Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention

Susanne Doblecki-Lewis, Aileen Chang, Renee Jiddou-Yaldoo, Kay M. Tomashek, Danielle Stanek, Leena Anil, Paola Lichtenberger

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida. Methods: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests. Results: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score for knowledge-based questions was 74.3 and average post-test score was 94.2 %, indicating a mean increase of 19.9 % (P < 0.0001, 95 % CI 17.7-22.4). Reported confidence in dengue recognition and management also increased. Non-US trained physicians and those who had treated more than ten dengue cases performed significantly better in the pre-test. Post-test scores did not differ by subgroup. Conclusions: The train-the-trainer approach with grand-rounds style presentations appear to be an effective intervention to improve knowledge of dengue among physicians.

Original languageEnglish (US)
Article number124
JournalBMC Medical Education
Issue number1
StatePublished - 2016


  • Clinical practice
  • Dengue
  • Evaluation
  • Physician training
  • Survey

ASJC Scopus subject areas

  • Education


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