title: Study of awareness of adrenal disorders among interns and postgraduate students of Hamidia Hospital, Bhopal.
abstract: BACKGROUND
  Adrenal disorders could be a life-threatening emergency, hence requires immediate therapeutic management. For this awareness regarding its diagnosis, management, and treatment is prime important.
  
  
  OBJECTIVE
  To study the awareness of adrenal disorders among interns and postgraduates students of Hamidia Hospital, Bhopal.
  
  
  METHODS
  A cross-sectional questionnaire-based study was performed. Fifty-six participants, i.e., 1st, 2nd, and 3rdyears postgraduate residents of general medicine (n= 14 × 3) and interns (n= 14) were included in the study. There were 12 questions on adrenal insufficiency, adrenal adenoma, congenital adrenal hyperplasia (CAH), nonclassical CAH (NCCAH), pheochromocytoma, and Conn's syndrome. One mark was awarded for each correct response.
  
  
  RESULTS
  In the present study, 14 (25%) participants scored < 5 marks, 33 (58.9%) scored between 6 and 9, and 9 (16.1%) scored between 10 and 12. The mean score among the participants was 6.38 ± 2.505, with a range from 2 to 11 marks. The number of correct answers by postgraduates residents of 1styear was 101, 2ndyear was 95, and 3rdyear was 93 and interns scored 68 out of total 168 questions in each group. Mean awareness score for residents of 1st, 2nd, 3rdyears participants and interns was 7.21 ± 2.806, 6.79 ± 2.119, and 6.64 ± 2.818 and 6.63 ± 2.505, respectively. Most of the participants recorded correct responses related to diagnosis (57.7%) followed by responses related to treatment (64.3%). Answers to a question regarding how commonly is adrenal insufficiency diagnosed in medical Intensive Care Unit, none of the individuals responded correctly.
  
  
  CONCLUSIONS
  There was a lack of awareness regarding diagnosis, management, and treatment of adrenal disorders in central India. We need to prioritize training related to these illnesses in our postgraduate teaching curriculum in practice.
authors.affiliation: Department of Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Chittawar
authors.affiliation: Department of Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
authors.forename: T N
authors.initials: TN
authors.lastname: Dubey
authors.affiliation: Department of Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
authors.forename: Jitendra
authors.initials: J
authors.lastname: Sharma
authors.affiliation: Department of Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India.
authors.forename: Sagar
authors.initials: S
authors.lastname: Khandare
keywords: Congenital adrenal hyperplasia; Cushing's syndrome; nonclassical congenital adrenal hyperplasia