Academic Pediatrics, Год журнала: 2024, Номер unknown, С. 102602 - 102602
Опубликована: Ноя. 1, 2024
Язык: Английский
Hospital Pediatrics, Год журнала: 2025, Номер unknown
Опубликована: Март 17, 2025
Over time, many pediatric inpatient clinicians describe an increase in the workload involved caring for hospitalized patients. This perception is supported by data highlighting increased census and acuity of this patient population. As more hospitals close their units, care children increasingly centralized at larger children's hospitals, placing demand on a shrinking number beds.1 In placed hospital medicine (PHM) service, as workforce other subspecialties, who may previously have admitted own patients, continues to decline.2 recent years, medical complexity population has also grown substantially, increasing time effort required day-to-day management.3 resulted steadily enlarging volumes complex patients PHM services.Pediatric residents constitute significant portion workforce, these nationwide trends impacted educational clinical experiences. Meeting needs with resident staffing further complicated ongoing changes how allocated rotations. The Accreditation Council Graduate Medical Education (ACGME) sets program requirements both residency fellowship training. evolved include work hour restrictions, training, individualization categorical curriculum. most major revision requirements, which goes into effect July 2025, will redistribute residents' toward outpatient subspecialty individualized institutions, result notable decrease especially services.4 Potential impacts could demands advanced practice providers inpatients, admissions retain under new frequent handoffs among or clinicians. With each being followed multiple subspecialists therapists, fragmentation contribute already-rising levels stress, burnout, mental health diagnoses residents.5,6There great interest interventions address widening gap between our available growing Additionally, during programs are searching optimize education patient-facing Efficient learning rotations can allow allocate participate scholarship, safety investigations, quality improvement projects, experiences ACGME. issue, Shapiro et al assess 1 such intervention. Their study examines role team assistants (CTAs) extending physician efforts resident-based hospitalist-only teams.7 authors found that CTAs identified numerous ways assist physicians throughout day, including facilitating family-centered rounds, coordinating discharge plans, requesting information from primary pediatricians systems, gathering studies, they observed overwhelmingly positive response CTA involvement hospitalists.7 By offloading predominantly administrative tasks, teams were able shift focus decision-making. Specifically, perspective, additional support completing tasks be devote valuable furthering education. Although not directly studied authors, hospitalists suggests sources stress any intervention potential burnout should strongly considered systems alike.The note participated collection scholarship part role.7 They provides benefits themselves, whom interested pursuing careers. Equally, ACGME scholarship.4 Many barriers successful participation been noted programs, lack resources biostatistical analysis. one survey chief residents, availability research assistant was associated scholarship.8 If well-implemented, enhance optimizing abilities skills designing, implementing, analyzing projects while minimizing some time-consuming but less steps collection.Most importantly, inclusion within improve care. coordination planning alleviating responsibilities point view. improves efficiency obtaining relevant outside records, communicating pediatricians, follow-ups. Thus, vital aspects streamlined providing counseling appropriate management home. Ideally, workflow would limit readmission hospital, provide financial system.9 cost employing measured study, assessed future.Finally, all trainees, practicing taken context current climate recruitment suffering. Pediatric matches large, increasing, numbers unfilled positions programs; recently, 66 ie, nearly one-third had 249 going Supplemental Offer Acceptance Process, dramatic 86 2023.10,11 reasons diminishing pediatrics fully understood, leading contenders reduced compensation compared fields medicine, poor work-life integration, evident pediatricians' interactions students preclinical trainees.12 addition CTAs, hospitalists, context. For field fighting maintain sustainability, workplace well-being, effective care, implementation systems.
Язык: Английский
Процитировано
0
Academic Pediatrics, Год журнала: 2024, Номер 24(3), С. 535 - 543
Опубликована: Янв. 10, 2024
Язык: Английский
Процитировано
3
Frontiers in Psychology, Год журнала: 2024, Номер 15
Опубликована: Март 13, 2024
Background Medical education, already demanding, has been further strained by the COVID-19 pandemic's challenges and shift to distance learning. This context underscores need for effective stress reduction techniques in competency-based medical curricula (CBMC). Objective We assessed feasibility benefits of integrating a Progressive Muscle Relaxation (PMR) module—a known stress-reducing technique—into time-restricted CBMC, particularly given such modules often find placement as elective rather than mandatory. Methods Adapting Gagne's nine events instruction, 2-h PMR program was designed implemented during pandemic. Twenty participants were engaged on first-come, first-served basis, ensuring adherence social distancing measures. Feedback continuously gathered, leading two post-program focus group sessions. Qualitative data underwent thematic analysis following Braun Clarke's approach, with study quality maintained Standards Reporting Research (SRQR). To gauge adaptability, we aligned various learning outcomes frameworks explored its fit within CBMC using Bourdieu's Theory Practice. Results The pilot well-received effectively incorporated into our CBMC. Our revealed five central themes tied PMR's impact: Self-control, Self-realization, Liberation, Awareness, Interpersonal relationships. indicated program's capacity mitigate SRQR confirmed study's alignment qualitative research standards. Further, contents resonated principal domains outcomes, integration supported Theory. These observations led us propose Integrative Psychological Resilience Model Practice (IPRMP), model that captures intricate interplay between identified psychological constructs. Conclusion showcases an innovative, theory-guided approach embed wellbeing accentuating role fostering resilience among students. offers feasible, cost-effective strategy suitable global adoption institutions. By instilling advanced stress-management techniques, ensures upcoming healthcare professionals are better equipped manage crises like pandemics efficiently.
Язык: Английский
Процитировано
1
Pediatric Clinics of North America, Год журнала: 2024, Номер 71(3), С. 413 - 429
Опубликована: Апрель 6, 2024
Язык: Английский
Процитировано
0
Journal of surgical education, Год журнала: 2024, Номер 81(10), С. 1409 - 1417
Опубликована: Июль 12, 2024
COVID-19 had a tremendous impact on surgical residency education and training. With little experience or training in using online learning pedagogically informed ways, some educators learners experienced the disadvantages of which may have contributed to greater sense burnout pandemic. The purpose this study is survey level assess educators' perspectives factors that increased decreased synchronous teaching during
Язык: Английский
Процитировано
0
Academic Pediatrics, Год журнала: 2024, Номер unknown
Опубликована: Сен. 1, 2024
Язык: Английский
Процитировано
0
Academic Pediatrics, Год журнала: 2024, Номер unknown, С. 102602 - 102602
Опубликована: Ноя. 1, 2024
Язык: Английский
Процитировано
0