Academic pediatrics
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Academic pediatrics · Jul 2012
ReviewInterventions to improve screening and follow-up in primary care: a systematic review of the evidence.
The American Academy of Pediatrics and other organizations recommend several screening tests as part of preventive care. The proportion of children who are appropriately screened and who receive follow-up care is low. ⋯ Several feasible, practice- and provider-level interventions appear to increase the quality of screening in pediatric primary care. Evidence for interventions to improve follow-up of screening tests is scant. Future research should focus on which specific interventions are most effective, whether effects are sustained over time, and what interventions improve follow-up of abnormal screening tests.
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Academic pediatrics · Jul 2012
Randomized Controlled TrialBetter rested, but more stressed? Evidence of the effects of resident work hour restrictions.
After the publication of the 2009 Institute of Medicine report addressing resident sleep, the Accreditation Council for Graduate Medical Education implemented new work hour restrictions in 2011. We explored the effects of a resident schedule compliant with 2011 limits on resident sleep, fatigue, education, and aspects of professionalism. ⋯ Implementation of new duty hour restrictions should produce more rested interns at work. However, resident and faculty perceptions of education and professionalism may be adversely affected. The unexpected finding of increased work load compression may contribute to these outcomes.
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The purpose of this study was to examine pediatric residents' knowledge of the communities they serve through their continuity clinics. ⋯ Our pediatric professional organizations have recognized the importance of training residents in community pediatrics. This study is the first to describe resident community knowledge and to demonstrate that this knowledge is generally poor, with specific gaps in the content areas of schools, daycares, and health care access. There are differences in areas of knowledge between those working in hospital versus community clinics, suggesting this is an area for further investigation.
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Academic pediatrics · May 2012
Predictors of parental posttraumatic stress disorder symptoms in the year after adolescent traumatic injury.
Parental posttraumatic stress disorder (PTSD) is common after pediatric traumatic injury and may negatively impact parental functioning and quality of life during this key period of the child's early postinjury recovery. This study aimed to evaluate the course and predictors of PTSD in parents during the year after an adolescent traumatic injury. ⋯ A substantial subgroup of parents demonstrate high PTSD symptom levels during the course of the year after an adolescent injury. Given that early modifiable risk factors can be identified, future investigations focusing on screening and intervention are warranted.
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Academic pediatrics · May 2012
Global health training in pediatric residency: a qualitative analysis of faculty director insights.
Interest and participation in global health (GH) has been growing rapidly among pediatric residents. Residency programs are responding by establishing formal GH programs. We sought to define key insights in GH education from pediatric residency programs with formal GH tracks. ⋯ Directors of 6 model GH programs within pediatric residencies provided insights that inform others who want to establish successful GH partnerships and resident training that will prepare trainees to meet global child health needs.