Fetal alcohol spectrum disorders: knowledge and screening practices of university hospital medical students and residents.

MedStar author(s):
Citation: Journal of Population Therapeutics & Clinical Pharmacology. 20(1):e18-25, 2013.PMID: 23392849Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Alcohol Drinking/ep [Epidemiology] | *Fetal Alcohol Syndrome/pc [Prevention & Control] | *Health Knowledge, Attitudes, Practice | *Mass Screening/mt [Methods] | Alcohol Drinking/ae [Adverse Effects] | Female | Health Care Surveys | Hospitals, University | Humans | Internship and Residency/sn [Statistics & Numerical Data] | Physician's Practice Patterns/sn [Statistics & Numerical Data] | Practice Guidelines as Topic | Pregnancy | Pregnancy Complications/di [Diagnosis] | Pregnancy Complications/pc [Prevention & Control] | Prenatal Care/mt [Methods] | Students, Medical/sn [Statistics & Numerical Data] | United StatesYear: 2013Abstract: BACKGROUND: Fetal alcohol spectrum disorder (FASD) is the leading cause of preventable intellectual disabilities in the United States and a significant public health issue.CONCLUSIONS: Significant differences exist in the knowledge and screening practices of these different healthcare providers and trainees. Future interventions should seek to improve knowledge on FAS, FASD, and alcohol consumption, in order for practitioners to be more consistent with national guidelines and the Surgeon General recommendations.METHODS: A short survey sent to medical students and residents on the campus of a large medical school and university hospital.OBJECTIVES: The purpose of this study is to evaluate the knowledge and screening practices of pre-clinical medical students and clinical providers on FAS, FASD, and alcohol consumption.RESULTS: On the survey of clinical providers, 38% of respondents stated they always survey pregnant women about their alcohol consumption, 34% stated they always screen patients planning to get pregnant, and 9% screen women of childbearing age. There were a significant percentage of providers who never screen women. When questioned regarding safe amounts of alcohol consumption during pregnancy, 69% of pre-clinical medical students and 67% of clinical providers stated there is no safe amount of alcohol consumption. Clinical providers were much more likely to correctly select the facial features necessary for the diagnosis (p-value < 0.01).All authors: Arnold K, Burke M, Decker A, Herzberg E, Maher M, Motz K, Nandu H, O'Donnel L, Pirmohamed A, Ybarra MFiscal year: FY2014Date added to catalog: 2013-12-24
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Journal Article MedStar Authors Catalog Article 23392849 Available 23392849

BACKGROUND: Fetal alcohol spectrum disorder (FASD) is the leading cause of preventable intellectual disabilities in the United States and a significant public health issue.

CONCLUSIONS: Significant differences exist in the knowledge and screening practices of these different healthcare providers and trainees. Future interventions should seek to improve knowledge on FAS, FASD, and alcohol consumption, in order for practitioners to be more consistent with national guidelines and the Surgeon General recommendations.

METHODS: A short survey sent to medical students and residents on the campus of a large medical school and university hospital.

OBJECTIVES: The purpose of this study is to evaluate the knowledge and screening practices of pre-clinical medical students and clinical providers on FAS, FASD, and alcohol consumption.

RESULTS: On the survey of clinical providers, 38% of respondents stated they always survey pregnant women about their alcohol consumption, 34% stated they always screen patients planning to get pregnant, and 9% screen women of childbearing age. There were a significant percentage of providers who never screen women. When questioned regarding safe amounts of alcohol consumption during pregnancy, 69% of pre-clinical medical students and 67% of clinical providers stated there is no safe amount of alcohol consumption. Clinical providers were much more likely to correctly select the facial features necessary for the diagnosis (p-value < 0.01).

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