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In contrast, there was no significant change in stillbirth rates in the remaining English regions and Wales, where uptake of training had been low.
It was also thought feasible for employers to ensure confidentiality in the management of fit note information and timely mechanisms for dealing with 'may be fit' notes, that employers and GPs should conform to the most up-to-date DWP guidance, and for the increased availability and uptake of training.
15 West Midlands audits have shown that improved antenatal recognition is directly linked with uptake of training: in one unit in the region which did not implement the recommended training and protocol, antenatal detection remained at 12.5%, while units which adopted the protocols and ensured staff were trained achieved detection rates up to 50% within 12 months of implementation.
Uptake of training and use of guidance could be facilitated by: audits of existing training, for example by the Royal College of General Practitioners or the Care Quality Commission; by on-line modules; by addressing training needs 'need better GP training – currently no penalty for the GP not doing this'.
Similar(56)
However, the bulk of research in this area indicates that the uptake of trained, professional interpreters in practice is ad hoc [ 15- 20].
However, the results also reflect poor uptake of ultrasound training (0%) amongst more experienced (greater than 5 years) emergency medicine consultants.
Organizational and contextual factors influenced uptake of the training.
An Analysis of Variance (ANOVA) test was run to determine differences in uptake of the training by country, sex, job title, and previous experience.
This decline in stillbirth rate is supported by Gardosi [ 3] who attributes the reduction to the uptake of accredited training in fetal growth assessment.
This was seen to increase both the usefulness and the uptake of the training: "We had time to go and revise.
The moving average rates in high-uptake and low-uptake regions are compared in figure 5, demonstrating that the drop in stillbirths in England and Wales was achieved by the three regions with high uptake of GROW training.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com