WTP1.13 Enhancing Resident Training through Reflective Case-Based Discussions (CBD): Building a Prospective Database for Future Learning

Aim This study aimed to evaluate the impact of reflective CBD and case reports of complex cases on the training of resident doctors. The goal was to establish a prospective database to track challenging cases for self-reflection and provide an ongoing resource for future educational development. Methods A retrospective review was conducted on a prospectively maintained database of 100 case reports collected over ten years. These cases, encountered on call, were analyzed to assess their impact on trainees' learning outcomes, reflective practice, and integration of updated medical practices, based on anonymously collected feedback. Results The analysis demonstrated that CBDs improved self-reflection and allowed trainees to update their practices based on current standards and research. Trainees were able to compare past decisions with current best practices. The findings also suggested that a prospective database would be a valuable resource for institutional learning, tailored to local epidemiology and patient demographics. An example includes an eighty-year-old patient with pneumatosis of the inferior mesenteric vein. After undergoing an emergency Hartmann’s procedure for a perforated sigmoid diverticulum feeding the IMV, the patient recovered rapidly following antibiotic and antifungal treatment.1 Conclusion Reflective CBDs offer invaluable learning opportunities for residents, facilitating self-reflection and improvement of clinical practice. A prospective database enhances training and teaching, enabling real-time updates and dissemination of complex cases that would otherwise be challenging to share broadly. 1Kumar A, Bath M, Hussein H, Nair M. EP376-Portal Pyaemia and Fungal Septicaemia Associated with Mesenteric Venous Pneumatosis-Improving Patient Outcomes. British Journal of Surgery.2024 Sep;111(Supplement_8): znae197-486.