Optimizing the workforce: a proposal to improve regionalization of care and emergency preparedness by broader integration of pediatric emergency physicians certified by the American Board of Pediatrics

Woolridge, Dale; Homme, James L.; Amato, Christopher S.; Pauze, Denis R.; Rose, Emily; Valente, Jon B.; Ishimine, Paul; Friesen, Phillip; Baldwin, Steve; Joseph, Madeline; Saidinejad, Mohsen; Perina, Debra G.; Goodloe, Jeffrey M.

doi:10.1002/emp2.12114

Cited by 2 publications

(3 citation statements)

References 27 publications

(44 reference statements)

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“…A number of solutions have been proposed to optimize the regionalization of care to enable the delivery of high-quality pediatric emergency care. 7 The solutions may include providing telemedicine consultation in geographically remote areas or expanding the scope of practice of ABP-certified pediatric EM physicians to select adult ED patients. Other solutions may include increasing training for all physicians and nonphysicians who provide pediatric emergency care that will enable them to recognize and manage pediatric conditions with low frequency and high mortality.…”

Section: + Related Articlementioning

confidence: 99%

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confidence: 99%

“…Future models of health care delivery will need to embrace new ways of providing access, specialty consultation, and emergency care for pediatric patients. A number of solutions have been proposed to optimize the regionalization of care to enable the delivery of high-quality pediatric emergency care . The solutions may include providing telemedicine consultation in geographically remote areas or expanding the scope of practice of ABP-certified pediatric EM physicians to select adult ED patients.…”

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confidence: 99%

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Addressing Shortages in Pediatric Emergency Care—The Evolution of Health Care Access

Schmitz

2021

JAMA Netw Open

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Addressing Shortages in Pediatric Emergency Care—The Evolution of Health Care Access

Schmitz

2021

JAMA Netw Open

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Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

Runkle,

Feliu,

et al. 2024

AEM Education and Training

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ObjectivePediatric emergency medicine (PEM) fellowship directors can interview candidates from either pediatric or EM residency programs. Currently, most candidates are pediatricians; however, because emergency physicians have attributes that could benefit PEM, our goal was to investigate facilitators and barriers to training more of them to become PEM physicians.MethodsWe surveyed U.S. PEM fellowship program directors (PDs) about their program's recruitment practices: Do they recruit only pediatricians or mostly pediatricians with an occasional emergency physician or do they actively recruit both? We solicited volunteers from each recruitment group for interviews. These were recorded, transcribed, and thematically coded using summative content analysis. Comments were cataloged into themes that were philosophical or logistic in nature and those that might facilitate (drivers) or serve as barriers (restrainers) to the inclusion of emergency physicians in PEM.ResultsWe received 50 of 86 (58%) survey responses, 29 (34%) of whom volunteered for interviews. The 17 volunteers we selected for interviews generated 13 themes that fell into the four major theme categories: four philosophical drivers, three logistic drivers, two philosophical restrainers, and four logistic restrainers. Program groups differed with regard to the inclusion of emergency physicians. Most limiting were the impact of variable program length and the implicit belief that pediatricians are best suited to treat children. Most beneficial is the recognized value of EM graduates to the field of PEM.ConclusionsWhile PDs acknowledged a growing need for PEM physicians, particularly in community hospitals, and that emergency physicians would contribute to PEM, they also identified the logistical burden of including them in programs primarily designed for pediatricians. This burden involves maintaining separate curricula for EM graduates and finding emergency physician faculty to serve as mentors. PDs also expressed a desire for resources to guide the integration of more emergency physicians into their programs.

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Optimizing the workforce: a proposal to improve regionalization of care and emergency preparedness by broader integration of pediatric emergency physicians certified by the American Board of Pediatrics

Cited by 2 publications

References 27 publications

Addressing Shortages in Pediatric Emergency Care—The Evolution of Health Care Access

Addressing Shortages in Pediatric Emergency Care—The Evolution of Health Care Access

Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

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