Manage the complexity and uncertainty of the uveitis disease cases.

Domain of Clinical Practice Patient Management
Level Level 4
Special Interest Area Uveitis
Code U4.2
Descriptors
  • Understand and apply advanced knowledge of uveitis conditions and practice.  
  • Independently manage uveitis clinics. 
  • Implement a strategy of targeted investigations in uveitis to refine the differential diagnosis and assist decision-making around starting, stopping or changing treatment.  
  • Understand the usefulness and cost-effectiveness of laboratory investigations and ancillary tests such as imaging studies and electrodiagnostics in uveitis management. 
  • Employ heuristics and Bayesian thinking to rank the differential diagnosis in order of likelihood based on epidemiology, and clinical and laboratory findings, and take appropriate action in the acute stage when findings or the results of investigations remain uncertain. 
  • Initiate step-up and step-down treatment for uveitis or adopt a watch-and-wait policy when appropriate.  
  • Recommend treatment to prevent complications of uveitis, minimize side-effects of treatment, and maintain or restore vision. 
  • Explore with the patient how the complexity of personal circumstances and lifestyle issues might influence the presentation and severity of their disease, its impact on their life, and the effectiveness of treatment. 
  • Utilise existing skills to novel situations. 
  • Adapt management strategies to take account of patient’s informed preferences, particular circumstances, age and co-morbidities, respecting patient autonomy. 
  • Manage the uncertainty of treatment success or failure and communicate effectively with patients were there is uncertainty. 
  • Manage the personal challenge of coping with uncertainty. 
  • Evaluate published developments in uveitis knowledge and practice and modify own practice appropriately. 
  • Recognise and refer patients who will benefit from more specialist input. 
Method of Assessment
Other information