It is interesting to read that in the UK undergraduate training in chem
path is missing from almost most universities' core curricula.
In Hungary we are much luckier, even though the practice and length of
teaching this subject varies from university to university, but the
minimum is that Clin Biochem is taught at least in half a semester at
3rd year (in some places even a whole year integrated into the pathology
curriculum). In addition there are elective courses for at least one
semester at 4th and 5th year which are usually more problem-, or
case-oriented. Whether this makes Hungarian doctors better in terms of
requesting and interpreting lab results - well, I do not know, and I
have not seen such an educational trial either.
However, when we assessed the interpretive and requesting skills of GPs
in a few international surveys originated from an EQAS organization,
NOKLUS in Norway, we did not see huge differences between countries.
Unfortunately British GPs did not take part in those surveys, but if
interested, please refer to the publications below. Furthermore, a new
similar survey is planned for next year on Prothrombin time monitoring,
so if interested, please contact Sverre Sandberg in Norway.
Skeie S, Nordin G, Oosterhuis WP, Araczki A, Horvath AR, Perich C, Ricos
C, Delport R, Bubner T, Thue G, Sandberg S. Post-analytical external
quality assurance of blood glucose and HbA1c: an international survey
Clin. Chem. 2005; 51(7): 1145–1153.
Aakre KM, Thue G, Subramanian-Hĺvik S, Thue G, Plum I, Müller M,
Lovrencic MV, Aab A, Kutt M, Morris H, Gillery P, Schneider N, Ricos C,
Alsina CP, Onody R, Horvath AR, Oosterhuis W, Nordin G, Sandberg S. Post
– analytical external quality assurance of urine albumin in primary
health care: an international survey. Clin Chem
http://www.clinchem.org/cgi/content/abstract/54/10/1630
Best regards, Rita Horvath
Hungary
Mainwaring-Burton Richard (RGZ) írta:
>
> I have done the same with yr 4/5 students and had similar high ratings
> of popularity (and hopefully quality). It seems that it is not just
> 'Biochem Lab Results' which is missing from the curriculum - Pathology
> in general has made way for other so-called sciences, and is treated
> as a 'service'.
>
> One of the techniques I use is discussion of lab result examples with
> a 'laboratory' rather than ward view. This enables one to present
> result profiles from many scenarios and talk around the
> use/abuse-fulness of the tests.
>
> with best wishes
> Richard
> Richard Mainwaring-Burton
> Consultant Biochemist
> Queen Mary's Hospital
> Sidcup, Kent
> 020-8308-3084
>
>
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