Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jan-Mar;41(1):37-43.
doi: 10.1016/j.htct.2018.06.002. Epub 2018 Jul 10.

Assessment of the knowledge and perceptions of Brazilian medical residents on transfusion medicine

Affiliations

Assessment of the knowledge and perceptions of Brazilian medical residents on transfusion medicine

Marcella Martins de Vasconcelos Vaena et al. Hematol Transfus Cell Ther. 2019 Jan-Mar.

Abstract

Background: Medical education has a major social impact because it ultimately influences the quality and safety of the health service offered to the population. Several studies have acknowledged the relationship between medical knowledge on transfusion medicine and the proper use of this therapy. The rational use of blood has become a worldwide concern. In this context, the aim of the present study was to evaluate medical residents' knowledge on transfusion medicine in hospitals located in Rio de Janeiro, Brazil, and their training during their medical education.

Methods: One hundred and six residents from eight medical specialties of four hospitals participated. A questionnaire developed by the Biomedical Excellence for Safer Transfusion (BEST) group was applied to evaluate the participants' medical knowledge. Another questionnaire was also applied to evaluate participant profiles regarding frequency of transfusion prescriptions, self-perceived knowledge and relevance of the subject.

Results: The mean number of correct answers to the questionnaire on knowledge about transfusion practices was 43.5% (range: 15-80%). A relationship between training during medical residency and the obtained result was observed (p-value = 0.0007). Most residents (73%) did not receive training in transfusion medicine during their graduation or residency and 93% would like to receive additional training.

Conclusion: A clear deficit in the knowledge of transfusion medicine was verified, indicating the need for change in the teaching of this specialty. This result is similar to some developed countries.

Keywords: Education; Knowledge; Medical; Transfusion medicine.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Number of correct answers by specialty. Box plot indicating the number of correct answers by specialty with the respective number of participants. There was a significant difference (p-value <0.005) between the group marked in red when compared to the other specialties (One-Way ANOVA and Tukey's post-test).
Figure 2
Figure 2
Profile of the medical residents regarding training in transfusion medicine. Grad: Graduation; resid: Residency.

References

    1. Pfuntner A., Wier L.M., Stocks C. Agency for Health Care Policy and Research (US); Rockville, MD: 2013. Most frequent procedures performed in US hospitals 2010 statistical brief# 149 [Internet] Available from: https://www.hcupus.ahrq.gov/reports/statbriefs/sb149.pdf [cited June 20 2017]
    1. Refaai M.A., Blumberg N. The transfusion dilemma – weighing the known and newly proposed risks of blood transfusions against the uncertain benefits. Best Pract. Res. Clin. Anaesthesiol. 2013;27(1):17–35. - PubMed
    1. Brasil. Agência Nacional de Vigilância Sanitária (Anvisa) 2015. Boletim de hemovigilancia n°7 -ANVISA. Brasília. Available from: http://portal.anvisa.gov.br/documents/33868/405222/Boletim+de+Hemovigil%... [cited 2017 June 20]
    1. Vamvakas E.C., Blajchman M.A. Transfusion-related mortality: the ongoing risks of allogeneic blood transfusion and the available strategies for their prevention. Blood. 2009;113(15):3406–3417. - PubMed
    1. Vamvakas E.C., Blajchman M.A. Transfusion-related immunomodulation (TRIM): an update. Blood Rev. 2007;21(6):327–348. - PubMed