Knowledge on effects of alcohol among medical undergraduates in Sri Lanka

Abstract

Background: Alcohol is a major determinant of morbidity and mortality (WHO, 2004). Medical profession plays a key role in controlling alcohol related problems. Global evidence suggest medical undergraduates have inadequate knowledge on effects of alcohol, leading to impaired control of alcohol related problemsin thesociety and increasing riskforthemselvesto becomeaddicted(Jeremy et al, 2001; Smit et al, 2009; Odeyemi et al, 2014). Aim:Todescribe the level and gaps of knowledge on effects of alcohol among medical undergraduates of Sri Lanka Theoretical underpinning: It is documented that inadequacy of knowledge generates a vicious cycle resulting in poor knowledge and attitudes among medical professionals. This will lead to poor knowledge, skills and attitudes among teachers, resulting in inadequate curricula and lack of role models to the undergraduates in the profession (Miller et al, 2001). Proposed Methodology: A descriptive cross-sectional study would be conducted among 500 fourth year undergraduates registered in state medical faculties, recruited using a multi-stage cluster sampling method.A self-administered questionnaire, developed based onWorld Health Organization guidelines on expected competencies from medical professionals at primary health care level and expert opinions of a multi-disciplinary panelwill be used to assess the knowledge level.Prevalence of ‘good knowledge’ would be calculated and presented with 95% Confidence Intervals and knowledge gapswould be identified based on pre-determinedquestions. Expected outcomes: If the knowledge level is found to be low, it can be used as an advocacy tool to improve attitudes of the medical professionals. Identified knowledge gaps would be shared with the curriculum development committees of all the Faculties of Medicine. A model curriculum will be developed based on the findings, available literature and expert opinion and will be disseminated to the Faculties of Medicinein Sri Lanka.