Comparing practice patterns between pediatric and general emergency medicine physicians: A scoping review
Publication Date
2017
Journal Title
Pediatr Emerg Care
Abstract
© Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved. 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.
Volume Number
33
Issue Number
4
Pages
278 - 286
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
General Pediatrics
Additional Departments
Science Education
PMID
DOI
10.1097/PEC.0000000000000557