193 The Effect of a Targeted Teaching Program on Patient Care in SMART Vascular Unit

Abstract

Abstract Introduction and Aim The usual outcome for any QIP is education focused around the topic in order to raise awareness. At South Mersey arterial (SMART) unit, we developed a targeted teaching program to address key topics. We aim to identify the effect of the program targeted at Foundation and core training level doctors on our patients ward based care measures using regularly audited data points. Method The program at SMART started in 2020 and is a repeated selection of talks which address specific recommendations per national guidelines. We have correlated the timing of the teaching programs with the start of each rotational change (4 to 6 monthly). We have repeated multiple audits to assess specific outcomes including antiplatelet, DVT prophylaxis, diabetic control, amputation pathway, lipid modulation. We reviewed the results of the multiple audits in conjunction with the repeated teaching program. Results The results of the Multiple Audits show an overall improvement on the adherence to Best medical therapy, DVT prophylaxis, Amputation pain-control pathway (25% to 92%), lipid modification therapy (74.3% to 99%) and diabetic screening and control (32% to 100%). Overall, the feedback on the teaching program was encouraging from all grades. Conclusions We recommend based on our multiple Audit outcomes, A regular repeated teaching program targeting specific topics especially at the transition periods for Foundation and Core training level doctors is a useful method to improve patient care and target specific defect areas as well as provide educational benefit to the attendees.