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

作     者：Stephanie D Chao Bing-Mei Wang Ellen T Chang Li Ma Samuel K So 

作者机构：Department of Surgery Stanford University School of Medicine Asian Liver Center at Stanford UniversitySchool of Medicine Palo Alto Asian Liver Center at Stanford UniversityStanford University School of Medicine Asian Liver Center at Stanford University School of Medicine Palo Alto Division of Epidemiology Department of Health Research and Policy Stanford University School of Medicine 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第22期

页      面：6914-6923页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主　　题：Liver cancer Hepatitis B Asian PacificIslander Liver disease Health disparity 

摘      要：AIM: To investigate physicians knowledge including chronic hepatitis B(CHB) diagnosis, screening, and management in various stages of their ***: 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 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 ***: Even in a high-risk region, both medical school and residency training have not adequatelyprepared physicians in the screening and management of CHB.