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Attentiveness of pediatricians to primary immunodeficiency disorders.

Al-Hammadi S, Al-Reyami E, Al-Remeithi S, Al-Zaabi K, Al-Zir R, Al-Sagban H, Zoubaidi T, Souid AK - BMC Res Notes (2012)

Bottom Line: The overall performance of the pediatricians did not differ based on their age, gender, origin of certification, rank, or years of experience.There was a noteworthy deficiency in PID work-up.Therefore, implementing effective educational strategies is needed to improve the competency of pediatricians to diagnose and manage PID disorders.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatrics, UAE University, Al-Ain, United Arab Emirates. suleiman.alhammadi@uaeu.ac.ae

ABSTRACT

Background: Primary immunodeficiency (PID) is a cluster of serious disorders that requires special alertness on the part of the medical staff for prompt diagnosis and management of the patient. This study explored PID knowledge and experience among pediatricians of wide educational backgrounds, practicing in the United Arab Emirates (UAE).

Method: A self-administered questionnaire was used to determine the competency of pediatricians in their knowledge of PID disorders. This study questionnaire included questions on PID signs and symptoms, syndromes associated with immunodeficiency, screening tests, interpreting laboratory tests and case management. The participants were 263 pediatricians of diverse education working in the 27 governmental hospitals in all regions of UAE.

Results: The overall performance of the pediatricians did not differ based on their age, gender, origin of certification, rank, or years of experience. Of the 50 questions, 20% of pediatricians answered correctly <60% of the questions, 76% answered correctly 60 to 79% of the questions, and 4% answered correctly ≥80% of the questions. Seventeen of the 19 PID signs and symptoms were identified by 55 to 97%. Four of 5 syndromes associated with immunodeficiency were identified by 50 to 90%. Appropriate screening tests were chosen by 64 to 96%. Attention to the laboratory reference range values as function of patient age was notably limited.

Conclusions: There was a noteworthy deficiency in PID work-up. Therefore, implementing effective educational strategies is needed to improve the competency of pediatricians to diagnose and manage PID disorders.

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Related in: MedlinePlus

Median percent scores (95% confidence intervals for median percent scores) per categories.
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Figure 1: Median percent scores (95% confidence intervals for median percent scores) per categories.

Mentions: Table 5 and Figure 1 show the overall performance scores (not including the management questions) and classifying the sum of correct answers to three levels of competency: ≥80%, 60 to 79% and <60%. The majority (76%) of pediatricians correctly answered 60 to 79% of the questions, and only 4% correctly answered ≥80% of the questions. Significant differences were noted between the two main categories (p-value < 0.001, Wilcoxon signed rank test), with a better knowledge score (95% CI: 69.7, 72.7) than investigation/interpretation score (95% CI: 52.9, 55.9).


Attentiveness of pediatricians to primary immunodeficiency disorders.

Al-Hammadi S, Al-Reyami E, Al-Remeithi S, Al-Zaabi K, Al-Zir R, Al-Sagban H, Zoubaidi T, Souid AK - BMC Res Notes (2012)

Median percent scores (95% confidence intervals for median percent scores) per categories.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3475124&req=5

Figure 1: Median percent scores (95% confidence intervals for median percent scores) per categories.
Mentions: Table 5 and Figure 1 show the overall performance scores (not including the management questions) and classifying the sum of correct answers to three levels of competency: ≥80%, 60 to 79% and <60%. The majority (76%) of pediatricians correctly answered 60 to 79% of the questions, and only 4% correctly answered ≥80% of the questions. Significant differences were noted between the two main categories (p-value < 0.001, Wilcoxon signed rank test), with a better knowledge score (95% CI: 69.7, 72.7) than investigation/interpretation score (95% CI: 52.9, 55.9).

Bottom Line: The overall performance of the pediatricians did not differ based on their age, gender, origin of certification, rank, or years of experience.There was a noteworthy deficiency in PID work-up.Therefore, implementing effective educational strategies is needed to improve the competency of pediatricians to diagnose and manage PID disorders.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatrics, UAE University, Al-Ain, United Arab Emirates. suleiman.alhammadi@uaeu.ac.ae

ABSTRACT

Background: Primary immunodeficiency (PID) is a cluster of serious disorders that requires special alertness on the part of the medical staff for prompt diagnosis and management of the patient. This study explored PID knowledge and experience among pediatricians of wide educational backgrounds, practicing in the United Arab Emirates (UAE).

Method: A self-administered questionnaire was used to determine the competency of pediatricians in their knowledge of PID disorders. This study questionnaire included questions on PID signs and symptoms, syndromes associated with immunodeficiency, screening tests, interpreting laboratory tests and case management. The participants were 263 pediatricians of diverse education working in the 27 governmental hospitals in all regions of UAE.

Results: The overall performance of the pediatricians did not differ based on their age, gender, origin of certification, rank, or years of experience. Of the 50 questions, 20% of pediatricians answered correctly <60% of the questions, 76% answered correctly 60 to 79% of the questions, and 4% answered correctly ≥80% of the questions. Seventeen of the 19 PID signs and symptoms were identified by 55 to 97%. Four of 5 syndromes associated with immunodeficiency were identified by 50 to 90%. Appropriate screening tests were chosen by 64 to 96%. Attention to the laboratory reference range values as function of patient age was notably limited.

Conclusions: There was a noteworthy deficiency in PID work-up. Therefore, implementing effective educational strategies is needed to improve the competency of pediatricians to diagnose and manage PID disorders.

Show MeSH
Related in: MedlinePlus