ArticleQJM : monthly journal of the Association of Physicians2011
Lack of confidence among trainee doctors in the management of diabetes: the Trainees Own Perception of Delivery of Care (TOPDOC) Diabetes Study.
Article in QJM : monthly journal of the Association of Physicians, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed.
- Interventional study to improve diabetic guidelines adherence using mobile health (m-Health) technology in Lahore, Pakistan.BMJ open · 2018Trial
- The hidden needs of patients with diabetes in non-endocrinology departments for blood glucose management: a qualitative study.Diabetology & metabolic syndrome · 2026Review
- Optimising cardiac surgery outcomes in people with diabetes: the OCTOPuS pilot feasibility study.Health technology assessment (Winchester, England) · 2025Article
- The Influence of Nurse-Led Interventions on Diseases Management in Patients with Diabetes Mellitus: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- The Effects of Patient Characteristics on the Management of Subclinical Hypothyroidism: A Survey of Faculty and Trainees.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023Article
- Article
- Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country.BMC medical education · 2023Article
- Using Technology to Improve Diabetes Care in Hospital: The Challenge and the Opportunity.Journal of diabetes science and technology · 2023Article
- Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- Exploring the Role of Virtual Reality to Support Clinical Diabetes Training-A Pilot Study.Journal of diabetes science and technology · 2022Article
- Safety and Efficacy of Inpatient Diabetes Management with Non-insulin Agents: an Overview of International Practices.Current diabetes reports · 2022Review
- Perioperative challenges in management of diabetic patients undergoing non-cardiac surgery.World journal of diabetes · 2021Review
- Safe care for people with diabetes in hospital.Clinical medicine (London, England) · 2020Review
- Another simple regimen for perioperative management of diabetes mellitus.World journal of diabetes · 2019Article
- An assessment of medical students' knowledge of prediabetes and diabetes prevention.BMC medical education · 2019Article
- A brief interactive training with medical students improves their diabetes knowledge about hypoglycemia.BMC medical education · 2019Article
- General practitioners attitude and confidence scale for dementia (GPACS-D): confirmatory factor analysis and comparative subscale scores among GPs and supervisors.BMC family practice · 2019Article
- New graduate doctors' preparedness for practice: a multistakeholder, multicentre narrative study.BMJ open · 2018Article
- Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors.BMJ open quality · 2018Article
- Gaps and barriers in the control of blood glucose in people with type 2 diabetes.Diabetes & vascular disease research · 2017Review
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Authors and funding
11 authors.
Funding
Abstract
backgroundThere is an increased prevalence of diabetes. Doctors in training, irrespective of specialty, will have patients with diabetes under their care.
aimTo determine levels of confidence of doctors in training in the management of diabetes and establish their training needs in this area of clinical practice.
designA national online survey of trainee doctors in the UK using a pre-validated questionnaire.
methodsA four-point confidence rating scale was used to rate confidence in the management of diabetes and comparators. A six-point scale was used to quantify how often trainees would contribute to the management of patients with diabetes and trainees were asked about their training in managing diabetes.
resultsA total of 2149 doctors completed the survey. The percentage 'fully confident' in diagnosing diabetes was 27%, diagnosing and managing hypoglycaemia 55%, diagnosing and managing diabetic ketoacidosis 43%, managing intravenous (IV) insulin 27%, prescribing IV fluids for patients with diabetes 39% and altering diabetes therapy prior to surgery/other procedure 18%. In comparison, 66% and 65% were 'fully confident' in the management of angina and asthma, respectively (P < 0.05). Forty-one percent would take the initiative to optimize glycaemic control for patients under their care >80% of the time. Respectively, 19% and 35% of respondents reported that their undergraduate and postgraduate training had prepared them adequately to optimize treatment of diabetes. The majority (>70%) wanted further training in managing all aspects of diabetes care.
conclusionsTrainee doctors in the UK lack confidence in the management of diabetes, are unlikely to take the initiative to optimize glycaemic control and report a need for further training.
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