HPV Knowledge Retention and Concurrent Increase in Vaccination Rates 1.5 Years After a Novel HPV Workshop in Medical School
HPV Knowledge Retention and Concurrent Increase in Vaccination Rates 1.5 Years After a Novel HPV Workshop in Medical School
复制标题
DOI：
10.1007/s13187-021-02106-y
复制
发表时间：
2021-10-20
影响因子：
1.6
通讯作者：
St John, Maie
中科院分区：
文献类型：
--
作者：
Sutton, Sarah;Azar, Shaghauyegh S.;St John, Maie
有关人乳头瘤病毒 (HPV) 发病机制、疫苗接种和患者咨询的综合教育通常不包含在医学院课程中；因此，学生和提供者的知识，特别是关于头颈病理学的知识仍然很低。本研究的目的是证明参加我们的新型 HPV 研讨会后对 HPV 知识的长期保留以及对 HPV 疫苗接种的积极态度，重点是口咽癌知识。研讨会首次结束 1.5 年后，对医学生进行了跟踪调查。学生主导的诊所的 HPV 疫苗接种记录是从免疫信息系统收集的。 33% 的医学生在课前就意识到 HPV 会导致口咽癌；课后对该关联的即时和长期认知保持在 90% 或更高 (p < 0.0001)。对 HPV 咨询的满意度、拥有足够的信息来推荐疫苗以及对 HPV 恶性肿瘤、症状、传播和疫苗接种计划的了解与课前分数相比持续升高 (p < 0.05)。长期知识得分也高于同一培训阶段从未参加过研讨会的医学生对照组（p < 0.05）。课程结束后，医学院学生经营的诊所的 HPV 疫苗接种率也有所增加，从平均每个诊所接种 1.89 剂增加到 3.55 剂（p = 0.001）。本研究表明，学生在医学院的临床前阶段参加 HPV 课程后 1.5 年内仍保持了知识和积极态度。此外，学生主导的诊所的 HPV 疫苗接种率有所增加，这表明对课程产生了积极的临床影响。
Comprehensive education regarding human papillomavirus (HPV) pathogenesis, vaccination, and patient counseling are not routinely included in the medical school curriculum; consequently, student and provider knowledge, especially concerning head and neck pathology, remains low. The objective of this study was to demonstrate long-term retention of HPV knowledge and positive attitudes towards HPV vaccination after attending our novel HPV workshop, with a focus on knowledge of oropharyngeal cancer. A follow-up survey was administered to medical students 1.5 years after the initial completion of the workshop. HPV vaccination records from the student-led clinic were collected from the immunization information system. Awareness that HPV causes oropharyngeal cancer was present in 33% of medical students pre-curriculum; immediate and long-term post-curricular awareness of this association remained at 90% or higher (p < 0.0001). Comfort with HPV counseling, having enough information to recommend the vaccine, and knowledge of HPV malignancies, symptoms, transmission, and vaccination schedule remained persistently elevated over pre-curriculum scores (p < 0.05). Long-term knowledge scores were also higher than a control group of medical students at the same stage of training who had never participated in the workshop (p < 0.05). HPV vaccination rates at the medical school's student-run clinic also increased after the curriculum, from an average of 1.89 HPV vaccines given per clinic to 3.55 (p = 0.001). This study demonstrates that knowledge and positive attitudes were maintained 1.5 years after participating in this HPV curriculum during students' preclinical years of medical school. Additionally, an increase in HPV vaccination rates occurred at a student-led clinic, indicating a positive clinical impact on the curriculum.