Patient provider encounters for chronic multisympom illness (CMI) and/or environmental exposures are difficult often resulting in Veterans and providers having high levels of dissatisfaction. Patients attribute these difficulties to providers lacking knowledge about these health concerns. It is not known whether providers perceive themselves as lacking expertise in CMI and environmental exposure concerns. This needs assessment used a descriptive online survey design. A total of 3632 VA healthcare providers across disciplines were surveyed. Healthcare providers reported speaking with Veterans about CMI and environmental exposures despite feeling they have minimal to no knowledge of these topics. At the same time, only half of the providers had taken an available training on CMI or environmental exposure within the last year. Healthcare providers recognize a knowledge gap regarding CMI and environmental exposures, despite this, there is low uptake of provider education on these topics. A better understanding of barriers to uptake of training on CMI and environmental exposures is needed to increase engagement with these important trainings.

中文翻译：

---

医疗保健提供者感知的学习需求以及为慢性多症状疾病和环境暴露问题提供护理的障碍


患者提供者遇到慢性多症状疾病（CMI）和/或环境暴露的情况很困难，通常会导致退伍军人和提供者高度不满。患者将这些困难归咎于医疗服务提供者缺乏对这些健康问题的了解。目前尚不清楚供应商是否认为自己缺乏 CMI 和环境暴露问题方面的专业知识。该需求评估使用了描述性在线调查设计。共有 3632 名跨学科的 VA 医疗保健提供者接受了调查。医疗保健提供者报告称，他们与退伍军人谈论了 CMI 和环境暴露，尽管他们感觉他们对这些话题知之甚少甚至一无所知。与此同时，只有一半的提供商在去年接受过有关 CMI 或环境暴露的培训。医疗保健提供者认识到有关 CMI 和环境暴露的知识差距，尽管如此，对这些主题的提供者教育的接受度较低。需要更好地了解接受 CMI 和环境暴露培训的障碍，以提高对这些重要培训的参与度。