Emergency Medicine
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.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.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.
