Sticking It Straight: Pediatric Procedure Curriculum Initiative.


OBJECTIVES:Literature demonstrates that pediatric residents are not graduating with procedural confidence and competency. This was confirmed with our own institution's Accreditation Council for Graduate Medical Education and internal surveys. Our primary objective was to improve procedural confidence among pediatric residents with the introduction of a mandatory longitudinal pediatric procedural curriculum, including simulation in combination with online modules. METHODS:We performed a quality improvement intervention to increase resident comfort level performing Accreditation Council for Graduate Medical Education-required procedures. This study involved pediatric residents, postgraduation year (PGY) 1-3, at an academic, tertiary care hospital. Between April 2015 and June 2017, the combination of online self-directed learning modules and hands-on simulation curriculum was implemented for pediatric residents. Surveys were administered at 1-year intervals to assess self-reported comfort level on 12 procedures using a Likert scale (1 for "strongly disagree" to 5 for "strongly agree, maximum score of 60 for all procedures). RESULTS:Forty (63%) of 63 participant presurveys and 45 (71%) of 63 postsurveys were available for analysis. The mean comfort level for all procedures demonstrated a statistically significant increase from 32.4 to 37.1, or 12.7% (P = 0.005). By PGY level, the score increased from 24.4 to 30.9 (21%) for PGY1, 34.4 to 37.5 (8.3%) for PGY2, and 38.6 to 42.8 (9.8%) for PGY3 (P < 0.005). Overall, pediatric residents rated the simulation experience very favorably. CONCLUSIONS:A mandatory longitudinal procedure curriculum improved procedural comfort level among pediatric residents. Iterative curriculum designs found the most productive combination to be deliberate practice within mastery learning simulation sessions with required precourse online modules.


Pediatr Emerg Care


Pediatric emergency care


Price A,Greene HM,Stem CT,Titus MO




Has Abstract


2020-12-21 00:00:00








Publish Ahead of Print


  • Adverse events in pediatric ketamine sedations with or without morphine pretreatment.

    abstract:OBJECTIVE:To assess outcomes between 2 groups of patients receiving ketamine for procedural sedations in our pediatric emergency department. Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment. METHODS:This was a retrospective cohor...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Waterman GD Jr,Leder MS,Cohen DM

    更新日期:2006-06-01 00:00:00

  • Toxicological Emergencies in the Resuscitation Area of a Pediatric Emergency Department: A 12-Month Review.

    abstract:OBJECTIVE:Few studies of children with toxicological emergencies describe those undergoing acute resuscitation, and most describe exposures to single agents. We describe a 12-month sample of patients evaluated in the resuscitation area of a pediatric emergency department (ED) for a toxicological emergency. METHODS:We ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Beauchamp GA,Kerrey BT,Mittiga MR,Rinderknecht AS,Yin S

    更新日期:2017-10-01 00:00:00

  • Do published guidelines predict pneumonia in children presenting to an urban ED?

    abstract:OBJECTIVES:In 1997, a Canadian task force published evidence-based guidelines for diagnosing pediatric pneumonia, concluding that the absence of each of four signs (ie, respiratory distress, tachypnea, crackles, and decreased breath sounds) accurately excludes pneumonia. The study was performed to evaluate the accuracy...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Rothrock SG,Green SM,Fanelli JM,Cruzen E,Costanzo KA,Pagane J

    更新日期:2001-08-01 00:00:00

  • Holiday ornament-related injuries in children.

    abstract:OBJECTIVES:Holiday ornament injuries in children have not been well documented in the medical literature. Our aim was to investigate the patterns of injuries sustained from these ornaments as a first measure toward prevention. METHODS:This was a retrospective cohort analysis of all patients examined in an urban pediat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kimia A,Lee L,Shannon M,Capraro A,Mays D,Johnston P,Hummel D,Shuman M

    更新日期:2009-12-01 00:00:00

  • A warning: don't be stumped by stump appendicitis.

    abstract::When an emergency medicine physician evaluates a child with abdominal pain and a history of appendectomy, appendicitis is often excluded from the differential. We present a case of a 16-year-old boy who developed stump appendicitis 3 years after laparoscopic appendectomy. Knowledge of this rare phenomenon in children ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Schreiner C,Hartin CW Jr,Yamout SZ,Ozgediz DE,Glick PL

    更新日期:2013-01-01 00:00:00

  • When Fever, Leukocytosis, and Right Lower Quadrant Pain Is Not Appendicitis.

    abstract::Mesenteric cystic lymphangioma (MCL) is an uncommon, benign, slow-growing abdominal tumor that is derived from the lymphatic vessels (World J Gastroenterol. 2012;18:6328-6332, Radiographics. 1994;14:729-737). It is most often diagnosed in the head and neck of affected children. Rarely, a lymphangioma can develop withi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Kurbedin J,Haines L,Levine MC,Dickman E

    更新日期:2017-09-01 00:00:00

  • Pediatric observation status beds on an inpatient unit: an integrated care model.

    abstract:OBJECTIVES:Describe the usage of observation status (OS) beds on a pediatric inpatient unit and identify diagnoses likely to be successfully discharged compared to those requiring formal inpatient admission. METHODS:Retrospective chart review of all patients (0-18 years) transferred to pediatric OS beds from the emerg...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Crocetti MT,Barone MA,Amin DD,Walker AR

    更新日期:2004-01-01 00:00:00

  • Application of Pediatric Appendicitis Score on the emergency department of a secondary level hospital.

    abstract:BACKGROUND:Acute appendicitis is the most common surgical emergency during childhood. Accurate early diagnosis is important to avoid complications and unnecessary interventions. In 2002, Samuel developed the Pediatric Appendicitis Score (PAS) based on a series of data obtained from anamnesis, physical examination, and ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Zúñiga RV,Arribas JL,Montes SP,Fernandez MN,Abad CG,Martin LG,González-Sagrado M

    更新日期:2012-06-01 00:00:00

  • Child Mental Health Services in the Emergency Department: Disparities in Access.

    abstract:OBJECTIVE:Recent research suggests that increasing numbers of caregivers are bringing their children to the emergency department (ED) for mental health services and that a large proportion of these children have Medicaid as their insurance. The objective of this study was to examine the characteristics of children with...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Lynch S,Bautista M,Freer C,Kalynych C,Hendry P

    更新日期:2015-07-01 00:00:00

  • Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood.

    abstract::Acute disseminated encephalomyelitis is a rare central nervous system demyelinating disease that occurs most frequently in children. It usually runs a monophasic course, beginning with fever, headache, and meningeal signs and rapidly progressing to coma when appropriate diagnosis and treatment are not provided. We rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sztajnbok J,Lignani L Jr,Bresolin AU,Marotto PC,Seguro AC

    更新日期:1998-02-01 00:00:00

  • The Elusive Diagnosis of Adolescent Systemic Lupus Erythematosus.

    abstract::Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple systems, and its various symptoms are often mistaken for other diseases. This case report describes a 15-year-old girl who presented to the emergency department with complaints of diffuse abdominal pain, facial swelling, joint pain, low-gra...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Mancini M

    更新日期:2019-01-01 00:00:00

  • Optimizing patient/caregiver satisfaction through quality of communication in the pediatric emergency department.

    abstract:BACKGROUND:Optimizing patient/family caregiver satisfaction with emergency department (ED) encounters has advantages for improving patient health outcomes, adherence with medical plans, patient rights, and shared participation in care, provider satisfaction, improved health economics, institutional market share, and li...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Locke R,Stefano M,Koster A,Taylor B,Greenspan J

    更新日期:2011-11-01 00:00:00

  • Oral rehydration therapy: is anyone drinking?

    abstract:OBJECTIVES:To examine attitudes toward the use of oral rehydration therapy (ORT) by pediatric emergency medicine physicians before and after being given recent data that might affect their practice and to see if there is a difference in responses based upon year of graduation from medical school. METHODS:A national su...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bender BJ,Ozuah PO,Crain EF

    更新日期:2007-09-01 00:00:00

  • Rest-Based Concussion Management of Pediatric Emergency Medicine Providers.

    abstract:OBJECTIVES:This study aimed to survey pediatric emergency medicine (PEM) providers on their management of 2 hypothetical acute concussion scenarios. We hypothesized that most providers would recommend a management strategy based on cognitive and physical rest. METHODS:Fifty-nine percent (46/78) of PEM providers that w...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Root JM,Fong J,Badolato G,Madati PJ

    更新日期:2019-01-21 00:00:00

  • Ability of hospitals to care for pediatric emergency patients.

    abstract:CONTEXT:The needs of children in emergency situations differ from those of adults and require special attention, yet there has been no study of the ability of U.S. hospitals to care for emergently or critically ill children. OBJECTIVE:To estimate the distribution of pediatric services available at U.S. hospitals with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Athey J,Dean JM,Ball J,Wiebe R,Melese-d'Hospital I

    更新日期:2001-06-01 00:00:00

  • Real-Time Measurement of Crowding in Pediatric Emergency Department: Derivation and Validation Using Consensual Perception of Crowding (SOTU-PED).

    abstract::Our study aimed to develop and validate a real-time crowding composite scale for pediatric emergency department (PED). The study took place in one teaching PED for 2 months. The outcome was the perception of crowding evaluated by triage nurses and pediatricians on a 10-level Likert scale. Triage nurses evaluated crowd...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Noel G,Jouve E,Fruscione S,Minodier P,Boiron L,Viudes G,Gentile S

    更新日期:2020-01-27 00:00:00

  • Chlamydia pneumonia mimicking miliary tuberculosis.

    abstract::Chlamydia trachomatis is a common cause of subacute, afebrile pneumonia with onset from 1 to 3 months of age. On physical examination, crepitant inspiratory rales are commonly heard. Infiltration is usually bilateral and interstitial; reticulonodular pattern and atelectasis have also been described, which distinct the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Camlar SA,Babayigit A,Olmez D,Duman M,Makay B,Anal O,Uzuner N,Cakmakci H

    更新日期:2009-09-01 00:00:00

  • Scorpion envenomation and antivenom therapy.

    abstract::Scorpion envenomation is a dangerous and common global event that can result in a variety of toxic clinical effects. These are typically managed with supportive care or antivenom. Antivenom use is controversial because of conflicting evidence of effectiveness for adrenergic toxicity. However, both controlled and uncon...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tuuri RE,Reynolds S

    更新日期:2011-07-01 00:00:00

  • Honeycomb gallbladder: a very rare cause of right upper quadrant pain.

    abstract::Honeycomb gallbladder is a rare congenital malformation of the gallbladder. In some cases, it may be asymptomatic, whereas in others, it may lead to symptoms consistent with biliary colic even in the absence of cholelithiasis. We present the clinical and imaging findings of a case of a 10-year-old boy who was admitted...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Aydin R,Bilgici MC,Polat AV,Aslan K,Kalayci AG

    更新日期:2013-12-01 00:00:00

  • Effect of cough and cold medication withdrawal and warning on ingestions by young children reported to Texas poison centers.

    abstract:OBJECTIVE:This study examined whether the withdrawal of over-the-counter cough and cold medication labeled for use in children younger than 2 years in October 2007 and the warning against use of the products in children younger than 4 years in October 2008 affected cough and cold medication ingestions by young children...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Forrester MB

    更新日期:2012-06-01 00:00:00

  • Pediatricians' evaluations of their residency curriculum in emergency medicine.

    abstract:OBJECTIVE:To describe residency graduates' perceptions of their preparation for providing pediatric emergency medical care. METHODS:The design was a cross-sectional survey set in a university-affiliated pediatric residency program. Twenty residency graduates from 1994 and 1995 who did not have an emergency department ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bowen KA,Ball TM

    更新日期:2003-04-01 00:00:00

  • Pulmonary Embolism Mimicking Infectious Pleuritis.

    abstract::The diagnosis of pulmonary thromboembolism (PE) is often delayed because it is usually misdiagnosed as pneumonia or deep vein thrombosis. We report an unusual case of PE misdiagnosed as viral pleuritis on the first arrival at the emergency department (ED) in our hospital. A 14-year-old girl with no previous significan...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tetsuhara K,Tsuji S,Uematsu S,Kamei K

    更新日期:2018-11-01 00:00:00

  • Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.

    abstract:OBJECTIVES:To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. METHODS:During a 2-year period (January 2001 to December 2002), accompanying people of 2157 children with acute intoxication who visited consecutively at the emergency room were pro...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Mintegi S,Fernández A,Alustiza J,Canduela V,Mongil I,Caubet I,Clerigué N,Herranz M,Crespo E,Fanjul JL,Fernández P,Humayor J,Landa J,Muñoz JA,Lasarte JR,Núñez FJ,López J,Molina JC,Pérez A,Pou J,Sánchez CA,Vázquez

    更新日期:2006-05-01 00:00:00

  • Provider Prediction of Disposition for Children With an Acute Exacerbation of Asthma Presenting to the Pediatric Emergency Department.

    abstract:OBJECTIVE:The aim of this study was to evaluate the accuracy of the initial impression of emergency department providers on the disposition of children with asthma exacerbation. METHODS:We conducted a prospective survey of physicians and other providers in the emergency department of a children's hospital and parents ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Caperell K,Pettigrew J,Gerughty A,Stevenson M

    更新日期:2019-02-01 00:00:00

  • Pediatric rapid sequence intubation: a review.

    abstract::Pediatric rapid sequence intubation is a skill of great importance to emergency medicine physicians. Developing a systematic strategy for approaching an emergent airway aids in the proper handling of this event. This paper is a review of the current recommendations for pediatric rapid sequence intubation including cur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Bledsoe GH,Schexnayder SM

    更新日期:2004-05-01 00:00:00

  • Empiric therapy of perianal lesions in a sexually abused child: medical and forensic implications.

    abstract::A two-year, eight-month-old boy was diagnosed clinically with perianal warts and treated with topical 5-Fluorouracil, with subsequent resolution of the lesions. The child disclosed sexual abuse, and subsequent physical abuse was also documented. Attempts to identify the perpetrator have been hampered by the child's yo...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hicks RA

    更新日期:1993-12-01 00:00:00

  • Acute Rheumatic Fever: Revised Diagnostic Criteria.

    abstract::The Jones criteria of 2 major criteria or 1 major plus 2 minor criteria that have been classically used to establish the diagnosis have been significantly modified in 2015 by the American Heart Association. The criteria now include the utilization of echocardiography and Doppler color flow mapping as diagnostic tools ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Rhodes KL,Rasa MM,Yamamoto LG

    更新日期:2018-06-01 00:00:00

  • Epidemic Adolescent Binge Drinking at Lollapalooza, A Music Festival in Chicago.

    abstract:OBJECTIVES:Lollapalooza (LP) is an annual 3-day outdoor music festival in Chicago. Underage drinking and drug use are believed to be common, but the burden on emergency departments (EDs) has not been documented. We assessed the burden on health care resources associated with this music festival. METHODS:We performed a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: McAndrew SE,Smith TL,Groothuis E,Koressel LR,Unti SM,Powell EC,Tanz RR

    更新日期:2019-06-01 00:00:00

  • Ceftriaxone use in the emergency department: are we doing it right?

    abstract:OBJECTIVE:To evaluate the patterns of ceftriaxone use in an urban pediatric emergency department (PED) and to determine if overuse exists based on published guidelines for management of febrile infants. METHODS:We conducted a retrospective study of 229 young febrile patients who received ceftriaxone between January 1 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Jain S,Sullivan K

    更新日期:2002-08-01 00:00:00

  • Poor Agreement but Good Predictive Value Between Automated and Manual QTc Intervals in Pediatric Emergency Department Electrocardiograms.

    abstract:OBJECTIVES:QTc interval is significant because prolongation may lead to ventricular dysrhythmia. Computerized electrocardiogram machines typically measure QT interval length and, using an algorithm assessment of multiple leads, calculate a QTc value. Manual measurement of the QT interval used to calculate the QTc value...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hoffman RJ,Alansari K

    更新日期:2020-06-01 00:00:00