Type of publication:
Service improvement case study
Author(s):
*Rameesha Hussain, *Prajakta Jahagirdar
Citation:
SaTH Improvement Hub, May 2026
SMART Aim:
To increase structured bedside teaching for resident doctors from a baseline of 0 sessions per month to at least one structured session per month, and to improve learner satisfaction, by July 2026 through stepwise PDSA cycles.
Type of publication:
Service improvement case study
Author(s):
*Rameesha Hussain, *Prajakta Jahagirdar
Citation:
SaTH Improvement Hub, May 2026
SMART Aim:
To improve the quality and effectiveness of the bedside teaching sessions for resident doctors.
Type of publication:
Journal article
Author(s):
Abbawy, Marcus, Holden, Finlay, Fisher, Tom, Nasa, Prashant, Manjunathasawamy, Akshay Hiryur, Renukappa, Suresh, Suresh, Subashini, Kumar, Nanda, Ingram, Tom, Hothi, Sandeep, Cotton, James M, *Maharaj, Aruna, Chacko, Cyril, Veenith, Tonny
Citation:
Open Heart. 13(1), 2026 May 26.
Abstract:
Point-of-care ultrasound echocardiography has become an indispensable tool for rapid clinical assessment in emergency medicine. This review article examines the heterogeneity in training pathways globally, outlining the advantages and presenting the challenges to standardisation, documentation practices and quality assurance. By reviewing current curricula, training methods and international models, we aim to identify the positive elements and propose a framework for an ideal national training programme, including the potential role of an examination and higher education institutions.
DOI: 10.1136/openhrt-2026-004057
Link to full-text [open access - no password required]
Type of publication:
Service improvement case study
Author(s):
*Megan Brown
Citation:
SaTH Improvement Hub, April 2026
SMART Aim:
I will improve the engagement of Keele students with the Improvement Hub team at SaTH and overall increase the confidence of medical students to engage with Improvement work as measured by an increase in project initiation and confidence scores by 31/03/2026.
Type of publication:
Conference abstract
Author(s):
*Mahon E.J.E.; *Ahnood D.
Citation:
Eye (Basingstoke). Conference: The Royal College of Ophthalmologists Annual Congress 2024. Belfast United Kingdom. 38 (pp 142), 2024. Date of Publication: 01 Nov 2024.
Abstract:
Introduction: It has been established that doctors in Accident and Emergency (A&E) departments have minimal confidence in managing ophthalmic presentations (Murray, P., et al. Eye 2016; https://doi.org/10.1038/eye.2016.99). The lack of confidence to accurately assess and manage patients presenting to A&E will likely have an impact on the quality of patient management and the quality of referrals made to eye casualties. We hypothesize that a teaching course covering core emergency ophthalmic examination and management skills will improve attendees' confidence in these areas. Method(s): Doctors currently or potentially working in A&E were invited to attend a teaching session where they would rotate between three stations which included slit lamp examination, simulation of foreign body removal and managing chemical eye injury. Teaching was delivered in small groups, with experienced staff leading the sessions. Pre-and post-course questionnaires included a 1-5 Likert scale self-assessment confidence rating on the three areas of teaching and overall confidence. Result(s): The course was attended by 13 doctors, with 46% of attendees being junior emergency specialty trainees or trainee equivalents, 38% were foundation doctors and 15% were A&E staff grade doctors equivalent to registrar. 92% of those who attended reported less than one hour of slit lamp examination time. Overall, the attendees' overall confidence went from 1.9 to 4.2 on the Likert scale. Conclusion(s): Our findings demonstrate a lack of confidence from the A&E doctors in assessing patients presenting with ophthalmic issues, with an overall confidence score of
DOI: 10.1038/s41433-024-03254-3
Link to full-text [no password required]
Type of publication:
Service improvement case study
Author(s):
*Lauren Morris, *Rosie Wilson
Citation:
SaTH Improvement Hub, November 2025
SMART Aim:
To address limitations and gaps in learning to formally enhance basic surgical skills teaching for resident doctors at SaTH by the 31st October 2025 as evidence by training feedback.
Type of publication:
Conference abstract
Author(s):
Argyriou O.; *El-Sayed C.; Drami I.; Celentano V.; Reza L.
Citation:
Colorectal Disease. Conference: 20th Scientific and Annual Conference of the European Society of Coloproctology, ESCP 2025. Paris France. 27(Supplement 1) (no pagination), 2025. Date of Publication: 01 Aug 2025.
Abstract:
Aim: Inflammatory Bowel Disease (IBD) surgery demands advanced technical skills due to the complexity and variability of procedures. High-quality training is essential, not only for the management of acute IBD-related emergencies but also for the development of a specialist IBD practice. This survey, developed by the Dukes' Club for UK colorectal surgery trainees and the IBD Subcommittee of the Association of Coloproctology of Great Britain and Ireland (ACPGBI), aims to evaluate the current state of IBD surgical training in the UK and to identify key areas and potential interventions for improvement. Method(s): An electronic survey was designed by members of the Dukes' Club executive committee and the ACPGBI IBD subcommittee, followed by dissemination via various professional networks, between September 2024 and April 2025.The survey investigated a number of key domains, including exposure to IBD procedures (routine/complex), participation in multidisciplinary team (MDT) meetings and joint surgical-gastroenterological clinics, career and fellowship intentions, as well as access to training resources. Result(s): The survey was completed by 103 participants (70% in training, 30% early years consultants).Senior trainees (ST6-ST8) represented 58.4% of the trainee participants.58.4% of trainees reported lack of exposure to IBD MDTs, with only 5.6% undertaking an active role in the MDT.Trainees reported minimal exposure to ileoanal pouch surgery and complex procedures such as strictureplasties and Kono-S anastomosis. In contrast, higher levels of exposure were noted for subtotal colectomies, ileo-caecal resections for Crohn's Disease, and IBD-related perianal fistula procedures. Conclusion(s): The survey demonstrated a lack of focus in IBD surgical training. Apart from high-quality educational activities that are delivered by the Dukes' Club and ACPGBI, a structured approach to ensure better exposure, through the training curriculum, is called for.
DOI: 10.1111/codi.70174
Link to full-text [no password required]
Type of publication:
Journal article
Author(s):
Siggens K.; Williams S.; Yiu A.; El Sayed C.; Fletcher J.; Mills S.; Yeadon K.; Reza L.; Rabie M.; Drami I.; Green S.; Tamanna R.; Couderq D.; Javanmard-Emamghissi H.; Argyriou O.; Okocha M.; Khasawneh F.; Kat-Zsummercorn A.; Shakir T.; Anya L.; Bramwell C.; Haji A.; Johnston R.; Joshi H.; Oliphant R.; Piramanayagam B.
Citation:
Frontline Gastroenterology. 17(4) (pp 306-311), 2026. Date of Publication: 01 Jul 2026.
Abstract:
Introduction: The primary aim was to understand the current experience of colonoscopy training among general surgical trainees with a subspeciality interest in colorectal surgery. Method(s): An electronic survey was developed and disseminated by members of the Dukes' Club (colorectal trainees network) and Association of Coloproctologists of Great Britain and Ireland colonoscopy subcommittee between February and April 2024 to assess key themes identified through formal and informal feedback from colorectal trainees of endoscopy training experience. Result(s): The survey was completed by 196 participants. This included 13.3% from core trainee (CT) 2-speciality trainee (ST) 4, 28.6% from ST5-ST6, 36.5% from ST7-ST8, 13.3% from post-certificate for completion of training fellows, senior clinical fellows and speciality and specialist (SAS) doctors and 8.7% from early years consultants. The median number of colonoscopies performed by respondents was 121.6 (range 0-8000). Only 33.7% (66/196) reported having one dedicated training list per week, and 56.6% (111/196) were not allocated to any regular training list. The barriers to training were service provision (71.9%), lack of dedicated training lists (69.9%) and access to training lists due to other trainees or healthcare professionals (42.3%). Only 25% of respondents had experience of immersion training, but they consistently reported high numbers of colonoscopy during these periods, with 40% achieving more than 30 colonoscopies. Conclusion(s): There is an urgent need to improve access to colonoscopy training. Regular endoscopy training lists and funding of academies and immersion training centrally are likely to greatly improve the experience of colonoscopy training. Senior colorectal trainees should be prioritised to avoid delay in the completion of training.
DOI: 10.1136/flgastro-2025-103106
Link to full-text [NHS OpenAthens account required]
Type of publication:
Service improvement case study
Author(s):
*Jane Carter and *Rachel McKenzie
Citation:
SaTH Improvement Hub, September 2024
SMART Aim:
To improve staff competence and confidence with completing home/access visits in line with personal competencies and self evaluation by December 2024 as evidenced by self perceived competence rating
Type of publication:
Service improvement case study
Author(s):
*Nicola Bell, *Andrew Hutchinson
Citation:
SaTH Improvement Hub, June 2024
SMART Aim:
To ensure a consistent approach to training for all non-medical clinical staff, (including Nurses, Nursing Associates, Assistant practitioners and HCA’s ) that are new to Theatres, that results in them being competent & effectively developed to safely work as a non-supernumery member of the team, within six
months of starting their new role.
Shrewsbury and Telford Hospital NHS Trust has an active Research and Innovation Department.
Find out more by visiting either the R&I Intranet pages (only available on a Trust PC) or the R&I pages on the SaTH website.
Shrewsbury and Telford Hospital NHS Trust has an active Improvement Hub.
Find out more by visiting either the Improvement Hub Intranet pages (only available on a Trust PC) or the Improvement Hub page on the SaTH website.