继续教育对基层医生慢性阻塞性肺疾病认识水平的影响

目的了解基层医生掌握慢性阻塞性肺疾病（COPD）相关知识的现状，比较不同教育模式对基层医生掌握COPD知识水平的影响。方法2007年12月采用不记名闭卷笔试的方法对北京市10个城近郊区共372名基层医生进行COPD知识问卷调查。内容包括：慢性阻塞性肺疾病的定义、诊断、流行病学特征、危险因素；COPD稳定期、急性发作期临床表现；COPD非药物治疗；COPD药物治疗。结果本次调查共收回合格答卷372份，总分平均50．1分，及格率42．5％。基层医生对定义和危险因素、非药物治疗掌握较好，通过率分别为67．7％和67．5％。而对临床表现和药物治疗掌握较差，药物治疗的通过率仅为19．9％。不同教育方式对基层医生掌握COPD知识影响很大。强化教育组的总成绩67分；通过率73．3％，均明显优于普通教育组和未受教育组。结论我国基层医院医生对于COPD临床知识与技能十分欠缺，迫切需要加强COPD知识教育。强化教育模式可显著提高基层医师的COPD知识水平，应加以普及、推广。

Impact of continuing medical education on chronic obstructive pulmonary disease knowledge of medical doctors practicing at the grassroots

Objective To understand knowledge level about chronic obstructive pulmonary disease (COPD)of medical doctors practising at district hospitals and community health service and impact of different models of continuing medical education on their knowledge level.Methods Knowledge of COPD was investigated with a close-book examination in 372 medical doctors working at the grassroots of 10 urban copies of finished examination papers were returned in this investigation.with an average score of 50.1 and pass rate of 42.5%.About 67.7%and 67.5%of medical doctors passed the examination of knowledge on definition,risk factors and non.pharmacological treatment for COPD.respectively,and 19.9%of them passed the examination on pharmacological treatment for COPD.Different modes of continuing medical education made varied impacts on their acquisition of COPD knowledge.with an average score of 67 and pass rate of 73.3%in the intensified education group,respectively,significantly higher than those in general education group and non-education group.Conclusions Clinical knowledge and skills of COPD for medical doctors working at the grassroots in Beijing Was not so satisfactory and education should be strengthened urgently to raise their knowledge on COPD prevention and control.