印度医学院的大学生之间的风湿病学培训和意识:一个多中心的观察性研究
Deepti Agarwal1, Kavita Krishna1, Srilakshmi Sathiyaseelan1
1Department of Clinical Immunology and Rheumatology, Bharati Vidyapeeth Medical College and Hospital, Pune, India.
BMC medical education
|March 10, 2025
概括
医学学生和实习生在风湿病学方面的知识差距很大,对诊断和管理肌肉骨疾病的信心很低. 在本科课程中加强风湿病学培训对于早期检测和改善患者护理至关重要.
科学领域:
- 医学教育 医学教育
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 风湿和肌肉骨疾病影响印度25-30%的人口,代表着一个主要的公共卫生挑战.
- 本科医学培训往往忽视了类风湿病学,导致缺乏熟练的医疗保健专业人员.
- 类风湿病的非特异性症状使早期诊断复杂化,导致治疗延迟和长期残疾.
研究的目的:
- 评估印度最后一年的本科医学学生和实习生对类风湿病的认识和知识.
- 在当前的医疗课程中识别风湿病学教育的差距.
- 与其他医学领域相比,评估学生对治疗风湿病的信心水平.
主要方法:
- 基于问卷,进行了一项横截面研究,涉及459名最后一年医学学生和实习生.
- 半结构化问卷评估了培训暴露,感知患病率,临床接触,诊断方法和联合检查技能.
- 用真假问题评估客观知识,并将信心水平与其他疾病进行比较.
主要成果:
- 学生经常遇到类风湿性关节炎,骨关节炎和痛风,但较少见的情况,如皮肤肌炎和Sjogren综合征很少见.
- 重点是检查大关节,不太关注手,脚和脚的小关节.
- 只有20%的学生获得了令人满意的知识分数,对类风湿病的信心明显低于其他疾病,尽管实习生比最后一年的学生有更高的信心.
结论:
- 在医学学生和实习生中存在严重的风湿病学知识缺陷,这表明本科培训不足.
- 与其他专业相比,人们对治疗风湿病的信心较低,这表明需要修改课程.
- 综合性风湿病学教学和实践联合考试培训对于改善医疗教育和患者结果至关重要.
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