Background and Goal of Study: Continuous medical education (CME) in transfusional practice (TP) is mandatory at a university hospital in order to keep updated with the current use of blood products. Among doctors, TP varies based on which medical specialty one practices. The goal of this study is to describe the percentage of physicians trained in transfusional practice and the differences observed between specialties. 
Materials and Methods: After local ethics committee approval (HULP: PI-230) an anonymous survey was conducted among six departments of a tertiary university referral hospital; Anesthesia (AR), Emergency (ED), Internal medicine (IM), orthopedics (OT), Intensive Care Unit (ICU) and General Surgery (GS). Data was collected throughout a three-month period (Dec 15'-Feb 16'). Survey included: presence of training in TP, length of it, and periodicity of hemoderivates prescription. Data base was created. Pearson's chi-square test, Fisher exact test and Likelihood ratio was used for qualitative variables. Statistical analysis was performed by SPSS 21.0®. 
Results and Discussion: 125 out of 302 surveys were sent back which leads to a 41.3% (N=125) of participation rate. 76% (N=96) were staff doctors and 23.2% (N=29) were residents. 67.2% (N=84) of physicians had received training or CME along their career in TP.
The duration of formation had a median established in 10 hours, interquartile range 26 hours. Residency was the period when more physicians had been trained (44.8%, N=56), followed by CME (36% ,N=45). The varying percentages in each department are shown in table 1.
Residents	Staff	AR	ED	ICU	IM	OT	GS
69%	66.6%	88.1%	80%	66.7%	20%	0%	75%
[Table 1: % of physicians trained in TP.]
Differences observed among departments were statistically relevant (p< 0.001). Not statistically significant differences observed between residents-staff (p=0.243). 
The blood prescription rate didn't show any statistically significant difference among trained doctors in TP and non-trained doctors. (p=0.591). 
Conclusions: There is a lack of training in TP in many physicians at our hospital. One out of three have never received TP related education. CME could be more focused to a better TP as regardless of these data, however, prescription rate does not vary.

Transfusional practice survey in a tertiary hospital. Are we really trained in transfusional practice?