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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 and Marlies Ostermann
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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
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  • For correspondence: richard.leach@gstt.nhs.uk
Siobhan Crichton
BUniversity College London, London, UK
Roles: statistician
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Neil Morton
CGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: junior clinical research fellow
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Marc Leach
DKeele School of Medicine, Stoke-on-Trent, UK
Roles: medical student
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Marlies Ostermann
EGuy's and St Thomas’ NHS Foundation Trust, London, UK
Roles: clinical lead in critical care medicine
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Article Figures & Data

Tables

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    Table 1.

    Number of hours of undergraduate and postgraduate training reported by study participants

    AllICC and GMCSpRCMT and FY
    Total participants, n37631133212
    Undergraduate training responses, n35931124205
    <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)012 (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, n33730123184
    <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.

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    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 before0.20 (<0.001)0.22 (<0.001)0.21 (<0.001)
    Confidence after0.28 (<0.001)0.30 (<0.001)0.31 (<0.001)
    All – excluding ICCs
    Confidence before0.10 (0.052)0.14 (0.008)0.11 (0.037)
    Confidence after0.17 (0.05)0.21 (<0.001)0.21 (<0.001)
    ICCs
    Confidence before0.23 (0.324)0.37 (0.107)0.27 (0.242)
    Confidence after0.22 (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 after0.63 (0.072)0.77 (0.015)0.49 (0.183)
    SpRs
    Confidence before0.07 (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 before0.22 (0.008)0.02 (0.827)0.05 (0.543)
    Confidence after0.28 (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.

Additional Files

  • Tables
  • Supplementary material

    Files in this Data Supplement:

    • Supplementary material S1 Fluid management questionnaire
    • Supplementary material S2 Clinician experience with serious adverse events
    • Supplementary material S3 Knowledge questionnaire test scores
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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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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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