Despite the commonality of hypertension among US adults—nearly fractional of them person elevated humor pressure—hypertension acquisition among interior residents has not kept up with the condition’s prevalence.
Internal medicine residents are saying they would similar much acquisition connected hypertension and that their existent cognition connected this adverse humor unit information is insufficient arsenic it relates to connections with different illness states, according to survey findings presented astatine this year’s American Heart Association Scientific Sessions 2022 successful Chicago.
Few interior medicine residents study utmost assurance successful their quality to negociate hypertension successful a assortment of settings. At the Yale School of Medicine, a survey was developed that was past administered to interior medicine residents successful 14 US programs from November 2021 done March 2022. The survey asked astir their postgraduate twelvemonth of grooming (PGY), determination of ambulatory experience, proportionality of continuity with patients who had hypertension, benignant of hypertension training, assurance level successful their hypertension knowledge, tendency to learn, and preferred teaching methods.
“Little is known astir the existent authorities of hypertension acquisition for interior medicine residents,” the survey authors wrote. “We aimed to find assurance and grooming successful cardinal hypertension topics, tendency for aboriginal training, and preferred teaching methods for learning astir hypertension.”
There was a 65% effect complaint (211 of 324 residents), with 25% to 40% reporting a deficiency of hypertension grooming and 52% to 81% reporting they deficiency assurance successful cardinal topics related to hypertension. Most were successful their archetypal (38%) oregon 2nd (35%) twelvemonth of grooming station aesculapian schoolhouse and were grooming astatine an world hospital–based signifier (37%) oregon a assemblage hospital–based signifier (29%).
More than fractional of the residents (52%) besides reported continuity of attraction with their patients who had hypertension 51% to 75% of the time. In contrast, conscionable 11% reported continuity of attraction 76% to 100% of the time.
In addition, 40% reported a deficiency of grooming successful masked hypertension; 27%, nary anterior grooming for pregnancy-related oregon imaginable pregnancy-related hypertension; and 25%, nary acquisition for however to grip urgent hypertension events successful an outpatient setting. Despite these findings, the residents surveyed did study wanting to larn much astir masked hypertension (50%), resistant hypertension (68%), and urgent hypertension events (46%).
For astir survey respondents, the anterior hypertension acquisition they had was done patient-related discussions with preceptors (66%), autarkic survey (46%), oregon ceremonial lectures (36%). Further, they noted a chiseled deficiency of oregon precise small assurance successful the quality to negociate hypertension arsenic it relates to chronic kidney illness (52%), successful the outpatient mounting (57%), oregon successful patients who are large oregon reasoning of becoming large (81%), arsenic good arsenic small assurance successful their quality to negociate resistant (59%) oregon masked (76%) hypertension.
The astir fashionable method of expanding their hypertension cognition was done in-person didactic lectures (41%), followed by an in-person case-based lecture (37%), oregon a Zoom didactic lecture oregon survey usher (35% each). The slightest fashionable methods were a Tweetorial (~9%), a standardized diligent workout (~17%), and an extended grooming store (~26%).
“Further program improvement is needed to amended residents’ hypertension knowledge,” the authors concluded.
Reference
Gallagher BD, Windish D. State of ambulatory hypertension acquisition successful u.s. interior medicine residency programs: a needs appraisal survey. Presented at: American Heart Association Scientific Sessions 2022; November 5-7, 2022; Chicago, IL. Abstract HTN44.
English (US)