Junior doctors leaving medical school have knowledge gaps
- By: Claire McKenna
Preregistration house officers and senior house officers have notable knowledge gaps in basic aspects of acute care, according to a recent study published in the Postgraduate Medical Journal.
The study assessed the skills of 185 preregistration house officers and senior house officers at six hospitals in England through a questionnaire containing 12 questions on acute care topics.
Many of the doctors tested were unaware of the signs of total airway obstruction, confusing them with those of partial obstruction (preregistration house officers 11%, senior house officers 14%) or apnoea (preregistration house officers 47%, senior house officers 26%). There was also found to be poor knowledge of the function of non-rebreathing oxygen masks and pulse oximeters. Similar deficits in knowledge and understanding were found in relation to the normal capillary refill time, minimum hourly urine output, and the role of blood glucose testing in unconscious adults.
In the United Kingdom, most of