Original ArticleResident Physician's Knowledge of Risk Factors for Upper Gastrointestinal Complications From NSAIDsCoté, Gregory A MD; Siqueira, Fabiolla MD; Rice, John P MD; Howden, Colin W MD* Author Information Division of Gastroenterology, Feinberg School of Medicine, Northwestern University, Chicago, IL. These data were presented at the Annual Meeting of the American Gastroenterological Association, San Diego, CA, in May 2008 and have been published in abstract form (Gastroenterology. 2008;134:A626). The authors state that they have no conflicts of interest. *Address for correspondence: Division of Gastroenterology, Feinberg School of Medicine, Northwestern University, 676 N St. Clair Street, Suite 1400, Chicago, IL 60611. E-mail: [email protected] American Journal of Therapeutics: September 2009 - Volume 16 - Issue 5 - p 404-411 doi: 10.1097/MJT.0b013e31818fa106 Buy Metrics Abstract Although physician compliance with the use of gastroprotection among nonsteroidal anti-inflammatory drugs (NSAIDs) users is suboptimal, we previously showed that the combination of an electronic alert with an educational intervention modestly improved rates of gastroprotection at hospital discharge. We sought to assess understanding of risk factors for NSAID-related upper gastrointestinal (GI) complications among junior and senior residents, some of whom had previously been exposed to the targeted educational intervention. We developed a 21-question survey based on known risk factors for upper GI complications from NSAIDs. Cumulative scores were calculated based on answers to knowledge-based questions. Among 78 eligible physicians, 72 participated (35 interns, 37 residents). Mean composite scores were 10.31 for interns and 12.30 for residents (P < 0.0001). Eight residents previously exposed to the targeted educational intervention tended to higher scores than 29 residents who were not (12.25 vs. 11.52, respectively, not significant). Senior residents demonstrated marginally better knowledge of risk factors for upper GI complications from NSAIDs. A combined educational intervention and electronic alert did not have a durable impact on knowledge. © 2009 Lippincott Williams & Wilkins, Inc.