Emergency Medicine
Is the Use of Physical Discipline Associated with Aggressive Behaviors in Young Children?
To determine the association between use of physical discipline and parental report of physically aggressive child behaviors in a cohort of young children who were without indicators of current or past physical abuse.Prenatal Versus Postnatal Tobacco Smoke Exposure and Intensive Care Use in Children Hospitalized With Bronchiolitis
Among children hospitalized with bronchiolitis, we examined the associations between in utero exposure to maternal cigarette smoking, postnatal tobacco smoke exposure, and risk of admission to the intensive care unit (ICU).The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department
Graduate medical education is transitioning to the use of entrustable professional activities to contextualize educational competencies. Factors influencing entrustment decisions have been reported in adult medicine. Knowing how such decisions are made in pediatrics is critical to this transition.Pediatric Residency Program Handover: Before and After the ACGME Requirement
To determine what changes occurred in pediatric residency programs with regards to handover education and assessment before and after the Accreditation Council for Graduate Medical Education (ACGME) requirement mandating monitoring safe handover practices in July 2011.New Program Requirements Present Challenges and Inspire Innovations in Med-Peds Programs
Since its inception in 1967, medicine-pediatrics (med-peds) residency training has required a delicate balance of innovation, standardization, cooperation, and compromise.1 Med-peds training programs became independently accredited by the Accreditation Council on Graduate Medical Education (ACGME) in 2007, and all programs must now adapt to the changes of the Next Accreditation System,2 which emphasizes competency-based assessment and improvement in patient safety and quality outcomes. At the same time, the Pediatric Review Committee of the ACGME has issued new guidelines for Pediatrics and med-peds training.Yes, There Are Developmental Emergencies
1 am: Doctor, I was watching a special on TV about the early signs of autism and I recognized my 21-month-old son. I'd like to bring him to see you as soon as possible.2 am: I don't remember if I told you that he isn't talking at all, and doesn't point. He doesn't respond when I call his name. That isn't good, is it? Please call back as soon as possible.7 am: Doctor, I wanted to let you know that I just returned from the ER. Juan got angry when I said he couldn't have seconds of ice cream and threw a chair at me.Impact of English Proficiency on Care Experiences in a Pediatric Emergency Department
To compare emergency department care experiences of Spanish-speaking, limited-English-proficient (SSLEP) and English-proficient (EP) parents and to assess how SSLEP care experiences vary by parent-perceived interpretation accuracy.Do Mentors Matter in Graduating Pediatrics Residents' Career Choices?
Little is known about the association between mentorship and career choice during residency in pediatrics. This study examines graduating residents with mentors who provide career advice and the relationship between having a mentor who is a subspecialist and having a subspecialty practice goal.Use of Simulation-Based Education: A National Survey of Pediatric Clerkship Directors
To document the prevalence of simulation-based education (SBE) for third- and fourth-year medical students; to determine the perceived importance of SBE; to characterize the barriers associated with establishing SBE.Trends in Resident Education in Youth Violence
To evaluate Chicago pediatric and emergency medicine (EM) residents’ previous training in youth violence, to examine residents’ self-perceived level of competence in youth violence prevention and to assess the types of youth violence seen in clinical practice.Evaluation of a Multi-disciplinary Global Health Intensive Course for Residents and Fellows
Few global health courses offered today incorporate non-medical disciplines, such as economics, health policy, water-sanitation, or public health, which are important to a comprehensive understanding of GH.Competency 2. Organize and prioritize responsibilities to provide patient care that is safe, effective, and efficient
In the 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine (IOM) describes “the prevailing model of health care delivery [as] complicated, comprising layers of processes and handoffs that patients and families find bewildering and clinicians view as wasteful . . . and fail[ing] to build on the strengths of all health professionals involved to ensure that care is timely, safe, and appropriate.”1 The IOM described 6 aims for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equality in patient care.Predictors of Resident Satisfaction in Caring for Limited English Proficient Families: A Multisite Study
To assess residents' self-efficacy, satisfaction and frustration in the care of limited English proficient (LEP) families and to identify individual and programmatic factors associated with the above outcomes.A Comprehensive Model to Build Improvement Capability in a Pediatric Academic Medical Center
Cincinnati Children’s Hospital Medical Center developed a comprehensive model to build quality improvement (QI) capability to support its goal to transform its delivery system through a series of training courses. Two online modules orient staff to basic concepts and terminology and prepare them to participate more effectively in QI teams. The basic program (Rapid Cycle Improvement Collaborative, RCIC) is focused on developing the capability to use basic QI tools and complete a narrow-scoped project in approximately 120 days.Quality Improvement in Pediatric Emergency Medicine
Pediatric patients, who accounted for 17.4% of US emergency department (ED) visits in 2010, present unique challenges that can impede an ED’s ability to provide optimal care. To meet the growing demand for comprehensive, high-quality care, health care systems are incorporating quality improvement (QI) methods to reduce costs and variations in care and to improve access, safety, and ultimately the outcomes of medical care. This overview of QI initiatives within the field of pediatric emergency medicine explores how proven QI strategies are being integrated into efforts that target the care of children within the broader emergency care community.Innovative Online Faculty Development Utilizing the Power of Social Media
Faculty development (FD) is important for continued professional development, but expense and distance remain challenging. These challenges could be minimized by the free and asynchronous nature of social media (SM). We sought to determine the utility and effectiveness of conducting a national online FD activity on Facebook by assessing participants' perceptions and use and facilitators' challenges.Quality Improvement in Pediatric Health Care: Introduction to the Supplement
Pediatricians and those who provide health care to children strive to provide the highest possible quality of care. Only recently, however, have there been opportunities for health care providers to measure more adequately the extent to which the optimal quality of care is being provided and to engage in quality improvement (QI) to address identified gaps.1–5 Also contributing to this focus on QI are heightening demands for accountability and improvement from payers across the public and private spectrum.To Create a Better World for Children and Families: The Case for Ending Childhood Poverty
The Academic Pediatric Association (APA) is a great and unique organization. The best minds and hearts in pediatrics are our members. We are a family of teachers and scholars and advocates and healers presiding over academic pursuits, over the education and nurturing of our young, fertilizing the ground of the future of society. We have our eyes on protecting and supporting and improving the lot of the most vulnerable children and families. We do so many good things. We are open to all levels of diversity.Qualitative Abstracts at the Pediatric Academic Societies Meeting: Are They Less Likely to be Accepted for Presentation?
To determine the proportion of abstracts submitted to the 2010 Pediatric Academic Societies (PAS) meeting that were exclusively qualitative, and to examine whether these abstracts were more or less likely than all others to be designated as platform, poster, or publish only.Design, Validity, and Reliability of a Pediatric Resident JumpSTART Disaster Triage Scoring Instrument
To design an instrument for scoring residents learning pediatric disaster triage (PDT), and to test the validity and reliability of the instrument.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Is Nonperforated Pediatric Appendicitis Still Considered a Surgical Emergency? A Survey of Pediatric Surgeons
To describe the beliefs and preferences of pediatric surgeons regarding the emergent nature of nonperforated appendicitis.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.Instructions for Authors
Effective January 2012, the journal now requires all authors to complete the ICMJE conflict of interest form (available at http://www.icmje.org/coi_disclosure.pdf) and to upload these forms on the editorial website at the end of all new manuscript submissions.
