Pediatric Hospitalists' Performance of Recommended Minor Procedures: A Multicenter Study.

التفاصيل البيبلوغرافية
العنوان:	Pediatric Hospitalists' Performance of Recommended Minor Procedures: A Multicenter Study.
المؤلفون:	Kuchipudi YS; Divisions of Hospital Medicine., Rule A; Divisions of Neonatology and Hospital Medicine, Children's Healthcare of Atlanta, Atlanta, Georgia.; Department of Pediatrics, Emory School of Medicine, Atlanta, Georgia., Caldwell A; Divisions of Hospital Medicine.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio., Fenchel M; Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Bosse D; Divisions of Hospital Medicine., Schuler CL; Divisions of Hospital Medicine.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio., Jones YO; Divisions of Hospital Medicine.; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
مؤلفون مشاركون:	Minor Procedures in Pediatric Hospital Medicine Study Group
المصدر:	Hospital pediatrics [Hosp Pediatr] 2023 Dec 01; Vol. 13 (12), pp. 1039-1047.
نوع المنشور:	Multicenter Study; Journal Article
اللغة:	English
بيانات الدورية:	Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE
أسماء مطبوعة:	Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine
مواضيع طبية MeSH:	Hospitalists*, Humans ; Male ; Female ; Child ; Surveys and Questionnaires ; Spinal Puncture ; Fellowships and Scholarships
مستخلص:	Background and Objectives: Performance of minor procedures is highly variable among pediatric hospitalists. Our objective was to describe procedural frequency and measure self-assessed competence in recommended minor procedures among practicing hospitalists. Methods: An electronic survey was administered across 20 US institutions. An individual survey assessed training, frequency, independence, and success in performing 11 minor procedures. The site survey described practice settings at participating study sites. The primary outcome was respondents' self-assessed competence (SAC), derived by averaging self-assessed independence and success scores (each on a 5-point Likert scale) across all 11 minor procedures. Associations between predictor variables and SAC were determined through analysis of variance for categorical variables and fitted regression models for continuous variables. Results: Of the 360 survey respondents, the majority were female (70%), not fellowship trained (78%), and had 10 years or fewer experience as a hospitalist (72%). Lumbar puncture and bag mask ventilation were most frequently performed. Greater procedural frequency and time since graduation from training were associated with higher SAC scores among respondents. Practice characteristics, including comanagement of patients and reserved time for practicing procedures, were associated with higher SAC scores. The presence of a simulation center and fellowship program was not associated with higher SAC scores. Conclusions: Pediatric hospitalists that performed procedures more frequently had higher self-assessed procedural competence. Tailored opportunities with increased hands-on experience in performing minor procedures may be important to develop and maintain procedural skills. (Copyright © 2023 by the American Academy of Pediatrics.)
التعليقات:	Comment in: Hosp Pediatr. 2023 Dec 1;13(12):e387-e389. (PMID: 37927111)
تواريخ الأحداث:	Date Created: 20231106 Date Completed: 20231204 Latest Revision: 20231204
رمز التحديث:	20231204
DOI:	10.1542/hpeds.2023-007202
PMID:	37927058
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	2154-1671
DOI:	10.1542/hpeds.2023-007202