Knowledge assessment of Tunisian junior doctors in transfusion medicine

Abstract

BACKGROUND: Although transfusion medicine (TM) is included in medical curricula, junior doctors still have gaps in practical knowledge. These gaps with limited training increase patient risks, as well as health care costs. The aim of this study is to assess TM knowledge among juniors' doctors. METHODS: This is a monocentric study, conducted across nine clinical departments. A structured questionnaire was used to assess four TM concepts. Knowledge scores were analyzed according to experience, prior training, and department. RESULTS: Of the 102 doctors surveyed, 82 (80%) responded. The median age of participants was 27 years old. The percentage of residents was 82%. Among them, 41% had prior and only 10% had more than three years of experience. The average knowledge score was 32.4%, with 41.5% scoring above the mean. Most interns and residents scored in the poor or moderate knowledge range, while the good knowledge group consisted exclusively of residents. Scores were highest for pre-transfusion initiation and monitoring, and lowest for basic knowledge and risk management. Residents generally outperformed interns, with knowledge correlating positively with clinical experience. CONCLUSION: Experience alone does not ensure competency. Enhanced curricula with standardized and innovative tools are recommended to reduce transfusion errors and improve patient safety.