Assessment of the basic knowledge about the bronchial asthma among senior students - the final results of the ASSA study


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Abstract

Background. Bronchial asthma (BA) is one of the most common non-infectious pathologies in humans [1]. Clinical manifestations of the disease are known to doctors for a long time: for example, Hippocrates and Ibn Sina mentioned it in their works [2], and the Belgian doctor Van Helmont described the characteristic symptoms of the disease and linked the occurrence of BA to smoke and irritating substances [3]. However, allergic theory of the occurrence of BA and the use of steroid drugs for its effective treatment [4] has been developed only at the beginning of the XX century. Unfortunately, even in present time of evidence-based medicine, the level of practical knowledge in this area among health workers is often insufficient. Objective. Determination of the level of basic knowledge about BA among 5-year and 6-year students («General Medicine» and «Pediatrics» specialties) of medical universities. Methods. Analysis of an anonymous multicentre survey in the framework of the first phase of the ASSA project (a partial acronym of the «Assessment of senior medical students in the field of bronchial asthma» project), conducted in 2014-2016 in 7 cities of Russia. Results. The study revealed an average level of basic knowledge about the etiology, pathogenesis, clinical picture and treatment of BA. Only 56.8% of the students were able to choose the correct definition of BA from the proposed answers; the right combination of drugs in one delivery device was determined by 61.4% of respondents; 65.6% of students correctly indicated the main clinical laboratory markers of BA and 64.5% - selected the correct scheme of background therapy of BA depending on the severity. Conclusion. The results of the survey showed an insufficient level of basic knowledge about the key issues of BA among senior students. Statistically significant heterogeneity of knowledge levels between different centers may indicate the need for the introduction of uniform, standardized and profound training programs in this area.

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About the authors

Roman A. Bontsevich

Belgorod State National Research University; Multidisciplinary Clinic “Garmoniya Zdorov'ya" LLC MAKSBelmed

Email: dr.bontsevich@gmail.com
MD, PhD, Associated Professor of the Department of Pharmacology and Clinical Pharmacology

A. V Mikhno

Multidisciplinary Clinic “Garmoniya Zdorov'ya" LLC MAKSBelmed

K. V Shchurovskaya

Belgorod State National Research University

N. Yu Goncharova

Voronezh State Medical University n.a. N.N. Burdenko

Yu. V Feoktistov

Regional Children's Clinical Hospital № 1, Vladivostok; Pacific State Medical University

E. A Popova

Regional Children's Clinical Hospital № 1, Vladivostok

E. V Luchinina

Saratov State Medical University n.a. V.I. Razumovsky

V. O Barysheva

South Ural State Medical University

M. I Malkina

Samara State Medical University

O. G Kompaniets

Kuban State Medical University

G. A Batishcheva

Voronezh State Medical University n.a. N.N. Burdenko

E. V Eliseeva

Pacific State Medical University

G. G Ketova

South Ural State Medical University

T. G Pokrovskaya

Belgorod State National Research University

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