Medical licensing examinations in both Sweden and the US favor pharmacology over lifestyle
| Autor: | Benno Krachler, Lars Jerdén, H. Tönnesen, Christina Lindén |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Medical education
medicine.medical_specialty Step 3 education 030209 endocrinology & metabolism Health Informatics Assessment 03 medical and health sciences 0302 clinical medicine Medicine 030212 general & internal medicine Graduate Health behavior Living habits business.industry Public Health Environmental and Occupational Health Regular Article Public Health Global Health Social Medicine and Epidemiology Clinical Practice Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health promotion Family medicine Disease prevention business |
| Zdroj: | Preventive Medicine Reports, Vol 23, Iss, Pp 101453-(2021) Preventive Medicine Reports |
| ISSN: | 2211-3355 |
| Popis: | Highlights • Lifestyle is a causative factor in most non-communicable diseases. • Medical licensing examinations emphasize pharmacology over lifestyle. • Future doctors in Sweden and US may not be equipped to address lifestyle-factors. Low priority of disease prevention and health promotion in medical education may contribute to lack of lifestyle-counseling in clinical practice. Pharmacology-related knowledge is valued 5 times higher compared to lifestyle-related knowledge in examinations on noncommunicable diseases (NCDs) in undergraduate medical education in Sweden. This study aims to establish (i) whether medical licensing examinations are biased to favor pharmacology- over lifestyle-related knowledge and (ii) whether such a bias is present in both Sweden and the US. We identified 204 NCD-related questions from previous Swedish licensing examinations, and 77 cases from a U.S. question bank commonly used to prepare for the United States Medical Licensing Examination® (USMLE®) Step 3. With the help of expected correct answers, we determined distribution of points attainable for knowledge in the respective category (lifestyle / pharmacology / other) for 5 major NCDs: coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), diabetes, hypertension, and stroke. The percentage of points attainable for lifestyle-related knowledge was 6.7 (95% CI 4.1–9.3) in Sweden and 4.6 (95%CI 0.0–9.1) in the U.S. The respective percentages for pharmacology-related knowledge were 32.6 (95% CI 26.3–38.8) and 44.5 (95% CI 33.2–55.8) percent. The pharmacology vs. lifestyle-quotas were 4.9 in Sweden and 9.8 in the U.S. Likelihoods of equal emphasis on lifestyle and pharmacology in NCDs was |
| Databáze: | OpenAIRE |
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