PEDIATRIC CARDIOLOGY REVISITED

PEDIATRICS ◽  
1973 ◽  
Vol 51 (5) ◽  
pp. 923-925
Author(s):  
Alexander S. Nadas
Keyword(s):  
United States ◽  
Heart Disease ◽  
Pediatric Cardiology ◽  
The United States ◽  
Infants And Children ◽  
Optimal Care ◽  
Training Requirements ◽  
And Training

The paper on manpower and training requirements in pediatric cardiology by Adams and his colleagues1 raises a number of issues which are very topical at this writing, February 1973. The Sub-board of Pediatric Cardiology, of the American Board of Pediatrics, was established in 1960 with the avowed purpose of improving the care of infants and children with heart disease in the United States. This goal was to be obtained by certification, through appropriate testing, of physicians capable of rendering optimal care for these patients and by identifying programs offering satisfactory training to obtain certification. A commentary on the sub-board has appeared in this journal about ten years ago.2

Training Needs of Career Development Counsellors and Facilitators

1995 ◽  
Vol 4 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Howard Splete ◽  
Dorothy Hutton
Keyword(s):  
United States ◽  
Career Development ◽  
Professional Associations ◽  
The United States ◽  
Career Counselling ◽  
Future Directions ◽  
Training Requirements ◽  
Certification And Accreditation ◽  
National Certification ◽  
And Training

This article describes the need for trained career development personnel to assist in a variety of settings. The professional role and training requirements in the United States and Australia show a marked similarity in recent government attention to the area and in the sequence and timing of initiatives. A disparity that exists between state provisions of training and expectations of standards is receiving attention from national government bodies and national professional associations. Professional bodies in both countries are currently developing national certification and accreditation guidelines and procedures, but the United States, with its tradition of training, supervision and examination, has moved much further along the accreditation path than Australia. Some of the major issues concerning the certification and accreditation of careers practitioners and examples of training and curriculum models are provided. The article provides a glimpse of future directions in the profession of career counselling.

scholarly journals Current knowledge of Chagas-related heart disease among pediatric cardiologists in the United States

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanchi Malhotra ◽  
Imran Masood ◽  
Noberto Giglio ◽  
Jay D. Pruetz ◽  
Pia S. Pannaraj
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Heart Disease ◽  
Chagas Disease ◽  
Latin American ◽  
Current Knowledge ◽  
Parasitic Infection ◽  
The United States ◽  
Cardiac Complications ◽  
The U.S

Abstract Background Chagas disease is a pathogenic parasitic infection with approximately 8 million cases worldwide and greater than 300,000 cases in the United States (U.S.). Chagas disease can lead to chronic cardiomyopathy and cardiac complications, with variable cardiac presentations in pediatrics making it difficult to recognize. The purpose of our study is to better understand current knowledge and experience with Chagas related heart disease among pediatric cardiologists in the U.S. Methods We prospectively disseminated a 19-question survey to pediatric cardiologists via 3 pediatric cardiology listservs. The survey included questions about demographics, Chagas disease presentation and experience. Results Of 139 responses, 119 cardiologists treat pediatric patients in the U.S. and were included. Most providers (87%) had not seen a case of Chagas disease in their practice; however, 72% also had never tested for it. The majority of knowledge-based questions about Chagas disease cardiac presentations were answered incorrectly, and 85% of providers expressed discomfort with recognizing cardiac presentations in children. Most respondents selected that they would not include Chagas disease on their differential diagnosis for presentations such as conduction anomalies, myocarditis and/or apical aneurysms, but would be more likely to include it if found in a Latin American immigrant. Of respondents, 87% agreed that they would be likely to attend a Chagas disease-related lecture. Conclusions Pediatric cardiologists in the U.S. have seen very few cases of Chagas disease, albeit most have not sent testing or included it in their differential diagnosis. Most individuals agreed that education on Chagas disease would be worth-while.

scholarly journals Complementary and Integrative Health Knowledge and Practice in Primary Care Settings: A Survey of Primary Care Providers in the Northwestern United States

2021 ◽  
Vol 10 ◽  
pp. 216495612110233
Author(s):  
Malaika R Schwartz ◽  
Allison M Cole ◽  
Gina A Keppel ◽  
Ryan Gilles ◽  
John Holmes ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Knowledge ◽  
Care Delivery ◽  
Primary Care Providers ◽  
The United States ◽  
Research Network ◽  
Care Providers ◽  
Integrative Health ◽  
And Training

Background The demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare. Objective The main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs. Methods We conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities. Results 218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality. Conclusion Primary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.

scholarly journals Global variability in orthopedic surgery training

2019 ◽  
Author(s):  
Andrew D. Sobel ◽  
Davis Hartnett ◽  
David Hernandez ◽  
Adam E. M. Eltorai ◽  
Alan H. Daniels
Keyword(s):  
United States ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Educational Development ◽  
The United States ◽  
Surgery Training ◽  
Orthopaedic Care ◽  
The World ◽  
Orthopaedic Training ◽  
And Training

Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.

Recent Declines in Breast-Feeding in the United States, 1984 Through 1989

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 719-727 ◽  
Author(s):  
Alan S. Ryan ◽  
David Rush ◽  
Fritz W. Krieger ◽  
Gregory E. Lewandowski
Keyword(s):  
United States ◽  
Birth Weight ◽  
Breast Feeding ◽  
College Education ◽  
The United States ◽  
Sociodemographic Factors ◽  
Infants And Children ◽  
Supplemental Food ◽  
White Ethnicity ◽  
Breast Feed

Ongoing surveys performed by Ross Laboratories demonstrate recent declines both in the initiation of breast-feeding and continued breast-feeding at 6 months of age. Comparing rates in 1984 and 1989, the initiation of breast-feeding declined approximately 13% (from 59.7% to 52.2%), and there was a 24% decline in the rate of breast-feeding at 6 months of age (from 23.8% to 18.1%). The decline in breast-feeding was seen across all groups studied but was greater in some groups than in others. Logistic regression analysis indicates that white ethnicity, some college education, increased maternal age, and having an infant of normal birth weight were all positively associated with the likelihood of both initiating breast-feeding and continuing to breast-feed to at least 6 months of age. Women who were black and who were younger, no more than high school educated, enrolled in the Women, Infants and Children supplemental food program, working outside the home, not living in the western states, and who had an infant of low birth weight were less likely either to initiate breast-feeding or to be nursing when their children were 6 months of age. The factors influencing the decline in breast-feeding were not uniform. There were fewer sociodemograpahic factors associated with the decline in the initiation of breast-feeding than in the decline in prolonged breast-feeding. While the disparity between older and younger mothers in initiating breast-feeding increased, there was an offsetting trend as the disparity associated with parity decreased. The only other significantly changed relationship for initiation of breast-feeding was that the disparity associated with higher income increased significantly: the decline in the rates of breast-feeding among the less affluent was greater than among the more affluent. Many more sociodemographic factors were significantly associated with declines in breast-feeding at 6 months of age. The disparity between those mothers not employed and those employed increased (from an odds ratio of 1.65 in 1984 to 2.43 in 1989). The disparities associated with age and parity both increased over time: the rate of breast-feeding declined more steeply among younger and primiparous mothers than among older and multiparous mothers. Similarly, the declines were greater among those enrolled in the Women, Infants and Children program (compared with those not enrolled), those with less than a college education (compared with some college education), and those not residing in the western region of the United States (compared with those residing in the West). Educational efforts to promote breast-feeding are needed for all pregnant women and should be particularly directed toward the groups who have experienced the most rapid recent decline in the rates of breast-feeding.

scholarly journals Epidemiology of Meningitis and Encephalitis in Infants and Children in the United States, 2011–2014

2019 ◽  
Vol 38 (1) ◽  
pp. 37-41 ◽  
Author(s):  
Rodrigo Hasbun ◽  
Susan H. Wootton ◽  
Ning Rosenthal ◽  
Joan Miquel Balada-Llasat ◽  
Jessica Chung ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Infants And Children ◽  
In Infants And Children
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