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    Effects of experimental inductions for newly qualified doctors on competence at clinical procedures

    Kamau, Caroline (2014) Effects of experimental inductions for newly qualified doctors on competence at clinical procedures. Clinical Medicine 14 (4), pp. 380-385. ISSN 1470-2118.

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    Abstract

    Up to 96% of newly qualified doctors fail one or more clinical procedure tests. Their entrance has been associated with significant reductions in patient safety and an increase in patient mortality. Curriculum changes offer one solution. Another solution is clinical skills inductions (orientations) before the first day at work, given that the failure rate can be reduced from 96% to 27% after just a 5-day experimental induction. This article discusses the literature. Experiments showed improvements in new doctors’ competence at intravenous line insertion and taking blood after a 5-day or 2-week induction, intravenous drug administration after a 5-day induction, certifying death, prescribing and out-of-hours tasks after a 2-week induction, and lumbar puncture and spirometry after a 1-day induction. Examined performance after a 5-day induction also showed improved OSCE scores on blood pressure, cannulation, venepuncture and catheterisation. There is therefore value in scheduling inductions before the first day on the job.

    Metadata

    Item Type: Article
    Keyword(s) / Subject(s): clinical skills, foundation house officers, inductions, medical education, orientations
    School: Birkbeck Schools and Departments > School of Business, Economics & Informatics > Organizational Psychology
    Depositing User: Caroline Kamau
    Date Deposited: 25 Aug 2015 13:05
    Last Modified: 26 Jul 2019 23:01
    URI: http://eprints.bbk.ac.uk/id/eprint/12878

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