| Popis: |
Experience of the management of patients with type 1 diabetes treated with insulin pumps tends to vary significantly among clinicians in training. The Young Diabetologists and Endocrinologists Forum (YDEF), a body representing diabetes registrars, undertook a web-based survey of doctors to assess their familiarity, confidence and experience in dealing with the various aspects of continuous subcutaneous insulin infusion (CSII) given its relative technical complexity and lack of formal training. A total of 101 trainees (24%) responded to this survey. One-third of trainees (38%) had no formal CSII training. Of the 62% of trainees who had had some form of training, including attendance on an insulin pump course, only 45% were able to set up and prime an insulin pump; 55% and 67% of trainees were able to set up basal and bolus insulin doses respectively, and 77% understood the insulin pump sick day rules. Individual trainee experience with pump starts varied between zero and 14 patients with an average of two per trainee, which is arguably inadequate. We conclude that the provision of CSII training varies considerably in the UK; training opportunities and exposure to pump therapy in practice vary greatly, which reflects a lack of formal detail or consideration of this in the UK curriculum. We propose a basic set of pump training competencies which diabetes registrars should be expected to work towards and fulfil prior to the completion of training. Copyright © 2013 John Wiley & Sons. |
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