scholarly journals DT07: The impact of the COVID‐19 pandemic on dermatology ST3 application preparation: a national survey of junior doctors in the UK

2021 ◽  
Vol 185 (S1) ◽  
pp. 160-160
Keyword(s):  
National Survey ◽  
Junior Doctors ◽  
The Uk ◽  
The Impact

Current innovations in otolaryngology medical education in the UK: a systematic literature review

2020 ◽  
Vol 134 (4) ◽  
pp. 284-292
Author(s):  
H M Yip ◽  
T C F Soh ◽  
Z Z Lim
Keyword(s):  
Medical Education ◽  
Objective Assessment ◽  
Final Analysis ◽  
Subjective Assessment ◽  
Junior Doctors ◽  
Synthesis Methods ◽  
Qualitative Synthesis ◽  
Educational Innovations ◽  
The Uk ◽  
The Impact

AbstractObjectiveRecent studies have indicated a lack of ENT training at the undergraduate and post-graduate levels. This study aimed to review the impact of recent educational innovations in improving ENT training for medical students and junior doctors in the UK.MethodsThree independent investigators conducted a literature search of published articles on ENT education. Included studies were analysed using qualitative synthesis methods.ResultsAn initial search yielded 2008 articles; 44 underwent full-text evaluation and 5 were included for final analysis. Most included studies demonstrated benefits for students when compared to existing teaching standards in terms of objective assessment (knowledge and skills gained) or subjective assessment (confidence and preference) following implemented educational innovations.ConclusionThis study identified educational innovations developed in the past 15 years to enhance the teaching of core ENT competencies. More research is needed to establish their impact on the state of ENT medical education in the UK.

scholarly journals The impact of COVID-19 upon the delivery of exercise services within cystic fibrosis clinics in the United Kingdom

2021 ◽  
Author(s):  
Owen W Tomlinson ◽  
Zoe L Saynor ◽  
Daniel Stevens ◽  
Don Urquhart ◽  
Craig A Williams
Keyword(s):  
Cystic Fibrosis ◽  
United Kingdom ◽  
Clinical Practice ◽  
Exercise Training ◽  
National Survey ◽  
Exercise Testing ◽  
The United Kingdom ◽  
The Uk ◽  
The Impact ◽  
Future Practice

The COVID-19 pandemic has resulted in unprecedent change to clinical practice. As the impact upon delivery of exercise services for people with cystic fibrosis (CF) in the UK was unknown, this was characterised via a national survey. In total, 31 CF centres participated. Principal findings included a significant reduction in exercise testing, and widespread adaptation to deliver exercise training using telehealth methods. Promisingly, 71% stated that they would continue to use virtual methods of engaging patients in future practice. This does, however, highlight a need to develop sustainable and more standardised telehealth services further to manage patients moving forwards.

scholarly journals Are educational or quality improvement interventions delivered at the induction or orientation of junior doctors effective?

2014 ◽  
Vol 3 (5) ◽  
pp. 14
Author(s):  
Luke McMenamin ◽  
Natalie Blencowe ◽  
Damian Roland
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Health Care Professionals ◽  
Group Intervention ◽  
Junior Doctors ◽  
Or Education ◽  
Implementation Quality ◽  
Objective Outcomes ◽  
The Uk ◽  
The Impact

There has been significant media scrutiny in the UK of the period when doctors change over into new jobs, with a number of reports highlighting increased mortality. Starting work in a new hospital confers a potential patient safety risk and induction programmes are therefore designed to familiarise doctors with local policies. Little is known about using this time as an opportunity to improve patient outcomes or change practice. The aim was to review interventions which may aid hospital trusts during induction and a strategy to direct future educational and implementation research. A review of Medline, Embase, Cochrane, Scopus and ERIC databases with key terms (induction or orientation, junior doctor or intern, intervention or education or implementation, quality improvement or patient safety or outcome) extracted relevant abstracts. Articles of relevance were analysed and coded as to the type of patient or doctor group, intervention and outcome. Only seven studies were found which generally reported perceived benefits rather than objective outcomes. A significant opportunity to improve evidence based practice and patient safety is being missed by not thoroughly evaluating the impact of induction and orientation of health care professionals.

scholarly journals Why are UK junior doctors taking time out of training and what are their experiences? A qualitative study

2019 ◽  
Vol 112 (5) ◽  
pp. 192-199 ◽  
Author(s):  
Chantelle Rizan ◽  
Julia Montgomery ◽  
Charlotte Ramage ◽  
Jan Welch ◽  
Graeme Dewhurst
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Unmet Needs ◽  
Junior Doctors ◽  
Loss Of Control ◽  
Data Set ◽  
Time Out ◽  
The Uk ◽  
The Impact ◽  
Depth Interviews

Objectives The number of doctors directly entering UK specialty training after their foundation year 2 (F2) has steadily declined from 83% in 2010 to 42.6% in 2017. The year following F2, outside the UK training pathway, is informally termed an ‘F3’ year. There is a paucity of qualitative research exploring why increasingly doctors are taking F3s. The aim of this study is to explore the reasons why F2 doctors are choosing to take a year out of training and the impact upon future career choices. Design This is an exploratory qualitative study, using in-depth interviews and content analysis. Setting UK. Participants Fourteen participants were interviewed from one foundation school. Participants included five doctors who commenced their F3 in 2015, five who started in 2016 and finally four recently starting this in 2017. Main outcome measures Content analysis was conducted to distill the themes which exemplified the totality of the experience of the three groups. Results There were four predominant themes arising within the data set which can be framed as ‘unmet needs’ arising within foundation years, sought to be fulfilled by the F3 year. First, doctors describe exhaustion and stress resulting in a need for a ‘break’. Second, doctors required more time to make decisions surrounding specialty applications and prepare competitive portfolios. Third, participants felt a loss of control which was (partially) regained during their F3s. The final theme was the impact of taking time out upon return to training (for those participants who had completed their F3 year). When doctors returned to NHS posts they brought valuable experience. Conclusions This study provides evidence to support the important ongoing initiatives from Health Education England and other postgraduate bodies, exploring approaches to further engage, retain and support the junior doctor workforce.

Portuguese Junior Doctors Exchanging in the Uk – Reflections From the Experience

2016 ◽  
Vol 33 (S1) ◽  
pp. S492-S492
Author(s):  
H. Salgado ◽  
M. Pinto da Costa ◽  
H. Walker ◽  
J. Powell ◽  
L. Potter ◽  
...  
Keyword(s):  
Mental Health Problems ◽  
Current System ◽  
Training Programme ◽  
European Federation ◽  
Junior Doctors ◽  
The United Kingdom ◽  
Exchange Programme ◽  
Competing Interest ◽  
The Uk ◽  
The Impact

IntroductionThe interest in experiencing training abroad has grown and its benefits have been progressively recognized. For these reasons, several psychiatric trainees seek to extend their competencies, skills and knowledge through these exchange opportunities, such as the European Federation of Psychiatric Trainees (EFPT) Exchange Programme.ObjectivesWith this work we intend to describe these international experiences of being acquainted with a different health system and psychiatry training programme.AimsReflect on the impact of these experiences, considering on how these can be used to benefit the patient care provided across countries, further to the professional and personal individual benefits that colleagues gain.MethodsPresenting the testimonials of junior doctors from abroad that have had the opportunity to observe and collaborate in the current system of the United Kingdom.ResultsThe EFPT Exchange Programme is an excellent opportunity for psychiatry trainees to share experiences, knowledge and good practices. The cultural and social framework of psychiatry certainly has an impact on the approach to mental health problems, and being knowledgeable of these differences can provide benefits not only to the junior doctors who complete these exchanges abroad, but also to their colleagues working at their hosting institutions that become acquainted with different realities through their presence and feedback.ConclusionsThe benefits of these exchange mobility experiences are unequivocal. Therefore, it is fundamental to share these experiences and promote these opportunities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Improving the effectiveness of cancer multidisciplinary team meetings: analysis of a national survey of MDT members’ opinions about streamlining patient discussions

2019 ◽  
Vol 8 (2) ◽  
pp. e000631 ◽  
Author(s):  
Linda Hoinville ◽  
Cath Taylor ◽  
Magda Zasada ◽  
Ross Warner ◽  
Emma Pottle ◽  
...  
Keyword(s):  
Patient Care ◽  
National Survey ◽  
Treatment Options ◽  
Secondary Analysis ◽  
Patient Treatment ◽  
Multidisciplinary Teams ◽  
Quality And Safety ◽  
Treatment Protocols ◽  
The Uk ◽  
The Impact

BackgroundCancer is diagnosed and managed by multidisciplinary teams (MDTs) in the UK and worldwide, these teams meet regularly in MDT meetings (MDMs) to discuss individual patient treatment options. Rising cancer incidence and increasing case complexity have increased pressure on MDMs. Streamlining discussions has been suggested as a way to enhance efficiency and to ensure high-quality discussion of complex cases.MethodsSecondary analysis of quantitative and qualitative data from a national survey of 1220 MDT members regarding their views about streamlining MDM discussions.ResultsThe majority of participants agreed that streamlining discussions may be beneficial although variable interpretations of ‘streamlining’ were apparent. Agreement levels varied significantly by tumour type and occupational group. The main reason for opposing streamlining were concerns about the possible impact on the quality and safety of patient care. Participants suggested a range of alternative approaches for improving efficiency in MDMs in addition to the use of treatment protocols and pre-MDT meetings.ConclusionsThis work complements previous analyses in supporting the development of tumour-specific guidance for streamlining MDM discussions considering a range of approaches. The information provided about the variation in opinions between MDT for different tumour types will inform the development of these guidelines. The evidence for variation in opinions between those in different occupational groups and the reasons underlying these opinions will facilitate their implementation. The impact of any changes in MDM practices on the quality and safety of patient care requires evaluation.

scholarly journals What challenges did junior doctors face while working during the COVID-19 pandemic? A qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e056122
Author(s):  
Johanna Spiers ◽  
Marta Buszewicz ◽  
Carolyn Chew-Graham ◽  
Alice Dunning ◽  
Anna Kathryn Taylor ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Coping Strategies ◽  
Lived Experience ◽  
Positive Impact ◽  
Severe Depression ◽  
Junior Doctors ◽  
New Ways Of Working ◽  
Work Related ◽  
The Uk ◽  
The Impact

ObjectivesThis paper reports findings exploring junior doctors’ experiences of working during the COVID-19 pandemic in the UK.DesignQualitative study using in-depth interviews with 15 junior doctors. Interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.12 to facilitate data management. Data were analysed using reflexive thematic analysis.SettingNational Health Service (NHS) England.ParticipantsA purposive sample of 12 female and 3 male junior doctors who indicated severe depression and/or anxiety on the DASS-21 questionnaire or high suicidality on Paykel’s measure were recruited. These doctors self-identified as having lived experience of distress due to their working conditions.ResultsWe report three major themes. First, the challenges of working during the COVID-19 pandemic, which were both personal and organisational. Personal challenges were characterised by helplessness and included the trauma of seeing many patients dying, fears about safety and being powerless to switch off. Work-related challenges revolved around change and uncertainty and included increasing workloads, decreasing staff numbers and negative impacts on relationships with colleagues and patients. The second theme was strategies for coping with the impact of COVID-19 on work, which were also both personal and organisational. Personal coping strategies, which appeared limited in their usefulness, were problem and emotion focused. Several participants appeared to have moved from coping towards learnt helplessness. Some organisations reacted to COVID-19 collaboratively and flexibly. Third, participants reported a positive impact of the COVID-19 pandemic on working practices, which included simplified new ways of working—such as consistent teams and longer rotations—as well as increased camaraderie and support.ConclusionsThe trauma that junior doctors experienced while working during COVID-19 led to powerlessness and a reduction in the benefit of individual coping strategies. This may have resulted in feelings of resignation. We recommend that, postpandemic, junior doctors are assigned to consistent teams and offered ongoing support.

P55 The neurosurgical physician: a new role in the UK

2019 ◽  
Vol 90 (3) ◽  
pp. e38.1-e38
Author(s):  
PJ Stewart ◽  
J Martin ◽  
J Thomas ◽  
C Hayhurst
Keyword(s):  
Patient Care ◽  
Nurse Practitioners ◽  
Qualitative Assessment ◽  
Junior Doctors ◽  
The North ◽  
Qualitative Descriptive ◽  
Ward Rounds ◽  
Physician Role ◽  
The Uk ◽  
The Impact

ObjectivesWith reduction in numbers of junior doctors and strict deanery requirements for training opportunities, the provision of ward cover and continuity has consistently fallen. Various methods of addressing this have been implemented in the UK, including increased nurse practitioners and physician associates. We introduced a new position of GP with a specialist neuroscience interest in line with the North American model of hospitalist and review the impact on patients and trainees.DesignQualitative descriptive study.Subjects14 core and speciality trainees.MethodsRetrospective review of the impact of a permanent neurosurgical physician on ward care and provision of training with a qualitative study of trainee experience. Saturation was reached at 14 interviews.ResultsA neurosurgical physician role was instituted in 2013, enabling a formal training rota to fulfil deanery requirements for core training and provide continuity of care at senior medical level, reducing medical ward consults to zero, improved communication with relatives and reduced the need for ST ward rounds. Qualitative assessment revealed a senior medical presence aided trainees own knowledge, resulted in better rapport and communication with patients and improved patient care through knowledge of best medical practice guidelines.ConclusionsThe addition of the neurosurgical physician role has positively impacted on the quality of patient care and junior doctor training. Senior medical care is provided with continuity, in contrast to other models.

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