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Related Experiment Video

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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

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Published on: January 5, 2018

Oral rehydration therapy: is anyone drinking?

Brenda J Bender¹, Philip O Ozuah, Ellen F Crain

¹Department of Pediatrics (Emergency Medicine), Albert Einstein College of Medicine, Jacobi Medical Center, Bronx, NY, USA.

Pediatric Emergency Care

|September 19, 2007

Summary

Pediatric emergency physicians are more likely to use oral rehydration therapy (ORT) after learning new data, but older graduates remain hesitant. Further barriers to ORT adoption need investigation.

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Last Updated: Jul 11, 2026

A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

Published on: January 5, 2018

Area of Science:

Pediatric Emergency Medicine
Clinical Practice Guidelines
Medical Education

Background:

Oral rehydration therapy (ORT) is a crucial treatment for dehydration in children.
Concerns about prolonged emergency department (ED) length of stay have been a barrier to ORT adoption.
Physician attitudes and knowledge gaps may influence ORT utilization.

Purpose of the Study:

To assess pediatric emergency medicine physicians' attitudes towards ORT before and after exposure to new data.
To determine if recent medical school graduates differ in their ORT attitudes compared to earlier graduates.
To identify factors influencing the adoption of ORT in pediatric emergency care.

Main Methods:

A national survey of pediatric emergency medicine physicians was conducted.
Respondents reported ORT use for varying dehydration severity.
Physicians were presented with data refuting concerns about extended ED stays with ORT and then re-assessed.

Main Results:

Physician ORT use varied by graduation year, with recent graduates showing higher rates.
While physician familiarity with new data was low (23%), agreement (80%) and intended incorporation (83%) were high.
Earlier graduates showed less agreement with and incorporation of new ORT data compared to recent graduates.

Conclusions:

Presenting data that addresses perceived barriers increases ORT adoption intention among pediatric emergency physicians.
A significant portion of physicians, particularly earlier graduates, remain resistant to adopting ORT.
Further research is needed to explore and overcome persistent barriers to ORT use in pediatric emergency settings.