Stephanie D Chao1, Bing-Mei Wang1, Ellen T Chang1, Li Ma1, Samuel K So1. 1. Stephanie D Chao, Department of Surgery, Stanford University School of Medicine, Asian Liver Center at Stanford University, School of Medicine, Palo Alto, CA 94304, United States.
Abstract
AIM: To investigate physicians' knowledge including chronic hepatitis B (CHB) diagnosis, screening, and management in various stages of their training. METHODS: A voluntary 20-question survey was administered in Santa Clara County, CA where Asian and Pacific Islanders (API) account for a third of the population. Among the 219 physician participants, there were 63 interns, 60 second-year residents, 26 chief residents and 70 attending physicians. The survey asked questions regarding respondents' demographics, general hepatitis B virus knowledge questions (i.e., transmission, prevalence, diagnostic testing, prevention, and treatment options), as well as, self-reported practice behavior and confidence in knowledge. RESULTS: Knowledge about screening and managing patients with CHB was poor: only 24% identified the correct tests to screen for CHB, 13% knew the next steps for patients testing positive for CHB, 18% knew the high prevalence rate among API, and 31% knew how to screen for liver cancer. Wald chi-square analysis determined the effect of training level on knowledge; in all cases except for knowledge of liver cancer screening (P = 0.0032), knowledge did not significantly increase with length in residency training or completion of residency. CONCLUSION: Even in a high-risk region, both medical school and residency training have not adequately prepared physicians in the screening and management of CHB.
AIM: To investigate physicians' knowledge including chronic hepatitis B (CHB) diagnosis, screening, and management in various stages of their training. METHODS: A voluntary 20-question survey was administered in Santa Clara County, CA where Asian and Pacific Islanders (API) account for a third of the population. Among the 219 physician participants, there were 63 interns, 60 second-year residents, 26 chief residents and 70 attending physicians. The survey asked questions regarding respondents' demographics, general hepatitis B virus knowledge questions (i.e., transmission, prevalence, diagnostic testing, prevention, and treatment options), as well as, self-reported practice behavior and confidence in knowledge. RESULTS: Knowledge about screening and managing patients with CHB was poor: only 24% identified the correct tests to screen for CHB, 13% knew the next steps for patients testing positive for CHB, 18% knew the high prevalence rate among API, and 31% knew how to screen for liver cancer. Wald chi-square analysis determined the effect of training level on knowledge; in all cases except for knowledge of liver cancer screening (P = 0.0032), knowledge did not significantly increase with length in residency training or completion of residency. CONCLUSION: Even in a high-risk region, both medical school and residency training have not adequately prepared physicians in the screening and management of CHB.
Entities:
Keywords:
Asian Pacific Islander; Health disparity; Hepatitis B; Liver cancer; Liver disease
Authors: Hueifang Chen; Shin-Ping Tu; Chong Z Teh; Mei-Po Yip; John H Choe; T Gregory Hislop; Victoria M Taylor; Beti Thompson Journal: J Community Health Date: 2006-04
Authors: Nimit Upadhyaya; Robert Chang; Carol Davis; Molli C Conti; Daniel Salinas-Garcia; Hong Tang Journal: Postgrad Med Date: 2010-09 Impact factor: 3.840
Authors: Victoria M Taylor; Yutaka Yasui; Nancy Burke; Tung Nguyen; Anthony Chen; Elizabeth Acorda; John H Choe; J Carey Jackson Journal: Cancer Detect Prev Date: 2004
Authors: Matthew F Daley; Karen A Hennessey; Cindy M Weinbaum; Shannon Stokley; Laura P Hurley; Lori A Crane; Brenda L Beaty; Jennifer C Barrow; Christine I Babbel; L Miriam Dickinson; Allison Kempe Journal: Am J Prev Med Date: 2009-04-11 Impact factor: 5.043
Authors: Danny Chu; Ju Dong Yang; Anna S Lok; Tram Tran; Eduardo Bruno Martins; Elizabeth Fagan; Franck Rousseau; W Ray Kim Journal: Gut Liver Date: 2013-06-11 Impact factor: 4.519
Authors: Eric Chak; Amir Taefi; Chin-Shang Li; Moon S Chen; Aaron M Harris; Scott MacDonald; Christopher Bowlus Journal: Cancer Epidemiol Biomarkers Prev Date: 2018-08-08 Impact factor: 4.254
Authors: Susan L Stewart; Sandy L Kwong; Christopher L Bowlus; Tung T Nguyen; Annette E Maxwell; Roshan Bastani; Eric W Chak; Moon S Chen Journal: World J Gastroenterol Date: 2016-10-14 Impact factor: 5.742
Authors: Vinh D Vu; Ailinh Do; Nghia H Nguyen; Lily H Kim; Huy N Trinh; Huy A Nguyen; Khanh K Nguyen; My Nguyen; Andrew Huynh; Mindie H Nguyen Journal: BMJ Open Gastroenterol Date: 2015-10-21