Allergy Misconceptions Among Attending Physicians, Resident Physicians and Mid-Level Providers
Monday, March 7, 2016: 3:00 PM
Room 406AB (Convention Center)
Kaitlyn M. Jackson, , ,
Rationale: Although, allergic conditions are prevalent, misconceptions are common among physicians.  This was recently confirmed in Ohio and Pennsylvania.  All providers should have basic allergy knowledge in order to provide quality care.  The objective of this study was to identify allergy knowledge gaps that exist at an academic medical center in Virginia. 

Methods: A survey was distributed via email and paper to attending physicians, resident physicians and mid-level providers from the pediatric, internal medicine, family practice, otolaryngology, general surgery and radiology departments.  Response data was then entered into a database and analyzed.  

Results:   Of the 464 surveys distributed, 359 were completed (77.4% response rate).  The mean percentage correct was 32.19% or 3.13/9 questions (3.13 ± 1.72, 177).  The means for pediatric and internal medicine providers were 3.26 and 2.84 respectively. 44.6% correctly identified epinephrine as the first line treatment for anaphylaxis.  8.9% of providers were aware that shellfish, iodine, and artificial dye allergies have no impact on imaging studies performed with radiocontrast.  32.40% and 35.19% of primary care providers incorrectly identified egg allergy as a contraindication to administration of MMR and Influenza vaccines respectively.  36.22% of providers answered at least 4 out of 9 questions correctly. Only 1 of the questions was answered correctly at a rate of above 45%. The correct response rate was lower than 40% for 4 out of 9 of the questions.  

Conclusions: This study identified potentially harmful allergy knowledge deficits at our academic medical center similar to that found in Ohio and Pennsylvania.