Melissa Mengyan Wan1, Quynh Doan2,3,4, Niranjan Kissoon2,4,5. 1. Faculty of Medicine, University of British Columbia, Vancouver, British Columbia. 2. Department of Pediatrics, University of British Columbia, Vancouver, British Columbia. 3. Division of Emergency Medicine, BC Children's Hospital, Vancouver, British Columbia. 4. BC Children's Hospital Research Institute, Vancouver, British Columbia. 5. Division of Critical Care, BC Children's Hospital, Vancouver, British Columbia.
Abstract
OBJECTIVES: To assess the knowledge gaps and need for continuing medical education (CME) resources for Canadian paediatric emergency department (PED) physician management of common tropical diseases. METHODS: A cross-sectional survey study of Canadian PED was performed from May to July 2017 using the Pediatric Emergency Research Canada (PERC) database. RESULTS: The response rate was 56.4% (133/236). The mean performance on the case-based vignettes identifying clinical presentation of tropical illnesses ranged from 59.9% to 76.0%, with only 15.8% (n=21) to 31.1% (n=42) of participants scoring maximum points. Those who 'always' asked about fever performed better than those who only 'sometimes' asked (40.4% versus 23.8%). For management cases, the majority of the participants (59.4% to 89.5%) were able to interpret investigations; however, many were unsure of subsequent actions relating to initial treatment, discharge instructions, and reporting requirements. Many would consult infectious diseases (87.8% to 99.3%). Fifty-three per cent of the participants reported a low comfort level in diagnosing or managing these patients. They rated the importance of CME materials with a median of 50/100, via various modalities such as case studies (71.9%), emphasizing a need for PED-specific content. CONCLUSION: This study identified a knowledge gap in the recognition and management of pediatric tropical diseases by Canadian PED physicians. There is a need for formal CME materials to supplement physician practice.
OBJECTIVES: To assess the knowledge gaps and need for continuing medical education (CME) resources for Canadian paediatric emergency department (PED) physician management of common tropical diseases. METHODS: A cross-sectional survey study of Canadian PED was performed from May to July 2017 using the Pediatric Emergency Research Canada (PERC) database. RESULTS: The response rate was 56.4% (133/236). The mean performance on the case-based vignettes identifying clinical presentation of tropical illnesses ranged from 59.9% to 76.0%, with only 15.8% (n=21) to 31.1% (n=42) of participants scoring maximum points. Those who 'always' asked about fever performed better than those who only 'sometimes' asked (40.4% versus 23.8%). For management cases, the majority of the participants (59.4% to 89.5%) were able to interpret investigations; however, many were unsure of subsequent actions relating to initial treatment, discharge instructions, and reporting requirements. Many would consult infectious diseases (87.8% to 99.3%). Fifty-three per cent of the participants reported a low comfort level in diagnosing or managing these patients. They rated the importance of CME materials with a median of 50/100, via various modalities such as case studies (71.9%), emphasizing a need for PED-specific content. CONCLUSION: This study identified a knowledge gap in the recognition and management of pediatric tropical diseases by Canadian PED physicians. There is a need for formal CME materials to supplement physician practice.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Stefan Hagmann; Richard Neugebauer; Eli Schwartz; Cecilia Perret; Francesco Castelli; Elizabeth D Barnett; William M Stauffer Journal: Pediatrics Date: 2010-04-05 Impact factor: 7.124
Authors: Vanessa A Thomas; Heather L Crouse; Kristy O Murray; Deborah C Hsu; Elizabeth A Camp; Andrea T Cruz Journal: Pediatr Emerg Care Date: 2020-11 Impact factor: 1.454
Authors: Jung Wan Park; Keon Joo Lee; Kang Hyoung Lee; Sang Hyup Lee; Jung Rae Cho; Jin Won Mo; Soo Young Choi; Geun Yong Kwon; Ji-Yeon Shin; Jee Young Hong; Jin Kim; Mi-Yeon Yeon; Jong Seok Oh; Hae-Sung Nam Journal: Emerg Infect Dis Date: 2017-06 Impact factor: 6.883