Özgüç Halil, Narmanlı Mustafa, Işık Özgen
Clinic of Surgery, Private Medicabil Hospital, Bursa, Türkiye.
Department of Surgery, Uludağ University Faculty of Medicine, Bursa, Türkiye.
Turk J Surg. 2023 Mar 3;39(1):63-69. doi: 10.47717/turkjsurg.2023.5639. eCollection 2023 Mar.
Bariatric and metabolic surgery (BMS) is the most effective treatment method of morbid obesity. Optimum education of medical students regarding BMS is important for proper assessment of morbidly obese patients in the future.
Medical students from five and six years were determined as the targeted study population. A survey including 17 questions was applied through a web-based survey platform. Students who replied the survey were classified into two groups: distinct bariatric and metabolic surgery education program (BMSEP) (+) and (-). The answers of two groups were compared using Chi-square test.
In total, 845 students replied the survey. Surgery referral rates were higher (33.4% vs. 26.5%, p <0.05), referring to alternative treatment methods were low (4.9% vs. 11.9%, p <0.05), the answer rate of "absolutely agree" was higher and "have no idea" was lower in questions regarding the indications of BMS for the sample patient with body mass index (BMI)> 40 kg/m and the sample patient with BMI between 35-40 kg/m in the BMSEP (+) group (p <0.05). However, the two groups were comparable for the answers given for the sample patient of BMI 30-35 kg/m with uncontrolled diabetes. The rate of first-degree relative referral to BMS when indicated was higher in the BMSEP (+) group. Effectiveness of surgery, cost and risk perception were comparable between the two groups.
This study showed that medical students who have a distinct BMSEP in their medical school have better level of knowledge and comparable risk perception regarding BMS. Structured education programs in BMS may directly improve knowledge, perception, and attitude of medical students and indirectly increase the role of primary care physicians in patient referral to BMS and long-term follow-up.
减重与代谢手术(BMS)是治疗病态肥胖最有效的方法。对医学生进行关于BMS的优化教育对于未来正确评估病态肥胖患者很重要。
将五年制和六年制医学生确定为目标研究人群。通过基于网络的调查平台应用一项包含17个问题的调查。回复调查的学生被分为两组:接受过独特的减重与代谢手术教育项目(BMSEP)(+)组和(-)组。使用卡方检验比较两组的答案。
共有845名学生回复了调查。在BMSEP(+)组中,对于体重指数(BMI)>40 kg/m的样本患者和BMI在35 - 40 kg/m的样本患者,手术转诊率更高(33.4%对26.5%,p<0.05),提及替代治疗方法的比例更低(4.9%对11.9%,p<0.05),在关于BMS适应证的问题中,“完全同意”的回答率更高而“不知道”的回答率更低(p<0.05)。然而,对于BMI 30 - 35 kg/m且患有未控制糖尿病的样本患者给出的答案,两组具有可比性。当有指征时,BMSEP(+)组中一级亲属转诊至BMS的一级亲属比例更高。两组之间手术的有效性、成本和风险认知具有可比性。
本研究表明,在医学院接受过独特BMSEP的医学生对BMS有更好的知识水平和可比的风险认知。BMS的结构化教育项目可能直接提高医学生的知识、认知和态度,并间接增加初级保健医生在患者转诊至BMS及长期随访中的作用。