Postgraduate medical journal
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This study aimed to evaluate differential attainment during higher surgical training (HST; all specialties) related to three ethnic cohorts: White UK (WUKG), Black and Minority Ethnic UK Graduates (BMEUKG), and International Medical Graduates (IMG). ⋯ Differential attainment was plain with BMEUKG FRCS performance almost a third poorer than WUKG, and women twofold more likely to receive adverse ARCPOs, with return from statutory leave independently associated with training extension. Focused counter measures targeted at non-operative technical skills (including academic reach), Keeping in Touch, Return to Work, and re-induction programmed support are urgently needed for trainees at risk.
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Duty of candour (DoC) is the requirement for timely and transparent disclosure after significant healthcare-related harm. We describe the experience of DoC following patient safety incidents (PSI) related to endoscopy, and offer reflections on improving compliance across other areas of clinical medicine. ⋯ DoC remains challenging for clinicians and patient safety teams 8 years after its inception. Improved compliance requires promotion by clinical leaders and high levels of awareness among clinical and nursing staff, a culture of openness and importantly, sustained administrative support to ensure that downstream actions are not overlooked.
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This exploratory study was undertaken to provide an insight into issues of equality and equity that UK junior doctors perceive in relation to being able to achieve a work-life balance within educational and clinical practice. A survey with 443 junior doctors was conducted between May 2018 and September 2019. ⋯ The survey revealed 77% were junior doctors in Health Education England (HEE) posts. 59% were noti n personal relationships, 60% had no children, 38% perceived the national recruitment process as helpful and 70% perceived HEE did not impact on their training. 72% had no personal barriers and 77% felt the role eas not a barrier. 1% identified no barriers. The research raised important implications for redress of equality and equity issues for all within inclusive postgraduate training in the UK.
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This study aims to develop an accurate and simplified scoring system based on the national early warning score (NEWS) to predict the mortality of intensive care unit (ICU) patients. ⋯ MNEWS is a simple and accurate scoring system for evaluating the severity and predicting the outcomes of ICU patients.
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There are limited Foundation Programme posts with rotations in paediatrics. Many junior paediatric trainees therefore start their neonatal jobs, including a mandatory 6-month tertiary neonatal placement during Level 1 training, without prior experience. The aim of this project was to improve trainees' confidence in the practical aspects of neonatal medicine prior to their first neonatal jobs. A virtual course was delivered to paediatric trainees, on the core principles of neonatal intensive care medicine. Trainees' confidence levels in different domains of neonatology were assessed with pre- and postcourse questionnaires, showing a significant improvement in confidence following the course. Trainees' qualitative feedback was also overwhelmingly positive. Overall, there is evidently a desire for supplemental neonatal education for paediatric trainees. The long-term plan to address this is to build upon this course with a transition to face-to-face lectures paired with skills workshops for paediatric trainees in London. ⋯ What is already known on this topic: What this study adds: How this study might affect research, practice, or policy.