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Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff

Lookup NU author(s): Dr James Fisher, Dr Suren Kanagasundaram

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Abstract

Enhanced education has been recommended to improve non-specialist management of acute kidney injury (AKI). However, the extent of any gaps in knowledge has yet to be defined fully. The aim of this study was to assess understanding of trainee doctors in the prevention, diagnosis and initial management of AKI. An anonymised questionnaire was completed by hospital-based trainees across Newcastle Renal Unit's catchment area. Responses were evaluated against a panel of pre-defined ideal answers. The median score was 9.5 out of 20 (n=146; range 0-17) and was lower in more junior trainees. Fifty percent of trainees could not define AKI, 30% could not name more than two risk factors for AKI and 37% could not name even one indication for renal referral. These serious gaps in knowledge highlight the need for enhanced education aimed at all training grades. Organisational changes may also be required to optimise patient safety.

Publication metadata

Author(s): Muniraju TM, Lillicrap MH, Horrocks JL, Fisher JM, Clark RMW, Kanagasundaram NS

Publication type: Article

Publication status: Published

Journal: Clinical Medicine

Year: 2012

Volume: 12

Issue: 3

Pages: 216-221

Print publication date: 01/06/2012

Date deposited: 16/02/2018

ISSN (print): 1470-2118

ISSN (electronic): 1473-4893

Publisher: Royal College of Physicians

URL: https://doi.org/10.7861/clinmedicine.12-3-216

DOI: 10.7861/clinmedicine.12-3-216

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