Hepatology exposure
| All responses | ST6 respondents only | ST7 respondents only | ||||
| Time spent receiving hepatology training (months) | <3 | >3 | <3 | >3 | <3 | >3 |
| Transplant unit | 210 (79.5) | 54 (20.5) | 23 (67.6) | 11 (32.4) | 20 (46.5) | 23 (53.4) |
| Non-transplant liver unit* | 158 (61.2) | 100 (38.8) | 15 (40.5) | 22 (59.5) | 5 (12.2) | 36 (87.8) |
| High-volume, non-specialist unit | 73 (27.8) | 190 (72.2) | 5 (14.3) | 30 (85.7) | 3 (11.0) | 35 (92.1) |
| Clinic exposure | ||||||
| General hepatology | 223 (97.4) | 35 (100) | 46 (100) | |||
| NAFLD | 102 (44.5) | 14 (40.0) | 33 (71.7) | |||
| Viral hepatitis | 128 (55.9) | 23 (65.7) | 38 (82.6) | |||
| Autoimmune disease | 95 (41.5) | 17 (48.6) | 29 (63.0) | |||
| Transplant | 73 (31.9) | 16 (45.7) | 27 (58.7) | |||
| Other exposures | ||||||
| TIPS | 171 (66.5) | 32 (84.2) | 42 (91.3) | |||
| Liver tumour MDT | 140 (54.5) | 24 (63.2) | 38 (82.6) | |||
| Transplant assessment | 104 (40.5) | 18 (47.4) | 36 (78.3) | |||
| Post-transplant management | 107 (41.6) | 20 (52.6) | 37 (80.4) | |||
| Liver disease in ITU | 132 (51.4) | 23 (60.5) | 41 (89.1) | |||
| Variceal banding | 249 (96.9) | 38 (100) | 46 (100) | |||
| Are you confident you have adequate hepatology training? | ||||||
| Very confident | 44 (15.8) | 7 (18.4) | 20 (43.5) | |||
| Confident | 115 (41.4) | 21 (55.3) | 23 (50.0) | |||
| Neutral | 78 (28.1) | 8 (21.1) | 2 (4.4) | |||
| Unconfident | 36 (13.0) | 2 (5.3) | 1 (2.2) | |||
| Extremely unconfident | 5 (1.8) | 0 (0) | 0 (0) | |||
*Includes specialist liver units offering complex treatments including TIPS and HCC treatment but not transplantation.
HCC, hepatocellular carcinoma; ITU, intensive treatment unit; MDT, multidisciplinary team; NAFLD, non-alcoholic fatty liver disease; ST, specialty training; TIPS, transjugular intrahepatic portosystemic shunt.