Employment Opportunities for Pediatric Critical Care Fellowship Trained Physicians in the United States

2020 ◽  
Author(s):  
Abdallah R. Dalabih ◽  
Parthak Prodhan ◽  
Zena L. Harris ◽  
Meredith F. Bone
Keyword(s):  
United States ◽  
Critical Care ◽  
Training Programs ◽  
The United States ◽  
Full Time ◽  
Market Demand ◽  
Employment Opportunities ◽  
Pediatric Critical Care ◽  
Time Period ◽  
Full Time Employment

AbstractPediatric Critical Care Medicine (PCCM) training programs and trained fellows in the United State increased steadily without a corresponding increase in population growth. PCCM trainees worry about limited employment prospects. This study aimed to quantify the demand for PCCM trained physicians in the United States by prospectively tracking full-time employment opportunities over 12 months. The number of advertised opportunities identified was low compared with number of fellows likely to be seeking jobs during same time period. If market demand remains stable, there is risk of excess supply if number of newly fellowship-trained PCCM physicians continues to rise.

Workforce demographics and unit structure in paediatric cardiac critical care in the United States

2021 ◽  
pp. 1-5
Author(s):  
Robin V. Horak ◽  
Shasha Bai ◽  
Bradley S. Marino ◽  
David K. Werho ◽  
Leslie A. Rhodes ◽  
...  
Keyword(s):  
United States ◽  
Critical Care ◽  
Heart Surgery ◽  
Age Groups ◽  
The United States ◽  
Work Hours ◽  
Full Time ◽  
Full Time Equivalent ◽  
Unit Structure ◽  
Cardiac Critical Care

Abstract Objective: To assess current demographics and duties of physicians as well as the structure of paediatric cardiac critical care in the United States. Design: REDCap surveys were sent by email from May till August 2019 to medical directors (“directors”) of critical care units at the 120 United States centres submitting data to the Society of Thoracic Surgeons Congenital Heart Surgery Database and to associated faculty from centres that provided email lists. Faculty and directors were asked about personal attributes and clinical duties. Directors were additionally asked about unit structure. Measurements and main results: Responses were received from 66% (79/120) of directors and 62% (294/477) of contacted faculty. Seventy-six percent of directors and 54% of faculty were male, however, faculty <40 years old were predominantly women. The majority of both groups were white. Median bed count (n = 20) was similar in ICUs and multi-disciplinary paediatric ICUs. The median service expectation for one clinical full-time equivalent was 14 weeks of clinical service (interquartile range 12, 16), with the majority of programmes (86%) providing in-house attending night coverage. Work hours were high during service and non-service weeks with both directors (37%) and faculty (45%). Conclusions: Racial and ethnic diversity is markedly deficient in the paediatric cardiac critical care workforce. Although the majority of faculty are male, females make up the majority of the workforce younger than 40 years old. Work hours across all age groups and unit types are high both on- and off-service, with most units providing attending in-house night coverage.

A National Survey of Pediatric Critical Care Resources in the United States

PEDIATRICS ◽  
2005 ◽  
Vol 115 (4) ◽  
pp. e382-e386 ◽  
Author(s):  
F. O. Odetola ◽  
S. J. Clark ◽  
G. L. Freed ◽  
S. L. Bratton ◽  
M. M. Davis
Keyword(s):  
United States ◽  
Critical Care ◽  
National Survey ◽  
The United States ◽  
Pediatric Critical Care

scholarly journals The Evolving Knowledge Management Adult Learner

2019 ◽  
pp. 1-14 ◽  
Author(s):  
Jeff Stevens ◽  
Jim Chen ◽  
Kay Zekany ◽  
Mitch Adrian
Keyword(s):  
United States ◽  
Adult Learners ◽  
Adult Learner ◽  
Longitudinal Research ◽  
The United States ◽  
Full Time ◽  
Professional Needs ◽  
Parent Status ◽  
Part Time ◽  
Full Time Employment

This longitudinal study examines the perceptions, attitudes, and preferences of the adult learners in higher education institutions in the United States. A qualitative design was utilized, engaging respondents from six geographic regions in the United States. This three-year, longitudinal research results were compared and contrasted with the eight principles of the Council for Adult and Experiential Learning, and best practices for meeting the educational and professional needs of the adult learner were proposed [1]. Since Knowles [2] published his seminal work on adult learners and their unique characteristics, there have emerged a growing number of studies categorizing these students.  Also known as nontraditional students, these individuals have been identified as sharing distinctive commonalities, such as: (1) full time employment with part-time enrollment, (2) dependent support (whether married or single parent status), (3) flexibility in academic and professional advisement, (4) acknowledgement of work- and life-experiences, and (5) are constrained by time limitations [3,4,5]. 

scholarly journals Posttraumatic Stress Namong Pediatric Critical Care Physicians in the United States in Association with Coronavirus Disease 2019 Patient Care Experiences

2021 ◽  
pp. 088506662110593
Author(s):  
Meena Kalyanaraman ◽  
Ashwini Sankar ◽  
Edem Timpo ◽  
Derrick McQueen ◽  
Kavita Morparia ◽  
...  
Keyword(s):  
United States ◽  
Posttraumatic Stress Disorder ◽  
Critical Care ◽  
Regression Analysis ◽  
Patient Care ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
The United States ◽  
Comfort Level ◽  
Pediatric Critical Care

Posttraumatic stress among pediatric critical care physicians in the United States in association with coronavirus disease 2019 patient care experiences. Our objective was to assess the prevalence of posttraumatic stress (PTS) and its association with COVID-19 patient care experiences among pediatric critical care physicians. Our study was a cross-sectional study of pediatric critical care physicians in the United States. We measured PTS which included posttraumatic stress disorder (PTSD) and subthreshold posttraumatic stress disorder (SubPTSD) using validated PTSD Checklist- 5 survey tool. Association of PTS with COVID-19 patient care experiences was analyzed using regression analysis. Prevalence of PTS was noted in 120 among 294 pediatric critical care physicians (41%; 95% CI, 35-47%). The predominant symptoms were that of hyperarousal and feelings of negative cognition and mood. Among our physicians with PTS, 19% had PTSD and 81% had SubPTSD. Demographic and practice characteristics were not significant for increased PTS on regression analysis. Posttraumatic stress was significantly associated with physicians testing positive or taking time off for COVID-19 illness, self-isolation, fear of infecting their loved ones, families scared of being infected, feeling helpless, patients expressing fears of dying, having pre-existing depression, anxiety, or insomnia, working beyond comfort level of training and having thoughts of quitting (p < 0.05). Thoughts of quitting was associated with the highest significant increase in PTS scores (coefficient:11.643; 95% CI:8.551,14.735; P < 0.01) followed by feeling of helplessness (coefficient:11.055; 95% CI: 8.484,13.624; P < 0.01) and need for additional medications for depression, anxiety and insomnia (coefficient: 10.980; 95% CI: 4.970, 16.990; P < 0.01). Posttraumatic stress is high in pediatric critical care physicians and is associated with various COVID-19 patient care experiences. Thoughts of quitting was associated with highest increase in posttraumatic stress score which could have major implications for the workforce in the future. Subthreshold posttraumatic stress disorder should be recognized, and mental health issues of pediatric critical care physicians addressed.

Burnout and Psychological Distress Among Pediatric Critical Care Physicians in the United States*

2018 ◽  
Vol 46 (1) ◽  
pp. 116-122 ◽  
Author(s):  
Asha N. Shenoi ◽  
Meena Kalyanaraman ◽  
Aravind Pillai ◽  
Preethi S. Raghava ◽  
Scottie Day
Keyword(s):  
United States ◽  
Critical Care ◽  
Psychological Distress ◽  
The United States ◽  
Pediatric Critical Care

scholarly journals Current Use of Invasive and Noninvasive Monitors in Academic Pediatric Intensive Care Units

2018 ◽  
Vol 07 (03) ◽  
pp. 135-146
Author(s):  
Kyle Rehder ◽  
George Ofori-Amanfo ◽  
David Turner ◽  
Awni Al-Subu
Keyword(s):  
United States ◽  
Critical Care ◽  
Near Infrared ◽  
Pediatric Intensive Care ◽  
Noninvasive Monitoring ◽  
The United States ◽  
Fellowship Training ◽  
Invasive Monitoring ◽  
Pediatric Critical Care ◽  
Specific Patient

AbstractTo describe the current use of noninvasive monitoring compared with traditional invasive monitoring in Pediatric Critical Care Medicine (PCCM) accredited fellowship programs in the United States. A web-based survey with the primary aim of describing the utilization of noninvasive monitoring compared with invasive monitoring was distributed to PCCM program directors (PDs) at the 64 accredited fellowship training programs. Questions focused on demographics and the utilization of invasive and noninvasive monitoring for specific patient populations and disease states. Forty-two (66%) PDs responded to the survey. Capnography and near-infrared spectroscopy (NIRS) were the most commonly reported noninvasive monitoring technology. Arterial and central venous catheters were widely used. Other invasive monitoring devices were used sparingly. Despite widespread use of both invasive and noninvasive monitoring in academic pediatric critical care units across the United States, there is significant variability in the use of noninvasive monitoring compared with invasive monitoring. Further investigation is needed to define the standard of care for the use of noninvasive monitors as practitioners attempt to optimize care while minimizing risks and complications.

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