scholarly journals Pulmonary Hypertension Roundtable: The Crossover From Child to Adult With PH and Congenital Heart Disease

2019 ◽  
Vol 18 (1) ◽  
pp. 25-30
Keyword(s):  
Pulmonary Hypertension ◽  
San Francisco ◽  
Congenital Heart ◽  
Medical Center ◽  
Colorado School ◽  
Children's Hospital ◽  
University Of Colorado ◽  
School Of Medicine ◽  
Children’S Hospital ◽  
The University

Guest editor Dunbar Ivy, MD, Chief of Pediatric Cardiology and Director of the Pediatric Pulmonary Hypertension Program at the University of Colorado School of Medicine and Children's Hospital of Colorado led a discussion among Editor-in-Chief Harrison (Hap) Farber, MD, then Professor of Medicine and Director of the Pulmonary Hypertension Center at Boston University/Boston Medical Center; Mary P. Mullen, MD, PhD, Assistant Professor of Pediatrics at Harvard Medical School, associate cardiologist at Boston Children's Hospital and Associate Director of the Pulmonary Hypertension Service as well as a member of the adult congenital heart program; Jeffrey R. Fineman, MD, Professor and Vice Chair of Pediatrics, Director of Pediatric Critical Care Medicine and Pulmonary Hypertension, University of California, San Francisco, Benioff Children's Hospital; and Gareth Morgan, MD, Associate Professor of Pediatrics-Cardiology at the University of Colorado School of Medicine and Director of the Cardiac Catheterization Lab at Children's Hospital of Colorado.

Pediatric Locum Tenens Provided by an Academic Center

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 403-409 ◽  
Author(s):  
Steven R. Poole ◽  
Deb Efird ◽  
Tom Wera ◽  
Deb Fox-Gliessman ◽  
Kathryn Hill
Keyword(s):  
The United States ◽  
Pediatric Emergency ◽  
Academic Departments ◽  
Net Income ◽  
Children's Hospital ◽  
University Of Colorado ◽  
School Of Medicine ◽  
Academic Center ◽  
Children’S Hospital ◽  
The University

Background. Locum tenens, the use of a substitute physician to replace a physician who must be temporarily absent from his practice, is widely accepted in the United States. Locum tenens has not previously been described or studied in pediatric practice. Objective. This article describes a locum tenens service for Colorado and Wyoming pediatricians provided by the Division of General Pediatrics and Pediatric Emergency Medicine at the University of Colorado School of Medicine and the Children's Hospital of Denver. An analysis and an evaluation of the program are presented, and implications are discussed. Methods. All program data were prospectively collected and tabulated and later analyzed for the period from July 1, 1994, through June 30, 1995. A survey of all physicians using the Pediatric Locum Tenens Service was conducted within 2 months of service to evaluate the program and to refine the orientation, credentialing, and evaluation processes. Results During the year, 35 pediatricians (14% of pediatricians in Colorado and Wyoming) made 97 requests for 398 days of locum tenens coverage. Coverage was used for vacation (85%), medical education (10%), medical leave (3%), and family matters (2%). Solo and rural pediatricians used the service at a higher rate than pediatricians in group or urban practices. Eighty-six percent had never used locum tenens coverage before because of either the expense (67%) or their unwillingness to trust their practices to physicians or services with whom or with which they were unfamiliar (50%). The majority (83%) were willing to pay an amount for locum tenens equal to the net income derived from the locum tenens coverage in the practice. None indicated a willingness to pay more than that. Referrals and admissions to the Children's Hospital from the pediatricians who used the service increased by 22% during the study period compared with the preceding year, whereas referrals and admissions increased by 9% among all other colorado and Wyoming pediatricians. All pediatricians completed surveys, and satisfaction with the locum tenens pediatricians, charges, and program administration was high. Their suggestions are described. Discussion. The following topics are discussed: (1) the economics of pediatric locum tenens; (2) the use of a locum tenens service as a physician relations program by children's hospitals or academic departments of pediatrics; (3) guidelines for orientation of locum tenens pediatricians; and (4) a proposed evaluation and credentialing process for locum tenens physicians.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1974 ◽  
Vol 53 (1) ◽  
pp. 127-129
Keyword(s):  
Los Angeles ◽  
General Hospital ◽  
International Association ◽  
Health Professions ◽  
Colorado School ◽  
Allied Health Professions ◽  
University Of Colorado ◽  
School Of Medicine ◽  
The University ◽  
The Given

ALLIED HEALTH PROFESSIONS MEETINGS: The International Association of Enterostomal Therapists and the Southern California Para-urology Society will meet February 1-2, 1974, at the Sheraton Inn in Los Angeles. For information write Evonne Fowler, R.N., Department of Surgery, Harbor General Hospital, 1000 West Carson Street, Torrance, California 90509. NEWBORN RADIOLOGY SEMINAR: The University of Colorado School of Medicine will sponsor the second annual Newborn Radiology seminar, February 11-15, 1974, at the Given Institute of Pathobiology in Aspen.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1972 ◽  
Vol 50 (3) ◽  
pp. 504-506
Keyword(s):  
Pediatric Cardiology ◽  
Medical Center ◽  
Newborn Infants ◽  
Heart Association ◽  
University Of Tennessee ◽  
Children's Hospital ◽  
Hospital Medical ◽  
Clinical Cardiology ◽  
Children’S Hospital ◽  
The University

Conference on Newborn Infants: The University of Tennessee College of Medicine will present the Fourth Memphis Conference on the Newborn at the Holiday Inn-Rivermont, Memphis, Tennessee, on September 21, 1972. Faculty will include Drs. Marshall Klaus, Leo Stern, and Paul Swyer. For further information write the Division of Continuing Education and Conferences, The University of Tennessee Medical Units, 800 Madison Avenue, Memphis, Tennessee 38103. Problems in Pediatric Cardiology: The American Heart Association Council on Clinical Cardiology, the Council on Rheumatic Fever and Congenital Heart Disease, and the Departments of Pediatrics, Surgery, and Pathology of Children's Hospital Medical Center and Harvard Medical School, in cooperation with the Massachusetts Heart Association, will cosponsor a course: Problems in Pediatric Cardiology, September 25-27, 1972, at Children's Hospital Medical Center, Boston, Massachusetts.

Utilization of Diagnostic Testing for Renal Anomalies and Congenital Heart Disease in Patients with Microtia

2020 ◽  
Vol 162 (4) ◽  
pp. 554-558
Author(s):  
Vaibhav H. Ramprasad ◽  
Amber D. Shaffer ◽  
Noel Jabbour
Keyword(s):  
Congenital Heart ◽  
Medical Center ◽  
Tertiary Care ◽  
Diagnostic Testing ◽  
Case Series ◽  
Standard Of Care ◽  
Renal Ultrasound ◽  
Renal Anomalies ◽  
Children's Hospital ◽  
Children’S Hospital

Objective Congenital ear anomalies are associated with congenital cardiac and renal defects. Renal ultrasounds, electrocardiogram, and echocardiogram can be utilized for diagnosis of these concurrent defects. No standard of care exists for the workup of patients with microtia. The goals of this study were to describe the utilization of diagnostic testing for cardiac and renal anomalies and to identify their prevalence in patients with microtia. Study Design Case series with chart review. Setting Children’s Hospital of Pittsburgh of the University of Pittsburgh Medical Center. Subjects and Methods This study is an Institutional Review Board–approved retrospective review of consecutive patients born between 2002 and 2016 who were diagnosed with microtia and seen in the otolaryngology clinic at a tertiary care children’s hospital. Demographics, sidedness and grade of microtia, comorbid diagnoses, and details of renal and cardiovascular evaluations were recorded. Factors associated with retroperitoneal ultrasound and cardiac testing were assessed with logistic regression. Results Microtia was present in 102 patients, and 98 patients were included as they received follow-up. Microtia was associated with craniofacial syndrome in 34.7% of patients. Renal ultrasound was performed in 64.3% of patients, and 12.9% of patients with ultrasounds had renal aplasia. Cardiac workup (electrocardiogram or echocardiogram) was completed in 60.2% of patients, and of this subset, 54.2% had a congenital heart defect. Conclusion Diagnostic testing revealed renal anomalies and cardiac defects in patients with isolated microtia at a higher rate than in the general population. This suggests the need for further evaluation of the role of routine screening in patients with microtia.

scholarly journals “Biology of the Eye,” A Novel Multiformat Translational Elective for Medical Students

2019 ◽  
Vol 11 (01) ◽  
pp. e30-e35
Author(s):  
A. Marin ◽  
Joseph Brzezinski ◽  
Ram Nagaraj ◽  
Jasleen Singh
Keyword(s):  
Medical Students ◽  
Undergraduate Students ◽  
Clinical Science ◽  
Colorado School ◽  
University Of Colorado ◽  
School Of Medicine ◽  
Level Of Satisfaction ◽  
Medical Undergraduate ◽  
Elective Course ◽  
The University

Objective To allow medical undergraduate students an exposure to ophthalmology in the preclinical years as well as introduce concepts of basic and clinical science in ophthalmology for medical students. Methods The 10-session elective was offered to 2nd year medical students in the fall of 2016 and to 1st and 2nd year medical students in the fall of 2017 at the University of Colorado School of Medicine. The curriculum included a dissection laboratory, lectures, and journal reviews of key topics in ophthalmology with a basic scientist and clinician. At the conclusion of the sessions, the students evaluated this course by survey. Results Six medical students participated in the fall of 2016 and 11 students in the fall of 2017. The response rate was 83.33 and 100%, respectively. On a five- point Likert's scale, the students in both fall 2016 and 2017 rated the course as 4.7, indicating a positive reaction. Quality of learning objectives was rated as 4.4 and 4.5 in 2016 and 2017, respectively. Course management had a score of 4.4 and 4.6 in 2016 and 2017, respectively. Comments included: “I learned a lot about the eye I would not have known if I had not taken the course,” “I enjoyed the interplay between the clinical and basic science experts,” and “I liked the model of learning about a subject then looking at the research [sic].” Conclusions Based on the students' responses and level of satisfaction, we concluded that the elective course was successful at increasing medical students' exposure to ophthalmology at the University of Colorado School of Medicine while incorporating both basic and clinical science. Based on review of the students' feedback, modifications to the course included, expanding the course to 1st year medical students, limiting presentation times, simplifying presentation topics, and adding worksheets to guide article review sessions.

scholarly journals Evaluation of an Ophthalmology Session for Third-Year Medical Students at the University of Colorado School of Medicine

2018 ◽  
Vol 10 (01) ◽  
pp. e23-e31
Author(s):  
Judas Kelley ◽  
Jasleen Singh
Keyword(s):  
Medical Students ◽  
Test Score ◽  
Clinical Skills ◽  
Medical Knowledge ◽  
Colorado School ◽  
Self Reflection ◽  
University Of Colorado ◽  
School Of Medicine ◽  
Post Test ◽  
The University

Background Medical school ophthalmology education continues to be marginalized, creating the challenge of teaching students how to adequately diagnose and manage common ocular diseases in a limited time. Objective This study aimed to improve the ophthalmic medical knowledge and clinical skills of third-year medical students. Methods This curriculum was provided to 76 out of 124 third-year medical students in the 2016 class at the University of Colorado-Denver School of Medicine program. It was a half-day session that incorporated lectures, problem-based cases, and clinical skills. Participating students were given a self-reflection survey on their knowledge at the beginning and end of the session. Participating students were given a pre-test and post-test 6 months later via SurveyMonkey. Another quiz was given to all students within the class. Comparisons of pre- and post-tests, pre- and post-surveys, and quiz results in the participating and nonparticipating groups were made. Results Participating students' mean pre-test score was 61.8% (n = 76) and post-test score was 72.3% (n = 47), p < 0.01, indicating a significant increase in knowledge. There was an increase in 2 points on the Likert scale of understanding in ophthalmology between surveys. Participating students received a quiz mean score of 61.2%, which was significantly higher than those in the nonparticipating group (54.3%), p < 0.05. Conclusion This session improved medical students' confidence and medical knowledge in ophthalmology.

Teaching Comprehensive Medical Care, A Psychological Study of a Change in Medical Education

PEDIATRICS ◽  
1961 ◽  
Vol 28 (2) ◽  
pp. 339-341
Keyword(s):  
Medical Care ◽  
Experimental Program ◽  
Medical Clinic ◽  
Colorado School ◽  
Essential Information ◽  
Psychological Study ◽  
University Of Colorado ◽  
School Of Medicine ◽  
General Medical Clinic ◽  
The University

The essential information about the background and content of this book were provided quite satisfactorily on the jacket covering the book: The University of Colorado School of Medicine in 1953 initiated an outpatient faculty, called the General Medical Clinic, for the purpose of teaching and demonstrating the principles of comprehensive medical care to senior medical students. The senior class was therefore divided, with one half participating in the General Medical Clinic and the other half in the regular course of study. The Behavior Research Laboratory of the University then began a five-year research project designed to study the effects of the experimental program.

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