Hull Royal Infirmary, Hull and East Hospitals NHS Trust, East Yorkshire, UK.
Ren Fail. 2011;33(7):669-71. doi: 10.3109/0886022X.2011.589950.
There has been increased interest in acute kidney injury (AKI) over the past decade following the recognition of the association of relatively small rises in serum creatinine with worse patient outcomes. This association has resulted in newly proposed definitions in AKI based on changes in serum creatinine. In 2009, the National Confidential Enquiry into Patient Outcomes and Death Adding Insult to Injury AKI study reported that only 50% of patients who died with a diagnosis of AKI received good care. The study identified multiple deficiencies and made a number of recommendations which included improving the training of undergraduate and postgraduate trainees in the management of AKI. The aim of the evaluation was to try and identify the perception of medical trainees in Leeds Teaching Hospitals of the training they had received on AKI. A simple questionnaire was used and captured the views of 73 trainees (including 13 final-year medical students). The evaluation indicated that the majority of trainees were unaware of newly proposed definitions of AKI, and many trainees felt that the training they had received in AKI was inadequate for their needs. Following this evaluation, we have made a number of changes to the training that is delivered to both undergraduate and postgraduate trainees in Leeds on the management of AKI.
在过去十年中,人们对急性肾损伤 (AKI) 的兴趣日益增加,因为人们认识到血清肌酐的相对小幅度升高与患者预后较差有关。这种关联导致了基于血清肌酐变化的 AKI 的新定义。2009 年,国家患者结局和死亡调查补充伤害 AKI 研究报告称,只有 50%的 AKI 诊断患者得到了良好的护理。该研究发现了多种缺陷,并提出了多项建议,包括改进 AKI 管理的本科和研究生培训。评估的目的是尝试确定利兹教学医院的医学受训者对他们接受的 AKI 培训的看法。使用了一个简单的问卷,调查了 73 名受训者(包括 13 名医学生)的意见。评估表明,大多数受训者不了解 AKI 的新定义,许多受训者认为他们接受的 AKI 培训不能满足他们的需求。在这次评估之后,我们对利兹大学本科和研究生的 AKI 管理培训进行了一些修改。