a final year project (FYP) during this final semester of study in tandem with their ‘major’ hospital-based placement affording learners an opportunity for applied learning through completion of a substantial body of work in a specified topic area independently under supervision.
Respiratory Physiology I is a pre-requisite for this module.
The student must be in attendance & log a minimum of 480 hours on their ‘major’ hospital-based placement in Respiratory Physiology.
Module Assessment Strategies
This module contains 'must pass' assessments. The minimum ‘pass’ mark for this module overall is 50%, in addition to meeting the minimum attendance requirement.
The student will be assessed on their ability to competently carry out clinical tests within this specialist area, as outlined in the indicative syllabus above and Clinical Training Manuals.
Observational competency-based assessment methods will be used frequently across this module as a means of continuous assessment and preparing students for a final competency assessment.
The students are required to submit an anonymised written case study which is summarised in an oral presentation.
Learners will also maintain a reflective log throughout their placement.
The final written exam will assess students' knowledge to practice through exam questions requiring application of theoretical concepts to practice examples or sample measurement data.
Learners will also maintain a reflective log throughout their placement.
Students understanding of applied theoretical concepts will be assessed via final written exam.
Repeat Assessments
Where a student fails placement, they must repeat that placement.
Where a student fails an element of placement, that component(s) must be repeated.
Where the theory exam is failed, the student should resit that exam at the next repeat sitting.
Module Dependencies
Indicative Syllabus
Indicative Content:
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Principals of advanced Respiratory Physiology tests including sleep diagnostic and therapy procedures
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Calibration and Quality Assurance - - Awareness of patient and equipment safety procedures including gas cylinder, infection control & HSE policy and procedures.
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Demonstration on how to carry out tests
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Guidelines, limitations, indications and contraindications, infection control and safety for testing
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Medical history taking and medical terminology - demonstrating the ability to identify and summarise normal and abnormal test results with correct medical terminology
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Test interpretation and use of appropriate reference values
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Report writing
Indicative Practicals:
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Bronchial challenge tests
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cardiopulmonary exercise tests
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Forced oscillation and sleep diagnostic procedures including polygraphy and basic polysomnography
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Therapy methods for treatment of Sleep disordered breathing e.g. NIV, MAD etc
 Tutorials supervised by Respiratory tutor
Coursework & Assessment Breakdown
Coursework Assessment
Title | Type | Form | Percent | Week | Learning Outcomes Assessed | |
---|---|---|---|---|---|---|
1 | Case Study Report & Presentation | Coursework Assessment | Assessment | 15 % | End of Term | 1,2,4,5,6,7,8 |
2 | Reflective Log | Coursework Assessment | Assessment | 5 % | OnGoing | 8 |
3 | ONGOING Clinical Competency Practical Assessment | Coursework Assessment | Assessment | 10 % | OnGoing | 1,3,4,5,6,7 |
4 | FINAL Clinical Competency Practical Assessment | Coursework Assessment | Assessment | 20 % | End of Term | 1,3,4,5,6,7 |
End of Semester / Year Assessment
Title | Type | Form | Percent | Week | Learning Outcomes Assessed | |
---|---|---|---|---|---|---|
1 | Respiratory Physiology II | Final Exam | Closed Book Exam | 50 % | End of Semester | 1,2,4,5,6 |
Full Time Mode Workload
Type | Location | Description | Hours | Frequency | Avg Workload |
---|---|---|---|---|---|
Lecture | Lecture Theatre | Respiratory Physiology II | 2 | Weekly | 2.00 |
Tutorial | Flat Classroom | Respiratory Physiology II | 1 | Weekly | 1.00 |
Independent Learning | Not Specified | Respiratory Physiology II | 9 | Weekly | 9.00 |
Module Resources
Recommended:
ARTP Manual Part 1 A copy should be available in the department and is the present reference manual used for Lung Function Testing in Ireland.
ARTP part 2 – cardiopulmonary exercise testing
IARS Infection Control Manual.
IARS Quality Assurance Manual.
IARS Standardisation manual
Suggested:
Lung Function Tests – A guide to their interpretation Wm J Kinnear 1997 Nottingham University Press
Manual of Pulmonary Function Testing 9th edition by Gregg L
Ruppel 2009 Mosby Inc. (www.Amazon.co.uk) Respiratory Physiology: The Essentials. John B. West et al. 2011 Elsevier Ltd.
Physiology, Measurement and application in Medicine JE Cotes, DJ Chinn, MR Miller 2006 Blackwell publishing
Lung Function Tests: Physiological principles and clinical applications J. Hughes, N. Pride. 1999.
Pulmonary Function Testing and Cardiopulmonary Stress Testing By Vincent C.Madama 1997.
Principles of Exercise Testing and interpretation: Including Pathophysiology and Clinical Applications By Karlman Wasserman 2011
Exercise testing and interpretation By Dr Chris Cooper UCLA Other suggested reading (and useful to have): Oxford Medical Dictionary 2010
Latest Medical Dictionaries published are Stedman’s Medical Dictionary 28ed with CD, 2006
Stedman’s Medical Dictionary for the Health Professions and Nursing. Marjorie C. Willis. 2011
Black’s Medical Dictionary, 2009
Black’s Student Medical Dictionary 2011 Harvey Marcovitch
Primary Care Respiratory Journal
Respiratory Medicine
Respiratory Physiology and Neurobiology
Respiratory Research
Lung Cancer
Paediatric Respiratory Reviews
The European Respiratory Journal
The Lancet
The American Respiratory Medical Journal
ATS/ERS Guidelines in Spirometry 2019
ATS/ERS Guidelines in Diffusing Capacity 2017
ATS/ERS technical standard for lung volumes measurement TBC 2022
ATS/ERS GLI reference values Spirometry 2012, DLCO 2019, Volumes 2020, CPET 2023*TBC
ATS/ERS technical standard for lung function test interpretation 2021
ATS/ERS technical standard methacholine testing 2017
ERS cardiopulmonary exercise standard 2020
ARTP cardiopulmonary exercise standard 2021
ATS/ERS technical standard indirect challenge tests 2018
IARS Manual – Standardisation of Lung function testing
IARS Manual – Quality Assurance in Lung function labs
Practical Handbook of Respiratory Function Testing Part 2 – ARTP UK, 2019