Main Article Content
Background Gastroesophageal reflux (OER) is involuntary movement of gastric content into esophagus due to transient lower esophageal sphincter relaxation. This condition usually ignored by physician. Many GER cases have severe complication before properly managed. Ten years after incorporating GER into Indonesia pediatric training curriculum, the knowledge of GER among pediatrician need to be measured.
Objectives To measure pediatrician's knowledge of GER/GERD in children.
Methods This was a cross sectional study using questionnaire and interview.
Result There were 387 respondents who filled the questionnaire and being interviewed. The majority of respondents were between 25-45 years old (33.6%). Respondents who graduated before the year 2000 were 48.3%, and after 2000 were 51.7%. Majority of respondents were general pediatrician (90.2%) and 41.3% working in teaching hospitals Among pediatricians graduated after year 2000,6 6%,5 0.5% and 57.5% could gave more than 80% correct answer to questions about general knowledge, diagnosis and management of GERD as compared to 49.2%, 42.2% and 47% subjects graduated before year 2000. More pediatricians graduated before year 2000 answered the questions on general knowledge, diagnosis and management < 60% correctly compared to those graduated after year 2000 (42.2%, 25.2% and 28.3% vs. 14%,11.5% and 12%, respectively). Fifty five of 160 (34.4%) respondents who working in teaching hospital gave more than 80% correct answer to questions about GERD. Compared to those working in non-teaching hospitals, only 17.6% were able to correctly answer more than 80% of questions.
Conclusions Better knowledge about GER/GERD are found among pediatricians graduated after the topics has been introduced to the curriculum and among those practicing in teaching hospitals.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
2. Katalog program studi ilmu kesehatan anak. Jakarta: Departemen Pendidikan dan Kebudayaan Direktorat Jenderal Pendidikan Tingi; 1984.
3. Konsil Kedokteran Indonesia. Standar kompetensi dokter. Jakarta, 2006. p. 43-82
4. Kolegium Hmu Kesehatan Anak Indonesia. Kurikulum pendidikan dokter spesialis anak Indonesia. 2000. p. 23.
5. Departemen Hmu Kesehatan Anak Fakultas kedokteran Universitas Indonesia. Buku panduan program pendidikan dokter spesialis anak. 2004. p. 30.
6. Shaoul R, Sharory R, Tamir A, Jaffe M. Comparison between pediatricians and family practitioners in the use of prokinetic cisapride for gastroesophageal reflux disease in children. Pediatrics. 2002;109:1118-23.
7. Dia, DM, Winter HS, Colletti RB, Ferry GD, Rudolph CD, Czinn S]. Knowledge, attitudes and practice styles of North American pediatricians regarding gastroesophageal reflux disease. CDHNF/NASPGHAN/AAP KAPS Survey on GERD; 2007.
8. Nelson SF, Chen EH, Syniar GM, Christoffel KK. Prevalence of symptoms of gastroesophageal reflux during childhood: a pediatric practicebased survey. Pediatric Reseach Group. Arch Pediatr Adolesc Med. 2000;154(2):150-4.
9. Shulman Rj, Boyle jT, Colleti RB, Ftiedman RA, Heyman MB, Keams G, et al. The use of cisapride in children. The North American Society for Pediatric Gastroenterologi and Nutrition. J Pediatr Gastroenterol Nutr. 1999;28(5):529-33.
10. Salvatore S, Vandenplas Y. Gastroesophageal reflux and cow milk allergy: is there a link? Pediatrics. 2002; 110:972-84.
11. Cavatio F, lacano G, Montalto G, Soresi M, Tumminello M, Carroccio A. Clinical and pHmetric characteristics of gastrooesophageal reflux secondary to cow's milk protein allergy. Arch Dis Child. 1996;75:51-6.
12. Orenstein SR, Magil HL, Brooks P. Thickening of infant feeding for therapy of gastroesophageal reflux. J Pediatr. 1987; 110;181-6.