Co-Evolutions of Pediatric and Adult Critical Care

Parker, Margaret M.; Thompson, Ann; Lumb, Philip D.; Lacroix, Jacques; Andre, Arthur St.

doi:10.1097/ccm.0000000000004803

Cited by 7 publications

(3 citation statements)

References 55 publications

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“…By raising awareness of the importance of parents in promoting child health and well-being, 1 institutions have encouraged the continued stay of family members during the child's hospitalization. 3 , 4 In pediatric intensive care units (PICUs), parents’ experiences are often related to the admission of a critically ill child, being perceived as a moment of crisis, in which the needs and stressors involved in the process become apparent. 3 , 5 Therefore, it is important that PICU staff are aware of parents’ expectations and experiences so that the care directed to them can be optimized to meet their needs and increase satisfaction with the care provided.…”

Section: Introductionmentioning

confidence: 99%

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Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units

Bitencourt

Crestani

Peuckert

et al. 2023

Jornal de Pediatria

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Section: Introductionmentioning

confidence: 99%

“… 3 , 5 Therefore, it is important that PICU staff are aware of parents’ expectations and experiences so that the care directed to them can be optimized to meet their needs and increase satisfaction with the care provided. 4 , 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units

Bitencourt

Crestani

Peuckert

et al. 2023

Jornal de Pediatria

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“…Early pioneers of PCCM were pediatric anesthesiologists, many of whom were also pediatricians. [1][2][3] The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 by the American Board of Pediatrics and the American Board of Anesthesiology. This pathway allows for an individual to complete residency training in both disciplines in 5 years instead of 6 to 7 years, and it would require to train in these disciplines sequentially.…”

mentioning

confidence: 99%

National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time

Liu

Jackson

Xie

et al. 2022

Anesthesia &Amp; Analgesia

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BACKGROUND: The Dual Pathway for Certification in Pediatrics and Anesthesiology was created in 2011 to develop leaders in caring for children with complex medical and surgical conditions. While existing dual-trained practitioners report continued practice in both pediatric anesthesiology (PA) and pediatric critical care medicine (PCCM), recent surveys of dual pathway trainees have shown that only one-quarter still currently plan to pursue training in PCCM, a change from their initial plans to complete training in both PA and PCCM. The aim of this study was to further characterize the motivations driving shifts in career trajectory during training as well as factors affecting the combined training experience. METHODS: We conducted an online mixed-methods survey of all individuals who had matriculated at 1 of the 7 Accreditation Council for Graduate Medical Education–accredited combined pediatrics-anesthesiology residencies from 2011 to 2018. The survey consisted of a 30-item questionnaire addressing training experience, anticipated career trajectory, and respondent demographics. Descriptive statistics were used for closed-format questions. Responses to open-ended questions were systematically analyzed through inductive iterative review by 2 of the authors to elicit a set of overarching themes. RESULTS: We achieved a response rate of 85% (n = 53/62) with respondents from 7 of 7 combined residency programs. When asked about career goals, the majority of respondents planned to pursue both PA and PCCM (60%, n = 32) at the start of residency. However, at the time of survey completion, the percentage of respondents who were still planning to (or had already completed) train in both PA and PCCM had decreased to 23% (n = 12). Factors such as lifestyle and length of training contributed more to career choices during/after training compared to before residency. Thematic analysis of open-ended questions regarding transition between specialties, impact of dual training, and general comments revealed 3 major themes: (1) challenges of transitioning between specialties, (2) dual training is mutually beneficial, and (3) the need for an established fellowship training pathway. CONCLUSIONS: While there is continued interest in dual training in PA/PCCM for residents who enter the combined pediatrics-anesthesiology residency, factors such as duration of training and lifestyle become more important during residency and alter their career trajectories, often away from PCCM. Optimization of dual-subspecialty fellowship training will be critical to sustaining interest in dual-subspecialty training in PA/PCCM.

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Medical Education for Congenital Heart Disease

Babb

Kuan

2023

Congenital Heart Disease in Pediatric and Adult Patients

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Co-Evolutions of Pediatric and Adult Critical Care

Cited by 7 publications

References 55 publications

Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units

Net Promoter Score (NPS) as a tool to assess parental satisfaction in pediatric intensive care units

National Survey of Combined Pediatrics-Anesthesiology Residents and Graduates: Factors Contributing to Changing Career Aspirations Over Time

Medical Education for Congenital Heart Disease

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