# Enhancing Resident Doctors’ Preparedness and Confidence in Oncology Through a Practical Handbook

## TL;DR

A practical oncology handbook was created to help resident doctors feel more prepared and confident during their oncology rotations.

## Contribution

The development and implementation of a trainee-led oncology handbook to improve resident doctors' confidence and preparedness.

## Key findings

- Before the handbook, resident doctors reported low confidence in recognizing and managing oncological emergencies.
- After the handbook was introduced, all respondents reported high confidence in core oncology presentations and resource access.
- Qualitative feedback praised the handbook as clear, practical, and invaluable during on-call situations.

## Abstract

Aim

The aim of this quality improvement project (QIP) was to enhance the preparedness and confidence of resident doctors starting their oncology rotation at Royal Stoke University Hospital through the creation of a targeted, practical oncology handbook.

Methods

The QIP was designed using the Model for Improvement framework: Plan-Do-Study-Act (PDSA). A baseline survey was conducted among resident doctors during their oncology placement to assess their confidence in recognizing oncological emergencies, managing common oncological problems, and accessing resources to support them during the rotation. Feedback highlighted the need for a departmental oncology handbook covering these essential topics. The Oncology Handbook was subsequently developed and distributed in both print and digital formats. Its impact was evaluated through a post-intervention survey.

Results

Baseline survey responses from resident doctors (n = 5) revealed low confidence, with no respondents reporting being “fairly confident” or “very confident” in recognizing oncological emergencies or in investigating and managing any of the six surveyed oncology presentations. Confidence in locating resources was also low, with 40% reporting “not confident” and 40% reporting “somewhat confident.” Following the introduction of the Oncology Handbook, confidence improved substantially across all domains: 100% of respondents reported being either “very confident” or “fairly confident” in recognizing and managing core oncology presentations. In addition, 100% felt “very confident” about finding resources and guidelines for oncology, and 100% of respondents “strongly agreed” that the Oncology Handbook was useful. Qualitative feedback described the resource as “clear,” “practical,” and “invaluable during on-calls.”

Conclusions

A targeted, trainee-led intervention in the form of the Oncology Handbook significantly improved preparedness and confidence among resident doctors starting their oncology rotation. Integration into the formal induction program and establishing a process for regular updates are key next steps to sustain its impact.