title: Lack of confidence in administering emergency care among Dutch-speaking family physicians in Belgium.
abstract: BACKGROUND
  Practical knowledge of emergency medical care among physicians seems to be insufficient worldwide. Research specifically aimed at family physicians is rather scarce. Additionally, in Belgium there are no data on this subject.
  
  
  OBJECTIVE
  Our aim was to ascertain how confident Belgian family physicians feel about their ability to give adequate emergency care and to examine their assessment of their knowledge of relevant medical conditions.
  
  
  METHODS
  We used a web-based questionnaire for which a convenience sample of 974 Dutch-speaking family practitioners was invited through email. The survey assessed how these physicians perceived their own emergency skills and their knowledge of relevant medical conditions.
  
  
  RESULTS
  The survey had a recruitment rate of 22% (n = 210), with a 75% completion rate. The minimum criteria formulated pertaining to skills and knowledge were met by 64% and 55% of the participants, respectively. The mean cumulative scores on skills and knowledge were 2.5 and 3.2, respectively (on a scale from 0 to 4). Physicians with additional training in emergency care (3.07 versus 2.72), or with a spirometry certificate (2.94 versus 2.72) scored better than those without. Practitioners from rural areas felt more confident than those from urbanized regions (3.25 versus 3.15). Physicians felt more competent in aspects of emergency care where they had experience.
  
  
  CONCLUSIONS
  Almost half of the Dutch-speaking family physicians in Belgium felt insufficiently competent to offer emergency medical care.
authors.affiliation: Vrije Universiteit Brussels, Department of Family Medicine, Brussels, Belgium.
authors.forename: Erwin
authors.initials: E
authors.lastname: Van De Vijver
authors.forename: Dirk
authors.initials: D
authors.lastname: Devroey
keywords: Belgium; Dutch; emergency medical care; family physician; medical training
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