Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian medical colleges

Pangtey, Ghan Shyam; Gulati, Shilpa; Maheshwari, Anu

doi:10.4103/0973-3698.244176

Cited by 4 publications

(9 citation statements)

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“…Instead, students are allotted rare diseases such as motor neuron disease or muscular dystrophy, which they will rarely encounter or treat in future. 2 Early diagnosis and intervention will of course make for less mortality and morbidity in the lives of patients. Awareness that there are multiple treatment options available will help them to advise the patients and facilitate communication with the specialists.…”

Section: Discussionmentioning

confidence: 99%

“…Other options include making rheumatology topics part of the core MBBS training, increasing training the rheumatological procedures during internship and promotion of research in rheumatology even at the undergraduate level. 2 The part of Rheumatology which should ideally be part of the core curriculum include clinical skills such as history taking and locomotor system examination which would allow medical graduates to be able to manage such common ailments as osteoarthritis and back pain, etc. 4 Only with this with the general population get the full benefit of the recent increase in medical knowledge on Rheumatological disorders.…”

Section: Discussionmentioning

confidence: 99%

“…There are still very few training centres for rheumatologists. 2 Consequently, owing the lack of formally trained teachers, the knowledge of rheumatological diseases and their treatment options are perceived to be deficient amongst the undergraduate diseases. The focus in the medical specialties is usually on other aspects eg: cardiology, neurology, gastroenterology with rheumatology cases often not even being included in the exit practical exams.…”

Section: Introductionmentioning

confidence: 99%

“…This conspicuous absence sometimes even extends to specialized MD training. 2 This problem is not confined to India with, even the Association of American Medical Colleges opining that American medical schools may not be adequately training graduates in musculoskeletal conditions. 1 Also, even the students give less importance to rheumatology and may not even feel they require training, unless they are specifically interested in the topic.…”

Section: Introductionmentioning

confidence: 99%

“…4,6 This is despite the fact that low backache, neck pain, and pain due to osteoarthritis are a major complaint of patients visiting the hospital. 2 However no objective quantification of this deficiency has been done; and it is with this background that authors have conducted this survey amongst undergraduate medical students in the final year of their training in South India assessing their awareness and knowledge of conditions pertaining to the rheumatology subspecialty.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of awareness of common rheumatological diseases amongst final year medical undergraduate students: single centre questionnaire-based survey

Thomas

Surendran²,

Marwaha

et al. 2020

Int J Res Med Sci

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Background: Assessment of awareness of common rheumatological diseases amongst final year medical undergraduate students – single centre questionnaire-based survey.Methods: A cross-sectional survey of final year students was conducted during a national undergraduate medical summit. Participants were asked to fill out a 10-question survey (online link/in print). Results were summarized using descriptive statistics.Results: A total 162 medical students completed the survey. Only 18 of 162 respondents were able to score more than 50% in all domains with only one respondent getting all the questions correct. Partial awareness about the major rheumatological diseases in adults was seen with 122 (75%), 110 (68%) and 105 (65%) students having more than 50% correct in the domains of lupus, psoriasis and rheumatoid respectively without scoring completely. By contrast even general awareness of pediatric rheumatology was low with only 34 respondents (21%) having more 50% score in this domain.Conclusions: These findings are consistent with the general consensus amongst rheumatologists that medical students are inadequately exposed to rheumatological disorders and evolving treatments. Awareness of paediatric rheumatology is the lowest and needs urgent addressing.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of awareness of common rheumatological diseases amongst final year medical undergraduate students: single centre questionnaire-based survey

Thomas

Surendran²,

Marwaha

et al. 2020

Int J Res Med Sci

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Rheumatology education in India: a survey-based cross sectional study

et al. 2021

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This study aimed at understanding the perception and perspectives of rheumatology trainees about specialist training in India. Rheumatology trainees (Doctorate of Medicine, Diplomate of National Board) in Indian universities (2010 onwards) were contacted to complete a validated e-survey consisting of 41 questions to evaluate the current rheumatology training in India. Of 53 respondents (M:F 3.4:1, mean age 37 years ± 12.7), 81.1% trained at government hospitals, and 15.1% trained at private hospitals. During training period, 37.5% respondents were exposed to 6-7 h of didactics/week. They treated nearly 175 patients (175 ± 35.4) per week and reported a reasonable level of independence in management of patients with common rheumatic diseases (RDs) during their training (7.5 ± 0.7 SD). However, nearly one-third of the trainees were not exposed to basic immunology and laboratory techniques. Similarly, placement in the radiology department was not a part of the curriculum for nearly half of the trainees, 80% were not confident to manage paediatric RDs and soft tissue rheumatism. Almost 60% did not feel comfortable in addressing ancillary care including patient counselling as they had not received formal training. Among the participants, 59% were not satisfied by the current system of assessment, 86.8% suggested for multiple time point-based assessment systems and 45.3% preferred objective and subjective assessment in final examinations. Rheumatology training in India offers notable exposure to patients and independence in managing cases. However, there is an unmet need for improvement in training in the field of laboratory, radiology and ancillary care, and to overhaul assessment system by including objective evaluation.

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Rheumatology Training for Undergraduate Medical Students in Uganda: A Need Assessment Survey

Kibone,

Nansubuga,

Okot

et al. 2024

Journal of Medical Education and Curricular Development

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Objectives Despite the rise in the common rheumatological and musculoskeletal disorders (RMDs) in Africa, rheumatology remains an under recognized field with limited training and exposure of medical students. We assessed the knowledge of undergraduate medical students in Uganda on RMDs occurring in our settings. Methods A descriptive cross-sectional study was conducted among clinical year medical students at 9 universities in Uganda offering undergraduate medical degrees in March and April 2022. A self-administered, semistructured questionnaire was used to collect data on sociodemographic characteristics and basic knowledge on RMDs online using KoboToolbox. Sufficient knowledge was defined as a score of ≥50% (pass mark for undergraduate students in Uganda). Multivariable logistic regression was performed using STATA 16 to determine factors associated with knowledge acquisition on RMDs. Results We enrolled 359 medical students from 9 medical training institutes across Uganda. Overall, 126 (35.1%) participants had sufficient knowledge and the overall mean score for all participants was 41.2%. Factors independently associated with sufficient knowledge were: being in fourth (adjusted odds ratio [aOR]: 2.6, 95% confidence interval [CI]: 1.49-4.64, P < .001) and fifth year (aOR: 2.2, 95% CI: 1.18-4.18, P = .013) compared to third year of study, awareness of the speciality of rheumatology (aOR: 4.0, 95% CI: 1.96-8.06, P < .001), formal classes on rheumatology (aOR: 2.0, 95% CI: 1.15-3.35, P = .012), prior bedside teaching on RMDs (aOR: 2.3, 95% CI: 1.49-3.69, P < .001), awareness of common RMDs (aOR: 3.2, 95% CI: 1.67-6.04, P < .001), and having seen a patient with an RMD (aOR: 1.8, 95% CI: 1.14-2.77, P < .01). Conclusion There was a significant knowledge gap among undergraduate medical students nationwide on rheumatology. There is an urgent need to increase exposure to RMDs for undergraduate medical students to address the rising burden of RMDs in Uganda.

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Improving knowledge and awareness regarding rheumatology at the undergraduate level in Indian medical colleges

Cited by 4 publications

References 0 publications

Assessment of awareness of common rheumatological diseases amongst final year medical undergraduate students: single centre questionnaire-based survey

Assessment of awareness of common rheumatological diseases amongst final year medical undergraduate students: single centre questionnaire-based survey

Rheumatology education in India: a survey-based cross sectional study

Rheumatology Training for Undergraduate Medical Students in Uganda: A Need Assessment Survey

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