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迎接挑战:培养内科住院医师对睡眠医学的兴趣。

Embracing the challenge: fostering interest in sleep medicine among internal medicine residents.

作者信息

Irizarry-Nieves Juan, Rivera-Diaz Alba, Padilla-Diaz Miriam, Fernandez-Hawa Patricia, Irizarry-Nieves Luis, Jimenez-Davila Lissette, Rodriguez-Cintrón William

机构信息

VA Caribbean Healthcare System, San Juan, Puerto Rico.

出版信息

J Clin Sleep Med. 2025 May 1;21(5):959-962. doi: 10.5664/jcsm.11564.

DOI:10.5664/jcsm.11564
PMID:39906989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048315/
Abstract

STUDY OBJECTIVES

This study aimed to investigate the perception and interest of internal medicine residents in sleep medicine. The focus was on understanding the current state of knowledge, training adequacy, and the inclination of residents toward pursuing sleep medicine subspecialty training.

METHODS

We used the Indiana University Survey Questionnaire, a validated survey, to assess internal medicine residents' perceptions of sleep medicine. The anonymous digital survey was administered to residents at our Accreditation Council of Graduate Medical Education-accredited internal medicine training program.

RESULTS

Of the 61 residents, 52 (85%) participated. The majority recognized the burden of sleep-disordered breathing in the population and its importance for training and general practice. However, there was a notable discrepancy in their perception of receiving adequate training in sleep-disordered breathing during residency. A significant proportion expressed a neutral stance or disagreement with the idea of pursuing a sleep medicine fellowship, citing a lack of interest or comfort in managing sleep disorders.

CONCLUSIONS

Despite the rising prevalence of sleep-related breathing disorders, there exists a gap in residents' interest in specializing in sleep medicine. This underscores the need for improved sleep medicine education in residency programs. Bridging this educational gap requires curricular enhancements, increased clinical exposure, and mentorship in sleep medicine. Addressing these issues will better equip future physicians to meet the growing demands of sleep medicine and enhance overall patient care.

CITATION

Irizarry-Nieves J, Rivera-Diaz A, Padilla-Diaz M, et al. Embracing the challenge: fostering interest in sleep medicine among internal medicine residents. 2025;21(5):959-962.

摘要

研究目的

本研究旨在调查内科住院医师对睡眠医学的认知和兴趣。重点在于了解当前的知识水平、培训的充分性以及住院医师对追求睡眠医学亚专业培训的倾向。

方法

我们使用经过验证的印第安纳大学调查问卷来评估内科住院医师对睡眠医学的认知。这项匿名数字调查针对我们经研究生医学教育认证委员会认证的内科培训项目中的住院医师进行。

结果

61名住院医师中,52名(85%)参与了调查。大多数人认识到人群中睡眠呼吸障碍的负担及其对培训和一般临床实践的重要性。然而,他们对住院期间接受睡眠呼吸障碍充分培训的认知存在显著差异。很大一部分人对追求睡眠医学 fellowship 持中立态度或表示反对,理由是对管理睡眠障碍缺乏兴趣或信心。

结论

尽管与睡眠相关的呼吸障碍患病率不断上升,但住院医师对睡眠医学专科化的兴趣仍存在差距。这凸显了住院医师培训项目中改善睡眠医学教育的必要性。弥合这一教育差距需要加强课程设置、增加临床接触以及提供睡眠医学方面的指导。解决这些问题将使未来的医生更好地满足睡眠医学不断增长的需求,并提高整体患者护理水平。

引用文献

Irizarry-Nieves J, Rivera-Diaz A, Padilla-Diaz M, 等。迎接挑战:培养内科住院医师对睡眠医学的兴趣。2025;21(5):959 - 962。

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本文引用的文献

1
Sleep is essential to health: an American Academy of Sleep Medicine position statement.睡眠对健康至关重要:美国睡眠医学学会立场声明。
J Clin Sleep Med. 2021 Oct 1;17(10):2115-2119. doi: 10.5664/jcsm.9476.
2
Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care.2013年至2016年期间,积极寻求治疗的参保患者中发作性睡病及其他睡眠障碍的患病率和诊断测试频率。
J Clin Sleep Med. 2020 Aug 15;16(8):1255-1263. doi: 10.5664/jcsm.8482.
3
Lack of training in sleep and sleep disorders.缺乏睡眠及睡眠障碍方面的培训。
Virtual Mentor. 2008 Sep 1;10(9):560-3. doi: 10.1001/virtualmentor.2008.10.9.medu1-0809.
4
Prevalence and risk factors for sleep disordered breathing in a Puerto Rican middle-aged population.波多黎各中年人群睡眠呼吸障碍的患病率及危险因素
Sleep Breath. 2009 May;13(2):175-80. doi: 10.1007/s11325-008-0216-4. Epub 2008 Sep 20.
5
The veteran population: one at high risk for sleep-disordered breathing.退伍军人人群:睡眠呼吸障碍的高危群体。
Sleep Breath. 2006 Jun;10(2):70-5. doi: 10.1007/s11325-005-0043-9.