CERA

CERA 5

CERA 5 is here!

Good evening everyone. The COVID-19 Emergency Responsiveness Assessment study is in its fifth phase. The first three phases looking at the acceleration, peak, and deceleration of the first wave of the COVID-19 pandemic in the UK in 2020. The fourth phase (for which we now have results!) looked at the impact of the third wave. A finding observed in the deceleration phase of the pandemic was a high degree of persisting distress & trauma. Given the impact of the third wave of the pandemic, we are looking to find out how people are feeling, three months after the first survey.

If you completed the first survey, you will have received an invite to this phase of the survey. This phase of the survey - CERA 5 - is open for two weeks. We will then collect the data and send it off to the R-factory. This will allow us to assess the impact of this third wave of the pandemic in the UK, the impact of which persists for many. Our heart goes out to all those affected by the scenes of devastation seen in India.

Hope you're staying safe.

Rob

Avatar photoby Robert Hirst

TERN April Update

Good morning everyone; time for a TERN April Update!

I just wanted to write a little post updating people on a few things that were going on.

CERA 1 

The results of the first, acceleration phase of the CERA study has now been published.  It can be found on the EMJ and if you're a collaborator and eager to see your name in lights - can be found here on PubMed. Please tweet and share about it! We'll be posting an infographic to boot.

CERA 4

The results from the fourth iteration of the study looking at the third wave of the pandemic this winter have come back from the R factory, and we will be getting them into a publishable form and will be releasing it to you all. Watch this space.

Delphi

The Delphi study is in full-swing, and we are now rounding out the second round of the questionnaire, attempting to produce a list of research priorities. This will come out and will then go on to identify research priorities for the network. Stay tuned!

SHED

We are going ahead for a September / October start for SHED; we will be releasing a survey next week asking people to tell us where they will be next year in order to start working out where we will be recruiting for the sites. Keep an eye out!

Educational Work

With our new Education leads, Raj & Celestine, we've started producing more educational / research-orientated content on our home on RCEMLearning. This includes two new features - TERN's Top Papers and the TERN Virtual Journal Club.

TERN's Top Papers

Trainees do not always have time to read the most recent papers. We want to help trainees stay abreast of the evidence base. We have started by producing a monthly summary of important articles. Teams of trainees from each region (with the assistance of the TERN Education Leads) will produce a summary each month. These will be comprised of a selection of the most important articles to trainees based around that month’s theme published from the past year.

This summary will be written by trainees for trainees. Participation will help EM trainees evidence the research specialty learning outcome (SLO10) and will help aspiring EM trainees demonstrate commitment to specialty. If you are interested in getting involved email us at tern.education@rcem.ac.uk with your name, grade, and deanery.

 

TERN Virtual Journal Club

Now, as you will likely know, the new curriculum has removed the critical appraisal exam, moving towards a portfolio-process. We at TERN are keen to introduce evidence-based practice into our everyday working practice. The previous college focus on critical appraisal (by way of making it an exit examination) has meant that this has become the step of evidence-based practice we focus on. The most crucial of the five steps of evidence-based practice, and the one the literature suggests is the most neglected, is the actual application of the evidence to the patient in front of us.

We are planning to meet a number of needs through creating the Virtual Journal Club. Practically, trainees can demonstrate engagement with the new curriculum (and the SLO10 research outcome) and develop skills at appraising the evidence. We want to centre the application of evidence to clinical practice to the forefront of everyone's mind. Too long we look at a guideline and follow it blindly - we want to go behind the evidence, behind the guidelines, and really get to know the evidence-base behind our practice.

Find our articles on RCEMLearning - we'll also have a section where they will be linked to on this website. 

This has been your TERN April Update!

Thanks,

Rob

Avatar photoby Robert Hirst

CERA 4 Update - First Week

CERA 4 Update time!

Many thanks for all your amazing efforts with CERA.

We have had 1945 responses which is a tremendous amount. A quirk that had not been anticipated last March (amongst other things, such as us even having to do this iteration of the survey...) had been the transition to an entirely different email set-up in Scotland. I very smartly* changed all of the bounced Scottish emails to nhs.scot which, amazingly, didn't fix the problem for everyone.

So, I'd like to extend sincere, heartfelt, big big thanks to Leia Kane and Rachel McLatchie who have painstakingly gone through their contact lists to update basically all of the bounced Scottish emails. The next round of updates will be going out to everyone tomorrow, which will hopefully give everyone a bit of time to have their say. There's the TERN equivalent of a Blue Peter badge waiting for them both if they want to claim it.

So, the moment you've been waiting for - the league table.

(Link available at )

A little bit of backstage drama - realised that I had not cohered the two entries for Leicester, so they maintain a lead over the REMEDY team at Derby and Edd Carlton & Tom Roberts at Southmead. With a week to go there's still lots to play for, and I hope you'll be in your changing rooms, shouting about this study and offering those little orange wedges. Let's get those results in by the 11th and see who will reign supreme.
Thank you so much for your continued efforts & enthusiasm. TERN is contingent upon all your hard work.
Thanks again.
Rob

Avatar photoby Robert Hirst

CERA Is Online

CERA is online!

Good morning everyone, and many thanks for all your hard work with CERA - CERA is online. The study has gone live and the full preprint can be found here: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3760472. As you may have seen, the press release has been picked up by a few places. I'm going to share with you where you can find our work.

Press

These articles are directly about the findings of the CERA Study:

and these articles reference the findings:

Interview

Listen to Tom Roberts, former TERN Fellow, discussing the CERA study on LBC. It can be found on our new Soundcloud.

Infographic

You can find our infographic here.  Let me know what you think!

Journal Club Facilitation

If you've got a Journal Club coming up or simply want a little more detail than the infographic but can't sit down to the paper, you can read the Journal Club facilitation document. If you want to run it as a journal club, instructions are found within the document. Big shout out to Laura Cottey & Leia Kane for their work on TIRED for 'inspiring' this format. The document is here.

 

Thank you again for all of your sterling efforts & enthusiasm. TERN is the result of all of your work & ardour.

Thank you.

Rob

 

Avatar photoby Robert Hirst