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Jennifer C Kesselheim - One of the best experts on this subject based on the ideXlab platform.
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burnout in Pediatric Hematology oncology fellows results of a cross sectional survey
Pediatric Blood & Cancer, 2020Co-Authors: Scott Moerdler, Yunhui Li, Shicheng Weng, Jennifer C KesselheimAbstract:: Burnout is a significant problem in the medical community, including among Pediatric Hematology/oncology (PHO) faculty. However, the prevalence of burnout, its associated risk factors, and outcomes within PHO fellows are unknown. We present the results of a cross-sectional study of PHO fellows from 21 training programs. A total of 45/115 fellows (39.1%) met criteria for high level of burnout. Fellows who met criteria for high burnout also demonstrated poor outcomes including decreased empowerment, increased doctor-centered care, decreased self-assessed humanism, and decreased satisfaction with training. Further longitudinal investigation is needed to better understand burnout and the causative factors affecting PHO fellows.
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addressing implicit bias in Pediatric Hematology oncology
Pediatric Blood & Cancer, 2020Co-Authors: Jessica W Tsai, Jennifer C KesselheimAbstract:: Although awareness of implicit bias and its influence on providers and patients is increasing, the effects of implicit bias on the field of Pediatric Hematology-oncology are less clear. This Special Report reviews the literature on implicit bias in Pediatrics and medical oncology and further provides case examples and suggestions on what can be done to address implicit bias. There is a need for further research on how implicit bias impacts the complex care of Pediatric Hematology-oncology patients.
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Addressing implicit bias in Pediatric Hematology‐oncology
Pediatric Blood & Cancer, 2020Co-Authors: Jessica W Tsai, Jennifer C KesselheimAbstract:Although awareness of implicit bias and its influence on providers and patients is increasing, the effects of implicit bias on the field of Pediatric Hematology-oncology are less clear. This Special Report reviews the literature on implicit bias in Pediatrics and medical oncology and further provides case examples and suggestions on what can be done to address implicit bias. There is a need for further research on how implicit bias impacts the complex care of Pediatric Hematology-oncology patients.
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do Pediatric Hematology oncology pho fellows receive communication training
Pediatric Blood & Cancer, 2014Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P < 0.001). Conclusions There is limited communication training in PHO fellowships despite ACGME requirements and fellows' interest in this training. Didactic learning remains the most frequently described training method, yet educational theory identifies the limitation of didactic lectures alone. Communication training employing novel teaching methods and emphasizing communication challenges identified by fellows should be developed and evaluated. Pediatr Blood Cancer 2014;61:502–506. © 2013 Wiley Periodicals, Inc.
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Do Pediatric Hematology/oncology (PHO) fellows receive communication training?
Pediatric Blood & Cancer, 2013Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P
Patrick J. Leavey - One of the best experts on this subject based on the ideXlab platform.
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The American Society of Pediatric Hematology/Oncology workforce assessment: Part 2-Implications for fellowship training
Pediatric Blood & Cancer, 2017Co-Authors: Patrick J. Leavey, Joanne M. Hilden, Dana C. Matthews, Christopher E. Dandoy, Sherif M. Badawy, M. Shah, Alan S. Wayne, J. HordAbstract:The American Society of Pediatric Hematology/Oncology (ASPHO) solicited information from division directors and fellowship training program directors to capture Pediatric Hematology/oncology (PHO) specific workforce data of 6 years (2010–2015), in response to an increase in graduating fellows during that time. Observations included a stable number of physicians and advanced practice providers (APPs) in clinical PHO, an increased proportion of APPs hired compared to physicians, and an increase in training-level first career positions. Rapid changes in the models of PHO care have significant implications to current and future trainees and require continued analysis to understand the evolving discipline of PHO.
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do Pediatric Hematology oncology pho fellows receive communication training
Pediatric Blood & Cancer, 2014Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P < 0.001). Conclusions There is limited communication training in PHO fellowships despite ACGME requirements and fellows' interest in this training. Didactic learning remains the most frequently described training method, yet educational theory identifies the limitation of didactic lectures alone. Communication training employing novel teaching methods and emphasizing communication challenges identified by fellows should be developed and evaluated. Pediatr Blood Cancer 2014;61:502–506. © 2013 Wiley Periodicals, Inc.
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Do Pediatric Hematology/oncology (PHO) fellows receive communication training?
Pediatric Blood & Cancer, 2013Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P
Wilson File - One of the best experts on this subject based on the ideXlab platform.
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do Pediatric Hematology oncology pho fellows receive communication training
Pediatric Blood & Cancer, 2014Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P < 0.001). Conclusions There is limited communication training in PHO fellowships despite ACGME requirements and fellows' interest in this training. Didactic learning remains the most frequently described training method, yet educational theory identifies the limitation of didactic lectures alone. Communication training employing novel teaching methods and emphasizing communication challenges identified by fellows should be developed and evaluated. Pediatr Blood Cancer 2014;61:502–506. © 2013 Wiley Periodicals, Inc.
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Do Pediatric Hematology/oncology (PHO) fellows receive communication training?
Pediatric Blood & Cancer, 2013Co-Authors: Wilson File, Jennifer C Kesselheim, Carma L. Bylund, David Leonard, Patrick J. LeaveyAbstract:Purpose The Accreditation Council for Graduate Medical Education (ACGME) has established communication as a core competency for physicians in training. However, data suggest that most Pediatric residents perceive inadequate training in the delivery of bad news and the majority of former trainees in Pediatric oncology received no formal training in the delivery of bad news during fellowship. The study examines communication training in ACGME accredited US Pediatric Hematology-oncology (PHO) fellowship programs. Methods An online survey was distributed to 315 PHO fellows in training via the American Society of Pediatric Hematology/Oncology (ASPHO) fellow email registry. Each fellow received an initial request to participate and 2 reminders, while participation was encouraged through a random incentive drawing. Results One hundred and ten fellows (35%) responded. Eighty percent of respondents perceived communication training to be important to fellow education, however only 32% reported receiving communication training (other than direct observation). The most common reported teaching method of fellowship communication training was formal lecture (42%). Twenty-three percent of respondents reported neither communication training nor frequent feedback on their communication skills from faculty observation. This same group was the least satisfied with their programs' approach to teaching communication (P
Patrick S Leavey - One of the best experts on this subject based on the ideXlab platform.
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the american society of Pediatric Hematology oncology workforce assessment part 1 current state of the workforce
Pediatric Blood & Cancer, 2018Co-Authors: Jeffrey D Hord, Joanne M. Hilden, Dana C. Matthews, Sherif M. Badawy, Alan S. Wayne, Mona Shah, Edward Salsberg, Patrick S LeaveyAbstract:: The American Society of Pediatric Hematology/Oncology (ASPHO) recognized recent changes in medical practice and the potential impact on Pediatric Hematology-oncology (PHO) workforce. ASPHO surveyed society members and PHO Division Directors between 2010 and 2016 and studied PHO workforce data collected by the American Board of Pediatrics and the American Medical Association to characterize the current state of the PHO workforce. The analysis of this information has led to a comprehensive description of PHO physicians, professional activities, and workplace. It is important to continue to collect data to identify changes in composition and needs of the PHO workforce.
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The American Society of Pediatric Hematology/Oncology workforce assessment: Part 1—Current state of the workforce
Pediatric Blood & Cancer, 2017Co-Authors: Jeffrey D Hord, Joanne M. Hilden, Dana C. Matthews, Sherif M. Badawy, Alan S. Wayne, Mona Shah, Edward Salsberg, Patrick S LeaveyAbstract:The American Society of Pediatric Hematology/Oncology (ASPHO) recognized recent changes in medical practice and the potential impact on Pediatric Hematology–oncology (PHO) workforce. ASPHO surveyed society members and PHO Division Directors between 2010 and 2016 and studied PHO workforce data collected by the American Board of Pediatrics and the American Medical Association to characterize the current state of the PHO workforce. The analysis of this information has led to a comprehensive description of PHO physicians, professional activities, and workplace. It is important to continue to collect data to identify changes in composition and needs of the PHO workforce.
Gaston De Serres - One of the best experts on this subject based on the ideXlab platform.
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immunization practices in acute lymphocytic leukemia and post hematopoietic stem cell transplant in canadian Pediatric Hematology oncology centers
Human Vaccines & Immunotherapeutics, 2016Co-Authors: Anne Phamhuy, Victoria Price, Lillian Sung, Dat Tran, Wendy Vaudry, Scott A Halperin, Gaston De SerresAbstract:ABSTRACTThere are no Canadian immunization guidelines for children treated for malignancy. Guidelines do exist for patients who underwent hematopoietic stem cell transplant (HSCT), but they provide broad timeframes for initiating vaccination; there is no standard schedule. The optimal approach to immunization in these populations is unclear. We sought to describe immunization practices at Canadian Pediatric Hematology/Oncology centers. A 43-item online questionnaire was distributed to the 16 programs in the C17 research network of Pediatric Hematology/oncology centers to capture information on timing and criteria for immunization of patients with acute lymphocytic leukemia (ALL) and those who have undergone HSCT. At each center, 1–2 physicians or pharmacists completed the survey to reflect center-wide immunization practices. Responses were received from 11/16 (69%) programs; 11 respondents reported on practices for patients with ALL and 9 reported on practices for patients who are post-HSCT. In 5/11 ALL p...
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Immunization practices in acute lymphocytic leukemia and post-hematopoietic stem cell transplant in Canadian Pediatric Hematology/Oncology centers
Human Vaccines & Immunotherapeutics, 2016Co-Authors: Anne Pham-huy, Victoria Price, Lillian Sung, Dat Tran, Wendy Vaudry, Scott A Halperin, Gaston De SerresAbstract:ABSTRACTThere are no Canadian immunization guidelines for children treated for malignancy. Guidelines do exist for patients who underwent hematopoietic stem cell transplant (HSCT), but they provide broad timeframes for initiating vaccination; there is no standard schedule. The optimal approach to immunization in these populations is unclear. We sought to describe immunization practices at Canadian Pediatric Hematology/Oncology centers. A 43-item online questionnaire was distributed to the 16 programs in the C17 research network of Pediatric Hematology/oncology centers to capture information on timing and criteria for immunization of patients with acute lymphocytic leukemia (ALL) and those who have undergone HSCT. At each center, 1–2 physicians or pharmacists completed the survey to reflect center-wide immunization practices. Responses were received from 11/16 (69%) programs; 11 respondents reported on practices for patients with ALL and 9 reported on practices for patients who are post-HSCT. In 5/11 ALL p...