Newman Robert J, Cummings Doyle M, Lukosius Eric, Patel Hiren, Carmon Trena
Department of Family Medicine, East Carolina University, USA. newmanrj@evms. edu
Fam Med. 2013 Apr;45(4):247-51.
Only 12 % of family physicians perform exercise stress testing (EST) in the office even though there are many indications for its use. The purpose of this study was to obtain updated information about attitudes toward EST training from family medicine residency program directors in the United States.
A survey regarding EST training was designed and sent to all US family medicine residency program directors by e-mail and online survey method with telephone follow-up for non- respondents.
A total of 179 responses were received from 440 US family medicine programs, for a 41% response rate. A majority (77%) of program directors felt office-based EST was a valuable test for risk stratification, and 64% felt that family physicians should offer this test in the office. Despite these attitudes, only 33% of family medicine residency programs offer EST in their offices now, and only 36% of programs reported offering EST training to their residents. This reflects a 16% reduction compared to the last survey done in 1993. The most important barriers to EST training reported were lack of equipment and lack of expert faculty.
Most family medicine training programs want to train their residents in performing EST, but only 36% are doing so. Specifically addressing the barriers to this training will be key to more widespread use of this important test in family medicine settings.
尽管运动负荷试验（EST）有诸多应用指征，但仅有12%的家庭医生在诊所开展此项检查。本研究旨在获取美国家庭医学住院医师培训项目主任对EST培训态度的最新信息。
设计了一项关于EST培训的调查问卷，并通过电子邮件和在线调查的方式发送给所有美国家庭医学住院医师培训项目主任，对未回复者进行电话随访。
440个美国家庭医学项目共收到179份回复，回复率为41%。大多数（77%）项目主任认为基于诊所的EST是进行风险分层的一项重要检查，64%的人认为家庭医生应在诊所提供此项检查。尽管有这些态度，但目前仅有33%的家庭医学住院医师培训项目在其诊所开展EST，仅有36%的项目报告为其住院医师提供EST培训。与1993年的上次调查相比，这一比例下降了16%。报告的EST培训的最重要障碍是缺乏设备和缺乏专家教员。
大多数家庭医学培训项目希望培训其住院医师进行EST，但只有36%的项目正在这样做。具体解决此项培训的障碍将是在家庭医学环境中更广泛应用这项重要检查的关键。
