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发展中国家的新医学毕业生对儿童和青少年 1 型糖尿病的诊断和管理知识的充分性。

Adequacy of knowledge of new medical graduates about diagnosis and management of children and adolescents with type 1 diabetes in a developing country.

机构信息

Department of Pediatrics, University of Jordan, Queen Rania Street, Amman, 11942, Jordan.

Pharmacological and Diagnostic Research Center, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, Jordan.

出版信息

BMC Med Educ. 2023 Apr 12;23(1):234. doi: 10.1186/s12909-023-04234-z.

Abstract

BACKGROUND

Knowledge of diabetes by the graduate physicians had been reported to be deficient in many aspects of diagnosis and management of type 1 diabetes (T1D). This will reflect on patient care and quality of health services especially in limited-resources countries. Our aim was to assess knowledge of basic management of T1D in new medical graduates in Jordan.

METHODS

A questionnaire was developed to collect information concerning demographics and knowledge and was distributed in paper form and online using google forms. The knowledge was assessed using 28 questions on different aspects of the disease.

RESULTS

A total of 358 new medicine graduates responded to the survey and female respondents were significantly higher than male respondents. Average number of lectures concerning diabetes during the medical school years was 3.92 ± 1.37. High knowledge scores were on pathophysiology of T1D, hypoglycemia, and certain aspects of diabetic ketoacidosis. Female gender, higher number of persons with T1D the participant had encountered during medical school, and good or excellent expected degree of self-knowledge of diabetes were associated with high knowledge score, p values = 0.01, 0.009, and < 0.001, respectively. Female gender and good or excellent expected degree of knowledge of diabetes predicted high knowledge score, p value = 0.008, and < 0.001, respectively.

CONCLUSION

Gaps in knowledge of new medical graduates in certain T1D subjects exist. This can be corrected by many strategies including changes in curricula, elective courses, more clinical exposure, and interprofessional education. These measures must be evaluated for their short and long-term benefits.

摘要

背景

有报道称,研究生医生在 1 型糖尿病(T1D)的诊断和管理的许多方面缺乏糖尿病知识。这将反映在患者护理和医疗服务质量上,尤其是在资源有限的国家。我们的目的是评估约旦新医学毕业生在 T1D 基本管理方面的知识。

方法

我们开发了一份问卷来收集有关人口统计学和知识的信息,并以纸质形式和在线谷歌表格形式进行分发。该知识通过 28 个关于疾病不同方面的问题进行评估。

结果

共有 358 名新医学毕业生对该调查做出了回应,女性受访者明显高于男性受访者。在医学院期间,关于糖尿病的讲座数量平均为 3.92±1.37 次。关于 T1D 的病理生理学、低血糖和某些糖尿病酮症酸中毒方面的知识得分较高。女性性别、在医学院期间遇到的 T1D 患者人数较多、以及自我对糖尿病知识的了解程度较好或优秀与高知识得分相关,p 值分别为 0.01、0.009 和 <0.001。女性性别和对糖尿病知识的良好或优秀预期程度预测了高知识得分,p 值分别为 0.008 和 <0.001。

结论

新医学毕业生在某些 T1D 科目中存在知识差距。这可以通过许多策略来纠正,包括课程改革、选修课程、更多的临床接触和跨专业教育。必须评估这些措施的短期和长期效益。

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