Radiation in orthopaedics (RIO) study: a national survey of UK orthopaedic surgeons

2021 ◽  
pp. 20210736
Author(s):  
Mohsen Raza ◽  
Ryan Geleit ◽  
James Houston ◽  
Rachel Williams ◽  
Alex Trompeter
Keyword(s):  
National Survey ◽  
Online Survey ◽  
Radiation Safety ◽  
Image Intensifier ◽  
Training Programme ◽  
Ionising Radiation ◽  
Basic Knowledge ◽  
Multiple Choice Questions ◽  
Basic Principles ◽  
Orthopaedic Surgeons

Objectives: Orthopaedic surgeons have a responsibility to minimise risks of ionising radiation to patients, themselves and staff. This study aims to establish the understanding of radiation practice, legislation and risk by orthopaedic surgeons. Methods: A nationwide online survey of UK-based orthopaedic surgeons was conducted. Participants answered eighteen multiple-choice questions assessing level of radiation safety training, basic principles/knowledge of ionising radiation, relevant legislation and operating practice. Results: A total of 406 surgeons completed the survey. 92% reported using intra operative ionising radiation at least once per week. 38% received no formal training on radiation safety. Knowledge of basic principles of radiation and legislation was limited. There was variable knowledge when labelling an image intensifier machine and choosing its safest orientation. Poor uptake of radiation protection equipment was noted. Only 19% agreed they had adequate training in ionising radiation safety and 27% reported receiving adequate training in equipment emitting ionising radiation in the operating theatre. Conclusion: Many orthopaedic surgeons in the UK do not believe they are adequately trained in radiation safety. There is a deficiency amongst practicing surgeons in basic knowledge, relevant legislation and practicalities of the use of ionising radiation in the operating room. This could potentially put patients and healthcare professionals at additional risk. We recommend that a standardised national training programme on the basic principles and safety of ionising radiation is implemented for all practicing orthopaedic surgeons. Advances in knowledge: This paper is the first UK national survey amongst orthopaedic surgeons and is one of the largest reported internationally.

scholarly journals Knowledge and practice of radiation safety among health professionals in Trinidad

2019 ◽  
Vol 7 ◽  
pp. 205031211984824 ◽  
Author(s):  
Amanda Partap ◽  
Ryan Raghunanan ◽  
Kimani White ◽  
Trevor Seepaul
Keyword(s):  
Health Care ◽  
Ionizing Radiation ◽  
Radiation Exposure ◽  
Health Care Professionals ◽  
Radiation Safety ◽  
Image Intensifier ◽  
Public Hospitals ◽  
Basic Knowledge ◽  
Formal Training ◽  
Care Providers

Objective: To determine the practices and knowledge of radiation safety measures among health care providers in tertiary institutions in Trinidad. Design & Method: A cross-sectional survey of health care professionals within two public hospitals was conducted using a questionnaire distributed to individuals working in Cardiology, General Surgery, Internal medicine, Orthopaedics, Radiology and Urology who require the use of ionizing radiation machines. The questionnaire comprised of 30 questions divided into five subcategories including demographic data, usage of the ionizing radiation machines, basic knowledge, and attitude towards personal protective equipment as well as radiation exposure measurement. Questionnaire results were tabulated and analysed using Microsoft Excel and Stata v11 with comparative statistical analysis being done using the one-way analysis of variance test. Results: A total of 118 health care professionals participated in this study. The majority (85/118 (72%)) of individuals revealed that they had no formal training regarding safe practices when working with ionizing radiation despite the daily use of the fluoroscopy machines by at least 25% of participants. Individuals who had formal training in the use of ionizing radiation were found to score significantly higher than those without training (p < 0.0001). Participants’ knowledge regarding the proper positioning of the C-arm image intensifier to reduce radiation exposure was low with 46% of individuals providing a correct response. Conclusions: The level of knowledge among the individuals who participate in the operation of ionizing radiation equipment throughout the country is low. The benefit of training in the use of the C-arm image intensifier is highlighted by the revelation that the individuals who had formal training in the use of these machines performed better than those individuals without training. Annual recertification courses should be implemented such that individuals are kept abreast with current changes and reminded of commonly neglected safety practices.

Knowledge And Awareness of Radiation Safety Among Orthopaedic Surgeon: A Survey Analysis

2021 ◽  
Author(s):  
Bushu Harna ◽  
Shivali Arya ◽  
Jaikaran Singh ◽  
Palash Gupta ◽  
Ajay Gupta
Keyword(s):  
Radiation Exposure ◽  
Potential Risk ◽  
Radiation Safety ◽  
Training Programme ◽  
Minimal Invasive ◽  
Survey Analysis ◽  
Lead Apron ◽  
Orthopaedic Surgeons ◽  
Protective Gear ◽  
Level Of Knowledge

Abstract Purpose: Orthopaedic surgeons are at potential risk to suffer from radiation exposure. The radiation exposure has increased due to minimal invasive and complex orthopaedic procedures. This study evaluates the level of knowledge of orthopaedic surgeons regarding radiation safety and prevention.Methods: A survey consisting of 17 questions was conducted among the 519 orthopaedic surgeons. The orthopaedic surgeons were contacted via mobile or email and the data was analysed.Results: Total of 542 responses were received and 23 were excluded due to incomplete responses. The result depicted, only 5% of the orthopaedic surgeons were aware of the ALARA/ALARP principles. Only 45% of the surgeons were right about the collimated image acquisition. None of the surgeon used dosimeter in the study. Most of the surgeons (40%) were not aware of the influence of C-Arm orientation on the scattered radiation. The protective gears were used by 75% of the orthopaedic surgeons and 5% used it occasionally. A lead apron is used by all the orthopaedic surgeons using the protective gear whereas only 15% used thyroid shield additionally. Only 5% of orthopaedic surgeons had some training in radiation safety and protection.Conclusion: The study demonstrates the level of knowledge regarding radiation safety and consequences among orthopaedic surgeons. The study depicts the need for proper and appropriate training required by the orthopaedic surgeons. Further extensive and elaborate studies are required to ascertain the radiation safety as a part of the training programme of the orthopaedic surgeons.

scholarly journals Mental health crisis resolution teams and crisis care systems in England: a national survey

2018 ◽  
Vol 42 (4) ◽  
pp. 146-151 ◽  
Author(s):  
Brynmor Lloyd-Evans ◽  
Danielle Lamb ◽  
Joseph Barnby ◽  
Michelle Eskinazi ◽  
Amelia Turner ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
National Survey ◽  
Online Survey ◽  
Service Improvement ◽  
Mental Health Crisis ◽  
Crisis Resolution ◽  
Health Crisis ◽  
Crisis Resolution Teams ◽  
Crisis Care

Aims and methodA national survey investigated the implementation of mental health crisis resolution teams (CRTs) in England. CRTs were mapped and team managers completed an online survey.ResultsNinety-five per cent of mapped CRTs (n = 233) completed the survey. Few CRTs adhered fully to national policy guidelines. CRT implementation and local acute care system contexts varied substantially. Access to CRTs for working-age adults appears to have improved, compared with a similar survey in 2012, despite no evidence of higher staffing levels. Specialist CRTs for children and for older adults with dementia have been implemented in some areas but are uncommon.Clinical implicationsA national mandate and policy guidelines have been insufficient to implement CRTs fully as planned. Programmes to support adherence to the CRT model and CRT service improvement are required. Clearer policy guidance is needed on requirements for crisis care for young people and older adults.Declaration of interestNone.

An international inventory of antimicrobial stewardship (AMS) training programmes for AMS teams

2021 ◽  
Author(s):  
Naomi Weier ◽  
Dilip Nathwani ◽  
Karin Thursky ◽  
Thomas Tängdén ◽  
Vera Vlahović-Palčevski ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Training Programme ◽  
Medical Doctors ◽  
Online Search ◽  
Barriers To Participation ◽  
Potential Barriers ◽  
Training Costs ◽  
Training Programmes ◽  
Individual Training

Abstract Background Healthcare professionals are increasingly expected to lead antimicrobial stewardship (AMS) initiatives. This role in complex healthcare environments requires specialized training. Objectives Little is known about the types of AMS training programmes available to clinicians seeking to play a lead role in AMS. We aimed to identify clinicians’ awareness of AMS training programmes, characteristics of AMS training programmes available and potential barriers to participation. Methods AMS training programmes available were identified by members of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) via an online survey and through an online search in 2018. Individual training programme course coordinators were then contacted (September–October 2018) for data on the target audience(s), methods of delivery, intended outcomes and potential barriers to accessing the training programme. Results A total of 166/250 ESGAP members (66%) responded to the survey, nominating 48 unique AMS training programmes. An additional 32 training programmes were identified through an online search. AMS training programmes were from around the world. Less than half (44.4%) of respondents were aware of one or more AMS training programmes available, with pharmacists more aware compared with medical doctors and other professionals (73% versus 46% and 25%, respectively). AMS training programmes were most commonly delivered online (59%) and aimed at medical doctors (46%). Training costs and a lack of recognition by health professional societies were the most frequently cited barriers to participation in AMS training programmes. Conclusions The development of a systematic inventory of AMS training programmes around the globe identifies opportunities and limitations to current training available. Improving access and increasing awareness amongst target participants will support improved education in AMS.

scholarly journals Gazali, H.M Bitcoin Investment Behaviour: A Pilot Study

2019 ◽  
Vol 5 (2) ◽  
pp. 81-86
Author(s):  
Haneffa Muchlis Gazali
Keyword(s):  
Factor Analysis ◽  
Pilot Study ◽  
Online Survey ◽  
Empirical Support ◽  
Basic Knowledge ◽  
The Public ◽  
Blockchain Technology ◽  
Public Media ◽  
Collection Period ◽  
Investment Behaviour

The evolution of blockchain technology that promotes decentralised peer to peer electronic cash system named as Bitcoin is becoming trending across the globe. Although the Bitcoin price is extremely volatile, the popularity of bitcoin is seemingly unambiguous. The Bitcoin trending has garnered serious attention from the public, media and academia.  Hitherto, no research has yet systematically investigated the factors influencing the intention to invest in Bitcoin. Thus, the objective of this study is to identify the factors that influence the intention to invest in Bitcoin. An online survey was distributed via the email to the target respondents, those who have basic knowledge of Bitcoin investment. After three weeks of the data collection period for the pilot study, 45 samples were gathered to be tested further. Using the SPSS programme, the data were analysed through the reliability test and factor analysis. The results of the study indicate that the items are valid and reliable. The exploratory factor analysis also discloses that the sampling is satisfactory. Being limited preliminary analysis, this study lacks the empirical evidence to confirm the relationships between the studied variables. Therefore, in future an adequate and bigger sample is needed to establish the empirical support on the associations of the studied variables

scholarly journals The Society for Acute Medicine (UK) Acute Medicine Training Survey 2007

2008 ◽  
Vol 7 (1) ◽  
pp. 50-54
Author(s):  
Hannah Skene ◽  
◽  
David K Ward ◽  
Keyword(s):  
Online Survey ◽  
Workforce Planning ◽  
Skills Training ◽  
Training Programme ◽  
Current Situation ◽  
Acute Medicine ◽  
Part Time ◽  
The Uk

An online survey of training in Acute Medicine was conducted to assemble a true picture of the current situation in the UK. The specialty is flourishing, with over 60 trainees having predicted CCT dates in Acute Medicine in 2010 and 2011 alone. 128 respondents highlighted a multitude of issues, including the need for improvements in management and special skills training and part time opportunities. We have used the results of this survey to suggest action points for Deaneries, Training Programme Directors, the Society for Acute Medicine (UK) and those involved in workforce planning.

scholarly journals Comparing Faculty Development Needs of Basic Sciences and Clinical Teachers During Major Curricular Reform at Prince Sattam Bin Abdulaziz Medical College in Saudi Arabia

2021 ◽  
Vol 13 (1) ◽  
pp. 31-41
Author(s):  
Amira Farghaly
Keyword(s):  
Faculty Development ◽  
Online Survey ◽  
Course Design ◽  
Clinical Teaching ◽  
Faculty Members ◽  
Multiple Choice Questions ◽  
Basic Sciences ◽  
Medical Teacher ◽  
Clinical Teachers ◽  
Medical Educators

The required competencies of the medical graduates are changing, and by turn those of medical educators are changing as well. The aim of this study was to compare the faculty development (FD) needs of basic sciences and clinical teachers at the College of Medicine, Prince Sattam Bin Abdulaziz University during reforming of the curriculum to an integrated student-centred curriculum. This study is a descriptive cross-sectional study that included an online survey for faculty members to assess their FD needs and priorities. The survey questionnaire included questions about the experience of faculty members in teaching in integrated curricula, motivators to share in FD activities, preferred formats of FD activities, self-perceived competencies and needs in different areas of medical education, and selfperceived current commitment to the 12 roles of medical educators. Comparison between the basic sciences and the clinical teachers’ perceived competencies, priorities and commitment to the roles of the medical teacher took place. Mann-Whitney U test was used to compare means. The results of the study showed that the highest self-perceived competencies of faculty members were in lecturing (mean = 4.25±0.99) and constructing multiple choice questions (mean = 4.25±0.92). Statistically significant differences were present between basic sciences and clinical teachers in designing integrated courses (p = 0.02) and clinical teaching (p = 0.03). Significant differences were also present in the perceived importance of certain topics in FD programmes, such as course design, blueprinting and simulation. The study concluded that there are differences between basic medical sciences and clinical teachers in the learning needs and the competencies, which should be taken into consideration during planning for FD activities.

scholarly journals SP2.2.18UK Surgical Training in the Independent Sector During COVID-19 – A Snapshot Survey

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Valdone Kolaityte ◽  
Charlotte El-Sayed ◽  
Josh Burke
Keyword(s):  
Surgical Training ◽  
Online Survey ◽  
Elective Surgery ◽  
Final Analysis ◽  
Training Programme ◽  
Barriers To Access ◽  
Resource Requirements ◽  
Operating List ◽  
Independent Sector ◽  
Training Opportunities

Abstract Aims In response to the COVID-19 pandemic and the cancellation of elective surgery, the Independent sector (IS) has been utilised to provide COVID-light sites. On average operative log book numbers have been reduced by 50% due to a reduction in operative exposure. The Four Educational Bodies continue to support training within the independent sector. This study aimed to qualitatively assess access and barriers to UK surgical training in the Independent Sector. Methods A snap-shot online survey was distributed to ASIT members of all training specialities and grades between 21/10/2020-11/11/2020 . Data measures included participant demographics, frequency of access, participation in training opportunities including outpatient clinic, theatre lists and endoscopy and any barriers encountered. A mixture of Likert scale and short answer questions were utilised. Results 249 complete responses representing all grades and specialities were included in the final analysis (34.29% CST and 56.3% HST). 35.7% of trainees reported access to the IS. 22.9% had access to at least one operating list whilst 70.3% had none. Access to outpatient clinics and endoscopy was negligible. 75% of trainees ‘strongly agreed’ that when access was achievable, it was beneficial to their training. Multiple barriers were identified including Human Resource requirements and local service provision. Conclusions Within the sample, access to the IS has been poor. There is wide variation in barriers to access across the 4 nations and IS providers. Trainees and Trainers should maximise training opportunities in the IS. Where barriers exist, they should be reported to local Training Programme Directors.

scholarly journals The Complexity of Remote Teaching in Emergency Situations: Initial Basic Principles to Avoiding Technological Boundaries

2021 ◽  
Author(s):  
Ani Cahyadi ◽  
Hendryadi Hendryadi ◽  
Sri Widyastuti
Keyword(s):  
Online Survey ◽  
Faculty Members ◽  
Learning Activities ◽  
Basic Principles ◽  
Teaching Activities ◽  
Expert Review ◽  
Emergency Situations ◽  
Associate Dean ◽  
Local Expert ◽  
Distance Educators

Considering the challenges of sustainable education in emergency remote teaching (ERT) during the coronavirus (COVID-19) pandemic, this study provides basic principles for future ERT implementation based on the experience of higher education in Indonesia. Seven local expert distance educators reviewed the ERT principles, participating in the early stages to check the relevance, content validity, and readability of the five principles proposed in the context of Indonesian education. After an extensive expert review, the ERT principles were evaluated using quantitative data through an online survey (82 students and 45 faculty members). In addition, open-ended questionnaire responses, experiences, and challenges encountered by 21 respondents (College Dean, Associate Dean of Academics, and faculty quality assurance of seven universities/colleges in three provinces in Indonesia) in ERT were used and analyzed. This study suggests that ERT should be designed based on the principles of simplicity, accessibility, affordability, flexibility, and empathy in all learning activities in unfavorable situations. This study complements previous work and can thus be used for generalized principles for teaching activities in similar emergencies, especially in developing countries.

ENT and airways in the emergency department: national survey of junior doctors' knowledge and skills

2016 ◽  
Vol 130 (2) ◽  
pp. 183-189 ◽  
Author(s):  
K L Whitcroft ◽  
B Moss ◽  
A Mcrae
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
National Survey ◽  
Online Survey ◽  
Junior Doctors ◽  
Special Focus ◽  
Front Line ◽  
Knowledge And Skills ◽  
Line Staff

AbstractBackground:Given the urgent nature of ENT emergencies, appropriate knowledge is required amongst front-line staff. Junior doctors account for almost one quarter of emergency department doctors. It has been shown that undergraduate coverage of ENT is variable. This study therefore aimed to determine whether emergency department junior doctors were confident in dealing with ENT emergencies, with special focus on the airway.Method:An online survey was circulated to junior doctors working in emergency medicine, at the discretion of their training co-ordinators.Results:A total of 104 responses were received. Junior doctors were not confident in managing patients who have undergone tracheostomy or laryngectomy. Management of stridor varied, with 51 per cent giving oxygen and only 77 per cent referring such patients as an emergency to ENT. Most training on the management of airway emergencies was not provided through hospital induction.Conclusion:Training should be provided to junior doctors starting work in the emergency department. We suggest mandatory multidisciplinary induction training for such staff.

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