Neonatology in residency curricula: how much is too much?

Article Abstract:

It is often questioned why pediatric residents need to spend so much of their residency program rotating through the Neonatal intensive care unit (NICU). After all, the vast majority will not render this type of intensive care once they are actually in pediatric practice. The importance of this NICU rotation is to expose the resident to basic pediatric medicine as well as to problem-solving with critically ill patients. Often it is in the NICU that the resident is first exposed to the death of a patient. The resident has a chance to learn how to care for the family of a dying child. They also learn an approach to caring for a critically ill infant as a whole individual, not a collection of organ systems. Can these training experiences be quantified? General pediatric residents need NICU experience, because many will be involved in initial resuscitation and stabilization of newborns, until the infants are transferred to the NICU. The general pediatrician will also care for infants after they are discharged from NICU, and will thus need to understand the treatment given and the ongoing management required by these infants. Often these children have medical problems that continue for a long period of time, and these are managed by the pediatrician. (Consumer Summary produced by Reliance Medical Information, Inc.)

Curricula, Neonatal intensive care, Pediatricians, Graduate medical education, editorial

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Telephone-based interventions in outpatient care

Article Abstract:

The telephone can be a useful tool for patients with chronic conditions to exchange information with their physicians. Researchers have demonstrated that regular telephone contact by medical office staff can decrease pain and disability and increase psychological health in patients with osteoarthritis. Other studies have demonstrated the utility of the telephone for glucose monitoring in diabetes, and in the care of lupus and rheumatoid arthritis patients. Finding a suitable system of telephone-based consultation can improve patient health and reduce health care expenditures.

Health aspects, Care and treatment, Methods, Telephone, Telephony, Ambulatory medical care, Ambulatory care, Chronically ill

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Rheumatology outpatient training: time for a rethink?

Article Abstract:

Training rheumatology residents in an outpatient clinic can provide valuable clinical experience, but education must remain the central goal. Outpatient clinics provide experiential learning, where patient-doctor encounters contribute to the clinical understanding of the rheumatology trainee. To be successful, such training must ensure an adequate mix of patients; time for teaching, questions and evaluation; enough continuity to demonstrate the progression of disease and the treatment response, and formal discussion of cases.

Rheumatologists, Rheumatology

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