The Training Program Of Yangzhou Community Doctor —Evaluation Of Training Effect Of Benign Paroxysmal Positional Vertigo Knowledge In Community Doctor

objectiveThe knowledge structure and the diagnostic rate change were evaluated after given community doctor the Benign paroxysmal positional vertigo knowledge training.MethodsThe prospective cohort study was used. There were 196 doctors of 13 community hospitals in Guangling District,Yangzhou city. A total of 57 doctors in 7 community hospitals were randomly selected to research. The 7 community hospitals were randomly divided into two groups:The intervention group and the control group. The control group was not given BPPV knowledge training. The intervention group was given BPPV knowledge training, which consists of 2 parts.one part was BPPV knowledge training:A total of 5 times, focus on theory teaching, a total of 10 hours, which including BPPV clinical manifestation, diagnosis, therapy and differential diagnosis, America and China BPPV guideline. In order to observe the training effect, the questionnaires were used to observe community doctors knowledge scores change after theory and clinical practice training. The other part was to give community doctor clinical practice training. The content included teaching round aimed to the outpatients and case analysis aimed to the ward patients. The effect was to observe the diagnostic rate about outpatient BPPV patients after given theory and clinical practice training.Results1.Comparised the baseline data, The intervention group and the control group was no significant difference (P> 0.05) in age(P=0.419)、gender(P=0.146)、educational background (P=0.524) and professional title (P=0.806).There was no difference (P=0.631) in the knowledge scores between the intervention group (64.892±8.920) and the control group (63.862±7.145), when the training was not given. After given theory training, the intervention group knowledge scores (77.893±6.696) changed obviously(P=0.000) than the control group (65.448±5.011). After given clinical practice training, the intervention group scores (85.107± 5.560) compared with the control group (75.207±6.619), the knowledge scores changed obviously (P=0.000). Within group analysis:the intervention group knowledge scores changed obviously after the theory and clinical practice training (P<0.05). While the control group knowledge scores also improved after the clinical practice training (P<0.05).2.Before the training,the BPPV diagnostic rate was no difference (P=0.876).The intervention group was 0.44% and the control group was 0.45%. After given the theory training, the diagnostic rate of two group was no obvious change (P=0.257).The intervention group was 0.67% and the control group was 0.54%. When the clinical practice training over, the diagnostic rate was obvious change (P=0.000).The intervention group was 1.07% and the control group was 0.62%. Within group analysis:the intervention group diagnosis rate improved (P< 0.05) after the theory and clinical practice training; the control group diagnosis rate was no change after the theory and clinical practice training (P>0.05).ConclusionCommunity doctors could improve their knowledge structure and increase the BPPV diagnostic rate after received BPPV knowledge and clinical practice training.