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WHAT DO REGISTRARS WANT? UK Renal Registry 2013 Annual Audit Meeting Dr Rishi Pruthi Clinical Research Fellow
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2 I NTRODUCTION Want: ‘to feel a need or desire for’ Lack of appreciation of registry amongst registrars Uncertainty about its relevance Misconceptions Need for engagement Improve understanding and knowledge of registry
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2 A IM Current level of involvement of registrars at the registry Areas of research and changing trends Changing profile of SpRs Future developments Opportunities for external SpRs
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2 R ESEARCH Stand alone studies Higher degrees Understanding Centre variation in achieving audit standards for calcium phosphate and PTH Impact of social deprivation and ethnicity on access to RRT Inequity in access to transplantation Patient survival post graft failure Practice patterns associated with home modalities uptake Primarily Quantitative studies Using UKRR data
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2 N EWER DATASETS MINAP HES ATTOM GPRD
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2 M ETHODOLOGY Embracing qualitative research and mixed methods approach Focus groups Scoping Interviews Delphi Process/consensus Semi-structured interviews In-depth Interviews
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2 C HANGING PROFILE OF S P R S Increased flexibility Embracing modern communication methods No longer Bristol / Regional centric Registrars able to maintain local clinical work and participate in local on call rotas whilst working at the registry
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2 F UTURE I MPROVEMENTS More collaboration with institutes with known record of excellence in epidemiological research Bristol University, LSHTM & University of Southampton Ensuring delivery of PhDs/MDs Development of renal epidemiology program Working with other organisations to improve data sharing/merging Maintaining and further development of trend to use mixed methods approach
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2 I NTERACTION WITH S P R S IN TRAINING Data queries Assistance with local audits Supporting innovative research ideas Study Groups Prompt review of data-requests Assistance in developing research networks Genuinely helpful staff Keen to listen
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2 C ONCLUDING REMARKS Diverse range of research & Mixed methods approach Flexibility Formalisation of working relationships and increased accountability Significant opportunities for registrars in training Improved awareness mutually beneficial for registry Need to engage with Registrars Informally locally (consultants) Formally (training days, SpR Club) Promoting attendance at Annual Audit day meeting
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Any questions rishi.pruthi@nbt.nhs.uk
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