Education Posters 578 – 582

Education Posters 578 – 582

578 The Patient’s experience in the radiology department. Making them exposed to their exposure

Ravindran Karthigan

This paper contributes to the development of a patient information leaflet aimed at educating patients about radiological investigation, particularly radiation exposure.

GPs commonly request routine investigations such as chest X-ray and abdominal films as well as more complex investigations such as CT and PET scans. These “simple” investigations are regarded as non invasive tests which help aid the clinical diagnosis, however each investigation carries its own risk.

As clinicians we routinely inform patients why each radiological procedure is necessary however we sometimes fail to inform patients of the level of radiation that they will be exposed to. I reviewed the literature on the levels of exposure for the routine investigations which are ordered in the primary care and I spent some time in my local radiology department, shadowing not only radiologist but radiographers, nurses and other radiological technicians.

I noted the concerns which patients raised after they were informed of the level of radiation that they will be exposed to and wanted to create some form of information booklet that patients can take home and read following their GP consultation and their radiological investigation. The booklet which was created is written in simple English and can be printed out and distributed by GPs and receptionist, and the exposure levels are given in comparison to the normal background radiation which we are exposed to by the sun on a daily basis.

In conclusion, I developed a patient information leaflet on routine radiological investigation. The main objective in the leaflet was to inform them on the level of radiation which they will be exposed to, thus making them fully informed of the potential risks/harm they may encounter.

579 What are medical students’ attitudes towards general practice as a career choice, and what factors influence this?

Maya Connolly

Introduction We are facing a GP recruitment crisis which doesn’t seem to be improving. Whilst Government is aiming for 50% of medical students to become GPs, only 20% currently state that general practice is their preferred career choice. There is ample anecdotal evidence of significant stigma associated with specialising in General Practice and the speciality has low prestige in medical school.

Aims Assess the attitudes of medical students towards a career in General PracticeAssess what factors students perceive as important in choosing a careerHow do students who are likely or unlikely to become GP describe General Practice?Does a student’s age and year group impact on the factors important to choosing a career?

Methods We have circulated an online questionnaire to students at one medical school. The questionnaire collects qualitative and quantitive data based on previous study designs. Quantitive data will be analysed using statistical analysis and qualitative data will we analysed thematically. Data collection is being completed. We expect at least 300 responses.

Impact The information generated by this study can help determine why there is stigma around general practice. It can tell us which students are drawn to GP and what about GP attracts them. Conversely, what factors do students who identify as unlikely to become a GP associate with general practice? This information can help our GP society form a campaign to reduce the stigma associated with General Practice amongst medical students. We would pass our findings to our University and the RCGP.

580 General practice placement and medical student career aspirations: a quantitative and qualitative survey of the effect of early and extensive GP exposure

Sarah Taylor

Background: General practice (GP) recruitment is at an all-time low with 451 GP trainee posts remaining unfilled in 2014. Poor recruitment and retention coupled with an aging population risks a crisis within GP. Hull York Medical School undergraduate medical students have weekly GP placements starting from the 1st year, culminating in a final year 8-week block. Is this early and continuous exposure challenging their perceptions of GP and altering career aspirations?

Methodology: First and final year medical students were surveyed anonymously using a computer-based polling system. All students answered whether they were definitely, maybe or definitely not considering GP as a career. Final year students answered if their exposure had influenced their possible GP career aspirations. Qualitative data was gathered on their insight into the GP role, and final years answered how GP exposure had shaped their career aspirations.

Outcome: 12.9% first year respondents were definitely considering a GP career compared to 51.9% final year respondents. 85.19% of final year students agreed GP placements had helped guide their GP-orientated career aspirations. Thematic analysis of quantitative data revealed that first year students believed GP to be a ‘relaxed job’ whilst final years reflected that the GP role was ‘immensely rewarding’ and valued the ‘good rapport and relationships’ they developed with patients, demonstrating a change in attitude and insight.

Conclusion: Our results suggest that early and extensive general practice exposure over the course of an undergraduate medical degree strongly influenced career aspirations towards general practice, and dispelled common myths and misconceptions surrounding GP.

581 Role of a GP with a Special Interest in Neuroendocrine Tumours (NET); working within a NET Centre of Excellence to devise peer-to-peer GP awareness and training

Rebecca Leon

Aims Although NETs are considered rare by incidence, they are the second commonest GI cancer (after colorectal cancer); GPs may not consider this diagnosis when patients present with non-specific symptoms. The Independent Cancer Taskforce cancer care in England report [2015-2020] includes an emphasis on earlier diagnosis. GPs are likely to be the first physician in the patient pathway; it is essential they are well informed; this project aims at enhancing GP awareness of NETs.

Methods Learning: education can be provided effectively by someone who understands NETs well; we teamed an interested GP with a specialist NET multi-disciplinary team for immersive training.

Audit: GPs of 64 sequential NET patients were surveyed (>80% had been in practice >6 years); 63% of GPs had seen 2-4 NET patients; 8% had >5 NET patients; for the remaining 29% the index case was their only NET patient. Patients often visited their GP multiple times with NET-related symptoms before diagnosis. Most GPs were unaware of the NET Patient Foundation (NPF), a dedicated charity who provide both patients and GPs with supportive information.

Training: peer-to-peer training is being devised (in conjunction with NPF) to provide tailored workshops, virtual teaching, GP forums and conferences.

Outcome Training of the specialist GP ‘NET champion’, to educate GP peers is an effective way of raising awareness of a rare disease. Early consideration and channelling of patients into relevant referral pathways will improve patient outcomes. This approach could be applied to other diseases to enhance specialist leaning in the GP population.

582 Primary Care Emergency Simulation (PRICES) – Isolated and under-resourced: Managing the acutely unwell patient in the community

Chris Hogan

Aims/Objectives Promote awareness of the role of human factors in the management of medical emergencies in the community. Address the challenges unique to the management of the acutely unwell patient in the community.

Content of Presentation We have designed the first simulation-based course for GP trainees, focusing on medical emergencies in the community. The course focuses on managing acutely unwell patients in a primary care environment, concentrating on technical skills and human factors. Learning is facilitated by videos of the simulation room and guided reflection.

Relevance/Impact Medical emergencies, such as anaphylaxis, may only occur a few times in a GP’s lifetime. The lack of exposure to these events in General Practice emphasises the vital importance to develop an understanding to manage them effectively and safely. Managing emergencies is embedded within the RCGP curriculum. However, all candidates expressed that this was not currently taught well.

Outcomes The post-course questionnaire revealed that the candidates rated the course at the highest possible score. On average, there was an increase of 2.4 points on a 5-point Likert Scale of confidence in managing acutely unwell patients in the community, and a 1 point increase the awareness of the importance of human factors.

Discussion We have demonstrated that primary care focused simulation is an effective and well received method of preparing senior GP trainees for managing the acutely unwell patient in the community.. Candidates unanimously strongly agreed that simulation training should be a part of the GP curriculum and have made changes to clinical practice as a result of the course.