EP-195 The effect of medical and surgical rotations on confidence in managing acute kidney injury

Abstract

Abstract Aims Methods FY1 doctors were surveyed throughout July – August 2021 and December 2021 across two sites. Six questions used Likert scales (1 to 5: not at all confident to very confident) to assess AKI management. Data was initially inputted using Google Docs and analysed in Microsoft Excel. Results 44 FY1 doctors (27 Surgery, 17 Medicine) completed the initial questionnaire. 19 FY1 doctors (13 Surgery, 6 Medicine) completed the questionnaire post rotation. Confidence levels were greater for FY1 doctors in surgery than those in medicine at recalling the five most common drugs that cause AKI and understanding the significance of lactate and bicarbonate. Confidence levels were greater for FY1 doctors in medicine than in surgery at assessing a patient's fluid status. Confidence levels in identifying causes and management of AKI in both surgical and medical patients were similar for FY1 doctors in either group. Conclusions Confidence levels are similar post first rotation management of AKI between medical and surgical specialties. Confidence levels are slightly higher for surgical FY1 doctors overall. Further research is required in this area to improve FY1 doctor education.