Pitter Danielle, Indelicato Alyssa M, Morley Christopher P, Feuerstein Barbara, Weinstock Ruth S
SUNY Upstate Medical University, Syracuse, NY.
Department of Public Health & Preventive Medicine, SUNY Upstate Medical University, Syracuse, NY.
PRiMER. 2024 Jan 23;8:4. doi: 10.22454/PRiMER.2024.497586. eCollection 2024.
Self-assessed confidence is not a reliable indicator of knowledge levels, as multiple studies have shown; however, it is often used as a measure of knowledge. The purpose of this study is to identify whether the confidence of graduating students in a US medical school to diagnose and treat diabetes is correlated with their diabetes-related knowledge.
We developed a 38-question survey, targeting students' external experiences, knowledge, and confidence related to the diagnosis, treatment, and prevention of diabetes. The survey includes six self-reported confidence questions and 15 multiple choice-style questions, to test diabetes knowledge. The survey was administered electronically using REDCap to the graduating medical school class (n=176) at Upstate Medical University. We calculated mean knowledge scores and confidence scores were calculated. We used Pearson correlation and tests to assess for correlations and differences in the collected data. We also reviewed diabetes content in the current curriculum.
The response rate was 38%. The mean confidence score was 19.97 out of 30 (SD=3.92) and the mean knowledge score was 9.63 out of 15 (SD=2.09). Total knowledge and confidence scores were not correlated. A positive correlation between confidence in prescribing/adjusting medications to treat patients with type 1 diabetes and knowledge levels was found (=.325, =.007). Academic electives, external experiences with diabetes, and demographics did not correlate with knowledge and confidence differences.
Students overestimated their ability to adequately manage people with diabetes. Better approaches are needed to prepare future physicians to diagnose and treat diabetes.
多项研究表明，自我评估的信心并非知识水平的可靠指标；然而，它常被用作衡量知识的一种方式。本研究的目的是确定美国一所医学院校即将毕业的学生对糖尿病诊断和治疗的信心是否与其糖尿病相关知识相关。
我们设计了一份包含38个问题的调查问卷，针对学生与糖尿病诊断、治疗及预防相关的外部经历、知识和信心。该问卷包括6个自我报告的信心问题和15个选择题形式的问题，用于测试糖尿病知识。问卷通过REDCap以电子方式发放给上州医科大学即将毕业的医学院班级（n = 176）。我们计算了平均知识得分和信心得分。我们使用Pearson相关性分析和检验来评估所收集数据中的相关性和差异。我们还审查了当前课程中的糖尿病内容。
回复率为38%。平均信心得分在30分中为19.97分（标准差 = 3.92），平均知识得分在15分中为9.63分（标准差 = 2.09）。总知识得分和信心得分不相关。发现对1型糖尿病患者开具/调整治疗药物的信心与知识水平之间存在正相关（r =.325，p =.007）。学术选修课、糖尿病方面的外部经历以及人口统计学特征与知识和信心差异不相关。
学生高估了他们充分管理糖尿病患者的能力。需要更好的方法来培养未来医生诊断和治疗糖尿病的能力。
