Knowledge, competencies and attitudes regarding external post-mortem physical examination: a survey among German post-graduate trainees in general practice

Background: The external post-mortem examination (EPME) is an important medical, legal and socio-economic task with far-reaching relevance; however, due to discrepancies between findings from EPMEs and actual cause of death, improvements in accuracy and quality are needed.Objectives: To investigate...

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Main Authors: Valentini, Jan (Author) , Götz, Katja (Author) , Yen, Kathrin (Author) , Szecsenyi, Joachim (Author) , Dettling, Andrea (Author) , Flum, Elisabeth (Author)
Format: Article (Journal)
Language:English
Published: 2018
In: European journal of general practice
Year: 2018, Volume: 24, Issue: 1, Pages: 26-31
ISSN:1751-1402
DOI:10.1080/13814788.2017.1389884
Online Access:Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1080/13814788.2017.1389884
Verlag, kostenfrei, Volltext: https://doi.org/10.1080/13814788.2017.1389884
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Author Notes:Jan Valentini, Katja Goetz, Kathrin Yen, Joachim Szecsenyi, Andrea Dettling, Stefanie Joos, Jost Steinhaeuser and Elisabeth Flum

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520 |a Background: The external post-mortem examination (EPME) is an important medical, legal and socio-economic task with far-reaching relevance; however, due to discrepancies between findings from EPMEs and actual cause of death, improvements in accuracy and quality are needed.Objectives: To investigate knowledge, competencies and attitudes regarding EPME in general practitioner (GP) post-graduate trainees.Methods: Before four post-graduate training courses on the EPME for general practitioner trainees, organized in 2014 in the German federal state of Baden-Wuerttemberg, a questionnaire on the EPME was distributed by the lecturer, completed by the GP post-graduate trainees and returned to the lecturer. The questionnaire consisted of 19 items related to three main categories: knowledge, competencies and attitudes.Results: Out of 380 GP post-graduate trainees, 128 completed and returned the questionnaire (response rate 33.7%). Less than 18% felt adequately confident in identifying a natural cause of death and less than 5% felt adequately confident in identifying an unnatural cause of death. Only 33% consistently fully uncover the corpse for the EPME.Conclusion: We found an important uncertainty in GP post-graduate trainees regarding their EPME knowledge and competencies. 
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