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A survey of wound care knowledge in South Africa

Abstract Chronic wounds afflict millions worldwide, incurring significant health care costs and chronic suffering. Clinicians are often unsure about treatment, resulting in poor outcomes. Objective To determine the scope of knowledge possessed by fifth year medical students, general practitioners...

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Main Author: Coetzee, Francois
Other Authors: Hagemeister, Dirk
Format: Thesis
Language:en_ZA
Published: Stellenbosch : University of Stellenbosch 2015
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access_status_str Open Access
author Coetzee, Francois
author2 Hagemeister, Dirk
author_browse Coetzee, Francois
Hagemeister, Dirk
author_facet Hagemeister, Dirk
Coetzee, Francois
author_sort Coetzee, Francois
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Abstract Chronic wounds afflict millions worldwide, incurring significant health care costs and chronic suffering. Clinicians are often unsure about treatment, resulting in poor outcomes. Objective To determine the scope of knowledge possessed by fifth year medical students, general practitioners (GP’s) and surgical registrars, concerning chronic wound management. Design Cross sectional study Methods Deans of eight South African medical schools received letters requesting information regarding time devoted to wound-care training. Knowledge-based questionnaires were distributed to final-year students at two universities, surgical registrars at three universities and general practitioners attending refresher courses. Result. Four medical schools replied, of whom only two offered formal teaching. 162 medical students, 45 GP’s and 47 surgical registrars completed questionnaires. The overall median (25th–75th percentiles) knowledge scores for registrars, GP’s and students were 65%;(55%–70%), 55%;(45%–65%) and 45%;(35%–50%) respectively. Whereas the scores of registrars and GP’s did not differ, the student scores were significantly less. Only 32% of registrars and 18% of GP’s attained scores of 70% or more. 96% considered training to be inadequate. Interest in wound-care was only mild to moderate, with more GP’s than registrars requesting literature. Conclusions Very little, if any training on chronic wounds is offered in South Africa. The levels of knowledge cannot be considered adequate for successful treatment, nor for teaching to undergraduates. This preliminary study cannot reflect the attitudes and knowledge throughout the country; however it is clear that there is a need for improved education about these conditions that have huge clinical and economic consequences.
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provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2015
publishDateRange 2015
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spelling oai:scholar.sun.ac.za:10019.1/97230 A survey of wound care knowledge in South Africa Coetzee, Francois Hagemeister, Dirk University of Stellenbosch. Faculty of Health Sciences. Dept. of Interdisciplinary Health Sciences wound care, chronic wounds, medical students, chronic wound management Abstract Chronic wounds afflict millions worldwide, incurring significant health care costs and chronic suffering. Clinicians are often unsure about treatment, resulting in poor outcomes. Objective To determine the scope of knowledge possessed by fifth year medical students, general practitioners (GP’s) and surgical registrars, concerning chronic wound management. Design Cross sectional study Methods Deans of eight South African medical schools received letters requesting information regarding time devoted to wound-care training. Knowledge-based questionnaires were distributed to final-year students at two universities, surgical registrars at three universities and general practitioners attending refresher courses. Result. Four medical schools replied, of whom only two offered formal teaching. 162 medical students, 45 GP’s and 47 surgical registrars completed questionnaires. The overall median (25th–75th percentiles) knowledge scores for registrars, GP’s and students were 65%;(55%–70%), 55%;(45%–65%) and 45%;(35%–50%) respectively. Whereas the scores of registrars and GP’s did not differ, the student scores were significantly less. Only 32% of registrars and 18% of GP’s attained scores of 70% or more. 96% considered training to be inadequate. Interest in wound-care was only mild to moderate, with more GP’s than registrars requesting literature. Conclusions Very little, if any training on chronic wounds is offered in South Africa. The levels of knowledge cannot be considered adequate for successful treatment, nor for teaching to undergraduates. This preliminary study cannot reflect the attitudes and knowledge throughout the country; however it is clear that there is a need for improved education about these conditions that have huge clinical and economic consequences. 2015-07-23T10:58:06Z 2015-07-23T10:58:06Z 2015-07-23 Thesis http://hdl.handle.net/10019.1/97230 en_ZA University of Stellenbosch application/pdf Stellenbosch : University of Stellenbosch
spellingShingle wound care, chronic wounds, medical students, chronic wound management
Coetzee, Francois
A survey of wound care knowledge in South Africa
title A survey of wound care knowledge in South Africa
title_full A survey of wound care knowledge in South Africa
title_fullStr A survey of wound care knowledge in South Africa
title_full_unstemmed A survey of wound care knowledge in South Africa
title_short A survey of wound care knowledge in South Africa
title_sort survey of wound care knowledge in south africa
topic wound care, chronic wounds, medical students, chronic wound management
url http://hdl.handle.net/10019.1/97230
work_keys_str_mv AT coetzeefrancois asurveyofwoundcareknowledgeinsouthafrica
AT coetzeefrancois surveyofwoundcareknowledgeinsouthafrica