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2017 NATIONAL TRAINEE

SURVEY RESULTS

MEDICAL OPHTHALMOLOGY

SPECIALTY SPECIFIC QUESTIONS

SEPTEMBER 2017

Warren Lynch / Aidan Simpson Quality Management Team Joint Royal Colleges of Physicians Training Board

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Introduction The Specialty Specific Questions have been developed to test trainee’s access to, participation in or confidence in the attainment of specific aspects of the specialty training curriculum. The questions have been included as Programme Specific Questions in the annual GMC National Trainee Survey. A table showing trainee’s collective responses from a national perspective, a comparison with the responses last previously received for the question (if it has been asked in a previous year) are shown on pages 4-7 with a fuller breakdown of the questions and the trainee responses (nationally and by grade later in this report. 8 Medical Ophthalmology trainees (<3 ST3, 3 ST4, 3 ST5, and >3 ST6 trainees) completed the 2017 survey. The numbers of trainees in each Deanery / LETB completing the survey were as follows:

Deanery / LETB 2016 2017 % Difference Health Education East of England <3 <3 N/A

Health Education N, C & E London <3 <3 N/A

Health Education North East <3 <3 N/A

Health Education South London <3 0 N/A

Health Education South West <3 1 N/A

Health Education West Midlands <3 <3 N/A

Health Education Yorkshire and the Humber <3 <3 N/A

NHS Education for Scotland <3 <3 N/A

Total 8 8 N/A

Reduction of >10% of trainees completing the NTS in 2017 compared to 2016

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Specialty Specific Questions Question % trainees

agreeing overall Q1: How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake history taking in the MEDICAL aspect of your current role?

100%

Q4: How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake history taking in the OPHTHALMIC aspect of your current role?

100%

Q5: How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake clinical examination in the OPHTALMIC aspect of your current role?

100%

Q6: How effective or ineffective have the training opportunities you've received so far been in preparing you to develop initial management plans in the OPHTHALMIC aspect of your current role?

100%

Q7: I feel confident to undertake history taking in the MEDICAL aspect of my current role. 100%

Q10: I feel confident to undertake history taking in the OPHTHALMIC aspect of my current role. 100%

Q11: I feel confident to undertake clinical examinations in the OPHTHALMIC aspect of my current role. 100%

Q12: I feel confident to develop initial management plans in the OPHTHALMIC aspect of my current role. 100%

Q2: How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake clinical examination in the MEDICAL aspect of your current role?

88%

Q3: How effective or ineffective have the training opportunities you've received so far been in preparing you to develop initial management plans in the MEDICAL aspect of your current role?

88%

Q8: I feel confident to undertake clinical examinations in the MEDICAL aspect of my current role. 88%

Q9: I feel confident to undertake initial management plans in the MEDICAL aspect of my current role. 75%

Q13: I feel confident to deliver intravitreal injections safely and effectively. 51%

Q14: I feel confident to perform retinal laser safely and effectively. 38%

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Question % trainees agreeing overall Q15: If you feel you have had insufficient experience in any of the following modular elements of the curriculum, please indicate which by ticking the relevant boxes below. (select all that apply)

Medical Genetics: 100% Infectious Diseases: 50%

Neurology: 50% Diabetes and Endocrinology: 38%

Diabetic Retinopathy Screening: 38% Renal medicine/ transplant medicine/systematic vasculitis: 38%

Rheumatology: 25% Dermatology: 5%

N/A: 0%

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The Medical Ophthalmology curriculum covers a number of key areas. Three of these are history taking, clinical examination and developing initial management plans. Q1. How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake history taking in the MEDICAL aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8

All results

Grade

63

38

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

33

100

67

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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Q2. How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake clinical examination in the MEDICAL aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All results

Grade

50

38

13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

33

67

33

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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Q3. How effective or ineffective have the training opportunities you've received so far been in preparing you to develop initial management plans in the MEDICAL aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

63

25

13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

100

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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Q4. How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake history taking in the OPHTHALMIC aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

63

38

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

33

67

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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Q5. How effective or ineffective have the training opportunities you've received so far been in preparing you to undertake clinical examination in the OPHTALMIC aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

75

25

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

67 67

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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Q6. How effective or ineffective have the training opportunities you've received so far been in preparing you to develop initial management plans in the OPHTHALMIC aspect of your current role? (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

63

38

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

33

67

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Highly ineffective

Ineffective

Neither effective nor ineffective

Effective

Highly effective

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To what extent do you agree or disagree with the following statements? Q7. I feel confident to undertake history taking in the MEDICAL aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

50

50

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33

67

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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8. I feel confident to undertake clinical examinations in the MEDICAL aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

50

38

13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33

67

33

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q9. I feel confident to undertake initial management plans in the MEDICAL aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

50

25

25

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33

67

33

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q10. I feel confident to undertake history taking in the OPHTHALMIC aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

63

38

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

67 67

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q11. I feel confident to undertake clinical examinations in the OPHTHALMIC aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

38

63

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33 33

67 67

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q12. I feel confident to develop initial management plans in the OPHTHALMIC aspect of my current role. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

50

50

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33

67

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q13. I feel confident to deliver intravitreal injections safely and effectively. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017: n=8 All trainees

Grade

38

13

25

13

13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

67

33

67

33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q14. I feel confident to perform retinal laser safely and effectively. (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017 n=8 All trainees

Grade

25

13

38

13

13

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

33

33

67

33 33

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2017 2017 2017 2017

ST3 ST4 ST5 ST6

Strongly disagree

Disagree

Neither agree nor disagree

Agree

Strongly agree

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Q15. If you feel you have had insufficient experience in any of the following modular elements of the curriculum, please indicate which by ticking the relevant boxes below. (select all that apply) (This question was presented to trainees of the following grades: ST3, ST4, ST5, ST6) 2017 n=8 All trainees

Grade

100

75

50 50

37 37 37

25

0

10

20

30

40

50

60

70

80

90

100

%

2017

50 50 50

33 33 33

17 17

50

33

17 17 17 17

33

0

10

20

30

40

50

60

%

ST3 2017

ST4 2017

ST5 2017

ST6 2017