Residents on the transport team: balancing service and education

Article Abstract:

Interhospital transport rotations appear to be beneficial to pediatric residents in developing communication and judgment skills. These rotations involve attending to pediatric patients and their families during transport from one hospital to another. Researchers surveyed 26 second-year residents before the transport rotation and after each of two blocks of the six-week rotation. The residents itemized their concerns about the program and evaluated the coursework and their own skill levels. Most of the residents (86%), particularly those who made more than 10 transports, ranked improvement in judgment skills as the most beneficial aspect of this rotation. A similar percentage of residents felt comfortable placing an intravenous line before (79%) and after the rotation (79%). Perceptions of skill levels were similar for other technical skills. More residents judged the interaction with teachers as being more helpful than the written materials and felt that this rotation provided the greatest opportunity to improve communication skills.

Officials and employees, Hospitals, Transport of sick and wounded, Medical transportation

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Sports medicine training during pediatric residency

Article Abstract:

Pediatric residents appear to get little or no training in sports medicine during their residencies. This is a problem because of the large number of children participating in sports who may need evaluation for sports readiness, treatment of injuries, or rehabilitation. A group of 148 chief residents in pediatrics responded to a survey assessing training in sports medicine and confidence in treating sports injuries. Although nearly three-quarters of residency programs had some lectures on sports medicine, over half of the residents reported this totaled three hours or less. More than half of the residents received some clinical training, but nearly half of these reported that this amounted to five hours or less. Only one-quarter of the respondents reported the availability of sports medicine electives. Of eight common sports injuries, most residents would care for ankle sprains and shin splints but would refer other injuries to specialists.

Sports medicine

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Comparison of continuity clinic experience by practice setting and postgraduate level

Article Abstract:

Academic settings for pediatric residency training may offer advantages over community-based sites. Researchers surveyed 118 pediatric residents regarding the training they received and care they provided in community private offices and in university-based private and public clinics. Residents in private offices saw more patients but did not see as many patients more than once as did university clinic residents. Residents in private offices provided more acute care and less well-child care, and spent more time observing rather than dealing with patients on their own. Doctors training residents should be assessed for their ability to teach.

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