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Free Content Impact of a model training course for private and public specialist physicians in El Salvador

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BACKGROUND: Private and non-private specialist practitioners are often considered an obstacle to the performance of the National Tuberculosis Control Programme (NTP).

OBJECTIVE: To evaluate the impact of an intensive refresher course directed at specialist physicians in El Salvador, a questionnaire was sent to all course participants on their basic knowledge of tuberculosis (TB) control.

RESULTS: Of 64 participants, 55 were assessed (86%); 33 were chest physicians and 22 belonged to other related specialities. The evaluation showed a considerable improvement in both groups in their ability to suspect the disease, in their tendency to avoid hospitalising patients and instead refer them to out-patient clinics, and in their adherence to the recommendations of the NTP manual (diagnostic procedures, treatment guidelines, case notification and cohort studies). Improvements were more noticeable, in all the parameters evaluated, among the non-chest physicians.

CONCLUSION: The intervention model succeeded in improving the collaboration of private and non-private specialist practitioners with the NTP.

Keywords: El Salvador; private practitioners; specialist physicians; training; tuberculosis

Document Type: Regular Paper

Affiliations: 1: National Hospital Rosales, San Salvador, El Salvador 2: National Tuberculosis Control Program, San Salvador, El Salvador 3: International Union Against Tuberculosis and Lung Disease (UNION), Paris, France 4: International Union Against Tuberculosis and Lung Disease (UNION), Paris, France; and General Hospital of Gran Canaria ‘Dr Negrín’, Las Palmas de Gran Canaria, Spain

Publication date: 2004-04-01

More about this publication?
  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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