Peninsula Schools of Medicine and Dentistry, University of Plymouth, Plymouth, UK.
Department of Allergy and Immunology, Birmingham Heartlands Hospital and Institute of Immunology & Immunotherapy, University of Birmingham,, Birmingham, UK.
J Clin Pathol. 2019 Mar;72(3):221-224. doi: 10.1136/jclinpath-2017-204885. Epub 2018 Jan 5.
To record the level of allergy teaching occurring in UK medical schools. The UK has experienced an 'allergy epidemic' during the last 3-4 decades. Previous government reviews have emphasised the importance of allergy education and training, treating common allergies in primary care with referral pathways to a specialist and the creation of regional networks. It is acknowledged that the delivery of allergy teaching in UK medical schools is variable, despite the well-recognised need.
All consultant members of the British Society for Allergy and Clinical Immunology involved in teaching medical students were invited to partake in qualitative research, employing an online questionnaire for data collection. Participants were asked to comment on the format of the allergy teaching delivered, the student participation and the clinical opportunities provided. Students were recruited to complete a similar survey as supporting evidence.
44 responses were collected, representing 64.7% of medical schools in the UK. Clinical allergy placements were compulsory in 31.8% of medical schools that responded. In 36.4%, it was reported that less than 10% of students had an opportunity to take an independent history from a patient with allergic disease, or practise using an epinephrine autoinjector. 90.9% responded that an allergy rotation was not offered to final year students.
Allergy undergraduate teaching is suboptimal and heterogeneous in UK medical schools and there is a real need for standardisation as a means to enhance quality of care.
记录英国医学院校中过敏教学的水平。在过去的 3-4 十年中,英国经历了一场“过敏流行”。之前的政府审查强调了过敏教育和培训的重要性,制定了在初级保健中治疗常见过敏的治疗方案,并建立了转诊途径和区域网络。尽管人们认识到了这一点,但英国医学院校的过敏教学的实施情况却存在差异。
邀请参与教授医学生的英国过敏与临床免疫学学会的所有顾问成员参与定性研究,采用在线问卷进行数据收集。参与者被要求对所提供的过敏教学的形式、学生参与度和提供的临床机会发表评论。还招募了学生来完成类似的调查,作为支持证据。
共收集了 44 份回复,代表了英国 64.7%的医学院校。在做出回应的医学院校中,有 31.8%的临床过敏实习是必修的。有 36.4%的人报告称,不到 10%的学生有机会从患有过敏性疾病的患者那里独立采集病史,或练习使用肾上腺素自动注射器。90.9%的人回应说,没有向最后一年的学生提供过敏轮训。
英国医学院校的过敏本科教学水平参差不齐且存在差异,需要标准化,以提高护理质量。