Chow Shirley L, Herman-Kideckel Sari, Mahendira Dharini, McDonald-Blumer Heather
From the *Division of Rheumatology, Department of Medicine, Sunnybrook Health Sciences Centre; †Division of Allergy and Clinical Immunology, Department of Medicine, University of Toronto; ‡Division of Rheumatology, St Michael's Hospital; and §Division of Rheumatology, Mount Sinai Hospital, Toronto, Ontario, Canada.
J Clin Rheumatol. 2015 Jan;21(1):10-4. doi: 10.1097/RHU.0000000000000186.
Immunologic mechanisms play an integral role in understanding the pathogenesis and management of rheumatic conditions. Currently, there is limited access to formal instruction in immunology for rheumatology trainees across Canada.
The aims of this study were (1) to describe current immunology curricula among adult rheumatology training programs across Canada and (2) to compare the perceived learning needs of rheumatology trainees from the perspective of program directors and trainees to help develop a focused nationwide immunology curriculum.
Rheumatology trainees and program directors from adult rheumatology programs across Canada completed an online questionnaire and were asked to rank a comprehensive list of immunology topics. A modified Delphi approach was implemented to obtain consensus on immunology topics.
Only 42% of program directors and 31% of trainees felt the current method of teaching immunology was effective. Results illustrate concordance between program directors and trainees for the highest-ranked immunology topics including innate immunity, adaptive immunity, and cells and tissues of the immune system. However, there was discordance among other topics, such as diagnostic laboratory immunology and therapeutics.
There is a need to improve immunology teaching in rheumatology training programs. Results show high concordance between the basic immunology topics. This study provides the groundwork for development of future immunology curricula.
免疫机制在理解风湿性疾病的发病机制和管理中起着不可或缺的作用。目前，加拿大各地的风湿病学员接受免疫学正规教学的机会有限。
本研究的目的是（1）描述加拿大成人风湿病培训项目目前的免疫学课程，以及（2）从项目主任和学员的角度比较风湿病学员感知到的学习需求，以帮助制定全国性的重点免疫学课程。
加拿大各地成人风湿病项目的风湿病学员和项目主任完成了一份在线问卷，并被要求对一份全面的免疫学主题清单进行排序。采用改良的德尔菲法就免疫学主题达成共识。
只有42%的项目主任和31%的学员认为目前的免疫学教学方法有效。结果表明，项目主任和学员对排名最高的免疫学主题达成了一致，包括固有免疫、适应性免疫以及免疫系统的细胞和组织。然而，在其他主题上存在分歧，如诊断实验室免疫学和治疗学。
有必要改进风湿病培训项目中的免疫学教学。结果显示基础免疫学主题之间高度一致。本研究为未来免疫学课程的开发奠定了基础。
