Izvorni znanstveni članak
Effect of Surgical Training Course on Performance of Minor Surgical Procedures in Family Medicine Physicians’ Offices: an Observational Study
Rudika Gmajnić
; Department of Family Medicine, Osijek University School of medicine, Croatia
Sanda Pribić
; Department of Family Medicine, Osijek University School of medicine, Croatia
Anita Lukić
; Emergency Medicine Unit, Varaždin Medical Centre, Croatia
Barbara Ebling
; Department of Family Medicine, Osijek University School of medicine, Croatia
Nikola Čupić
; Department of Family Medicine, Osijek University School of medicine, Croatia
Ivana Marković
; Department of Family Medicine, Osijek University School of medicine, Croatia
Sažetak
Aim To examine the influence of a practical surgical course on the number
of minor surgical procedures performed by family physicians.
Methods We compared the number of minor surgical procedures performed
by family physicians in 59 offices in the city of Osijek and surrounding
rural area during 12 months before and after the 40-hour
practical surgical course held in September 2006 by surgeons and family
medicine specialists. Minor surgical procedures taught in the course included
management of ingrown toenails, abscesses/comedones, and minor
wounds, anesthesia application, disinfection, use and sterilization of
surgical instruments, and antibiotic treatment.
Results The number of minor surgical procedures performed in family
medicine offices almost doubled (503 vs 906 after the course, P<0.001,
Wilcoxon test). The median number of abscesses/comedones treatments
per physician increased from 1 to 6 (P<0.001, Wilcoxon test), the number
of managed wounds increased from 111 to 217 (P<0.001, Wilcoxon
test), while the number of ingrown toenail resections increased from 120
to 186 (P = 0.004, Wilcoxon test). Fifty percent of physicians did not treat
patients surgically, irrespective of the training. We found no association
between the number of performed procedures and age, length of employment,
or location of the physician’s office (urban vs rural). However, we
found that male physicians performed more surgical treatments both before
and after the course (abscesses/comedones: P<0.001 and P = 0.108
respectively; ingrown toenail resections: P = 0.008 and P = 0.008 respectively;
minor wounds: P = 0.030 and P<0.001; respectively).
Conclusion Practical courses can encourage practitioners to treat the patients
surgically in their offices and, thus, increase the number of services
offered in primary care. Female physicians should be more encouraged to
perform minor surgical procedures in their offices.
Ključne riječi
abscess management; comedome management; family medicine; small surgical procedure; small wound management; toenail resection
Hrčak ID:
29252
URI
Datum izdavanja:
15.6.2008.
Posjeta: 1.155 *