Evidence map›Paper›PMID 41350843›Full record

ArticleBMC medical education2025

Clinical knowledge, practice patterns, and educational needs on incidental lung nodules among interns, residents, and general practitioners in Palestine.

Alhareth M Amro, Osama J Makhamreh, Raghad Sweity, Tala Dweik, Sandra S Hnaihen, Marah Ghassan Shareef, Khaled Dawabsha, Yousef Abu Asbeh

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Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Alhareth M Amro *Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine. Alhareth.amro@gmail.com.
Osama J Makhamreh *Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Raghad Sweity *Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Tala DweikMedical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Sandra S HnaihenMedical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Marah Ghassan ShareefFaculty of Medicine, An-Najah National University, Nablus, Palestine.
Khaled DawabshaFaculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID http://orcid.org/0009-0004-7453-0319
Yousef Abu AsbehMedical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine. dryousefabuasbeh@gmail.com.ORCID http://orcid.org/0000-0001-5926-8990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidental lung nodules (ILNs) are increasingly detected through imaging, posing clinical and psychological challenges for healthcare providers, especially when local guidelines are lacking. This study assessed knowledge and fear related to ILNs among interns, residents, and general practitioners (GPs) in Palestine.

methodsA cross-sectional study was conducted using an online questionnaire distributed via social media platforms to interns, residents, and GPs across Palestine. The validated tool assessed demographics, knowledge, emotional responses, clinical practices, and perceived barriers regarding ILNs. SPSS version 25 was used for statistical analysis.

resultsThe mean age was 26 (± 3.22) years; 53% were female. A majority of the participants (54%) were interns, and 83% had two or fewer years of professional experience. While 68% of participants reported being aware of ILN management guidelines, only 6% rated their understanding of these guidelines as excellent, and more than half (51%) indicated that they did not utilize any guidelines. The median knowledge score was 4 out of 7 [IQR: 2]. Female participants and those who received training in Palestine achieved significantly higher scores (p = 0.012 and p < 0.001, respectively). Common management strategies included reviewing previous imaging (44%) and referring patients to specialists (30%). The primary barriers to effective ILN management were identified as insufficient training (62%) and limited clinical exposure (50.3%).

conclusionThis study reveals significant deficiencies in knowledge and confidence regarding ILNs among early-career clinicians in Palestine. The findings underscore the need for targeted educational interventions, the development of local guidelines, and increased clinical exposure to enhance competence and alleviate anxiety in managing incidental findings. Addressing these gaps is crucial for ensuring accurate diagnosis, appropriate follow-up, and improved patient outcomes.

Indexed as

Clinical CompetenceGeneral PractitionersHealth Knowledge, Attitudes, PracticeInternship and ResidencyLung NeoplasmsPractice Patterns, Physicians'AdultCross-Sectional StudiesFemaleHumansIncidental FindingsMaleMiddle EastSurveys and QuestionnairesCross-sectional studyIncidental lung nodulesKnowledgeManagement guidelinesMedical educationPalestinePractice

Identifiers

PMID41350843
PMCPMC12797707

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.