{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:35:25Z","timestamp":1787884525477,"version":"build-2784847793"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:00:00Z","timestamp":1340841600000},"content-version":"unspecified","delay-in-days":1243,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X00006531_sec01\"><jats:title><jats:bold>Purpose:<\/jats:bold><\/jats:title><jats:p>A survey was distributed to determine physicians' confidence levels in recognizing potential Category-A bioterrorism disease threats (e.g., smallpox, anthrax), preferred means of obtaining continuing medical education (CME) credits, and their knowledge of the Connecticut Department of Public Health's (DPH) disease reporting requirements.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00006531_sec02\" sec-type=\"methods\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>Surveys were mailed to all physicians in the three-hospital Yale New Haven Health (YNHH) System (2,174) from January to March 2004; there were 820 respondents for a 37.7% response rate.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00006531_sec03\" sec-type=\"results\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>A total of 71% of physicians indicated that they were \u201cnot confident\u201d that they could recognize five of the infectious agents named;they had higher confidence rates for smallpox (48.8%). Infectious diseases and emergency medicine physicians had the highest rates of confidence. Seventy-eight percent of physicians indicated conferences and lectures as their preferred CME learning modality. Nearly 72% of physicians reported a low familiarity with the DPH reporting requirements.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X00006531_sec04\" sec-type=\"discussion\"><jats:title><jats:bold>Discussion:<\/jats:bold><\/jats:title><jats:p>The results highlighted the breadth of perceived weaknesses among clinicians from disease recognition to reporting incidents, which signifies the need for greater training in these areas. As clinicians themselves emphasized their lack of skills and knowledge in this area, there should be a rapid development and dissemination of problem-based learning CME courses in bioterrorism preparedness.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x00006531","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T03:51:55Z","timestamp":1472010715000},"page":"47-53","source":"Crossref","is-referenced-by-count":15,"title":["Critical Challenges Ahead in Bioterrorism Preparedness Training for Clinicians"],"prefix":"10.1017","volume":"24","author":[{"given":"Kari A.","family":"Hartwig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Burich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Cannon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Massari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lloyd","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise-Marie","family":"Dembry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,6,28]]},"reference":[{"key":"S1049023X00006531_ref020","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340210305"},{"key":"S1049023X00006531_ref017","first-page":"484","article-title":"Problem-based, self-directed continuing medical education in a group of practicing family physicians","volume":"63","author":"Premi","year":"1988","journal-title":"J Med Educ"},{"key":"S1049023X00006531_ref016","first-page":"1423","article-title":"No magic bullets: A systematic review of 102 trials of interventions to improve professional practice","volume":"153","author":"Oxman","year":"1995","journal-title":"CMAJ"},{"key":"S1049023X00006531_ref012","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530090032018"},{"key":"S1049023X00006531_ref011","first-page":"408","article-title":"Translating guidelines into practice: A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines","volume":"157","author":"Davis","year":"1997","journal-title":"CMAJ"},{"key":"S1049023X00006531_ref024","first-page":"755","article-title":"Family medicine educators' perceptions of the future of faculty development","volume":"34","author":"Quirk","year":"2002","journal-title":"Fam Med"},{"key":"S1049023X00006531_ref013","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330320040029"},{"key":"S1049023X00006531_ref021","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340200207"},{"key":"S1049023X00006531_ref026","doi-asserted-by":"publisher","DOI":"10.1080\/00401706.1980.10486208"},{"key":"S1049023X00006531_ref003","doi-asserted-by":"publisher","DOI":"10.1016\/j.dmr.2004.06.011"},{"key":"S1049023X00006531_ref007","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.115649"},{"key":"S1049023X00006531_ref010","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.9.867"},{"key":"S1049023X00006531_ref006","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.2.252"},{"key":"S1049023X00006531_ref022","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340200206"},{"key":"S1049023X00006531_ref001","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHH.0000285196.16308.7d"},{"key":"S1049023X00006531_ref004","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.7.898"},{"key":"S1049023X00006531_ref018","doi-asserted-by":"publisher","DOI":"10.1002\/chp.88"},{"key":"S1049023X00006531_ref008","unstructured":"8. 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