Fluid and electrolyte balance—establishing the knowledge base of Foundation Year One doctors

Lupi, Micol; Maweni, Robert M.; Shirazi, Shahram; Wali, U.J.

doi:10.1007/s11845-018-1937-4

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…3,14,15 The poor fluid management knowledge of junior clinicians is well documented and has remained a concern in recent studies. 6,[15][16][17][18][19] Surgical SpRs and consultants perform slightly better than their juniors but little is known about the knowledge of 'senior medical' clinicians. 20 In postoperative surgical patients, junior clinicians are responsible for >85% of fluid prescriptions.…”

Section: Discussionmentioning

confidence: 99%

Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern

et al. 2020

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Fluid management is an essential competency for hospital doctors, but previous studies suggest junior clinicians lack the necessary 'knowledge' and 'prescription skills' to complete this task, resulting in preventable morbidity and mortality. In this study, preregistration (n=146), core (n=66) and specialty (n=133) medical trainees and general medical consultants (n=11) completed a structured questionnaire exploring fluid management training, confidence, serious adverse event experience and a 20-item fluid management 'knowledge' test. Results were compared with those of intensive care consultants (n=20). Most clinicians reported limited training and extensive 'unreported' serious adverse events experience. Knowledge about fluid and electrolyte requirements, fluid composition and chloride toxicity had improved compared to historical reports but overall test scores (median (interquartile range (IQR)): with a maximum score of 20) were low. Foundation year trainees scored 7 (IQR 5-8), core medical trainees scored 9 (IQR 6-10), specialist registrars scored 8 (IQR 6-10) and general medical consultants scored 8 (IQR 6-12) compared with the intensive care consultant score of 16 (IQR 14-16). Although weakly correlated, fluid management 'confidence' appeared higher than 'knowledge' tests would justify. These results suggest that physicians' fluid management knowledge is inadequate, including that of senior colleagues, compounded by poor training and failure to learn from serious adverse events.

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Section: Discussionmentioning

confidence: 99%

Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern

et al. 2020

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“…Two hundred thirty-four of these attended one of 19 medical schools in Britain. 7% of FY1 doctors reported being the principal fluid prescribers on their clinical teams and in only 6% of teams did the consultant share the responsibility [5]. Staff training in the competent use of near patient testing devices is an often ignored component of safe practice and should form part of the annual competence evaluation by the GMC.…”

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confidence: 99%

Hyponatraemia, harm reduction and the O’Hara report from Northern Ireland

Tormey

2019

Ir J Med Sci

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Fluid and electrolyte management: increasing the knowledge of House Officers using an interactive eLearning tool

et al. 2022

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Fluid and electrolyte balance—establishing the knowledge base of Foundation Year One doctors

Cited by 5 publications

References 13 publications

Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern

Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern

Hyponatraemia, harm reduction and the O’Hara report from Northern Ireland

Fluid and electrolyte management: increasing the knowledge of House Officers using an interactive eLearning tool

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