bluuebunny/crossref_metadata_2025_split huggingface dataset:
P65 Improving the experiance of teaching for foundation doctors in a busy general surgery department
Authors: Condie N , Quinn M A , Arvind N 
Published: April 2021

Abstract

Introduction
In the national training survey undertaken by the GMC in 2019 the general surgery teaching programme at North Bristol Trust scored 35.24 for local teaching; significantly lower than the national average. We aimed to introduce a teaching programme for foundation doctors on their general surgery rotations to help them meet the objectives set out by The UK Foundation Programme curriculum and gain further insight into general surgery and the roles of allied healthcare professionals.

Methods
A survey consisting of Likert scale and open ended questions was distributed to foundation doctors at the start and end of their foundation programme placements from August to December 2019. During this period a general surgery teaching programme was introduced consisting of once weekly sessions led by allied healthcare professionals and once weekly consultant led sessions.

Results
The number of foundation doctors agreeing with the statement ‘I think the General Surgical Unit is a good training and learning environment for foundation doctors rose by 33% (59% to 92%). There was an increase of 59% (24% to 83%) in the number of foundation doctors who felt they had good educational opportunities during their general surgical attachment.

Conclusion
The implementation of a general surgery teaching programme involving specific consultant-led sessions and sessions led by allied healthcare professionals (bariatric specialists, amputation counsellors, palliative care specialists) is invaluable to foundation doctors. It retains the interest of surgically and non-surgically inclined foundation doctors and is an essential element of a general surgical placement in a teaching hospital.
P66 In what way does skin of colour representation in undergraduate dermatology education influence medical students’ clinical experiences?: A national, collaborative, mixed-methods study
Authors: Gandhi Suraj , Duncan Lois , Maseland Tashi , Walker Nicola , Bandyopadhyay Soham 
Published: April 2021

Abstract

Introduction
The pandemic has highlighted health inequalities in the UK, with Black and Asian ethnic groups experiencing higher mortality than White ethnic groups. Alongside this, a wider recognition of societal inequalities has lead to a drive for increased racial representation in medical school curricula. This is especially relevant to dermatology, where skin colour has clear effects on the presentation of important conditions. It has been hypothesised that delayed diagnosis and consequent worse outcomes may result from physicians’ unfamiliarity with the appearance of dermatologic presentations on skin-of-colour (SoC). We propose a national, cross-sectional, mixed-methods study using student collaboration aiming to understand how SoC representation in undergraduate dermatology teaching influences medical students’ clinical experiences.

Methods
The study will involve three phases, delivered in part by student collaborator at each institution: first, a national online survey of final year students from 34 UK medical schools to investigate their recollections of SoC representation in their dermatology teaching. Second, a survey of faculty members at each medical school to investigate how SoC representation is incorporated into the broader design of their institution's dermatology teaching. Finally, a series of online focus groups to explore students’ ideas about the influence of SoC representation in dermatology education on their clinical experiences with patients of varied skin tones.

Proposed Impact
Our findings may help inform the timely and effective provision of diverse SoC representation in undergraduate medical education and, more broadly, demonstrate the usefulness of collaboratively-acquired, student-generated data in guiding the future development of medical school curricula.
P72 Knowledge and application of the guidelines on intravenous fluid therapy in adult post op surgical patients amongst junior doctors in maidstone and tunrnbridge wells (mth) nhs trust
Authors: Onyekachi Ekowo , Cynk Mark 
Published: April 2021

Abstract

Introduction
Foundation Year doctors and Senior House officers are commonly made responsible for fluid prescriptions. Errors could lead to significant poor outcome for the patient.

Methodology
A total of 36 FY1s and SHOs were asked 8 questions to check their knowledge of the guideline for intravenous fluid therapy in adult surgical patients (GIFTASUP). Following this, a retrospective analysis of fluid prescriptions received by 37 patients who had elective colorectal surgeries was analysed over a 3-month period to see if the fluids received met the GIFTASUP guideline and see how this affected the outcome of the patients.

Results
33(92%) of doctors studied are not aware of any guidelines for fluid prescription post operatively. 38(22%) of prescriptions made exceeded 2500mls in 24 hours. Ileus was significant amongst those patients who received fluid volumes more than 2500 mls in 24 hours (p = 0.045). Also, all 4 patients who had pneumonia received fluid volumes exceeding 2500mls in the days preceding the pneumonia. In addition, the length of hospital stay was 15 days and 9 days in those with fluids volumes greater than 2500mls and less than 2500mls in 24 hours, respectively.

Conclusion
Majority of the Foundation year doctors in MTH are not aware of post-operative fluid guidelines which resulted in errors in the prescriptions made. This is associated with pneumonia, ileus and prolonged length of hospital stay.
P73 LEARN: uroLogical tEAching in bRitish medical schools Nationally - a national retrospective multi-centre audit of urology teaching across British medical schools
Authors: Ng A , Cambridge W A , Jayaraajan K , Lam C M , Light A , Asif A , Chan V W S , Matthews M G , Clement K , Kulkarni M , Bhatt N R , Khadhouri S , Kasivisvanathan V 
Published: April 2021

Abstract

Introduction
Urological conditions account for approximately 25% of acute surgical referrals and 10-15% of general practitioner appointments. In 2012, the British Association of Urological Surgeons (BAUS) produced ‘An Undergraduate Syllabus for Urology’, advising on common clinical areas of urology that must be covered during undergraduate medical training. However, its uptake nationally remains unknown. This project aims to assess undergraduate urology teaching across UK medical schools.

Methods
A targeted advertising drive using social media, medical school societies, websites and newsletters was performed over 4 weeks. Collaborators are responsible for recruiting survey respondents (year 2 medical students to foundation year 1 (FY1) doctors). Survey respondents will complete a REDCap survey retrospectively assessing their urology teaching to date. The primary objective is to compare current urology teaching in medical schools across the United Kingdom with the BAUS undergraduate syllabus.

Results
Currently, 522 collaborators have registered from 36 medical schools nationally. Of these collaborators, 6.32% (33/522) are FY1s and 93.68% (489/522) are medical students. Each collaborator will be responsible for recruiting at least 15 survey respondents to be eligible for PubMed-indexed collaborator authorship.

Conclusion
LEARN has recruited successfully to date, with all collaborators from the medical student and FY1 cohort. With the role of collaborators to further recruit survey respondents, LEARN will provide the most representative and thorough evaluation of UK undergraduate urological teaching to date. It will provide evidence to support changes in the medical school curriculum, and allow re-evaluation of the current national undergraduate BAUS syllabus.
P78 MedEd Collaborative: a new research collaborative to promote medical education research
Authors:   MedEd Collaborative (Writing Group):, Byrne Matthew H V , Ashcroft James , Alexander Laith , Wan Jonathan C M , Harvey Anna , Schindler Nick , Brown Megan E L , Burford Bryan , Vance Gill 
Published: April 2021

Abstract

Introduction
In response to the disruption to medical education caused by COVID-19, there is a need for wide-scale robust medical education research and the generation of research capacity for the future. Trainee research collaboratives have demonstrated they can nurture the research skills of students and trainees while delivering high quality research outputs. However, we have been unable to identify a permanent medical education research collaborative for trainees and students.

Methods
We started the MedEd Collaborative in September 2020 to fill this gap, consisting of a trainee- and student-led medical education research collaborative supported by senior medical education experts and clinicians.

Results
Our vision is to increase engagement of students and trainees in high-quality medical education research that informs practice. The MedEd Collaborative will engage students and trainees in medical education research by completing at least one national multicentre study per year, the first being the COVID Ready 2 study. This is a national cross-sectional survey of the educational impact of medical student volunteering during the COVID-19 pandemic.

Conclusions
We anticipate the MedEd collaborative will: increase exposure to medical education research, thereby increasing the number of medical students and trainees aiming to pursue an academic medical education career; provide training in medical education research methodologies, such as qualitative analysis; improve the quality of medical education research outputs from students and trainees; encourage collaboration between medical schools and deaneries; and provide support to other trainee research collaboratives that aim to explore education research in their own specialties.
P79 Medical students’ mood adversely affected by COVID-19 pandemic: An interim analysis from the SPICE-19 prospective cohort study of 2075 medical students and interim foundation doctors
Authors: Bandyopadhyay Soham , Georgiou Ioannis , Baykeens Bibire , Gillespie Conor S , de Andres Crespo Marta , Bashir Mohammad Talha , Handa Ashok , Saunders Kate E A 
Published: April 2021

Abstract

Background
Currently, we can only speculate on what the effects of the COVID-19 pandemic have been on medical students and interim foundation year doctors. In order to support them appropriately both now and, in the future, it is imperative that we understand the impact it has had upon them. This study assessed the effects of the COVID-19 pandemic on medical students and interim foundation year doctors across the United Kingdom (UK), and the support that they received and sought.

Methods
A prospective, observational, multicentre study was conducted. All medical students and interim foundation year doctors were eligible to participate. The data analysis was carried out as detailed a priori in the protocol.

Findings
A total of 2075 individuals participated in the SPICE-19 survey from 33 medical schools. There was a significant (p &lt; 0.0001) decrease in participants’ mood when comparing their mood before the pandemic to during the pandemic. Social distancing and more time at home/with family were the factors that negatively and positively respectively impacted the mood of the greatest number of participants. All areas of life included in the survey were found to have been significantly more negatively impacted than positively impacted (p &lt; 0.0001). 931 participants wanted more support from their university. Participants were mainly seeking support with exam preparation, course material, and financial guidance.

Discussion
Medical and foundation schools need to prepare adequate and effective support. If no action is taken, there may be a knock-on effect on workforce planning and the health of our future workforce. When medical students return to their universities, there is likely to be need for enhanced wellbeing support, adaptations in the short-term and long-term strategies for medical education, and provision of financial guidance.
P81 Mental Health Presentations to a UK Tertiary Children’s Emergency Department during the Covid-19 Pandemic in 2020 compared to 2019
Authors: Groome Rachel , Jain Neha , Henderson Sally , Green Michelle , Hand Catriona , Cuellar Bianca 
Published: April 2021

Abstract

Introduction
Observational study exploring the differences between the number and severity of mental health presentations to a Children’s Emergency Department over a 2-month period during the Covid-19 Pandemic (2020) compared to the same months in 2019. Additionally, exploration of the possible impact of the introduction of a hotline giving clinicians access to 24/7 Children’s and Adolescent Mental Health Services (CAMHS) advice.

Methods
Identification of mental health presentations in children ≤ 16 years from coded admission data. Data collected included basic demographics, presenting complaint, final diagnosis, mental health Risk Assessment Matrix (RAM) outcome and timings of review, referral and discharge.

Results
141 cases were examined (2019 - n = 79, 2020 - n = 62). During the Covid-19 pandemic 18.9% (n = 10) scored high on the RAM and 64.2% (n = 34) scored moderate whilst in 2019, 17.2% (n = 11) scored high on the RAM and 69.4% (n = 38) scored moderate. 2019 data saw 25.3% (n = 20) discharged directly compared to 37.1% (n = 23) in 2020.
In 2020, 26 (42.6%) of CAMHS reviews were via telephone compared to nine (12.3%) in 2019. Overnight (20:00-08:00), in 2019, there were 37 (46.8%) presentations, 86.5% (n = 32) of which required admission and in 2020 there were 36 (58.1%) where 75.0% (n = 27) required admission.

Conclusion
A higher number of presentations was not seen in the CED despite the potentially adverse psychological effects caused by enforced isolation due to Covid-19. The provision of a 24/7 hotline may have contributed to clinician’s decision to discharge, aiding a higher number of out of hours discharges.
P90 PERCEIVE: PrEdiction of Risk and Communication of outcome following major lower limb amputation - a collaboratIVE study
Authors: Gwilym B , Waldron C , Thomas-Jones E , Pallmann P , Preece R , Brookes-Howell L , Milosevic S , Edwards A , Twine C , Massey I , Burton J , Harris D , Samuel K , Dilaver N , Day S ,   The Vascular and Endovascular Research Network (VERN), Bosanquet D 
Published: April 2021

Abstract

Introduction
Major Lower Limb Amputation (MLLA) is a life changing event with significant morbidity and mortality. Inaccurate risk prediction can lead to poor decision making, resulting in delay to definitive surgery, or undertaking amputation when not in the patient’s best interest. We aim to answer: In adult patients undergoing MLLA for chronic limb threatening ischaemia or diabetes, how accurately do health care professionals prospectively predict outcomes after MLLA, and how does this compare to existing prediction tools?

Methods
A multicentre prospective observational cohort study is being delivered through the Vascular and Endovascular Research Network. Dissemination was via an existing network of contacts and social media.
Consecutive data will be collected for seven months from site launch date, including demographic data and pre-operative outcome predictions from surgeons, anaesthetists, and allied healthcare professionals. Follow-up data will comprise 30-day (mortality, morbidity, MLLA revision, surgical site infection, and blood transfusion) and 1-year (mortality, MLLA revision and ambulation). The accuracy of surgeons’ predictions will be evaluated and compared to pre-existing risk prediction scoring tools.

Results
PERCEIVE launched on 01/10/2020 with 23 centres (16 UK, 7 international) registered to collect data. 50 other centres (27 UK, 23 international) have expressed interest/are pursuing local audit/ethical approval. We aim to collect data on clinicians estimate of outcomes for over 500 patients.

Discussion
This study will utilise a trainee research network to provide data on the accuracy of healthcare professionals’ predictions of outcomes following MLLA and compare this to the utility of existing prediction tools in this patient cohort.
P93 Pre-operative assessment and management of open tibia fractures at a Major Trauma Centre (MTC): a review of cases over a one-year period
Authors: Khajuria Apoorva , Saeed Abu , Ward Jane 
Published: April 2021

Abstract

Introduction
Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures.

Methods
A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken.

Results
Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually.

Conclusion
Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.
P96 Project Consent: Introducing EIDO leaflets to improve patient experience
Authors: Lythgoe M P , Condie Natalie 
Published: April 2021

Abstract

Introduction
With increased litigation and media attention around the consent process it is vital we ensure patients understand what their operation entails prior to surgery. North Bristol Trust has recently started using EIDO consent leaflets; currently used in 50% of NHS hospitals . Our aim was to calculate how many patients received EIDO healthcare consent leaflets and whether this affected their experience of the consent process.

Method
Questionnaires made up of Likert scale and open ended questions were distributed to patients undergoing Upper GI surgery on the day of their operation. The questionnaire explored whether patients received an EIDO leaflet pre-operatively, their understanding of the risks and benefits and their satisfaction with the consent process. The Wilcoxon signed-rank test was used to compare responses from the included patients.

Results
12 patients received EIDO leaflets during their pre-operative consultation, six did not. Compared with those that did not, patients who received a leaflet had a better understanding of the risks (p = 0.002), benefits (p = 0.008) and details of the operation (p = 0.005) and were happier with the consent process (p = 0.02).

Conclusion
Including EIDO leaflets in the consent process helps ensure patients making an informed decision and improves the smooth running of theatre lists. We are currently introducing EIDO consent leaflets throughout general surgery for emergency operations and when sending out dates of elective operations. We aim to review the use of these leaflets as the consent process becomes increasingly difficult due to COVID 19 and the lack of face to face interaction.
P106 Robotic Roux-en-Y gastric bypass: A systematic review to examine reporting of a surgical innovation
Authors: Robertson H , Huttman M , Dixon L , Macefield R , Hossaini S , Scroggie D ,   on behalf of the RoboSurg collaboration
Published: April 2021

Abstract

Introduction
Roux-en-Y gastric bypass (RYGB) is one of the most commonly performed bariatric procedures, and robotic methods are increasingly used. Perceived benefits of robotic surgery include improved visualisation and ergonomics, fewer complications, and shorter hospital stay. Rigorous processes that facilitate the safe transition of surgical innovations such as robotic RYGB into clinical practice are currently lacking. This may place patients at risk, and lead to research waste. The IDEAL Collaboration has produced guidance on the reporting of surgical innovations, but it is not known how robotic RYGB has been reported. This project aims to summarise technique description, governance arrangements and outcome reporting in robotic RYGB.

Methods
A systematic review is being conducted, using PRISMA guidance. A search of Embase, Ovid Medline, the Cochrane Library and Web of Science was performed to identify primary studies reporting outcomes of robotic RYGB. Data will be extracted on study characteristics, governance and ethical arrangements, descriptions of technique, and outcomes. The data will be evaluated in relation to IDEAL principles.

Results
The literature search yielded 1012 studies; 754 remained after de-duplication. Following screening by abstract, 229 full texts were screened. 67 studies will undergo extraction of data. A descriptive summary of the data will be presented, with a critique of the findings.

Conclusion
This study will summarise and appraise how robotic RYGB has been reported. This will contribute towards the development of a standardised and methodical process for the introduction of surgical innovation into clinical practice.
P111 SMILE: Sustaining Medical Education In a Lockdown Environment. Student perceptions of a free online access medical education platform as an adjunct to the traditional undergraduate curriculum during lockdown
Authors: Pascoe John , Foster Paul , Quddus Muntasha , Kosti Angeliki , Guest Francesca , Stevens Sian , Bamford Richard , Coulston James 
Published: April 2021

Abstract

Introduction
The coronavirus outbreak has had significant impact on medical students worldwide. SMILE is a free online access medical education (FOAMed) platform. SMILE delivered 200 lectures during lockdown with up to 1400 students per session from both UK medical schools and 33 abroad. Here we discuss student perceptions to SMILE during lockdown

Method
An electronic survey was used to collect information from students who had utilised the platform during lockdown. This examined access to learning, impact on their mental health during lockdown and the differences between FOAMed and more traditional based campus lecture based learning.

Results
1306 students responded to the anonymous survey with 94% of students stating SMILE had been “extremely useful” or “very useful” at supplementing learning during covid.
71% of students stated lockdown had affected their stress levels and 44% reported deterioration in their mental health. &gt;80% felt SMILE improved stress levels by adding structure and providing motivation.
Students attended 4.3hours/week of university teaching, vs 7.9hours/week by SMILE. Positives included: anonymity, making 80% more likely to both ask and answer questions, the informal approach, ease of access and enthusiastic teachers. Negatives included time differences and technical issues such as poor Internet.
98% stated they would be interested in future SMILE projects post lockdown

Conclusions
SMILE addressed challenges identified during an unanticipated transition towards the online provision of medical education on an international scale.
Students found SMILE lectures effective, accessible and safe, supporting FOAMed as part of the “new normal” post lockdown