General emergency physician perceptions of caring for children: A qualitative interview study.

Autor: Toto RL; Children's Hospital of Philadelphia Philadelphia Pennsylvania USA., Delgado EM; Children's Hospital of Philadelphia Philadelphia Pennsylvania USA., Ketterer T; Children's Hospital of Philadelphia Philadelphia Pennsylvania USA., Berner E; Children's Hospital of Philadelphia Philadelphia Pennsylvania USA., Landau SI; University of Pennsylvania Philadelphia Pennsylvania USA., Crowe M; Temple University Philadelphia Pennsylvania USA., Monroig AC; UPMC Children's Hospital of Pittsburgh Pittsburgh Pennsylvania USA., Haghighat GS; Thomas Jefferson University Hospital Philadelphia Pennsylvania USA., Mollen CJ; Children's Hospital of Philadelphia Philadelphia Pennsylvania USA.
Jazyk: angličtina
Zdroj: AEM education and training [AEM Educ Train] 2024 Oct 29; Vol. 8 (5), pp. e11038. Date of Electronic Publication: 2024 Oct 29 (Print Publication: 2024).
DOI: 10.1002/aet2.11038
Abstrakt: Background: Emergency physicians care for most children presenting to U.S. emergency departments (EDs). Pediatric exposure during emergency medicine (EM) residency can be variable and critically ill children are rarely encountered. A recent needs assessment revealed that emergency physicians feel less prepared to manage various conditions in children and that infants, regardless of presenting complaint, pose particular challenges. Emergency physician perceptions of the experience of caring for pediatric patients have not been widely examined through a qualitative lens.
Methods: We designed an interview-based qualitative study to explore emergency physician perspectives on pediatric patient care. We recruited emergency physicians who graduated from residency in 2015-2019 and all rotated through the same large tertiary children's hospital. Four trained interviewers conducted in-depth, one-on-one virtual interviews. An interdisciplinary team transcribed and then coded the interviews. The team performed a conventional content analysis for themes. Recruitment continued until thematic saturation was achieved.
Results: Twelve participants completed interviews. These participants trained in five diverse residency programs. Likewise, the participants now practice in a variety of settings. Three major themes emerged from the data: (1) experience and exposure are key to establishing comfort caring for children; (2) simulation, pathways, and the pediatric anesthesia rotation are educationally useful; and (3) caring for children poses unique emotional challenges. Participants shared many recommendations for future pediatric education for EM trainees, including increasing autonomy and exposure to neonates and considering how care might differ in a community setting.
Conclusions: This interview-based qualitative study elucidates key themes in recently graduated emergency physicians' perceived experience of caring for children. Our findings have important educational implications for this group of emergency physicians and those who share similar experiences in training and practice.
Competing Interests: The authors declare no conflicts of interest.
(© 2024 Society for Academic Emergency Medicine.)
Databáze: MEDLINE
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