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Pediatric Primary Care Provider Comfort with Mental Health Practices: A Needs Assessment of Regions with Shortages of Treatment Access
CONCLUSIONS: Pediatric PCPs were more comfortable with providing mental health assessment and referrals than treatment. However, PCPs reported difficulty finding therapists and psychiatrists for their patients. Findings underscore the need for longitudinal training to increase PCP comfort with mental health treatment. Additionally, strategies such as telepsychiatry are needed to address the disproportionate need for child psychiatrists.PMID:33786779 | PMC:PMC8009637 | DOI:10.1007/s40596-021-01434-x
Source: The Journal of American Association of Directors of Psychiatric Residency Training - March 31, 2021 Category: Psychiatry Authors: Amie F Bettencourt Rebecca A Ferro Jami-Lin L Williams Kainat N Khan Rheanna E Platt Sarah Sweeney Kelly Coble Source Type: research

Taking the Pulse on Pediatric Simulation: A National Survey of Pediatric Residency Programs' Simulation Practices and Challenges
Conclusions Pediatric residency programs use simulation for similar purposes and face similar challenges. By collaborating, the resources of the national pediatric simulation community can be leveraged to collect evidence for best practices for simulation use in pediatric residency training.
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Is Long-Axis View Superior to Short-Axis View in Ultrasound-Guided Central Venous Catheterization?*
Conclusions: The long-axis view for the internal jugular was more efficient than the short-axis view with fewer redirections. The long-axis view for subclavian central venous catheterization was also more efficient with decreased time to cannulation and fewer redirections. The long-axis approach to subclavian central venous catheterization is also associated with fewer posterior wall penetrations. Using the long-axis view for subclavian central venous catheterization and avoiding posterior wall penetrations may result in fewer central venous catheter–related complications.
Source: Critical Care Medicine - March 14, 2015 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Supplemental Milestones for Emergency Medicine Residency Programs: A Validation Study. Ketterer, Andrew R; Salzman, David H; Branzetti, Jeremy B; Gisondi, Michael A
This study aims to validate these supplemental milestones using a similar methodology to that of the original EM Milestones validation study. Methods: A panel of EM program directors and content experts at two institutions identified domains of additional training not covered by the existing EM Milestones. This led to the development of 6 novel subcompetencies: Operations and Administration, Critical Care, Leadership and Management, Research, Teaching and Learning, and Career Development. Subject-matter experts at other 48-month EM residency programs refined the milestones for these subcompetencies. Program directors of all 48-...
Source: Western Journal of Emergency Medicine - January 1, 2017 Category: Emergency Medicine Source Type: research

Pediatric urgent care education: a survey-based needs assessment
There is an increasing number of pediatric urgent care centers that are largely staffed by pediatric residency graduates. It is unclear if pediatric residency adequately prepares a physician to fully and succe...
Source: BMC Health Services Research - June 14, 2019 Category: General Medicine Authors: Xian Zhao, Ioannis Koutroulis, Joanna Cohen and Deena Berkowitz Tags: Research article Source Type: research

Mount Sinai Emergency Medicine Residency Review
I wrote this review at the end of my intern year but never got around to posting it then. Now almost halfway into my PGY-2 year and everything still holds true. Current PGY-1 wrapping up my intern year and reflecting upon my experiences with this website. I found it really helpful when there was updated information about the programs I was interested in on SDN so I wanted to pay it forward. The overall Too Long Don’t Read (TLDR): Our residency offers a top tier critical care... Mount Sinai Emergency Medicine Residency Review
Source: Student Doctor Network - October 27, 2019 Category: Universities & Medical Training Authors: Controlla1 Tags: Emergency Medicine Source Type: forums

Emergency bedside ultrasound-benefits as well as caution: Part 2: Echocardiography
Purpose of review Critical care echocardiography (CCE) has become an important component of general critical care ultrasonography, and a current review of its performance is presented. Recent findings Basic CCE should be performed as a goal-directed examination to better identify specific signs and to answer important clinical questions concerning acute hemodynamic concerns. It has evolved in the ICU and also in the emergency department not only for improved diagnostic capability but also as an effective part of the triage process. It remains an efficacious procedure even in patients with respiratory failure when comb...
Source: Current Opinion in Critical Care - November 4, 2019 Category: Nursing Tags: CARDIOPULMONARY RESUSCITATION AND OTHER EMERGENCIES: Edited by Marek A. Mirski Source Type: research

Surgical/Anesthesia/Medicine CC from EM? Which to choose and why?
Hey all, Have been thinking a lot about pursuing a critical care fellowship after my EM residency, but am finding it hard to grasp the subtleties between the three different routes open to us. Can anyone shed some light on this? My biggest draw to CC is becoming an expert in resuscitation: procedural expertise, vent management, cardiopulmonary monitoring etc. Of course there are the classic multidisciplinary routes exemplified by Pitt, but what are the different flavors and drawbacks of... Surgical/Anesthesia/Medicine CC from EM? Which to choose and why?
Source: Student Doctor Network - November 10, 2019 Category: Universities & Medical Training Authors: muchasgraciasmuyamable Tags: Emergency Medicine Source Type: forums

Impact of Pediatric Palliative Care Intensive Educational Session on Resident Confidence in Caring for Children and Families with Serious Illness (QI727)
Formal education and training in pediatric palliative care (PPC) have been shown to improve confidence in providing quality palliative and end of life care to pediatric patients. Our pediatrics residency identified a lack of training and designed a single five-hour intensive educational session (bootcamp) to increase resident knowledge and confidence in providing PPC.
Source: Journal of Pain and Symptom Management - February 23, 2021 Category: Palliative Care Authors: Casie James, Courtney Styres, Shannon Palombo, Alexis Morvant Source Type: research

Internal Medicine Residency, Fellowship Applications Up During Pandemic
Authors say increase may be due to lower barriers for virtual interviews
Source: Pulmonary Medicine News - Doctors Lounge - May 10, 2021 Category: Respiratory Medicine Tags: Cardiology, Endocrinology, Gastroenterology, Infections, Internal Medicine, Allergy, Critical Care, Nephrology, Oncology, Pulmonology, Rheumatology, Geriatrics, Journal, Source Type: news

Using the Project ECHO Model to Increase Pediatric Primary Care Provider Confidence to Independently Treat Adolescent Depression
CONCLUSIONS: These findings indicate that utilizing the Project ECHO format to provide subspecialist support and education on the treatment of depression can improve pediatric PCPs' clinical knowledge and confidence in their ability to independently treat depression. Secondary measures suggest that this can translate into practice change and improved treatment access with decreased ED referrals for mental health assessments by participant PCPs. Future directions include more robust outcomes measurement and developing more courses with an in-depth approach to a single or similar cluster of mental health diagnoses such as an...
Source: The Journal of American Association of Directors of Psychiatric Residency Training - June 6, 2023 Category: Psychiatry Authors: Courtney Cinko Andrea Thrasher Ciscily Sawyer Kathy Kramer Sara West Emily Harris Source Type: research

COVID-lateral Damage: Impact of the Post-COVID-19 Era on Procedural Training in Emergency Medicine Residency
Introduction: Hospitalizations during the coronavirus 2019 (COVID-19) pandemic peaked in New York in March –April 2020. In the months following, emergency department (ED) volumes declined. Our objective in this study was to examine the effect of this decline on the procedural experience of emergency medicine (EM) residents compared to the pre-pandemic period.Methods:We conducted this multicenter, retrospective cohort study of patients seen and key procedures performed by EM residents at hospitals spanning three Accreditation Committee for Graduate Medical Education-approved EM residencies in New York City and Nassau Coun...
Source: Western Journal of Emergency Medicine - September 2, 2023 Category: Emergency Medicine Authors: Frank, Daniel Source Type: research

Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?
CONCLUSIONS A higher percentage of primary care alumni practice outpatient primary care as compared to categorical alumni. Some alumni lost interest in primary care during residency. The outpatient clinic experience may impact interest in primary care.
Source: Journal of General Internal Medicine - July 15, 2015 Category: Internal Medicine Source Type: research

Measuring the impact of a pharmacist in the ICU - are all pharmacists created equal?
Critical care pharmacists are considered an essential part of the intensive care unit (ICU) team and a resource that is more plentiful in North America than the rest of the world. These highly trained specialists have didactic training in topics such as pharmacotherapy, pathophysiology, and pharmacokinetics that is augmented by clinical experience to meet the needs of individual patients and to function as an integral team member. The ability to provide comprehensive medication management (CMM) distinguishes these specialty pharmacists from others who are more generally focused.[1] Critical care pharmacists are often train...
Source: Journal of Critical Care - July 29, 2015 Category: Intensive Care Authors: Judith Jacobi Source Type: research