The Experts below are selected from a list of 3189 Experts worldwide ranked by ideXlab platform
Georges Bordage - One of the best experts on this subject based on the ideXlab platform.
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Assessing Clinical Reasoning in Pediatric Emergency Medicine: Validity Evidence for a Script Concordance Test
Annals of emergency medicine, 2008Co-Authors: Benoit Carrière, Robert Gagnon, Bernard Charlin, Steven M. Downing, Georges BordageAbstract:Study objective Clinical reasoning is a crucial skill for all residents to acquire during their training. During most patient encounters in Pediatric Emergency Medicine, physicians and trainees are challenged by diagnostic, investigative, and treatment uncertainties. The Script Concordance Test may provide a means to assess reasoning skills in the context of uncertainty in the practice of Pediatric Emergency Medicine. We gathered validity evidence for the use of a Pediatric Emergency Medicine Script Concordance Test to evaluate residents' reasoning skills. Methods A 1-hour test containing 60 questions nested in 38 cases was administered to 53 residents at the end of their Pediatric Emergency Medicine rotation at 1 academic institution. Twelve experienced Pediatricians were part of a reference panel to establish the basis for the scoring process. Results An optimized version of the test, based on positive item discrimination data, contained 30 cases and 50 questions. Scores ranged from 48% to 82%, with a mean score of 69.9 (SD=11.5). The reliability of the optimized test (Cronbach's α) was 0.77. Performance on the test increased as the level of experience of the residents increased. The residents considered the Script Concordance Test true to real-life clinical problems and had enough time to complete the test. Conclusion This Pediatric Emergency Medicine Script Concordance Test was reliable and useful to assess the progression of clinical reasoning during residency training.
Marc Auerbach - One of the best experts on this subject based on the ideXlab platform.
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Simulation to Improve Patient Safety in Pediatric Emergency Medicine
Clinical Pediatric Emergency Medicine, 2016Co-Authors: Kimberly Stone, Mary D. Patterson, Jennifer Reid, Gary L. Geis, Marc AuerbachAbstract:Abstract Patient safety is the foundation of high-quality health care. Simulation has been integrated with patient safety activities in Pediatric Emergency Medicine to improve knowledge, skills, and attitudes; teamwork and communication; systems and processes; and identification and mitigation of threats to safety. Simulation efforts, coordinated with those of key stakeholders, can be a powerful agent of change at the individual provider, team, and system levels. It is imperative that simulation activities be integrated within the systems infrastructure for maximal impact and dissemination of learnings.
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simulation in Pediatric Emergency Medicine fellowships
Pediatrics, 2015Co-Authors: Cara B. Doughty, Noel S. Zuckerbraun, Kimberly Stone, Jennifer Reid, David Kessler, Chris Kennedy, Michele M Nypaver, Marc AuerbachAbstract:BACKGROUND AND OBJECTIVES: Graduate medical education faces challenges as programs transition to the next accreditation system. Evidence supports the effectiveness of simulation for training and assessment. This study aims to describe the current use of simulation and barriers to its implementation in Pediatric Emergency Medicine (PEM) fellowship programs. METHODS: A survey was developed by consensus methods and distributed to PEM program directors via an anonymous online survey. RESULTS: Sixty-nine (95%) fellowship programs responded. Simulation-based training is provided by 97% of PEM fellowship programs; the remainder plan to within 2 years. Thirty-seven percent incorporate >20 simulation hours per year. Barriers include the following: lack of faculty time (49%) and faculty simulation experience (39%); limited support for learner attendance (35%); and lack of established curricula (32%). Of those with written simulation curricula, most focus on resuscitation (71%), procedures (63%), and teamwork/communication (38%). Thirty-seven percent use simulation to evaluate procedural competency and resuscitation management. PEM fellows use simulation to teach (77%) and have conducted simulation-based research (33%). Thirty percent participate in a fellows’ “boot camp”; however, finances (27%) and availability (15%) limit attendance. Programs receive simulation funding from hospitals (47%), academic institutions (22%), and PEM revenue (17%), with 22% reporting no direct simulation funding. CONCLUSIONS: PEM fellowships have rapidly integrated simulation into their curricula over the past 5 years. Current limitations primarily involve faculty and funding, with equipment and dedicated space less significant than previously reported. Shared curricula and assessment tools, increased faculty and financial support, and regionalization could ameliorate barriers to incorporating simulation into PEM fellowships.
Jennifer R. Marin - One of the best experts on this subject based on the ideXlab platform.
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credentialing Pediatric Emergency Medicine faculty in point of care ultrasound expert guidelines
Pediatric Emergency Care, 2019Co-Authors: Alyssa Abo, Jason W. Fischer, Resa E Lewiss, Kiyetta Alade, Rachel G Rempell, David Kessler, Christopher Raio, Jennifer R. MarinAbstract:As point-of-care ultrasound (POCUS) becomes standard practice in Pediatric Emergency Medicine (PEM), it is important to have benchmarks in place for credentialing PEM faculty in POCUS. Faculty must be systematically trained and assessed for competency in order to be credentialed in POCUS and granted privileges by an individual institution. Recommendations on credentialing PEM faculty are needed to ensure appropriate, consistent, and responsible use of this diagnostic and procedural tool. It is our intention that these guidelines will serve as a framework for credentialing faculty in PEM POCUS.
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Pediatric Emergency Medicine point-of-care ultrasound: summary of the evidence
Critical Ultrasound Journal, 2016Co-Authors: Jennifer R. Marin, Alyssa M. Abo, Alexander C. Arroyo, Stephanie J. Doniger, Jason W. Fischer, Rachel Rempell, Brandi Gary, James F. Holmes, David O. Kessler, Samuel H. F. LamAbstract:The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, Pediatric Emergency Medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by Pediatric Emergency Medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric Emergency Medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.
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Point-of-care ultrasonography by Pediatric Emergency Medicine physicians.
Pediatrics, 2015Co-Authors: Jennifer R. Marin, Resa E LewissAbstract:Emergency physicians have used point-of-care ultrasonography since the 1990 s. Pediatric Emergency Medicine physicians have more recently adopted this technology. Point-of-care ultrasonography is used for various scenarios, particularly the evaluation of soft tissue infections or blunt abdominal trauma and procedural guidance. To date, there are no published statements from national organizations specifically for Pediatric Emergency physicians describing the incorporation of point-of-care ultrasonography into their practice. This document outlines how Pediatric Emergency departments may establish a formal point-of-care ultrasonography program. This task includes appointing leaders with expertise in point-of-care ultrasonography, effectively training and credentialing physicians in the department, and providing ongoing quality assurance reviews.
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Point-of-Care Ultrasonography by Pediatric Emergency Medicine Physicians.
Pediatric emergency care, 2015Co-Authors: Jennifer R. Marin, Resa E LewissAbstract:April 2015 marks the publication of the first national guideline regarding point-of-care ultrasound by Pediatric Emergency Medicine physicians. The joint statement by the American Academy of Pediatrics, Society for Academic Emergency Medicine, American College of Emergency Physicians, and World Interactive Network Focused on Critical Ultrasound provides a framework on which Pediatric Emergency physicians can develop the necessary skills to use point-of-care ultrasound effectively and responsibly.
Charles G Macias - One of the best experts on this subject based on the ideXlab platform.
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A National Patient Safety Curriculum in Pediatric Emergency Medicine.
Pediatric emergency care, 2019Co-Authors: Curt Stankovic, Meg Wolff, Todd P. Chang, Charles G MaciasAbstract:BackgroundPatient safety has become an important and required topic in medical education. A needs assessment showed that Pediatric Emergency Medicine program directors were interested in a common Pediatric Emergency-specific safety curriculum.ObjectiveThe objective of this study was to describe the
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Quality improvement in Pediatric Emergency Medicine.
Academic Pediatrics, 2013Co-Authors: Charles G MaciasAbstract:Abstract 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. These initiatives are categorized within the domains of education, infrastructures supporting QI efforts, research, and community/government collaborations. Professional societies supporting education, such as the American Academy of Pediatrics, have made several strides to cultivate new health leaders that will use QI methodology to improve outcomes in Pediatric Emergency care. In addition to educational pursuits, professional societies and QI organizations (eg, Children's Hospital Association) offer stable infrastructures from which QI initiatives, either disease specific or broadly targeted, can be implemented as large-scale QI initiatives (eg, quality collaboratives). This overview also provides examples of how QI methodology has been integrated into research strategies and describes how the Pediatric Emergency Medicine community can spread innovation and best practices into the larger Emergency care community.
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Pediatric Emergency Medicine fellowships adopt a new application process.
Pediatric emergency care, 2005Co-Authors: Charles G MaciasAbstract:The growth of the subspecialty of Pediatric Emergency Medicine has created a subsequent growth in the demands of Pediatric Emergency Medicine fellowship training. To facilitate the application process for both applicants and fellowship training programs, a uniform application and uniform deadlines have been adopted by the Pediatric Emergency Medicine Fellowship Director's Subcommittee. The Electronic Residency Application Service will provide online support necessary for the implementation of this new process. A description of the new process and a description of theoretical benefits from this change are described. Pediatric Emergency Medicine fellowship applicants should be encouraged to investigate resources describing the new application process.
Benoit Carrière - One of the best experts on this subject based on the ideXlab platform.
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Assessing Clinical Reasoning in Pediatric Emergency Medicine: Validity Evidence for a Script Concordance Test
Annals of emergency medicine, 2008Co-Authors: Benoit Carrière, Robert Gagnon, Bernard Charlin, Steven M. Downing, Georges BordageAbstract:Study objective Clinical reasoning is a crucial skill for all residents to acquire during their training. During most patient encounters in Pediatric Emergency Medicine, physicians and trainees are challenged by diagnostic, investigative, and treatment uncertainties. The Script Concordance Test may provide a means to assess reasoning skills in the context of uncertainty in the practice of Pediatric Emergency Medicine. We gathered validity evidence for the use of a Pediatric Emergency Medicine Script Concordance Test to evaluate residents' reasoning skills. Methods A 1-hour test containing 60 questions nested in 38 cases was administered to 53 residents at the end of their Pediatric Emergency Medicine rotation at 1 academic institution. Twelve experienced Pediatricians were part of a reference panel to establish the basis for the scoring process. Results An optimized version of the test, based on positive item discrimination data, contained 30 cases and 50 questions. Scores ranged from 48% to 82%, with a mean score of 69.9 (SD=11.5). The reliability of the optimized test (Cronbach's α) was 0.77. Performance on the test increased as the level of experience of the residents increased. The residents considered the Script Concordance Test true to real-life clinical problems and had enough time to complete the test. Conclusion This Pediatric Emergency Medicine Script Concordance Test was reliable and useful to assess the progression of clinical reasoning during residency training.