Oscar Langendorff Institute of Physiology, Rostock University Medical Center, Rostock, Germany.
Department of Surgery, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Neurogastroenterol Motil. 2023 Oct;35(10):e14557. doi: 10.1111/nmo.14557. Epub 2023 Mar 9.
Neurogastroenterological disorders (NGDs) are highly prevalent and substantially impact patients' quality of life. Effective treatment of NGDs depends on the competence and training of medical caregivers. Students' perceived competence in neurogastroenterology and its place in medical school curricula are assessed in this study.
A multi-center digital survey among medical students was conducted at five universities. Self-ratings of competence regarding basic mechanisms, diagnosis, and treatment of six chronic medical conditions were assessed. These included irritable bowel syndrome (IBS), gastroesophageal reflux disease, and achalasia. Ulcerative colitis, hypertension, and migraine were included as references.
Of 231 participants, 38% remembered that neurogastroenterology was covered in their curriculum. Highest competence ratings were stated for hypertension and the lowest for IBS. These findings were identical for all institutions irrespective of their curricular model and demographic parameters. Students who remembered neurogastroenterology as a part of their curriculum reported higher competence ratings. According to 72% of students, NGDs should be highlighted more prominently in the curriculum.
CONCLUSIONS & INFERENCES: Despite its epidemiological relevance, neurogastroenterology is only weakly represented in medical curricula. Students report low levels of subjective competence in handling NGDs. In general, assessing the learners' perspective on an empirical basis may enrichen the process of national standardization of medical school curricula.
神经胃肠病学障碍（NGD）非常普遍，严重影响患者的生活质量。NGD 的有效治疗取决于医疗保健人员的能力和培训。本研究评估了学生对神经胃肠病学的感知能力及其在医学院课程中的地位。
在五所大学对医学生进行了一项多中心数字调查。自我评估了对六种慢性医疗状况的基本机制、诊断和治疗的基本能力。其中包括肠易激综合征（IBS）、胃食管反流病和贲门失弛缓症。溃疡性结肠炎、高血压和偏头痛被包括作为参考。
在 231 名参与者中，38%的人记得他们的课程中涵盖了神经胃肠病学。对高血压的能力评价最高，对 IBS 的能力评价最低。这些发现与所有机构的课程模式和人口统计学参数无关。记得神经胃肠病学是他们课程一部分的学生报告了更高的能力评价。根据 72%的学生的说法，NGD 应该在课程中更加突出。
尽管神经胃肠病学具有流行病学相关性，但它在医学课程中的代表性很弱。学生报告在处理 NGD 方面的主观能力水平较低。总的来说，基于经验评估学习者的观点可能会丰富医学院课程国家标准化的过程。
