Skip to main content

Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open access
  • Published:

Trainee led intensive care unit induction - an educational and quality improvement project

Introduction

Under the leadership of the Faculty of Intensive Care Medicine, junior trainees from varied medical backgrounds are increasingly undertaking placements in Intensive Care Units (ICU) [1]. Unlike their predecessors, current trainees may have little prior training in advanced organ support (AOS), yet clinical responsibility may be high - a potential patient safety issue. Traditional senior-doctor led departmental induction may not rapidly adapt to the evolving requirements of current trainees [2].

Objectives

To assess the background, prior experience & confidence at managing AOS in a cohort of trainees at our institution. Satisfaction with the standard departmental induction programme (IP1) was also assessed.

To design a new induction programme (IP2); novel in the sole use of current unit trainees for its development & delivery, incorporating feedback from the initial assessment & tailored to the needs trainees from differing medical backgrounds.

To assess trainee confidence/satisfaction following IP2 & ensure project continuity.

Methods

Three written assessments were completed by two cohorts of trainees; Cohort 1 was assessed post IP1, Cohort 2 was assessed pre & post IP2.

IP2 design was based on feedback from Cohort 1 & took a structured approach to AOS, with five system-based presentations & a written handbook. IP2 was delivered as a half-day of interactive lectures prior to Cohort 2 commencing placements in ICU.

Electronic copies of IP2 content were handed over to Cohort 2 to facilitate future delivery.

Results

Cohort 1 (n = 8) included: 2× Core Medical trainees (CMT), 2× Emergency Medicine (EM) trainees & 3× foundation trainees (FT); with prior ICM experience: 3× none, 5× < 6 months. Cohort 2 (n = 6)) included: 1× CMT, 3 × FT & 2× anaesthetic trainees (AT); with prior ICM experience 3× none, 2× < 6 months & 1× < 12 months.

Assessment responses graded 0-5 (poor-excellent) were mean averaged. Pre & post IP2: trainee confidence at routine AOS management improved from 1.93 to 3.17; confidence at emergency AOS management improved from 2.17 to 3.33; understanding of AOS principles improved from 2.17 to 3.5. Overall satisfaction with induction improved from 2.38 to 4.83. (See Graph 1)

Conclusions

As ICM training expands in the UK, junior trainee confidence & experience cannot be taken for granted. Induction programmes tailored for trainees of differing medical backgrounds can improve knowledge, confidence at managing AOS & improve trainee satisfaction.

Such programmes need not be costly or consultant delivered. Our trainee led & delivered programme resulted in improved levels of trainee confidence, high levels of satisfaction & provided a legacy of teaching opportunity for trainees within the unit.

figure 1

Figure 1

References

  1. Nee P: The Faculty of Intensive Care Medicine. EMJ Supp. 2011, 28 (1(2)): January

    Google Scholar 

  2. Koshal S: Induction training for senior house officers in OMFS. Br Dent J. 2012, 213 (2): Jul 27

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Open Access  This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sumpter, J., Wijesuriya, J., Mccomb, R. et al. Trainee led intensive care unit induction - an educational and quality improvement project. ICMx 3 (Suppl 1), A865 (2015). https://doi.org/10.1186/2197-425X-3-S1-A865

Download citation

  • Published:

  • DOI: https://doi.org/10.1186/2197-425X-3-S1-A865

Keywords