Knowledge of hepatitis C screening and management by internal medicine residents: trends over 2 years
dc.contributor.author | Shehab, Thomas M. | en_US |
dc.contributor.author | Sonnad, Seema S. | en_US |
dc.contributor.author | Gebremariam, Achamyeleh | en_US |
dc.contributor.author | Schoenfeld, Philip S. | en_US |
dc.date.accessioned | 2010-06-01T22:24:53Z | |
dc.date.available | 2010-06-01T22:24:53Z | |
dc.date.issued | 2002-05 | en_US |
dc.identifier.citation | Shehab, Thomas M . ; Sonnad, Seema; Gebremariam, Achamyeleh; Schoenfeld, Philip (2002). "Knowledge of hepatitis C screening and management by internal medicine residents: trends over 2 years." The American Journal of Gastroenterology 97(5): 1216-1222. <http://hdl.handle.net/2027.42/75407> | en_US |
dc.identifier.issn | 0002-9270 | en_US |
dc.identifier.issn | 1572-0241 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/75407 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=12014731&dopt=citation | en_US |
dc.description.abstract | Over 2 million people in the United States are infected with hepatitis C, and there has been an explosion in knowledge regarding this disease in the last decade. Internal medicine residents must be able to identify patients at risk for hepatitis C and institute appropriate diagnostic testing and referral of these patients. Methods : A survey regarding hepatitis C risk factors and the management of hepatitis C patients was administered on three occasions over 15 months (time 0, 1 month, and 15 months) to members of a large university-based internal medicine residency. Results : During the study period 59 residents completed all three surveys. Less than half of the residents (39%) ask patients about hepatitis C risk factors. Only 58% reported that they would refer a hepatitis C antibody positive patient with elevated liver enzymes to a subspecialist on the initial survey. The residents who did not refer patients cited low response rates, high side-effect profiles, and the high cost of therapy as reasons for not referring the patient. There was significant improvement (58% vs 78%, p < 0.01 ) in the rate of patient referral during the 15-month study period but no substantial improvement in the other knowledge deficits. Conclusions : The knowledge base of the internal medicine residents about hepatitis C screening and management is suboptimal. New, more effective hepatitis C education programs for internal medicine residents should be initiated. | en_US |
dc.format.extent | 116203 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | 2002 by Am. Coll. of Gastroenterology | en_US |
dc.title | Knowledge of hepatitis C screening and management by internal medicine residents: trends over 2 years | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of Gastroenterology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | CHOICES (Consortium for Health Outcomes Innovation and Cost-Effectiveness Studies), University of Michigan, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Center for Excellence in Health Services Research, VAMC, Ann Arbor, Michigan, USA | en_US |
dc.identifier.pmid | 12014731 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/75407/1/j.1572-0241.2002.05708.x.pdf | |
dc.identifier.doi | 10.1111/j.1572-0241.2002.05708.x | en_US |
dc.identifier.source | The American Journal of Gastroenterology | en_US |
dc.identifier.citedreference | Alter M.J., Kruszon-Moran D., Nainan O.V., et al. The prevalence of Hepatitis C virus infection in the United States, 1988 through 1994. N Engl J Med 1999; 341: 556 – 562. | en_US |
dc.identifier.citedreference | Powell D.W. National Institutes of Health consensus development conference panel statement: Management of hepatitis C. Hepatology 1997; 26 ( suppl 1 ): 2S – 10S. | en_US |
dc.identifier.citedreference | Shehab T.M., Sonnad S.S., Jeffries M., et al. Current practice patterns of primary care physicians in the management of patients with hepatitis C. Hepatology 1999; 30: 794 – 800. | en_US |
dc.identifier.citedreference | Saeian K., Rochling F.A., Burke R., et al. Faculty and trainee knowledge of hepatitis C infection at a tertiary care medical center. WMJ 1998; 97: 43 – 46. | en_US |
dc.identifier.citedreference | Borum M.L. Breast cancer surveillance: Ambulatory care focus in residency may influence practice patterns. Am J Med Sci 1996; 312: 123 – 125. | en_US |
dc.identifier.citedreference | McPhee S.J., Richard R.J., Solkowitz S.N. Performance of cancer screening in a university internal medicine practice: Comparison with the 1980 American Cancer Society guidelines. J Gen Intern Med 1986; 1: 275 – 281. | en_US |
dc.identifier.citedreference | Lynch G.R., Prout M.N. Screening for cancer by residents in an internal medicine program. Med Educ 1986; 61: 387 – 393. | en_US |
dc.identifier.citedreference | Borum M.L. Cancer screening in women by internal medicine resident physicians. South Med J 1997; 90: 1101 – 1105. | en_US |
dc.identifier.citedreference | Sharma V.K., Corder F.A., Raufman J.P., et al. Survey of internal medicine residents’ use of the fecal occult blood test and their understanding of colorectal cancer screening and surveillance. Am J Gastroenterol 2000; 95: 2068 – 2073. | en_US |
dc.identifier.citedreference | Yarnold P.R., Martin G.J., Feinglass J., et al. First-year residents’ caring, medical knowledge, and clinical judgement in relation to laboratory utilization. Acad Med 1994; 69: 996 – 998. | en_US |
dc.identifier.citedreference | Bernard A.M., Anderson L., Cook C.B., et al. What do internal medicine residents need to know to enhance their diabetes care?. Diabetes Care 1999; 22: 661 – 666. | en_US |
dc.identifier.citedreference | Reichert S., Simon T., Halm E.A. Physicians’ attitudes about prescribing and knowledge of the costs of common medications. Arch Intern Med 2000; 160: 2799 – 2803. | en_US |
dc.identifier.citedreference | Sharara A.I., Hunt C.M., Hamilton J.D. Hepatitis C. Ann Intern Med 1996; 125: 658 – 668. | en_US |
dc.identifier.citedreference | 14. Centers for Disease Control and Prevention Recommendations for prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease. MMWR Recomm Rep 1998; 47 ( RR-19 ): 1 – 39. | en_US |
dc.identifier.citedreference | Conry-Cantilena C., VanRaden M., Gibble J., et al. Routes of infection, viremia, and liver disease in blood donors found to have hepatitis C virus infection. N Engl J Med 1996; 334: 1691 – 1696. | en_US |
dc.identifier.citedreference | Lok A.S.F., Gunaratnum N.T. Diagnosis of hepatitis C. Hepatology 1997; 26 ( suppl 1 ): 48S – 56S. | en_US |
dc.identifier.citedreference | Gretch D.R. Diagnostic tests for hepatitis C. Hepatology 1997; 26 ( suppl 1 ): 43S – 47S. | en_US |
dc.identifier.citedreference | Davis D., O'Brien M.A.T., Freemantle N., et al. Impact of formal continuing medical education: Do conferences, workshops, rounds and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA 1999; 282: 867 – 874. | en_US |
dc.identifier.citedreference | Davis D.A., Thomson M.A., Oxman A.D., et al. Changing physician performance. A systematic review of the effect of continuing medical education strategies. JAMA 1995; 274: 700 – 705. | en_US |
dc.identifier.citedreference | Madan A.K., Caruso B.A., Lopes J.E., et al. Comparison of simulated patient and didactic methods of teaching HIV risk factors assessment to medical residents. Am J Prev Med 1998; 15: 114 – 119. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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