Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern
Richard Leach, Siobhan Crichton, Neil Morton, Marc Leach and Marlies Ostermann
DOI: https://doi.org/10.7861/clinmed.2019-0433
Clin Med May 2020 Richard Leach
AGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: clinical director of pulmonary and critical care medicine
Siobhan Crichton
BUniversity College London, London, UK
Roles: statistician
Neil Morton
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: junior clinical research fellow
Marc Leach
DKeele School of Medicine, Stoke-on-Trent, UK
Roles: medical student
Marlies Ostermann
EGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: clinical lead in critical care medicine

Article Figures & Data
Tables
- Table 1.
Number of hours of undergraduate and postgraduate training reported by study participants
All ICC and GMC SpR CMT and FY Total participants, n 376 31 133 212 Undergraduate training responses, n 359 31 124 205 <5 hours, n (%) 171 (47) 22 (71) 42 (34) 107 (52) 5–10 hours, n (%) 79 (22) 1 (3) 29 (23) 49 (24) 10–20 hours, n (%) 37 (11) 0 12 (10) 25 (12) 20–40 hours, n (%) 21 (6) 2 (6) 10 (8) 9 (4) >40 hours, n (%) 51 (14) 5 (16) 31 (25) 15 (7) Postgraduate training responses, n 337 30 123 184 <5 hours, n (%) 193 (57) 5 (17) 37 (30) 151 (82) 5–10 hours, n (%) 60 (18) 9 (30) 33 (27) 18 (10) 10–20 hours, n (%) 25 (8) 3 (10) 17 (14) 5 (3) 20–40 hours, n (%) 21 (6) 9 (30) 8 (7) 4 (2) >40 hours, n (%) 38 (11) 4 (13) 28 (22) 6 (3) CMT = core medical trainee; FY = foundation year doctor; GMC = general medical consultant; ICC = intensive care consultant; SpR = specialist registrar.
- Table 2.
Correlation (rs) between confidence and knowledge test scores (see score measures) before and after test performance
Score 1 essential knowledge,
rs (p value)Score 2 desirable knowledge,
rs (p value)Score 3 all,
rs (p value)All Confidence before 0.20 (<0.001) 0.22 (<0.001) 0.21 (<0.001) Confidence after 0.28 (<0.001) 0.30 (<0.001) 0.31 (<0.001) All – excluding ICCs Confidence before 0.10 (0.052) 0.14 (0.008) 0.11 (0.037) Confidence after 0.17 (0.05) 0.21 (<0.001) 0.21 (<0.001) ICCs Confidence before 0.23 (0.324) 0.37 (0.107) 0.27 (0.242) Confidence after 0.22 (0.434) 0.30 (0.274) 0.41 (0.129) GMCs Confidence before –0.01 (0.988) 0.22 (0.517) 0.01 (0.970) Confidence after 0.63 (0.072) 0.77 (0.015) 0.49 (0.183) SpRs Confidence before 0.07 (0.400) 0.03 (0.773) 0.00 (0.914) Confidence after –0.02 (0.862) –0.24 (0.045) –0.18 (0.128) CMTs Confidence before –0.18 (0.158) 0.11 (0.400) –0.079 (0.527) Confidence after –0.01 (0.928) 0.18 (0.151) 0.25 (0.044) FYs Confidence before 0.22 (0.008) 0.02 (0.827) 0.05 (0.543) Confidence after 0.28 (0.002) 0.11 (0.207) 0.18 (0.044) CMT = core medical trainee; FY = foundation year doctor; GMC = general medical consultant; ICC = intensive care consultant; SpR = specialist registrar.
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Fluid management knowledge in hospital physicians: ‘Greenshoots’ of improvement but still a cause for concern
Richard Leach, Siobhan Crichton, Neil Morton, Marc Leach, Marlies Ostermann
Clinical Medicine May 2020, 20 (3) e26-e31; DOI: 10.7861/clinmed.2019-0433
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