scholarly journals EP.TU.524Does a foundation interim year one post improve confidence in the care of the dying of general surgical patients in a district general hospital?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Robinson ◽  
Rohan Ardley
Keyword(s):  
General Hospital ◽  
Pain Control ◽  
Social Issues ◽  
District General Hospital ◽  
Spiritual Health ◽  
Surgical Patients ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors. 2. Understand whether an interim foundation year one (FiY1) post improves confidence. Methods FY1s were surveyed throughout August – December 2020. Six questions used Likert scales (1 to 5: not at all confident to very confident) over some common palliative themes. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 28.6% (8/28) of FY1s completed the survey. 50% (4/8) did not undertake a FiY1 50% (4/8). Confidence levels were higher for FY1s who did have a FiY1 post compared to those that did not in managing pain control, psychological distress, spiritual health, social issues, speaking to family and the patient in the last days of life. Conclusions FY1s who had a FiY1 post had greater confidence levels than those that did not in a district general hospital. This data suggest the value of the FiY1 post however work needs to be done to improve the experience to the role.

scholarly journals EP.TU.160Does a foundation interim year one post improve confidence in the care of the dying of general surgical patients in a tertiary centre?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Botsford ◽  
Ahmed Al-Mukhtar
Keyword(s):  
Palliative Care ◽  
Pain Control ◽  
Social Issues ◽  
Spiritual Health ◽  
Surgical Patients ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Tertiary Centre

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors. 2. Understand whether an interim foundation year one (FiY1) post improves confidence. Methods FY1s were surveyed throughout August – December 2020. Six questions used Likert scales (1 to 5: not at all confident to very confident) over some common palliative care themes. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 26.7% (28/105) of FY1s completed the survey. 28.6% (8/28) did not undertake a FiY1 post and 71.4% (20/28) did. Confidence levels were higher for FY1s who did have a FiY1 post compared to those that did not in managing pain control, psychological distress, spiritual health, speaking to family and the patient in the last days of life. Confidence levels were similar for all FY1s for dealing with social issues. Conclusions FY1s who have had a FiY1 post in a tertiary centre have more confidence in most areas but not all. This data shows the value of the FiY1 post however work needs to be done to improve the experience to the role.

scholarly journals EP.TU.517Is a foundation interim year one post better for improving confidence in the care of the dying in general surgery in a tertiary centre or a district general hospital?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Robinson ◽  
Edward Botsford ◽  
Rohan Ardley ◽  
...  
Keyword(s):  
General Hospital ◽  
Social Issues ◽  
District General Hospital ◽  
Spiritual Health ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Tertiary Centre ◽  
The Family

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors who have had foundation interim year one (FiY1) post in a tertiary centre (TC) and a district general hospital (DGH). 2. Determine whether there is a difference in the experience of the FiY1 post in a TC or DGH. Methods FY1s were surveyed throughout August – December 2020. Six questions used Likert scales (1 to 5: not at all confident to very confident) over some common palliative themes. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 16.7% (4/24) from a DGH and 83.3% (20/24) from a TC had a FiY1 post. Confidence levels were higher for FY1s who had a FiY1 post in a TC than a DGH in managing pain control, psychological distress, spiritual health. Confidence levels were higher for FY1s who had a FiY1 post in a DGH than a TC in dealing with social issues, speaking to the family of a patient in the last days of life. Conclusions FY1s who had a FiY1 post in a TC had better confidence in three areas as opposed to a DGH in two areas. The experience of the FiY1 should be more standardised to ensure the growth of confidence across all areas identified in the survey.

scholarly journals EP.TU.526Is a foundation interim year one post better for improving confidence in general surgery in a tertiary centre or a district general hospital?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Robinson ◽  
Edward Botsford ◽  
Rohan Ardley ◽  
...  
Keyword(s):  
General Hospital ◽  
General Surgery ◽  
District General Hospital ◽  
Hepatobiliary Disease ◽  
Surgical Patients ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Tertiary Centre

Abstract Aims 1. Understand the confidence levels in caring for general surgical patients of current foundation year one (FY1) doctors in who have had foundation interim year one (FiY1) post in a tertiary centre (TC) and a district general hospital (DGH). 2. Determine whether there is a difference in the experience of the FiY1 post in a TC or DGH. Methods FY1s doctors were surveyed throughout August – December 2020. Nine questions used Likert scales (1 to 5: not at all confident to very confident) over some common general surgical themes. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 20% (6/30) from a DGH and 80% (24/30) from a TC Confidence levels were higher for FY1s who had a FiY1 post in a TC as opposed to a DGH in dealing with acute general surgical patients, appendicitis and scrubbing in theatre. Confidence levels were the same in both a TC and DGH for FY1s in managing those with hepatobiliary disease, prescribing fluids for resuscitation and maintenance as well as speaking to a family when a patient is dying and speaking to a patient when their diagnosis is unknown. Conclusions FY1s who had a FiY1 post in a TC had better confidence levels in more areas as opposed to a DGH. The experience of the FiY1 post should be more standardised to ensure the growth of confidence across all areas identified in the survey.

scholarly journals EP.TU.521Does a foundation interim year one post improve confidence in general surgery in a district general hospital?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Robinson ◽  
Rohan Ardley
Keyword(s):  
Abdominal Pain ◽  
General Hospital ◽  
General Surgery ◽  
District General Hospital ◽  
Hepatobiliary Disease ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Deteriorating Patient

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors. 2. Understand whether an interim foundation year one (FiY1) post improves confidence. Methods FY1s were surveyed throughout August – December 2020. Nine questions used Likert scales (1 to 5: not at all confident to very confident) over some common general surgical themes. Data was initially inputted using google docs and analysed in Microsoft Excel. Results 32.1% (9/28) of FY1s completed the survey. 33.3% (3/9) did not undertake a FiY1 post where 66.7% (7/9) did. Confidence levels were mostly the same between FY1s who had a FiY1 post and those that did not for dealing with patients with hepatobiliary disease, non-specific abdominal pain, appendicitis, speaking to a family when a patient is dying prescribing fluids for maintenance as well as resuscitation. Confidence levels were higher for FY1s who did not have a FiY1 post compared to those that did in managing the deteriorating patient. Confidence levels were lower for FY1s who did not have a FiY1 post compared to those that did in speaking to a patient when their diagnosis is unknown. Conclusions FY1s who have had a FiY1 post in a district general hospital have more confidence in most areas but not all. This data shows the value of the FiY1 post however work needs to be done to improve the experience to the role.

EP.TU.505Does a foundation interim year one post improve confidence in general surgery in a tertiary centre?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Jayan George ◽  
Alok Mathew ◽  
Edward Botsford ◽  
Ahmed Al-Mukhtar
Keyword(s):  
Abdominal Pain ◽  
General Surgery ◽  
Hepatobiliary Disease ◽  
Surgical Patients ◽  
Microsoft Excel ◽  
Likert Scales ◽  
Google Docs ◽  
Confidence Levels ◽  
Tertiary Centre

Abstract Aims 1. Understand the confidence levels of current foundation year one (FY1) doctors. 2. Understand whether a foundation interim year one (FiY1) post improves confidence. Methods FY1s were surveyed throughout August – December 2020. Nine questions used Likert scales (1 to 5: not at all confident to very confident) over some common general surgical themes. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 28.6% (30/105) of FY1s completed the survey. 20% (6/30) did not undertake a FiY1 post but 80% (24/30) did. Confidence levels were similar between FY1s who had a FiY1 post and those that did not for: dealing with acute general surgical patients, non-specific abdominal pain, appendicitis and prescribing fluids for maintenance as well as resuscitation. Confidence levels were higher for FY1s who did not have a FiY1 post compared to those that did in managing those with hepatobiliary disease. Confidence levels were lower for FY1s who did not have a FiY1 post compared to those that did in scrubbing for theatre, speaking to a family when a patient is dying and speaking to a patient when their diagnosis is unknown. Conclusions FY1s who have had a FiY1 post in a tertiary centre have more confidence in most areas but not all. This data shows the value of the FiY1 post however work needs to be done to improve the experience to the role.

scholarly journals Establishing a perioperative medicine for older people undergoing surgery service for general surgical patients at a district general hospital

2021 ◽  
Vol 21 (6) ◽  
pp. e608-e614
Author(s):  
Ruth de Las Casas ◽  
Catherine Meilak ◽  
Anna Whittle ◽  
Judith Partridge ◽  
Jacek Adamek ◽  
...  
Keyword(s):  
Older People ◽  
General Hospital ◽  
District General Hospital ◽  
Perioperative Medicine ◽  
Surgical Patients

Patient Preferences for Single Rooms or Shared Accommodation in a District General Hospital

2009 ◽  
Vol 54 (2) ◽  
pp. 5-8 ◽  
Author(s):  
L Florey ◽  
R Flynn ◽  
C Isles
Keyword(s):  
Older People ◽  
Hospital Admission ◽  
General Hospital ◽  
Patient Preferences ◽  
District General Hospital ◽  
Surgical Patients ◽  
Single Room ◽  
Future Hospital

Objectives To determine whether patients who have used a Scottish district general hospital would prefer single or shared accommodation on a future admission. Methods We surveyed 80 in-patients in January 2008 in order to obtain 20 medical and 20 surgical patients in single rooms and the same number in shared accommodation. Each patient received a seven point questionnaire that had been validated in another centre. Results Forty four men and 36 women, median 64 years, who had been in hospital for a median of 4.5 days (range 1 to 53 days) participated in the survey. Seventy per cent of patients in shared and 40% of patients in single rooms said they would prefer shared accommodation during a future hospital admission. Those expressing a preference for shared accommodation were older (median age 68 versus 58 years) and had been in hospital for longer (median 5.5 versus 3.5 days) than those who said they would prefer a single room. Conclusions It is likely that the desire for company among older people who have to spend a week or more in hospital is driving the responses we obtained. Our findings do not support claims that the argument in favour of 100% single rooms is ‘overwhelming’.

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