Evidence map›Paper›PMID 31189641›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Family medicine residents' knowledge of, attitudes toward, and clinical practices related to environmental health: Multi-program survey.

Margaret Sanborn, Lawrence Grierson, Ross Upshur, Lynn Marshall, Cathy Vakil, Lauren Griffith, Fran Scott, Mike Benusic, Donald Cole

Open access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  9. Article
  10. Physician Training Related to Environmental Hazards near Ash Superfund Sites.European journal of environment and public health · 2021
    Article
  11. Our fight against climate change.Canadian family physician Medecin de famille canadien · 2019
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Margaret SanbornAssistant Clinical Professor in the Department of Family Medicine at McMaster University in Hamilton, Ont, and a staff physician at the South Bruce Grey Health Centre in Chesley, Ont. sanborm@mcmaster.ca.
Lawrence GriersonAssociate Professor in the Department of Family Medicine and Scientist for the McMaster Program for Education Research, Innovation, and Theory in the Faculty of Health Sciences at McMaster University.
Ross UpshurHead of the Division of Clinical Public Health and Professor in the Department of Family and Community Medicine at the Dalla Lana School of Public Health at the University of Toronto in Ontario.
Lynn MarshallMedical Education Liaison and a staff physician in the Environmental Health Clinic at Women's College Hospital in Toronto, and Assistant Professor in the Department of Family and Community Medicine at the University of Toronto and in the Division of Clinical Sciences at the Northern Ontario School of Medicine.
Cathy VakilAssistant Professor in the Department of Family Medicine at Queen's University in Kingston, Ont.
Lauren GriffithAssociate Professor in the Department of Health Research Methods, Evidence, and Impact at McMaster University.
Fran ScottActing Director of the McMaster Institute for Healthier Environments and Associate Professor in the Department of Family Medicine at McMaster University.
Mike BenusicFamily physician in Ontario and Alberta, Clinical Lecturer at the University of Alberta, and a resident in Public Health and Preventive Medicine at the University of Toronto.
Donald ColeProfessor at the Dalla Lana School of Public Health at the University of Toronto.
NOSM University · CAQueen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess family medicine residents' knowledge of, attitudes toward, and clinical practices related to environmental health (EH).

designTwo-part study with questionnaire construction using a modified Delphi method, and a Web-based questionnaire administered to family medicine residents between November 2015 and January 2016.

settingAll Canadian family medicine programs (for questionnaire construction) and 4 Ontario family medicine training programs (for questionnaire administration).

participantsFirst- to third-year family medicine residents (for questionnaire administration).

main outcome measuresResponses to 93 survey items that measured family medicine residents' knowledge of, attitudes toward, and clinical practices related to EH.

resultsFor the final administered questionnaire, 203 of 887 (22.9%) family medicine residents responded. Although 92.0% of respondents somewhat or strongly believed that taking an environmental exposure history was important, only 18.1% of them had specific training in taking environmental exposure history, and 48.4% believed that taking an exposure history takes up too much time in office practice. While 82.9% of residents correctly identified recreational water use as a cause of gastroenteritis, only 60.2% correctly identified radon as a cause of lung cancer and 37.6% knew that elevated ground-level ozone is associated with asthma. Only 10.8% believed their supervisors had a good understanding of environmental exposures. Residents who believed their supervisors understood environmental exposures were more likely to take exposure histories for patients with uncontrolled asthma (

conclusionAlthough family medicine residents are aware of the importance of assessing patients' environmental exposures, they lack training and mentorship in EH. As a health determinant of critical importance, EH should be a high priority for inclusion in postgraduate family medicine education.

Indexed as

Health Knowledge, Attitudes, PracticeAdultEnvironmental HealthFamily PracticeFemaleHumansInternship and ResidencyMaleOntarioRegression AnalysisSurveys and Questionnaires

Identifiers

PMID31189641
PMCPMC6738382
OpenAlexW2960709843

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.