Understanding of COPD among final-year medical students

Mohigefer, Javier; Calero-Acuña, Carmen; Márquez-Martín, Eduardo; Ruiz, Francisco Órtega; Lόpez-Campos, José Luís

doi:10.2147/copd.s138539

Cited by 13 publications

(7 citation statements)

References 21 publications

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“…In the preinterventional examination, only about 50% of the knowledge items and only about 20% of the skill items were answered correctly. These results fit with the results of the abovementioned studies about “COPD knowledge” in medical students ( 4 ) and fulfillment of quality criteria in primary care spirometry ( 8 ).…”

Section: Discussionsupporting

confidence: 88%

“…Early diagnosis becomes all the more important with the availability of antifibrotic drugs for fibrotic pulmonary diseases. In a survey on COPD among Spanish final-year medical students, only 25% of students had an accurate clinical understanding of the disease ( 4 ). Despite this, up to 80% of patients with respiratory diseases such as asthma or COPD are managed by their general physicians ( 5 , 6 ).…”

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confidence: 99%

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Instructional Training Compared with Self-Study for Pulmonary Function Test Interpretation

et al. 2021

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Background Pulmonary diseases have considerable prognostic relevance for all-cause mortality. Most patients with lung diseases such as chronic obstructive pulmonary disease are treated by general practitioners. Understanding the clinical consequences such as pulmonary hyperinflation or reduced diffusion capacity is important for the management and prognosis of patients with chronic respiratory disorders. Therefore, the interpretation of pulmonary function testing (PFT) results needs to see more emphasis in the medical education curriculum. Objective To develop PFT training for final-year medical students and to compare the efficacy of instructional training to self-reliant textbook study. Methods A two-armed randomized control trial compares learning outcomes in PFT interpretation. A total of 25 final-year medical students were selected at random into the 1 ) instructional training group or 2 ) self-reliant textbook study group on PFT interpretation. The learning time for both groups was 2 hours. The duration of the written pre- and post-training examinations was 60 minutes each. Both exams had a knowledge section (30 questions, maximum 120 points) and a skills section (11 case studies, maximum 75 points). Results The instructional training group acquired significantly more knowledge and, in particular, higher skill levels when compared with the self-reliant reading group. In the reading group, knowledge scores increased from 48 to 60% (12%) and skills scores increased from 14 to 22% (8%), whereas in the instructional group, knowledge increased from 47 to 71% (24%) and skills from 18 to 58% (40%). A multivariate analysis (Pillai’s Trace: 0.633; P < 0.001) as well as follow-up univariate analyses reveal that these differences are statistically significant (knowledge: F = 8.811, df = 1, P = 0.007; skills F = 33.965, df = 1, P < 0.001). Interestingly, there was no significant group effect in the pure knowledge gain about respiratory disorders per se. Conclusion The self-reliant study group was less able to translate their newly acquired knowledge into interpretation of comprehensive PFT reports. A mandatory 2-hour instructional training greatly enhances the students’ knowledge and skills about PFT interpretation. Obligatory PFT instructional training should therefore be included in the students’ curriculum.

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Section: Discussionsupporting

confidence: 88%

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confidence: 99%

Instructional Training Compared with Self-Study for Pulmonary Function Test Interpretation

et al. 2021

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“…Finally, it also impacts on the health system leading to potential extra costs [29]. The reasons behind this high proportion or inaccurate diagnosis are multifactorial, where a low perception of symptoms among the population [30] combined with limited resources [31] and low awareness among physicians [32] combine to give rise to a perfect storm.…”

Section: Will We Be Able To Unravel the Endotype-phenotype Black Box?mentioning

confidence: 99%

Ten Research Questions for Improving COPD Care in the Next Decade

Lόpez-Campos

Rodríguez

Quintana‐Gallego

et al. 2019

COPD: Journal of Chronic Obstructive Pulmonary Disease

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With the 60th anniversary of the CIBA symposium, it is worth evaluating research questions that should be prioritized in the future. Coming research initiatives can be summarized in main areas. 1. From epidemiology the impact of new forms of electronic cigarettes on prevalence and mortality of COPD will be sought. 2. The study of the disease endotypes and its relationship phenotypes will have to be unraveled in the next decade. 3. Diagnosis of COPD faces several challenges opening the possibility of a change in the definition of the disease itself. 4. Patients' classification and risk stratification will need to be clarified and reassessed. 5. The asthma-COPD overlap dilemma will have to be clarified and define whether both conditions represent one only chronic airway disease again. 6. Integrating comorbidities in COPD care will be key in a progressively ageing population to improve clinical care in a chronic care model. 7. Non-pharmacological management have areas for research including pulmonary rehabilitation and vaccines. 8. Improving physical activity should focus research because of the clear prognostic impact. 9. Pharmacological therapies present several challenges including efficacy and safety issues with current medications and the development of biological therapy. 10. The definition, identification, categorization and specific therapy of exacerbations will also be an area of research development.During the next decade we have a window of opportunity to address these research questions that will put us on the path for precision medicine.

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“…24 Mohigefer et al reported that medical student's knowledge regarding commonest symptom was dyspnea (80.3%) and giving up smoking prevented worsening of COPD (96.6%), whereas in our general population of respondents they think cough was 52% as the commonest symptom of COPD and dyspnea thereafter (39.66%). 38 About 30% of people think that quitting smoking can prevent COPD in our study. The difference in knowledge regarding common symptoms is obvious because among the general population idea about COPD is not much understood as compared to medical students.…”

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confidence: 68%

Awareness of COPD and Its Risk Factors Among the Adult Population of the Aseer Region, Saudi Arabia

Mahmood¹,

Alqahtani²,

Alghamdi³

et al. 2023

COPD

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Introduction: Epidemiological studies are urgently needed to assess the prevalence of COPD in the region to determine the baseline, against which the future trends in the risk factor levels can be assessed and preventive strategies be planned to promote health among the population. Therefore, this study was undertaken to assess the awareness of COPD and its risk factors in Saudi Arabia. Materials and Methods:The cross-sectional study was conducted among the general adult population aged 18 years and above living in the Aseer region. A minimum sample of 385 was targeted, using the Raosoft sample size calculator. An online questionnaire was prepared in both English and Arabic language using Google forms and distributed among participants through social media. Results: It was observed that less than one-third (116, 30.12%) of the study population had ever heard about COPD. Nearly one-third spent time with smokers. Among all, 223 (57.3%) respondents had never heard and 46 (11.9%) respondents did not know anything about COPD. The majority correctly knew that the lungs are the primary organ affected by COPD (92, 79.3%). Age, sex, marital status, income, and occupation showed a significant association with COPD awareness. Nearly 41.4% knew that COPD progresses exclusively with age, COPD is more expensive for society than lung cancer (49.0%), cigarette smoking affects COPD (34.5%), COPD is fully recoverable with short-term antibiotics (35.0%), COPD lasts more than 18 months (48.1%), COPD can worsen with smoke exposure (37.4%), lead to disability (46.7%) and quitting smoking has an important role in preventing COPD (34.0%). Conclusion:The awareness regarding the disease was low among the respondents. Only one-third correctly knew that quitting smoking has an important role in preventing COPD. This study projects an urgent need of improving awareness of COPD and its risk factors in the general population.

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Understanding of COPD among final-year medical students

Cited by 13 publications

References 21 publications

Instructional Training Compared with Self-Study for Pulmonary Function Test Interpretation

Instructional Training Compared with Self-Study for Pulmonary Function Test Interpretation

Ten Research Questions for Improving COPD Care in the Next Decade

Awareness of COPD and Its Risk Factors Among the Adult Population of the Aseer Region, Saudi Arabia

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