Patwari A K, Anand V, Kumar H, Aneja S, Mullick D
Diarrhea Training and Treatment Centre, Kalawati Saran Children's Hospital, New Delhi.
Indian Pediatr. 1991 Aug;28(8):887-92.
The knowledge and perceptions about case management of acute diarrhea were studied amongst 330 resident doctors working in Pediatric Departments of various Medical Colleges in the country. Our observations highlight the inadequacies in the medical curriculum and deficient clinical training in the management of acute diarrhea in the teaching institutions. Knowledge of signs of dehydration was correctly perceived by only 79.8% interns, 80.9% house physicians and 81.1% postgraduate students. It was appalling to observe that despite spending 1-3 years in pediatric wards, the knowledge and perceptions of postgraduate students had not significantly improved. On the contrary, the responses of postgraduate students were poorer as compared to interns in their perceptions of use of ORT in moderate dehydration (p less than 0.005) and in presence of vomiting (p less than 0.05). Adequate thrust on diarrhea and its management during undergraduate as well as during postgraduate teaching and proper training in diarrhea case management with "hands on training" needs to be viewed as a priority in the teaching institutions.
我们对该国各医学院儿科部门工作的330名住院医生进行了关于急性腹泻病例管理的知识和认知研究。我们的观察结果突出了医学课程中的不足之处以及教学机构在急性腹泻管理方面临床培训的欠缺。只有79.8%的实习生、80.9%的住院医师和81.1%的研究生正确认识到脱水的体征。令人震惊的是，尽管研究生在儿科病房工作了1至3年，但其知识和认知并没有显著提高。相反，在中度脱水时口服补液盐的使用认知方面（p小于0.005）以及呕吐情况下（p小于0.05），研究生的回答比实习生更差。在本科和研究生教学期间，应充分重视腹泻及其管理，并通过“实践培训”进行腹泻病例管理的适当培训，这在教学机构中应被视为优先事项。
