确保所有儿科医生和风湿病学家都能识别出重要的风湿性疾病。

Ensuring that all paediatricians and rheumatologists recognise significant rheumatic diseases.

机构信息

Newcastle University, Medical School, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK.

出版信息

Best Pract Res Clin Rheumatol. 2009 Oct;23(5):625-42. doi: 10.1016/j.berh.2009.07.002.

DOI:10.1016/j.berh.2009.07.002

PMID:19853828

Abstract

In many health-care systems around the world, many generalists (defined here as a clinician who is not an expert in paediatric musculoskeletal [pMSK] medicine) will be the doctor to whom children with MSK problems are most likely to present. The generalist is likely to have a clinical background in family medicine and paediatrics, but may be a specialist in adult orthopaedics, adult rheumatology or emergency care. Therefore, it is critical that the generalist is able to quickly recognise a child with significant rheumatic disease in order to initiate the proper treatment or referral to a specialist. However, most generalists are ill equipped to be able to do so, because of current deficiencies in education and training. The aims of this article are as follows:

摘要

在世界上许多医疗保健系统中，许多通科医生（这里定义为非儿科肌肉骨骼医学专家的临床医生）很可能是出现肌肉骨骼问题的儿童就诊的首选医生。通科医生可能具有家庭医学和儿科学的临床背景，但也可能是成人骨科、成人风湿病学或急救护理方面的专家。因此，通科医生能够快速识别患有严重风湿病的儿童，以便开始进行适当的治疗或转介给专家，这一点至关重要。然而，由于目前在教育和培训方面存在不足，大多数通科医生都没有能力做到这一点。本文的目的如下：