Publication: A Study Looking at the Teaching of Peripheral Arterial Disease to Medical Personnel in Nepal: How well are we doing and how might we be able to improve?
Date
2021
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
There is currently no data showing the prevalence of peripheral arterial disease in
Nepal, although they have a high incidence of risk factors in their population such as
diabetes, hypertension, and high volume of smoke inhalation.
Objective
To quantify a gap in medical education curriculum in Nepal as it pertains to medical
trainees that have a lack of exposure to peripheral arterial disease (PAD) in a clinical
setting as well as improve lecture quality on peripheral arterial disease.
Method
A survey was sent out to 615 medical trainees in Nepal with a survey completion rate
of 44%. The results indicate that both medical students and intern doctors feel most
confident in their ability to diagnose peripheral arterial disease and comfortable
ordering a workup for peripheral arterial disease when their education includes both
a dedicated lecture and care of a patient.
Result
The self-reported ability to diagnose peripheral arterial disease increased in medical
students from 21.9% in the lecture only group to 44.4% in the group who had both
lecture and cared for a patient. The current curriculum at the Kathmandu University
School of Medical Sciences only allows two hours in the medical school to cover all
vascular topics and is taught with a traditional PowerPoint method.
Conclusion
To improve this area of curriculum, we recommend increasing the allotted time for
lectures as well as demonstrate on live patients the evaluation for peripheral arterial
disease.
KEY WORDS
Medical education, Peripheral arterial disease, Peripheral vascular disease
Description
Krueger E,1 Karmacharya RM,2 Klinger D1
1Department of Surgery
Medical College of Wisconsin
Milwaukee, WI USA
2Department of Surgery (Cardiac Thoracic and Vascular)
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
Keywords
Medical education, Peripheral arterial disease, Peripheral vascular disease