WHAT DO REGISTRARS WANT?

UK Renal Registry 2013 Annual Audit MeetingUK Renal Registry 2013 Annual Audit Meeting

Dr Rishi PruthiClinical Research Fellow

INTRODUCTION

• Want: ‘to feel a need or desire for’• Lack of appreciation of registry amongst registrars• Uncertainty about its relevance• Misconceptions• Need for engagement • Improve understanding and knowledge of registry

AIM

• Current level of involvement of registrars at the registry• Areas of research and changing trends• Changing profile of SpRs• Future developments• Opportunities for external SpRs

RESEARCH

• Stand alone studies• Higher degrees

• Understanding Centre variation in achieving audit standards for calcium phosphate and PTH

• Impact of social deprivation and ethnicity on access to RRT• Inequity in access to transplantation• Patient survival post graft failure• Practice patterns associated with home modalities uptake

• Primarily Quantitative studies• Using UKRR data

NEWER DATASETS

• MINAP• HES• ATTOM• GPRD

METHODOLOGY

• Embracing qualitative research and mixed methods approach• Focus groups• Scoping Interviews• Delphi Process/consensus• Semi-structured interviews• In-depth Interviews

CHANGING PROFILE OF SPRS

• Increased flexibility• Embracing modern communication methods • No longer Bristol / Regional centric• Registrars able to maintain local clinical work and participate in

local on call rotas whilst working at the registry

FUTURE IMPROVEMENTS

• More collaboration with institutes with known record of excellence in epidemiological research

• Bristol University, LSHTM & University of Southampton• Ensuring delivery of PhDs/MDs• Development of renal epidemiology program• Working with other organisations to improve data

sharing/merging• Maintaining and further development of trend to use mixed

methods approach

INTERACTION WITH SPRS IN TRAINING

• Data queries• Assistance with local audits• Supporting innovative research ideas• Study Groups• Prompt review of data-requests• Assistance in developing research networks• Genuinely helpful staff• Keen to listen

CONCLUDING REMARKS

• Diverse range of research & Mixed methods approach• Flexibility• Formalisation of working relationships and increased

accountability• Significant opportunities for registrars in training• Improved awareness mutually beneficial for registry• Need to engage with Registrars

• Informally locally (consultants)• Formally (training days, SpR Club)• Promoting attendance at Annual Audit day meeting

Any questions

rishi.pruthi@nbt.nhs.uk