13INTRODUCTION OF URINARY CONTINENCE CARE TRAINING INTO THE NORTH WEST GERIATRIC MEDICINE MSC TEACHING PROGRAMME

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Abstract

Introduction: The National Audit of Continence Care highlighted specific areas as key components of initial urinary incontinence assessment. Previously, there was no formal training available for trainees in geriatric medicine in the North-West deanery incorporating these skills. A survey of all North West trainees in geriatric medicine in 2010 revealed few trainees felt competent performing some or all of the key components involved in the assessment of incontinent patients and only 16% had been formally trained in this [1]. Following this we introduced a multidisciplinary training day supported by nurse continence specialists on urinary continence care into the regional teaching programme. We re-surveyed trainees after the training regarding their perceived competence and interest in the subspecialty.

Sampling methods: All trainees in Geriatric Medicine (levels ST3-7) in the North West Deanery were asked to complete a short survey regarding their ability to assess patients with incontinence following the training day. The survey was sent out via e-mail and was completed anonymously.

Results: Sixty-nine percent (31 of 45) of those surveyed following the training day returned data. Forty-five percent (14) felt competent in assessing patients with urinary incontinence (improved from 21% in 2010 survey). Fifty-two percent (16) reported they performed a PR examination routinely when assessing patients with urinary incontinence (improved from 26% 2010) and 58% (15) routinely used a bladder scanner (improved from 27% 2010). Forty-five percent (14) answered that they would be interested in specialising in continence care as a consultant geriatrician (new question).

Conclusions: After introducing a formal training day for trainees on urinary continence care, a greater percentage felt competent performing some or all of the key components involved in the assessments of incontinent patients than when surveyed in 2010. Continence care is generating an interest among trainees as a potential consultant subspecialty.

Reference:

1. Barker J and Kondratowicz T. Age Ageing 2011; 40(Suppl. 2): ii27.

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