Comparison of trainees understanding of the management of cirrhotic inpatients with cirrhosis and spontaneous bacterial peritonitis before and after intervention.
| Question | Answer | Pre-intervention, n (%) (n=34) | Post-intervention, n (%) (n=26) | p value |
|---|---|---|---|---|
| Grade | FY1 | 17 (50) | 11 (42) | |
| SHO | 15 (44) | 14 (54) | ||
| SpR | 2 (6) | 1 (4) | 0.830 | |
| Number of taps performed | 0 | 13 (38) | 7 (28) | |
| 0–5 | 15 (44) | 10 (38) | ||
| >5 | 6 (18) | 9 (35) | 0.310 | |
| Understand of when to perform paracentesis | Correct | 4 (11) | 15 (58) | <0.001 |
| Correct tests to order | Correct | 16 (47) | 22 (85) | 0.002 |
| Partially correct | 14 (41) | 4 (15) | ||
| Correct sample containers | Correct | 2 (6) | 14 (54) | <0.001 |
| Partially correct | 7 (21) | 4 (15) | ||
| Diagnosis of SBP | Correct | 12 (35) | 21 (81) | <0.001 |
| Correct initiation of treatment | Correct | 12 (35) | 16 (62) | 0.040 |
| Urgency of WCC/PMN result | Correct | 13 (38) | 19 (73) | 0.007 |
| Knowledge of sources of guidance | Correct | 5 (15) | 21 (81) | <0.001 |
FY1 = foundation year 1; PMN = polymorphonuclearcyte; SBP = spontaneous bacterial peritonitis; SHO = senior house officer; SpR = specialist registrar; WCC = white cell count.