Knowledge Gaps and Educational Needs in Organ Transplantation: A Study of Portuguese Medical Students

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2024-12-01 DOI:10.1016/j.transproceed.2024.11.014

Alberto Costa Silva , Teresa Pina-Vaz , Margarida Henriques , João Nóbrega , José La Fuente de Carvalho , Carlos Martins-Silva , Tiago Antunes-Lopes , João Alturas Silva

{"title":"Knowledge Gaps and Educational Needs in Organ Transplantation: A Study of Portuguese Medical Students","authors":"Alberto Costa Silva , Teresa Pina-Vaz , Margarida Henriques , João Nóbrega , José La Fuente de Carvalho , Carlos Martins-Silva , Tiago Antunes-Lopes , João Alturas Silva","doi":"10.1016/j.transproceed.2024.11.014","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Kidney transplantation has been a life-changing procedure for patients with end-stage renal disease (ESRD). Portugal ranks high globally in transplantation, benefiting from an “opt-out” system that presumes consent for organ donation. The effectiveness of transplantation programs depends significantly on public knowledge and the willingness to donate, where medical students play a crucial role. This study assesses the knowledge and educational needs of medical students regarding organ transplantation and donation.</div></div><div><h3>Design</h3><div>A cross-sectional survey was conducted using a structured questionnaire distributed to fifth-year medical students from 2 universities in Porto, Portugal, affiliated with different hospital centers during the 2022-2023 academic year.</div></div><div><h3>Results</h3><div>A total of 427 students responded, with a response rate of 85.0%, higher at Center 1 (93.0%) compared to Center 2 (70.0%) (<em>P</em>-value < .001). The majority were aware of the opt-out legislation (92.3%) and recognized ESRD as the primary cause of kidney transplantation (96.1%). Knowledge of donation types was high, particularly for brain death (92.6%) and living donation (91.5%), but lower for donation after circulatory death (73.1%). Awareness of donation after circulatory death was significantly higher among respondents from Center 1 (79.4%) than Center 2 (59.1%; <em>P</em> < .001). Only a minority were familiar with immunosuppressive drugs (36.0%) and had practical exposure to transplant-related activities. Satisfaction with transplantation education was low (8.2%), with significant differences between the centers.</div></div><div><h3>Conclusion</h3><div>The findings suggest that medical schools should enhance educational content and provide more experiences to prepare future healthcare providers adequately.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"56 10","pages":"Pages 2298-2301"},"PeriodicalIF":0.8000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transplantation proceedings","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0041134524005578","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"IMMUNOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

Kidney transplantation has been a life-changing procedure for patients with end-stage renal disease (ESRD). Portugal ranks high globally in transplantation, benefiting from an “opt-out” system that presumes consent for organ donation. The effectiveness of transplantation programs depends significantly on public knowledge and the willingness to donate, where medical students play a crucial role. This study assesses the knowledge and educational needs of medical students regarding organ transplantation and donation.

Design

A cross-sectional survey was conducted using a structured questionnaire distributed to fifth-year medical students from 2 universities in Porto, Portugal, affiliated with different hospital centers during the 2022-2023 academic year.

Results

A total of 427 students responded, with a response rate of 85.0%, higher at Center 1 (93.0%) compared to Center 2 (70.0%) (P-value < .001). The majority were aware of the opt-out legislation (92.3%) and recognized ESRD as the primary cause of kidney transplantation (96.1%). Knowledge of donation types was high, particularly for brain death (92.6%) and living donation (91.5%), but lower for donation after circulatory death (73.1%). Awareness of donation after circulatory death was significantly higher among respondents from Center 1 (79.4%) than Center 2 (59.1%; P < .001). Only a minority were familiar with immunosuppressive drugs (36.0%) and had practical exposure to transplant-related activities. Satisfaction with transplantation education was low (8.2%), with significant differences between the centers.

Conclusion

The findings suggest that medical schools should enhance educational content and provide more experiences to prepare future healthcare providers adequately.

查看原文本刊更多论文

器官移植的知识差距和教育需求：对葡萄牙医科学生的研究。

目的：对于终末期肾病（ESRD）患者来说，肾移植是一项改变生活的手术。葡萄牙在全球器官移植领域排名很高，这得益于一项“选择退出”制度，该制度假定器官捐赠是经过同意的。移植项目的有效性在很大程度上取决于公众的认知和捐赠意愿，而医科学生在这方面起着至关重要的作用。本研究评估医学生对器官移植及捐献的知识及教育需求。设计：采用结构化问卷对2022-2023学年来自葡萄牙波尔图两所大学附属不同医院中心的五年级医学生进行横断面调查。结果：共有427名学生应答，应答率为85.0%，中心1（93.0%）高于中心2 (70.0%)（p值< 0.001）。大多数人知道退出立法（92.3%），并承认ESRD是肾移植的主要原因（96.1%）。对捐赠类型的了解程度较高，特别是脑死亡（92.6%）和活体捐赠（91.5%），但对循环死亡后捐赠的了解程度较低（73.1%）。第一中心（79.4%）的应答者对循环死亡后捐献的意识明显高于第二中心（59.1%）；P < 0.001)。只有少数人熟悉免疫抑制药物（36.0%），并实际接触过与移植相关的活动。移植教育满意度较低（8.2%），各中心间差异显著。结论：医学院校应加强教育内容，提供更多经验，为未来的医疗服务提供者做好充分准备。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.