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Knowledge, competencies and attitudes regarding external post-mortem physical examination: A survey among German
Jan Valentini1,2, Katja Goetz2,3, Kathrin Yen4
1a Institute of General Practice and Multi-Disciplinary Healthcare , University Hospital and Faculty of Medicine Tübingen , Tübingen , Germany.
Background:
The external post-mortem examination (EPME) is an important medical, legal and socio-economic task with far-reaching relevance; however, due to discrepancies between findings from EPMEs and actual cause of death, improvements in accuracy and quality are needed.
Objectives:
To investigate knowledge, competencies and attitudes regarding EPME in general practitioner (GP) post-graduate trainees.
Methods:
Before four post-graduate training courses on the EPME for general practitioner trainees, organized in 2014 in the German federal state of Baden-Wuerttemberg, a questionnaire on the EPME was distributed by the lecturer, completed by the GP post-graduate trainees and returned to the lecturer. The questionnaire consisted of 19 items related to three main categories: knowledge, competencies and attitudes.
Results:
Out of 380 GP post-graduate trainees, 128 completed and returned the questionnaire (response rate 33.7%). Less than 18% felt adequately confident in identifying a natural cause of death and less than 5% felt adequately confident in identifying an unnatural cause of death. Only 33% consistently fully uncover the corpse for the EPME.
Conclusion:
We found an important uncertainty in GP post-graduate trainees regarding their EPME knowledge and competencies.
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