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WHAT DO REGISTRARS WANT?. Dr Rishi Pruthi Clinical Research Fellow. UK Renal Registry 2013 Annual Audit Meeting. Introduction. Want: ‘to feel a need or desire for’ Lack of appreciation of registry amongst registrars Uncertainty about its relevance Misconceptions Need for engagement
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WHAT DO REGISTRARS WANT? Dr Rishi PruthiClinical Research Fellow UK Renal Registry 2013 Annual Audit Meeting
Introduction 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 2
Aim 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 2
Research 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 2
Newer datasets MINAP HES ATTOM GPRD 2
Methodology Embracing qualitative research and mixed methods approach Focus groups Scoping Interviews Delphi Process/consensus Semi-structured interviews In-depth Interviews 2
Changing profile of SpRs 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 2
Future Improvements 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 2
Interaction with SpRs 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 2
Concluding 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 2
Any questions rishi.pruthi@nbt.nhs.uk