scholarly journals 1075: PICU PREP ROTATION: PREPARING FIRST-YEAR PEDIATRIC RESIDENTS TO WORK IN THE PICU

2021 ◽  
Vol 50 (1) ◽  
pp. 535-535
Author(s):  
Marissa Parrillo ◽  
Adriana Chou ◽  
Amanda Johnson ◽  
Stacey Valentine ◽  
Scot Bateman
2012 ◽  
Vol 3 (2) ◽  
pp. e146-e150
Author(s):  
Donna L Johnston ◽  
Janelle Cyr

Background: Children with leukemia often have hepatosplenomegaly present. This can be diagnosed with physical examination and confirmed with ultrasound. We sought to determine if level of training influenced the ability to detect hepatosplenomegaly. Methods: All children diagnosed with leukemia during the past 5 years were reviewed. The training level of the examiner, the documentation of hepatosplenomegaly, and the ultrasound findings were collected and analyzed. Results: There were 245 examinations of the spleen and 254 of the liver. Splenomegaly was correctly diagnosed by medical students 54% of the time, by residents 81%, and by staff 79% of the time. First year residents diagnosed it correctly 68% of the time, R2s 64%, R3s 76% and R4s 86% of the time. Hepatomegaly was correctly diagnosed by medical students 44% of the time, by residents 73% and by staff 68% of the time. First year residents diagnosed it correctly 77% of the time, R2s 54%, R3s 81% and R4s 75% of the time. Conclusions: Pediatric residents had the best ability to detect hepatosplenomegaly, and were better than staff and medical students, although this was not statistically significant.


1992 ◽  
Vol 44 (2) ◽  
pp. 211-235 ◽  
Author(s):  
Rachael F. Heller ◽  
Herbert D. Saltzstein ◽  
William B. Caspe

Pairs of hypothetical medical and non-medical problems were given to 44 pediatric residents at three levels of hospital training. Each problem was designed to detect a specific heuristic-based bias in making diagnoses. Discounting, disregarding base rate, and over-confidence in contextually embedded redundant information were more evident on medical than on non-medical problems. In particular, a greater number of third-year residents disregarded base-rate information than did first- and second-year residents on medical but not on non-medical problems. On medical problems, a greater number of first-year residents expressed greater confidence in redundant information that was contextually embedded than in information that was presented in a listed format. Over one-third of the residents confused prospective and retrospective probabilities; three-fourths showed evidence of augmentation; virtually all residents expressed greater confidence in a diagnosis based on redundant rather than on non-redundant listed information. These latter effects were consistent across training level and occurred on both medical and non-medical problems. The results are discussed in terms of prototype theory and the nature of medical training.


2017 ◽  
Vol 17 (4) ◽  
pp. 456-458 ◽  
Author(s):  
Stuart Slavin ◽  
Mindy Shoss ◽  
Matthew A. Broom

2015 ◽  
Vol 20 (5) ◽  
pp. e74-e74
Author(s):  
S Vairy ◽  
J Corny ◽  
O Jamoulle ◽  
D Lebel ◽  
C Chartrand ◽  
...  

2015 ◽  
Vol 20 (3) ◽  
pp. 192-198 ◽  
Author(s):  
Kayloni Olson ◽  
Kathi J. Kemper ◽  
John D. Mahan

Burnout has high costs for pediatricians and their patients. There is increasing interest in educational interventions to promote resilience and minimize burnout among pediatric trainees. This study tested a conceptual model of factors that might promote resilience and protect against burnout, and which could serve as targets for addressing burnout in pediatric residents. Questionnaires were administered in a cross-sectional survey of (n = 45) first-year pediatric and medicine-pediatric residents. A minority (40%) of residents met one or more criteria for burnout. Physician empathy and emotional intelligence were not significantly correlated with burnout or resilience. Self-compassion and mindfulness were positively associated with resilience and inversely associated with burnout. Thus many residents in this sample endorsed burnout; mindfulness and self-compassion were associated with resilience and may promote resilience and protect against burnout in these trainees. Future studies should explore the impact of training in mindfulness and self-compassion in pediatric trainees.


2017 ◽  
Vol 57 (3) ◽  
pp. 327-334 ◽  
Author(s):  
Kyla Cordrey ◽  
Laura McLaughlin ◽  
Prithwijit Das ◽  
Ruth Milanaik

This study assessed pediatric residents’ reported knowledge of and self-confidence in identifying/treating 8 vaccine-preventable diseases. Pediatric residents nationwide (n = 385) reported (1) if they had previously diagnosed measles, mumps, rubella, diphtheria, tetanus, pertussis, varicella, and/or polio; (2) their comfort level in treating these diseases; (3) the likelihood of identifying symptoms; and (4) 16 disease-related statements as true/false. More than 25% of residents were not comfortable treating 5 of the 8 diseases. More than 25% reported themselves as unlikely/extremely unlikely to identify symptoms of 3 of these diseases. Third- or fourth-year residents did not feel more confident in identifying disease symptoms than first-year residents, except for pertussis ( P ≤ .01). True/false statement accuracy ranged from 56.8% correct (polio) to 94.6% correct (pertussis). Most residents (73.3%) were “extremely concerned” regarding parental vaccine refusal, and 96.0% felt that they would benefit from receiving more information. Increased emphasis on this subject in residency education is essential for the management of potential disease outbreaks.


2019 ◽  
Vol 10 (1) ◽  
pp. e134-136
Author(s):  
Danielle Weidman ◽  
Ori Scott ◽  
Natalie Jewitt ◽  
Alisha Jamal ◽  
Maya Harel-Sterling ◽  
...  

Pediatric Longitudinal Experience with Residents (PedLER) is a unique program at the University of Toronto, designed to foster formal mentorship between pediatric residents and first-year medical students.


Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_5) ◽  
Author(s):  
Djohra Hadef ◽  
Hanene Benaldjia ◽  
Feryal Saidani ◽  
Nesrine Mechtaoui

Abstract Background Pediatric Rheumatology (PR) is a young specialty that has not yet gained momentum in Algeria. The aim of this study is the assessment of the perception of PR by pediatric residents in Algeria and the current practice of this young sub-specialty in our country. Methods Descriptive cross-sectional study evaluating the perception of PR by pediatric residents was created on Google forms and distributed via email and Facebook to be taken as a self-administered online survey. The survey is composed of three parts: socio-demographic characteristics of the participant, current practice of PR and perspectives of PR training. Results Seventy-seven residents responded to the online questionnaire, with an average age of 30.40 ± 3.13 years and 65% of participants being female. Participation included different regions of Algeria (Batna, Annaba, Setif, Constantine, Algiers and Oran) and different levels of training (from the first year to the fifth year of residency) Ninety-two percent (92%) of participants had managed PR consultations, with a frequency of once a week in 75.3% of cases and twice a week in 15.6% of cases. In 81% of cases, it was not the initial presentation. The patients were mainly referred by a general practitioner or a general pediatrician. The Management of these patients was provided by a general pediatrician in 69.4% of cases and only in 37.7% by a specialized pediatrician. In 71.4% of cases, there was no pediatric rheumatologist in the establishment where the resident was being trained. The level of knowledge in PR was admitted to be poor by 59.7% of the respondents. Seventy-five percent of the residents wanted to have rotations dedicated to this sub-specialty during their training. Seventy percent thought that PR is equally as important to know as the other subspecialties in pediatrics (pediatric endocrinology, pediatric pneumology ...). Interest in further PR training was expressed by 80.5% of participants, given the chance. Conclusion This survey reinforces the perception that PR training needs to be improved in Algeria, especially as the number of PR consultations is on the rise. The creation of specialized training in PR is becoming a necessity.


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