George, J.T., Warriner, D., McGrane, D.J., Rozario, K.S., Price, H.C., Wilmot, E.G., Kar, P., Stratton, I.M., Jude, E.B. and McKay, G.A. (2011) Lack of confidence among trainee doctors in the management of diabetes: the trainees own perception of delivery of care (TOPDOC) diabetes study. QJM: An International Journal of Medicine, 104(9), pp. 761-766. (doi: 10.1093/qjmed/hcr046) (PMID:21511736) (PMCID:PMC3158855)
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Abstract
Background: There is an increased prevalence of diabetes. Doctors in training, irrespective of specialty, will have patients with diabetes under their care.<p></p> Aim: To determine levels of confidence of doctors in training in the management of diabetes and establish their training needs in this area of clinical practice.<p></p> Design: A national online survey of trainee doctors in the UK using a pre-validated questionnaire.<p></p> Methods: A four-point confidence rating scale was used to rate confidence in the management of diabetes and comparators. A six-point scale was used to quantify how often trainees would contribute to the management of patients with diabetes and trainees were asked about their training in managing diabetes.<p></p> Results: A total of 2149 doctors completed the survey. The percentage ‘fully confident’ in diagnosing diabetes was 27%, diagnosing and managing hypoglycaemia 55%, diagnosing and managing diabetic ketoacidosis 43%, managing intravenous (IV) insulin 27%, prescribing IV fluids for patients with diabetes 39% and altering diabetes therapy prior to surgery/other procedure 18%. In comparison, 66% and 65% were ‘fully confident’ in the management of angina and asthma, respectively (P < 0.05). Forty-one percent would take the initiative to optimize glycaemic control for patients under their care >80% of the time. Respectively, 19% and 35% of respondents reported that their undergraduate and postgraduate training had prepared them adequately to optimize treatment of diabetes. The majority (>70%) wanted further training in managing all aspects of diabetes care.<p></p> Conclusions: Trainee doctors in the UK lack confidence in the management of diabetes, are unlikely to take the initiative to optimize glycaemic control and report a need for further training.<p></p>
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | McKay, Dr Gerard |
Authors: | George, J.T., Warriner, D., McGrane, D.J., Rozario, K.S., Price, H.C., Wilmot, E.G., Kar, P., Stratton, I.M., Jude, E.B., and McKay, G.A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
Journal Name: | QJM: An International Journal of Medicine |
Journal Abbr.: | QJM |
Publisher: | Oxford University Press |
ISSN: | 1460-2725 |
ISSN (Online): | 1460-2393 |
Copyright Holders: | Copyright © 2011 The Authors |
First Published: | First published in Quarterly Journal of Medicine 104(9):761-766 |
Publisher Policy: | Reproduced under a Creative Commons License |
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