Assessing the knowledge of future internists and gynecologists in caring for a woman with tetraplegia

摘要: Abstract Objective: To assess the knowledge base and comfort level of potential physician "gatekeepers" when treating women with spinal cord injuries. Residents at least 1 year training in either internal medicine (IM) or obstetrics gynecology (Ob/Gyn) from a large academic urban medical center were surveyed. Study Design: This study used written questionnaire that included case scenario young woman C6 tetraplegia who presented to her primary care for routine visit. Information about patient history physical laboratory exams was stages, followed by open-ended queries elicit information residents' problem-solving processes management strategies. Results: Thirty-eight percent (30 79) IM residents 64% (14 22) Ob/Gyn completed questionnaire. Significant deficits accessibility, spasticity management, disability-related complications pregnancy found. More aware risk autonomic hyperreflexia than residents, whereas demonstrated greater awareness neurogenic bladder skin problems. Both groups indicated they not very comfortable managing patient's care. Conclusions: The results raise concern adequacy physicians meet needs people severe disabilities.