Ortiz Ana P, Guiot Humberto M, Díaz-Miranda Olga L, Román Leticia, Palefsky Joel, Colón-López Vivian
Cancer Control and Population Sciences Program, University of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.
Division of Infectious Diseases, Department of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
P R Health Sci J. 2013 Dec;32(4):209-12.
This training activity aimed at increasing the knowledge of anal cancer screening, diagnostic and treatment options in medical students and physicians, to determine the interest of these individuals in receiving training in the diagnosis and treatment of anal cancer, and to explore any previous training and/or experience with both anal cancer and clinical trials that these individuals might have.
An educational activity (1.5 contact hours) was attended by a group of medical students, residents and several faculty members, all from the Medical Sciences Campus of the University of Puerto Rico (n = 50). A demographic survey and a 6-item pre- and post-test on anal cancer were given to assess knowledge change.
Thirty-four participants (68%) answered the survey. Mean age was 29.6 +/- 6.6 years; 78.8% had not received training in anal cancer screening, 93.9% reported being interested in receiving anal cancer training, and 75.8% expressed an interest in leading or conducting a clinical trial. A significant increase in the test scores was observed after the educational activity (pre-test: 3.4 +/- 1.2; post-test: 4.7 +/- 0.71). Three of the items showed an increase in knowledge by the time the post-test was taken. The first of these items assessed the participants' knowledge regarding the existence of any guidelines for the screening/treatment of patients with human papillomavirus (HPV)-related anal disease. The second of these items attempted to determine whether the participants recognized that anal intraepithelial neoplasia (AIN) 2 is considered to be a high-grade neoplasia. The last of the 3 items was aimed at ascertaining whether or not the participants were aware that warty growths in the anus are not necessarily a manifestation of high-grade AIN.
This educational activity increased the participants' knowledge of anal cancer and revealed, as well, that most of the participants were interested in future training and in collaborating in a clinical trial. Training physicians from Puerto Rico on anal cancer clinical trials is essential to encourage recruitment of Hispanic patients in these studies now that the guidelines in anal cancer screening and treatment are on their way to be defined.
本次培训活动旨在增加医学生和医生对肛门癌筛查、诊断和治疗方案的了解，确定这些人接受肛门癌诊断和治疗培训的兴趣，并探索这些人此前在肛门癌及临床试验方面的培训和/或经验。
来自波多黎各大学医学科学园区的一组医学生、住院医师和几位教员（共50人）参加了一项教育活动（1.5个接触小时）。进行了一项人口统计学调查以及一项关于肛门癌的6项前后测，以评估知识变化。
34名参与者（68%）回答了调查。平均年龄为29.6±6.6岁；78.8%的人未接受过肛门癌筛查培训，93.9%的人表示有兴趣接受肛门癌培训，75.8%的人表示有兴趣领导或开展一项临床试验。教育活动后观察到测试分数有显著提高（前测：3.4±1.2；后测：4.7±0.71）。其中三项在进行后测时显示知识有所增加。第一项评估参与者对人乳头瘤病毒（HPV）相关肛门疾病患者筛查/治疗指南存在情况的了解。第二项试图确定参与者是否认识到肛门上皮内瘤变（AIN）2被视为高级别瘤变。这三项中的最后一项旨在确定参与者是否意识到肛门疣状生长不一定是高级别AIN的表现。
本次教育活动增加了参与者对肛门癌的了解，同时也表明大多数参与者对未来培训以及参与临床试验感兴趣。鉴于肛门癌筛查和治疗指南即将确定，对波多黎各的医生进行肛门癌临床试验培训对于鼓励在这些研究中招募西班牙裔患者至关重要。
