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Impacto De Un Curso Taller De Cinco Horas En La Interpretación De La Espirometría

Neumología y cirugía de torax(2019)

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摘要
Introduction: Underdiagnosis and misdiagnosis of asthma and COPD is enormous worldwide.This is partly explained by a poor accessibility and medical use of spirometry.The aim of this study was to describe the impact of a 5-hour workshop on medical competence regarding use and interpretation of spirometry.Method: Topic sessions, a technical video and 16-real spirometries workshop were developed for the project.Medical professionals from 31 states completed a residential course with initial and final evaluation.Results: A total of 1,343 professionals, 71.3% general practitioners and family physicians, completed the workshop and examination.Only 37% were able to recognized post-bronchodilator spirometry as the recommended diagnostic test for COPD and 11% correctly diagnosed severe airflow obstruction in the baseline evaluation.After the workshop, there was a significant improvement in all items of the examination and 81.2 % correctly recognized severe airflow obstruction.Conclusion: In this study medical knowledge and competence for using and interpreting spirometry in general practice is clearly insufficient, but a few-hours workshop may be highly efficient for training medical competence in continuous medical education programs.
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