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Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...

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Related Experiment Video

Updated: Jun 20, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
09:51

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Pediatric surgery workforce: supply and demand.

Don K Nakayama1, Randall S Burd, Kurt D Newman

  • 1Mercer University School of Medicine, Macon, GA 31201, USA. nakayama.don@mccg.org

Journal of Pediatric Surgery
|September 9, 2009
PubMed
Summary
This summary is machine-generated.

The United States faces a pediatric surgeon shortage due to both insufficient numbers and uneven distribution. This impacts patient access, particularly in smaller communities, highlighting the need for targeted training and incentives.

Related Experiment Videos

Last Updated: Jun 20, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
09:51

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators

Published on: March 21, 2018

Area of Science:

  • Medical Workforce Analysis
  • Pediatric Surgical Services
  • Healthcare Planning

Background:

  • A documented shortage of pediatric surgeons in the U.S. necessitates an accurate assessment of the current workforce and future demand.
  • Understanding the distribution and demographics of pediatric surgical providers is crucial for effective healthcare planning and addressing service gaps.

Purpose of the Study:

  • To estimate the current pediatric surgical workforce size and composition in the United States.
  • To determine the estimated demand for additional pediatric surgeons nationwide.
  • To inform workforce planning strategies for pediatric surgical services.

Main Methods:

  • A survey was distributed to 849 members of the American Pediatric Surgical Association (APSA).
  • Data collected included active, retired, and inactive APSA surgeons, non-APSA fellowship graduates, surgeons without accredited fellowship training, and estimated demand.
  • Surgeons and practices offering pediatric surgical services were identified using internet searches, with service areas defined by U.S. Census Metropolitan Statistical Areas (MSAs).

Main Results:

  • The estimated current pediatric surgical workforce comprises 1150 surgeons, with active APSA members (60%) being the largest group.
  • A significant demand for 280 additional pediatric surgeons was estimated nationally.
  • Pediatric surgeons are concentrated in larger metropolitan areas, with general surgeons often providing services in smaller communities.

Conclusions:

  • The pediatric surgery workforce shortage is characterized by both numerical deficits and geographical maldistribution.
  • Incentives are needed to encourage pediatric surgical trainees to practice in underserved regions.
  • Enhancing surgical training to include more pediatric-specific skills may help address current service gaps.