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Yang C, Xie J, Chen Q, Yuan Q, Shang J, Wu H, Yang Y, Wang M, Shu X, Yue J, Tu D, Lin Y, Zheng R, Wu X. Knowledge, Attitude, and Practice About Antibiotic Use and Antimicrobial Resistance Among Nursing Students in China: A Cross Sectional Study. Infect Drug Resist 2024; 17:1085-1098. [PMID: 38525475 PMCID: PMC10960542 DOI: 10.2147/idr.s454489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 03/06/2024] [Indexed: 03/26/2024] Open
Abstract
Purpose The knowledge, attitude, and practices (KAP) concerning antibiotics by healthcare students have the potential impact on controlling antibiotic abuse and antimicrobial resistance (AMR) growth. This study aims to evaluate the levels and explore the associated factors with KAP on antibiotic use and AMR in Chinese nursing students. Methods A cross-sectional survey using a self-administered questionnaire consisting of demographics and selected features and KAP on antibiotic use and AMR was conducted to measure KAP levels among nursing students at various universities in Hubei Province, China. The logistic regression analyses were performed to analyze the potential factors associated with the KAP. Results The survey eventually included a total of 1959 nursing students. The mean scores for KAP were 57.89 ±26.32, 55.00 ±12.50, and 71.88 ±15.63, respectively. Regarding knowledge, 54.3% of participants were unaware that antibiotic was ineffective against viral infections. Regarding attitude, 36% of participants agreed that current antibiotic abuse existed; 96.2% of participants thought it necessary to set up a special course on antibiotics. Regarding practice, only 48.4% of participants usually purchased antibiotics with a prescription. Multivariable analyses indicated that lack of discussion on AMR in school courses was an independent risk factor against KAP, respectively. The main knowledge sources of antibiotic being outside the classroom was an independent risk factor related to knowledge and practice. The average score >80 points was an independent protective factor related to knowledge and practice. Conclusion The KAP level on antibiotic use and AMR among Hubei nursing students was general and required further strengthening. Nursing students with risk factors should be prioritized in educational interventions. The findings of our study pointed out some directions for tailored interventions to improve the training on antibiotics.
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Affiliation(s)
- Chaoping Yang
- Nursing Department, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Jing Xie
- Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, People’s Republic of China
| | - Qianjun Chen
- Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, People’s Republic of China
| | - Qiongyin Yuan
- Obstetrical department, Huanggang Maternal and Child Health Hospital, Hubei, People’s Republic of China
| | - Jianping Shang
- Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Haibo Wu
- School of Health and Nursing, Wuchang University of Technology, Wuhan, People’s Republic of China
| | - Youhua Yang
- Department of Basic Medical Sciences, School of Medicine, Jianghan University, Wuhan, People’s Republic of China
| | - Mingfang Wang
- Department of Pediatric Gastroenterology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Xiaolan Shu
- Department of Pediatric Intensive Care Unit (PICU), Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Jing Yue
- Emergency Department, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, People’s Republic of China
| | - Danna Tu
- Department of Pediatric Cardiology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Ying Lin
- Nursing Department, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Ronghao Zheng
- Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
| | - Xiaolin Wu
- Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
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Mark Anderson D, Diris R, Montizaan R, Rees DI. The effects of becoming a physician on prescription drug use and mental health treatment. JOURNAL OF HEALTH ECONOMICS 2023; 91:102774. [PMID: 37451143 DOI: 10.1016/j.jhealeco.2023.102774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 05/16/2023] [Accepted: 05/26/2023] [Indexed: 07/18/2023]
Abstract
There is evidence that physicians disproportionately suffer from substance use disorder and mental health problems. It is not clear, however, whether these phenomena are causal. We use data on Dutch medical school applicants to examine the effects of becoming a physician on prescription drug use and the receipt of treatment from a mental health facility. Leveraging variation from lottery outcomes that determine admission into medical schools, we find that becoming a physician increases the use of antidepressants, anxiolytics, opioids, and sedatives. Increases in the use of antidepressants, anxiolytics, and sedatives are larger among female physicians than among their male counterparts.
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Affiliation(s)
- D Mark Anderson
- Department of Agricultural Economics and Economics, Montana State University, NBER, United States; IZA - Institute of Labor Economics, Bonn, Germany.
| | - Ron Diris
- Department of Economics, Leiden University, the Netherlands; IZA - Institute of Labor Economics, Bonn, Germany
| | - Raymond Montizaan
- Research Centre for Education and the Labour Market, Maastricht University, the Netherlands; IZA - Institute of Labor Economics, Bonn, Germany
| | - Daniel I Rees
- Department of Economics, Universidad Carlos III de Madrid, Spain
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Sadjo YW, Zilefac BN, Tchiekou Audrey K, Kamdem Stephane N, Ntep David Bienvenue N, Valentine N, Messanga Charles B. Evaluation of self-medication habits among patients at the Odontostomatology unit of a secondary health facility in Cameroon. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2023. [DOI: 10.1016/j.adoms.2023.100392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
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Mücke NA, Schmidt A, Kersting C, Kalitzkus V, Pentzek M, Wilm S, Mortsiefer A. General practitioners treating their own family members: a cross-sectional survey in Germany. BMC PRIMARY CARE 2022; 23:23. [PMID: 35172761 PMCID: PMC8812028 DOI: 10.1186/s12875-022-01631-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 01/19/2022] [Indexed: 11/10/2022]
Abstract
Abstract
Background
In Germany, there are neither guidelines provided by the medical associations nor a public discussion about general practitioners (GPs) treating their family members. Only few studies on this topic from the primary care setting exist. The aim of this study is to describe GPs’ treatment of family members and to generate empirical data on the most common reasons for this.
Methods
In June 2018 we conducted a postal survey among GPs in the North Rhine region of Germany. The questionnaire was developed in a stepwise process including initial expert panels, interviews with GPs, item construction workshops, cognitive pre-tests and pilot testing with 40 questionnaires. The final questionnaire addressed: type and frequency of treatment, documentation and place of treatment, engagement as the official GP as well as reasons for and against the treatment. For data evaluation, descriptive and explorative statistical analyses were conducted.
Results
Overall, 393 questionnaires were returned (response rate 39.8%). 96.7% of the GPs had treated at least one family member during the last 12 months. Services that were provided frequently (more than three times in the last 12 months) included the prescription or dispensing of medication (partner 45%, children 37%, parents 43%, partner’s parents 26%), physical examinations (partner 18%, children 24%, parents 25%, partner’s parents 15%), and the arrangement or provision of laboratory tests (partner 14%, children 7%, parents 16%, partner’s parents 9%). Less than one third of the study participants always treated their relatives in their office. Male GPs more often provided care to family members (except children) registered in their practice. Senior male GPs treated their relatives more often than junior female GPs. Family members were most commonly treated for practical reasons.
Conclusion
The subject of GPs treating their relatives is of high everyday relevance, since nearly all GPs are involved in the treatment of their family members. Frequent at-home treatments and low documentation rates may indicate risks due to deviating from the professional routine.
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Zacay G, Baron-Epel O, Malatskey L, Heymann A. Preferences and barriers to the utilization of primary health care by sick physicians: a nationwide survey. Fam Pract 2021; 38:109-114. [PMID: 32839825 DOI: 10.1093/fampra/cmaa090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Physicians are often dissatisfied with their own medical care. Self-prescribing is common despite established guidelines that discourage this practice. From a pilot study, we know primary care physicians' (PCP) preferences, but we lack information regarding other specialties and work places. OBJECTIVES The goal of this study was to examine whether physicians are satisfied with their personal primary care and how this could be improved. METHODS We distributed an electronic survey to all physicians registered with the Israeli Medical Association. The questionnaire examined satisfaction with medical care, preferences for using formal care versus informal care, self-prescribing and barriers to using formal care. RESULTS Two thousand three hundred and five out of 24 360 invited physicians responded. Fifty-six per cent of the respondents were satisfied with their personal primary care. Fifty-two per cent reported initiating self-treatment with a medication during the last year. Five and four per cent initiated treatment with a benzodiazepine and an antidepressant, respectively, during the last year. This was despite the fact that most physicians did not feel competent to treat themselves. Having a personal PCP was correlated with both a desire to use formal care and self-referral to formal care in practice. Regression analysis showed that the highest odds ratio (OR) for experiencing a large gap between desired and actual care were for physicians who had no personal PCP (OR = 1.92). CONCLUSIONS Physicians frequently engage in self-treatment and in informal medical care. Whether the root cause is the health care system structure that does not meet their needs or the convenience of self-treatment is not known.
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Affiliation(s)
- Galia Zacay
- Department of Family Medicine, Meuhedet Health Fund, Tel Aviv.,The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv
| | | | - Lilach Malatskey
- Israeli Society of Lifestyle Medicine, Israeli Association of Family Physicians, Tel Aviv.,Azrieli Faculty of Medicine, Bar Ilan University, Ramat-Gan, Israel
| | - Anthony Heymann
- Department of Family Medicine, Meuhedet Health Fund, Tel Aviv.,The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv
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Smith RA, MacGeorge EL, Hackman NM, M'ikanatha NM. Campaign Preparation for Complex Initiatives: A Person-Centered Approach to Audience Segmentation of Parents' Antibiotic Stewardship. HEALTH COMMUNICATION 2018; 33:1539-1548. [PMID: 29068705 PMCID: PMC6085158 DOI: 10.1080/10410236.2017.1384345] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The evolution of antibiotic resistance is outpacing the speed at which new antibiotics will reach the marketplace. To slow the rate of resistance, people need to engage in antibiotic stewardship, which includes acts to prevent the spread of bacteria and judicious use of antibiotics to treat infections. This study identified the patterns and predictors of antibiotic stewardship behaviors of parents (N = 516) related to their children. The latent class analysis revealed three profiles of parental stewardship, labeled Stewards, Requesters, and Non-Stewards. The findings implied different campaign goals: to encourage Stewards to follow through on their intentions, to encourage Requesters to stop asking providers for antibiotics when their children have ear infections, and to influence Non-Stewards to accept medical advice when an antibiotic is not indicated and to dispose of leftover antibiotics. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these three groups. For example, parents who perceived antibiotic-resistant infections as less serious health conditions, felt less worry when thinking about their child getting an antibiotic-resistant infection, and had stronger misattributions of antibiotics' efficacy to treat multiple symptoms were more likely to be Requesters and Non-Stewards, instead of Stewards.
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Affiliation(s)
- Rachel A Smith
- a Department of Communication Arts & Sciences , The Pennsylvania State University
| | - Erina L MacGeorge
- a Department of Communication Arts & Sciences , The Pennsylvania State University
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Chiribagula VB, Mboni HM, Amuri SB, kamulete GS, Byanga JK, Duez P, Simbi JBL. [Prevalence and characteristics of self-medication among students 18 to 35 years residing in Campus Kasapa of Lubumbashi University]. Pan Afr Med J 2015; 21:107. [PMID: 26327945 PMCID: PMC4546724 DOI: 10.11604/pamj.2015.21.107.5651] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Accepted: 03/18/2015] [Indexed: 11/11/2022] Open
Affiliation(s)
- Valentin Bashige Chiribagula
- Laboratoire de Pharmacognosie, Faculté des Sciences Pharmaceutiques Université de Lubumbashi, 27av Kato commune Kampemba, Lubumbashi/RD Congo
| | - Henry Manya Mboni
- Laboratoire de Pharmacognosie, Faculté des Sciences Pharmaceutiques Université de Lubumbashi, 27av Kato commune Kampemba, Lubumbashi/RD Congo
| | - Salvius Bakari Amuri
- Laboratoire de Pharmacognosie, Faculté des Sciences Pharmaceutiques Université de Lubumbashi, 27av Kato commune Kampemba, Lubumbashi/RD Congo
| | - Grégoire Sangwa kamulete
- Laboratoire de Pharmacognosie, Faculté des Sciences Pharmaceutiques Université de Lubumbashi, 27av Kato commune Kampemba, Lubumbashi/RD Congo
| | - Joh Kahumba Byanga
- Laboratoire de Pharmacognosie, Faculté des Sciences Pharmaceutiques Université de Lubumbashi, 27av Kato commune Kampemba, Lubumbashi/RD Congo
| | - Pierre Duez
- Laboratoire de Chimie Thérapeutique et Pharmacognosie, Faculté de Médecine et de Pharmacie, Université de Mons (UMONS), bâtiment Mendeleiev, Av Maistriau, 7000 Mons, Belgique
| | - Jean Baptiste Lumbu Simbi
- Laboratoire de chimie Organique, Faculté des Sciences Université de Lubumbashi, 11 Av Likasi Commune de Lubumbashi /RD Congo
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Smith RA, Quesnell M, Glick L, Hackman N, M'Ikanatha NM. Preparing for Antibiotic Resistance Campaigns: A Person-Centered Approach to Audience Segmentation. JOURNAL OF HEALTH COMMUNICATION 2015; 20:1433-1440. [PMID: 26181623 PMCID: PMC4697945 DOI: 10.1080/10810730.2015.1018652] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Antibiotic resistance is a growing threat to public health that calls for urgent attention. However, creating campaigns to slow the emergence and spread of drug-resistant pathogens is challenging because the goal-antibiotic stewardship-encompasses multiple behaviors. This study provided a novel approach to audience segmentation for a multifaceted goal, by using a person-centered approach to identify profiles of U.S. adults based on shared stewardship intentions. The latent class analysis identified three groups: stewards, stockers, and demanders. The findings suggest campaigns with goals aimed at encouraging stewards to follow through on their intentions, encouraging stockers to dispose of their leftover antibiotics, and convincing demanders to accept providers' evidence-based judgment when a prescription for antibiotics is not indicated. Covariate analysis showed that people who held more inaccurate beliefs about what antibiotics can treat had higher odds of being demanders and stockers instead of stewards. People with stronger health mavenism also had higher odds of being stockers instead of stewards. The covariate analysis provided theoretical insight into the strategies to pursue in campaigns targeting these 3 groups.
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Affiliation(s)
- Rachel A Smith
- a Department of Communication Arts & Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA
| | - Madisen Quesnell
- a Department of Communication Arts & Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA
| | - Lydia Glick
- b College of Agricultural Sciences , The Pennsylvania State University , University Park , Pennsylvania , USA
| | - Nicole Hackman
- c Penn State Hershey Children's Hospital , Hershey , Pennsylvania , USA
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The limits of patient autonomy in the era of the internet. Ann Am Thorac Soc 2015; 11:1447-8. [PMID: 25422996 DOI: 10.1513/annalsats.201410-447ed] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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10
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Scaioli G, Gualano MR, Gili R, Masucci S, Bert F, Siliquini R. Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes and practices amongst students of a school of medicine in Italy. PLoS One 2015; 10:e0122476. [PMID: 25831072 PMCID: PMC4382153 DOI: 10.1371/journal.pone.0122476] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Accepted: 02/11/2015] [Indexed: 11/18/2022] Open
Abstract
Background Since antibiotic resistance has become a worldwide public health concern and is in part related to physicians’ lack of knowledge, it is essential to focus our attention on healthcare profession students. The present study aims at evaluating the knowledge and attitudes of the School of Medicine’s students towards antibiotic usage and antibiotic resistance. Methods In December 2013, a cross sectional study was conducted amongst medical, dental, nursing and other health care profession students of the School of Medicine at the University of Torino. Students of all the academic years took part in this study. Questionnaires were submitted during regular lectures (only students who attended courses on one specific day were surveyed) and the data collected was analyzed using StataMP11 statistical software. Results Overall, 1,050 students were interviewed. The response rate was 100%. Around 20% of the sample stated that antibiotics are appropriate for viral infections and 15% of the students that they stop taking those drugs when symptoms decrease. Results of the multivariate analyses showed that females were more likely than males to take antibiotics only when prescribed (OR 1.43, 95% CI 1.04–1.98). Interestingly, students with a relative working in a health-related field, as well as those who took at least one course of antibiotics in the last year, had a lower probability of taking those drugs only under prescription (OR = 0.69 95% CI: 0.49–0.97 and OR = 0.38 95% CI: 0.27–0.53, respectively). Conclusion The present paper shows how healthcare profession students do not practice what they know. Since those students will be a behavioral model for citizens and patients, it is important to generate more awareness around this issue throughout their studies. It would be advisable to introduce a specific course and training on antibiotics in the core curriculum of the School of Medicine.
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Affiliation(s)
- Giacomo Scaioli
- Department of Public Health, University of Turin, Turin, Italy
| | | | - Renata Gili
- Department of Public Health, University of Turin, Turin, Italy
- * E-mail:
| | - Simona Masucci
- Department of Public Health, University of Turin, Turin, Italy
| | - Fabrizio Bert
- Department of Public Health, University of Turin, Turin, Italy
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Steffen MW, Hagen PT, Benkhadra K, Molella RG, Newcomb RD, Murad MH. A survey of physicians' perceptions of their health care needs. Occup Med (Lond) 2014; 65:49-53. [PMID: 25336036 DOI: 10.1093/occmed/kqu145] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Physicians may face unique challenges in accessing health care and managing their own health. AIMS To evaluate physicians' perceptions of their health care needs and desired services. METHODS A written survey, distributed and collected anonymously among attendees at a large primary care continuing medical education conference. RESULTS The survey was given to 346 physicians and 141 (41%) responded. The majority of physicians (53%) reported having difficulty accessing health care and reverting to self-diagnosis and treatment (63%). Over 83% reported having or knowing a colleague who had a career-threatening illness and 42% had experienced concern about a colleague's ability to practise safely. CONCLUSIONS Physicians as an occupational group have challenges in accessing health care, very commonly suffer career-limiting illnesses and revert to self-diagnosis and treatment. Programmes tailored to providing health care to physicians are needed.
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Affiliation(s)
- M W Steffen
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA.
| | - P T Hagen
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - K Benkhadra
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - R G Molella
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - R D Newcomb
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA
| | - M H Murad
- Division of Preventive, Occupational, and Aerospace Medicine, Mayo Clinic, Rochester, MN 55905, USA
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Gold KJ, Goldman EB, Kamil LH, Walton S, Burdette TG, Moseley KL. No appointment necessary? Ethical challenges in treating friends and family. N Engl J Med 2014; 371:1254-8. [PMID: 25251620 DOI: 10.1056/nejmsb1402963] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Katherine J Gold
- From the Departments of Family Medicine (K.J.G.), Obstetrics and Gynecology (K.J.G., E.B.G.), Compliance (L.H.K.), Anesthesia (S.W.), Spiritual Care (T.G.B.), and Pediatrics and Communicable Diseases (K.L.M.) and the Center for Bioethics and Social Sciences in Medicine (E.B.G., K.L.M.), University of Michigan, and the University of Michigan Law School (E.B.G.) - all in Ann Arbor
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Cook AF, Ross LF. Young physicians' recall about pediatric training in ethics and professionalism and its practical utility. J Pediatr 2013; 163:1196-201. [PMID: 23706361 DOI: 10.1016/j.jpeds.2013.04.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Revised: 03/19/2013] [Accepted: 04/04/2013] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To assess the adequacy of ethics and professionalism education in residency by examining the recollections of young pediatricians in practice. STUDY DESIGN We surveyed a random sample of members of the American Academy of Pediatrics Section on Young Physicians between February and June 2012. RESULTS The majority of young pediatricians reported that ethics and professionalism were taught ad hoc in their training programs. Compared with physicians in practice for >5 years, those in practice for ≤ 5 years were significantly more likely to report having had an organized curriculum (72 of 181 [40%] vs 27 of 113 [24%]; P < .01) and that the ethics and professionalism training in their program was adequate (124 of 180 [69%] vs 62 of 113 [55%]). Of the topics encountered in practice by at least two-thirds of pediatricians, more than two-thirds of the respondents stated that residency training adequately prepared them to address issues of consent, privacy, truth-telling, and child abuse/neglect, but less than one-third felt adequately prepared to address conduct on social media and requests for prescriptions by family, friends, and colleagues outside of clinical encounters. CONCLUSION The majority of recent graduates from pediatric training programs described themselves as competent to address the ethical and professionalism issues faced in practice, but nonetheless reported gaps in their education. As pediatric residency programs adopt more structured curricula for ethics and professionalism education, issues commonly faced by practitioners should be incorporated.
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Affiliation(s)
- Alyssa Flanagan Cook
- Medical Education Research, Innovation, Teaching and Scholarship program, University of Chicago Pritzker School of Medicine, Chicago, IL; MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL
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