1. National survey of the management of eye emergencies in the accident and emergency department by foundation doctors: has anything changed over the past 15 years?
- Author
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Chuiki Jasmine La, Jonathan Than, Jason Ho, and Peng Yong Sim
- Subjects
business.industry ,Accident and emergency ,education ,Workload ,medicine.disease ,Confidence interval ,Article ,03 medical and health sciences ,Ophthalmology ,0302 clinical medicine ,Surveys and Questionnaires ,030221 ophthalmology & optometry ,medicine ,Medical Staff, Hospital ,Humans ,Medical emergency ,Prospective Studies ,Emergencies ,business ,Emergency Service, Hospital ,030217 neurology & neurosurgery - Abstract
BACKGROUND: Ophthalmic emergencies comprise a significant portion of junior doctors’ workload in accident and emergency (A&E). However, previous studies have demonstrated a lack of training and confidence in the management of such emergencies. This study assessed changes in basic ophthalmic training that A&E junior doctors received in dealing with eye emergencies, their perceived level of confidence and the availability of appropriate ophthalmic equipment in A&E over the last 15 years. METHODS: A prospective, national, combined online and telephone survey using a previously published questionnaire was performed. Foundation year two doctors (FY2s) from each A&E department in the UK listed on the official NHS directory were contacted for participation. RESULTS: Two hundred and ten A&E departments were contacted and 202 responded (response rate of 96.2%). There was no significant change in the number of A&E departments equipped with slit lamps (82.5% in 2003 vs 79.7% in 2018; p = 0.26). However, the prevalence of training in its use has decreased significantly (68.4% in 2003 vs 52% in 2018; p = 0.005). There was also a significant reduction in the prevalence of training in the management of eye emergencies (77.4% in 2003 vs 45.5% in 2018; p
- Published
- 2019