Multicenter Evaluation of Current Knowledge of Intestinal Transplantation and Rehabilitation Among Trainee Physicians.

Abstract

BACKGROUND:

The management of intestinal failure has evolved dramatically over the last 2 decades. In addition, improved management of patients requiring parenteral nutrition-associated liver disease is creating a paradigm shift in both intestinal failure management and in the evolving indications for intestinal transplantation.

OBJECTIVES:

We conducted an evaluation measuring current awareness among house officers (HO) regarding nutritional and transplant principles in the management of intestinal disease. Our goal was to use board-style questions with a single correct response to measure current knowledge level between HO.

METHODS:

A survey was distributed to HO via email to measure knowledge regarding 3 areas: principles of intestinal failure (PI), medical management of intestinal disease (MI), and transplantation for intestinal disease (TI). This was evaluated at 3 busy nontransplant centers (NTC) and a tertiary care intestine transplant center (TC). Statistical analysis was conducted using the independent samples t test and multiple linear regression analysis.

RESULTS:

Surveys were distributed to a total of 1068 HO; 208 (19.47%) responded. We received 139 responses (67%) from NTC and 69 (33%) from TC. 82% were postgraduate year (PGY) 1-3 and 18% were PGY 4-7. Of the respondents, 27% correctly answered questions regarding PI, 40% about MI, and 21% on TI. HO in NTC demonstrated more knowledge regarding PI than those in TC (P = .000). There was, otherwise, no difference between PGY 1-3 and PGY 4-7 (P > .05).

CONCLUSIONS:

This evaluation demonstrates potential deficiencies in the basic understanding of issues surrounding intestinal disease that can be used for implementation of an educational program regarding intestinal disease and transplantation.

• Authors: S Hussain, A Mehta, T Pettle, F Niyazi, A Prushani, R Patel, M H Piper, S-M R Jafri
• Journal: Transplantation proceedings (Transplant Proc) 2015 Jul-Aug Vol. 47 Issue 6 Pg. 1988-92 ISSN: 1873-2623 [Electronic] United States
• PMID: 26293086 (Publication Type: Journal Article, Multicenter Study)
• Copyright: Copyright © 2015 Elsevier Inc. All rights reserved.

Topics

• Education, Medical, Continuing
• Female
• Health Knowledge, Attitudes, Practice
• Humans
• Intestinal Diseases (rehabilitation, surgery)
• Intestines (transplantation)
• Male
• Organ Transplantation (education)
• Parenteral Nutrition, Total (methods)
• Physicians (standards)