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Biomedical subjects

K Goulston

Publications and source records attributed to K Goulston.

At least 37 records · Page 2Linked to original sources

Knowledge of colorectal cancer and attitude to occult blood testing among recent medical graduates in New South Wales.

The extent to which new information on colorectal cancer (C.C.) is being transmitted to medical undergraduates was assessed in a repeated survey of new interns' knowledge of and attitudes on C.C. A probability sample of 214 graduates of the two Sydney medical schools was drawn as they commenced their internships in 1978. A comparable sample of 186 was drawn in 1980. Interns in each sub-sample completed a questionnaire of 54 pre-coded items of knowledge of C.C. epidemiology, early diagnosis, and followup, and on their attitudes towards C.C. On most topics knowledge was not well developed, and 1980 graduates were not significantly better informed than those of 1978. Almost three-quarters of 1980 interns intend using faecal occult blood testing.

Australia↗

Faecal occult blood testing in patients with colonic symptoms.

Faecal occult blood testing with Hemoccult is becoming popular as a means of detecting colorectal carcinoma or adenoma. In determining its diagnostic place, such testing must be evaluated in patients with colonic symptoms as well as in asymptomatic populations. False negative test results may be determined either by full colonic investigation of screened patients or by their long-term follow-up. One hundred patients with colonic symptoms were screened with Hemoccult testing, sigmoidoscopy, and a barium-enema X-ray examination. Eight of 10 patients with proven colorectal carcinoma showed a positive Hemoccult test result, as did two of seven patients with proven colorectal adenomatous polyps. A negative Hemoccult test result in patients with colorectal symptoms does not exclude either colorectal carcinoma or adenoma; however, a positive result does usually indicate the presence of organic gastrointestinal disease.

Adenoma↗

Knowledge and attitudes of gastroenterologists in colorectal cancer.

A group of 73 gastroenterological specialists (36 physicians, 25 surgeons, 12 trainees) completed a detailed questionnaire on their knowledge of and attitudes to colorectal cancer. A surprising unawareness of recent developments in colorectal cancer was apparent. Although responses to individual questions varied throughout the three groups, overall knowledge and attitudes on colorectal cancer were not related to age and years since graduation, and were not different in the three groups. This study suggests failure of traditional methods of continuing medical education, and has practical implications for any screening programme designed to detect early colorectal cancer.

Attitude of Health Personnel↗