What Are You Waiting For? A Study of Resident Physician-Parent Communication in a Pediatric Emergency Department

Cramm, Kelly; Dowd, M. Denise

doi:10.1016/j.annemergmed.2007.09.032

Cited by 14 publications

(14 citation statements)

References 17 publications

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“…15 Research has identified specific gaps in clinician-parent communication both overall 16 and specifically in technical areas such as genetic testing. 17,18 These findings are inconsistent with most fellows' responses to our survey.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Fellows: Perspectives on Training and Future Scope of Practice

Freed¹,

Dunham

Switalski

et al. 2009

Pediatrics

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OBJECTIVE. Training for pediatric residents who intend to pursue fellowship differs little from training for residents who intend to practice general pediatrics. It is unknown how well residents who intend to pursue subspecialty training believe that residency prepares them for subspecialty fellowships or future careers. To characterize the strengths and weaknesses of residency training and the factors influencing subspecialty choice from the perspective of subspecialty fellows, we conducted a survey of current fellows on these issues. METHODS.A random sample of 1000 physicians who were entering their second or third year of fellowship in the United States in 2007 received a structured questionnaire by mail. The survey focused on decision-making in selection of residency and fellowship programs, strength of residency training in preparation for fellowship, and plans for future practice.RESULTS. The overall response rate was 81%. A majority of the fellows would not have shortened their general pediatrics residency before fellowship if given the option (64% [n ϭ 482]). However, more than half (52% [n ϭ 390]) of the fellows would have chosen a 2-year fellowship without research or scholarly activity over the current 3-year structure. Few current fellows believed they could have used any additional training in the areas of patient safety, coordination of care for children with complex illnesses, or patient communication.CONCLUSIONS. The finding that a large proportion of fellows would opt for shortened subspecialty training should prompt discussion and debate within the profession regarding the skills necessary for a pediatric subspecialist. Patient safety, physician-parent communication, and care coordination are emphasized primarily through informal training during residency. Although most clinicians believe themselves to be adequately prepared, research has identified gaps in clinician skills and understanding of these issues of great importance to patients and their families. Pediatrics 2009; 123:S31-S37 W ITH RARE EXCEPTIONS, pediatric subspecialists complete 3 years of fellowship training after pediatric residency. Training for residents who intend to pursue fellowship differs little from training for residents who intend to practice general pediatrics. Requirements for rotations, experiences, and competencies are similar for all residents, as prescribed by the Accreditation Council for Graduate Medical Education (ACGME). To the extent that differences exist, they would be principally in selection of subspecialty electives or, perhaps, in the type of patients seen in a continuity clinic. It is unknown how well residents who intend to pursue subspecialty training believe that residency prepares them for subspecialty fellowships or future careers.To characterize the strengths and weaknesses of residency training and the factors that influence subspecialty choice from the perspective of subspecialty fellows, we conducted a survey of current fellows on these issues. METHODS SampleThe American Board of Pedi...

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Section: Discussionmentioning

confidence: 99%

Pediatric Fellows: Perspectives on Training and Future Scope of Practice

Freed¹,

Dunham

Switalski

et al. 2009

Pediatrics

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“…16,17 Often, communication gaps exist between care providers and parents. 18 An improved model of patient-centeredness emphasizes question asking and partnership building, where providers actively seek patient/parental participation in the medical visit and assume a less authoritative role within the interaction. 19 Stewart et al 20 proposed a patient-centered clinical method in which the disease experience is explored within the context of the entire person leading to patient and physician mutually defining problems and goals.…”

Section: Theoretical Model Of the Problemmentioning

confidence: 99%

A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children

Hoppa

Porter²

2011

Pediatric Emergency Care

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“…This is an apparently universal problem, which has been noted in diverse parts of the world, such as Ireland and Singapore 9,10 . It encompasses communication problems between staff, 8 between the doctor and patient 11 and importantly as service provider towards patients 12 …”

Section: Introductionmentioning

confidence: 99%

What do consumers want to know in the emergency department?

Kington

Short

2010

Int J of Nursing Practice

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Consumers unexpectedly accessing the complex and confusing context of the emergency department (ED) need appropriately communicated information to minimize unrealistic expectations leading to stressed and frustrated behaviour. This pilot project sought consumer opinions to develop an ED informational brochure to improve communication strategies. Thirty-two ED consumers attending a large tertiary hospital completed an anonymous one-page questionnaire comprising 22 topic areas. Descriptive data analysis indicated consumers' interest in information about waiting times, how the ED works, the triage system, identifying staff and parking. Most interest was shown by 31- to 50-year-old consumers. Pragmatically grouped results suggested the need for three information brochures to enhance health communication in the ED, in turn leading to a safer and more congenial health-care context.

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What Are You Waiting For? A Study of Resident Physician-Parent Communication in a Pediatric Emergency Department

Cited by 14 publications

References 17 publications

Pediatric Fellows: Perspectives on Training and Future Scope of Practice

Pediatric Fellows: Perspectives on Training and Future Scope of Practice

A Content Analysis of Parents' Written Communication of Needs and Expectations for Emergency Care of Their Children

What do consumers want to know in the emergency department?

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