■这项研究的目的是确定一般儿科医生的最低感知能力和重要性的肾脏病学主题。
■调查已分发给普通儿科医生,儿科住院医师,儿科住院医师项目主任,和儿科肾脏病学家。感知重要性和能力以5分利克特量表进行评分。计算平均值和95%置信区间。
■所有肾脏病领域的普通儿科医生的平均感知能力为3.0,95CI(2.9至3.1),平均重要性为3.2,95CI(3.1至3.3)。域得分低于能力和重要性的手段,分别为肾结石(2.5,95CI[2.2至2.7])和2.6,95CI[2.3至2.8]),急性肾损伤(2.5,95CI[2.2至2.8]和2.4,95CI[2.1至2.8]),慢性肾脏疾病(1.9,95CI[1.7至2.2]和2.1,95CI[1.8至2.4]),肾小管疾病(1.8,95CI[1.6至2.0]和2.0,95CI[1.8至2.3]),和肾移植(1.6,95CI[1.4至1.8]和1.7,95CI[1.4至1.9])。居民,项目主管,儿科肾脏病学家同意结石,慢性肾病,肾小管疾病,移植的重要性较低。然而,急性肾损伤是居民之间感知重要性差异最大的领域(4.4,95CI[4.2to4.6]),肾病学家(4.2,95CI[3.8至4.6]),和项目主管(4.2,95CI[3.7至4.7])与普通儿科医生([2.4,95CI[2.1至2.8];P<0.05)相比。
儿科医生不认为急性肾损伤对他们的实践很重要,尽管专家的意见和长期后果的证据。教育干预措施必须解决儿科肾脏健康关键领域的缺陷。
UNASSIGNED: The objective of this study was to identify nephrology topics of lowest perceived competency and importance for general paediatricians.
UNASSIGNED: Surveys were distributed to general paediatricians, paediatric residents, paediatric residency program directors, and paediatric nephrologists. Perceived importance and competence were rated on a 5-point Likert scale. Means and 95% confidence intervals were calculated.
UNASSIGNED: Mean perceived competency from general paediatricians across all nephrology domains was 3.0, 95%CI (2.9 to 3.1) and mean importance was 3.2, 95%CI (3.1 to 3.3). Domains scoring below the means for competence and importance, respectively were kidney stones (2.5, 95%CI [2.2 to 2.7]) and 2.6, 95%CI [2.3 to 2.8]), acute kidney injury (2.5, 95%CI [2.2 to 2.8] and 2.4, 95%CI [2.1 to 2.8]), chronic kidney disease (1.9, 95%CI [1.7 to 2.2] and 2.1, 95%CI [1.8 to 2.4]), tubular disorders (1.8, 95%CI [1.6 to 2.0] and 2.0, 95%CI [1.8 to 2.3]), and kidney transplant (1.6, 95%CI [1.4 to 1.8] and 1.7, 95%CI [1.4 to 1.9]). Residents, program directors, and paediatric nephrologists agreed that stones, chronic kidney disease, tubular disorders, and transplant were of lower importance. However, acute kidney injury was the domain with the largest discrepancy in perceived importance between residents (4.4, 95%CI [4.2 to 4.6]), nephrologists (4.2, 95%CI [3.8 to 4.6]), and program directors (4.2, 95%CI [3.7 to 4.7]) compared to general paediatricians ([2.4, 95%CI [2.1 to 2.8]; P<0.05).
UNASSIGNED: Paediatricians did not believe acute kidney injury was important to their practice, despite expert opinion and evidence of long-term consequences. Educational interventions must address deficits in crucial domains of renal health in paediatrics.