education.

Doctors’ Knowledge of Viral Haemorrhagic Fevers

Research Audit and Clinical Practice, Volume 14, Issue 2, Pages 41 - 96 (2015)

Abstract

Viral Haemorrhagic Fevers (VHF) such as Ebola Virus Disease (EVD) are of increasing concern of increasing concern to clinicians and public heath bodies across Europe and America due to the on-going epidemic in West Africa. We conducted an online study to assess clinicians’ knowledge of VHF across six hospital sites in London. This showed suboptimal knowledge of Public Health England guidance, EVD epidemiology and the risk factors for acquiring VHF. Knowledge about VHF was dependent on seniority of grade with the most junior grade of doctors performing worse in several areas of the survey. Poor knowledge raises concerns that those at risk of VHF will be inappropriately risk stratified and managed. Education of doctors and other healthcare professionals about VHF is necessary to address these knowledge gaps.

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Food for Thought in an Acute Medicine Environment; Doctors’knowledge of Herbal Medicines Needs to be Better……

Research Audit and Clinical Practice, Volume 11, Issue 3, Pages 129 - 185 (2012)

Abstract

Introduction: Patients are increasingly taking herbal supplements for a variety of reasons. This has brought into question doctors knowledge about herbal medicines.

Method: A cross-sectional web-based survey of 84 doctors working within the Department of Medicine at a District General Hospital was carried out looking at doctor’s knowledge about herbal medicines.

Results: 53 doctors took part. Of these, the majority were trainees in Medicine (42) 79%. Only (15) 28% routinely ask patients about herbal medicine use when taking a drug history. Doctor’s knowledge about herbal Medicines was poor.

Conclusion: We need to re-examine our current teaching programmes to ensure that education about common herbal medicines and important sources of information are provided to doctors to improve patient safety.

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Where Do AMU Nurses Perceive Their Educational Needs? Results of the 20:10 project

Research Audit and Clinical Practice, Volume 11, Issue 1, Pages 1 - 56 (2012)

Abstract

Our aim was to identify the perceived educational needs of nurses working in acute medicine to enable development of a training curriculum specifically for this staff group.

Methods: Post-graduate nurses from North Wales were invited to list 20 conditions and 10 skills for which they felt under prepared for their work in acute medicine. A workshop was then organized, attended by acute medicine nurses,medical colleagues and educationalists from two local universities to discuss initial data.

Results: Nurses identified particular needs for education around presenting symptoms with perceived deficits in knowledge or training. We found a heavy emphasis on respiratory and cardiac conditions. There was considerable overlap with frequent diagnostic categories from non-surgical hospital discharges and with priorities for training of junior doctors. Skills were often those traditionally associated with medical staff or care of patients with critical illnesses.

Conclusion: The 20:10 project represents the first attempt to map educational needs of nursing staff on the Acute Medical Units of a large University Health Board using self-reported needs. The identified needs will support professional development, create incentives for recruitment and guide University postgraduate developments and commissioning.

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A simple educational programme substantially reduces unnecessary use of coagulation screening testing in an acute medical department

Original Articles, Volume 9, Issue 3, Pages 97 - 148 (2010)

Abstract

A review suggested that coagulation screening tests (CST) were frequently performed unnecessarily in our Acute Medical Department. We reviewed the records of all patients for whom CST was ordered in one week (n141) before designing and delivering an e-mail, poster and presentation based educational programme to clinicians. We repeated the review of records three weeks after this programme (n79). The proportion of patients in whom CST was ordered was significantly lower (22% versus 32%, p0.0014) and proportion of CSTs sent with a valid indication was significantly higher (87% versus 49%, p 0.0001) in the second review period. This study demonstrates that a simple educational programme substantially reduces unnecessary use of CST in an acute medical department with significant potential efficiency savings.

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