U.S. medical resident familiarity with national tuberculosis guidelines

Petros Karakousis, Frangiscos G. Sifakis, Ruben de Oca, Valerianna C. Amorosa, Kathleen R Page, Yukari C Manabe, James D. Campbell

Research output: Contribution to journalArticle

Abstract

Background: The ability of medical residents training at U.S. urban medical centers to diagnose and manage tuberculosis cases has important public health implications. We assessed medical resident knowledge about tuberculosis diagnosis and early management based on American Thoracic Society guidelines. Methods: A 20-question tuberculosis knowledge survey was administered to 131 medical residents during a single routinely scheduled teaching conference at four different urban medical centers in Baltimore and Philadelphia. Survey questions were divided into 5 different subject categories. Data was collected pertaining to institution, year of residency training, and self-reported number of patients managed for tuberculosis within the previous year. The Kruskal-Wallis test was used to detect differences in median percent of questions answered correctly based on these variables. Results: The median percent of survey questions answered correctly for all participating residents was 55%. Medical resident knowledge about tuberculosis did not improve with increasing post-graduate year of training or greater number of patients managed for tuberculosis within the previous year. Common areas of knowledge deficiency included the diagnosis and management of latent tuberculosis infection (median percent correct, 40.7%), as well as the interpretation of negative acid-fast sputum smear samples. Conclusion: Many medical residents lack adequate knowledge of recommended guidelines for the management of tuberculosis. Since experience during training influences future practice pattterns, education of medical residents on guidelines for detection and early management of tuberculosis may be important for future improvements in national tuberculosis control strategies.

Original languageEnglish (US)
Article number89
JournalBMC Infectious Diseases
Volume7
DOIs
StatePublished - Aug 2 2007

Fingerprint

Tuberculosis
Guidelines
Latent Tuberculosis
Recognition (Psychology)
Baltimore
Aptitude
Internship and Residency
Medical Education
Sputum
Teaching
Public Health
Acids
Surveys and Questionnaires

ASJC Scopus subject areas

  • Infectious Diseases

Cite this

U.S. medical resident familiarity with national tuberculosis guidelines. / Karakousis, Petros; Sifakis, Frangiscos G.; de Oca, Ruben; Amorosa, Valerianna C.; Page, Kathleen R; Manabe, Yukari C; Campbell, James D.

In: BMC Infectious Diseases, Vol. 7, 89, 02.08.2007.

Research output: Contribution to journalArticle

Karakousis, Petros ; Sifakis, Frangiscos G. ; de Oca, Ruben ; Amorosa, Valerianna C. ; Page, Kathleen R ; Manabe, Yukari C ; Campbell, James D. / U.S. medical resident familiarity with national tuberculosis guidelines. In: BMC Infectious Diseases. 2007 ; Vol. 7.
@article{b9093f1fa5834b708694e37279aab53a,
title = "U.S. medical resident familiarity with national tuberculosis guidelines",
abstract = "Background: The ability of medical residents training at U.S. urban medical centers to diagnose and manage tuberculosis cases has important public health implications. We assessed medical resident knowledge about tuberculosis diagnosis and early management based on American Thoracic Society guidelines. Methods: A 20-question tuberculosis knowledge survey was administered to 131 medical residents during a single routinely scheduled teaching conference at four different urban medical centers in Baltimore and Philadelphia. Survey questions were divided into 5 different subject categories. Data was collected pertaining to institution, year of residency training, and self-reported number of patients managed for tuberculosis within the previous year. The Kruskal-Wallis test was used to detect differences in median percent of questions answered correctly based on these variables. Results: The median percent of survey questions answered correctly for all participating residents was 55{\%}. Medical resident knowledge about tuberculosis did not improve with increasing post-graduate year of training or greater number of patients managed for tuberculosis within the previous year. Common areas of knowledge deficiency included the diagnosis and management of latent tuberculosis infection (median percent correct, 40.7{\%}), as well as the interpretation of negative acid-fast sputum smear samples. Conclusion: Many medical residents lack adequate knowledge of recommended guidelines for the management of tuberculosis. Since experience during training influences future practice pattterns, education of medical residents on guidelines for detection and early management of tuberculosis may be important for future improvements in national tuberculosis control strategies.",
author = "Petros Karakousis and Sifakis, {Frangiscos G.} and {de Oca}, Ruben and Amorosa, {Valerianna C.} and Page, {Kathleen R} and Manabe, {Yukari C} and Campbell, {James D.}",
year = "2007",
month = "8",
day = "2",
doi = "10.1186/1471-2334-7-89",
language = "English (US)",
volume = "7",
journal = "BMC Infectious Diseases",
issn = "1471-2334",
publisher = "BioMed Central",

}

TY - JOUR

T1 - U.S. medical resident familiarity with national tuberculosis guidelines

AU - Karakousis, Petros

AU - Sifakis, Frangiscos G.

AU - de Oca, Ruben

AU - Amorosa, Valerianna C.

AU - Page, Kathleen R

AU - Manabe, Yukari C

AU - Campbell, James D.

PY - 2007/8/2

Y1 - 2007/8/2

N2 - Background: The ability of medical residents training at U.S. urban medical centers to diagnose and manage tuberculosis cases has important public health implications. We assessed medical resident knowledge about tuberculosis diagnosis and early management based on American Thoracic Society guidelines. Methods: A 20-question tuberculosis knowledge survey was administered to 131 medical residents during a single routinely scheduled teaching conference at four different urban medical centers in Baltimore and Philadelphia. Survey questions were divided into 5 different subject categories. Data was collected pertaining to institution, year of residency training, and self-reported number of patients managed for tuberculosis within the previous year. The Kruskal-Wallis test was used to detect differences in median percent of questions answered correctly based on these variables. Results: The median percent of survey questions answered correctly for all participating residents was 55%. Medical resident knowledge about tuberculosis did not improve with increasing post-graduate year of training or greater number of patients managed for tuberculosis within the previous year. Common areas of knowledge deficiency included the diagnosis and management of latent tuberculosis infection (median percent correct, 40.7%), as well as the interpretation of negative acid-fast sputum smear samples. Conclusion: Many medical residents lack adequate knowledge of recommended guidelines for the management of tuberculosis. Since experience during training influences future practice pattterns, education of medical residents on guidelines for detection and early management of tuberculosis may be important for future improvements in national tuberculosis control strategies.

AB - Background: The ability of medical residents training at U.S. urban medical centers to diagnose and manage tuberculosis cases has important public health implications. We assessed medical resident knowledge about tuberculosis diagnosis and early management based on American Thoracic Society guidelines. Methods: A 20-question tuberculosis knowledge survey was administered to 131 medical residents during a single routinely scheduled teaching conference at four different urban medical centers in Baltimore and Philadelphia. Survey questions were divided into 5 different subject categories. Data was collected pertaining to institution, year of residency training, and self-reported number of patients managed for tuberculosis within the previous year. The Kruskal-Wallis test was used to detect differences in median percent of questions answered correctly based on these variables. Results: The median percent of survey questions answered correctly for all participating residents was 55%. Medical resident knowledge about tuberculosis did not improve with increasing post-graduate year of training or greater number of patients managed for tuberculosis within the previous year. Common areas of knowledge deficiency included the diagnosis and management of latent tuberculosis infection (median percent correct, 40.7%), as well as the interpretation of negative acid-fast sputum smear samples. Conclusion: Many medical residents lack adequate knowledge of recommended guidelines for the management of tuberculosis. Since experience during training influences future practice pattterns, education of medical residents on guidelines for detection and early management of tuberculosis may be important for future improvements in national tuberculosis control strategies.

UR - http://www.scopus.com/inward/record.url?scp=34548783927&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548783927&partnerID=8YFLogxK

U2 - 10.1186/1471-2334-7-89

DO - 10.1186/1471-2334-7-89

M3 - Article

C2 - 17678548

AN - SCOPUS:34548783927

VL - 7

JO - BMC Infectious Diseases

JF - BMC Infectious Diseases

SN - 1471-2334

M1 - 89

ER -