title: Temporary transvenous pacing: endangered skill.
abstract: BACKGROUND
  Temporary cardiac pacing although is an essential requirement for core medical training (CMT) in UK, there are no defined training measures and guidelines available as to who should perform this.
  
  
  METHODS
  We conducted an anonymous survey of 300 non-cardiology medical registrars regarding their individual ability, experience and training received in temporary pacing wire (TPW) insertion.
  
  
  RESULTS
  A total of 202 (67%) responses were received. 61% (123) had not performed any TPW insertion before becoming a registrar. Only 18% (38) felt confident in inserting a TPW unsupervised and only 14 (7%) had ever received any formal training. The majority, 169 (84%), did not feel that their on-call consultant general physician would be able to perform the procedure.
  
  
  CONCLUSIONS
  This survey shows that general medical registrars lack a major life-saving skill that is required as part of CMT. Thus, there is now an urgent clinical governance need to either formally train physicians or abandon the concept and practice of general internal medicine-led temporary pacing, and devolve this to cardiologists.
authors: Department of Cardiology, East & North Hertfordshire NHS Trust, Welwyn Garden City, AL 7 4HQ, UK.
authors: Sumeet
authors: S
authors: Sharma
authors: Belinda
authors: B
authors: Sandler
authors: Christos
authors: C
authors: Cristopoulos
authors: Smriti
authors: S
authors: Saraf
authors: Vias
authors: V
authors: Markides
authors: Diana A
authors: DA
authors: Gorog
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000379:methods / Q000592:standards*; D002309:Cardiology / Q000193:education; D002405:Catheterization, Central Venous / Q000379:methods / Q000592:standards; D002983:Clinical Competence / Q000592:standards*; D004501:Education, Medical / Q000592:standards; D019538:Health Care Surveys; D006801:Humans; D007318:Inservice Training / Q000592:standards; D008505:Medical Staff, Hospital / Q000193:education; D010138:Pacemaker, Artificial; D011795:Surveys and Questionnaires; D006113:United Kingdom