Physicians falter on test of bioterrorism awareness

first_img The authors say their findings suggest that the government should include physician education among its bioterrrorism preparedness priorities. On the diagnosis questions, the average pretraining score was 46.8%. The participants scored 70.5% on anthrax-related questions, 50.7% for smallpox, 49.6% for botulism, and 16.3% for pneumonic plague. After the training, the average diagnostic score improved to 79.0%. The 631 physicians were among 2,407 physicians in 30 internal medicine residency programs in 16 states and Washington, DC, who were invited to participate in the study. Thirty participants (4.8%) were attending physicians, and nearly all the rest were residents. In one common diagnostic error, after reading a description of a rash that was consistent with varicella, 42.6% of participants concluded it was smallpox. On the management side, more than 90% of participants knew the importance of quickly giving botulinum antitoxin for botulism, but 31.4% wrongly opted for giving antibiotics too. The level of training didn’t seem to affect the residents’ scores, as first-, second-, and third-year residents all averaged about the same on the pretraining test, the report says. However, the attending physicians scored significantly higher than the residents, with an average score of 50.0% versus 36.9%. Geographic region had no apparent effect on the scores. “The ability of physicians to distinguish smallpox, anthrax, botulism, and plague from other, more common disorders was poor, as was their ability to manage illness due to bioterrorism agents once a diagnosis had been made,” the report states. One bright spot, however, was that most physicians could distinguish inhalational anthrax from other community-acquired pneumonias, probably because of publicity generated by the anthrax attacks of 2001. Sep 28, 2005 (CIDRAP News) – Hospital residents did poorly on a test of their ability to recognize and manage diseases potentially related to bioterrorism, but they fared much better after taking an online training program, according to a report in Archives of Internal Medicine. But the average scores on both tests rose to 79% after the residents completed the Web-based training program. One limitation of the study was that participants knew they were completing a training module on bioterrorism, which could have affected their diagnostic judgments, the report says. However, they were told that illnesses described might or might not be due to bioterrorism agents. The 631 physicians who participated in the study correctly diagnosed anthrax, smallpox, pneumonic plague, and botulism less than half the time, and they made correct management decisions only a quarter of the time, according to the report by Sara E. Cosgrove and colleagues from the Johns Hopkins University School of Medicine in Baltimore. On the management test, physicians scored an average of only 25.4% before training. They were right 60.2% of the time on botulism questions, but they scored only 14.6% on smallpox, 17.0% on anthrax, and 9.7% on plague. After taking the training, the overall average score soared to 79.1%. The physicians took a multiple-choice test on diagnosis and management of the four diseases before going through the training module. Afterward they took another test, with different questions. Anthrax, smallpox, botulism, and pneumonic plague are four of the six diseases or disease classes that terrorists are considered most likely to try to use. Cosgrove SE, Perl TM, Xiaoyan S, et al. Ability of physicians to diagnose and manage illness due to category A bioterrorism agents. Arch Int Med 2005;165(17):2002-6 [Full text]last_img read more

Fast reaction: 3 takeaways from No. 9 Syracuse’s 13-7 win over No. 11 North Carolina

first_img Published on April 16, 2016 at 6:12 pm Contact Jon: | @jmettus No. 9 Syracuse (7-4, 2-2 Atlantic Coast) clinched a berth in the conference tournament by beating No. 11 North Carolina (6-5, 2-1), 13-7, at the Carrier Dome on Saturday.The Orange had lost four of its last five games coming into the match and was 0-3 against teams ranked No. 11 or better, but broke the streak with the six-goal win over the Tar Heels.Here are three observations from the game.Holding onSyracuse ran out to a commanding 8-2 lead over North Carolina in the first half. But a four-goal third quarter for the Tar Heels cut the Orange’s lead to two.AdvertisementThis is placeholder textIn three of the SU’s last five games it had blown second half leads on the way to losses. It was up by two to Cornell on Tuesday and fell in overtime. The Orange had a five-goal lead at one point when it played Duke on March 26 and dropped the game in overtime. Syracuse had a two-goal lead in the fourth quarter against Johns Hopkins on March 19 with and blew that one, too, losing in overtime.But on Saturday, the Orange avoided the trend of dropping games and held on. Jordan Evans found the back of the net early in the fourth quarter to end UNC’s four-goal run and Nick Weston scored with just under seven minutes left to stretch the lead to four.The Orange took control of the fourth quarter to outscore UNC, 4-1, in the final frame.Stuck in limboSyracuse goalie Evan Molloy’s job was still in limbo prior to the UNC game. He had allowed 16 goals and made 13 saves in his first two starts after taking over for beginning-of-the-year starter Warren Hill.Through the first half on Saturday, Molloy turned in the best half of his career. Against the fourth-highest scoring offense in the country, Molloy made five saves and let in just two goals. Twice he passed the ball quickly up the field, which led to transition goals for the Orange.None of Molloy’s success from the first half carried into the third quarter, though. Almost all the shots that the Tar Heels took wound up in the back of the net.His three saves in the fourth quarter, though, were enough to help stave off the Tar Heels comeback.SurgeMidfielder Sergio Salcido once again led the Orange offensive attack with a team-high five points (three goals and two assists). He’s now second on the team with 32 points.Salcido netted two of the Orange’s first three goals using his speed to get around defenders. When the North Carolina defense adjusted to slide faster when Salcido had the ball, he dumped it off and found open players for assists. Comments Facebook Twitter Google+last_img read more