Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA.
Pediatr Rheumatol Online J. 2013 Jun 5;11(1):26. doi: 10.1186/1546-0096-11-26.
Pediatric rheumatology faces many challenges due to the shortage of board certified physicians in the field and the imbalance in their geographic distribution. This shortage has required primary care physicians and adult rheumatologists to assume the care of children with rheumatologic diseases, though these physicians report significant discomfort doing so. We are addressing this issue through the development of a novel web-based curriculum aimed at primary care physicians.
We pursued a needs assessment survey of Vanderbilt pediatric residency graduates (1981-2010) working in primary care. Our goals were to understand their perceptions of what the needs are and what educational interventions would be most effective.
Of 152 surveys sent successfully via Survey Monkey, we received 28 responses (18.4%). Responses suggest there to be a discrepancy between physicians' general assessment of their training and their self-reported ability to recognize specific diseases. Nearly 80% of respondents felt that additional education in pediatric rheumatology would improve their ability to co-manage children with the rheumatologist. Action plans for common rheumatologic complaints and potential emergencies were thought to be of potential benefit by a majority of respondents.
We will utilize our survey results to develop a learner centered curriculum to have the highest positive impact in assisting primary care providers in caring for children with rheumatologic diseases.
儿科风湿病学面临许多挑战,原因是该领域的认证医师短缺,且分布不均。这种短缺迫使初级保健医生和成人风湿病学家承担起照顾患有风湿病儿童的责任,尽管这些医生报告说这样做非常不舒服。我们正在通过开发一种针对初级保健医生的新型网络课程来解决这个问题。
我们对在初级保健领域工作的范德比尔特儿科住院医师(1981-2010 年)进行了一项需求评估调查。我们的目标是了解他们对需求的看法,以及哪些教育干预措施最有效。
在通过 Survey Monkey 成功发送的 152 份调查中,我们收到了 28 份回复(18.4%)。回复表明,医生对自己培训的总体评估与其自我报告的识别特定疾病的能力之间存在差异。近 80%的受访者认为,在儿科风湿病学方面的额外教育将提高他们与风湿病学家共同管理儿童的能力。大多数受访者认为,针对常见风湿病投诉和潜在紧急情况的行动计划可能会带来好处。
我们将利用调查结果开发以学习者为中心的课程,以最高效地帮助初级保健提供者照顾患有风湿病的儿童。