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内科住院医师的过敏、哮喘与免疫学培训

Allergy, Asthma and Immunology Training in Internal Medicine Residents.

作者信息

Alpern Mollie, Wang Qi, Rothernberger Meghan

出版信息

Minn Med. 2017 Mar;100(2):36-39.

Abstract

Common allergic conditions such as allergic rhinitis, asthma and antibiotic allergies are frequently encountered by internal medicine physicians. These conditions are a significant source of health care utilization and morbidity. However, many internal medicine residency programs offer limited training in allergy and immunology. Internal medicine residents' significant knowledge deficits regarding allergy-related content have been previously identified. We conducted a survey-based study to examine the knowledge and self-assessed clinical competency of residents at an academic medical center to determine the need for further education in allergy and immunology. Our study revealed that the majority of these residents did not feel adequately prepared to treat allergic rhinitis, urticaria, contact dermatitis, antibiotic/drug allergies or anaphylaxis; and only half felt adequately trained to treat asthma. We believe that internal medicine residency programs should provide trainees with additional education in allergy and immunology in order to improve their knowledge and clinical competency.

摘要

内科医生经常会遇到常见的过敏病症,如过敏性鼻炎、哮喘和抗生素过敏。这些病症是医疗保健利用和发病的重要来源。然而,许多内科住院医师培训项目在过敏和免疫学方面提供的培训有限。此前已发现内科住院医师在过敏相关内容方面存在重大知识缺陷。我们进行了一项基于调查的研究,以检查一所学术医疗中心住院医师的知识和自我评估的临床能力,以确定是否需要进一步开展过敏和免疫学教育。我们的研究表明,这些住院医师中的大多数人认为自己没有充分准备好治疗过敏性鼻炎、荨麻疹、接触性皮炎、抗生素/药物过敏或过敏反应;只有一半的人认为自己接受了充分的哮喘治疗培训。我们认为内科住院医师培训项目应该为学员提供额外的过敏和免疫学教育,以提高他们的知识和临床能力。

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