The Relationship Between Pediatric Residency Program Size and Inpatient Illness Severity and Diversity

Abstract

Large variations in inpatient illness severity and diagnostic diversity were seen across programs, but program size was found to be a poor indicator of inpatient learning opportunities.

Perceptions of Oral Health Training and Attitudes Toward Performing Oral Health Screenings Among Graduating Pediatric Residents

“…These characteristics were chosen for potential inclusion in the model because they provided a demographic profile of residents, because they are specific to oral health, because they have been shown previously to be associated with a greater likelihood of treating children from underserved populations, 17,18 or because they have been shown previously to be associated with the diversity of patients seen during residency. 19 All of the candidate predictors were screened univariately, and those with P values Ͼ.10 were not included in the multivariate model.…”

Functional mapping of hospitals by diagnosis-dominant case-mix analysis

“…Our aim was to elucidate differences in function among hospitals by using case-mix-based indicators and to examine the possibilities of applying such indicators to health resource allocation in Japan. In evaluating medical institution functions, our study includes the complexity of the patient case mix previously used in such analyses as well as evaluation of the rarity of the case mix, which allows us to assess the provision of healthcare for a wide-range of diseases, including rare conditions for which clinical research or clinical training is vital at teaching hospitals [13,14]. …”

Despite concern about reliability of basic data source, asthma in children remains a major public health problem with unmet needs

“…5 The magnitude of asthma as a serious public health problem is further illustrated by data demonstrating that asthma is the leading diagnosis at most hospitals with pediatric training programs in the US. 6 and that the prevalence of asthma emergency department visits and hospitalizations was not decreasing through 2009 at the 40 largest children's hospitals in the US. 7 While the difficulties of accurate asthma epidemiology data raised in the manuscript by Chawla et al, are valid and concerning, that does not belie the importance of addressing the high degree of potentially preventable morbidity currently associated with this common clinical problem.…”

“…The magnitude of asthma as a serious public health problem is further illustrated by data demonstrating that asthma is the leading diagnosis at most hospitals with pediatric training programs in the US 6. and that the prevalence of asthma emergency department visits and hospitalizations was not decreasing through 2009 at the 40 largest children's hospitals in the US 7…”