Vieira J E, Cukier A, Stelmach R, Kasahara D I, Gannam S, Warth M
Center for Assistance and Research in Asthma, Department of Medicine, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Sao Paulo Med J. 2001 May 3;119(3):101-4. doi: 10.1590/s1516-31802001000300003.
Asthma has been reported as a disease of increasing prevalence.
To assess the level of information and knowledge about asthma by means of a questionnaire among recent graduate physicians applying for medical residency at the Clinical Hospital of the University of São Paulo Medical School, Brazil.
14 multiple-choice questions for asthma diagnosis and management.
University of São Paulo Medical School (FMUSP).
Recent graduate physicians applying for the medical residency program at FMUSP in 1999 (n = 448) and physicians that had completed 2 year of internal medicine residency (n = 92).
We applied a questionnaire with 14 multiple-choice questions about the management of asthma based upon the Expert Panel Report 2 - Guidelines for the Diagnosis and Management of Asthma, NIH/NHLBI, 1997 (EPR-2).
The medical residency program in Internal Medicine improved treatment skills (the ability to propose adequate therapy) when compared to medical education (a score of 57.2% versus 46.9%, P < 0.001) but not diagnosis knowledge (understanding of asthma symptoms related to medicine intake) (33.5% versus 33.3%, P = 0.94). Treatment skills were higher among physicians who received their Medical Degree (MD) from public-sponsored medical schools in comparison with those from private schools [49.7 (SE 1.17)] versus [41.8 (SE 1.63)], P < 0.001.
Medical schools might consider reevaluating their programs regarding asthma in order to improve medical assistance, especially when considering the general results for residents, as they were supposed to have achieved performance after completing this in-service training.
据报道，哮喘的患病率在不断上升。
通过问卷调查评估巴西圣保罗大学医学院临床医院申请内科住院医师培训的应届毕业医生对哮喘的信息和知识水平。
14道关于哮喘诊断和管理的多项选择题。
圣保罗大学医学院（FMUSP）。
1999年申请FMUSP内科住院医师培训项目的应届毕业医生（n = 448）以及已完成两年内科住院医师培训的医生（n = 92）。
我们根据美国国立卫生研究院/国立心肺血液研究所1997年发布的《专家小组报告2 - 哮喘诊断和管理指南》（EPR - 2），应用了一份包含14道关于哮喘管理的多项选择题的问卷。
与医学教育相比，内科住院医师培训项目提高了治疗技能（提出适当治疗方案的能力）（得分分别为57.2%和46.9%，P < 0.001），但在诊断知识（对与药物摄入相关的哮喘症状的理解）方面没有提高（分别为33.5%和33.3%，P = 0.94）。与私立医学院的医生相比，毕业于公立资助医学院的医生治疗技能更高[49.7（标准误1.17）]对[41.8（标准误1.63）]，P < 0.001。
医学院可能需要重新评估其哮喘相关课程，以改善医疗服务，特别是考虑到住院医师的总体结果，因为他们在完成这种在职培训后理应具备相应的表现。
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