Chittawar Sachin, Dubey T N, Sharma Jitendra, Khandare Sagar
Department of Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):251-254. doi: 10.4103/2230-8210.196015.
Adrenal disorders could be a life-threatening emergency, hence requires immediate therapeutic management. For this awareness regarding its diagnosis, management, and treatment is prime important.
To study the awareness of adrenal disorders among interns and postgraduates students of Hamidia Hospital, Bhopal.
A cross-sectional questionnaire-based study was performed. Fifty-six participants, i.e., 1, 2, and 3 years postgraduate residents of general medicine ( = 14 × 3) and interns ( = 14) were included in the study. There were 12 questions on adrenal insufficiency, adrenal adenoma, congenital adrenal hyperplasia (CAH), nonclassical CAH (NCCAH), pheochromocytoma, and Conn's syndrome. One mark was awarded for each correct response.
In the present study, 14 (25%) participants scored < 5 marks, 33 (58.9%) scored between 6 and 9, and 9 (16.1%) scored between 10 and 12. The mean score among the participants was 6.38 ± 2.505, with a range from 2 to 11 marks. The number of correct answers by postgraduates residents of 1 year was 101, 2 year was 95, and 3 year was 93 and interns scored 68 out of total 168 questions in each group. Mean awareness score for residents of 1, 2, 3 years participants and interns was 7.21 ± 2.806, 6.79 ± 2.119, and 6.64 ± 2.818 and 6.63 ± 2.505, respectively. Most of the participants recorded correct responses related to diagnosis (57.7%) followed by responses related to treatment (64.3%). Answers to a question regarding how commonly is adrenal insufficiency diagnosed in medical Intensive Care Unit, none of the individuals responded correctly.
There was a lack of awareness regarding diagnosis, management, and treatment of adrenal disorders in central India. We need to prioritize training related to these illnesses in our postgraduate teaching curriculum in practice.
肾上腺疾病可能是危及生命的急症，因此需要立即进行治疗管理。因此，对其诊断、管理和治疗的认识至关重要。
研究博帕尔哈米迪亚医院实习生和研究生对肾上腺疾病的认识。
进行了一项基于问卷调查的横断面研究。研究纳入了56名参与者，即普通医学专业1、2、3年级的研究生住院医师（每组14人，共3组）和实习生（14人）。问卷中有12个关于肾上腺功能不全、肾上腺腺瘤、先天性肾上腺皮质增生症（CAH）、非经典型先天性肾上腺皮质增生症（NCCAH）、嗜铬细胞瘤和原发性醛固酮增多症的问题。每个正确答案得1分。
在本研究中，14名（25%）参与者得分低于5分，33名（58.9%）得分在6至9分之间，9名（16.1%）得分在10至12分之间。参与者的平均得分为6.38±2.505，分数范围为2至11分。1年级研究生住院医师的正确答案数量为101个，2年级为95个，3年级为93个，实习生在每组总共168个问题中得68分。1、2、3年级参与者和实习生的平均知晓得分分别为7.21±2.806、6.79±2.119、6.64±2.818和6.63±2.505。大多数参与者关于诊断的回答正确（57.7%），其次是关于治疗的回答（64.3%）。对于在医学重症监护病房中肾上腺功能不全的诊断频率这一问题，没有人回答正确。
印度中部地区对肾上腺疾病的诊断、管理和治疗缺乏认识。在我们的研究生教学实践课程中，需要优先安排与这些疾病相关的培训。
