Askari Sahar, Abdi Hengameh, Ahmadi Soleiman, Bahadoran Zahra, Amouzegar Atieh
Students Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Endocrinol Metab. 2017 Jun 21;15(3):e55450. doi: 10.5812/ijem.55450. eCollection 2017 Jul.
Thyroid disorders during pregnancy are important health problems worldwide. The aim of this study was to assess the knowledge of general practitioners (GPs) about thyroid disorders during pregnancy.
In this cross sectional study, 120 GPs were randomly selected among participants of a continuous medical education (CME) program, entitled "practical endocrinology". To assess the knowledge and educational requirements of GPs regarding thyroid disorders during pregnancy, a validated and localized multiple-choice questionnaire was used.
A total of 100 GPs completed the questionnaire. The mean age of the participants was 37.0 years, and 41.4% were men. The mean knowledge score of GPs was 39.9%. On average, the rate of correct response to questions concerning the definition, pathophysiology, diagnosis, complications, and treatment of thyroid disorders was 39.0%, 39.3%, 48.8%, 34.3%, and 44.6%, respectively. There was a significant difference in knowledge among GPs, who had and had not passed the training course on thyroid disorders. In addition, GPs who had passed continuous medical education programs obtained higher knowledge scores regarding diagnosis and treatment (P < 0.05).
GPs attending pregnant women in Iran lack sufficient information on the pathophysiology, diagnosis, and management of thyroid disorders during pregnancy. Considering the key role of GPs in the public healthcare system, design of high-quality educational programs and development of specific educational packages about thyroid disorders and pregnancy are necessary.
孕期甲状腺疾病是全球重要的健康问题。本研究旨在评估全科医生（GPs）对孕期甲状腺疾病的了解程度。
在这项横断面研究中，从一个名为“实用内分泌学”的继续医学教育（CME）项目参与者中随机选取120名全科医生。为评估全科医生对孕期甲状腺疾病的知识和教育需求，使用了一份经过验证和本地化的多项选择题问卷。
共有100名全科医生完成了问卷。参与者的平均年龄为37.0岁，男性占41.4%。全科医生的平均知识得分是39.9%。关于甲状腺疾病的定义、病理生理学、诊断、并发症和治疗问题的正确回答率平均分别为39.0%、39.3%、48.8%、34.3%和44.6%。参加过和未参加过甲状腺疾病培训课程的全科医生在知识方面存在显著差异。此外，参加过继续医学教育项目的全科医生在诊断和治疗方面获得了更高的知识得分（P < 0.05）。
伊朗为孕妇看病的全科医生缺乏关于孕期甲状腺疾病病理生理学、诊断和管理的足够信息。考虑到全科医生在公共医疗系统中的关键作用，有必要设计高质量的教育项目并开发关于甲状腺疾病与妊娠的特定教育包。
