Limitations
Our study design inherently has selection bias due to intentional
sampling. In addition, our study was limited to the Hamilton-Niagara
region and may not encompass the experience of more rural Emergency
Department settings. Finally, there is a smaller representation among
mid-career physicians (6-15 years into practice) compared to those in
early or later stages. This may be problematic because this group likely
has the most refined practice patterns, and may have been a minority
opinion that may have swayed our data one way or another.