Pediatric Primary Care Providers and Adolescent Depression: A Qualitative Study of Barriers to Treatment and the Effect of the Black Box Warning

2007 ◽  
Vol 40 (5) ◽  
pp. 433-439 ◽  
Author(s):  
Laura P. Richardson ◽  
Charlotte W. Lewis ◽  
Mary Casey-Goldstein ◽  
Elizabeth McCauley ◽  
Wayne Katon
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Adolescent Depression ◽  
Primary Care Providers ◽  
Black Box ◽  
Pediatric Primary Care ◽  
Barriers To Treatment ◽  
Care Providers

scholarly journals The Association Between Burnout and Pediatrician Management of Adolescent Depression

2020 ◽  
Vol 11 ◽  
pp. 215013272094333
Author(s):  
Leah LaLonde ◽  
Teryn Bruni ◽  
Blake Lancaster ◽  
Alexandros Maragakis
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Adolescent Depression ◽  
Primary Care Providers ◽  
Personal Accomplishment ◽  
Pediatric Primary Care ◽  
Future Research ◽  
Care Providers ◽  
Academic Health ◽  
The Impact

Objective: Given the increased demand for pediatric primary care providers to manage adolescent depression, the current study examines the association between burnout and provider comfort and perception of feasibility managing adolescent depression. Method: Data were collected from 52 pediatricians at a Midwest academic health center. Results: Higher scores on depersonalization were associated with lower provider-reported comfort managing adolescent depression. Emotional exhaustion and personal accomplishment were not associated with provider-reported comfort managing adolescent depression. None of the burnout domains were associated with the provider-reported perception of the feasibility managing adolescent depression in this setting. Limitations and recommendations for future research regarding the impact of behavioral health training on burnout are discussed. Conclusions: The interpersonal stress dimension of burnout is associated with less comfort managing depression. Adding positive systematic interventions, such as behavioral health trainings that support pediatricians in the management of behavioral health may have impact on burnout.

Educational Initiative to Standardize Concussion Management in Pediatric Primary Care

2017 ◽  
Vol 57 (7) ◽  
pp. 806-814 ◽  
Author(s):  
Alex M. Taylor ◽  
Lise E. Nigrovic ◽  
Meredith L. Saillant ◽  
Emily K. Trudell ◽  
Jonathan R. Modest ◽  
...  
Keyword(s):  
Primary Care ◽  
Learning Community ◽  
Rating Scales ◽  
Community Intervention ◽  
Treatment Algorithm ◽  
Primary Care Providers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Effect Change ◽  
Concussion Management

Pediatric primary care providers report limited training and tools to manage concussion. We developed a learning community intervention for a large independent pediatric practice association affiliated with a university hospital to standardize concussion management and improve the use of consensus-based guidelines. The learning community included in-person and online didactics, followed by a web-based reinforcement platform to educate and train clinicians on our treatment algorithm and decision support tools. Chart reviews before and after the intervention demonstrated significant increases in the use of standardized symptom rating scales (19.6% to 69.3%; P < .001), balance assessment (2.3% to 37.6%; P < .001), and scheduled follow-up (41.8% to 61.2%; P < .001), with an increase in delivery of our entire best practice bundle from 3.5% to 28.1% ( P < .001). A multimodal educational intervention can effect change among pediatric primary care providers and help align their management practices with consensus-based guidelines.

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