Lansang M Cecilia, Harrell Heather
Division of Endocrinology, University of Florida, Health Science Center, Box 100226, Gainesville, FL 32610-0226, USA.
Diabetes Care. 2007 May;30(5):1088-91. doi: 10.2337/dc06-2174. Epub 2007 Feb 26.
The importance of proper management of inpatient hyperglycemia is increasingly being recognized. However, the curriculum for 4th-year medical students has lagged behind current clinical recommendations. The aim of this study was to assess the baseline knowledge of medical subinterns on inpatient diabetes.
In the 2005-2006 school year, subinterns were given a pretest on inpatient diabetes. Descriptive analysis was used.
Students frequently recommended the sole use of sliding scale for diabetes management. Hyperglycemia in patients not known to have diabetes is less likely to be recognized. The students were more likely to provide appropriate management for chest pain than diabetes. Students were otherwise knowledgeable about the recognition of type of diabetes and the pharmacology of the medications.
This study demonstrates the gaps in knowledge about inpatient diabetes that exist before internship and residency. The findings can be used to design a curriculum appropriately targeted to the level of 4th-year medical students.
住院患者高血糖的合理管理的重要性日益受到认可。然而，四年级医学生的课程却落后于当前的临床建议。本研究的目的是评估医学实习医生关于住院糖尿病的基线知识。
在2005 - 2006学年，对实习医生进行了一次关于住院糖尿病的预测试。采用描述性分析。
学生们经常建议单纯使用血糖滑动调整剂量法来管理糖尿病。未患糖尿病患者的高血糖情况较难被识别。学生们对胸痛的处理比对糖尿病更有可能提供恰当的管理。除此之外，学生们对糖尿病类型的识别和药物药理学方面知识丰富。
本研究表明在实习和住院医师培训之前存在关于住院糖尿病知识的差距。这些发现可用于设计适合四年级医学生水平的课程。
