New patient assessment with a primary complaint of tinnitus and no associated hearing loss
Internal Assessor/External Assessor in Home Department/External Assessor On Secondment
Please leave blank if not applicable
Prepare clinical facilities & equipment, to include daily calibration checks any equipment to be used, and room set up
Plan clinical approaches, using clinical reasoning strategies and evidence based practice, liaising with the relevant professionals to co-ordinate assessments & care, as appropriate
Carry out a person-centred assessment, to include a full and relevant case history, and using tools and validated questionnaires as appropriate, in a safe and effective manner adapting as required to ensure information gained is maximised within the time available.
Show creativity, initiative and originality of thinking in tackling and solving practical problems
Collate relevant information and make an informed decision concerning the diagnosis and management of individual cases
Develop person-centred treatment plans incorporating the needs, preferences and values of the patient and their family, and use shared decision making to choose between options.
Deliver person-centred treatment plans, using counselling skills and appropriate techniques as required, and adapt as required depending on progress. Specifically this should include:
a. Information counselling
b. Habituation based therapy
c. Use of sound therapy
d. Hearing aid fitting/re-programming (including combination devices)
e. Advice and information regarding stress, relaxation techniques and sleep management
Collate, and prepare resource materials (including patient information) including signposting to online resources, to complement their own interventions and those of colleagues.
Recognise the need for and arrange onward referral to appropriate colleagues to relevant professionals considering the holistic needs of the patient, such as ENT, Psychology, Psychiatry, GP, social services. This should include recognition of when cognitive behavioural therapy (CBT) may be appropriate and onward referral to an appropriately qualified professional.
Communicate effectively with patients giving clear information on the plan for the session, results, recommendations and management using appropriate language, communication skills and strategies throughout.
Keep appropriate clinical records
Write reports on assessment findings and recommendations and / or outcome of management as required, suitable for the intended audience, to include a range of professionals.
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:
a. Relate their own practice to a supporting knowledge base – including reference to evidence based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Critically appraise the context of individual assessments within national and local structures/processes for assessment and diagnosis of tinnitus and hyperacusis
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice
0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements