Promoting the management of acute upper gastrointestinal bleeds among junior doctors: a quality improvement project.

ABSTRACT: Though they are knowledgeable, foundation year one (FY1) doctors can lack skills and confidence in acute situations due to inexperience. This was witnessed when a new FY1 on call attended an acute upper gastrointestinal bleed (UGIB), a common emergency with a 10% in hospital mortality rate. We aimed to improve FY1s' ability to manage these critical patients through simulation based teaching, before and after the introduction of an algorithm summarising current guidelines. After assessing the FY1s' perceived level of confidence in managing UGIBs, they individually attended a simulation session which evaluated specific aspects of their assessment and management plans. Immediate debriefing and subsequent teaching sessions reinforced learning points, with an algorithm instituted as an aide mém

SUBMITTER: Saunsbury E 

PROVIDER: S-EPMC4693047 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature