Students’ knowledge of COPD: projects ASCO-1 and ASCO-­2 results comparison

R. Bontsevich, T. Filinichenko, A. Gavrilova, K. Shchurovskaya, G. Batisheva, N. Goncharova, G. Ketova, V. Barysheva, O. Myronenko, O. Kompaniets, E. Miliutina, A. Mikhno, Zhanna Zhdanova
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Abstract

The Aim: of study is to assess the dynamics of medical undergraduates’ knowledge of COPD basics. Materials and Methods: Following up our multicenter research ASCO-­1 (‘14­-‘16), conducted in 5 Russian cities, which 213 medical students of higher grades were tested in, we started ASCO-­2 project in 2017. Currently, we obtained the results from 221 undergraduates tested in 5 Russian and Ukrainian centers. The knowledge of COPD basics such as definition, pathogenesis, diagnostics and treatment was evaluated by using 19-single-choice-questions survey. Results: The average level of correct answers in both groups (ASCO-­1 and ASCO-­2) was not significantly decreased (54.5%-47.6% respectively, p>0.05), and varied from 20.2%-­23.3% to 74.6%­-81.1% in different questions. The most difficult question was still related to the statement about influenza vaccination role in the control of COPD exacerbations (20.2%-23.3%, p>0.05). There was a significant improvement in knowledge on such aspects as COPD risk factors (52.6%-81.1%, p 0.05), spirometry as a diagnosis confirmation method (62.0%-76.7%, p 0,05). Conclusion: It was revealed that despite the availability of plenty training and scientific literature in the area of COPD, the level of knowledge remains unsatisfactory. Thus, COPD subject should be studied more thoroughly in higher schools.
学生COPD知识:ASCO-1与ASCO- 2项目结果比较
本研究的目的是评估医学本科生COPD基础知识的动态。材料与方法:继我们在俄罗斯5个城市开展的多中心研究ASCO- 1(2014 - 2016),对213名高年级医学生进行了测试后,我们于2017年启动了ASCO- 2项目。目前,我们获得了5个俄罗斯和乌克兰中心221名大学生的测试结果。采用19道单选题调查,对COPD的定义、发病机制、诊断和治疗等基础知识进行评估。结果:两组(ASCO—1和ASCO—2)的平均正确率均未显著降低(分别为54.5% ~ 47.6%,p>0.05),不同题目的平均正确率在20.2% ~ 23.3% ~ 74.6% ~ 81.1%之间。最难回答的问题仍与流感疫苗在控制COPD加重中的作用有关(20.2% ~ 23.3%,p < 0.05)。COPD危险因素知识(52.6% ~ 81.1%,p 0.05)、肺活量测定作为诊断确证方法的知识(62.0% ~ 76.7%,p 0.05)均有显著提高。结论:尽管在COPD领域有大量的培训和科学文献,但知识水平仍然令人不满意。因此,高等学校应该对COPD学科进行更深入的研究。
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