Frederick Aardema, Kevin D Wu
Imaginative, dissociative, and schizotypal processes in obsessive-compulsive symptoms
Journal of clinical psychology
pediatricians often first point contact children primary care pc still perceive gaps allergy knowledge investigated selfperceived knowledge gaps educational needs pediatricians across healthcare systems europe future educational initiatives may better support delivery allergy services pc multinational survey circulated pediatricians care children adolescents allergy problems pc eaaci allergy educational needs primary care pediatricians task force february march 2023 5point likert scale used assess level agreement questionnaire statements thirty surveys per country cutoff inclusion statistical analysis study 1991 respondents obtained 56 countries across europe 210 responses countries cutoff 30 participants per country primary care pediatricians pcps comprised 744 respondents majority 653 contracted state district health services 617 awareness guidelines onward allergy referral countries 223 aware eaaci competencies document allied health professionals allergy total sample respondents versus pcps showed 52 47 access allergy investigations pc facility mainly specific ige skin prick tests 676 589 access immunotherapy respectively main barrier referral specialist consideration patients condition could diagnosed treated pc facility 578 636 respectively main reasons referral need hospital assessment partial response firstline treatment 554 592 47 507 respectively learning assessment methods preference fairly equally divided traditional methods 457 501 respectively elearning 455 449 respectively generalist physicians gps poorest access allergy investigations 327 p 000 majority total sample 919 assess patients allergic pathology 868 436 1117 461 received allergy training undergraduates postgraduates respectively proportions pcps higher 45 59 respectively pcps special interest allergology experienced greater exposure allergy teaching postgraduates gps received largest amount allergy teaching undergraduates identifying allergic disease based clinical presentation respondents felt confident management eczemaatopic dermatitis 874 rhinitisasthma 862 least confident allergen immunotherapy 369 latex allergy 308 study exploring confidence pcps diagnose manage refer patients allergies demonstrated knowledge gaps educational needs allergy clinical practice detects areas need urgent improvement especially latex allergen immunotherapy important ensure dissemination allergy guidelines supporting eaaci documents since majority pcps lack awareness survey enabled us identify educational priorities pcps would like met