Medical Training & Physician Wellness: No More Drowning

Recent studies have shed light on a concerning trend among physicians in-training:   un-wellness.  This is manifest in increased burnout, depression and suicide rates seen among those undergoing medical training when compared to other professions. This crisis becomes cyclic when physicians with low baseline levels of wellness are unable to give optimal patient care, which in turn detrimentally influences their poor levels of wellness.  Historically physician wellness has not been a focus of medical training.  New endeavors are hampered by inadequate structure, funding and resources. read more

Emergency management of concussion in children: How much rest is too much?

March has arrived and the temperatures in the northeast are rising. With the warm weather come spring and summer sports seasons, and a new batch of concussions in the pediatric and young adult populations. Nearly 4 million sports-related traumatic brain injuries occur each year. The number of children seen in emergency departments for concussion has nearly tripled in the past decade. Over the past 10 years, concussion safety laws have been passed in every state, requiring that children be seen by a medical professional prior to returning to sports. As our awareness of the diagnosis of concussion increases, more and more children will continue to present to emergency departments across the country. read more

PEDIATRIC READINESS PARTNERS FOCUS ON RESOURCES TO HELP HOSPITALS ADDRESS “AREAS OF NEED” IDENTIFIED BY NATIONAL ASSESSMENT RESULTS

Author: Kathleen Brown, MD – Children’s National Health System

In April 2015, the first manuscript addressing key findings from the 2013-14 National Pediatric Readiness (Peds Ready) assessment was published online in JAMA Pediatrics. A few important data points highlighted in the article included:

  • The presence of a physician and nurse pediatric emergency care coordinator (PECC) was associated with a higher adjusted median Pediatric Readiness score compare with no PECC.
  • Only 47% of responding facilities had included pediatric specific considerations into their hospital disaster plans. Even those facilities where children are frequently cared for had opportunities to improve their disaster preparedness.
  • Only 45% of hospital emergency departments (ED) reported having a pediatric care review process and only 58% of respondents had defined pediatric quality indicators.

According to the JAMA article by Marianne Gausche-Hill, MD, “The presence of physician and nurse PECCs was associated with a higher adjusted median pediatric readiness scores (82.2) compared with no PECC (66.5) across all pediatric volume categories. The presence of PECCs increased the likelihood of having all the recommended components, including a pediatric quality improvement process.” read more

Play Holds Valuable Learning for Children: Keeping Kids Safe at Play is a Collaborative Affair

Sponsored Content: Toy Industry Association

The magic of play! Getting children to play is easy. Keeping them safe and accident-free takes education, awareness and care. The Toy Industry Association (TIA), celebrating its centenary this year, is committed to keeping children safe at play. In July 2015, TIA launched www.PlaySafe.org, a website dedicated to providing trusted toy and safe play resources for parents and caregivers.

“Continuing TIA’s long-standing commitment to toy safety education, PlaySafe.org is a content-rich destination designed to provide families with accurate information, news, and tips about safe and fun play,” said Steve Pasierb, TIA president and CEO. read more

PEDIATRIC READINESS ASSESSMENT PORTAL REOPENS

Author: Kathleen Brown, MD – Children’s National Health System

The National Pediatric Readiness (Peds Ready) assessment portal has reopened! Recall that the electronic assessment was first released in late 2013 and sent to approximately 5,000 emergency departments (ED) within the U.S. and its territories. An overwhelming 82% of America’s hospitals participated in the Peds Ready online assessment.

Since its reopening on November 1, 2015, more than 175 hospitals have participated in the reassessment. Many who took the assessment in 2013 are completing the reassessment to measure their progress in becoming ready for children. Other hospitals have joined this important initiative for the first time. read more