Needs Assessment of Emergency Department Residents in Examining and Managing Patients with Ophthalmologic Complaints

Purpose Emergency medicine residents are trained to deal with a variety of emergency conditions; eye emergencies represent only a small portion of their clinical experience. This study was a targeted needs assessment of the comfort level of emergency medicine residents in diagnosing and managing patients who present with an ophthalmic chief complaint, with the goal of targeting future educational interventions. Methods This was a cross sectional survey conducted at a large tertiary-care hospital between June 2016 and August 2016. Participants were 1st, 2nd, or 3rd year emergency medicine residents in an Accreditation Council for Graduate Medical Education (ACGME)-approved emergency medicine residency. Results The total response rate was 67.4% (29/43). The majority of residents did not expect equivalent availability of ophthalmology consultation services post-graduation. They generally believed ophthalmology and examination skills to be important to their future career and became more comfortable with the slit lamp exam through residency, although the average level of comfort was only 6.9 on a 1 to 10 scale for 3rd year residents (standard deviation [SD] = 2.6). A majority of residents were not confident with their diagnostic, examination, or management skills when queried about specific ophthalmic conditions or presenting symptoms. They indicated a variety of reasons why their comfort with ophthalmologic patients was limited. Conclusion There is both need and desire for increased ophthalmic skills training for emergency medicine residents. Given time constraints in residency training, possible solutions will need to be innovative and multifaceted in order to target this goal.

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P033: Procedural skills training in emergency medicine physicians within the Edmonton zone: a needs assessment

CJEM ◽

10.1017/cem.2020.240 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S76-S76

Author(s):

R. Schonnop ◽

B. Stauffer ◽

A. Gauri ◽

D. Ha

Keyword(s):

Emergency Medicine ◽

Emergency Departments ◽

Continuing Professional Development ◽

Skills Training ◽

Procedural Skill ◽

Cross Sectional Survey ◽

Procedural Skills ◽

Cross Sectional ◽

Health Region ◽

Perceived Importance

Introduction: Procedural skills are a key component of an emergency physician's practice. The Edmonton Zone is a health region that comprises twelve tertiary, urban community and rural community emergency departments (EDs) and represents over three hundred emergency physicians. This study describes the current attitudes toward procedural skill competency, current procedural skill practices, and the role for educational skills training sessions among emergency medicine physicians within a geographical health region. Methods: Multicenter descriptive cross-sectional survey of all emergency medicine physicians working at 12 emergency departments within the Edmonton Zone in 2019 (n = 274). The survey underwent several phases of systematic review; including item generation and reduction, pilot testing, and clinical sensibility testing. Survey items addressed current procedural skill performance frequency, perceived importance and confidence, current methods to maintain competence, barriers and facilitating factors to participation in a curriculum, preferred teaching methods, and desired frequency of practice for each procedural skill. Results: Survey response rate was 53.6%. Variability in frequency of performed procedures was apparent across the type of hospital sites. For majority of skills, there was a significantly positive correlation between the frequency at which a skill was performed and the perceived confidence performing said skill. There was inconsistency and no significant correlation with perceived importance, perceived confidence, or frequency performing a given skill and the desired frequency of training for that skill. Course availability (76.2%) and time (72.8%) are the most common identified barriers to participation in procedural skills training. Conclusion: This study summarized the current emergency department procedural skill practices and attitudes toward procedural skill competency and an educational curriculum among emergency medicine physicians in Edmonton. This represents a step towards targeted continuing professional development in the growing realm of competency-based medical education.

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A comparison of human papillomavirus genotypes among HIV seropositive and seronegative Mexican women: a cross-sectional survey at a tertiary care hospital

The Lancet ◽

10.1016/s0140-6736(13)62259-x ◽

2013 ◽

Vol 382 ◽

pp. S11

Author(s):

S Flores ◽

R Figueroa

Keyword(s):

Human Papillomavirus ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Mexican Women ◽

Care Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Hiv Seropositive

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Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

Journal of Perinatal Medicine ◽

10.1515/jpm-2015-0206 ◽

2016 ◽

Vol 44 (7) ◽

Author(s):

Samina Ismail ◽

Shemila Abbasi ◽

Sobia Khan ◽

Abdul Monem ◽

Gauhar Afshan

Keyword(s):

Epidural Analgesia ◽

Health Care Providers ◽

Tertiary Care ◽

Care Hospital ◽

Care Providers ◽

Sources Of Information ◽

Hospital Data ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Natural Birth

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

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Factors influencing seasonal influenza vaccination uptake among health care workers in an adult tertiary care hospital in Singapore: A cross-sectional survey

American Journal of Infection Control ◽

10.1016/j.ajic.2018.08.011 ◽

2019 ◽

Vol 47 (2) ◽

pp. 133-138 ◽

Cited By ~ 6

Author(s):

Win Mar Kyaw ◽

Angela Chow ◽

Aung Aung Hein ◽

Lay Tin Lee ◽

Yee Sin Leo ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Seasonal Influenza ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Influencing ◽

Care Workers

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Barriers of Drug Adherence among Patients with Epilepsy: in Tertiary Care Hospital, South India

Journal of Caring Sciences ◽

10.15171/jcs.2018.027 ◽

2018 ◽

Vol 7 (4) ◽

pp. 177-181 ◽

Cited By ~ 2

Author(s):

Ancy M Das ◽

Lakshmi Ramamoorthy ◽

Sunil k. Narayan ◽

Vaibhav Wadwekar

Keyword(s):

Medication Adherence ◽

Care Center ◽

Tertiary Care ◽

Educational Interventions ◽

Structured Interview ◽

Care Hospital ◽

Cross Sectional Survey ◽

Brain Disorder ◽

Related Factors ◽

Patients With Epilepsy

Introduction: Epilepsy is a treatable and curable brain disorder. However major proportion of individuals with this disease in developing countries receives no treatment because of misunderstandings of the public. Other than that, poor adherence to ordered medication is considered the primary cause of drug therapy failure in epilepsy. This study conducted to assess the adherence pattern to antiepileptic regimen, among patients with epilepsy and to identify the clinical and patient-related factors contributing as barriers. Methods: A cross sectional survey design was used in 100 epilepsy patients in an Outpatient unit of tertiary care center. A Convenient sampling technique was used to enroll the patients who meet inclusion criteria. Structured interview with pre-tested questionnaire and eight item Morisky Medication Adherence Scale was used to collect the data. Descriptive and inferential statistics were used for analysis of data. Descriptive statistics (mean, standard deviation, frequency and percentages) were used to describe the clinical and demographic variables of study participants. The determinants of medication adherence were analyzed using Chi-Square test and independent student t- test. The analysis was done with SPSS 20th version. Results: Majority (71%) of patients were not adherent to antiepileptic treatment. Severity of seizure (indicated by the presence of seizure last year), medication frequency and complexity of treatment were found to have significant association with the Anti-Epileptic Drugs (AED) adherence status. Status of adherence is significantly associated with frequency of seizure/year and positive life style. Conclusion: As Medication adherence was observed to be low, services for adherence counseling and health educational interventions in the epilepsy clinics is recommended.

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Knowledge, attitude and practices regarding the status of ‘animal ingredients in medicines’ among medical professionals in a tertiary care hospital in Mumbai: a cross-sectional survey

Journal of Medical Ethics ◽

10.1136/medethics-2011-100361 ◽

2012 ◽

Vol 38 (7) ◽

pp. 445-445

Author(s):

Mangal M Jain ◽

Karan Thakkar

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Medical Professionals ◽

Care Hospital ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Status

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Clinical profile and functional disability of patients with migraine

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.176188 ◽

2016 ◽

Vol 07 (02) ◽

pp. 250-256 ◽

Cited By ~ 3

Author(s):

Vishnu Renjith ◽

Mamatha Shivananda Pai ◽

Flavia Castelino ◽

Aparna Pai ◽

Anice George

Keyword(s):

Functional Disability ◽

Tertiary Care ◽

Sampling Technique ◽

Primary Headache ◽

Headache Disorder ◽

Episodic Migraine ◽

Clinical Profile ◽

Care Hospital ◽

Cross Sectional Survey ◽

Cross Sectional

ABSTRACT Background: Migraine is a common disabling primary headache disorder. Globally, migraine was ranked as the seventh highest cause of disability. Aim: The aim of the study was to explore the clinical profile and functional disability of patients with migraine. Settings and Design: A cross-sectional survey was conducted at the neurology outpatient department of a tertiary care hospital in Karnataka. Materials and Methods: Using a consecutive sampling technique, 60 patients were recruited for the study. Descriptive and inferential statistics were used to analyze the data. Results: Majority of the participants were in the age group of 18–40 years with a mean age 35.22 years. There was a female preponderance with 70% of study participants being females. The various symptoms experienced by patients include throbbing pain (90%), photophobia (93.3%), phonophobia (85%), nausea (76.7%), and vomiting (41.7%). Most of the subjects (73.3%) under the study belonged to moderate to severe levels of functional disability. About 53.3% of patients were in the category of episodic migraine and 46.7% were in the category of chronic migraine. Conclusion: Migraine is associated with moderate to severe functional disability. Frequency of migraine has a positive correlation with the levels of disability/migraine disability assessment scores of migraineurs.

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