{"paper_id":"8821abe6-442f-4b4a-8ff7-6820869c62b0","body_text":"Endometriosis Knowledge Among Emergency Medicine Providers: Diagnostic Skills and Symptom Recognition\nAbstract\nObjective:\nMethods:\nResults:\nConclusions:\nIntroduction\nMaterials and Methods\nResults\n| Characteristics | All participants n = 59a |\n|---|---|\n| Gender | |\n| Female | 35.0 (60.3%) |\n| Male | 22.0 (37.9%) |\n| Nonbinary | 1.0 (1.7%) |\n| Missing* | 1 |\n| Years in practice | |\n| <5 years | 26.0 (44.8%) |\n| >15 years | 5.0 (8.6%) |\n| 11–15 years | 9.0 (15.5%) |\n| 5–10 years | 18.0 (31.0%) |\n| Missing* | 1 |\n| Role | |\n| Attending physician | 26.0 (44.8%) |\n| Emergency medicine resident | 18.0 (31.0%) |\n| Fellow | 1.0 (1.7%) |\n| Nurse practitioner | 5.0 (8.6%) |\n| Physician assistant | 8.0 (13.8%) |\n| Missing* | 1 |\n| Frequency of gynecological complaints | |\n| Daily | 6.0 (10.3%) |\n| Less than once a month | 3.0 (5.2%) |\n| Never | 3.0 (5.2%) |\n| Several times per month | 21.0 (36.2%) |\n| Several times per week | 25.0 (43.1%) |\n| Missing* | 1 |\n| Knowledge of endometriosis | |\n| Moderately knowledgeable | 22.0 (40.0%) |\n| Not knowledgeable at all | 3.0 (5.5%) |\n| Somewhat knowledgeable | 29.0 (52.7%) |\n| Very knowledgeable | 1.0 (1.8%) |\n| Missing* | 4 |\n| Knowledge of endometriosis management | |\n| No | 21 (38.2%) |\n| Yes | 34.0 (61.8%) |\n| Missing* | 4 |\n| Frequency of endometriosis in differential | |\n| As a diagnosis of exclusion after I have ruled out emergent conditions | 31.0 (56.4%) |\n| Every time | 3.0 (5.5%) |\n| I do not consider this as a diagnosis in the emergency department | 8.0 (14.5%) |\n| When additional symptoms are suggestive of endometriosis | 13.0 (23.6%) |\n| Missing* | 4 |\n| Education and training on endometriosisb | |\n| Clinical practice | 25 (42.4%) |\n| Medical school | 40 (67.8%) |\n| Nurse Practitioner school | 7 (11.9%) |\n| Other sources | 1 (1.7%) |\n| Personal experience | 9 (15.3%) |\n| Physician assistant school | 8 (13.6%) |\n| Residency | 15 (25.4%) |\n| Knowledge on the percentage of women with endometriosis | |\n| <10% | 8.0 (14.5%) |\n| >20% | 2.0 (3.6%) |\n| 11–15% | 30.0 (54.5%) |\n| 16–20% | 15.0 (27.3%) |\n| Missing* | 4 |\n| Dysmenorrhea symptoms as suspicious for endometriosis | |\n| Extremely likely | 2.0 (3.6%) |\n| Likely | 14.0 (25.5%) |\n| Not likely | 6.0 (10.9%) |\n| Somewhat likely | 9.0 (16.4%) |\n| Very likely | 24.0 (43.6%) |\n| Missing* | 4 |\n| Dyspareunia symptoms as suspicious for endometriosis | |\n| Extremely likely | 6.0 (10.9%) |\n| Likely | 15.0 (27.3%) |\n| Not likely | 6.0 (10.9%) |\n| Somewhat likely | 11.0 (20.0%) |\n| Very likely | 17.0 (30.9%) |\n| Missing* | 4 |\n| Acute pelvic pain symptoms as suspicious for endometriosis | |\n| Extremely likely | 1.0 (1.8%) |\n| Likely | 13.0 (23.6%) |\n| Not likely | 18.0 (32.7%) |\n| Somewhat likely | 18.0 (32.7%) |\n| Very likely | 5.0 (9.1%) |\n| Missing* | 4 |\n| Chronic pelvic pain symptoms as suspicious for endometriosis | |\n| Extremely likely | 5.0 (9.1%) |\n| Likely | 12.0 (21.8%) |\n| Not likely | 5.0 (9.1%) |\n| Somewhat likely | 3.0 (5.5%) |\n| Very likely | 30.0 (54.5%) |\n| Missing* | 4 |\n| Cyclical painful defecation symptoms as suspicious for endometriosis | |\n| Extremely likely | 1.0 (1.8%) |\n| Likely | 14.0 (25.5%) |\n| Not likely | 7.0 (12.7%) |\n| Somewhat likely | 9.0 (16.4%) |\n| Very likely | 24.0 (43.6%) |\n| Missing* | 4 |\n| Cyclical urinary disorders symptoms as suspicious for endometriosis | |\n| Extremely likely | 1.0 (1.8%) |\n| Likely | 15.0 (27.3%) |\n| Not likely | 9.0 (16.4%) |\n| Somewhat likely | 17.0 (30.9%) |\n| Very likely | 13.0 (23.6%) |\n| Missing* | 4 |\n| Menstrual cycle disorders (i.e., irregular/heavy bleeding, abnormal menstrual cycles) symptoms as suspicious for endometriosis | |\n| Extremely likely | 6.0 (10.9%) |\n| Likely | 19.0 (34.5%) |\n| Not likely | 5.0 (9.1%) |\n| Somewhat likely | 7.0 (12.7%) |\n| Very likely | 18.0 (32.7%) |\n| Missing* | 4 |\n| Fertility disorders symptoms as suspicious for endometriosis | |\n| Extremely likely | 4.0 (7.3%) |\n| Likely | 24.0 (43.6%) |\n| Not likely | 6.0 (10.9%) |\n| Somewhat likely | 8.0 (14.5%) |\n| Very likely | 13.0 (23.6%) |\n| Missing* | 4 |\n| Frequency of recommending pelvic exam | |\n| All of the time | 7.0 (12.7%) |\n| Most of the time | 32.0 (58.2%) |\n| Never | 1.0 (1.8%) |\n| Rarely | 6.0 (10.9%) |\n| Sometimes | 9.0 (16.4%) |\n| Missing* | 4 |\n| Frequency of ordering pelvic ultrasound | |\n| Most of the time | 19.0 (34.5%) |\n| Never | 3.0 (5.5%) |\n| Rarely | 3.0 (5.5%) |\n| Sometimes | 30.0 (54.5%) |\n| Missing* | 4 |\n| Referral for endometriosisb | |\n| General gynecologist | 52.0 (88.1%) |\n| Endometriosis specialist | 2.0 (3.4%) |\n| Outside organizations | 5.0 (8.5%) |\n| Free clinic | 2 (3.4%) |\n| Gynecologists consult in ER | 3 (5.1%) |\n| Primary care physician | 22.0 (37.3%) |\n| Public health clinic | 1.0 (1.7%) |\n| Management of endometriosisb | |\n| Acetaminophen | 42 (71.2%) |\n| Hormone contraception if there are no immediate plans for a pregnancy | 23 (39.0%) |\n| NSAIDs | 51 (86.4%) |\n| Opioids | 12 (20.3%) |\n| Warm compresses | 1 (1.7%) |\n| Medications prescribed for dysmenorrheab | |\n| Acetaminophen | 40 (67.8%) |\n| Hormone contraception if there are no immediate plans for a pregnancy | 35 (59.3%) |\n| NSAIDs | 52 (88.1%) |\n| Opioids | 6 (10.2%) |\n| Other | 1 (1.7%) |\n| Interest in more information | |\n| No | 12 (21.8%) |\n| Yes | 43.0 (78.2%) |\n| Missing* | 4 |\n| Preferred method of receiving informationb,c | |\n| Conference or grand rounds | 22.0 (51.2%) |\n| Online modules | 9.0 (20.9%) |\n| Clinical decision tool | 23.0 (53.5%) |\n| Written materials | 25.0 (58.1%) |\n| Podcast or video | 13.0 (30.2%) |\n| Reason for noninterest in additional informationd | |\n| I already have all the information I need | 5.0 (41.7%) |\n| Not relevant to my practice | 2.0 (16.7%) |\n| Not relevant to my practice, I already have all the information I need | 1.0 (8.3%) |\n| Other | 4.0 (33.3%) |\n| Missing* | 47 |\nDiscussion\nConclusions\nAuthors’ Contributions\nAbbreviations\n- APP\n- advanced practice provider\n- CME\n- continuing medical education\n- ED\n- emergency department\n- EM\n- emergency medicine\n- NSAIDs\n- nonsteroidal anti-inflammatory drugs\nAcknowledgments\nAuthor Disclosure Statement\nFunding Information\nReferences\nSupplementary Material\nPlease find the following supplemental material available below.\nFor Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.\nFor non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.\nCite\nCite\nCite\nDownload to reference manager\nIf you have citation software installed, you can download citation data to the citation manager of your choice\nInformation, rights and permissions\nInformation\nPublished In\nKeywords\nAuthors\nMetrics and citations\nMetrics\nPublication usage*\nTotal views and downloads: 219\n*Publication usage tracking started in December 2016\nPublications citing this one\nReceive email alerts when this publication is cited\nWeb of Science: 0\nCrossref:\nThere are no citing articles to show.\nFigures and tables\nFigures & Media\nTables\nView Options\nView options\nPDF/EPUB\nView PDF/EPUBAccess options\nIf you have access to journal content via a personal subscription, university, library, employer or society, select from the options below:\nloading institutional access options\nAlternatively, view purchase options below:\nAccess journal content via a DeepDyve subscription or find out more about this 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