Assessing clinical competence : recognition of case descriptions of rheumatic diseases by general practitioners.
The objective of this study was to detect strengths and weaknesses in the diagnosis of rheumatic diseases by general practitioners in order to set up post-graduate training accordingly and to assess whether open-ended questions give results comparable with multiple choice-type questions.
Fifty-one general practitioners were given eight written cases : rheumatoid arthritis (RA), ankylosing spondylitis (AS), reactive arthritis, psoriatic arthritis (PsA), systemic lupus erythematosus (SLE), gout, polymyalgia rheumatica and pseudogout.
Only signs and symptoms were provided.
All cases were derived from real patients with a definite diagnosis.
Each case was presented in both types of question formats.
The cases were also presented to 23 rheumatologists.
We found that in the open-ended question format 57.1% of the general practitioners gave the correct answers.
Cases of RA, AS, gout and PsA were correctly diagnosed by>70% of the general practitioners.
Cases of polymyalgia rheumatica and reactive arthritis were correctly diagnosed by 55 and 39% of the general practitioners, respectively.
The cases of pseudogout and SLE were correctly diagnosed by less than 11% of the general practitioners.
We concluded that assuming generalization of the results, training of general practitioners should include polymyalgia rheumatica, reactive arthritis, SLE and pseudo gout.
Mots-clés Pascal : Rhumatisme, Médecin généraliste, Diagnostic, Facteur compétence, Questionnaire, Homme, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Rheumatism, General practitioner, Diagnosis, Competence factor, Questionnaire, Human, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0358491
Code Inist : 002B15I. Création : 01/03/1996.