College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Department of Family Medicine and Public Health, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Sultan Qaboos Univ Med J. 2024 May;24(2):221-228. doi: 10.18295/squmj.1.2024.004. Epub 2024 May 27.
This study aimed to investigate and compare the clinical knowledge implications of the integrated management of childhood illness (IMCI) preservice education between pre-clerkship and junior clerkship medical students.
This observational comparative cross-sectional study was conducted between June and August 2022 at Sultan Qaboos University, Muscat, Oman. A self-administered questionnaire was utilised and included questions on sociodemographic data, duration of IMCI preservice training, knowledge of the participants concerning the IMCI objectives and information on a range of childhood conditions.
A total of 97 medical students were included in the study. The majority of students (42.3%) had received 2 lectures in IMCI preservice training. The role of the IMCI approach in reducing childhood morbidity and mortality was advocated by the majority of students (80.8% in the junior-clerkship [JCR] group and 73.3% in the pre-clerkship group). The awareness of the IMCI component of improving the health system was higher in JCR compared to pre-clerkship participants ( = 0.044). When compared to pre-clerkship students, the JCR participants demonstrated a slightly higher awareness of skin pinch ( = 0.038), chest indrawing ( = 0.008), anaemia assessment based on nail bed examination ( = 0.002), diagnostic assessment of malnutrition based on palm examination ( = 0.018), sucking capacity in breastfeeding ( = 0.025), and vaccines such as those for tuberculosis ( = 0.001), pneumococcal ( = 0.018) and rotavirus ( = 0.007).
The majority of students displayed good IMCI knowledge and JCR students showed better knowledge compared to pre-clerkship candidates.
本研究旨在调查和比较儿科学综合管理（IMCI）岗前教育在预实习和初级实习医学生中的临床知识影响。
这是一项在 2022 年 6 月至 8 月于阿曼首都马斯喀特的苏丹卡布斯大学进行的观察性对比横断面研究。采用自填式问卷，内容包括社会人口学数据、IMCI 岗前培训持续时间、参与者对 IMCI 目标的知识以及一系列儿童疾病的信息。
共有 97 名医学生参与了研究。大多数学生（42.3%）接受过 2 次 IMCI 岗前培训讲座。大多数学生（初级实习组 80.8%，预实习组 73.3%）主张采用 IMCI 方法来降低儿童发病率和死亡率。与预实习参与者相比，初级实习参与者对 IMCI 改善卫生系统的组成部分的认识更高（ = 0.044）。与预实习学生相比，初级实习参与者对皮肤捏痕（ = 0.038）、胸部凹陷（ = 0.008）、指甲床检查评估贫血（ = 0.002）、手掌检查评估营养不良的诊断（ = 0.018）、母乳喂养吸吮能力（ = 0.025）以及卡介苗（ = 0.001）、肺炎球菌（ = 0.018）和轮状病毒（ = 0.007）等疫苗的认识略高。
大多数学生显示出良好的 IMCI 知识，而初级实习学生的知识水平优于预实习学生。
