A survey to assess transfusion medicine education needs for clinicians

Arinsburg, Suzanne; Skerrett, Donna; Friedman, Mark T.; Cushing, Melissa M.

doi:10.1111/j.1365-3148.2011.01118.x

Cited by 53 publications

(74 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies have been conducted in countries such as the United States, United Kingdom, Tunisia, Canada and Iran to assess the degree of knowledge about transfusion medicine of newly graduated doctors; all studies reported lower than expected results 9, 10, 11, 12. In a poll conducted in 86 medical schools in the United States, most had less than three hours in the curricular grid dedicated to transfusion medicine 5 .…”

Section: Introductionmentioning

confidence: 99%

Transfusion medicine in medical education: an analysis of curricular grids in Brazil and a review of the current literature

Vaena

Cotta-de-Almeida

Alves

2016

Revista Brasileira de Hematologia e Hemoterapia

View full text Add to dashboard Cite

BackgroundBlood transfusions are one of the most performed medical procedures in the world. Thus, as education in transfusion medicine is vital to medical care, it should aim to promote a responsible practice with the rational use of blood by doctors. This study aims to investigate the situation of the teaching of transfusion medicine in medical schools in Brazil.MethodThe websites of the 249 Brazilian medical schools in operation in June 2015 were visited and the curricula of the medical courses were investigated in respect to the presence or absence of a transfusion medicine discipline. When available, the subject grids were analyzed to verify whether a description of content regarding transfusion medicine was given within other disciplines.ResultsOf the 249 medical school sites visited, information on the curriculum was obtained from 178. Of the medical schools that published their curriculum, 132 (74.1%) did not have disciplines of transfusion medicine or hematology and only seven (3.9%) had a discipline of transfusion medicine in the curricular grid.ConclusionsEducation on transfusion medicine is of fundamental importance for safe and efficient transfusion practices. Deficiencies in medical knowledge of this subject have been found worldwide. The results of this study indicate a possible deficiency in teaching the basics of this specialty. Thus, additional prospective studies to assess the knowledge and practice of transfusion medicine in Brazilian medical schools are warranted, which could prompt a discussion on the importance of offering training in transfusion medicine to medical students.

show abstract

Section: Introductionmentioning

confidence: 99%

Transfusion medicine in medical education: an analysis of curricular grids in Brazil and a review of the current literature

Vaena

Cotta-de-Almeida

Alves

2016

Revista Brasileira de Hematologia e Hemoterapia

View full text Add to dashboard Cite

show abstract

“…The majority of transfusion decisions are made by physicians and surgeons without formal training in TM. Their practices are based on individual clinical experiences and they are unaware of the best methods of practice and recent developments in the literature [2]. The majority of blood banking training barring TM post graduate programme, is given in pathology residency programs.…”

Section: Introductionmentioning

confidence: 99%

Knowledge of Transfusion Medicine Among Resident Doctors in Clinical Specialities: A Cross-Sectional Study from a Tertiary Care Centre

Philip

Kumar

Chatterjee

et al. 2014

Indian J Hematol Blood Transfus

View full text Add to dashboard Cite

Knowledge of transfusion medicine (TM) has profound impact on transfusion outcomes. Variations from the standards in practices of TM may jeopardize patient care. We assessed the awareness of TM in resident doctors. Our aims was to assess the essential knowledge of TM among resident doctors. The study was carried in a tertiary care hospital. It was a descriptive cross-sectional study using a self-administered, questionnaire comprising of 35 items which was developed to assess the essential knowledge of TM for resident doctors. A total of 85 residents responded from various clinical specialties. Statistical analysis used: Results of correct response were put as Mean ± SD using SPSS. Survey revealed an overall mean score of 48.53 % for correct responses. Lowest knowledge score of 32.94 % was found for blood bank procedures. The differences between the knowledge of residents from various specialities were not statistically significant. Our study shows that majority of resident doctors have inadequate knowledge of TM. More studies are required from different parts of the country to create data on this issue. The implementation of two weeks training for all residents from clinical specialties in TM department will improve the situation and help to connect our clinician to TM better.

show abstract

“…A validated transfusion medicine exam would enable a better assessment of educational methods, trainee knowledge, and areas for improvement. While transfusion medicine exams have been published, they were not designed or validated using accepted psychometric techniques . As noted in an editorial on the development of one of the more recent of these exams, “several critical points about the experimental design and conduct of the study raise questions about the quality of the results and/or data and whether all conclusions and recommendations are truly warranted.” In this study, we used rigorous analytical methods to develop a validated transfusion medicine exam.…”

mentioning

confidence: 99%

Development of a validated exam to assess physician transfusion medicine knowledge

et al. 2013

View full text Add to dashboard Cite

BACKGROUND:There is evidence that physicians lack adequate transfusion medicine knowledge. To design needs-based educational interventions to address this gap, a validated assessment tool is required. Previously published exams have not been created or validated using rigorous psychometric methods. STUDY DESIGN AND METHODS:A modified Delphi method was used to achieve consensus regarding the essential knowledge and skills for physicians who transfuse blood products. To ensure content validity, members of an international organization of transfusion medicine experts (Biomedical Excellence for Safer Transfusion [BEST] Collaborative) participated in the exam design process. An exam, based on the most highly rated topics, was created and administered to individuals with a priori expected basic, intermediate, and expert levels of transfusion medicine knowledge. Rasch analysis, a psychometric technique used in highstakes medical licensure and board testing, was used to determine exam accuracy and precision. RESULTS: Thirty-six topics achieved ratings sufficient to be considered for inclusion in the exam (content validity index > 0.8). A 23-question exam was administered to 49 individuals. Mean scores for individuals with expected basic, intermediate, and expert knowledge were 42, 62, and 82%, respectively (p < 0.0001). The exam achieved good fit with the Rasch model. CONCLUSION: A validated exam has now been created to accurately assess transfusion medicine knowledge. This exam can be used to determine knowledge deficits and assist in the design of curricula to improve blood product utilization.A number of studies have shown a high rate of inappropriate blood product use.1-3 These findings are likely in part due to inadequate knowledge of transfusion medicine. 4 While medical schools have transfusion medicine curricula, the amount of time spent teaching this material can vary greatly. 5,6 In one study from the United States, while 83% of the 86 surveyed administrators reported that their school had transfusion medicine lectures, almost half of this teaching amounted to only 1 or 2 hours.5 Only 29% reported small group sessions related to transfusion medicine. In addition, there are no published data that have determined the efficacy of these different curricula.A validated transfusion medicine exam would enable a better assessment of educational methods, trainee knowledge, and areas for improvement. While transfusion medicine exams have been published, they were not designed or validated using accepted psychometric techniques. [7][8][9][10] As noted in an editorial on the development of one of the more recent of these exams, "several critical points about the experimental design and conduct of the study raise questions about the quality of the results and/or data and whether all conclusions and recommendations are truly warranted."11 In this study, we used MATERIALS AND METHODS Identifying topics for the examExam content was determined using a modified Delphi method that is a structured approach for achieving consensu...

show abstract

A survey to assess transfusion medicine education needs for clinicians

Abstract: Additional training in TM would be beneficial to and welcomed by physicians in all training levels in all specialties. Innovative specialty-specific educational programmes need to be developed and tested to ensure efficacy and durability.

Cited by 53 publications

References 14 publications

Transfusion medicine in medical education: an analysis of curricular grids in Brazil and a review of the current literature

Transfusion medicine in medical education: an analysis of curricular grids in Brazil and a review of the current literature

Knowledge of Transfusion Medicine Among Resident Doctors in Clinical Specialities: A Cross-Sectional Study from a Tertiary Care Centre

Development of a validated exam to assess physician transfusion medicine knowledge

Contact Info

Product

Resources

About