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.

Acute Medicine Trainee Update

2011 ◽  
Vol 10 (3) ◽  
pp. 149-149
Author(s):  
Amy Daniel ◽  
◽  
Alice Miller ◽  
Keyword(s):  
Palliative Care ◽  
Medical Ethics ◽  
Advisory Committee ◽  
Skill Training ◽  
Skills Training ◽  
Training Programme ◽  
Acute Medicine ◽  
The Past ◽  
Training Programme Director ◽  
The Cost

We have been aware for a while that there are disparities in specialist skill provision both between and within deaneries – and the SAC is working hard to identify problems in this area. More recently, the issue of funding for specialist skills has been raised. It seems that some deaneries are happy and able to contribute towards the cost of training in a particular skill, while others are not; in at least one deanery, part-funding has now been withdrawn, leaving trainees to cover the entire cost of their chosen skills training. As specialist skill training is now a mandatory part of the Acute Medicine curriculum, we need to find a way to eliminate disparity both between different deaneries and between different skills. However, there is no easy solution, and for the time being, trainees will have to factor in the potential financial implications of a particular skill when they are considering their options. On a brighter note, the list of recognised specialist skills has increased over the past year. Palliative Care has been authorised as a suitable skill, and Medical Ethics and Law will soon also be added to the list. If you would like to propose a skill that is not currently listed in the Acute Medicine curriculum, you should discuss it with your training programme director, who can bring the proposal to the Acute Medicine Specialty Advisory Committee (SAC).

Searching for the true attrition rate of UK paediatric trainees

2021 ◽  
pp. archdischild-2020-321415
Author(s):  
Melody Grace Redman ◽  
Davide Carzedda ◽  
Nicola Jay ◽  
Simon J Clark ◽  
Marie Rogers
Keyword(s):  
Geographical Area ◽  
Workforce Planning ◽  
Training Programme ◽  
Attrition Rate ◽  
Freedom Of Information ◽  
Evidence Based ◽  
Record Keeping ◽  
Retrospective Data Analysis ◽  
Level Of Training ◽  
The Uk

ObjectiveTo quantitatively analyse the number of doctors leaving the paediatric specialty training (ST) programme in the UK, to assist with evidence-based workforce planning.DesignData were sought on those leaving the UK paediatrics training programme between 2014 and 2019 from Heads of Schools of Paediatrics and Freedom of Information Act requests.SettingRetrospective data analysis.Outcome measuresOverall attrition rate, attrition rate across level of training, attrition rate across geographical area, recorded reason for leaving.ResultsAll results must be interpreted with caution due to limitations in record keeping and analysis. The annual attrition rate across all ST levels between 2014 and 2019 is estimated at 3.7%–4.2% (ie, 749–845 trainees may have left the paediatric training programme over 2014–2019). No reason for leaving was recorded for three-quarters of individuals, around 630 doctors. Of those leaving paediatrics, significantly more (χ², p=0.015) did so at ST3 (20.3%) versus the next highest training year, ST2 (13.6%).ConclusionsThis project seems to demonstrate worryingly poor record-keeping of the true attrition rate of paediatric trainees by organisations responsible for workforce planning, including Health Education England, the Royal College of Paediatrics and Child Health and individual paediatric schools across the UK. To allow evidence-based workforce planning for the benefit of UK children, it is vital that accurate records on trainees who leave the training programme are kept and shared across the UK.

scholarly journals Acute Internal Medicine Trainee Survey 2015

2015 ◽  
Vol 14 (2) ◽  
pp. 78-82
Author(s):  
Nicholas Smallwood ◽  
◽  
Nerys Conway ◽  
Keyword(s):  
Internal Medicine ◽  
Social Media ◽  
Career Choice ◽  
Online Survey ◽  
Skill Training ◽  
Training Programme ◽  
Core Component ◽  
Acute Medicine ◽  
National Training ◽  
E Mail

Objectives: To ascertain current Acute Internal Medicine (AIM) trainees’ opinions on their training programme, practical procedures, specialist skills and AIM as a specialty. This can then be used to feedback to the national training committee to help shape training priorities. Methods: Online survey sent to all AIM Higher Specialty Trainees registered on the Society for Acute Medicine database, and advertised through e-mail communication and social media. Results: The majority of trainees (55.5%) were quite happy or very happy with their training currently, although significant difficulties were highlighted with time off for specialist skill training and difficulty achieving certain procedural skills. The majority of trainees believe ultrasound should form a core component of AIM training (82.3%). A high proportion of trainees would recommend AIM as a specialty despite these difficulties. Conclusions: A number of issues were highlighted causing difficulties within AIM training, despite which the vast majority of trainees would recommend AIM as a career choice. The results were fed back to the training committee in March.

SAM Acute Medicine Trainees Skills Survey 2009

2009 ◽  
Vol 8 (1) ◽  
pp. 39-42
Author(s):  
Hannah Skene ◽  
◽  
David Ward ◽  
Keyword(s):  
Endotracheal Intubation ◽  
Online Survey ◽  
Cardiac Pacing ◽  
Skills Training ◽  
Practical Skills ◽  
Acute Medicine

Specialist trainees in Acute Medicine have expressed concerns over skills training in the curriculum, compared with skills training in practice. Thus, an online survey was conducted in 2009 to investigate these comments in detail. The responses from 132 trainees were analysed. The results show that the majority of practical skills are being performed by trainees who feel that they have reached a level of competence sufficient to enable them to teach the skill to others. The major causes for concern were highlighted as temporary cardiac pacing, endotracheal intubation and Sengstaken Blakemore tubes. We recommend that these skills should be taught via simulation where not available in practice, but true competence cannot be expected for the majority.

Acute Internal Medicine Trainee Survey 2017

2019 ◽  
Vol 18 (1) ◽  
pp. 47-51
Author(s):  
Tehmeena Khan ◽  
◽  
Neil Patel ◽  
Keyword(s):  
Internal Medicine ◽  
Social Media ◽  
Online Survey ◽  
Training Programme ◽  
Acute Medicine ◽  
Social Media Platforms ◽  
Over Time

Introduction: Survey to ascertain views of Acute Internal Medicine trainees regarding their training programme. Methods: Online survey circulated to higher specialty trainees (HSTs) via the Society of Acute Medicine (SAM), Training programme Directors (TPDs) and social media platforms. Results: A total of 57 trainees participated in the survey; 43.86% trainees are either ‘happy’ or ‘very happy’ with their training, 10.53% are ‘quite unhappy’ with their training. Trainees enjoy the variety of workload and the variety of specialist exposure. Discussion: The number of trainees who responded to this years survey was significantly lower than the previous two years. Perhaps this is because trainees feel that there is a lack of change/improvement over time and hence do not feel the need to participate in such a survey.

scholarly journals How do workplaces, working practices and colleagues affect UK doctors’ career decisions? A qualitative study of junior doctors’ career decision making in the UK

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e018462 ◽  
Author(s):  
Sharon Spooner ◽  
Emma Pearson ◽  
Jonathan Gibson ◽  
Kath Checkland
Keyword(s):  
Online Survey ◽  
Career Decisions ◽  
Training Programme ◽  
Junior Doctors ◽  
Specialty Training ◽  
Medical Work ◽  
Extrinsic Factors ◽  
Negative Attitudes ◽  
The Uk ◽  
Narrative Interviewing

ObjectivesThis study draws on an in-depth investigation of factors that influenced the career decisions of junior doctors.SettingJunior doctors in the UK can choose to enter specialty training (ST) programmes within 2 years of becoming doctors. Their specialty choices contribute to shaping the balance of the future medical workforce, with views on general practice (GP) careers of particular interest because of current recruitment difficulties. This paper examines how experiences of medical work and perceptions about specialty training shape junior doctors’ career decisions.ParticipantsTwenty doctors in the second year of a Foundation Training Programme in England were recruited. Purposive sampling was used to achieve a diverse sample from respondents to an online survey.ResultsNarrative interviewing techniques encouraged doctors to reflect on how experiences during medical school and in medical workplaces had influenced their preferences and perceptions of different specialties. They also spoke about personal aspirations, work priorities and their wider future.Junior doctors’ decisions were informed by knowledge about the requirements of ST programmes and direct observation of the pressures under which ST doctors worked. When they encountered negative attitudes towards a specialty they had intended to choose, some became defensive while others kept silent. Achievement of an acceptable work-life balance was a central objective that could override other preferences.Events linked with specific specialties influenced doctors’ attitudes towards them. For example, findings confirmed that while early, positive experiences of GP work could increase its attractiveness, negative experiences in GP settings had the opposite effect.ConclusionsJunior doctors’ preferences and perceptions about medical work are influenced by multiple intrinsic and extrinsic factors and experiences. This paper highlights the importance of understanding how perceptions are formed and preferences are developed, as a basis for generating learning and working environments that nurture students and motivate their professional careers.

scholarly journals TP8.2.24 Returning to Surgical Training - a survey of surgical trainees' experiences in Yorkshire and the Humber Deanery

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Eleanor Richards ◽  
Paul Renwick
Keyword(s):  
Return To Work ◽  
Work Experience ◽  
Online Survey ◽  
Parental Leave ◽  
Technical Skills ◽  
Skills Training ◽  
Training Programme ◽  
Time Out ◽  
Surgical Trainees ◽  
Clinical Scenarios

Abstract Aims To assess the support given to this deanery's surgical trainees returning after time out of programme. Methods An online survey was circulated to surgical trainees within the deanery. The survey included questions about their return, on calls, their experience of support and to evaluate interest in a return to work course. Results Of 35 respondents, 33 had had time out of training. Reasons were health (2), leadership fellow (3), research (11), research and parental leave (6) and parental leave alone (11). Twenty-three trainees reported feeling well supported, 4 were neutral and 6 reported negative experiences. Many returned to a new trust. Twenty were on-call within the first few days and 5 felt unprepared for this. Confidence and operative skills were commonly affected. Whilst trainees out for research or leadership deemed a return to work course unnecessary, those returning from parental leave expressed interest. This could enable trainees to network and gain information and support from peers and senior colleagues. Respondents came from a wide mix of surgical specialties indicating bespoke cadaveric courses might be appropriate. Childcare friendly hours were a priority. Conclusions There is scope for significantly improving the return to work experience through the SuppoRRT (Supported Return to Training) programme. Returning to an on-call shift or being prevented from attending induction is unacceptable. This deanery is developing a surgical return to work course combining cadaveric and animal model technical skills training with clinical scenarios for non technical skills. This is hoped to help improve returning trainees' confidence and operative skills, both commonly affected by time out of training.

Does training adequately equip psychiatrists for intellectual disability?

2020 ◽  
Vol 14 (3) ◽  
pp. 69-82
Author(s):  
Geraldine Lines ◽  
Jodie Allen ◽  
Caryl Jane Marshall
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Mental Health Services ◽  
Health Services ◽  
Online Survey ◽  
Significant Proportion ◽  
Training Programme ◽  
Practical Experience ◽  
Content Type ◽  
The Uk

Purpose People with intellectual disability (ID) experience significant health and social inequality compared to their non-disabled peers. Individuals with ID who access mental health services can have complex comorbidities and presentations. In the UK, a significant proportion of individuals with ID are supported within general adult mental health services not by specialist ID teams. The purpose of this study is to explore whether psychiatry trainees in the Maudsley Training Programme (MTP) feel adequately skilled to support individuals with ID. Design/methodology/approach An online survey of trainee psychiatrists in the MTP was completed to evaluate self-perceived skills and knowledge in the care of individuals with ID in mental health services. Statistical analysis of the results was completed. Findings Experience of working in specialist ID teams is positively associated with greater confidence and skills among trainees in the care of people with ID; this is beyond what would be expected based on seniority alone. Research limitations/implications The response rate was 16.7 per cent; a larger sample size would add strength to the study. Like all online surveys, there exists the risk of selection bias. Practical implications UK Policy states that people with ID should be supported to access mainstream services where possible, including psychiatric care. Practical experience for all psychiatry trainees involving specialist ID services and people with ID could improve the care given to that particularly disadvantaged group. Originality/value This is the only paper known to the authors that has focused specifically on the skills and knowledge of psychiatry trainees in the UK with regards to ID.

Understanding User Reactions and Interactions with an Internet-Based Intervention for Tinnitus Self-Management: Mixed-Methods Process Evaluation (Preprint)

2017 ◽  
Author(s):  
Kate Greenwell ◽  
Magdalena Sereda ◽  
Neil Coulson ◽  
Derek J Hoare
Keyword(s):  
Process Evaluation ◽  
Online Survey ◽  
Negative Impact ◽  
Skills Training ◽  
Psychological Support ◽  
Self Management ◽  
Common Symptom ◽  
User Engagement ◽  
Programme Content ◽  
The Uk

BACKGROUND Tinnitus is a common symptom that can affect an individual’s quality of life, requiring psychological support that is not readily accessible. Internet-based interventions have the potential to reduce the disparity in access to psychological support that people with tinnitus currently experience. One example is the Tinnitus E-Programme, which was developed in the UK to support self-management in people with tinnitus. Although freely available online, it had not been formally evaluated. OBJECTIVE To carry out a process evaluation to explore past, current, and new users’ reactions and interactions with the Tinnitus E-Programme. METHODS Study 1 used an online survey to gather past and current users’ reactions to and interactions with the intervention (n=27). Study 2 used interviews and a relaxation log to explore this aim with new users and assess how well they were able to implement the skills they learned during the intervention in their everyday lives (n=13). Findings were triangulated to develop an in-depth understanding of the intervention’s mechanisms of impact and identify any implementation or contextual factors that strengthen or impede its delivery and functioning. RESULTS Generally, users expressed positive views of the Tinnitus E-Programme content and design features. Users particularly valued the education about tinnitus and its management, and relaxation skills training, whereas reactions and usage of the self-monitoring tools, online support forum, and therapist support were mixed. Implementation was limited by instances of poor usability and accessibility, user engagement, and adherence to relaxation goals. Users’ perceptions of the intervention’s credibility and relevance, and beliefs regarding the intervention’s negative impact on their tinnitus influenced their engagement with the intervention. Users in both studies identified several benefits gained from the intervention, including functional and emotional management; self-efficacy for managing and coping with tinnitus; understanding tinnitus and its management; social support; and acceptance of tinnitus. CONCLUSIONS Findings suggest that acceptability was high among the target group but also highlighted some areas for improvement. These findings will be used to inform further development work.

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