Dennis Ren, Tress Goodwin, Julie Krueger, Sam Zhao
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Abstract
Objective: This study aimed to understand pediatricians' experiences with disasters, their perceptions of potential threats, and their preferences for disaster education.
Design: This is a survey study.
Background: The increasing frequency of disasters highlights the need for specialized care for vulnerable populations, particularly children. Pediatricians play a crucial role in disaster preparedness, but they are underprepared due to insufficient disaster-specific education.
Methods: A survey was conducted among pediatricians in Washington, DC, Maryland, and Virginia. We collected data on personal disaster experiences, perceived threats, and preferences for educational resources. Descriptive statistics and odds ratios (OR) were used to analyze the data.
Results: One hundred and four pediatricians responded. The majority were attending physicians (88 percent) in healthcare or academic settings (73 percent), predominantly Millennials or Generation X (91 percent). Most respondents (82 percent) worked over 20 clinical hours per week. Commonly experienced disasters included winter storms, hurricanes, floods, power outages, and infectious disease outbreaks. However, cyberattacks (OR 25.9, p < 0.0001) and mass shootings (OR 2.71, p < 0.01) were perceived as major threats despite limited direct experiences. Preferred educational resources differed between routine practice and disaster settings, with a notable preference for digital sources like social media during disasters (OR 3.11, p = 0.0005).
Conclusion: There is a need for targeted disaster education for pediatricians. Specific areas of concern include cyberattacks and mass shootings. Digital platforms to provide timely and relevant information were more preferred during disasters. Future efforts should focus on developing and disseminating educational content through preferred formats and outlets to better meet pediatricians' needs.
目的：本研究旨在了解儿科医生的灾害经历、他们对潜在威胁的感知以及他们对灾害教育的偏好。设计：这是一项调查研究。背景：灾害的日益频繁凸显了对弱势群体，特别是儿童进行专门护理的必要性。儿科医生在备灾方面发挥着至关重要的作用，但由于针对灾害的教育不足，他们的准备不足。方法：对华盛顿特区、马里兰州和弗吉尼亚州的儿科医生进行调查。我们收集了关于个人灾难经历、感知威胁和对教育资源的偏好的数据。采用描述性统计和比值比（OR）对数据进行分析。结果：104名儿科医生回应。大多数是医疗保健或学术机构（73%）的主治医生（88%），主要是千禧一代或X一代（91%）。大多数受访者（82%）每周工作超过20个临床小时。常见的灾害包括冬季风暴、飓风、洪水、停电和传染病爆发。然而，网络攻击（OR 25.9, p < 0.0001）和大规模枪击事件（OR 2.71, p < 0.01）被认为是主要威胁，尽管直接经历有限。在日常实践和灾难环境中，首选的教育资源有所不同，在灾难期间，人们明显更喜欢社交媒体等数字资源（OR 3.11, p = 0.0005）。结论：有必要对儿科医生进行针对性的灾害教育。具体的担忧领域包括网络攻击和大规模枪击事件。在灾害期间，提供及时和相关信息的数字平台更受欢迎。未来的努力应侧重于通过首选格式和渠道开发和传播教育内容，以更好地满足儿科医生的需求。
期刊介绍：
With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.
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