Dr Julie Pattinson presented at the Ottawa-International Conference on Medical Education (ICME), Abu Dhabi, United Arab Emirates; March 10th – 14th 2018. The conference is held biennially and provides a forum for medical and other health care profession educationalists to network and share ideas on all aspects of the assessment of competence in both clinical and non-clinical domains, throughout the continuum of education. There were near 1500 attendees, and hosted plenary sessions, symposia, oral presentations, workshops and poster sessions. Overall it was an educative programme covering all aspects of Health Professions with special emphasis on assessment.
Julie Pattinson of CaHRU gave a presentation in parallel session 13, titled Postgraduate Assessment on Understanding Reasons for Variations by Ethnicity in Attainment in the Performance of General Practitioners in Speciality Training completing the Membership of the Royal College of General Practitioners (MRCGP) Applied Knowledge Test; cognitive interview study. The study was conducted in collaboration with Professor Niro Siriwardena, University of Lincoln, Dr Bijoy Sinha, GP Speciality Training Director, Lincolnshire, and Dr Carol Blow, MRCGP clinical lead. Dr Pattinson talked about the differences that exists in candidate performance in high stakes medical licensing examinations, specifically the MRCGP AKT, between black and minority ethnic doctors (BME) compared to white British doctors. Grounded theory analysis generated discussions into why differences exist in candidates of different ethnicity highlighted that overseas trained doctors do face additional difficulties answering AKT questions.
The study has provided a basis for developing interventions to reduce differential attainment in UK speciality training for general practice. Overall the conference was interactive and five minute questions were addressed after each presentation.
By Julie Pattinson
CaHRU, in conjunction with NHS partners including East Midlands Ambulance Service and Lincolnshire Community Health Services NHS Trusts, held its latest Research Forum of 2016 on 16th November. The forum followed its usual two-hour format with three speakers giving detailed presentations about a study they have been working on and then responding to questions.
The first presentation was from Dr Murray Smith, CaHRU’s health economist and econometrician, who talked about ‘An Economic Feasibility Study on the Fluoridation of Drinking Water in the East Midlands’. This study is being led by NHS Nottingham City on behalf of all nine primary care trusts in the East Midlands. It examined the cost of setting up fluoridation plants, where they would be and the cost of ongoing maintenance. Ultimately, the feasibility study will produce a report for each of the areas covered by the nine participating primary care trusts.
Next was Professor Niro Siriwardena who presented on behalf of Dr Zahid Asghar on their study examining the performance of candidates with dyslexia in the Applied Knowledge Test (ATK) for Membership of the Royal College of General Practitioners (RCGP). A key finding of the study was that there was no evidence of differential attainment in candidates declaring dyslexia compared with those who did not once other candidate attributes such as age, gender, ethnicity and country of primary medical qualification had been accounted for.
Dr Stephanie Armstrong concluded the Research Forum by presenting findings from the Network exploring the Ethics of Ambulance Trials (NEAT) study. This is a Wellcome funded study led by the University of Lincoln and involving a number of other UK, as well as Dutch and Swiss, universities. The study has been running for less than a year but has already achieved an impressive set of outcomes. These include: a systematic review of published randomised controlled trials; a review of global and national regulations; and preliminary results of interviews with expert informants, paramedics and patients who have been involved in ambulance trials.
By Viet-Hai Phung
CaHRU members, Viet-Hai Phung, Ana Godoy and Dr Jo Middlemass all presented posters at the recent College of Social Science Summer Conference, held at the University of Lincoln Business School on Thursday 2nd July. The purpose of the Conference was to showcase a range of work from across the College of Social Science that had been funded by its small grants scheme.
Ana was busiest as she presented four posters: Resources for Effective Sleep Treatment utilising Community Pharmacists (REST-UP), bisphosphonates and stroke and two for Quality and Costs of Primary Care in Europe (QUALICOPC)! Jo and Viet-Hai presented their work on dementia and ethnic inequalities in prehospital care respectively. All six posters generated considerable interest from attendees. Research from the wider School of Health and Social Care was also very well represented. Alongside the poster sessions were three sessions with 20 oral presentations from PhD students and staff. As with the posters, the oral presentations captured the diversity of the College’s work: from the work of the Red Cross to the future of Christmas markets; from gender identities and football through to the psychology of decision-making; from empathy in nursing to branding cities.
It is sometimes felt that students and academics rarely know what research colleagues in other parts of a School or College do. If the university is serious about raising awareness about the work of different departments, schools and colleges, then events such as this should become a permanent fixture in the academic calendar.
A new briefing paper, ‘Ethnicity and prehospital emergency care provided by ambulance services‘, was published today by The Race Equality Foundation. The paper was co-authored by Viet-Hai Phung, Professor Niro Siriwardena, and Dr Zahid Asghar from CaHRU and Dr Karen Windle from the School of Health and Social Care.
It builds on work that CaHRU is undertaking on people from minority groups and their prehospital care. The briefing paper describes the inequalities in access to, as well as treatment and outcomes from, prehospital care for minority ethnic groups in the UK. It discusses how inequalities are driven by factors that include limited cultural awareness among service providers, as well as limited language proficiency and understanding of the healthcare system among these patients groups and how these inequalities manifest themselves in differences in treatment and outcomes.
The paper goes on to examine the implications arising from these inequalities for service delivery, especially since increasing ethnic diversity is raising issues of equality and equity higher up the legislative and policy agendas. It concludes by exploring potential solutions, which include: a more integrated approach to collecting patient ethnicity data; interventions that target at-risk groups in particular locations; and better cultural competency training for service providers.
It was a pleasure to attend the European Congress on Emergency Medicine in the beautiful environs of Westerpark, Amsterdam from Sunday 28th September – Wednesday 1st October. I had been invited to give a three-minute presentation on the systematic review that I had been working on for two years, ‘Barriers, facilitators, disparities and consequences for people from minority ethnic groups accessing prehospital care: systematic review and narrative synthesis’.
Prior to going to Amsterdam, I had rehearsed the presentation many times. This carried on right through to an hour before the Monday afternoon Lightning Session I was due to present in. The ‘Lightning Session’ itself was due to last 90 minutes with 23 presenters summing up their research. I was 18th up so at least I could get a feel for what to expect. I was nervous, but not shaking, as I made my way up to the podium, without notes. Before I started, I familiarised myself with how to work the slideshow to avoid any embarrassments, which previous presenters suffered. I knew exactly what I was going to say on each slide. There were minor departures from what I had planned to say, but I got the underlying message across to the audience. I felt I answered the question from the chair about uneven translation service provision in the UK competently. And that was that. Thorough preparation had made a seemingly daunting task manageable.
There were other interesting lightning presentations on prehospital care from around the world, but the conference focused more on clinical and emergency department research. However, I gained another valuable professional skill and spent some time in lovely Amsterdam. Which were no bad things at all!