TY - JOUR
T1 - Comparing practice patterns between pediatric and general emergency medicine physicians
T2 - A scoping review
AU - International Network for Simulation-based Pediatric Innovation, Research, and Education (INSPIRE) IMPACTS Investigators
AU - Chime, Nnenna O.
AU - Katznelson, Jessica
AU - Gangadharan, Sandeep
AU - Walsh, Barbara
AU - Lobner, Katie
AU - Brown, Linda
AU - Gawel, Marcie
AU - Auerbach, Marc
AU - Dudas, Robert A.
AU - Hamilton, Melinda Fiedor
AU - Kessler, David O.
AU - Lavoie, Megan
AU - Nishisaki, Akira
AU - Schultz, Brian R.E.
AU - Tay, Khoon Yen
N1 - Publisher Copyright:
© Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Objective: Acutely ill infants and children presenting to the emergency department are treated by either physicians with pediatric emergency medicine (PEM) training or physicians without PEM training, a good proportion of which are general emergency medicine-trained physicians (GEDPs). This scoping review identified published literature comparing the care provided to infants and children (≤21 years of age) by PEMtrained physicians to that provided by GEDPs. Methods: The search was conducted in 2main steps as follows: (1) initial literature search to identify available literature with evolving feedback from the group while simultaneously deciding search concepts as well as inclusion and exclusion criteria and (2)modification of search concepts and conduction of search using finalized concepts as well as review and selection of articles for final analysis using set inclusion criteria. Each study was independently assessed by 2 reviewers for eligibility and quality. Datawere independently abstracted by reviewers, and authors were contacted for missing data. Results: Our search yielded 3137 titles and abstracts. Twenty articles reporting 19 studies were included in the final analysis. The studies were grouped under type of care, diagnostic studies, medication administration, and process of care. The studies addressed differences in the management of fever, croup, bronchiolitis, asthma, urticaria, febrile seizures, and diabetic ketoacidosis. Conclusions: This review highlights the lack of robust studies and heterogeneity of literature comparing practice patterns of PEM-trained physicians with GEDPs.We have outlined a systematic approach to reviewing a body of literature for topics that lack clear terms of comparison across studies.
AB - Objective: Acutely ill infants and children presenting to the emergency department are treated by either physicians with pediatric emergency medicine (PEM) training or physicians without PEM training, a good proportion of which are general emergency medicine-trained physicians (GEDPs). This scoping review identified published literature comparing the care provided to infants and children (≤21 years of age) by PEMtrained physicians to that provided by GEDPs. Methods: The search was conducted in 2main steps as follows: (1) initial literature search to identify available literature with evolving feedback from the group while simultaneously deciding search concepts as well as inclusion and exclusion criteria and (2)modification of search concepts and conduction of search using finalized concepts as well as review and selection of articles for final analysis using set inclusion criteria. Each study was independently assessed by 2 reviewers for eligibility and quality. Datawere independently abstracted by reviewers, and authors were contacted for missing data. Results: Our search yielded 3137 titles and abstracts. Twenty articles reporting 19 studies were included in the final analysis. The studies were grouped under type of care, diagnostic studies, medication administration, and process of care. The studies addressed differences in the management of fever, croup, bronchiolitis, asthma, urticaria, febrile seizures, and diabetic ketoacidosis. Conclusions: This review highlights the lack of robust studies and heterogeneity of literature comparing practice patterns of PEM-trained physicians with GEDPs.We have outlined a systematic approach to reviewing a body of literature for topics that lack clear terms of comparison across studies.
KW - Pediatric emergency practice guidelines
KW - Pediatric guidelines
KW - Physician's practice patterns
KW - Practice guidelines
UR - http://www.scopus.com/inward/record.url?scp=85017378629&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85017378629&partnerID=8YFLogxK
U2 - 10.1097/PEC.0000000000000557
DO - 10.1097/PEC.0000000000000557
M3 - Review article
C2 - 28355170
AN - SCOPUS:85017378629
SN - 0749-5161
VL - 33
SP - 278
EP - 286
JO - Pediatric emergency care
JF - Pediatric emergency care
IS - 4
ER -