Rotating into a new department is a daunting experience for many doctors. A high-quality induction aims to relieve anxiety and create a safe changeover. An independent research piece commissioned by the General Medical Council investigated issues surrounding induction. It concluded that doctors would like a tailored induction, created by those who understand the role.Our aim was to produce and deliver a tailored induction into respiratory medicine at a district general hospital.From August’22 to June’23, 3 groups rotated through respiratory medicine. Group 1 received no induction, group 2 lectures and group 3 both lectures and a detailed respiratory handbook, encompassing key respiratory procedures, prescribing and referring to respiratory subspecialities.Each group completed a questionnaire pre and post rotation which self-assessed their confidence (not confident at all, slightly confident, somewhat confident, fairly confident, completely confident) and capability (yes, no) in carrying out various respiratory tasks. 22 questionnaires were completed.Group 1 had the lowest initial confidence levels; with 50% of foundation year 1 doctors ‘not confident at all’.Overall, post placement performance in all topics was better in Group 3; with 97% in the ‘yes’ category, whilst group 1 was 74% and group 2 86% (figure 1).Significant enhancements post placement were observed in prescribing and monitoring aminophylline and theophylline, 25% ‘yes’ in group 1, 71% group 2 and 100% group 3. For administering intrapleural enzymes, 50% of group 1 were ‘somewhat confident’ post rotation, compared to Group 3 which saw the biggest improvement, with 57% ‘completely confident’.88% of group 1 and 2, and 71% of group 3 were ‘not confident at all’ with chest drain management. This improved across all groups but most significantly in group 3, rising to ‘fairly confident’ in 71%. A substantial improvement post rotation in knowledge of clinic and list schedules occurred; with 38% ‘yes’ in group 1, 43% group 2 and 100% group 3.The study clearly demonstrates the positive impact of a comprehensive induction amongst doctors, with higher levels of confidence and capability in various aspects of respiratory care.Abstract M12 Figure 1Performance amongst doctors of various grades on all ‘yes’ ‘no’ questions pre and post placementReferenceCommunity Research (2020), Research into doctors’ induction. Available at: https://www.gmc-uk.org/-/media/documents/research-into-doctors-inductiondocx-83264029.docx (Accessed: 02/05/2023)...

M12 Rotating through respiratory medicine – what can we do to improve efficiency, performance, and confidence?

10.1136/thorax-2023-BTSabstracts.401