Journal Article

P60 On the right trach yet? National survey of respiratory registrar experience with tracheotomy training

El-Nayal, A, Abugassa, E, Sagar, D, Aday, C

2025

Overview

IntroductionTracheostomy care in hospitals has historically been suboptimal, contributing to increased morbidity and mortality.1 These patients require complex, multidisciplinary care delivered by appropriately trained staff. Simulation-based training improves both knowledge and confidence in tracheostomy care. We conducted a national survey to assess training, exposure, and confidence among respiratory trainees in the UK.MethodsA web-based survey was designed to evaluate tracheostomy training and exposure among UK respiratory trainees. Respondents were asked about training grade, deanery, ICU rotation completion, and whether they were dual training in Intensive Care Medicine (ICM). The survey included questions on theoretical and practical training, use of simulation, confidence levels, and suggestions for improving training. It was distributed via the Dual Respiratory & ICM trainees WhatsApp group between November 2024 and February 2025.ResultsSeventy-one trainees responded, including 12 dual ICM trainees, from 10 deaneries. Of all respondents, 32% had not received any tracheostomy training, while 41% had received both theoretical and practical instruction. Among 59 non-ICM trainees, only 31% had received both.Confidence in tracheostomy care was associated with seniority, dual ICM training, ICU experience, and access to a tracheostomy weaning unit. Trainees with simulation experience or frequent exposure to tracheostomy patients reported higher confidence levels figure 1).A total of 94% expressed interest in attending practical or simulation-based training. Suggested improvements included mandatory e-learning modules, annual simulation sessions, and dedicated tracheostomy teaching at regional training events.Abstract P60 Figure 1Trainee Confidence Ratings[Image Omitted. See PDF.]ConclusionThis national survey highlights a clear mismatch between the clinical expectations of respiratory trainees and their current training in tracheostomy care. Gaps in structured teaching and simulation access are common, but trainees identified practical, achievable improvements. There is strong interest in better training opportunities. It is now the responsibility of training bodies and educators to implement meaningful changes.ReferenceWilkinson KA, et al. On the right trach? A review of the care received by patients who underwent a tracheostomy. A report by NCEPOD. 2014, London.

• Publisher: BMJ Publishing Group LTD
• Subject: Ostomy / Simulation / Tracheotomy