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首页> 外文期刊>The Journal of Urology >Deficits in urological knowledge among medical students and primary care providers: potential for impact on urological care.
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Deficits in urological knowledge among medical students and primary care providers: potential for impact on urological care.

机译：医学生和初级保健提供者中泌尿科知识的不足：对泌尿科护理的潜在影响。

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PURPOSE: Recent data indicate a decline in the urological education of third and fourth year medical students. To determine if this decline has an impact on the treatment of patients we performed a survey to evaluate the general level of knowledge, attitudes and practices with regard to common urological issues seen in a general medical practice among medical students and faculty involved in primary care at an academic institution. MATERIALS AND METHODS: A confidential questionnaire was distributed to attendings, residents and fellows, and the clinical medical students at our academic institution to ascertain how they evaluate and treat patients with common urological complaints. All responses were entered into SPSS statistical software. RESULTS: A total of 300 surveys were distributed, 150 of which were returned with complete information for data analysis. Knowledge with regard to various conditions including hematuria, recognition of an age specific abnormality in serum prostate specific antigen and overactive bladder was low for all groups. Furthermore, respondents demonstrated a low likelihood of requesting formal urological evaluation for these conditions. Exposure to a urology elective in medical school had a positive impact on some areas of urological evaluation. CONCLUSIONS: General urological knowledge with regard to the primary care setting is insufficient. The potential for impact on patient care is enormous. These data highlight the need for a definitive urological curriculum in medical school as well as continued education at the resident and faculty level with regard to evaluation, management and recognition of when to request formal urological evaluation in the primary care setting.
机译：目的：最近的数据表明，三年级和四年级医学生的泌尿外科教育有所下降。为了确定这种下降是否会对患者的治疗产生影响，我们进行了一项调查，以评估医学生和从事初级保健的教师在一般医学实践中所见的有关常见泌尿科问题的一般知识，态度和做法。一个学术机构。材料与方法：向我们学院的就诊者，居民和研究人员以及临床医学专业学生分发了一份保密问卷，以确定他们如何评估和治疗患有泌尿科常见病的患者。所有答复均输入SPSS统计软件。结果：总共分发了300个调查，其中150个返回了完整的信息用于数据分析。对于所有组，包括血尿，对血清前列腺特异性抗原的年龄特异性异常的识别和膀胱过度活动症的认识均很低。此外，受访者对这些情况要求正式泌尿科评估的可能性很小。在医学院接受泌尿科选修课的课程对泌尿科评估的某些领域产生积极影响。结论：有关初级保健环境的一般泌尿科知识不足。影响患者护理的潜力是巨大的。这些数据突出表明，需要在医学院校制定明确的泌尿科课程，以及在居民和教职员工层面进行继续教育，以评估，管理和认可何时需要在基层医疗机构中进行正式泌尿科评估。

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