Literature DB >> 20723768

Primary care perceptions of otolaryngology.

Mark C Domanski1, Samaneh Ashktorab, Steven A Bielamowicz.   

Abstract

OBJECTIVE: To identify diseases of the head and neck for which primary care physicians may underappreciate the role of the otolaryngologist. STUDY
DESIGN: Cross-sectional analysis.
SETTING: With increasing subspecialization in the world of medicine, there is the potential for confusion about the scope of practice for different specialties by primary care physicians. These clinicians are often faced with patients who have disease processes in which otolaryngologist are trained but may end up referring patients to other specialists. SUBJECTS AND METHODS: A brief, web-based survey was administered via e-mail to resident physicians of family medicine, pediatrics, and internal medicine programs in the United States. The survey asked responders which specialist they believed was an expert for particular clinical entities: allergies, oral cancer, restoring a youthful face, sleep apnea, thyroid surgery, and tracheostomy. Respondents could choose from a dermatologist, general surgeon, ophthalmologist, oral maxillofacial surgeon, orthopedic surgeon, otolaryngologist, and plastic surgeon. The responder was able to choose more than one specialist for each question.
RESULTS: A total of 1064 completed surveys were analyzed. The percentage of primary care residents who picked otolaryngologists as experts was 13.8 percent for allergies, 73.6 percent for oral cancer, 2.7 percent for restoring a youthful face, 32.4 percent for sleep apnea, 47.2 percent for thyroid surgery, and 72.5 percent for tracheostomy.
CONCLUSION: This study demonstrates that many primary care residents are not aware of the scope of expertise that an otolaryngologist may offer. Increased exposure to otolaryngology during primary care residency training may increase understanding of the specialty among primary care physicians. Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.

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Year:  2010        PMID: 20723768     DOI: 10.1016/j.otohns.2010.05.012

Source DB:  PubMed          Journal:  Otolaryngol Head Neck Surg        ISSN: 0194-5998            Impact factor:   3.497


  3 in total

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Authors:  Mohamed Amir Mrad; Abdullah A Al Qurashi; Hatan Mortada; Qutaiba N M Shah Mardan; Noorah Abuthiyab; Nura Al Zaid; Hadeer Al Bakri; Abdullah Mullah
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Authors:  Anna Luan; Arash Momeni; Gordon K Lee; Michael G Galvez
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  3 in total

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