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首页> 外文期刊>BMC Medical Education >Training tomorrow's doctors in diabetes: self-reported confidence levels, practice and perceived training needs of post-graduate trainee doctors in the UK. A multi-centre survey
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Training tomorrow's doctors in diabetes: self-reported confidence levels, practice and perceived training needs of post-graduate trainee doctors in the UK. A multi-centre survey

机译：对明天的糖尿病医生进行培训：英国研究生培训医生的自我报告的自信心水平，实践和感知的培训需求。多中心调查

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Objective To assess the confidence, practices and perceived training needs in diabetes care of post-graduate trainee doctors in the UK. Methods An anonymised postal questionnaire using a validated 'Confidence Rating' (CR) scale was applied to aspects of diabetes care and administered to junior doctors from three UK hospitals. The frequency of aspects of day-to-day practice was assessed using a five-point scale with narrative description in combination with numeric values. Respondents had a choice of 'always' (100%), 'almost always' (80–99%), 'often' (50–79%), 'not very often' (20–49%) and 'rarely' (less than 20%). Yes/No questions were used to assess perception of further training requirements. Additional 'free-text' comments were also sought. Results 82 doctors completed the survey. The mean number of years since medical qualification was 3 years and 4 months, (range: 4 months to 14 years and 1 month). Only 11 of the respondents had undergone specific diabetes training since qualification. 4(5%) reported 'not confident' (CR1), 30 (37%) 'satisfactory but lacked confidence' (CR2), 25 (30%) felt 'confident in some cases' (CR3) and 23 (28%) doctors felt fully confident (CR4) in diagnosing diabetes. 12 (15%) doctors would always, 24 (29%) almost always, 20 (24%) often, 22 (27%) not very often and 4 (5%) rarely take the initiative to optimise gcaemic control. 5 (6%) reported training in diagnosis of diabetes was adequate while 59 (72%) would welcome more training. Reported confidence was better in managing diabetes emergencies, with 4 (5%) not confident in managing hypoglycaemia, 10 (12%) lacking confidence, 22 (27%) confident in some cases and 45 (55%) fully confident in almost all cases. Managing diabetic ketoacidosis, 5 (6%) doctors did not feel confident, 16 (20%) lacked confidence, 20 (24%) confident in some cases, and 40 (50%) felt fully confident in almost all cases. Conclusion There is a lack of confidence in managing aspects of diabetes care, including the management of diabetes emergencies, amongst postgraduate trainee doctors with a perceived need for more training. This may have considerable significance and further research is required to identify the causes of deficiencies identified in this study.
机译：目的评估英国研究生培训医生对糖尿病护理的信心，实践和感知培训需求。方法：采用经过验证的“置信度”（CR）量表的匿名邮政调查表应用于糖尿病护理方面，并向英国三所医院的初级医生进行管理。使用带有叙述性描述的五点量表和数字值来评估日常练习的频率。受访者可以选择“总是”（100％），“几乎总是”（80-99％），“经常”（50-79％），“不是很频繁”（20-49％）和“很少”（少于20％）。是/否问题用于评估对进一步培训要求的看法。还寻求其他“自由文本”评论。结果82位医生完成了调查。自获得医疗资格以来的平均年数为3年4个月（范围：4个月至14年1个月）。自从资格认证以来，只有11名受访者接受了特定的糖尿病培训。 4（5％）表示“不自信”（CR1），30（37％）“满意但缺乏信心”（CR2），25（30％）表示“在某些情况下有信心”（CR3）和23（28％）医生对诊断糖尿病充满信心（CR4）。 12（15％）名医生将始终，24（29％）名几乎总是，20（24％）名经常，22（27％）名不是很频繁，而4名（5％）很少主动地优化血糖控制。 5（6％）的糖尿病诊断培训足够，而59（72％）的患者欢迎接受更多培训。报告的信心在控制糖尿病紧急情况方面更好，其中4（5％）对控制低血糖没有信心，10（12％）缺乏信心，在某些情况下有22（27％）信心，在几乎所有情况下有45（55％）完全信心。处理糖尿病性酮症酸中毒时，有5（6％）的医生没有信心，有16（20％）的人没有信心，在某些情况下有20（24％）的信心，在几乎所有情况下有40（50％）的人充满信心。结论在认为需要更多培训的研究生培训医生中，在管理糖尿病护理方面（包括糖尿病紧急情况的管理）缺乏信心。这可能具有相当重要的意义，需要进一步的研究来确定本研究中发现的缺陷的原因。

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