まとめ
米国とカナダの医学部では,性感染症 (STD) の臨床訓練が十分にされていない. ほとんどの学校ではトレーニングが提供されず,STD症例の増加にもかかわらず,参加率は低い.
科学分野:
- 医療教育 医療教育について
- 公共衛生は公衆衛生である.
- 感染症 感染症は感染症です.
背景:
- 性感染症 (STD) は,感染のスペクトルの拡大とともに,ますます大きな公衆衛生上の課題となっています.
- 性病学の適切な臨床訓練は,医療従事者が性病を効果的に管理するために不可欠です.
- 米国とカナダの医学部で現在行われている研修は,このニーズを満たすには不十分であるように思われる.
研究 の 目的:
- 米国とカナダのメディカルスクールで提供されている性感染症 (STD) の臨床研修の可用性と範囲を評価する.
- 医学生と住人のためのSTD臨床教育におけるギャップを特定する.
- STD訓練に関する既存の勧告の関連性を評価する.
主な方法:
- 米国とカナダの127の医学部で調査が行われました.
- 収集されたデータには,病院または保健部門に拠点を置くSTDクリニックの講義の可用性,臨床訓練の提供,および居住者に割り当てられた時間が含まれています.
- 学生と居住者の参加率と授業時間の分析が行われました.
主要な成果:
- 調査対象となった医学部の大多数は,専用の性感染症の診療所を設けていない (69/127) か,臨床訓練を提供していない (87/127).
- 多くの施設では,住人のための診療時間を提供していない (96/127).
- 訓練が提供された場合でも,参加率は低い (学生の30%,住民の45%),指導時間は限られた (学生の平均は6時間,住民の平均は12時間).
結論:
- 米国医学部におけるヴァネロジーの指導は,過去15年間で減少しており,STDの発生率と複雑性の増加と対照的です.
- この調査結果は,STD治療施設での最低限の臨床経験が,すべての研修生に対して義務付けられるよう,国立会議の勧告を裏付けている.
- 将来の医師を適切に準備するために,STDの臨床訓練を強化するために緊急に行動が必要である.
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