Confidence Of Doctors Research Articles

Designing and Implementing the Psychiatrist-led Personalized Mentorship Programs: The Role and Impact of Live Consultation-driven Training Methods

Background: Clinical training in traditional medical education often needs more translational value, especially for in-service MBBS doctors working in primary health centers (PHCs), who provide first-line treatment for psychiatric disorders. To address this gap, a psychiatrist-led personalized mentorship program incorporating three live consultation-driven training (CDT) methods was developed to integrate psychiatric care into PHCs. Methods: The authors designed and implemented a personalized mentorship program using three CDT methods tailored for in-service MBBS doctors. The CDT methods were applied through live consultations to facilitate real-time, real-life learning and integration of psychiatric care into primary health settings. Data from published articles and manuals on CDT methods were collected, focusing on their descriptions, effectiveness, principles, and advantages over traditional classroom training. Results: Data indicate the effectiveness of the CDT methods to translate to real-life skills (translational quotient). The personalized mentorship program showed promising results in enhancing the confidence and competence of MBBS doctors in managing psychiatric disorders in PHCs. The CDT methods were found to be superior to traditional classroom training in terms of practical applicability and real-time learning. Conclusion: The psychiatrist-led personalized mentorship program with CDT methods demonstrates the potential for significant improvements in the training of in-service MBBS doctors, facilitating the integration of psychiatric care into PHCs. These methods offer a practical and effective approach to bridging the gap in clinical training and can be replicated among medical students and residents across various medical and surgical specialties. Further research and longitudinal studies are recommended to validate these preliminary findings and explore the program’s broader applicability.

Evaluating the Confidence of Non-specialty Doctors Working in Trauma and Orthopedics in Performing Knee Arthrocentesis Through Simulation-Based Teaching

Evaluating the Confidence of Non-specialty Doctors Working in Trauma and Orthopedics in Performing Knee Arthrocentesis Through Simulation-Based Teaching

Confidence of UK emergency department doctors in managing ophthalmic emergencies: a systematic review

Confidence of UK emergency department doctors in managing ophthalmic emergencies: a systematic review

SP8.5 - Enhancing the confidence of FY1 Doctors in managing General Surgical Patients through the introduction of an online handbook– A quality improvement project

Abstract Background Emerging as a Foundation Year 1 (FY1) doctor from undergraduate training can be daunting. Furthermore, working in Colorectal Surgery can pose challenges: managing both elective and acute surgical patients with complex needs. We designed a General Surgery and Colorectal Surgery handbook to help FY1 doctors navigate training. This Quality Improvement Project aimed to assess the impact of and alleviate some of the uncertainty experienced by FY1 doctors during this transitional phase. Methods An electronic handbook was compiled with contributions from across the Multidisciplinary Team which was reviewed and approved for distribution within our Trust. An online questionnaire was distributed to assess pre-placement confidence in key domains on a 10-point Likert scale. This was sent to FY1 doctors who had previously completed a rotation within colorectal surgery without the handbook. The handbook was distributed to new cohort of FY1 doctors a week prior to the start of their rotation in Colorectal Surgery. An identical questionnaire was sent to the new cohort of FY1s within a month of their rotation and results were compared with previous cohort. Results In all surveyed areas, there was an improvement in confidence in the post-intervention group compared to that shown in the pre-intervention group. The average improvement in median score across all areas was 3.8 points. Conclusion This project demonstrated an overwhelmingly positive response to a formalised handbook by FY1 doctors in training. This intervention has helped FY1 doctors manage colorectal and general surgery patients with enhanced confidence thus paving way for safer patient care.

A qualitative exploration of the impact of a hospital electronic prescribing and medicines administration (HEPMA) protocol on junior doctor confidence and competence to prescribe end-of-life care medicines.

With hospital electronic prescribing and medicines administration (HEPMA) systems now in widespread use across hospital inpatient clinical services, work is underway to measure the benefits of HEPMA on healthcare systems and patient care. HEPMA functionality enables users to prescribe medicines by 'bundle' or 'protocol'. Although it is assumed that this is a significant system benefit, there are few qualitative studies supporting this conclusion. To explore the impact of an electronic anticipatory care medicines protocol on junior doctor perceptions of their confidence and competence to prescribe opioids and midazolam for patients at the end of life. Between May and August 2022, one-to-one semi-structured interviews were conducted at a 570-bed District General Hospital with junior doctors who had experience of prescribing on both HEPMA and paper-based systems. Audio recordings of the interviews were transcribed verbatim and underwent thematic analysis. Ten junior doctors participated (median age 23years). Analysis generated five main themes that described perceptions and attitudes towards confidence and competence. These were prescribing safety benefits; information technology infrastructure, interoperability and system design concerns; clinical knowledge and training needs; cultural and social factors and risks of automation in prescribing. This study suggests that junior doctors experienced an overall increase in their confidence and perceived competence to prescribe anticipatory medicines post-implementation of a HEPMA protocol. Further studies are required to detail the impact of HEPMA/CPOE protocols on clinical practice.

680 Increasing Surgical Junior Doctors Confidence and Knowledge in Treating Post-Thyroidectomy Hypocalcaemia

680 Increasing Surgical Junior Doctors Confidence and Knowledge in Treating Post-Thyroidectomy Hypocalcaemia

Confidence of Emergency Department doctors in managing ophthalmic emergencies: a systematic review

BackgroundEye emergencies constitute a significant portion of attendances to general Emergency Departments (EDs) in the UK, therefore it is important to assess the confidence of doctors who work in this setting in managing these potentially sight- and life-threatening presentations. This systematic review aims to assess the confidence of UK doctors working in general EDs in managing ophthalmic emergencies.MethodsMEDLINE (Ovid), EMBASE (Ovid), ProQuest Central and Web of Science databases and grey literature were searched from inception to 1 October 2022 for publications that (1) featured doctors working in UK general EDs, (2) assessed doctors’ confidence in managing ophthalmic emergencies, (3) contained original data, (4) were full-text, and (5) written in English. Methodological quality was assessed using the AXIS tool.Results462 articles were screened, and 7 papers included for data extraction, which collectively assessed the confidence of 956 doctors working in EDs in managing ophthalmic emergencies. There was a widespread lack of confidence amongst foundation doctors, which has worsened over time. Most doctors lacked confidence in performing funduscopy and using the slit-lamp, and considered formal ophthalmology training received in EDs to be inadequate.ConclusionsEvidence suggests a lack of confidence amongst foundation doctors in managing ophthalmic emergencies. High-quality evidence investigating the confidence amongst more experienced Emergency Medicine (EM) physicians was lacking. It is important to assess why foundation doctors feel so ill-prepared to manage eye emergencies and develop further ophthalmic training for doctors working in EDs. Further investigation exploring the confidence of EM trainees and consultants is required.

Тактика врача первичного звена при выявлении очаговых образований в легочной ткани

In order to provide timely and quality medical care to the population within the framework of improving the material base of medical organizations, many treatment and preventive care institutions have been equipped with modern X-ray equipment in the last three years. A large number of patients have been subjected to computed tomography of the chest organs, which has made it possible to detect asymptomatic pulmonary masses in a number of individuals. Taking into account the necessity of timely differential diagnostics of such masses and, first of all, in order to exclude malignant pulmonary neoplasms, the question arises what tactics should be followed by a primary care physician in case of detection of pulmonary neoplasms in a patient for the first time. The article presents a Clinical case demonstrating the detection of pulmonary neoplasm, which required active tactics of patient management, and presents tools, the use of which gives the doctor confidence in his actions for early diagnosis of malignant neoplasms.

Examining how goals of care communication are conducted between doctors and patients with severe acute illness in hospital settings: A realist systematic review.

Patient involvement in goals of care decision-making has shown to enhance satisfaction, affective-cognitive outcomes, allocative efficiency, and reduce unwarranted clinical variation. However, the involvement of patients in goals of care planning within hospitals remains limited, particularly where mismatches in shared understanding between doctors and patients are present. To identify and critically examine factors influencing goals of care conversations between doctors and patients during acute hospital illness. Realist systematic review following the RAMESES standards. A protocol has been published in PROSPERO (CRD42021297410). The review utilised realist synthesis methodology, including a scoping literature search to generate initial theories, theory refinement through stakeholder consultation, and a systematic literature search to support program theory. Data were collected from Medline, PubMed, Embase, CINAHL, PsychINFO, Scopus databases (1946 to 14 July 2023), citation tracking, and Google Scholar. Open-Grey was utilized to identify relevant grey literature. Studies were selected based on relevance and rigor to support theory development. Our analysis included 52 papers, supporting seven context-mechanism-output (CMO) hypotheses. Findings suggest that shared doctor-patient understanding relies on doctors being confident, competent, and personable to foster trusting relationships with patients. Low doctor confidence often leads to avoidance of discussions. Moreover, information provided to patients is often inconsistent, biased, procedure-focused, and lacks personalisation. Acute illness, medical jargon, poor health literacy, and high emotional states further hinder patient understanding. Goals of care conversations in hospitals are nuanced and often suboptimal. To improve patient experiences and outcome of care interventions should be personalised and tailored to individual needs, emphasizing effective communication and trusting relationships among patients, families, doctors, and healthcare teams. Inclusion of caregivers and acknowledgment at the service level are crucial for achieving desired outcomes. Implications for policy, research, and clinical practice, including further training and skills development for doctors, are discussed.

Antecedents of perceived usefulness on the use of electronic hospital management information systems

Research aims: This study aims to analyze the factors that influence SIMRS and examine the mediating effect of perceived ease of use on the factors that affect SIMRS. Design/Methodology/Approach: This explanatory research used a quantitative approach through survey methods. The population in this study was doctors practicing in the outpatient polyclinic of XYZ Hospital, totaling 80 doctors using the total sampling. Data collection techniques employed a scale and analyzed utilizing Smart Partial Least Square (PLS). Research findings: According to the research findings, all examined indicators were found to be positively and substantially correlated with perceived ease of use by the following variables: computer self-efficacy, trustworthiness, technological risk, facilitating conditions, and degree of openness. Although all but the degree of openness exhibited a significant correlation with perceived usefulness, the remaining indicators did not. In relation to perceived usefulness, all factors exhibited a positive and statistically significant association with perceived ease of use as a mediator.Practical and Theoretical Contribution/Originality: In terms of practical and theoretical contributions, these findings offer valuable insights for hospitals, emphasizing the importance of enhancing doctors' knowledge, openness, and confidence in adopting SIMRS technology. Recommendations offered include increasing computer literacy among doctors, mitigating risks associated with SIMRS, and improving access to healthcare services.Research limitation: In this case, the research limitation stems from the need to explore further additional characteristics, such as computer self-efficacy, trustworthiness, technological risk, facilitating conditions, and perceived ease of use, as they may impact perceived usefulness across various variables. Future research should expand its scope and population, employing comprehensive data collection techniques to maximize research outcomes.

Assessing Physician Confidence in Counseling Patients on COVID-19 Disease and Vaccination: A Survey of Physicians' Perspectives in the Kingdom of Saudi Arabia.

The COVID-19 vaccine has been available and well acceptable among the Saudi population since its introduction in 2020; however, concerns still remain regarding the confidence of doctors in giving such vaccines. How confident are physicians in the Kingdom of Saudi Arabia about giving counseling and advice for patients regarding COVID-19 disease and COVID-19 vaccines? To determine how confident Saudi Arabian doctors are in their ability to advise patients on the COVID-19 illness and COVID-19 vaccines. To assist the health authorities in the Kingdom of Saudi Arabia in developing and implementing programs to improve doctors' skills and knowledge in giving advice to patients about the COVID-19vaccine. The research employed an online cross-sectional study methodology to gather insights from doctors employed at hospitals, healthcare centers, and clinics across the Kingdom of Saudi Arabia. The inclusion criteria encompassed doctors actively engaged in healthcare settings, while the exclusion criteria were applied to those who had never encountered COVID-19 patients and those who declined participation in the study. It was found that doctors were confident that there's a potential for adverse effects that are not yet seen in vaccine trials. Further results showed that primary health care doctors are more confident about the common side effects associated with the approved vaccines. Most doctors were confident about thevaccine,yet theyalso knowthat there are some hidden side effects that are not yet discovered. Sincepatients trusted doctors as the main source of information about the vaccine, the studyprovided evidence to emphasize the ruleof doctors as areliablesource ofinformation.

Adolescent Experience in Performing Sifon Tradition (PostCircumcision Sex) in the Village of Fatumonas- Middle Amfoang, East Nusa Tenggara

Adolescence is a transition period from childhood to adulthood, with many physical and psychological changes. Physical changes in adolescents are marked by signs of primary sex and symptoms of secondary sex, and psychological changes are characterised by emotional changes and changes in intelligence. The purpose of this study was to explore the experience of adolescents in performing Sifon circumcision. The qualitative research method has an exploratory design and a phenomenological approach. The primary informants were adolescents aged 17-24 with a Sifon circumcision. Supporting informants are Sifon circumcision shamans—data collection techniques through in-depth interviews and observation. Data analysis used phenomenological analysis techniques. The research was conducted from June to August 2023. The research was born in Fatumonas, Central Amfoang, Kupang Regency. The results of the study showed that adolescents perform traditional circumcision without being disturbed or ridiculed by friends so that the face does not look old on both the man and his wife, lack of confidence in doctor's circumcision because it is not neat, and has become a tradition that cannot be lost. Adolescents also do Sifon because they fear the genitals will die / not function. Communication, Information and Education (IEC) regarding reproductive health and free sex language must be carried out on an ongoing basis so that adolescents can be aware and do not have a wrong understanding of Sifon circumcision.

Fundamental dermatology education of medical doctors at a regional hospital in Johannesburg, South Africa.

dermatology is a prevalent field of global health and dermatological conditions are amongst the most frequent complaints affecting communities, yet dermatology has become an overlooked aspect of the medical school curricula and many medical schools have failed to provide doctors with training to manage these conditions confidently and adequately. This study aimed to determine the baseline dermatological knowledge of medical doctors and determine the influence of fundamental dermatology education on hospital medical staff at a regional hospital in Johannesburg, South Africa. the knowledge and confidence of 33 medical doctors were tested using a pre-test and post-test quasi-experimental design. Participants completed an online questionnaire followed by an image-based test consisting of 20 questions to determine their level of confidence in diagnosing and managing common dermatological conditions. The participants then attended a sixty-minute educational session based on common dermatological conditions. Following this, their level of confidence and knowledge on the subject was re-assessed using the same online test. Pre and post-intervention confidence and test scores were compared. the pre-intervention test mean score was 67.11%. The post-intervention mean score was 92.50%. The difference between means (post-intervention - pre-intervention) ± SEM was 25.39 ± 4.81. The intervention significantly improved overall test scores (p-value < 0.0001). Many participants felt that their undergraduate training was insufficient in preparing them for the management of common dermatological conditions. the baseline knowledge and confidence of medical doctors in managing common dermatological conditions was poor and such educational interventions have significant value in improving the ability of medical doctors in managing common dermatological conditions. More time should be dedicated to dermatology training at an undergraduate level.

Adaptation of local practice guidelines increases paediatric doctor confidence in prescribing multiple daily injections for newly diagnosed type 1 diabetics at discharge

Adaptation of local practice guidelines increases paediatric doctor confidence in prescribing multiple daily injections for newly diagnosed type 1 diabetics at discharge

A1Interactive simulation training course for professionals working with children and adolescents with eating disorders

Background and aim: Research suggests that eating disorders (ED) in children and adolescents are on the rise [1]. One study found that the incidence of anorexia nervosa in young girls aged 10–14 years increased by 50% between 1980 and 2000 [2]. Another study reported a 119% increase in the number of hospitalizations for eating disorders in children aged 12 and under between 1999 and 2006 [3]. These statistics highlight the urgent need for improved prevention, early intervention and treatment of eating disorders in young people. This 1-day interactive simulation training course is designed to enhance the knowledge, confidence and skills of medical doctors, psychiatrists, RMNs, physical health nurses, dieticians, general practitioners and family therapists who are working with children and young people (CYP) with eating disorders. Methods: This 1-day simulation course was delivered online. The course focuses on the assessment and management of CYP with ED, understanding the challenges faced by professionals in engaging CYP with ED in different settings, thinking about dynamics within family systems and in wider systems, and gaining a better understanding of capacity, consent and other conundrums. The course includes simulated scenarios played by trained actors to support the development of effective communication skills and Maudsley debrief model is employed to give participants feedback on their contributions and assist them in learning positively and constructively from their experience. Participants completed a pre- and post-course questionnaire measuring their confidence in course-specific skills and human factors skills, as well as collecting qualitative feedback on their experience of the course and intention to apply the learning. Results: Participants were asked to complete a pre-course and post-course questionnaire rating their knowledge, confidence and skills related to working with patients with eating disorders. Paired samples t-tests were conducted to analyse the difference in ratings between the pre- and post-course questionnaires. Results demonstrated a significant difference in the scores for course-specific questions between the pre-course (M =25.48, SD = 4.50) and post-course (M = 32.44, SD = 3.53), t(12) = 46 p &lt; .001, 95% CI [−8.11, −5.80]. 100% of the participants reported that they would recommend the course. Conclusion: The course was effective at improving participants’ knowledge, confidence and skills in working with CYP with ED. The participants found the course useful for their clinical practice. Ethics statement: Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.

Long-Term Retention of Advanced Cardiovascular Life Support Knowledge and Confidence in Doctor of Pharmacy Students

ObjectiveThis study aimed to evaluate the impact of American Heart Association (AHA) advanced cardiovascular life support (ACLS) education and training on long-term retention of ACLS knowledge and confidence in Doctor of Pharmacy (PharmD) students. MethodsThis multicenter study included PharmD students who received ACLS training through different means: 1-hour didactic lecture (didactic), 1-hour didactic lecture with 2-hour skills practice (didactic + skills), and comprehensive AHA ACLS certification through an elective course (elective-certification). Students completed a survey before training, immediately after training, and at least 6–12 months after training to assess demographics and ACLS confidence and knowledge. The primary outcome was a passing score, defined as ≥ 84% on the long-term knowledge assessment. Secondary outcomes included overall knowledge score and perceived confidence, assessed using the Dreyfus model. ResultsThe long-term assessment was completed by 160 students in the didactic group, 66 in the didactic + skills group, and 62 in the elective-certification group. Six (4%), 8 (12%), and 14 (23%) received a passing score on the long-term knowledge assessment in the didactic, didactic + skills, and elective-certification groups, respectively. The median (IQR) scores on the long-term knowledge assessment were 50% (40−60), 60% (50−70), and 65% (40−80) in the 3 groups. On the long-term assessment, confidence was higher in the elective-certification group, demonstrated by more self-ratings of competent, proficient, and expert, and fewer self-ratings of novice and advanced beginner. ConclusionLong-term retention of ACLS knowledge was low in all groups, but was higher in students who received AHA ACLS certification through an ACLS elective course.

The Relationship Between Life Satisfaction and Cyberchondria in the Pandemic Period

The main purpose of this study is to explain the relationship between individuals' cyberchondria levels and their life satisfaction during the pandemic process. At the same time, it is aimed to determine whether there is a statistical difference between cyberchondria and life satisfaction and demographic characteristics of individuals. Sociodemographic information form, Cyberchondria Severity Scale and Life Satisfaction Scale were used as data collection tools. Within the scope of the research, 416 participants were reached. Structural equation modeling, Mann-Whitney U Test, Kruskal-Wallis H Test and Miller Method were used in the analysis of the data. During the pandemic period, there is a significant difference between life satisfaction, compulsion and doctor confidence scores and gender. There is a statistically significant difference between life satisfaction and age. There is a statistical difference between life satisfaction, compulsion and trust in doctor and marital status. There is a significant difference between education level and life satisfaction, compulsion, trust in doctor and cyberchondria. There is statistically significant difference between life satisfaction and trust in doctor and ıncome level. There is a significant difference between physical activity and presence of chronic disease and life satisfaction. As a result, there are statistically significant differences between demographic variables and life satisfaction and cyberchondria and its sub-dimensions. There is also a low level of relationship between life satisfaction and cyberchondria.

Methodical approach to the construction of the index of doctors' confidence in their activities

The COVID-19 pandemic has demonstrated the importance of developing a state policy to increase the attractiveness of a doctor's work and counteract professional burnout. The trust of doctors in their work determines the state of human resources in the field of healthcare. The development of an approach to the organization of monitoring the trust of doctors will allow identifying organizations at an early stage in which there is a decrease in the confidence of doctors in their activities. The purpose of the study is to develop and test a methodological approach to calculating the index of trust of doctors. To construct the index, a list of statements was developed that are applicable for a comprehensive assessment of the doctor's activities. The approbation of the developed approach was carried out as part of a pilot sociological study in which 346 doctors from different regions of Russia took part. The significance of the statements used in the assessment was confirmed by binary probit regression. The analysis made it possible to calculate the index of doctors' trust for the obtained sample, equal to 62,5%. The results of the study can be used to assess the attitude of doctors to their activities both at the regional level and at the level of individual organizations. The Ministry of Health of the Russian Federation can use the results obtained to develop approaches to increasing the attractiveness of the medical profession to increase the public health of Russia.

An epilepsy type algorithm developed in India is accurate in Sudan: A prospective validation study

PurposeThe effects of epilepsy are worse in lower- and middle-income countries (LMICs) where most people with epilepsy live, and where most are untreated. Correct treatment depends on determining whether focal or generalised epilepsy is present. EEG and MRI are usually not available to help so an entirely clinical method is required. We applied an eight-variable algorithm, which had been derived from 503 patients from India using naïve-Bayesian methods, to an adult Sudanese cohort with epilepsy. MethodsThere were 150 consecutive adult patients with known epilepsy type as defined by two neurologists who had access to clinical information, EEG and neuroimaging (“the gold standard”). We used seven of the eight variables, together with their likelihood ratios, to calculate the probability of focal as opposed to generalised epilepsy in each patient and compared that to the “gold standard”. Sensitivity, specificity, accuracy, and Cohen's kappa statistic were calculated. ResultsMean age was 28 years (range 17–49) and 53% were female. The accuracy of an algorithm comprising seven of the eight variables was 92%, with sensitivity of 99% and specificity of 72% for focal epilepsy. Cohen's kappa was 0.773, indicating substantial agreement. Ninety-four percent of patients had probability scores either less than 0.1 (generalised) or greater than 0.9 (focal). ConclusionThe results confirm the high accuracy of this algorithm in determining epilepsy type in Sudan. They suggest that, in a clinical condition like epilepsy, where a history is crucial, results in one continent can be applied to another. This is especially important as untreated epilepsy and the epilepsy treatment gap are so widespread. The algorithm can be applied to patients giving an individual probability score which can help determine the appropriate anti-seizure medication. It should give epilepsy-inexperienced doctors confidence in managing patients with epilepsy.

28 ‘’Junior doctor confidence in conducting and documenting microbiology ward rounds on neurosurgical wards: A single centre study’’

Abstract Aims This study aims to analyse junior doctors’ confidence in conducting and safely documenting microbiology rounds, across two neurosurgical wards in a large tertiary hospital. It also aims to make locating microbiological plans easier and in doing so identity potential areas for improvement. Methods Initial feedback from junior doctors (n=12) on their confidence conducting and safely documenting the discussions from the microbiology round was received through a survey sent out. Subsequent documentation guidance was provided and developed using the ‘Start Smart, Then Focus’ antimicrobial stewardship toolkit set out by Public Health England. The initial survey along with two further questions was used to reassess confidence after 2 weeks of implementing the guidance. Results There was a 37% increase in confidence with 91.7% of doctors rating their confidence at 5 on the 5-point Likert scale after implementation of the guidance. The guidance was well received and found to be helpful by 100% of respondents. Improvements were seen as there was a 75% increase in responses saying ‘Yes’ it was easy to locate entries. The responses from the qualitative questions identified time restraints as the main theme in determining (1) overall difficulty of the microbiology round (2) ability to document effectively and (3) barriers to using the guidance. Conclusion Although there was an increase in confidence in the junior doctors’ ability to conduct and document the microbiology round well the data suggests improvements are required. Recommended improvements include setting dedicated time for all staff to conduct the round and enhancing senior support available.