医学和产科住院医师在妊娠期系统性红斑狼疮管理方面的能力。
Competence of medical and obstetric registrars in the management of systemic lupus erythematosus in pregnancy.
作者信息
Zamparini Jarrod, Pattinson Stuart, Makan Kavita
机构信息
Department of Medicine, Charlotte Maxeke Johannesburg Academic Hospital, Parktown, South Africa.
Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
出版信息
Obstet Med. 2021 Sep;14(3):153-157. doi: 10.1177/1753495X20964670. Epub 2020 Nov 4.
INTRODUCTION
Systemic lupus erythematosus has a predilection for women of childbearing age. Globally a shortage of rheumatologists exists resulting in general physicians and obstetricians treating systemic lupus erythematosus in pregnancy.
METHODS
We conducted a survey amongst medical and obstetric registrars in South Africa to assess their subjective and objective competence in managing pregnant women with systemic lupus erythematosus.
RESULTS
The pass rate for the objective section was 70.8% with no statistically significant difference in the pass rate between medical and obstetric registrars. Participants felt unprepared to manage pregnant women with systemic lupus erythematosus, with a mean overall score of 3.4 out of 7 for the subjective section, based on four Likert scale type questions.
CONCLUSION
Trainees are not able to accurately assess their own levels of competence in order to identify their learning needs. Due to the shortage of rheumatologists and lack of obstetric physicians in South Africa, general physicians and obstetricians must be equipped to provide adequate care to pregnant women with systemic lupus erythematosus.
引言
系统性红斑狼疮好发于育龄女性。全球范围内风湿病专家短缺，导致由普通内科医生和产科医生治疗妊娠期系统性红斑狼疮。
方法
我们对南非的医学和产科住院医师进行了一项调查，以评估他们在管理妊娠期系统性红斑狼疮孕妇方面的主观和客观能力。
结果
客观部分的通过率为70.8%，医学和产科住院医师的通过率无统计学显著差异。基于四个李克特量表类型的问题，参与者感觉没有准备好管理妊娠期系统性红斑狼疮孕妇，主观部分的平均总分在7分制中为3.4分。
结论
实习生无法准确评估自己的能力水平以确定学习需求。由于南非风湿病专家短缺且产科医生不足，普通内科医生和产科医生必须具备为妊娠期系统性红斑狼疮孕妇提供充分护理的能力。
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