Prioritizing Pediatricians’ Neurosurgical Education: Results From a National Survey of Primary Care Pediatricians

2020 ◽  
Vol 59 (9-10) ◽  
pp. 902-909
Author(s):  
Philipp R. Aldana ◽  
Alexandra D. Beier ◽  
Nathan J. Ranalli ◽  
Blake Sisk ◽  
John R. Ragheb

Introduction. We surveyed nonretired American Academy of Pediatrics–member US pediatricians regarding common neurosurgical conditions, identifying specific areas of focus in education. Methods. Data were acquired via self-administered electronic questionnaire. Results. Of 505 total respondents, 56% reported neurology was not a required residency rotation, and 86% had diagnosed craniosynostosis, plagiocephaly, or macrocephaly. Craniosynostosis can mostly be diagnosed by physical examination alone, but almost 50% reported relying on skull X-rays. Fifty-four percent reported diagnosing ocular surface disease (OSD; with 15% to 40% not screening an infant despite well-established cutaneous markers). Seventy-four screened OSD in a patient with sacral dimple. Ninety-seven percent reported treating concussion, but nearly 25% did not manage these patients alone. Two out of 3 patients indicated head injury as most important for continuing education. Conclusion. Improved education for craniosynostosis, OSD, head injury, and concussion management are important for earlier diagnosis, management, and referral of some disorders, while decreasing resource utilization in others. These results should be used when considering pediatrician educational programs.

PEDIATRICS ◽  
1986 ◽  
Vol 78 (2) ◽  
pp. 369-369
Author(s):  
MARTIN H. SMITH

One of the historic cornerstones of the American Academy of Pediatrics has been the development of educational programs designed to assure the highest quality of pediatric care. Although our commitment to this goal remains unwavering, changes in the manner in which pediatric care is—and will be—rendered demand that we constantly look for new and better ways to satisfy the educational needs of the membership. Toward that end, the Academy recently has embarked on a nationwide search for a director of the Department of Education at the Academy's Elk Grove Village, IL, headquarters. A search committee comprised of Blair E. Batson, MD, Floyd W. Denny, Jr, MD, and Doris A. Howell, MD, has been appointed to pursue this effort.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (2) ◽  
pp. 343-343
Author(s):  
Anthony P. DeSpirito ◽  
Sarah E. Brotherton

Lately, the relatively low proportion of physicians who practice primacy care medicine has concerned many, yet exact figures are lacking, given the variation in the methods used for calculation. To this end, we recently surveyed US pediatric residency programs about their residents who finished training in 1992. This was accomplished through the aid of many of the program directors and of members of the Board of Directors of the American Academy of Pediatrics. Through our correspondence, 60% of the programs provided the following information: approximately 55% of graduating residents were planning to enter pediatric practice directly and 42% were planning to enter a subspecialty fellowship.


2021 ◽  
pp. 000992282110029
Author(s):  
Megan L. Crenshaw ◽  
Brian R. Piazza ◽  
Norman Y. Otsuka ◽  
Richard M. Schwend ◽  
Niccole Alexander ◽  
...  

In 2016, the American Academy of Pediatrics Section on Orthopaedics established an annual Musculoskeletal (MSK) Boot Camp course to fill the gaps in MSK knowledge, performance, and outcomes for pediatricians and primary care doctors. A standardized one-day curriculum of key MSK topics was developed including short lectures, hands-on workshops, debates, live webinars, and Q&A sessions. A survey was created to evaluate attendee confidence related to diagnosing 20 common MSK conditions in children and adolescents at the beginning and end of the course. Confidence in diagnosing the conditions was gauged using a 6-point Likert-type scale. A two-sample t test was used to compare overall confidence score pre- and post-seminar. In addition, each subtopic was analyzed. The average pre-seminar confidence score was 3.92 versus 4.86 post-seminar. All categories demonstrated a statistically increased confidence score post-seminar ( P < .0001). Live MSK continuing education for pediatricians is effective in improving confidence in clinical practice.


2021 ◽  
Vol 232 ◽  
pp. 65-67
Author(s):  
Alexander B. Moxam ◽  
Emily J. McClellan ◽  
Consuelo Cagande ◽  
Monica E. Calkins ◽  
Daniel H. Wolf ◽  
...  

2017 ◽  
Vol 57 (7) ◽  
pp. 806-814 ◽  
Author(s):  
Alex M. Taylor ◽  
Lise E. Nigrovic ◽  
Meredith L. Saillant ◽  
Emily K. Trudell ◽  
Jonathan R. Modest ◽  
...  

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.


PEDIATRICS ◽  
1978 ◽  
Vol 61 (6) ◽  
pp. 938-939
Author(s):  
Richard J. Gluckman

Having read the commentary "Primary Care: We Need All the Help We Can Get!" (Pediatrics 59:315, March 1977), I agree with Dr. Haggerty and oppose Dr. White's view-point. I agree with Dr. Hoekelman that we need to "develop partnerships with family practitioners and others if we are to succeed" in providing "optimal primary care." The current trend in many pediatric training centers is not directed toward this goal. As has been stated many times, we are training more primary care pediatricians using sick patients in a hospital setting.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (4) ◽  
pp. 604-605
Author(s):  
John T. Benjamin

As a former practicing pediatrician turned academic, I found the article entitled "The Management of Febrile Infants by Primary-Care Pediatricians in Utah: Comparison with Published Practice Guidelines"1 interesting if not disturbing. Three case scenarios were sent to 194 pediatricians: a 3-week-old infant with fever, a 2-month-old infant with rales and bilateral otitis media, and a 20-month-old infant with fever. Ninety-four pediatricians responded and their workups and approaches to treatment compared to ‘practice guidelines" developed by Baraff et al.2


PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 623-627 ◽  
Author(s):  
Paul C. Young

Objective. To determine primary-care pediatricians' management of febrile infants and compare them with published practice guidelines. Design. Case scenarios were sent to 194 primary-care pediatricians in Utah, describing three febrile infants, ages 21 days, 60 days, and 20 months, corresponding to the three age groups: 0 to 28 days; 29 to 90 days, and 91 days to 36 months for which the guidelines suggest different strategies. Results. Ninety-four pediatricians responded (response rate, 48%). Compliance with the guidelines was 39% for the 21 day old, 9.6% for the 60 day old, and 75% for the 20 month old. No respondent followed the guidelines for all three infants. Performance of tests to determine if an infant was low risk varied from 3%, for a stool white cell examination in a febrile 2 month old with diarrhea, to 75% for a complete blood count in a 20 month old with a temperature of 40°C. Compliance did not differ between private and academic practitioners. Those in practice less than 5 years (n = 22) were more likely than those with more experience to follow the guidelines for the 21 day old but not the other two infants. Conclusion. Primary-care pediatricians in Utah manage febrile infants with fewer laboratory tests and less hospitalization than recent practice guidelines developed by an expert panel of academic specialists suggest.


PEDIATRICS ◽  
1999 ◽  
Vol 104 (Supplement_4) ◽  
pp. 647-647
Author(s):  
ROGER SUCHYTA

Dear Colleague: The American Academy of Pediatrics Department of Committees and Sections are pleased to present this supplement to PEDIATRICS. This is the fourth supplement devoted entirely to abstracts of presentations given at the Academy's Annual Meeting. It contains a vast array of subspecialty information in a structured abstract format, which will be indexed in the journal and be retrievable through all of the document delivery systems that feature PEDIATRICS. It will also be available on the yearly CD ROM update of PEDIATRICS. In addition this publication will serve as a guide and timetable for the Academy's Section programs which will be offered at the AAP 1999 Annual Meeting to be held October 9-13 in Washington, DC. Please remember to bring this, your complimentary copy, to the meeting! A limited number of additional copies for your personal use or distribution to colleagues will be available at the meeting. Sections are arranged alphabetically. A Section's educational schedule appears first, followed by the complete text of the abstracts. Abstracts are identified by a number that appears in the left column of the schedule; this same number will identify the expanded text. Abstracts are numbered consecutively within each Section. Please note that the Section on Allergy has elected to print their schedule only. A great deal of time and effort has been volunteered by the Academy Section members to develop these programs and to write and coordinate the abstracts for this special supplement. In particular, we would like to acknowledge the contributions of of Kathleen Ozmeral (editor); Larry Mahoney, MD (Cardiology); Andrew Spooner, MD (Computers and Other Technologies); Niranjan Kissoon, MD (Critical Care); Daniel Isaacman, MD (Emergency Medicine), Flaura Winston, MD (Injury and Poison Prevention); Robert Cady, MD (Orthopaedics); Bruce Maddem, MD (Otolaryngology); William Engle, MD (Perinatal Pediatrics); Max Langham, MD (Surgery); Thomas Abramo, MD (Transport Medicine); and Craig Peters, MD (Urology). I believe that we have planned a full schedule of informative and educational Section activities at the Annual Meeting and hope that this abstract compendium/program guide will be useful to all attendees. As always, Section programs are open to all registrants, and you should feel free to move from one section meeting to another as topics of interest to you are presented throughout each day. Our sponsor for this project, Pasteur Merieux Connaught, concurs with the Academy that the continuing education of our members and allied health colleagues is of paramount importance. We appreciate the company's support in helping to bring this project to AAP members and PEDIATRICS subscribers. The abstracts will also be available on computer disk at the Annual Meeting at the Pasteur Merieux Connaught exhibit booth (Booth #809). We look forward to seeing you in Washington DC.


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