Conway T, Mason E, Hu T C
Department of Medicine, Cook County Hospital, Chicago, IL 60612.
Acad Med. 1994 May;69(5):389-91. doi: 10.1097/00001888-199405000-00014.
A questionnaire was designed based on current recommendations for pre-conception care and care of women at the time of diagnosis of pregnancy to evaluate internal medicine residents' attitudes, knowledge, and clinical management skills in the pre-conception care of healthy women and women who have chronic diseases during their reproductive years.
In early 1991, a self-administered questionnaire was distributed to 104 internal medicine residents at Cook County Hospital, a large, inner-city public hospital. Statistical analysis included the use of chi-square comparison, Pearson correlation, and Student's t-test.
Seventy-nine of the residents completed questionnaires. Their levels of knowledge and management skills regarding pre-conception care were relatively low compared with standard recommendations. The residents' attitudes, however, were favorable toward the importance of the topic. Residency training did not appear to improve the residents' management skills, as there was no significant difference in skills among the first-, second-, and third-year residents.
That the residents' levels of knowledge and management skills were low (despite their favorable attitudes) suggests that the current curriculum for primary care training in internal medicine needs to be revised to improve the readiness of residents to take care of women of reproductive age.
根据当前关于孕前保健及孕期诊断时妇女护理的建议设计了一份调查问卷，以评估内科住院医师在为健康女性及育龄期患有慢性病的女性提供孕前保健方面的态度、知识和临床管理技能。
1991年初，向一家大型市中心公立医院库克县医院的104名内科住院医师发放了一份自填式问卷。统计分析包括卡方比较、皮尔逊相关性分析和学生t检验。
79名住院医师完成了问卷。与标准建议相比，他们在孕前保健方面的知识水平和管理技能相对较低。然而，住院医师对该主题的重要性态度积极。住院医师培训似乎并未提高住院医师的管理技能，因为一年级、二年级和三年级住院医师在技能方面没有显著差异。
住院医师的知识水平和管理技能较低（尽管他们态度积极），这表明当前内科初级保健培训课程需要修订，以提高住院医师照顾育龄期女性的准备程度。
