title: Multicenter Evaluation of Current Knowledge of Intestinal Transplantation and Rehabilitation Among Trainee Physicians.
abstract: BACKGROUND
  The management of intestinal failure has evolved dramatically over the last 2 decades. In addition, improved management of patients requiring parenteral nutrition-associated liver disease is creating a paradigm shift in both intestinal failure management and in the evolving indications for intestinal transplantation.
  
  
  OBJECTIVE
  We conducted an evaluation measuring current awareness among house officers (HO) regarding nutritional and transplant principles in the management of intestinal disease. Our goal was to use board-style questions with a single correct response to measure current knowledge level between HO.
  
  
  METHODS
  A survey was distributed to HO via email to measure knowledge regarding 3 areas: principles of intestinal failure (PI), medical management of intestinal disease (MI), and transplantation for intestinal disease (TI). This was evaluated at 3 busy nontransplant centers (NTC) and a tertiary care intestine transplant center (TC). Statistical analysis was conducted using the independent samples t test and multiple linear regression analysis.
  
  
  RESULTS
  Surveys were distributed to a total of 1068 HO; 208 (19.47%) responded. We received 139 responses (67%) from NTC and 69 (33%) from TC. 82% were postgraduate year (PGY) 1-3 and 18% were PGY 4-7. Of the respondents, 27% correctly answered questions regarding PI, 40% about MI, and 21% on TI. HO in NTC demonstrated more knowledge regarding PI than those in TC (P = .000). There was, otherwise, no difference between PGY 1-3 and PGY 4-7 (P > .05).
  
  
  CONCLUSIONS
  This evaluation demonstrates potential deficiencies in the basic understanding of issues surrounding intestinal disease that can be used for implementation of an educational program regarding intestinal disease and transplantation.
authors: Department of Internal Medicine, Providence Hospital and Medical Centers, Southfield, Michigan. Electronic address: salwahussain@yahoo.com.
authors: S
authors: S
authors: Hussain
authors: Department of Internal Medicine, Michigan State University, East Lansing, Michigan.
authors: A
authors: A
authors: Mehta
authors: Department of Internal Medicine, State University of New York at Buffalo, Buffalo, New York.
authors: T
authors: T
authors: Pettle
authors: Division of Gastroenterology, Department of Internal Medicine, Henry Ford Health System, Detroit, Michigan.
authors: F
authors: F
authors: Niyazi
authors: Division of Gastroenterology, Department of Internal Medicine, Henry Ford Health System, Detroit, Michigan.
authors: A
authors: A
authors: Prushani
authors: Division of Gastroenterology, Department of Internal Medicine, Providence Hospital and Medical Centers, Southfield, Michigan.
authors: R
authors: R
authors: Patel
authors: Division of Gastroenterology, Department of Internal Medicine, Providence Hospital and Medical Centers, Southfield, Michigan.
authors: M H
authors: MH
authors: Piper
authors: Division of Gastroenterology, Department of Internal Medicine, Henry Ford Health System, Detroit, Michigan.
authors: S-M R
authors: SM
authors: Jafri
mesh_terms: D004502:Education, Medical, Continuing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007410:Intestinal Diseases / Q000534:rehabilitation / Q000601:surgery*; D007422:Intestines / Q000637:transplantation*; D008297:Male; D016377:Organ Transplantation / Q000193:education*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D010820:Physicians / Q000592:standards*