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Junior Doctor Hand Examination
– Is It Good Enough?
Mr Christopher Hill
Dr Cait’lin Passmore
Mr Andrew Mahon
Introduction
• A service evaluation of junior doctor hand
examination
• Conducted at the Alexandra Hospital, Redditch
• DGH in West Midlands – large
industrial/agricultural catchment area
Why Do It?
• On-Call SHO on the frontline
• To assess junior doctor training
• To ensure hand injury patients are getting
appropriately assessed and treated
Target Standards
• SHOs should be proficient in hand
examination:
– tendons (expected target – 100%)
– nerves (expected target – 100%)
– vascular status (expected target – 100%)
Method
• Anonymous survey assessing hand
examination – TO/AE SHO’s (FY2-CT2)
• All responses marked to agreed standards
Results
• 18 responses
– 13 FY2s
– 3 CT1s
– 2 CT2
Results - Tendons
100%
80%
60%
50.0%
Achieved
40% Target
31.3% 31.3%
25.0% 25.0%
20%
0%
Flexor digitorum Flexor digitorum Flexor pollicis Extensor digitorum Extensor pollicis
profundus superficialis longus longus
Results: Nerves Motor
100%
80%
60%
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