Ma Connie, Gonzales-Pacheco Diana, Cerami Jean, Coakley Kathryn E
Department of Individual, Family, and Community Education, The University of New Mexico, Albuquerque, NM, 87131, USA.
J Eat Disord. 2021 Jan 6;9(1):4. doi: 10.1186/s40337-020-00355-8.
Feeding and eating disorders present with a variety of medical complications, some of which may be life-threatening. Emergency Medicine (EM) physicians may interact with patients with eating disorders, however, EM physicians' knowledge and perceptions of resources for treating patients with eating disorders have not been examined. The purpose of this study was to explore previous training/education, perceptions of available resources, and educational needs in treating eating disorders in practicing EM physicians.
An investigator-developed survey was used in this cross-sectional pilot study, distributed to EM Residency Program Coordinators in the United States to distribute to EM physicians and residents. The survey assessed EM physicians' previous training and education in treating and diagnosing eating disorders. The primary outcomes assessed were participants' previous training/education in eating disorders, knowledge of local resources for patients, and educational needs on a variety of topics related to adult and adolescent eating disorders. Data were described descriptively and SAS 9.4 was used to analyze data.
Of the 162 participants, just 1.9% completed a rotation on eating disorders during residency. Ninety-three percent were unfamiliar with the American Psychiatric Association's Practice Guideline for the Treatment of Patients with Eating Disorders; 95% were unfamiliar with the publication, "Emergency Department management of patients with eating disorders" by Trent et al. The majority were not aware of resources for patients with eating disorders including community and online support groups, the National Eating Disorders Association, and local treatment programs. At least 50% agreed additional education on 15 of the 19 topics examined would be useful; 85% agreed to wanting education on the assessment of patients with eating disorders in the Emergency Department.
Most EM physicians lack training in eating disorders and knowledge of resources available for patients post-Emergency Department discharge. EM physicians agree additional education on a number of topics would be beneficial, particularly assessment of eating disorders in the Emergency Department, medical complications of eating disorders, and hospital admission criteria for those with eating disorders.
进食和饮食障碍会引发多种医学并发症，其中一些可能危及生命。急诊医学（EM）医生可能会与患有饮食障碍的患者接触，然而，EM医生对治疗饮食障碍患者的资源的了解和认知尚未得到研究。本研究的目的是探讨执业EM医生在治疗饮食障碍方面先前的培训/教育情况、对可用资源的认知以及教育需求。
在这项横断面试点研究中，使用了由研究者开发的调查问卷，分发给美国急诊医学住院医师培训项目协调员，以便分发给EM医生和住院医师。该调查评估了EM医生在治疗和诊断饮食障碍方面先前的培训和教育情况。评估的主要结果包括参与者先前在饮食障碍方面的培训/教育、对当地患者资源的了解以及与成人和青少年饮食障碍相关的各种主题的教育需求。数据采用描述性方式呈现，并使用SAS 9.4进行数据分析。
在162名参与者中，只有1.9%在住院期间完成了饮食障碍方面的轮转。93%的人不熟悉美国精神病学协会的《饮食障碍患者治疗实践指南》；95%的人不熟悉特伦特等人发表的《饮食障碍患者的急诊科管理》。大多数人不知道饮食障碍患者的资源，包括社区和在线支持小组、全国饮食失调协会以及当地治疗项目。至少50%的人同意在所考察的19个主题中的15个主题上接受额外教育会有所帮助；85%的人同意希望接受关于急诊科饮食障碍患者评估的教育。
大多数EM医生缺乏饮食障碍方面的培训，并且对急诊科出院后患者可用资源的了解不足。EM医生一致认为，在多个主题上接受额外教育会有益处，特别是急诊科饮食障碍的评估、饮食障碍的医学并发症以及饮食障碍患者的住院标准。
