Impact of Human Immunodeficiency Virus on Medical and Surgical Residents
Rhodes, Luther V.
Reed, James F.
Archives of Internal Medicine. 1992 Sep; 152(9): 1788-1796.
Background -- Previous surveys of resident physicians on human immunodeficiency virus (HIV) matters have tended to focus on urban programs serving a patient population with an expected high prevalence of HIV infection. The objective of this study was to survey a community hospital residency program in a nonurban area with a perceived low HIV patient seroprevalence. Methods -- A 32-question survey was completed on an anonymous basis by the entire 74 member multidisciplinary resident physician group at a two-campus university-affiliated hospital program in southeastern Pennsylvania in May 1991. Results -- Residents perceived their patient population's HIV seroprevalence rate to be low although they believed their personal risk of occupationa exposure to blood-borne infection was moderate to high. House staff most often complied with universal precautions for fear of acquiring a blood-borne illness and most often did not comply because of time constraints. Not perceiving the exposure as a health risk was the primary reason for nonreporting of exposures. Occupational exposure rates were alarmingly high, with suturing using a curved needle being the most common exposure method. Most residents were unfamiliar of HIV legislation. A majority of the house staff wanted improved HIV patient management training and life and disability insurance against occupationally acquired HIV. Many other important issues were addressed in this survey. Conclusion -- Residents even in low seroprevalence environments do fear occupationally acquired HIV. A great need exists for improved training in universal precautions, acquired immunodeficiency syndrome legislation, and HIV patient management as well as for insurance against occupationally acquired HIV.
Aids; Attitudes; Acquired Immunodeficiency Syndrome; Blood; Disability; Disease; Education; Health; Health Personnel; HIV Seropositivity; Hospitals; Iatrogenic Disease; Insurance; Internship and Residency; Illness; Legislation; Life; Medical Education; Methods; Occupational Exposure; Patient Care; Physicians; Prevalence; Refusal to Treat; Risk; Residency; Survey; Surveys;
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