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. 2016 Apr 26:16:124.
doi: 10.1186/s12909-016-0647-8.

Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention

Affiliations

Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention

Susanne Doblecki-Lewis et al. BMC Med Educ. .

Abstract

Background: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida.

Methods: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests.

Results: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score for knowledge-based questions was 74.3 and average post-test score was 94.2%, indicating a mean increase of 19.9% (P < 0.0001, 95% CI 17.7-22.4). Reported confidence in dengue recognition and management also increased. Non-US trained physicians and those who had treated more than ten dengue cases performed significantly better in the pre-test. Post-test scores did not differ by subgroup.

Conclusions: The train-the-trainer approach with grand-rounds style presentations appear to be an effective intervention to improve knowledge of dengue among physicians.

Keywords: Clinical practice; Dengue; Evaluation; Physician training; Survey.

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