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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Specialty trainee-led intensive care unit induction.

Joanna Sumpter1, Julian Wijesuriya1, Rachel McComb1

  • 1Whittington Hospital, Aneasthetics & Intensive Care Department, London, UK.

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A new trainee-led intensive care unit (ICU) induction program improved junior doctors' satisfaction and confidence in managing advanced organ support. This near-peer model enhances preparedness for high-stakes clinical environments.

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Area of Science:

  • Medical Education
  • Intensive Care Medicine
  • Physician Training

Background:

  • Junior doctors in intensive care units (ICUs) often lack experience in advanced organ support.
  • Traditional consultant-led ICU induction focuses on local policies, not trainee preparedness.
  • Trainee surveys reveal low confidence and dissatisfaction with current induction methods.

Purpose of the Study:

  • To develop and evaluate a new ICU induction program tailored to junior doctor needs.
  • To improve junior doctors' preparedness and confidence in managing advanced organ support.
  • To assess the effectiveness of a trainee-led, systems-based induction approach.

Main Methods:

  • A focus group of specialty trainees identified core curriculum topics.
  • A half-day interactive lecture-based teaching program and handbook were developed.
  • Formal pre- and post-induction exams were implemented in the second cycle for objective assessment.

Main Results:

  • The new induction program led to improved trainee satisfaction.
  • Self-assessed confidence in managing advanced organ support increased significantly.
  • Understanding of advanced organ support principles and emergency management improved.

Conclusions:

  • Specialty trainee-led induction programs can be better tailored to junior doctors' needs.
  • The near-peer model demonstrated potential for effective and safe ICU induction.
  • Principles of this induction model may be transferable to other clinical specialties.