Responsibilities and Interests of Pediatricians Practicing Hospital Medicine in the United States

2021 ◽  
Author(s):  
JoAnna K Leyenaar ◽  
Wade Harrison ◽  
Jessica J Truelove ◽  
Samantha House ◽  
Gary L Freed ◽  
...  
Keyword(s):  
Professional Development ◽  
Response Rate ◽  
Hospital Medicine ◽  
The United States ◽  
Certification Program ◽  
Medical Specialties ◽  
Maintenance Of Certification ◽  
Survey Response Rate ◽  
Pediatric Subspecialty ◽  
Ongoing Monitoring

BACKGROUND AND OBJECTIVES: In 2016, the American Board of Medical Specialties (ABMS) approved pediatric hospital medicine (PHM) as the newest pediatric subspecialty. To characterize development of the field, this article aims to: (1) describe the responsibilities and practice settings of US pediatricians self-identifying as hospitalists; and (2) determine how exclusive PHM practice, compared with PHM practice in combination with general or subspecialty care, was associated with professional development interests. METHODS: Pediatricians enrolling in the 2017-2018 American Board of Pediatrics (ABP) Maintenance of Certification program were offered a voluntary survey about their responsibilities, interests, and practice settings. Logistic regression was employed to characterize associations between exclusive PHM practice and: (1) interest in quality improvement (QI) leadership; (2) intention to take the PHM certifying exam; (3) satisfaction with allocation of professional time; and (4) intention to maintain more than one ABP certification. RESULTS: The survey response rate was 70.0%; 1662 (13.1%) self-reported PHM practice. Four hundred ninety-one (29.5%) practiced PHM exclusively, 518 (31.1%) practiced PHM and general pediatrics, and 653 (39.3%) practiced PHM and one or more subspecialties. Respondents reporting exclusive PHM practice were significantly more likely to report interest in QI leadership or consultation (adjusted odds ratio [OR], 1.39; 95% CI, 1.09-1.79), PHM exam certification (adjusted OR, 7.10; 95% CI, 5.45-9.25), and maintenance of more than one ABP certification (adjusted OR, 2.64; 95% CI, 1.89-3.68). CONCLUSIONS: Hospitalists reported diverse clinical and nonclinical responsibilities. Those practicing PHM exclusively expressed high levels of interest in board certification and QI leadership. Ongoing monitoring of PHM responsibilities and practice settings will be important to support the professional development of the PHM workforce.

Health Education Faculty's Perceptions and Practices Regarding Advocacy

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
F. Jeannine Everhart ◽  
Emily Van Wasshenova ◽  
Rachel Mahas ◽  
Diane Kerr ◽  
Debra Boardley ◽  
...  
Keyword(s):  
Professional Development ◽  
Public Policy ◽  
Health Education ◽  
Teaching Practices ◽  
Response Rate ◽  
Institutional Support ◽  
Faculty Members ◽  
Personal Involvement ◽  
Survey Response Rate ◽  
Health Education Faculty

The purpose of this national population study is to assess health education faculty’s perceptions of advocacy related activities and determine their current teaching practices. The study surveyed 1150 health education faculty members regarding their personal involvement in health advocacy, their current teaching practices regarding advocacy and public policy, and their confidence in teaching advocacy and public policy topics. The survey response rate was 50 %. Based on the findings of this study, professional development for faculty members and institutional support for increased training and personal involvement in the areas of advocacy and public policy are highly recommended.      

Who is managing the bowels? A survey of clinical practice patterns in spina bifida clinics

2021 ◽  
pp. 1-5
Author(s):  
Maryellen S. Kelly ◽  
Jennifer Stout ◽  
John S. Wiener
Keyword(s):  
Spina Bifida ◽  
Nurse Practitioners ◽  
Practice Patterns ◽  
Response Rate ◽  
Bowel Dysfunction ◽  
Rehabilitation Medicine ◽  
The United States ◽  
Medical Specialties ◽  
Dissemination Of Research ◽  
Neurogenic Bowel

PURPOSE: Neurogenic bowel dysfunction (NBD) affects 80% of individuals with spina bifida. Performing and disseminating research on NBD to reach the appropriate audience is difficult given the variability among medical specialties managing NBD. This study aimed to identify which medical specialties and types of providers are currently managing NBD in the United States. METHODS: A survey was developed and sent to 75 spina bifida clinics. Surveys queried which specialty was primarily responsible for medical and surgical management of NBD and any others that assist in NBD care. The license and certification level of the providers were collected. Descriptive statistics were performed to describe the results. RESULTS: Response rate was 68%. Urology was the leading specialty primarily responsible for NBD management (39%) followed by rehabilitation medicine and developmental pediatrics (22% and 20%, respectively). Physicians were the primary providers of care followed by nurse practitioners (54% vs 31%). Urology performs 65% of NBD surgeries. CONCLUSION: Multiple specialties and providers are involved in NBD management with variation among clinics. Development of improved NBD care should include a spectrum of specialties and providers. Dissemination of research should be aimed at multiple specialty groups.

scholarly journals The American Board of Pathology's Maintenance of Certification Program Update

2014 ◽  
Vol 138 (4) ◽  
pp. 512-517 ◽  
Author(s):  
Rebecca L. Johnson
Keyword(s):  
Active Participation ◽  
Data Sources ◽  
Voluntary Participation ◽  
Certification Program ◽  
Medical Specialties ◽  
The Public ◽  
Maintenance Of Certification

Context.—The American Board of Pathology (ABP) began issuing time-limited certificates in 2006. New diplomates of the ABP are required to participate in the ABP's Maintenance of Certification (MOC) program to maintain certification. Voluntary participation in the MOC program is also available to diplomates with non–time-limited certificates. Objective.—To update the pathology community on the requirements of the ABP's MOC program and some current MOC policies and to demonstrate the value of MOC participation for both time-limited and non–time-limited certificate holders. Data Sources.—This review uses ABP-archived minutes of the MOC Committee, the ABP MOC Booklet of Information, the ABP Pathway system reports, and the collective experiences of the ABP trustees and staff. Conclusions.—The ABP's MOC program has active participation by almost 5000 diplomates of the ABP. The ABP, in conjunction with the American Board of Medical Specialties, continually strives to enhance the relevance and value of MOC to our diplomates and to the public.

scholarly journals The American Board of Pathology's 2020 Continuing Certification Program

2021 ◽  
Author(s):  
Rebecca L. Johnson
Keyword(s):  
Medical Knowledge ◽  
Board Of Trustees ◽  
Board Certification ◽  
Educational Standards ◽  
Certification Program ◽  
Collective Knowledge ◽  
Medical Specialties ◽  
The Public ◽  
Maintenance Of Certification ◽  
History Of

Context.— Certification by the American Board of Pathology (ABPath) is a valued credential that serves patients, families, and the public and improves patient care. The ABPath establishes professional and educational standards and assesses the knowledge of candidates for initial certification in pathology. Diplomates certified in 2006 and thereafter are required to participate in Continuing Certification (CC; formerly Maintenance of Certification) in order to maintain certification. Objective.— To inform and update the pathology community on the history of board certification, the requirements for CC, ABPath CertLink, changes to the CC program, and ABPath compliance with recommendations from the American Board of Medical Specialties Vision Commission; to demonstrate the value of CC participation for diplomates with non–time-limited certification. Data Sources.— This review uses ABPath archived minutes of the CC Committee and the Board of Trustees, the ABPath CC Booklet of Information, the collective knowledge of the ABPath staff and trustees, and the American Board of Medical Specialties 2018–2019 Board Certification Report. Conclusions.— The ABPath continues to update the CC program to make it more relevant and meaningful and less burdensome for diplomates. Adding ABPath CertLink to the program has been a significant enhancement for the assessment of medical knowledge and has been well received by diplomates.

scholarly journals Quitline Use and Outcomes among Callers with and without Mental Health Conditions: A 7-Month Follow-Up Evaluation in Three States

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Katrina A. Vickerman ◽  
Gillian L. Schauer ◽  
Ann M. Malarcher ◽  
Lei Zhang ◽  
Paul Mowery ◽  
...  
Keyword(s):  
Mental Health ◽  
Response Rate ◽  
The United States ◽  
Health Condition ◽  
Health Conditions ◽  
Mental Health Condition ◽  
Survey Response Rate ◽  
Quit Rate ◽  
Program Engagement

Objectives. To examine abstinence outcomes among tobacco users with and without a reported mental health condition (MHC) who enrolled in state tobacco quitline programs.Methods. Data were analyzed from a 7-month follow-up survey (response rate: 41% [3,132/7,459]) of three state-funded telephone quitline programs in the United States that assessed seven self-reported MHCs at quitline registration. We examined 30-day point prevalence tobacco quit rates for callers with any MHC versus none. Data were weighted to adjust for response bias and oversampling. Multivariable logistic regression was used to examine cessation outcomes.Results. Overall, 45.8% of respondents reported ≥1 MHC; 57.4% of those reporting a MHC reported ≥2 MHCs. The unadjusted quit rate for callers with any MHC was lower than for callers with no MHC (22.0% versus 31.0%,P<0.001). After adjusting for demographics, nicotine dependence, and program engagement, callers reporting ≥1 MHC were less likely to be abstinent at follow-up (adjusted OR = 0.63, 95% CI = 0.51–0.78,P<0.001).Conclusions. More intensive or tailored quitline programs may need to be developed among callers with MHCs as their quit rates appear to be lower than callers without MHCs.

Utilizing Telesimulation for Advanced Skills Training in Consultation and Handoff Communication: A Post-COVID-19 GME Bootcamp Experience

2021 ◽  
Author(s):  
Keme Carter ◽  
Jeremy Podczerwinski ◽  
Latassa Love ◽  
Megham Twiss ◽  
Anita Blanchard ◽  
...  
Keyword(s):  
Communication Skills ◽  
Simulation Training ◽  
Response Rate ◽  
Hospital Medicine ◽  
Skills Training ◽  
Educational Strategies ◽  
Participant Satisfaction ◽  
Training Strategy ◽  
Survey Response Rate ◽  
Practice Preparedness

COVID-19 forced the switch to virtual for many educational strategies, including simulation. Virtual formats have the potential to broaden access to simulation training, especially in resource-heavy “bootcamp”-type settings. We converted our in-person communication skills bootcamp to telesimulation and compared effectiveness and satisfaction between formats. During June 2020 orientation, 130 entering interns at one institution participated, using Zoom® to perform one mock consultation and three mock handoffs. Faculty rated performance with checklists and gave feedback. Post-bootcamp surveys assessed participant satisfaction and practice preparedness. Telesimulation performance was comparable to in-person for consultations and slightly inferior for handoffs. Survey response rate was 100%. Compared to in-person, there was higher satisfaction with telesimulation, and interns felt more prepared for practice (95% vs 78%, P < .01); 99% recommended the experience. Fifty percent fewer faculty were required for implementation. Telesimulation was well-received and comparable to in-person bootcamp, representing a feasible, scalable training strategy for communication skills essential in hospital medicine.

The First Decade of Effort: Progress Toward a Hospital Information System at the UCLA Hospital, Los Angeles, California

1970 ◽  
Vol 09 (02) ◽  
pp. 75-80
Author(s):  
B. G. Lamson ◽  
W. S. Russell ◽  
J. Fullmore ◽  
W. E. Nix
Keyword(s):  
Los Angeles ◽  
Medical Record ◽  
Communication Systems ◽  
The United States ◽  
Computer Applications ◽  
Record Management ◽  
Successful Implementation ◽  
Accounting System ◽  
Accrual Accounting ◽  
Medical Specialties

Total information and communication systems within hospitals have been designed, but successful complete implementation, to date, has not been achieved. Limited applications with both patient medical data, notably in the clinical laboratories, and in the hospital accounting offices have been numerous. Although total programs are not yet a reality, it is apparent that the computer will serve ultimately many communication requirements, both medical and financial, within the hospital.Sound hospital management requires that costs of all component operations be known in order that value judgments concerning worth and efficiency may be made. Accrual accounting systems which match revenue and expense over the same time period are a prerequisite. Cash and modified cash hospital accounting cannot provide current reliable data for sound decision making.Costs of hospital operations cannot be evaluated unless related to the characteristics of the patient service load. Average per diem costs mean little except when large similar populations of patients are being compared. A modern hospital accrual accounting system should be able to provide information concerning the costs of caring for specific diseases in patients with known age and sex and disease severity characteristics. Without information of this type, it will not be possible to objectively evaluate alternative systems of financing and organizing patient care.Medical record management offers the promise of prospective use of patient disease information in the planning and scheduling of facilities. The prose content of medical record summaries, such as diagnostic statements in tissue pathology, radiology, and admission and discharge diagnoses, may be susceptible to non-coded, full prose input into computer controlled diagnostic files. Thesauri in the several medical specialties will be necessary for this achievement.There is little immediate prospect for complete hospital communication systems that can be made available as a package to any hospital without substantial local alteration. Pilot projects in teaching centers should be viewed for the time being as opportunities to define objectives, evaluate feasibility, and determine degree of risk and expense.A brief survey of applications in the United States which have been successfully implemented or which appear suitable for successful implementation is recorded.Eleven general principles which have been associated with successful implementation of computer applications within the UCLA Hospital are enumerated.

Non-Pediatric Nurses’ Willingness to Provide Care to Pediatric Patients during a Disaster: An Assessment of Pediatric Surge Capacity in Four Midwestern Hospitals

2021 ◽  
pp. 1-6
Author(s):  
Terri Rebmann ◽  
Rachel L. Charney ◽  
Rebecca L. Eschmann ◽  
M. Colleen Fitzpatrick
Keyword(s):  
Pediatric Patients ◽  
Response Rate ◽  
Mass Casualty ◽  
Pediatric Care ◽  
Pediatric Nurses ◽  
Surge Capacity ◽  
Factors Associated ◽  
Pediatric Hospitals ◽  
Survey Response Rate ◽  
Mass Casualty Event

Abstract Objective: To assess non-pediatric nurses’ willingness to provide care to pediatric patients during a mass casualty event (MCE). Methods: Nurses from 4 non-pediatric hospitals in a major metropolitan Midwestern region were surveyed in the fall of 2018. Participants were asked about their willingness to provide MCE pediatric care. Hierarchical logistical regression was used to describe factors associated with nurses’ willingness to provide MCE pediatric care. Results: In total, 313 nurses were approached and 289 completed a survey (response rate = 92%). A quarter (25.3%, n = 73) would be willing to provide MCE care to a child of any age; 12% (n = 35) would provide care only to newborns in the labor and delivery area, and 16.6% (n = 48) would only provide care to adults. Predictors of willingness to provide care to a patient of any age during an MCE included providing care to the youngest-age children during routine duties, reporting confidence in calculating doses and administering pediatric medications, working in the emergency department, being currently or previously certified in PALS, and having access to pediatric-sized equipment in the unit or hospital. Conclusion: Pediatric surge capacity is lacking among nurses. Increasing nurses’ pediatric care self-efficacy could improve pediatric surge capacity and minimize morbidity and mortality during MCEs.

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