Critical Care Junior Doctors' Profile in a Lower Middle-income Country: A National Cross-sectional Survey.
Indian J Crit Care Med
; 21(11): 733-739, 2017 Nov.
Article
en En
| MEDLINE
| ID: mdl-29279633
ABSTRACT
BACKGROUND AND AIMS:
Retention of junior doctors in specialties such as critical care is difficult, especially in resource-limited settings. This study describes the profile of junior doctors in adult state intensive care units in Sri Lanka, a lower middle-income country. MATERIALS ANDMETHODS:
This was a national cross-sectional survey using an anonymous self-administered electronic questionnaire.RESULTS:
Five hundred and thirty-nine doctors in 93 Intensive Care Units (ICUs) were contacted, generating 207 responses. Just under half of the respondents (93, 47%) work exclusively in ICUs. Most junior doctors (150, 75.8%) had no previous exposure to anesthesia and 134 (67.7%) had no previous ICU experience while 116 (60.7%) ICU doctors wished to specialize in critical care. However, only a few (12, 6.3%) doctors had completed a critical care diploma course. There was a statistically significant difference (P < 0.05) between the self-assessed confidence of anesthetic background junior doctors and non-anesthetists. The overall median competency for doctors improves with the length of ICU experience and is statistically significant (P < 0.05). ICU postings were less happy and more stressful compared to the last non-ICU posting (P < 0.05 for both). The vast majority, i.e., 173 (88.2%) of doctors felt the care provided for patients in their ICUs was good, very good, or excellent while 71 doctors (36.2%) would be happy to recommend the ICU where they work to a relative with the highest possible score of 10.CONCLUSION:
Measures to improve training opportunities for these doctors and strategies to improve their retention in ICUs need to be addressed.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Prevalence_studies
Idioma:
En
Revista:
Indian J Crit Care Med
Año:
2017
Tipo del documento:
Article
País de afiliación:
Sri Lanka