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Pediatric palliative care: A national survey of French pediatric residents' knowledge, education, and clinical experience.
CONCLUSION: Ninety-six percent of all French pediatric residents encountered a PPC situation during their residency. That 77% of them had experienced PPC during their first year of residency shows the importance of early training in PPC for pediatric residents. Furthermore, this study points out that there is a significant lack in PPC training since 40% of all residents in the study received no specific PPC training. Progress in education remains insufficient in the dissemination of knowledge on the legal framework and concepts of palliative medicine: while the medical curriculum is being revised, we suggest that training ...
Source: Archives de Pediatrie - June 30, 2014 Category: Pediatrics Authors: Lefeubvre C, Viallard ML, Schell M Tags: Arch Pediatr Source Type: research
What’s New and In the Queue for Academic Medicine
What’s New: A Preview of the August Issue
The August issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights include:
Sounding Off on Social Media: The Ethics of Patient Storytelling in the Modern Era
Wells and colleagues explore scenarios in which patient stories were shared on social media. Even when laws are not broken, ethical challenges and consequences exist when sharing stories in this way.
The Passion and the Peril: Storytelling in Medicine
Responding to Wells and colleagues, Ofri suggests that experi...
Source: Academic Medicine Blog - August 4, 2015 Category: Universities & Medical Training Authors: Journal Staff Tags: Issue Preview ethics feedback mastery learning operating room primary care sensory cues social media Source Type: blogs
The Practice of Obtaining a Chest X-Ray in Pediatric Patients Presenting With Their First Episode of Wheezing in the Emergency Department: A Survey of Attending Physicians
Background
Routine use of chest X-ray (CXR) in pediatric patients presenting with their first episode of wheezing was recommended by many authors. Although recent studies conclude that a CXR is not routinely indicated in these children, there continues to be reports of overuse.
Objective
To examine the attitudes of practicing physicians in ordering CXRs in pediatric patients presenting with their first episode of wheezing to an emergency department (ED) and the factors that influence this practice by surveying ED physicians.
Methods
A survey targeting pediatric emergency medicine (PEM) and general emergency medicin...
Source: Pediatric Emergency Care - January 1, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research
Dexamethasone Versus Prednisone for Pediatric Acute Asthma Exacerbations: Specialists' Practice Patterns
Conclusions
Although most pediatric emergency medicine academic physicians have transitioned to using dexamethasone to treat acute pediatric asthma exacerbations, other specialties continue to favor prednisone.
Source: Pediatric Emergency Care - July 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research
The Effectiveness of a Pediatric Emergency Medicine Block Education Session for Pediatric Residents
The objective is to determine if a PEM block education session improved pediatric residents' knowledge and confidence in 4 domains: laceration repair, splinting of extremities, resuscitation/airway management, and point-of-care ultrasound.
Methods
Pediatric residents at the University of California at San Diego participated in a 4-hour PEM block education session during which they rotated through 4 interactive stations: laceration repair, splinting of extremities, resuscitation/airway management, and point-of-care ultrasound. Residents' knowledge was assessed using 2 distinct multiple-choice tests, each consisting o...
Source: Pediatric Emergency Care - November 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research
Billing For Family Meetings as Critical Care in the ICU Explained.
Discussions:Critical care CPT codes 99291 and 99292 include pre and post service work. Routine daily updates or reports to family members and or surrogates are considered part of this service. However, time involved with family members or other surrogate decision makers, whether to obtain a history or to discuss treatment options (as described in CPT),may be counted toward critical care time when these specific criteria are met:The patient is unable or incompetent to participate in giving a history and/or making treatment decisions, and The discussion is necessary for determining treatment decisions.For family discuss...
Source: The Happy Hospitalist - August 8, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Colleges of Medicine take lead on anti-racism in medicine initiatives
Solutions require complex, sustained efforts to move the mountain of historical racism in medicine and the systemic ways it may exhibit itself today.
David Mogollon
Today
University of Arizona Health Sciencesgettyimages-56959507-hero-web.jpg
The COVID-19 pandemic further exposed inequities in social determinants of health and wide disparities in health care delivery that are in part tied to historic issues of racism in medicine.
Getty ImagesHealthBlack History MonthCollege of Medicine - PhoenixCollege of Medicine - TucsonDiversityInclusion
Media contact(s)Stacy Pigott
University of Arizona Health Sciencesspigott@a...
Source: The University of Arizona: Health - February 3, 2022 Category: Universities & Medical Training Authors: mittank Source Type: research
Colleges of Medicine lead initiatives focused on anti-racism in medicine
Solutions require complex, sustained efforts to move the mountain of historical racism in medicine and the systemic ways it may exhibit itself today.
David Mogollon
Today
University of Arizona Health Sciencesgettyimages-56959507-hero-web.jpg
The COVID-19 pandemic further exposed inequities in social determinants of health and wide disparities in health care delivery that are in part tied to historic issues of racism in medicine.
Getty ImagesHealthBlack History MonthCollege of Medicine - PhoenixCollege of Medicine - TucsonCompassionDiversityInclusion
Media contact(s)Stacy Pigott
University of Arizona Health Scienc...
Source: The University of Arizona: Health - February 3, 2022 Category: Universities & Medical Training Authors: mittank Source Type: research
Pediatric Hospital Medicine: A Proposed New Subspecialty
This article describes the broad array of challenges and certain unique opportunities that were considered by the ABP in supporting PHM as a new pediatric subspecialty.
Source: PEDIATRICS - February 28, 2017 Category: Pediatrics Authors: Barrett, D. J., McGuinness, G. A., Cunha, C. A., Emans, S. J., Gerson, W. T., Hazinski, M. F., Lister, G., Murray, K. F., St. Geme, J. W., Whitley-Williams, P. N. Tags: Hospital Medicine Special Article Source Type: research
Primary care pediatrics is more than medicine : It is a calling
I have been working in pediatric primary care for nearly 5 years post-residency and truly love my work. I currently am dealing with very painful post-herpetic neuralgia and many people with this quit working. At some personal cost, I have continued my practice because I find my work day so rewarding I simply can’t imagine not being a practicing pediatrician.
On a given day I might see a newborn fresh from the nursery or NICU and its exhausted but joyful parents and then next see a college student exploring a transgender identity. I might splint a finger, manage a childhood cancer survivor, do a well-child check, treat al...
Source: Kevin, M.D. - Medical Weblog - September 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/heather-finlay-morreale" rel="tag" > Heather Finlay-Morreale, MD < /a > Tags: Physician Pediatrics Primary Care Source Type: blogs
Not Just Hocus POCUS: Implementation of a Point of Care Ultrasound Curriculum for Internal Medicine Trainees at a Large Residency Program.
CONCLUSION: A structured POCUS curriculum was successfully incorporated at a large multiservice military IM residency program, with demonstrated retention of knowledge, improved confidence in performance of ultrasound guided invasive procedures, and increased interest in the use of POCUS in future clinical practice. Similar programs should be implemented across all IM programs in military graduate medical education to enhance operational readiness and battlefield care.
PMID: 31125075 [PubMed - as supplied by publisher]
Source: Military Medicine - May 29, 2019 Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Exploring Pediatric Obesity Training, Perspectives, and Management Patterns Among Pediatric Primary Care Physicians.
CONCLUSIONS: Increased obesity training improves physicians' confidence and leads to familiarity with management guidelines. Formal obesity training should be prioritized during residency and beyond so that physicians who care for pediatric patients are better equipped to offer unbiased and effective care.
PMID: 33184987 [PubMed - as supplied by publisher]
Source: Obesity - November 12, 2020 Category: Eating Disorders & Weight Management Authors: Campoverde Reyes KJ, Perez NP, Czepiel KS, Shaw AY, Stanford FC Tags: Obesity (Silver Spring) Source Type: research
Pediatric Crisis Resource Management Training Improves Emergency Medicine Trainees’ Perceived Ability to Manage Emergencies and Ability to Identify Teamwork Errors
Objectives: Improved pediatric crisis resource management (CRM) training is needed in emergency medicine residencies because of the variable nature of exposure to critically ill pediatric patients during training. We created a short, needs-based pediatric CRM simulation workshop with postactivity follow-up to determine retention of CRM knowledge. Our aims were to provide a realistic learning experience for residents and to help the learners recognize common errors in teamwork and improve their perceived abilities to manage ill pediatric patients.
Methods: Residents participated in a 4-hour objectives-based workshop derived...
Source: Pediatric Emergency Care - December 1, 2014 Category: Emergency Medicine Tags: Original Articles Source Type: research
What’s New and In the Queue for Academic Medicine
What’s New: A Preview of the July Issue
The July issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include:
After the “Doc Fix”: Implications of Medicare Physician Payment Reform for Academic Medicine
Rich and Reschovsky examine the potential effects of alternative payment models on the work of academic clinical program leaders endeavoring to sustain the tripartite mission of patient care, education, and research.
Race Matters? Examining and Rethinking Race Portrayal in Preclinical Me...
Source: Academic Medicine Blog - July 5, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview assessment disabilities health care inequality health equity medicare parental leave payment models pregnancy race portrayal Source Type: blogs
