Nazanin Meshkat publishes survey results in CJEM

Nazanin Meshkat publishes survey results in CJEM

FOR RELEASE: Knowledge gaps in the diagnosis & management of patients with tropical diseases presenting to Canadian emergency departments  Canadian Association of Emergency Physicians (www.caep.ca) November 10, 2014 Travelers returning to Canada from exotic locations may return with more than memories. Imported diseases, including malaria, dengue, and Ebola, can be acquired abroad and brought back to Canada in unsuspecting individuals. Often, the first point of contact for these patients are the emergency physicians across our country. Dr. Nazanin Meshkat (from the University of Toronto) and colleagues published a study looking at Canadian emergency physicians’ management of tropical diseases in the November 2014 issue of the Canadian Journal of Emergency Medicine (http://cjem-online.ca/v16/n6/p458). In the study, they surveyed Canadian emergency physicians about tropical disease training and conducted case studies to assess knowledge about the identification and management of specific tropical diseases. Although the survey was directed at experienced emergency physicians, most had minimal or no specific training in tropical diseases. Overall, emergency physicians indicated an unacceptably low level of comfort when faced with patients with tropical disease symptoms. From the tropical disease case studies, 40% of the cases were incorrectly diagnosed or managed. Although concerning, it is substantially better than a similar 2006 study of UK physicians where 78% were incorrectly diagnosed (doi: 10.1111/j.1708-8305.2006.00019.x). In Dr. Meshkat’s study, the Canadian emergency physicians were aware of the knowledge gap, and the desire for more training was high. Those in the study indicated that conference workshops, case studies, and podcasts would all be good continuing medical education opportunities to improve their knowledge about the diagnosis and management of tropical disease. The authors investigated...
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