Yılmaz Tarık Eren, Yılmaz Tuğba, Örnek Büken Nüket, Özkara Adem, Altıntaş Kerim Hakan
Department of Family Medicine, Ankara Numune Training and Research Hospital, University of Health Sciences, Ankara, Turkey.
Department of History of Medicine and Medical Ethics, Faculty of Medicine, University of Hacettepe, Ankara, Turkey.
Prim Health Care Res Dev. 2020 Oct 28;21:e47. doi: 10.1017/S146342362000047X.
Family physicians are role models for their societies in disaster management and have an important place in it. This study was carried out during the specialty training of the residents, who are currently family physicians fighting against COVID-19 in the field, and was aimed to identify the awareness levels of residents regarding the roles and duties of family physicians before, during, and after disasters and to increase their awareness of disaster medicine and management.
The duties and responsibilities of a family physician in disasters should be a part of their specialty training. This study has contributed to the limited literature, increased awareness, and opened a new avenue of research for studies to be conducted with family physicians by demonstrating the current situation of family physicians in disaster management.
This is an observational and descriptive study. The knowledge, experience, opinions, willingness, attitudes of the residents, and the awareness levels of the residents regarding their roles and duties in a disaster were evaluated along with their sociodemographic information. The surveys were applied in the family medicine clinics of the all residents by the interview method (n = 233).
Only 9.2% of the residents stated that they had received training on disaster medicine where they currently work. The knowledge level of the residents on this subject was found as 'Unsure'. In total, 80% of the residents stated that family physicians should have a role in disasters. It was found that 83.3% of the residents had never joined a disaster drill, 94.3% had never participated in making or applying a disaster plan, and 97.7% had never worked in any disaster.
The residents participating in the study lacked not only information on disaster management but also experience. The residents' willingness to receive training, work voluntarily, significantly question the curriculum, and specialize in disaster medicine were a positive outcome.
家庭医生是其所在社会灾害管理的榜样，在其中占有重要地位。本研究在住院医师专业培训期间开展，这些住院医师目前是在一线抗击新冠肺炎的家庭医生，旨在确定住院医师对家庭医生在灾害发生前、期间和之后的角色和职责的认知水平，并提高他们对灾害医学和管理的认识。
家庭医生在灾害中的职责应成为其专业培训的一部分。本研究通过展示家庭医生在灾害管理中的现状，为有限的文献做出了贡献，提高了认识，并为与家庭医生开展的研究开辟了新的研究途径。
这是一项观察性和描述性研究。除了社会人口学信息外，还评估了住院医师的知识、经验、意见、意愿、态度以及他们对在灾害中角色和职责的认知水平。通过访谈法在所有住院医师的家庭医学诊所进行调查（n = 233）。
只有9.2%的住院医师表示他们在目前工作的地方接受过灾害医学培训。发现住院医师在这个问题上的知识水平为“不确定”。总体而言，80%的住院医师表示家庭医生在灾害中应该发挥作用。发现83.3%的住院医师从未参加过灾害演练，94.3%的住院医师从未参与制定或实施灾害计划，97.7%的住院医师从未在任何灾害中工作过。
参与研究的住院医师不仅缺乏灾害管理方面的信息，也缺乏经验。住院医师接受培训、自愿工作、对课程提出重大质疑以及专门从事灾害医学的意愿是一个积极的结果。
