Quels sont les besoins de formation à la spirométrie des internes de médecine générale en France ?

Abstract : The increased prevalence of asthma and COPD, the expected decline in the number of specialists in pneumology and the appearance of available spirometers in primary cares lead us to wonder why GP wouldn’t perform spirometry testing in the future. This descriptive, multicenter, observational study evaluated French final year medical (GP) students’ theoretical and practical knowledge about spirometry. They were separated into 4 groups (1: theoretical and practical knowledge, 2: theoretical knowledge, 3: practical knowledge, 4: insufficient or incomplete theoretical and practical knowledge) and 6 explicatives variables were analysed: sex, personal sensitivity for those diseases, theoretical and practical knowledge, accessibility to pulmonary physiology laboratories and internships in departments of pulmonary diseases. The study was focused on 1261 students from 29 French universities. Only 4,3% (54) of the students belong to the the first group whereas 35,2% (444) to the second group, 5,4% (68) to the third group and 63,7% (803) to the fourth group. The students in the first group were mostly men (women : p < 0,001, OR : 0,35, IC 95% : 0,2-0,63) who have done an internship in a department of pulmonary diseases during their curriculum studies (p < 0,0001, OR : 3,93, IC 95% : 2,2-7,07). It appears absolutely necessary to develop training in spirometry testing and interpretation for GP’s students. Education should focus on practical knowledge and the promotion of internships in pneumology departments.
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Master Thesis
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Clément Morin. Quels sont les besoins de formation à la spirométrie des internes de médecine générale en France ?. Médecine humaine et pathologie. 2012. ⟨dumas-01472417⟩

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