概括
美国和加拿大的医学院缺乏足够的性传播疾病 (STD) 临床培训. 大多数学校没有提供培训,尽管性传播疾病病例增加,但参与率很低.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 性传播疾病 (STD) 构成了日益严重的公共卫生挑战,感染的频谱不断扩大.
- 医学专业人员在性病学方面获得充分的临床培训对于有效管理性传播疾病至关重要.
- 美国和加拿大医学院目前的培训似乎不足以满足这一需求.
研究的目的:
- 评估美国和加拿大的医学院提供的性传播疾病 (STD) 临床培训的可用性和程度.
- 为医学学生和住院人员确定STD临床教育的差距.
- 评估现有的STD培训建议的相关性.
主要方法:
- 在美国和加拿大的127所医学院进行了一项调查.
- 收集的数据包括医院或卫生部门的性传播疾病诊所的可用性,用于教学,提供临床培训,以及分配给居民的时间.
- 分析了学生和居民的参与率和教学时间.
主要成果:
- 大多数接受调查的医学院缺乏专门的性传播疾病诊所进行教学 (69/127) 或没有提供临床培训 (87/127).
- 许多机构没有为居民提供临床时间 (96/127).
- 即使在提供培训的地方,参与率也很低 (30%的学生,45%的居民),教学时间有限 (学生平均6小时,居民12小时).
结论:
- 在过去的15年里,美国医学院的性病学指导已经下降,与日益增长的性病发病率和复杂性形成鲜明对比.
- 这些发现支持国家会议的建议,要求所有实习生在性传播疾病治疗设施中具有强制性的最低监督临床经验.
- 需要采取紧急行动来加强性传播疾病的临床培训,以充分准备未来的医生.
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