Mishail Alek, Shahsavari Mehzad, Kim Jason, Welliver Robert C, Vemulapalli Praneeth, Adler Howard L
Stony Brook University Medical Center, Stony Brook, New York (e-mail:
J Urol. 2008 Nov;180(5):2140-7. doi: 10.1016/j.juro.2008.07.043. Epub 2008 Sep 18.
Recent data indicate a decline in the urological education of third and fourth year medical students. To determine if this decline has an impact on the treatment of patients we performed a survey to evaluate the general level of knowledge, attitudes and practices with regard to common urological issues seen in a general medical practice among medical students and faculty involved in primary care at an academic institution.
A confidential questionnaire was distributed to attendings, residents and fellows, and the clinical medical students at our academic institution to ascertain how they evaluate and treat patients with common urological complaints. All responses were entered into SPSS statistical software.
A total of 300 surveys were distributed, 150 of which were returned with complete information for data analysis. Knowledge with regard to various conditions including hematuria, recognition of an age specific abnormality in serum prostate specific antigen and overactive bladder was low for all groups. Furthermore, respondents demonstrated a low likelihood of requesting formal urological evaluation for these conditions. Exposure to a urology elective in medical school had a positive impact on some areas of urological evaluation.
General urological knowledge with regard to the primary care setting is insufficient. The potential for impact on patient care is enormous. These data highlight the need for a definitive urological curriculum in medical school as well as continued education at the resident and faculty level with regard to evaluation, management and recognition of when to request formal urological evaluation in the primary care setting.
近期数据表明三、四年级医学生的泌尿外科教育有所下降。为了确定这种下降是否会对患者治疗产生影响，我们进行了一项调查，以评估一所学术机构中参与初级保健的医学生和教职员工对普通医疗实践中常见泌尿外科问题的总体知识水平、态度和做法。
向我们学术机构的主治医师、住院医师和研究员以及临床医学生发放了一份保密问卷，以确定他们如何评估和治疗患有常见泌尿外科疾病的患者。所有回复均录入SPSS统计软件。
共发放了300份调查问卷，其中150份被收回且信息完整可供数据分析。所有组对包括血尿、血清前列腺特异性抗原年龄特异性异常识别以及膀胱过度活动症等各种病症的知识掌握程度都很低。此外，受访者对这些病症进行正式泌尿外科评估的可能性也很低。医学院的泌尿外科选修课对泌尿外科评估的某些方面有积极影响。
初级保健环境下的普通泌尿外科知识不足。对患者护理产生影响的可能性很大。这些数据凸显了医学院需要明确的泌尿外科课程，以及住院医师和教职员工在初级保健环境中关于评估、管理以及何时请求进行正式泌尿外科评估的识别方面的继续教育。
