Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

Authors

  • Fernando Sabia Tallo Universidade Federal de São Paulo; Departamento de Cirurgia
  • Simone de Campos Vieira Abib Universidade Federal de São Paulo; Departamento de Cirurgia
  • Alexandre Jorgi de Andrade Negri Universidade Federal da Paraíba; Departamento de Cardiologia
  • Paulo Cesar Filho Universidade Evangélica de Anapolis
  • Renato Delascio Lopes Duke University Medical Center; Duke Clinical Research Institute
  • Antônio Carlos Lopes Universidade Federal de São Paulo; Departamento de Cirurgia

DOI:

https://doi.org/10.6061/clinics/2017(02)01

Abstract

OBJECTIVE: To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings. METHODS: A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire’s self-assessment items for knowledge were transformed into scores. RESULTS: The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care. CONCLUSION: Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

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Published

2017-02-01

Issue

Section

Clinical Sciences

How to Cite

Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians . (2017). Clinics, 72(2), 65-70. https://doi.org/10.6061/clinics/2017(02)01