Carlotti Ana Paula de Carvalho Panzeri, Ferlin Maria Lúcia Silveira, Martinez Francisco Eulógio
Department of Childcare and Pediatrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Sao Paulo Med J. 2007 May 3;125(3):180-5. doi: 10.1590/s1516-31802007000300010.
Neonatal resuscitation should be part of medical school curriculums. We aimed to evaluate medical school graduates' knowledge of neonatal resuscitation.
Cross-sectional study on the performance of candidates sitting a medical residency exam at Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, in 2004.
There were two questions on neonatal resuscitation. One question in the theory test aimed at evaluating basic knowledge on the initial approach towards newly born infants. The question in the practical exam was designed to evaluate the candidate's ability to perform the initial steps of resuscitation and to establish bag-mask ventilation.
Out of 642 candidates from 74 medical schools, 151 (23.5%) answered the theory question correctly. Significantly more physicians from public medical schools in the State of São Paulo answered correctly than did those from other schools in Brazil (52.5% versus 9.2%; p < 0.05). A total of 436 candidates did the practical exam. The grades among graduates from medical schools belonging to the State of São Paulo were significantly higher than among those from other schools (5.9 +/- 2.6 versus 4.1 +/- 2.1; p < 0.001). The grades for the practical question among candidates who had answered the theory question correctly were significantly higher than those obtained by candidates who had given wrong answers (p < 0.05).
Medical school graduates' knowledge of neonate resuscitation in the delivery room is quite precarious. Emphasis on neonatal resuscitation training is urgently needed in medical schools.
新生儿复苏应成为医学院课程的一部分。我们旨在评估医学院毕业生对新生儿复苏的知识掌握情况。
2004年，对圣保罗大学里贝朗普雷图医学院临床医院参加医学住院医师考试的考生表现进行的横断面研究。
有两道关于新生儿复苏的问题。理论考试中的一道题旨在评估对新生儿初始处理的基本知识。实践考试中的问题旨在评估考生进行复苏初始步骤及建立面罩通气的能力。
在来自74所医学院的642名考生中，151人（23.5%）正确回答了理论问题。圣保罗州公立医学院的医生回答正确的比例显著高于巴西其他学校的医生（52.5%对9.2%；p<0.05）。共有436名考生参加了实践考试。圣保罗州医学院毕业生的成绩显著高于其他学校的毕业生（5.9±2.6对4.1±2.1；p<0.001）。正确回答理论问题的考生在实践问题上的成绩显著高于回答错误的考生（p<0.05）。
医学院毕业生在产房对新生儿复苏的知识掌握相当薄弱。医学院迫切需要加强新生儿复苏培训。
