Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis

Cardemil, Cristina V.; O’Leary, Sean T.; Beaty, Brenda; Ivey, Katy; Lindley, Megan C.; Kempe, Allison; Crane, Lori A.; Hurley, Laura P.; Brtnikova, Michaela; Hall, Aron J.

doi:10.1371/journal.pone.0227890

Cited by 9 publications

(7 citation statements)

References 31 publications

(38 reference statements)

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“…The number of responses from the Technion Medical School was higher than the responses from other faculties, and this may represent a weakness in representation in our survey. The reply rate of 58% is similar to the rate of 59% reported by Cardemil et al [ 46 ] and high, compared to the rate of 32% in a survey by Poncette et al [ 47 ]. While internal medicine is the major and the lengthiest theme taught in all medical schools, the presentation of teachers from internal medicine was relatively low in the survey.…”

Section: Discussionsupporting

confidence: 86%

Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine

Nothman

Kaffman

Nave

et al. 2021

Isr J Health Policy Res

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Background Teaching medical students is a central part of being a doctor, and is essential for the training of the next generation of physicians and for maintaining the quality of medicine. Our research reviews the training that physicians in Israel receive as teachers of clinical clerkships, and their thoughts regarding teaching students. The importance of faculty development cannot be overstated, for securing quality medicine and physician empowerment. Methods This study was based on a survey conducted among physicians teaching at Israeli medical schools. The survey was conducted using an online questionnaire sent to clinical teachers according to lists received from the teaching units of the faculties, department heads, and other clinical teachers. Participation in the study was anonymous. Findings Of 433 invited physicians, 245 (56%) from three departments (internal medicine, paediatrics, obstetrics and gynaecology) of four faculties of medicine in Israel, out of five total, completed the questionnaire. Only 35% of the physicians reported having received training for their role as teachers, most of these participated in a short course of up to 2 days. There were significant differences between the Technion and the other schools. Technion teachers without academic appointment had higher rates of pedagogic training. The same was true in regard to Technion teachers, either residents or young specialist. Significant gaps were reported between the content covered in the training and the topics the doctors felt they would want to learn. The clinicians who participated in the survey expressed that clinical teaching was less valued and more poorly remunerated than research, and that improved compensation and perceived appreciation would likely improve the quality of clinical teaching. Conclusions Of the one-third of the physicians surveyed who had received some training in clinical teaching, the training was perceived as inadequate and not aligned with their needs. There was a significant difference in rates of pedagogic training between the Technion and other medical schools. In addition, most clinical teachers surveyed felt that teaching students is inadequately valued. Due to its focus on just three disciplines, and higher relative number participants from the Technion faculty of medicine, our survey may not fully represent the activities of the faculties of medicine in Israel. Nevertheless, given the importance of clinical teaching of medical students, our findings argue for increasing faculty development and educational training of physicians in clinical settings, for recognizing the importance of teaching in academic and professional promotion processes.

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Section: Discussionsupporting

confidence: 86%

Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine

Nothman

Kaffman

Nave

et al. 2021

Isr J Health Policy Res

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“…The disease has a significant impact; children under the age of five have the highest prevalence of norovirus-related medical visits, while older persons are at the highest risk of norovirus-related mortality. However Intramuscular vaccination candidate with a consensus sequence virus-like particle that has completed phase II studies in children, adults, and the elderly [10][11][12][13][14][15][16][17].…”

Section: Epidemiologymentioning

confidence: 99%

“…While norovirus diagnostic testing is becoming more widely available, stool testing may not be done on a regular basis, which can obstruct surveillance and estimates of illness burden. Furthermore, a lack of understanding of the disease burden may prevent providers from recommending vaccines, lowering coverage rates and, ultimately, the vaccine's effectiveness [10].…”

Section: Causesmentioning

confidence: 99%

Management of Gastroenteritis in Primary Care – A Review

Alsudairy

Aljameely

Alsaihati³

et al. 2021

JPRI

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Gastroenteritis is one the most common diseases worldwide, and it’s more dangerous in children, although in most time it’s self-limited, it can be fatal in case of children, the most dangerous side of GE is diarrhea and the dehydration that follows it. Since dehydration is the most dangerous symptom of the Gastroenteritis Oral rehydration solutions and even intravenous solution intake (in case of severe dehydration) is the main treatment, followed by symptomatic treatment such anti-emetics or antidiarrheal drugs, although caution should be considered for drugs used in children. The need to make cost-effective diagnostic and treatment decisions, avoid unnecessary investigation and referral, provide long-term effective control of symptoms, and minimize the risk of complications constitute the main challenges that PCPs face. During the last few years, the role of primary care physicians in the diagnosis and management of gastroenteritis has been recognized as very important, and it has been suggested that they have all the available resources in order to ensure high standard of care for their patients. In particular, clearly articulated clinical practice guidelines, effective medications, accurate noninvasive investigations, and evidence-based primary care management plans are available to support PCPs who want to raise their threshold for referring patients with GI symptoms.

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“…Norovirus is a common cause for viral gastroenteritis and the most common cause of severe childhood diarrhea in developed countries. There is no treat or vaccine for norovirus yet and diarrhea, vomiting, nausea, stomachache, and short term fever are its symptoms [137,148,149]. The Norovirus genus classifies in seven Geno groups (GI-GVII).…”

Section: Norovirusmentioning

confidence: 99%

Dual and mutual interaction between microbiota and viral infections: a possible treat for COVID-19

et al. 2020

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All of humans and other mammalian species are colonized by some types of microorganisms such as bacteria, archaea, unicellular eukaryotes like fungi and protozoa, multicellular eukaryotes like helminths, and viruses, which in whole are called microbiota. These microorganisms have multiple different types of interaction with each other. A plethora of evidence suggests that they can regulate immune and digestive systems and also play roles in various diseases, such as mental, cardiovascular, metabolic and some skin diseases. In addition, they take-part in some current health problems like diabetes mellitus, obesity, cancers and infections. Viral infection is one of the most common and problematic health care issues, particularly in recent years that pandemics like SARS and COVID-19 caused a lot of financial and physical damage to the world. There are plenty of articles investigating the interaction between microbiota and infectious diseases. We focused on stimulatory to suppressive effects of microbiota on viral infections, hoping to find a solution to overcome this current pandemic. Then we reviewed mechanistically the effects of both microbiota and probiotics on most of the viruses. But unlike previous studies which concentrated on intestinal microbiota and infection, our focus is on respiratory system’s microbiota and respiratory viral infection, bearing in mind that respiratory system is a proper entry site and residence for viruses, and whereby infection, can lead to asymptomatic, mild, self-limiting, severe or even fatal infection. Finally, we overgeneralize the effects of microbiota on COVID-19 infection. In addition, we reviewed the articles about effects of the microbiota on coronaviruses and suggest some new therapeutic measures.

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Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis

Abstract: Background

Cited by 9 publications

References 31 publications

Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine

Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine

Management of Gastroenteritis in Primary Care – A Review

Dual and mutual interaction between microbiota and viral infections: a possible treat for COVID-19

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