Abstract
To compare the awareness about nephrology and kidney diseases in medical officers and postgraduate trainee doctors working in institutes with and without nephrology departments. This cross sectional study was conducted at Nephrology Department, Shalamar Hospital Lahore from 1(st) Jan to 31(st) Mar 2013. Doctors working on medical floor with more than one year experience after house job were included in the study. Each doctor was given questionnaire comprising of 28 questions. Two hundred and eleven doctors fulfilling the criteria were included in the study. Most of the doctors were male 150(71.1%). Knowledge had strong correlation with practice (p= 0.001). Knowledge regarding nephrology and chronic kidney disease (CKD) was found significantly different among doctors of different hospitals [(F=36.09, p=0.000). Practice regarding nephrology and chronic kidney disease (CKD) was found significantly different (F= 7.222, p=0.000)] among doctors of different hospitals of Lahore. Doctors working in the Shaikh Zayed Hospital (SZH), Lahore were having maximum score in the components of the knowledge and practice than other hospitals. Awareness of the Medical Officers and postgraduate doctors is poor regarding nephrology and kidney diseases. Doctors working in institutes with established nephrology services have better knowledge than other units. Working experience of doctors improve the practice significantly.
Highlights
Nephrology is a specialty which deals with medical diseases of kidneys
In Pakistan Professor SA Jaffar Naqvi was 1st Nephrologist who joined in Jinnah Postgraduate Medical Center Karachi in 1970.1 After that in 1980’s postgraduate training in nephrology was started by College of Physician and Surgeon of Pakistan in Lahore, Karachi & Peshawar and by the end of 2000 there were 12 nephrology centers for postgraduate academic affiliation
This study was conducted to determine the difference in knowledge and practice of doctors between the institute with and without the established nephrology departments. This cross sectional study was conducted in different tertiary care teaching hospitals of Lahore [(Mayo Hospital (MH), Sir Ganga Ram Hospital (SGRH), Services Institute of Medical Sciences (SIMS), Fatima Memorial Hospital (FMH), Lahore General Hospital (LGH), Shalamar Hospital (SH), Jinnah Hospital (JH), Shaikh Zayed Hospital (SZH)] in institutes with and without nephrology departments
Summary
Nephrology is a specialty which deals with medical diseases of kidneys. In the last couple of years there is tremendous improvement in accreditation of institutes for training in nephrology and there are about 28 centers recognized for training in nephrology.[2] At present, there are only about 80 formally trained nephrologists in Pakistan for a population of about 160 million as compared to the United States which has more than 5000 nephrologists for a population of about 300 million.[3] The underdevelopment of nephrology as specialty leads to poor training and teaching of doctors. Lack of knowledge about clinical practice guidelines and the referral of the patients with chronic kidney disease (CKD) to nephrologist is at very late stage which increases morbidity and mortality of dialysis patients.[5,6] Even the training of physicians in developed countries is not up to the mark.[7,8]
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