Publication: The effect of a continuity of care clinic curriculum on cardiovascular risk management skills of medical school graduates.
Issued Date
2009-03-01
Resource Type
ISSN
01252208
Other identifier(s)
2-s2.0-67651207687
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Vol.92 Suppl 2, (2009)
Suggested Citation
Denla Pandejpong, Cherdchai Nopmaneejumruslers, Charoen Chouriyagune The effect of a continuity of care clinic curriculum on cardiovascular risk management skills of medical school graduates.. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Vol.92 Suppl 2, (2009). Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/28153
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
The effect of a continuity of care clinic curriculum on cardiovascular risk management skills of medical school graduates.
Other Contributor(s)
Abstract
BACKGROUND: The continuity of care clinic (CCC) curriculum has been added to final-year medical students, class of 2008. The goals were to improve cardiovascular risk management skills for medical students and to develop competent doctors to serve the public. OBJECTIVE: To study the effectiveness of the curriculum by directly comparing postgraduate patient care performance between CCC participants (class of 2008) and non-CCC participants (class of 2006 and 2007). MATERIAL AND METHOD: We collected information about both groups of graduates, when they started their doctor careers. With hospitals'permission, medical charts audits were performed and scored with a 12-task checklist of cardiovascular risk management. The scores from both groups were compared with statistical analyses. RESULTS: Among 266 charts from 17 hospitals, there were 123 charts from 38 CCC participants and 143 charts from 52 non-CCC participants. On 9 of 12 tasks of the checklist, proportionately more CCC participants carried out the tasks than non-CCC participants. Statistical significance was shown on 5 tasks. These were ability to properly adjust antihypertensive medication (13.4% more; p = 0.002); requesting for urine protein screening (12.1% more; p = 0.006); recommending life-style modification (24.9% more; p < 0.001); requesting for serum lipid profile (25.5% more; p < 0.001); prescribing aspirin as primary prevention for cardiovascular disease (13.1% more; p = 0.007). There was no statistically significant difference for the other 7 tasks. CONCLUSION: Cardiovascular risk management performance of CCC participants was better than non-CCC participants in the same period after graduations. The curriculum helped improve the cardiovascular risks management skill of postgraduates. In the public interest, this study recommends further implementation of such a program in the future.