Do doctors in 3-year-training for family medicine specialisation integrate patients' sexual problems in routine management - medical self-assessment-results at a weekly lecture, Vienna, April 2017
Ucsnik, L1; Körbel, TH1; Kottmel, A2; Bitzer, J3; Teleky, B4
1: Medical University Vienna, Austria; 2: Private Practice for Gynecology and Sexual Medicine, Austria; 3: Private Practice, Switzerland; 4: Medical University Vienna, Univ.Clin f. Surgery, Austria
Introduction: During medical study at Medical University Vienna, basic sexual medicine knowledge and skills are integrated in the 6 year medical curriculum and learning goals. Thus we wanted to analyze the interface between medical study and medical specialization whether the competence accquired was appropriate for daily patient treatment in 2 public Viennese hospitals.
Method: a 24-item-self-assessment-questionnaire was distributed amongst the doctors in training of 51 (n=31+19) before the weekly teaching-lesson begun in Rudolfstiftung and Wilhelminenspital, Vienna Hospital Chain Lt, in April / May 2017. 50 (n=31 +19) doctors filled in the questionnaire on patients’ treatment (A), treatment provided (B) and personal profile (C). The return-rate was 98,0%.
Results: 50% of the doctors in training did not as the patients at all about sexual health issues. 54% were not asked by patients about this concern, 40% of the young doctors stated they were asked by up to 20% of the patients. 80% assessed andro-/menopause and certain diagnoses (78%) being occasions to address the topic by doctors actively. 30% referred the patients to gynecologists, 24% to urologists in case of troubled sexuality. They were aware that the medication prescribed could have an impact on patients’ sexual function – 12% thus evaluated patients’ medication. Only 20% stated that they could help up to 20% of the patients having troubled sexuality. 54% assessed a lack of competence in sexual medicine which decreased their disease management’s success. 50% of the participants in this pilot-survey were female, 44% were between 21 and 30 years old, 22% of them had between 2 and 5 years of clinical experience.
Conclusion: Young doctors in training for general medicine did not talk about sexual issues to the patients nor were they asked by patients concerning troubled sexuality. They stated a lack of competence in sexual medicine in order to help 80% of the patients they treated and the need for professionally designed training-competence in this field in order to increase their disease-management’s success. Due to this preliminary data further investigations should be made: in students during medical study at university as well as in public hospitals in Austria in which medical doctors are trained for further specialization in order to support and contribute to sexual health of the Austrian population.
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