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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adult, Asian Americans, California, Clinical Competence, Education, Medical, Graduate, Education, Medical, Undergraduate, Female, Health Care Surveys, Health Knowledge, Attitudes, Practice, Hepatitis B, Chronic, Humans, Internship and Residency, Male, Medical Staff, Hospital, Oceanic Ancestry Group, Predictive Value of Tests, Retrospective Studies, Specialization, Surveys and Questionnaires, Treatment Outcome, Young Adult.
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Does medical training fail to prepare providers to care for patients with chronic hepatitis B infection? Context: To investigate physicians' knowledge including chronic hepatitis B (CHB) diagnosis, screening, and management in various stages of their training. A voluntary 20-question survey was administered in Santa Clara County, CA where Asian and Pacific Islanders (API) account for a third of the population. Among the 219 physician participants, there were 63 interns, 60 second-year residents, 26 chief residents and 70 attending physicians. The survey asked questions regarding respondents' demographics, general hepatitis B virus knowledge questions (i.e., transmission, prevalence, diagnostic testing, prevention, and treatment options), as well as, self-reported practice behavior and confidence in knowledge. Knowledge about screening and managing patients with CHB was poor: only 24% identified the correct tests to screen for CHB, 13% knew the next steps for patients testing positive for CHB, 18% knew the high prevalence rate among API, and 31% knew how to screen for liver cancer. Wald chi-square analysis determined the effect of training level on knowledge; in all cases except for knowledge of liver cancer screening (P = 0.0032), knowledge did not significantly increase with length in residency training or completion of residency.
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Even in a high-risk region, both medical school and residency training have not adequately prepared physicians in the screening and management of CHB. Final Decision: yes