- ABSTRACT.
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- DISCUSSION
- Scorpion sting envenomation as an NTD.
- Experiences.
- Educational experiences.
- Sources of guidance for clinical decision-making and knowledge of SSE management.
- Professional experience and self-reported confidence in management competencies.
- Predictors of high self-reported confidence in management competencies.
- Strengths and weaknesses.
- CONCLUSION
- Supplemental Materials
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Isbister GK , Bawaskar HS , 2014. Scorpion envenomation. N Engl J Med 371: 457–463.
-
2.
Rodrigo C , Gnanathasan A , 2017. Management of scorpion envenoming: a systematic review and meta-analysis of controlled clinical trials. Syst Rev 6: 74.
-
3.
Das B , Saviola AJ , Mukherjee AK , 2021. Biochemical and proteomic characterization, and pharmacological insights of Indian red scorpion venom toxins. Front Pharmacol 12: 710680.
-
4.
Monteiro WM et al., 2019. Perspectives and recommendations towards evidence-based health care for scorpion sting envenoming in the Brazilian Amazon: a comprehensive review. Toxicon 169: 68–80.
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5.
WHO, 2023. Neglected Tropical Diseases—Global. Available at: https://www.who.int/health-topics/neglected-tropical-diseases. Accessed October 29, 2022.
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Lal V , 2013. The neglected. Ann Med Health Sci Res 3: 255–257.
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Gutiérrez JM , Chippaux JP , Isbister GK , 2021. PLoS Neglected Tropical Diseases broadens its coverage of envenomings caused by animal bites and stings. PLoS Negl Trop Dis 15: e0009481.
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Biswas R , Sarkar N , Umakanth S , Singsit J , Hande M , 2007. Medical education and the physician workforce of India. J Contin Educ Health Prof 27: 103–104.
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9.
Alomar AZ , 2021. Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent. J Orthop Surg (Hong Kong) 16: 390.
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10.
Artino AR , La Rochelle JS , Dezee KJ , Gehlbach H , 2014. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach 36: 463–474.
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11.
Willis GB , Artino AR , 2013. What do our respondents think we’re asking? Using cognitive interviewing to improve medical education surveys. J Grad Med Educ 5: 353–356.
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12.
Dean AG , Sullivan KM , Soe MM , 2013. OpenEpi—Toolkit Shell for Developing New Applications. Available at: https://www.openepi.com/SampleSize/SSPropor.htm. Accessed April 3, 2023.
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13.
Eysenbach G , 2004. Improving the quality of web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 6: e132.
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14.
Errea RA et al., 2015. Medical student knowledge of neglected tropical diseases in Peru: a cross-sectional study. PLoS Negl Trop Dis 9: e0004197.
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15.
Science Direct Likert Scale—An Interview. Available at: https://www.sciencedirect.com/topics/psychology/likert-scale. Accessed April 3, 2023.
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Villafuerte-Galvez J , Curioso WH , Miranda JJ , 2008. The role of medical students in the fight to control neglected tropical diseases: a view from Peru. PLoS Negl Trop Dis 2: e292.
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Elfar E , Asem N , Yousof H , 2020. The awareness of neglected tropical diseases in a sample of medical and nursing students in Cairo University, Egypt: a cross-sectional study. PLoS Negl Trop Dis 14: e0008826.
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Warusavithana S , Atta H , Osman M , Hutin Y , 2022. Review of the neglected tropical diseases programme implementation during 2012–2019 in the WHO-Eastern Mediterranean Region. PLoS Negl Trop Dis 16: e0010665.
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World Health Organization , 2007. Rabies and envenomings: a neglected public health issue. Report of a consultative meeting, WHO, Geneva, Switzerland, January 10, 2007, p. 32.
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World Health Organization , 2018. 11th Meeting of the Strategic and Technical Advisory Group for Neglected Tropical Diseases. Available at: https://www.who.int/news-room/events/detail/2018/04/26/default-calendar/11th-meeting-of-the-strategic-and-technical-advisory-group-for-neglected-tropical-diseases. Accessed April 3, 2023.
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Sabde Y , Diwan V , Mahadik VK , Parashar V , Negandhi H , Trushna T , Zodpey S , 2020. Medical schools in India: pattern of establishment and impact on public health - a Geographic Information System (GIS) based exploratory study. BMC Public Health 20: 755.
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Alcoba G et al., 2021. Novel transdisciplinary methodology for cross-sectional analysis of snakebite epidemiology at national scale. PLoS Negl Trop Dis 15: e0009023.
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| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1289 | 850 | 47 |
| Full Text Views | 181 | 60 | 0 |
| PDF Downloads | 76 | 39 | 0 |
Scorpion Sting Envenomation, a Neglected Tropical Disease: A Nationwide Survey Exploring Perspectives and Attitudes of Resident Doctors from India
Akhilesh Kumar
Akhilesh Kumar
Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Shilpi Goyal
Shilpi Goyal
Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Mahendra K. Garg
Mahendra K. Garg
Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Maya Gopalakrishnan
Maya Gopalakrishnan
Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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ABSTRACT.
Scorpion sting envenomation (SSE) is a commonly encountered and a significant problem in the tropics, affecting rural and marginalized communities. However, it is not formally listed as a neglected tropical disease (NTD) by the WHO. We designed this cross-sectional study to explore medical graduates’ and resident doctors’ perspectives on SSE as an NTD and to assess their experiences, knowledge, and confidence in managing these patients. An online questionnaire was developed, validated, and administered to interns and resident doctors across India. Adjusted odds ratios were calculated for factors predicting high self-reported confidence scores for managing scorpion stings using multivariable logistic regression. The final questionnaire contained 26 items including participant background, perspectives about SSE being an NTD, experiences, knowledge, and skills needed to manage, and prevent stings effectively. Of 454 participants, 69% opined that SSE was an NTD, and > 60% felt that SSE was inadequately addressed within undergraduate training. Predictors of high self-reported confidence scores in management competencies were residency in a clinical branch that commonly encountered SSE (internal/emergency medicine or pediatrics, P < 0.0001), having ever managed an SSE patient alone or as a part of a team (P < 0.0001), and attending a class or teaching session on SSE during undergraduate training (P = 0.048). Our results suggest that residents across India believe that there is an urgent need to declare SSE an NTD to increase its visibility, further paving the way for innovative multilevel cross-cutting solutions for mitigation. Designing authentic learning experiences can help produce competent and empathetic physicians in managing and preventing SSE.
- Supplemental Materials (PDF 1639.0 KB)
Author Notes
Disclosure: The study was approved by the Institute Ethics Committee, IEC No: AIIMS/IEC/2023/4284.
Authors’ addresses: Akhilesh Kumar, Shilpi Goyal, Mahendra K. Garg, and Maya Gopalakrishnan, Department of Internal Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India, E-mails: akhileshph@gmail.com, shilpigoel22@gmail.com, mkgargs@gmail.com, and maya.gopalakrishnan@gmail.com.
- ABSTRACT.
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- DISCUSSION
- Scorpion sting envenomation as an NTD.
- Experiences.
- Educational experiences.
- Sources of guidance for clinical decision-making and knowledge of SSE management.
- Professional experience and self-reported confidence in management competencies.
- Predictors of high self-reported confidence in management competencies.
- Strengths and weaknesses.
- CONCLUSION
- Supplemental Materials
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Isbister GK , Bawaskar HS , 2014. Scorpion envenomation. N Engl J Med 371: 457–463.
-
2.
Rodrigo C , Gnanathasan A , 2017. Management of scorpion envenoming: a systematic review and meta-analysis of controlled clinical trials. Syst Rev 6: 74.
-
3.
Das B , Saviola AJ , Mukherjee AK , 2021. Biochemical and proteomic characterization, and pharmacological insights of Indian red scorpion venom toxins. Front Pharmacol 12: 710680.
-
4.
Monteiro WM et al., 2019. Perspectives and recommendations towards evidence-based health care for scorpion sting envenoming in the Brazilian Amazon: a comprehensive review. Toxicon 169: 68–80.
-
5.
WHO, 2023. Neglected Tropical Diseases—Global. Available at: https://www.who.int/health-topics/neglected-tropical-diseases. Accessed October 29, 2022.
-
6.
Lal V , 2013. The neglected. Ann Med Health Sci Res 3: 255–257.
-
7.
Gutiérrez JM , Chippaux JP , Isbister GK , 2021. PLoS Neglected Tropical Diseases broadens its coverage of envenomings caused by animal bites and stings. PLoS Negl Trop Dis 15: e0009481.
-
8.
Biswas R , Sarkar N , Umakanth S , Singsit J , Hande M , 2007. Medical education and the physician workforce of India. J Contin Educ Health Prof 27: 103–104.
-
9.
Alomar AZ , 2021. Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent. J Orthop Surg (Hong Kong) 16: 390.
-
10.
Artino AR , La Rochelle JS , Dezee KJ , Gehlbach H , 2014. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach 36: 463–474.
-
11.
Willis GB , Artino AR , 2013. What do our respondents think we’re asking? Using cognitive interviewing to improve medical education surveys. J Grad Med Educ 5: 353–356.
-
12.
Dean AG , Sullivan KM , Soe MM , 2013. OpenEpi—Toolkit Shell for Developing New Applications. Available at: https://www.openepi.com/SampleSize/SSPropor.htm. Accessed April 3, 2023.
-
13.
Eysenbach G , 2004. Improving the quality of web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res 6: e132.
-
14.
Errea RA et al., 2015. Medical student knowledge of neglected tropical diseases in Peru: a cross-sectional study. PLoS Negl Trop Dis 9: e0004197.
-
15.
Science Direct Likert Scale—An Interview. Available at: https://www.sciencedirect.com/topics/psychology/likert-scale. Accessed April 3, 2023.
-
16.
Villafuerte-Galvez J , Curioso WH , Miranda JJ , 2008. The role of medical students in the fight to control neglected tropical diseases: a view from Peru. PLoS Negl Trop Dis 2: e292.
-
17.
Elfar E , Asem N , Yousof H , 2020. The awareness of neglected tropical diseases in a sample of medical and nursing students in Cairo University, Egypt: a cross-sectional study. PLoS Negl Trop Dis 14: e0008826.
-
18.
Warusavithana S , Atta H , Osman M , Hutin Y , 2022. Review of the neglected tropical diseases programme implementation during 2012–2019 in the WHO-Eastern Mediterranean Region. PLoS Negl Trop Dis 16: e0010665.
-
19.
World Health Organization , 2007. Rabies and envenomings: a neglected public health issue. Report of a consultative meeting, WHO, Geneva, Switzerland, January 10, 2007, p. 32.
-
20.
World Health Organization , 2018. 11th Meeting of the Strategic and Technical Advisory Group for Neglected Tropical Diseases. Available at: https://www.who.int/news-room/events/detail/2018/04/26/default-calendar/11th-meeting-of-the-strategic-and-technical-advisory-group-for-neglected-tropical-diseases. Accessed April 3, 2023.
-
21.
Yardley S , Teunissen PW , Dornan T , 2012. Experiential learning: transforming theory into practice. Med Teach 34: 161–164.
-
22.
Sabde Y , Diwan V , Mahadik VK , Parashar V , Negandhi H , Trushna T , Zodpey S , 2020. Medical schools in India: pattern of establishment and impact on public health - a Geographic Information System (GIS) based exploratory study. BMC Public Health 20: 755.
-
23.
Reed T , 2023. Rapid Response: Re: The Tale of Snakebite's Fleeting Spotlight—And Why It Encapsulates All That's Wrong with Global Health. Available at: https://www.bmj.com/content/380/bmj.p306/rr. Accessed April 3, 2023.
-
24.
Alcoba G et al., 2021. Novel transdisciplinary methodology for cross-sectional analysis of snakebite epidemiology at national scale. PLoS Negl Trop Dis 15: e0009023.
-
25.
Durso AM et al., 2021. Crowdsourcing snake identification with online communities of professional herpetologists and avocational snake enthusiasts. R Soc Open Sci 8: 201273.
-
26.
Laustsen AH , Dorrestijn N , 2018. Integrating engineering, manufacturing, and regulatory considerations in the development of novel antivenoms. Toxins (Basel) 10: 309.
-
27.
Puzari U , Fernandes PA , Mukherjee AK , 2021. Advances in the therapeutic application of small-molecule inhibitors and repurposed drugs against snakebite. J Med Chem 64: 13938–13979.
-
28.
Towle A , Godolphin W , 2011. The neglect of chronic disease self-management in medical education: involving patients as educators. Acad Med J Assoc Am Med Coll. 86: 1350.
-
29.
Ginzburg SB , Hayes MM , Ranchoff BL , Aagaard E , Atkins KM , Barnes M , Soep JB , Yacht AC , Alexander EK , Schwartzstein RM , 2022. Optimizing allocation of curricular content across the undergraduate & graduate medical education continuum. BMC Med Educ 22: 425.
-
30.
Ramani S , Mann K , Taylor D , Thampy H , 2016. Residents as teachers: near peer learning in clinical work settings: AMEE Guide No. 106. Med Teach 38: 642–655.
-
31.
World Health Organization , 2020. Neglected Tropical Diseases of The Skin: WHO Launches Mobile Application to Facilitate Diagnosis. Available at: https://www.who.int/news/item/16-07-2020-neglected-tropical-diseases-of-the-skin-who-launches-mobile-application-to-facilitate-diagnosis. Accessed April 3, 2023.
-
32.
Subedi N , Paudel IS , Khadka A , Shrestha U , Mallik VB , Ankur KC , 2018. Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study. J Occup Med Toxicol 13: 26.
-
33.
Chen C , Gui L , Kan T , Li S , Qiu C , 2017. A survey of snakebite knowledge among field forces in China. Int J Environ Res Public Health 14: 15.
-
34.
Yardley S , Teunissen PW , Dornan T , 2012. Experiential learning: AMEE Guide No. 63. Med Teach 34: e102–e115.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1289 | 850 | 47 |
| Full Text Views | 181 | 60 | 0 |
| PDF Downloads | 76 | 39 | 0 |