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Protocol for a national audit on self-reported confidence levels, training requirements and current practice among trainee doctors in the UK: The Trainees Own Perception of Delivery of Care in Diabetes (TOPDOC) Study

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dc.creator Wilmot Emma G
dc.creator Price Hermione C
dc.creator Rozario Kavitha S
dc.creator Warriner David
dc.creator McGrane David J
dc.creator George Jyothis T
dc.creator Kar Partha
dc.creator Jude Edward B
dc.creator McKay Gerard A
dc.date 2010-07-01T00:00:00Z
dc.date.accessioned 2015-07-20T22:12:07Z
dc.date.available 2015-07-20T22:12:07Z
dc.identifier 10.1186/1472-6920-10-54
dc.identifier 1472-6920
dc.identifier https://doaj.org/article/dc7e406234c04048a9be8d02662e2208
dc.identifier.uri http://evidence.thinkportal.org/handle/123456789/14991
dc.description <p>Abstract</p> <p>Background</p> <p>As the incidence and prevalence of diabetes increases across the world, resource pressures require doctors without specialist training to provide care for people with diabetes. In the UK, national standards have been set to ensure quality diabetes care from diagnosis to the management of complications. In a multi-centre pilot study, we have demonstrated a lack of confidence among UK trainee doctors in managing diabetes. Suboptimal confidence was identified in a number of areas, including the management of diabetes emergencies. A national survey would clarify whether the results of our pilot study are representative and reproducible.</p> <p>Methods/Design</p> <p><b>Target cohort</b>: All postgraduate trainee doctors in the UK.</p> <p>Domains Studied: The self reported online survey questionnaire has 5 domains: (1) confidence levels in the diagnosis and management of diabetes, (2) working with diabetes specialists, (3) perceived adequacy of training in diabetes (4) current practice in optimising glycaemic control and (5) perceived barriers to seeking euglycaemia.</p> <p><b>Assessment tools</b>: Self-reported confidence is assessed using the 'Confidence Rating' (CR) scale for trainee doctors developed by the Royal College of Physicians. This scale has four points - ('not confident' (CR1), 'satisfactory but lacking confidence' (CR2), 'confident in some cases (CR3) and 'fully confident in most cases' (CR4).</p> <p>Frequency of aspects of day-to-day practice is assessed using a six-point scale. Respondents have a choice of 'always' (100%), 'almost always' (80-99%), 'often' (50-79%), 'not very often' (20-49%) and 'rarely' (5-19%) or never (less than 5%).</p> <p>Discussion</p> <p>It is anticipated that the results of this national study will clarify confidence levels and current practice among trainee doctors in the provision of care for people with diabetes. The responses will inform efforts to enhance postgraduate training in diabetes, potentially improving the quality of care for people with diabetes.</p>
dc.language English
dc.publisher BioMed Central
dc.relation http://www.biomedcentral.com/1472-6920/10/54
dc.relation https://doaj.org/toc/1472-6920
dc.rights CC BY
dc.source BMC Medical Education, Vol 10, Iss 1, p 54 (2010)
dc.subject Medicine (General)
dc.subject R5-920
dc.subject Medicine
dc.subject R
dc.subject DOAJ:Medicine (General)
dc.subject DOAJ:Health Sciences
dc.subject Special aspects of education
dc.subject LC8-6691
dc.subject Education
dc.subject L
dc.subject DOAJ:Education
dc.subject DOAJ:Social Sciences
dc.subject Medicine (General)
dc.subject R5-920
dc.subject Medicine
dc.subject R
dc.subject DOAJ:Medicine (General)
dc.subject DOAJ:Health Sciences
dc.subject Special aspects of education
dc.subject LC8-6691
dc.subject Education
dc.subject L
dc.subject DOAJ:Education
dc.subject DOAJ:Social Sciences
dc.subject Medicine (General)
dc.subject R5-920
dc.subject Medicine
dc.subject R
dc.subject Special aspects of education
dc.subject LC8-6691
dc.subject Education
dc.subject L
dc.subject Medicine (General)
dc.subject R5-920
dc.subject Medicine
dc.subject R
dc.subject Special aspects of education
dc.subject LC8-6691
dc.subject Education
dc.subject L
dc.subject Medicine (General)
dc.subject R5-920
dc.subject Medicine
dc.subject R
dc.subject Special aspects of education
dc.subject LC8-6691
dc.subject Education
dc.subject L
dc.title Protocol for a national audit on self-reported confidence levels, training requirements and current practice among trainee doctors in the UK: The Trainees Own Perception of Delivery of Care in Diabetes (TOPDOC) Study
dc.type article


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