title: Knowledge and misconceptions about immunizations among medical students, pediatric, and family medicine resident.
abstract: BACKGROUND
  Previous research has indicated that, despite being the most trusted source of health information, medical students, residents and other health related professionals lack accurate and current knowledge regarding immunization practices.
  
  
  OBJECTIVE
  To evaluate medical students and primary care resident knowledge about immunizations.
  
  
  METHODS
  Self-administered survey given to students from four medical schools, Pediatrics residents (2 training programs) and Family Medicine residents (2 programs). Data was analyzed using Statistix 8.0. One-way ANOVA test was used to compare means, and a p-value less than 0.05 was considered statistically significant.
  
  
  RESULTS
  Participants (N=376) included 3rd (64%) and 4th (18%) year medical students and a homogenous distribution of 1st, 2nd and 3rd year residents. The mean percent of correct answers about immunizations was 61%. The participants showed poor knowledge about indications (62% correct answers), contraindications (46% correct answers) and myths (71% correct answers). Knowledge about immunizations correlated with higher levels of education (p < 0.01). Most participants identified conferences (72%) as their primary source to learn about immunizations followed by books (48%) and the internet (36%). They referred poor exposure to immunizations in clinical settings.
  
  
  CONCLUSIONS
  Most medical students do not have the expected knowledge about immunization indications and contraindications. Residents were not proficient in immunization contraindications. Both groups had an adequate understanding about vaccination myths. Efforts towards ensuring adequate exposure to immunizations education during training years are needed in order to eliminate one of the barriers to adequate immunizations in children.
authors.affiliation: UPR School of Medicine, San Juan, PR.
authors.forename: Vilmarie
authors.initials: V
authors.lastname: Tañón
authors.forename: Clarimar
authors.initials: C
authors.lastname: Borrero
authors.forename: Yasmín
authors.initials: Y
authors.lastname: Pedrogo
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000193:education*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007114:Immunization; D007396:Internship and Residency; D008297:Male; D010372:Pediatrics / Q000193:education*; D013337:Students, Medical