Increasing Physician Comfort in Managing Liver Diseases

HealthDay News — A novel non-elective inpatient hepatology rotation increases knowledge of chronic liver disease (CLD) among internal medicine (IM) residents, according to a study published online August 10 in Hepatology.

Adam E. Mikolajczyk, MD, from the University of Chicago Medicine, and colleagues distributed a paper-based anonymous assessment to the inaugural 25 post-graduate year 2 and 3 IM residents before and after the 2-week inpatient hepatology rotation. Validated multiple-choice questions and Likert-type questions were included in the pre- and post-rotation assessments.

The researchers found that after completion of the rotation there was a significant increase in the mean comfort level for managing several common liver diseases (cirrhosis, hepatitis B, hepatitis C, nonalcoholic steatohepatitis, and liver transplant care). A significant increase was also reported in interest in hepatology as a career (P =.03). The mean percentage of multiple-choice questions answered correctly was 62% and 77% percent pre- and post-test (=.02).

“Our novel curriculum and non-elective hepatology rotation has effectively demonstrated improvement in IM residents’ comfort with and knowledge of CLD,” the authors write.

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  1. Mikolajczyk AE, Farnan JM, McConville JF, et al. Novel Educational Interventions in Residency Increase Knowledge of Chronic Liver Disease and Career Interest in Hepatology. Hepatology. 2016; doi: 10.1002/hep.28741