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Published on: May 20, 2018
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A pediatric residency experience with surgical co-management
Anna Marie Carr1, Matilde Irigoyen, Robert Samuel Wimmer
1Albert Einstein Medical Center, Department of Pediatrics, 5501 Old York Rd, Philadelphia, PA 19141, USA. carra@einstein.edu
Hospital Pediatrics
|December 18, 2013
Summary
Pediatric residency programs benefit from surgical co-management, enhancing resident skills in perioperative care and interprofessional teamwork. This model improves training for children with special health care needs (CYSHCN).
Area of Science:
- Medical Education
- Pediatric Surgery
- Residency Training
Background:
- Pediatric residency requires surgical patient care skills.
- Pediatric-surgical co-management is growing but its training impact is unknown.
Purpose of the Study:
- Describe a 5-year experience with pediatric-surgical co-management in residency.
- Assess impact on resident knowledge, skills, and teamwork.
Main Methods:
- Implemented co-management model (2005-2010).
- Analyzed case volume and diversity.
- Collected resident and faculty feedback via evaluations, meetings, and surveys.
Main Results:
- Co-managed patient volume tripled; 79% had comorbidities, 36% were children with special health care needs (CYSHCN).
- Residents gained skills in pain, fluid/electrolytes, respiratory, nutrition, and teamwork.
- Strengths: CYSHCN exposure, subspecialty faculty access. Challenges: role clarity, communication.
Conclusions:
- Surgical co-management offers significant opportunities for pediatric resident development.
- Enhances perioperative knowledge, skills, and interprofessional collaboration.
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