Pediatric Urgent Care—New and Evolving Paradigms of Acute Care

Sankrithi, Usha M.; Schor, Jeffrey A.

doi:10.1016/j.pcl.2018.07.014

Cited by 8 publications

(11 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the expansion of urgent care centers throughout the country, there has also been a concurrent increase in the number of urgent care centers specifically geared toward the care of the pediatric patient. Pediatric residency graduates are the largest portion of the pediatric urgent care center workforce [4].…”

Section: Discussionmentioning

confidence: 99%

“…Pediatric urgent care providers are often expected to be competent in fracture management, wound care, abscess drainage and IV placement. In addition, between 1 and 5% of patients who initially present to an UCC will subsequently require transport to an emergency department [4]; consequently, an urgent care provider must be competent to provide stabilization of critically ill children prior to the availability of transport to a higher acuity setting. The ACGME requires only 2 months of pediatric emergency training in 3 years of pediatric residency [8].…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-one percent of these UCCs are dedicated to the treatment of pediatric patients [2]. There is significant variability in the level of acuity managed at different pediatric UCCs and little is known about the scope, quality and outcomes of care received in pediatric UCCs [3, 4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric urgent care education: a survey-based needs assessment

Zhao

Koutroulis

Cohen

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

Background There is an increasing number of pediatric urgent care centers that are largely staffed by pediatric residency graduates. It is unclear if pediatric residency adequately prepares a physician to fully and successfully provide care in an urgent care setting. The goal of this study is to conduct an assessment of urgent care directors’ perceptions of recent pediatric residency graduates’ preparedness to successfully provide pediatric urgent care after graduation. Methods This is a 2018 cross-sectional survey of all pediatric emergency medicine division chiefs in the United States and all pediatric urgent care directors who are members of the Society for Pediatric Urgent Care. An electronic survey was distributed consisting of eight multiple choice questions regarding perceived preparedness and knowledge gaps of recent pediatric residency graduates for independent practice in urgent care. Descriptive statistics were used to analyze results and qualitative data were analyzed via an inductive thematic approach. Results Forty-two percent (65/154) of surveys were completed. No respondents believed that a recent pediatric residency graduate would be adequately prepared to independently practice in a pediatric urgent care and 81% of respondents recommended some additional training. Most respondents described this training as important (46%) or very important (35%). Most respondents recommended between 6 months and 1 year as the appropriate amount of time to achieve competency. Conclusions Despite the growing number pediatric residency graduates staffing pediatric urgent care centers, the majority of surveyed pediatric emergency medicine division chiefs and pediatric urgent care directors do not think that pediatric residency adequately prepares graduates to successfully provide urgent care to pediatric patients. We recommend further exploration of gaps in knowledge of recent pediatric residency graduates as a next step towards developing systems for further training for pediatric residency graduates to gain competency in urgent care management. Electronic supplementary material The online version of this article (10.1186/s12913-019-4241-8) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric urgent care education: a survey-based needs assessment

Zhao

Koutroulis

Cohen

et al. 2019

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…1,2 As of 2018, there were approximately 9000 general UCCs in the United States and an estimated 320 pediatric urgent care (PUC) centers. 3,4 Accompanying the increase in PUCs, the Society for Pediatric Urgent Care was formed to support PUCs by sharing information about practice management, strategic planning, and clinician education. 5 Published studies have shown that patients with minor injuries at general UCCs are often referred or transferred to EDs rather than receiving evidence-based care and being discharged home.…”

mentioning

confidence: 99%

Pediatric Urgent Care Center Management of Traumatic Injuries in Infants and Children

et al. 2022

View full text Add to dashboard Cite

Objectives: To determine pediatric urgent care (PUC) clinician adherence to evidence-based practice guidelines in the management of pediatric trauma and to evaluate PUC emergency preparedness for conditions such as severe hemorrhage.Methods: A questionnaire covering acute management of 15 pediatric traumatic injuries, awareness of the Stop the Bleed initiative, and presence of emergency equipment and medications was electronically distributed to members of the Society for Pediatric Urgent Care. Clinician management decisions were evaluated against evidence-based practice guidelines.Results: Eighty-three completed questionnaires were returned (25% response rate). Fifty-three physician and 25 advanced practice provider (APP) questionnaires were analyzed. Most respondents were adherent to evidence-based practice guidelines in the following scenarios: cervical spine injury; head injury without neurologic symptoms; blunt abdominal injury; laceration without bleeding, foreign body, or signs of infection; first-degree burn; second-degree burn with less than 10% total body surface area; animal bite with and without probable tenosynovitis; and orthopedic fractures. Fever respondents were adherent in the following scenarios: head injury with altered mental status (adherence: physicians, 64%; APPs, 44%) and laceration with foreign body and persistent hemorrhage (adherence: physicians, 52%; APPs, 41%). Most respondents (56%) were unaware of Stop the Bleed and only 48% reported having a bleeding control kit/tourniquet at their urgent care.Conclusions: Providers in our sample demonstrated adherence with pediatric trauma evidence-based practice guidelines. Increased PUC provider trauma care certification, PUC incorporation of Stop the Bleed education, and PUC presence of equipment and medications would further improve emergency preparedness.

show abstract

“…2 In addition to the expansion of freestanding urgent care centers in the US, hospital-based acute care centers distinct from EDs have also multiplied. 3 Rapid growth of urgent care centers, hospital-based acute care centers, and the resultant need for urgent care providers, has led to the development of fellowships focused on efficient evidence-based urgent care management.…”

mentioning

confidence: 99%