Halpern Michael T, Teixeira-Poit Stephanie, Kane Heather L, Frost A Corey, Keating Michael, Olmsted Murrey
RTI International, Washington, DC, USA.
Int J MS Care. 2014 Spring;16(1):26-38. doi: 10.7224/1537-2073.2013-009.
Although detailed knowledge regarding treatment options for multiple sclerosis (MS) patients is largely limited to neurologists, shortages in the neurologist workforce, including MS subspecialists, are predicted. Thus, MS patients may have difficulties in gaining access to appropriate care. No systematic evaluation has yet been performed of the number of neurology residents planning to pursue MS subspecialization. This study identifies factors affecting interest in providing MS patient care or MS subspecialization among current neurology residents.
We randomly selected half of all Accreditation Council of Graduate Medical Education-certified neurology residency programs in the continental United States to receive the neurology resident survey. Completed surveys were received from 218 residents.
Residents were significantly more likely to have increased interest in MS care when they participated in MS research, were interested in teaching, and indicated that the "ability to improve patient outcomes and quality of life" was a positive factor influencing their desire to provide MS patient care. Residents who were interested in providing MS care, interested in teaching, and indicated that "research opportunities" was a positive factor for providing MS patient care were significantly more likely to express interest in MS subspecialization.
Increasing opportunities to interact with MS patients, learn about MS care, and participate in MS research may increase interest in MS care and subspecialization among neurology residents. Opportunities to educate residents regarding MS patient care may affect residents' attitudes.
尽管关于多发性硬化症(MS)患者治疗方案的详细知识很大程度上仅限于神经科医生,但预计包括MS专科医生在内的神经科医生劳动力会短缺。因此,MS患者可能难以获得适当的护理。尚未对计划从事MS专科的神经科住院医师人数进行系统评估。本研究确定了影响当前神经科住院医师对提供MS患者护理或MS专科感兴趣的因素。
我们从美国大陆所有经研究生医学教育认证委员会认证的神经科住院医师培训项目中随机抽取一半,让其接受神经科住院医师调查。共收到218名住院医师完成的调查问卷。
当住院医师参与MS研究、对教学感兴趣,并表示“改善患者预后和生活质量的能力”是影响他们提供MS患者护理意愿的积极因素时,他们对MS护理的兴趣显著增加。对提供MS护理感兴趣、对教学感兴趣,并表示“研究机会”是提供MS患者护理的积极因素的住院医师,更有可能对MS专科表现出兴趣。
增加与MS患者互动、了解MS护理和参与MS研究的机会,可能会提高神经科住院医师对MS护理和专科的兴趣。向住院医师传授MS患者护理知识的机会可能会影响住院医师的态度。