572 Introduction and Assessment of an Updated Multi-Modality Induction Program for Rotating Junior Staff in a Regional Plastic Surgery Centre

Abstract Introduction An effective induction is essential for doctors in training, particularly in specialties to which they may have limited prior exposure. Aim To assess the confidence of junior Plastic Surgery doctors’ (FY/CT level) in core competencies and optimise our departmental induction program. Method Quality Improvement project at the Plastic Surgery Department of Leeds General Infirmary (May-September 2023). Doctors at FY/CT grade in post for a period of 8 weeks were invited to complete an online survey of their confidence with common Plastic Surgery competencies (Cohort A). Analysis of these data guided revision of the departmental induction program including updated didactic and practical sessions, and production of an electronic handbook. Follow up surveys were completed by a subsequent cohort (B) at 3 points: prior and immediately after induction, and 8 weeks post start. Results Cohort A and B were comparable in size (5 vs 4) and composition (FY/CT/Trust Grade). Cohort A were 25% “Not confident”, 26% “Somewhat confident”, 38% “Confident” and 11% “Very confident” in core competencies at 8 weeks. Cohort B, 8 weeks following revised induction, were 11%, 13%, 29% and 47% respectively (p0.00001). Cohort B also demonstrated progressive increase in confidence from immediately post-induction to 8 weeks, citing access to the electronic handbook as a significant factor. Conclusions This highlights the importance of appropriate educational guidance tools for the most junior members of the team in order to facilitate their learning experience, role confidence and therefore improve patient care.