Deng Lei, Na Fei-Fei, Wang Jing-Wen, Meng Mao-Bin, He Hong-Yan, Yang Jun-Jie, Jian Yu-Su, Wu Jun-Jiao, Ding Jie, Xie Duo, Liu Yue, Mu Xiao-Min, Li Yu-Fei, Chen Yan, Lu You
Department of Thoracic Cancer, Cancer Center, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Asian Pac J Cancer Prev. 2011;12(10):2801-6.
This study aimed to investigate Chinese medical interns' cancer knowledge and associated factors, focusing on cancer screening.
A questionnaire survey was conducted in ten leading Chinese medical schools from June to July in 2011. Medical interns were invited to fill the questionnaire.
Out of the 1350 copies sent, 1135 eligible responses were returned. Around 50% of interns had positive attitude toward oncology, but the knowledge score was low, particularly in screening. The percentages of scores were 44.8% (8.95/20) for overall and only 29.6% (2.07/7) for screening. The majority of internship length in oncology department was eight to fourteen days. Screening and prevention was ranked as third most taught, following diagnosis and treatment. Multivariate analysis showed that positive attitude to oncology correlated with positive self-evaluated overall (OR = 1.76, 95% CI (1.45, 2.12)) and screening (OR = 1.62, 95% CI (1.35, 1.95)) competence, but unexpectedly predicted lower screening score (OR = 0.77, 95% CI (0.61, 0.97)). Interns with positive self-evaluated screening competence were not found to possess higher cancer screening knowledge.
Current medical education in Chinese medical schools fails to equip interns with optimal cancer knowledge, particularly in screening, even in interns who hold positive view to oncology. Interns' self-evaluated competence is not proportional to their knowledge scores.
本研究旨在调查中国医学实习生的癌症知识及相关因素，重点关注癌症筛查。
2011年6月至7月，在十所中国顶尖医学院校进行了问卷调查。邀请医学实习生填写问卷。
在发放的1350份问卷中，共收回1135份有效回复。约50%的实习生对肿瘤学持积极态度，但知识得分较低，尤其是在筛查方面。总体得分率为44.8%（8.95/20），筛查得分率仅为29.6%（2.07/7）。大多数实习生在肿瘤科的实习时长为八至十四天。筛查与预防被列为第三大教学内容，排在诊断和治疗之后。多因素分析显示，对肿瘤学的积极态度与自我评估的总体（OR = 1.76，95% CI（1.45，2.12））和筛查（OR = 1.62，95% CI（1.35，1.95））能力呈正相关，但出乎意料的是，积极态度预示着较低的筛查得分（OR = 0.77，95% CI（0.61，0.97））。未发现自我评估筛查能力较强的实习生具备更高的癌症筛查知识。
中国医学院校目前的医学教育未能使实习生具备最佳的癌症知识，尤其是在筛查方面，即使是对肿瘤学持积极态度的实习生也是如此。实习生的自我评估能力与其知识得分不成正比。
