Thyroid Function Testing in Eastern Nepal and the Impact of CME on Subsequent Requests
| Autor: | Nirmal Baral, I Niraula, B C Koner, S Dhungel, Madhab Lamsal |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
Gerontology medicine.medical_specialty education 030231 tropical medicine Alternative medicine Thyroid Function Tests 03 medical and health sciences 0302 clinical medicine Nepal Continuing medical education medicine Retrospective analysis Humans 030212 general & internal medicine Practice Patterns Physicians' Hospitals Teaching business.industry Public health Public Health Environmental and Occupational Health Thyroid Diseases Laboratory test Infectious Diseases Strategic approach Family medicine Practice Guidelines as Topic Education Medical Continuing Female Health education Thyroid function business Iodine |
| Zdroj: | Tropical Doctor. 31:155-157 |
| ISSN: | 1758-1133 0049-4755 |
| Popis: | This study reveals 1 year's experience of the introduction of thyroid function tests (TFT) in B P Koirala Institute of Health Sciences (BPKIHS), a Medical University situated in eastern Nepal. These were performed on the advice of doctors working in this region. The rational TFT advice by the medical practitioners was evaluated according to how closely the advice was in line with the algorithms recommended in the textbooks. Only about 14% of the TFT advice followed some rational strategy. A retrospective analysis showed that rational TFT advice could have reduced the cost of a TFT investigation to 43.11% without altering the patient management and disease outcome. Continuing medical education (CME) lectures arranged for a limited number of doctors were found to improve the quality of the subsequent TFT advising pattern. This emphasizes the importance of CME while introducing a costly laboratory test panel (e.g. TFT, lipid profile) needing a strategic approach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|