在MASLD/MASH教育的差距:与美国研究生医学教育课程领导人的定量和质量调查
Alina M Allen1, Anthony R Hoovler2, Amy Articolo3
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Advances in medical education and practice
|May 12, 2025
概括
医学教育领导者认识到代谢功能障碍相关的脂肪肝炎 (MASH) 培训的重要性,但目前的课程有限. 预计新药批准将增加MASH教育时间,以获得更好的诊断和护理.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 和其炎症形式MASH,正是与肥胖和2型糖尿病相关的全球健康问题日益增加.
- 无论是MASLD还是MASH都被严重低诊断,发现的病例不到5%.
- 患病率和心脏代谢影响的增加凸显了需要加强医疗培训的必要性.
研究的目的:
- 评估美国医学教育计划领导者对MASH相关培训和教育的看法.
- 收集对当前课程和感知到的教育差距的定性和定量见解.
主要方法:
- 一项涉及量化在线调查和定性焦点小组的横截面研究.
- 参与者包括来自初级保健 (内科,家庭医学) 和专科计划 (肝病学,胃肠病学,内分泌学) 的领导者.
- 数据从2023年2月21日至8月28日收集,并使用描述性统计数据进行分析.
主要成果:
- 190位领导者完成了调查,11位领导者参加了重点小组.
- 几乎所有课程都包括MASLD (96%) 和MASH (92%) 在课程中,但领导者认为没有足够的时间用于MASH.
- 受访者同意MASH的诊断不足,其与心脏代谢疾病的联系需要更多的课程时间,特别是即将批准的药物.
结论:
- 医学教育工作者承认MASH在课程中的重要性.
- 目前,有限的治疗选择限制了MASH在培训中的覆盖范围,影响了医疗保健从业者的知识.
- 预期的药物批准预计将推动医疗课程中MASH教育的增加.
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