Almeida C, Clarke B, O'Brien A, Hammond A, Ryan S, Kay L, Hewlett S
Academic Rheumatology, University of Bristol, Bristol, UK.
Rheumatology (Oxford). 2006 Jul;45(7):868-73. doi: 10.1093/rheumatology/kel008. Epub 2006 Jan 31.
Rheumatological conditions are common and all health professionals (HPs) therefore need sufficient knowledge and skills to manage patients safely and effectively. The aim of this study was to examine current undergraduate education in rheumatology for HPs in the UK.
A questionnaire was sent to curriculum organizers and clinical placement officers for all undergraduate courses in adult nursing, occupational therapy (OT) and physiotherapy (PT) in the UK to ascertain the nature and amount of rheumatology theory and clinical exposure provided.
Of the 47 adult nursing, 26 OT and 30 PT undergraduate courses surveyed, 85-90% responded. Overall, rheumatology teaching is 5-10 h over 3 yr. Nursing students receive moderate/in-depth teaching on rheumatoid arthritis (RA) in only 52% of courses (OT 91%, PT 96%) and on osteoarthritis (OA) in 63% (OT 91%, PT 92%). Clinical experience of RA is probably/definitely available in only 56% of nursing courses (OT 72%, PT 88%), with similar results in OA. Overall, nursing students receive the least rheumatology exposure, particularly in psychosocial issues and symptom management, while PT students receive the most. OT students have limited opportunities for clinical exposure to psychosocial and joint protection issues. Use of local rheumatology clinical HP experts is variable (18-93%) and cross-disciplinary exposure is limited (0-36%). Many educators consider their rheumatology training to be insufficient (nursing 50%, PT 42%, OT 24%).
Rheumatology training for undergraduate HPs is limited in key areas and often fails to take advantage of local clinical expertise, with nursing students particularly restricted. Clinical HP experts should consider novel methods of addressing these shortfalls within the limited curriculum time available.
风湿性疾病很常见，因此所有医疗专业人员（HP）都需要具备足够的知识和技能，以便安全有效地管理患者。本研究的目的是调查英国HP本科阶段目前的风湿病教育情况。
向英国所有成人护理、职业治疗（OT）和物理治疗（PT）本科课程的课程组织者和临床实习负责人发送了一份问卷，以确定所提供的风湿病理论和临床实践的性质和数量。
在接受调查的47个成人护理、26个OT和30个PT本科课程中，85% - 90%做出了回应。总体而言，风湿病教学在3年中为5 - 10小时。护理专业学生仅在52%的课程中接受了关于类风湿关节炎（RA）的中度/深入教学（OT为91%，PT为96%），在63%的课程中接受了关于骨关节炎（OA）的教学（OT为91%，PT为92%）。只有56%的护理课程可能/肯定提供了RA的临床经验（OT为72%，PT为88%），OA的情况类似。总体而言，护理专业学生接受的风湿病教育最少，尤其是在心理社会问题和症状管理方面，而PT专业学生接受的最多。OT专业学生临床接触心理社会和关节保护问题的机会有限。当地风湿病临床HP专家的参与程度各不相同（18% - 93%），跨学科接触有限（0% - 36%）。许多教育工作者认为他们的风湿病培训不足（护理专业为50%，PT专业为42%，OT专业为24%）。
本科HP的风湿病培训在关键领域有限，且常常未能利用当地的临床专业知识，护理专业学生受到的限制尤为明显。临床HP专家应考虑在有限的课程时间内采用新方法来弥补这些不足。
