| Autor: |
George, J.T., Warriner, D., McGrane, D.J., Rozario, K.S., Price, H.C., Wilmot, E.G., Kar, P., Stratton, I.M., Jude, E.B., McKay, G.A., TOPDOC Diabetes Study Team |
| Jazyk: |
angličtina |
| Rok vydání: |
2011 |
| Předmět: |
|
| ISSN: |
1460-2725 |
| Popis: |
Background: There is an increased prevalence of diabetes. Doctors in training, irrespective of specialty, will have patients with diabetes under their care.\ud \ud Aim: To determine levels of confidence of doctors in training in the management of diabetes and establish their training needs in this area of clinical practice\ud \ud Design: A national online survey of trainee doctors in the UK using a pre-validated questionnaire.\ud \ud Methods: A four-point confidence rating scale was used to rate confidence in the management of diabetes and comparators. A six-point scale was used to quantify how often trainees would contribute to the management of patients with diabetes and trainees were asked about their training in managing diabetes.\ud \ud Results: A total of 2149 doctors completed the survey. The percentage ‘fully confident’ in diagnosing diabetes was 27%, diagnosing and managing hypoglycaemia 55%, diagnosing and managing diabetic ketoacidosis 43%, managing intravenous (IV) insulin 27%, prescribing IV fluids for patients with diabetes 39% and altering diabetes therapy prior to surgery/other procedure 18%. In comparison, 66% and 65% were ‘fully confident’ in the management of angina and asthma, respectively (P 80% of the time. Respectively, 19% and 35% of respondents reported that their undergraduate and postgraduate training had prepared them adequately to optimize treatment of diabetes. The majority (>70%) wanted further training in managing all aspects of diabetes care.\ud \ud Conclusions: Trainee doctors in the UK lack confidence in the management of diabetes, are unlikely to take the initiative to optimize glycaemic control and report a need for further training. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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