In the main phase participants comprised: F1 trainees (n = 95, 49%), F2s (n = 40, 21%) and a mixture of other training levels (30%, n = 58) including medical students (n = 20, 17 fifth years, 3 fourth years), clinical fellows (n = 2), core trainees, grades 1 3 (n = 25), specialist trainees, grades (n = 9) and specialist registrars (n = 2).
Junior doctors below the specialty trainee level 3 grade were recruited and randomised to two groups.
Junior doctors in this study are defined as doctors who are below the specialty trainee level 3 grade.
Prior to the training, a baseline exercise involving a set of 50 digital eyelid photographs (derived from studies in Gambia, Tanzania and Ethiopia) were shown to the trainees with grade explanations and advice on grading.
Our objective was to assess the effect of a CEVL teaching module on the diagnostic accuracy of medical trainees in grading neonatal hydronephrosis on ultrasound using the Society for Fetal Urology (SFU) grading system.
Figures from the College of Emergency Medicine show that there are shortages among trainees, middle-grade doctors and consultants.
Among the rejected referrals (maximal ward therapy not reached), 54% were from a trainee below registrar grade.
Trainee involvement was graded by approximate percentage of time trainees handled the duodenoscope (0%, 1%-50%, 51%-99%, 100%), including cannulation and therapy, in any particular case.
Junior trainees and staff grades change posts once every 6 to 12 months depending on their training requirements and there was one change of consultant in March 2007.
The Mersey SpRs were quite clear that one way of improving their training would be by increasing the number of trainees, or other grades, so that the rotas would be less onerous: A recommendation of 10 doctors on each tier of rota has been proposed[ 42].
