Defining Graduation Expectations for Managing Acute Injury in General Pediatrics.

IF 2.8 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2026-09-28 DOI:10.1016/j.acap.2026.103472

Tyler Sternhagen, Adam A Vukovic, Norah O'Toole, Melissa Klein, Holly Hanson, Daniel J Schumacher

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引用次数: 0

Abstract

Background: Acute injuries in general pediatric care are prevalent, yet regulatory body recommendations regarding acute injury training in pediatric residency are limited. We sought to define the acute injury conditions and skills that graduating general pediatricians should be expected to recognize, manage, or perform.

Methods: Employing a nominal group technique, we generated a list of potential acute injury conditions and skills general pediatricians should be expected to recognize, manage, or perform. This list was prioritized by a geographically diverse cohort of general pediatrics, pediatric emergency medicine, and pediatric sports medicine physicians through a Delphi process. Participants rated the level of importance of recognition, management, or skill completion in the pediatric primary care setting using a six-point scale. Consensus criteria of 90% agreement was used for inclusion and exclusion.

Results: Three iterative Delphi rounds prioritized 54 items, including 34 recognize only, 8 recognize and manage, 1 manage only, and 11 procedural applications.

Conclusion: The items prioritized in this study can inform future acute care curricula, ensuring that training prepares graduating pediatricians to meet the needs of patients presenting with acute injuries.

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定义普通儿科急性损伤管理的毕业期望。

背景：急性损伤在普通儿科护理中普遍存在，然而监管机构关于儿科住院医师急性损伤培训的建议是有限的。我们试图定义急性损伤条件和技能，毕业的普通儿科医生应该被期望识别，管理或执行。方法：采用名义上的小组技术，我们生成了一个潜在的急性损伤条件和技能的列表，一般儿科医生应该被期望识别，管理，或执行。通过德尔菲程序，由地理位置不同的普通儿科、儿科急诊医学和儿科运动医学医生进行优先排序。参与者使用6分制对儿童初级保健环境中认识、管理或技能完成的重要性进行评分。纳入和排除采用90%的一致标准。结果：3轮德尔菲迭代共优选54个项目，其中仅识别34个，识别管理8个，仅管理1个，程序性应用11个。结论：本研究中优先考虑的项目可以为未来的急性护理课程提供信息，确保培训为即将毕业的儿科医生做好准备，以满足急性损伤患者的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.