Training tomorrow's doctors in diabetes: self-reported confidence levels, practice and perceived training needs of post-graduate trainee doctors in the UK. A multi-centre survey

George, Jyothis T.; Warriner, David; Anthony, Jeffrin; Rozario, Kavitha S; Xavier, Sinu; Jude, Edward B.; McKay, Gerard

doi:10.1186/1472-6920-8-22

Cited by 32 publications

(28 citation statements)

References 16 publications

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“…The other limitation of this survey is questionnaire bias. However, our response rates were 60%, which is comparable to other surveys in which trainees or doctors were polled using questionnaires 4 9–11…”

Section: Discussionsupporting

confidence: 79%

“…The questionnaire in our study is not validated for this purpose. However, the use of self-assessments continues to be used to inform policy makers about deficiencies in postgraduate training8 9 and self-assessment of confidence levels developed by the Royal College of Physicians, UK continues to be used in postgraduate training portfolios. The other limitation of this survey is questionnaire bias.…”

Section: Discussionmentioning

confidence: 99%

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Hepatology training in the UK

Patanwala

Hudson

2011

Frontline Gastroenterol

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Objectives To establish the perceived adequacy of the hepatology training component of the unifi ed gastroenterology and hepatology training programme in the UK by assessing the attitudes and experiences of trainees in the programme. Design and intervention Online crosssectional questionnaire survey linked to the annual British Society of Gastroenterology/ Trainee in Gastroenterology survey in 2010. Setting and participants National survey of all specialist gastroenterology trainees in the UK. Results 283/489 (58%) trainees responded, 68% were male. 54% of all trainees wanted to deliver liver services as consultants. 25% of trainees complete training without exposure to a liver unit providing comprehensive specialist hepatology services. Median time spent in such a unit for the others was 8 months (IQR 6). Signifi cantly fewer trainees lacked confi dence in managing liverrelated conditions if they had spent time training in a specialist liver unit and with increasing years in training. One in three trainees is dissuaded from a career in hepatology. One in fi ve trainees wished to work part time as consultants-an option preferred signifi cantly more by women. Conclusions Hepatology training in the UK is perceived by trainees as being suboptimal. A national strategy aimed at improving and standardising hepatology training and making specialist liver unit experience available for every trainee is required.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Hepatology training in the UK

Patanwala

Hudson

2011

Frontline Gastroenterol

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“…Among postgraduate trainee doctors in the United Kingdom, only 11% advised patients on lifestyle change for diabetes control 9 . A study among cardiologists, neurologists and other physicians in internal medicine (N=1609) from 232 primary, secondary and tertiary care healthcare institutions in Beijing, China to assess their practices in advising on lifestyle modifications in the management of hypertension 10 found that 48.6% of cardiologists and 28.3% of other physicians prescribe lifestyle modifications to control hypertension.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices of medical officers in two selected teaching hospitals in the Colombo District in the application of non-communicable disease prevention activities in the ward setting

Wellappuli¹,

Gunawardana

2015

J. Postgrad. Inst. Med.

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Background Non-communicable diseases (NCD) are a significant health problem in Sri Lanka. The national health policy recommends building the capacity of Medical Officers (MO) in the national health system to address this issue. This study aimed to assess the knowledge, attitudes and practices of MOs in two teaching hospitals in the Colombo District in applying NCD prevention activities in the ward setting. Methods A cross-sectional study to assess the knowledge, attitudes and practices of 465 MOs of two teaching hospitals was conducted using a self-administered questionnaire. Results Only 43.7% of MOs possessed a 'good' level of knowledge regarding NCD prevention. Only 41.4% were able to name three NCDs that could be screened for and only 18.4% were aware of the location of screening services. Of the MOs, 68% knew of three primary/primordial NCD prevention activities that could be applied in the ward setting. A majority (76.6%) showed favourable attitudes to applying NCD prevention in wards. Considering practices, only 43% provided lifestyle guidance to all in-patients with NCDs and only 14.3% advised family members of patients regarding their role in NCD prevention. Reported barriers to implement NCD prevention were lack of; time (85.9%) and lack of training (47%). Conclusions and recommendations Knowledge and practices of NCD prevention strategies that are applicable in ward settings was poor among the majority of MOs while attitudes were mostly favourable. The study recommends improving knowledge and overcoming identified barriers in order to promote MOs to take up NCD prevention in wards.

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“…A study undertaken in the UK in the context of the trend to move long-term management of diabetes from specialist centers to primary care 17 showed that a fifth of the postgraduate trainee doctors would not actively identify the cardiovascular risk factors.…”

Section: Eledrisimentioning

confidence: 99%

Hypertension and Dyslipidemia in Type 2 Diabetes Mellitus in United Arab Emirates

Bahar¹

2010

amj

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BackgroundIn United Arab Emirates (UAE), the prevalence of Diabetes Mellitus was 19.6% in 1998-2000. Co-morbidity with Hypertension (HT) and Dyslipidemia (DL) increases the probability of cardiovascular complications, and hence the study of the distribution of HT and DL in patients with type 2 Diabetes Mellitus (DM) and their control. MethodSource of data was the records of one private and one government hospital in Northern Emirates, UAE. 294 patients with type-2 DM, who attended the hospitals from September to November, 2009 were included. A checklist was used for collection of data. Relevant data were collected from the records, entered on Microsoft Excel spreadsheet and analyzed using PASW 17.0 statistics. Proportions and Chi-square tests were used for assessing the co-morbidity of HT and DL, and control of DM with respect to socio-demographic variables. ResultsOf the total type 2 DM patients, 50.7% were males, 95% married, 76.5% of Middle East origin and only 12.6% were paying patients. The most common (49%) age group was 40-59 years. 8.6% of the type 2 DM patients did not have HT or DL or, 69.6% had DL, 88% had HT, and 66.1% had both. There was a statistically significant (p<0.05) association between age and DL and nationality and DL, but not with HT. Duration of HT and DL were similar to that of type 2 DM.Only 32% had type 2 DM under control. As for control of DL, 60.2% had triglyceride under control, 59.5% LDL and 7.4% HDL. 39.3% had systolic and 52.7% diastolic blood pressure under control. ConclusionCo-morbidity with HT and DL is found to be high in the patients with type-2 DM. The poor control of all three conditions highlights the importance of all levels of prevention to reduce the risk of cardiovascular complications.

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Training tomorrow's doctors in diabetes: self-reported confidence levels, practice and perceived training needs of post-graduate trainee doctors in the UK. A multi-centre survey

Abstract: Objective: To assess the confidence, practices and perceived training needs in diabetes care of postgraduate trainee doctors in the UK.

Cited by 32 publications

References 16 publications

Hepatology training in the UK

Hepatology training in the UK

Knowledge, attitudes and practices of medical officers in two selected teaching hospitals in the Colombo District in the application of non-communicable disease prevention activities in the ward setting

Hypertension and Dyslipidemia in Type 2 Diabetes Mellitus in United Arab Emirates

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