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Journal of Orthopedic Education

Volume  3, Issue 2, Jul-Dec 2017, Pages 202-207
 

Original Article

Awareness of Hand Surgical Conditions and Management, in General Practitioners and Emergency Department Physicians in India

Darshan Kumar A. Jain1, Abhishek Sugumar Kesav2, Ashwini Varadha Rajan2

1Assistant Professor 2Resident, Department of Orthopaedics, M.S. Ramaiah Medical College and Hospital. MS Ramaiah Nagar, Mathikere, MSRIT Post, Bengaluru, Karnataka 560054, India.

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DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.13

Abstract

Hand surgery is an emerging subspecialty in India, which depends on referrals from general physicians (GPs) and emergency medicine physicians (EMDs). An appropriate referral requires the referring physician to have knowledge and understanding of common hand surgical conditions and awareness of hand surgery as a subspecialty. The aim of this study is to assess and compare the knowledge and awareness of hand surgical conditions among GPs and EMDs. The sample size for our study was calculated to be 39 GPs and 23 EMDs following a pilot study. The questionnaire based cross sectional study was conducted among GPs at primary care hospitals and EMDs at tertiary care hospitals, following which the results were analysed. A total of 62 physicians responded to our study (39 GPs and 23 EMDs). Areas in which knowledge gap was noted include penetrating palm injuries, carpal tunnel syndrome, osteoarthritis and peripheral nerve repair. Interventions to bridge the gap may be required at many levels such as undergraduate education , post graduate education and continuing medical education. These interventions would not only improve the primary care provided but also facilitate a smooth referral process to hand surgeons for further management.

Keywords: Hand Surgery; Knowledge of Hand Surgery; General Practitioners; Emergency Medicine Department Physicians.


Corresponding Author : Darshan Kumar A. Jain, Assistant Professor, M.S. Ramaiah Medical College and Hospital. MS Ramaiah Nagar, Mathikere, MSRIT Post, Bengaluru, Karnataka 560054, India.