Assessing the Competence of Junior Paediatric Doctors in Managing Paediatric Diabetic Ketoacidosis: An Exploration Across Paediatric Care Units in UK
Authors: Mai Ali
Abstract:
Advancing beyond the junior stage of a paediatrician’s career is a crucial step where they accumulate essential skills and knowledge. This process prepares them for the challenges they will encounter throughout their profession, particularly in dealing with paediatric emergencies. This can be especially demanding for trainees specializing in fields like endocrinology, particularly in the management of Diabetic Ketoacidosis (DKA) in the UK. In different societal contexts, junior doctors, whether specializing in paediatrics or other medical fields, are generally expected to possess a fundamental level of knowledge and skills necessary for managing DKA emergencies. These physicians consistently concurred in recognizing prevalent problems in the healthcare facilities they examined. Such issues include the lack of established guidelines for DKA treatment and the inadequate availability of comprehensive training opportunities. The abstract underscores the critical importance of junior paediatricians acquiring expertise in managing paediatric emergencies, with a specific focus on DKA. Commonly, issues like the lack of standardized protocols and training deficiencies are recurring themes across healthcare facilities. This research proposal aims to conduct a thematic analysis of the proficiency of paediatric trainees in the United Kingdom when handling DKA in various clinical contexts. The primary goal is to assess their competency and suggest effective strategies for comprehensive DKA training improvement.
Keywords: DKA management, junior paediatricians, level of competence, standardized protocols.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 45References:
[1] Training guide | RCPCH
[2] The Foundation Programme Curriculum | Health Education England (hee.nhs.uk)
[3] Paediatric Emergency Care Applied Research Network. The Paediatric Emergency Care Applied Research Network (PECARN): rationale, development, and first steps. Acad Emerg Med. 2003 Jun;10(6):661-8. PMID: 12782530.
[4] Hadi Abdullah, Wasnaa. Aljumaili, Ali, - Alsaffar, Hussain 2022/06/03, SP - 144, EP - 152 - Knowledge and Confidence of Iraqi Paediatric Residents in Management of Diabetic Ketoacidosis in Children VL – 22, DO - 10.37506/mlu.v22i2.3242, JO - Medico-Legal Update
[5] Khadija Ali, Maryam Fuad Ali, Hussain Alsaffar. (2021). The Knowledge and Confidence in Management of Diabetic Ketoacidosis (DKA) among Bahraini Paediatric Residents: A Cross Sectional Survey. Annals of the Romanian Society for Cell Biology, 11157–11171. Retrieved from
[6] ISPAD Clinical Practice Consensus Guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state (ymaws.com)
[7] Lavinia Mayabi, MD, Pediatric & Child Health Specialist | Advocate for Child Wellness | Holistic Approach, Nairobi County, Kenya, "Level Of Knowledge Of Healthcare Providers In Mbagathi County Hospital and Mama Lucy Kibaki Hospital on the ISPAD management guidelines of Diabetic Ketoacidosis" a dissertation submitted in part fulfillment of the degree of master of medicine (M.Med) in Paediatrics and Child Health.
[8] Alassaf, A., Gharaibeh, L., Abuna’meh, L. Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country. BMC Med Educ 23, 234 (2023). https://doi.org/10.1186/s12909-023-04234-z
[9] US Department of Health and Human Services (2012). Retrieved from www.hhs.gov/regulations/index.htm
[10] Coverdale, J., Roberts, L., Louie, A. & Beresin, E. (2006). Writing the methods. Academic Psychiatry, 30, 361 – 364.
[11] Merriam, S.B. (1998). Qualitative Research and Case Study Applications in Education. San Francisco, CA: Jossey-Bass
[12] BSPED |BSPED DKA Guidelines Mann, F and Stewart, F. (2000)
[13] https://www.surveymonkey.com/analyze/data-trends/Si1svL4IAhkMEdiLp7LaI7MgFgQVEeg2h2tZfePVRds_3D
[14] Internet Communication and Qualitative Research: A Handbook for Researching Online, London: Sage