G63(P) Assessing confidence and gaps in clinical care amongst foundation trainees faced with a rotation in tertiary neonatal medicine with implementation of means to improve these areas for future cohorts: a quality improvement project

Autor: R Deering, C Gerrard, D McEleney
Rok vydání: 2019
Předmět:
Zdroj: QUALITY IMPROVEMENT; EMBEDDING A CULTURE OF QUALITY IMPROVEMENT.
DOI: 10.1136/archdischild-2019-rcpch.62
Popis: Throughout the UK, a number of Foundation Training programs offer a rotation in Neonatal Medicine. This field of Paediatrics is highly specialised and unlike any other rotation that Foundation Doctors are likely to encounter. The Aim of this Quality Improvement Project is to analyse the confidence and abilities of Foundation Trainees in regards to working in Tertiary Neonatal Medicine and implementation of a means to improve these areas for future trainees. Method We conducted a Survey amongst 2 cohorts of Foundation Trainees at the beginning and end of their rotation in Neonatal Medicine, focusing on levels of confidence, preparation, support and knowledge of local guidelines. Following this we developed a pocket-sized handbook covering practical and clinical information that Foundation Trainees would routinely require in the job. A subsequent survey was completed with the Trainees to assess the success of the handbook and the opportunity to provide ideas for further improvement. The table 1 below collates the feelings and knowledge of the Foundation Doctors pre- and post-intervention. Conclusion Neonatal medicine remains an extremely specialised area of Paediatrics and from this study we have established that Foundation Trainees feel generally anxious and underprepared prior to starting the rotation. Implementation of a simple handbook for Trainees has shown a great improvement in confidence and knowledge of local guidelines which ultimately has the potential to improve on Patient clinical care of and Patient safety.
Databáze: OpenAIRE