275 ENT and Plastic Surgery Senior House Officers/house Officers Access to Patient Clinic Letters - Closed Loop Audit

Abstract

Abstract Aim To evaluate whether senior house officers (SHOs) and house officers (HOs) on plastic surgery and ENT: 1. have received training to access healthcare records and 2. feel confident with accessing healthcare records when needed. Method Retrospective audit. Questionnaires were sent to ENT and plastic surgery SHOs and HOs. After the first cycle of audit, the induction that ENT and plastic surgery SHOs and HOs receive at the start of rotation was changed to incorporate training for accessing healthcare records and a second audit cycle was completed. The audit gold standard were local trust guidelines, and the target benchmark was 100%. Results First audit cycle showed 0% of SHOs and HOs on plastic surgery and ENT were trained to access healthcare records at induction and 25% felt confident with accessing healthcare records when needed after their induction. After the changes to induction were implemented, the second audit cycle showed that 80% of SHOs and HOs were trained to access healthcare at induction and 100% of SHOs and HOs felt confident with accessing healthcare records when needed after their induction. Conclusions Induction at the start of a rotation is essential for junior doctors to be equipped with the knowledge required to deliver their clinical duties effectively. It is important to listen to feedback and improve this induction process. Further cycles of audit are required to assess if this change has been sustainable.