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Medical training fails to prepare providers to care for patients with chronic hepatitis B infection

查看全文 作　　者：Stephanie D [1,2,3]Chao;Bing-Mei [3]Wang;Ellen T [3,4]Chang;Li [3]Ma;Samuel K [3]So 高影响力作者 机构地区：[1]Department of Surgery, Stanford University School of Medicine;[2]Asian Liver Center at Stanford University,School of Medicine, Palo Alto;[3]Asian Liver Center at Stanford University,Stanford University School of Medicine, Asian Liver Center at Stanford University School of Medicine, Palo Alto;[4]Division of Epidemiology, Department of Health Research and Policy, Stanford University School of Medicine高影响力机构 出　　处：《World Journal of Gastroenterology》索引2015年第21卷第22期,共10页高影响力期刊 摘　　要：AIM: To investigate physicians' knowledge including chronic hepatitis B(CHB) diagnosis, screening, and management in various stages of their training.METHODS: A voluntary 20-question survey was administered in Santa Clara County, CA where Asian and Pacific Islanders(API) account for a third of the population. Among the 219 physician participants,there were 63 interns, 60 second-year residents, 26 chief residents and 70 attending physicians. The survey asked questions regarding respondents' demographics,general hepatitis B virus knowledge questions(i.e.,transmission, prevalence, diagnostic testing, prevention,and treatment options), as well as, self-reported practice behavior and confidence in knowledge.RESULTS: Knowledge about screening and managing patients with CHB was poor: only 24% identified the correct tests to screen for CHB, 13% knew the next steps for patients testing positive for CHB, 18% knew the high prevalence rate among API, and 31% knew how to screen for liver cancer. Wald chi-square analysis determined the effect of training level on knowledge; in all cases except for knowledge of liver cancer screening(p = 0.0032), knowledge did not significantly increase with length in residency training or completion of residency.CONCLUSION: Even in a high-risk region, both medical school and residency training have not adequatelyprepared physicians in the screening and management of CHB. 关 键 词：LIVER cancer HEPATITIS B ASIAN PacificIslander LIVER disease Health DISPARITY
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