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Burnout in Pediatric Critical Care Medicine Fellows*
Conclusions:
Pediatric critical care medicine fellows in the United States are experiencing high levels of burnout, which appears to be influenced by demographics, fellow perceptions of their work environment, and satisfaction with career choice. The exclusion of fellows at 30% of the programs may have over or underestimated the actual level of burnout in these trainees.
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research
A Needs Assessment of Brain Death Education in Pediatric Critical Care Medicine Fellowships*
Objectives:
To assess the current training in brain death examination provided during pediatric critical care medicine fellowship.
Design:
Internet-based survey.
Setting:
United States pediatric critical care medicine fellowship programs.
Subjects:
Sixty-four pediatric critical care medicine fellowship program directors and 230 current pediatric critical care medicine fellows/recent graduates were invited to participate.
Interventions:
Participants were asked demographic questions related to their fellowship programs, training currently provided at their fellowship programs, previous experience with brain dea...
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research
Outcome of Pediatric Critical Care Medicine Abstracts Presented at North American Academic National Meetings*
Conclusions: Less than half of pediatric critical care medicine research abstracts presented at North American national academic meetings culminate in articles. Pediatric Academic Societies had the highest publication success rate, and Society of Critical Care Medicine abstracts were published in journals with the highest impact factors. All trainees who were first authors retained that status in the journal publications.
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Special Article Source Type: research
Current State of Nutrition Education in Pediatric Critical Care Medicine Fellowship Programs in the United States and Canada
Conclusions:
Nutrition education was reported as highly underrepresented in pediatric critical care medicine fellowship curricula. The majority of programs rely on allied health care professionals to prescribe parenteral nutrition, which may influence trainee independence in the provision of nutritional therapies. Improving the format of current nutrition curriculums, by relying on more active teaching methods, may improve the delivery and efficacy of nutrition education. The impact of novel training interventions on improving the competency and safety of enteral and parenteral nutrition delivery in the PICU must be further examined.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Diagnostic Bedside Ultrasound Program Development in Pediatric Critical Care Medicine: Results of a National Survey*
Conclusions:
Diagnostic bedside ultrasound is increasingly prevalent in training and clinical use across the pediatric critical care medicine landscape despite frequently absent core programmatic infrastructural elements. These core elements are perceived as important to program development, regardless of division unit size. Shared standardized resources may assist in reducing the effort in core element implementation and allow us to measure important educational and clinical outcomes.
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Expanding Faculty Development of Teaching Skills: A National Needs Assessment of Pediatric Critical Care Medicine Faculty
Conclusions:
Pediatric Critical Care Medicine faculty reported they experience challenges in teaching and would benefit from faculty development training aimed at improving their knowledge and skills about being an educator. Preferred learning methods and motivating factors highlight the importance of efficiency in content delivery and endorsement by faculty supervisors. Consideration of these needs and preferences may be useful in creating context-focused, community of practice-based faculty development programs.
Source: Pediatric Critical Care Medicine - May 1, 2020 Category: Pediatrics Tags: Education Source Type: research
Burnout and Psychological Distress Among Pediatric Critical Care Physicians in the United States*
Conclusions:
Burnout is high among pediatric critical care physicians in the United States. About two thirds of the physicians with severe burnout met the screening criteria for psychological distress that suggests possible common mental disorders. Significant percentages of physicians experiencing burnout and considering to leave the profession has major implications for the critical care workforce.
Source: Critical Care Medicine - December 19, 2017 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research
Transport Medical Control Education for Pediatric Critical Care Fellows: A National Needs Assessment Study
CONCLUSIONS:
Transport medical control responsibilities are common for Pediatric Critical Care Medicine fellows, but training is inconsistent, assessment is not standardized, and supervision may be lacking. Fellow performance in transport medical control may help inform assessment in multiple domains of competencies. Further study is needed to identify effective methods for transport medical control education.
Source: Pediatric Critical Care Medicine - January 1, 2022 Category: Pediatrics Tags: Online Brief Reports Source Type: research
Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care*
Conclusions:
This study highlights the importance of understanding the paternal experience and tailoring interventions to the unique needs of both mothers and fathers. Opportunities for critical care practice change to promote the mental health of mothers and fathers following a diagnosis of congenital heart disease are discussed.
Source: Pediatric Critical Care Medicine - July 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research
Assessing Competence in Central Venous Catheter Placement by Pediatric Critical Care Fellows: A National Survey Study*
Conclusions:
Despite national mandates for skill competence by many accrediting bodies, no standardized system currently exists across programs for assessing central venous catheter placement. Most pediatric critical care medicine programs use a global assessment and decisions around the ability of a fellow to place a central venous catheter under indirect supervision are largely based upon subjective assessment of performance. Further investigation is needed to determine if this finding is consistent in other specialties/subspecialties, if utilization of standardized assessment methods can improve program directors’ a...
Source: Critical Care Medicine - July 13, 2019 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research
A Cross-Sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Critical Care Physicians in the United States*
Conclusions:
In our population, chronic exposure to distress in patients and families puts pediatric critical care physicians at risk for compassion fatigue and low compassion satisfaction. Awareness of compassion fatigue, burnout, and compassion satisfaction and their predictors may benefit providers both personally and professionally by allowing them to proactively manage their distress.
Source: Pediatric Critical Care Medicine - March 1, 2019 Category: Pediatrics Tags: Feature Articles Source Type: research
PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians*
Conclusions:
Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
Research Collaboration in Pediatric Critical Care Randomized Controlled Trials: A Social Network Analysis of Coauthorship*
Conclusions:
Pediatric critical care has made considerable progress in the number of trialists and randomized controlled trials, but the research enterprise remains highly clustered and fragmented, particularly geographically. Efforts to further increase the quantity and quality of research in the field should include steps to increase the level and range of collaboration.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research
Socioeconomic Disadvantage and Distance to Pediatric Critical Care*
OBJECTIVES:
To describe the geography of pediatric critical care services and the relationship between poverty and distance to these services across the United States.
DESIGN:
Retrospective, cross-sectional study.
SETTING:
Contiguous United States.
PATIENTS:
Children less than 18 years as represented in the 2016 American Community Survey.
INTERVENTIONS:
None.
MEASUREMENTS AND MAIN RESULTS:
Pediatric critical care services were geographically concentrated within urban areas, with half of all PICUs located within 9.5 miles of another (interquartile range, 3.4–51.5 miles). Median dista...
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research
Downward Trend in Pediatric Resident Laryngoscopy Participation in PICUs
Objectives:
As of July 2013, pediatric resident trainee guidelines in the United States no longer require proficiency in nonneonatal tracheal intubation. We hypothesized that laryngoscopy by pediatric residents has decreased over time, with a more pronounced decrease after this guideline change.
Design:
Prospective cohort study.
Setting:
Twenty-five PICUs at various children’s hospitals across the United States.
Patients:
Tracheal intubations performed in PICUs from July 2010 to June 2016 in the multicenter tracheal intubation database (National Emergency Airway Registry for Children).
Intervention:
None.
...
Source: Pediatric Critical Care Medicine - May 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research
