scholarly journals 1636 Improving Plastics SHO Induction: A Three-Cycle QI Project and National Survey

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Leong ◽  
K Vijayasurej ◽  
R Faderani ◽  
C Sin-Hidge ◽  
J Gibson ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
National Survey ◽  
Best Practice ◽  
Well Being ◽  
Learner Satisfaction ◽  
Learning Needs ◽  
Exciting Field ◽  
The Uk ◽  
Qualitative Responses ◽  
The Ideal

Abstract Aim Burns and Plastic Surgery is a wide-ranging exciting field that is rarely taught well in undergraduate medical curriculums. As such, it is imperative that we design and deliver a safe and effective induction programme for Foundation doctors and core trainees who are new to this specialty. Method Plastics SHOs rotating to our unit from December 2019 to December 2021 completed quantitative and qualitative questionnaires on the departmental induction they received. Statistical analysis and thematic analysis of their quantitative and qualitative responses were performed respectively. We aimed to describe the process of modifying our induction programme to the modern learner's learning needs. In addition, we surveyed Plastics SHOs in all Plastics units in the UK to compare and assimilate best practice. Results A combination of didactic and practical workshops resulted in significantly improved learner satisfaction, SHO preparedness for oncalls and knowledge of departmental policies in our unit. SHO shadowing was the most preferred and effective method of SHO induction nationally but rarely used. SHO handbooks were useful but employed by less than 40% of Plastics units nationally. Conclusions Through a multi-cycle QI project and national survey, we look forward to presenting the ideal design of an SHO induction programme for a specialty that requires structured clinical assessment and procedural skills. In summary, the ideal SHO induction programme consists of a combination of didactic tutorials, practical workshops, and peer shadowing. This is crucial in maintaining patient safety and junior doctor well-being when tackling the often-busy plastic surgery oncalls.

scholarly journals N19 Understanding the emotional impact of inflammatory bowel disease: looking after nurses looking after patients

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S666-S666
Author(s):  
L Younge ◽  
L Medcalf ◽  
A Hall ◽  
C Shaw
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Psychological Impact ◽  
Well Being ◽  
Emotional Impact ◽  
Learning Needs ◽  
Emotional States ◽  
Inflammatory Bowel ◽  
The Uk ◽  
The Impact

Abstract Background The emotional impact of inflammatory bowel disease (IBD) is well documented. Patients describe distress, anxiety, depression and relationship difficulties, (including with healthcare staff). Nurses working with IBD patients report being emotionally affected, with fears of ‘burnout’, feeling unable to respond helpfully to patients and feelings of guilt, frustration, sadness and anger. Understanding and managing the emotional impact of the work for IBD nurses is an area underrepresented in either research or nursing literature. Methods A collaborative project with IBD nurses and nursing and psychotherapy colleagues from the Tavistock and Portman NHS Foundation Trust developed a one-day event for IBD nurses in the UK. Attendees were self-selecting and the event was supported by Pharma. The conference had three aims: To provide an opportunity to recognise and understand the emotional impact on nurses working with IBD patients, to provide a networking opportunity, and to use information gathered before, during and after the conference to develop a clearer understanding of nurses’ experiences and needs. A pre-conference questionnaire was sent to attendees, observations were made during the conference (noting themes and dilemmas) and an evaluation form was provided. Results 89% agreed/strongly agreed the event provided understanding of how IBD can have an emotional and psychological impact on patients. 89% agreed/strongly agreed the event provided understanding of the emotional impact on nurses working with IBD patients. Eighty-nine per cent agreed/strongly agreed the event provided understanding of ways in which the emotional impact can influence provision of care and decision making in patients with IBD. Ninety-three per cent agreed/strongly agreed the event provided them with ideas for establishing and managing reflective learning opportunities. Seventy-five per cent agreed/strongly agreed the event enabled them to identify different ways of responding to patients they work with. Conclusion Feedback from attendees identified a need and an expressed wish by IBD nurses to understand and explore how they are affected by their work, in relation to maintaining therapeutic and safe relationships with patients and maintaining their own well-being and job satisfaction. Learning needs relating to training in supervision, developing skills in responding to patients’ emotional states, tools for looking after one’s self and opportunities for group discussions and learning were identified. There is an opportunity to develop further learning and training events in relation to these identified needs. Further exploration of accessibility, funding and evaluation would be beneficial in identifying the impact, if any, of further training.

scholarly journals Plastic surgery training in the UK: Results from a national survey of trainee experiences

JPRAS Open ◽  
2020 ◽  
Vol 25 ◽  
pp. 72-82 ◽  
Author(s):  
Matthew Fell ◽  
Robert Staruch ◽  
Benjamin G Baker ◽  
Rebecca Nicholas ◽  
Rachel Howes ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
National Survey ◽  
Surgery Training ◽  
The Uk

scholarly journals Surgery-for-Life: Aging, Sexual Fitness and Self-Management in Brazil

2014 ◽  
Vol 34 (4) ◽  
pp. 246-259 ◽  
Author(s):  
Alexander Edmonds
Keyword(s):  
Life Course ◽  
Plastic Surgery ◽  
Well Being ◽  
Medical Discourse ◽  
Self Management ◽  
Biological Processes ◽  
Late Capitalism ◽  
The Life Course ◽  
Mental Well Being ◽  
The Ideal

This article draws on ethnographic fieldwork on plastic surgery to explore tensions in aging norms and ideals for women in Brazil.  I situate my analysis in relation to debates about a “de-chronologized life course.”  Some scholars argue that the life course in late capitalism has become less standardized.  In this account, chronological age diminishes in importance as consumers are defined by life style choices available to all ages and the period of youth extends into middle age and beyond.  In Brazil consumers embrace plastic surgery as a means to “manage” aging, mental well-being, and reproductive and sexual health.  This promise of a flexible and optimized aging trajectory seems to echo the notion of a de-chronologized life course.  I argue, however, that medical discourse and patients’ accounts show ambivalence about aging and conflicts in the ideal of medically-managed sexual fitness for women.  Drawing on analysis of changes in family structure and women’s health regimes, I argue that passage through the life course, rather than becoming more flexible, is in some ways becoming more rigidly defined by biological processes.

#1forEquality: The Story of an Unlikely Victorious Campaign in the Making

2019 ◽  
Vol 11 (3) ◽  
pp. 554-568
Author(s):  
Koldo Casla
Keyword(s):  
Human Rights ◽  
Best Practice ◽  
Well Being ◽  
Added Value ◽  
Strategic Choices ◽  
Negative Effects ◽  
Public Authorities ◽  
Political Actors ◽  
The Government ◽  
The Uk

Abstract The UK government proudly affirms that the country has some of the strongest equalities legislation in the world, including the Equality Act 2010. For it to be true, however, the government should implement the legislation in its entirety, including the socio-economic duty (section 1 of the Act). That duty would require public authorities to actively consider how their decisions and policies of the highest strategic importance can increase or decrease inequalities of outcome. Regrettably, successive governments have failed to commence the duty, and therefore it is not technically binding on public authorities. It is encouraging that the duty was brought to life in Scotland in 2018 and the Welsh Government has announced they will follow suit in 2020. The socio-economic duty is potentially a useful lever to understand and address the structural causes of material inequalities and their negative effects on human rights and well-being. This article presents and draws conclusions from the strategic choices made by the people running #1forEquality, the national campaign to bring the socio-economic duty to life. The article introduces four key factors that contributed to making progress between 2017 and 2019, despite the limited resources available: a) the added value of merging advocacy and epistemic communities working on equality and on human rights; b) the engagement with political actors at key stages of the process; c) the combination of ‘naming and shaming’ and best practice; and d) the celebration of smaller victories along the way.

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