PSYG09013 2022 Gastrointestinal Physiology I
In this module the students will be introduced to diseases of the upper and lower gastrointestinal (GI) tract and develop a conceptual and applied understanding of the role of gastrointestinal measurements in the evaluation of a patient's condition. Learners will be introduced to various techniques used in the investigation of both upper and lower GI disorders.
On completion of this module the learner will/should be able to;
Compile a comprehensive patient history report and apply guidelines, indications, contraindications, and limitations for testing using a patient centred approach, modifying as appropriate.
Appraise basic gastrointestinal physiology conditions and critically evaluate a range of equipment and techniques appropriate to investigate the presenting condition explaining the indications, contraindications, limitations, and potential complications of specific techniques demonstrating an understanding of relevant/potential treatment pathways.
Determine appropriate calibration methods and demonstrate operational techniques for the use of specialised equipment in gastrointestinal physiology investigations.
Assess conceptual and applied specialized knowledge and skills of gastrointestinal physiology measurements in the evaluation of a patient's condition.
Explain how medication used in the treatment of gastrointestinal disorders can affect the gastrointestinal investigations.
Ascertain how to carry out, report and interpret diagnostic tests in gastrointestinal physiology safely and in alignment with guidelines, applying reference values accurately.
Display a professional commitment to reflective practice and revises 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 recognised experts to guide students using a case study approach, facilitating discussion, problem-based learning and interpretation of data.
Experiential learning through hospital-based placement will be guided by specialists synthesising student learning. 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.
This module pre-curses Gastrointestinal Physiology II Module.
The student must be in attendance & log a minimum of 300 hours on their ‘minor’ hospital-based placement in Gastrointestinal Physiology.
Module Assessment Strategies
This module contains 'must pass' assessments (final exam and final clinical competency assessment). 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.
A ‘Pass’ overall in this module is a pre-requisite to undertaking Placement 4 (major Placement).
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.
Disorders of the upper and lower GI tract
High Resolution Oesophageal Manometry (HRM)
24 Hr pH Monitoring & pH Impedance Monitoring (MII)
High Resolution Anorectal Manometry (HRAM)
Breath Testing Techniques
Medication used in treatment of Lower GI disorders & effects of medication
Diagnostic tests – interpretation, indications, contraindications, and limitations of testing
High resolution Oesophageal Manometry
24 Hr pH Monitoring
High Resolution Anorectal Manometry
Hydrogen/Methane Breath Testing
Coursework & Assessment Breakdown
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Case Study Report & Presentation||Continuous Assessment||Assessment||15 %||End of Term||1,2,4,5,6|
|2||Reflective log||Continuous Assessment||Assessment||5 %||OnGoing||7|
|3||ONGOING Clinical Competency Practical Assessment||Continuous Assessment||Assessment||10 %||OnGoing||1,2,3,4,6|
|4||Final Clinical Competency Practical Assessment||Continuous Assessment||Assessment||20 %||End of Term||1,2,3,4,6|
End of Semester / Year Assessment
|Title||Type||Form||Percent||Week||Learning Outcomes Assessed|
|1||Gastrointestinal Physiology I||Final Exam||Closed Book Exam||50 %||End of Semester||2,3,4,5,6|
Online Learning Mode Workload
|Lecture||Online||Gastrointestinal Physiology I||1||Weekly||1.00|
|Tutorial||Online||Gastrointestinal Physiology I||1||Weekly||1.00|
|Independent Learning||Online||Independent Learning||5||Weekly||5.00|
Black’s Medical Dictionary, 2009
Bloom, Webster and Marks: Oxford Handbook of Gastroenterology and Hepatology;. 2nd edition; Oxford University Press
Bredenoord Smout Tack; A Guide to gastrointestinal Motility, Springer
Carruthers, G. (2014) High resolution Esophagel Manometry, Practical guide of HRM for nurses and technicians; Given Imaging Ltd.
Conklin, Pimental and Soffer; Color Atlas of High Resolution Manometry; Springer 2009
Fox, Kahrilas, Pandolfino and Zerbib, Manual of High Resolution Esophageal motility 2014; www.uni-med.eu
Curr Opin Gastroenterol
Am J Gastroenterology
Irish Institute of Clinical Measurement Science www.iicms.ie
BSG/ AGIP https://www.bsg.org.uk
American motility https://motilitysociety.org
American College of Gastroenterology https://gi.org/
European Society of Swallow Disorders http://www.myessd.org
Irish Society for Gastroenterology https://www.isge.ie/