In the second in our blog series from College Tutor Dr Jenny Parsons, she examines the value of Supervised Learning Events.
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Dr David Bogod responds to discussions on epidural denial.
This article is written by TRIPOM (trainees with an interest in perioperative medicine) and is a brief summary of recent important papers and articles on perioperative medicine from across the spectrum of medical publications.
Author: Dr Olivia Coombs, ST5, North West Deanery
Perioperative Journal Watch is written by TRIPOM (trainees with an interest in perioperative medicine) and is a brief distillation of recent important papers and articles on perioperative medicine from across the spectrum of medical publications.
The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.
Authors:
- Dr Anna Simpson ST7 Anaesthetics, Bristol Royal Infirmary
- Dr Neil Botting CT3 Anaesthetics, Worthing Hospital
- Dr Joe Hetherington ST6 Geriatric and General Internal Medicine, Guy’s and St Thomas’ NHS Foundation Trust
- Hannah Wilson Consultant Anaesthetist, Bristol Royal Infirmary
- Dr Claire Swarbrick SNAP-3 Fellow Specialty Registrar, Royal Devon and Exeter Hospital
- Dr Jude Partridge Consultant Anaesthetist, Guy’s and St Thomas’ NHS Foundation Trust
- Dr Patrick Thorburn Consultant in Anaesthetics and Intensive Care Medicine, Worthing Hospital
The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.
The aim is to help develop health professionals to become the Principal Investigators (PIs) of the future. It is a six-month, in-work training opportunity providing practical research experience in order to learn what it is like to deliver an NIHR portfolio study at a local level guided by an enthusiastic PI.1 It has endorsement from 16 Medical Royal Colleges, including the Royal College of Anaesthetists, and at present there are 330 studies eligible for the scheme, which can recruit one API per site every six months.
Dr Devjit Srivastava, provides us with a snapshot from the Gap Working Group which evaluated the state of the UK's pain services.
Most pain medicine consultants in the UK have anaesthetics as their base specialty. Pain medicine specialists are specially trained, qualified and revalidated, and offer integrated expert assessment and management-of-pain knowledge and skills within the context of a multidisciplinary team.
Unfortunately, the COVID-19 pandemic severely impacted the provision of pain services. After the pandemic, the Faculty of Pain Medicine (FPM) commissioned a Gap Working Group to evaluate the state of pain services across the UK. Here’s a snapshot of what we discovered.
The gap analysis reveals that only 65% of the pain services across the country fully met the gold standard for medical involvement in pain services. Tier 1 services (community-based pain services) fared the worst, with only 33% of these services having any medical involvement. This reflects a shift towards non-medical management of chronic pain in the community. Unfortunately, this means patients will wait longer for expert diagnosis and management by pain medicine specialists. While acknowledging that not all chronic-pain patients can be seen by pain medicine specialists, there’s a need for developing pragmatic pain pathways nationally so that needy patients are escalated to pain specialist care expeditiously in a timely manner. We have recently commissioned a ‘Pragmatic Pain Pathways’ working group to address this issue found in the gap analysis.
Hospitals should have clinical guidelines including:134 involving patients in the management of their own diabetes. Most diabetic patients are experts in managing their own disease, and the management of the emergency diabetic surgical patient ca...
Hospitals should have clinical guidelines including:134
- involving patients in the management of their own diabetes. Most diabetic patients are experts in managing their own disease, and the management of the emergency diabetic surgical patient can usually be undertaken with only minor modifications in the patient’s usual regime.
- emergency surgery patients with diabetes should be assessed for multimorbidity and...
Listing summary
Guidance on progressing through and completing stage 1 of the anaesthetic training.
CBD updated for the 2021 Curriculum
This article updates on all the latest from PQUIP in what has proved another busy year for the project team.
Authors: Dr Eleanor Warwick, Dr Rachael Brooks and Dr Michael Argent, HSRC/PQIP Fellows
It has been another busy year for PQIP, and the project team are immensely grateful both to our participating sites and collaborators for their tireless efforts in data collection and investing in quality improvement, and to our patients who consent to be part of this study.
PQIP has more than 50,000 patients recruited and this is entirely thanks to your efforts!