张发明团队：医学研究生如何看待粪菌移植？
- ①通过对1828名医学研究生进行问卷调查，了解医学研究生对粪菌移植（FMT）的认知程度和态度；
- ②本次调查前，有44.64%的医学研究生没有听说过FMT，仅有52.24%的学生了解FMT的定义，对于其供体来源、适应症和医学史知晓率更低；
- ③医学课堂和大众媒体是研究生获取FMT的信息的重要媒介；
- ④对FMT认知程度更高的医学生对FMT的态度更积极，不管是接受FMT治疗还是成为供体；
- ⑤促进FMT的发展需要标准化FMT方案及更多支持FMT有效性和安全性的证据。
主编推荐语
通常认为FMT很火热，其实未必，调查数据证明，医生对FMT的认知和态度在很大程度上影响了患者对FMT的选择。毕竟这是影响医学发展一个新领域，也曾经入选世界十大医学突破。作为将来的医生，未来医疗队伍的储备力量，医学研究生们对FMT的认知如何呢？本项研究表明，医学研究生对FMT的认知程度低且表浅。医学教育可通过医学课堂的途径加强FMT的教育。同时，开展更多关于FMT的研究、标准化FMT方案可以进一步改变医学生对FMT的态度，促进FMT的发展。
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延伸阅读本研究的原文信息和链接出处，以及相关解读和评论文章。欢迎读者朋友们推荐！
The recognition and attitudes of postgraduate medical students toward fecal microbiota transplantation: a questionnaire study
医学硕士研究生对粪便菌群移植的认知和态度:问卷调查
10.1177/1756284819869144
2019-09-02, Article
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Background:: Physicians and medical students in the world do not have high awareness of fecal microbiota transplantation (FMT). This study aimed to explore the recognition and attitude of postgraduate medical students towards FMT and to create awareness for it.
Methods:: A self-administered questionnaire was distributed to first-year Chinese postgraduate medical students across six medical universities. Basic descriptive statistical analyses were performed.
Results:: A total of 1828 eligible questionnaires were included into analysis. 47.76% of students did not know FMT prior to this survey. Respondents with a high-level recognition of FMT were more willing to donate feces or receive FMT therapy than those with a low-level recognition (80.26% vs. 69.62%, p = 0.000 and 56.80% vs. 41.45%, p = 0.000). The respondents from a leading institution of FMT in China showed better awareness compared with others, and 42.26% of them knew about FMT from medical lectures. The main reasons for respondents not supporting FMT were: limited reported clinical evidence (67.94%), raw technology (42.56%), and lack of analysis of patient willingness or cost-effectiveness (36.71%). However, the life-saving value (84.41%), the automatic purification system (38.68%), low expenses (36.00%), and convenient delivering ways (35.67%) were the major considerations for supporting FMT.
Conclusions:: This study revealed the low recognition level of postgraduate medical students about FMT. Therefore, medical education should not neglect the knowledge of FMT. Studies of FMT and standardized FMT should be carried out to promote its development.
First Authors:
Xia Wu,Min Dai
Correspondence Authors:
Faming Zhang
All Authors:
Xia Wu,Min Dai,Heena Buch,Jianling Bai,Wenwu Long,Chuyan Long,Xianyan Tang,Hua Tu,Renjie Zhang,Cairong Zhu,Shaoqi Yang,Bota Cui,Guozhong Ji,Faming Zhang
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