PT  - JOURNAL ARTICLE
AU  - Sheonagh Law
AU  - Cathy Anderson
AU  - Clare Ricketts
AU  - Anur Guhan
TI  - Junior doctors' experience, competence and confidence in pleural procedures in two district general hospitals in Ayrshire, Scotland
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P1858
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P1858.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P1858.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Introduction and ObjectivesThe 2008 NPSA [1] report and the British Thoracic Society (BTS) [2] recommend measures of safe practice to reduce risk of serious complications during pleural procedures (PP). We aimed to ascertain the experience, competence and confidence of 47 post-registration junior doctors (PRJD) in Ayrshire hospitals, to inform a PP training program development.Method47 PRJD were surveyed about experience in PP, clinical skills course attendance, knowledge of BTS guidelines on PP [2], and objective evidence of competency. A self-scoring Visual Analog Scale was used to measure confidence in: diagnostic/therapeutic aspiration (DA/TA), intercostal chest drain insertion (ICDI) and removal (ICDR) and pleurodesis.Results51% returned the survey. PRJD ranged from one to five years post-registration.Conclusions67% PRJD were confident in DA/TA and ICDR. While 50% were deemed competent in ICDI, self-certified confidence for independent practice was low. This may reflect PRJD experience across the NHS. Any PP training program should aim to address the gap between deemed competence and confidence, using innovative ways of increasing PRJD experience in PP.References1. NPSA: NHS National Patient Safety Agency Rapid Response Report, Risk of Chest Drain Insertion, 15th May 2008. Ref NPSA/2008/RRR003.2. British Thoracic Society Pleural Disease Guideline 2010 Thorax, Vol 65, Suppl.