Fetal alcohol syndrome: knowledge and attitudes of family medicine clerkship and residency directors.
Fetal alcohol syndrome: knowledge and attitudes of family medicine clerkship and residency directors.
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胎儿酒精综合症：家庭医学见习和住院医师的知识和态度。
DOI：
10.1016/j.alcohol.2009.10.012
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Hayes,Carmela
中科院分区：
文献类型：
--
作者：
Zoorob,Roger;Aliyu,MuktarH;Hayes,Carmela
胎儿酒精谱系障碍（FASD）是导致发育障碍的主要可预防原因，具有严重的永久性后果。尽管人们对胎儿酒精综合征（FAS）的认识有所增加，但美国13%的女性在怀孕期间饮酒。卫生保健专业人员不定期评估他们的患者使用酒精的频率和数量。本研究探讨了家庭医学住院医师和见习主任的知识，技能和实践，并评估了FAS课程的时间和格式。一个自我管理的匿名调查被发送到居住和见习主任（N=571）。实习主任的回应率为52%，住院主任为46%。两组都表现出较高的知识水平FASD和酒精咨询的做法，孕妇。尽管近三分之二的住院医师项目将FASD纳入了课程，但相当一部分的博士预科项目没有。超过一半的实习主任没有FASD在他们的课程同意，有必要将其列入。这些研究结果提出了重要的医学教育和政策问题，并提供了深入了解在美国的博士前和家庭医学住院医师计划之间的课程FASD内容的差距。医师咨询在FAS一级预防中的作用应继续在博士前和住院医师教育中得到强调。
Fetal alcohol spectrum disorders (FASD) are the leading preventable causes of developmental disabilities with serious permanent consequences. Regardless of the increased awareness of fetal alcohol syndrome (FAS), 13% of women in the United States drink alcohol during pregnancy. Health care professionals do not routinely assess the frequency and quantity of alcohol use by their patients. This study examined the knowledge, skills, and practices of family medicine residency and clerkship directors and assessed the time devoted and format of FAS curricula in the programs. A self-administered anonymous survey was sent to the residency and clerkship directors (N=571). Response rate of clerkship directors was 52% and residency directors 46%. Both groups showed high level of knowledge of FASD and of alcohol counseling practices for pregnant women. Although almost two thirds of the residency programs had FASD integrated in the curriculum, an equivalent fraction of predoctoral programs did not. More than half of the clerkship directors without FASD in their curriculum agreed that a need exists for its inclusion. These findings raise important medical education and policy issues and provide insight into the disparity in FASD content of curricula between predoctoral and family medicine residency programs in the United States. The role of physician counseling in primary prevention of FAS should continue to be stressed in predoctoral and residency education.