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Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

View Article: PubMed Central - PubMed

ABSTRACT

Objective:: To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings.

Methods:: A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire’s self-assessment items for knowledge were transformed into scores.

Results:: The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care.

Conclusion:: Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

No MeSH data available.


Students, residents and physicians in the study sample.
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f1-cln_72p65: Students, residents and physicians in the study sample.

Mentions: The mean score across all categories for the physicians who answered the questionnaire was 21% (Table 1). Of all the participants, 720 (89%) felt that they did not receive sufficient information during training to manage a patient on mechanical ventilation. Additionally, 46% felt that there was a lack of professionals available for teaching, 69% (546) said that they would have difficulty turning on a ventilator, and 77% (621) stated they would fear for the safety of a patient if they had to start mechanical ventilation (Figure 1). Regarding the specific skills needed to initiate mechanical ventilation, 77% said that they would not know how to begin non-invasive ventilation in a patient, and 81%, 81% and 89% said they would not be able to start pressure-controlled ventilation (PCV), volume-controlled ventilation (VCV), or pressure support ventilation (PSV), respectively (Tables 2, 3 and 4).


Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians
Students, residents and physicians in the study sample.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5304362&req=5

f1-cln_72p65: Students, residents and physicians in the study sample.
Mentions: The mean score across all categories for the physicians who answered the questionnaire was 21% (Table 1). Of all the participants, 720 (89%) felt that they did not receive sufficient information during training to manage a patient on mechanical ventilation. Additionally, 46% felt that there was a lack of professionals available for teaching, 69% (546) said that they would have difficulty turning on a ventilator, and 77% (621) stated they would fear for the safety of a patient if they had to start mechanical ventilation (Figure 1). Regarding the specific skills needed to initiate mechanical ventilation, 77% said that they would not know how to begin non-invasive ventilation in a patient, and 81%, 81% and 89% said they would not be able to start pressure-controlled ventilation (PCV), volume-controlled ventilation (VCV), or pressure support ventilation (PSV), respectively (Tables 2, 3 and 4).

View Article: PubMed Central - PubMed

ABSTRACT

Objective:: To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings.

Methods:: A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire’s self-assessment items for knowledge were transformed into scores.

Results:: The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care.

Conclusion:: Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

No MeSH data available.