title: Thyroid function testing in eastern Nepal and the impact of CME on subsequent requests.
abstract: This study reveals 1 year's experience of the introduction of thyroid function tests (TFT) in B P Koirala Institute of Health Sciences (BPKIHS), a Medical University situated in eastern Nepal. These were performed on theadvice of doctors working in this region. The rational TFT advice by the medical practitioners was evaluated according to how closely the advice was in line with the algorithms recommended in the textbooks. Only about 14% of the TFT advice followed some rational strategy. A retrospective analysis showed that rational TFT advice could have reduced the cost of a TFT investigation to 43.11% without altering the patient management and disease outcome. Continuing medical education (CME) lectures arranged for a limited number of doctors were found to improve the quality of the subsequentTFT advising pattern. This emphasizes the importance of CME while introducing a costly laboratory test panel (e.g.TFT, lipid profile) needing a strategic approach.
authors.affiliation: Department of Biochemistry, BP Koirala Institute of Health Sciences, Dharan, Nepal.
authors.forename: N
authors.initials: N
authors.lastname: Baral
authors.forename: B C
authors.initials: BC
authors.lastname: Koner
authors.forename: M
authors.initials: M
authors.lastname: Lamsal
authors.forename: I
authors.initials: I
authors.lastname: Niraula
authors.forename: S
authors.initials: S
authors.lastname: Dhungel
mesh_terms: D004502:Education, Medical, Continuing; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007455:Iodine / Q000172:deficiency*; D008297:Male; D009390:Nepal / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D013959:Thyroid Diseases / Q000175:diagnosis*; D013960:Thyroid Function Tests / Q000191:economics* / Q000706:statistics & numerical data*
chemical_list: D007455:Iodine