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Good RJ, Zurca AD, Turner DA, Bjorklund AR, Boyer DL, Krennerich EC, Petrillo T, Rozenfeld RA, Sasser WC, Schuette J, Tcharmtchi MH, Watson CM, Czaja AS. Transport Medical Control Education for Pediatric Critical Care Fellows: A National Needs Assessment Study. Pediatr Crit Care Med 2022; 23:e55-e59. [PMID: 34261945 DOI: 10.1097/pcc.0000000000002803] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Characterize transport medical control education in Pediatric Critical Care Medicine fellowship. DESIGN Cross-sectional survey study. SETTING Pediatric Critical Care Medicine fellowship programs in the United States. SUBJECTS Pediatric Critical Care Medicine fellowship program directors. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS We achieved a 74% (53/72) response rate. A majority of programs (85%) require fellows to serve as transport medical control, usually while carrying out other clinical responsibilities and sometimes without supervision. Fellows at most programs (80%) also accompany the transport team on patient retrievals. Most respondents (72%) reported formalized transport medical control teaching, primarily in a didactic format (76%). Few programs (25%) use a standardized assessment tool. Transport medical control was identified as requiring all six Accreditation Council for Graduate Medical Education competencies, with emphasis on professionalism and interpersonal and communication skills. CONCLUSIONS Transport medical control responsibilities are common for Pediatric Critical Care Medicine fellows, but training is inconsistent, assessment is not standardized, and supervision may be lacking. Fellow performance in transport medical control may help inform assessment in multiple domains of competencies. Further study is needed to identify effective methods for transport medical control education.
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Affiliation(s)
- Ryan J Good
- Section of Critical Care Medicine, Department of Pediatrics, University of Colorado at Denver, Anschutz Medical Campus, Denver, CO
| | - Adrian D Zurca
- Division of Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Children's Hospital, Hershey, PA
| | - David A Turner
- Competency-Based Medical Education, American Board of Pediatrics, Chapel Hill, NC
- Division of Pediatric Critical Care, Department of Pediatrics, Duke University Hospital and Health System, Durham, NC
| | - Ashley R Bjorklund
- Division of Pediatric Critical Care, University of Minnesota, Minneapolis, MN
| | - Donald L Boyer
- Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
| | - Emily C Krennerich
- Section of Pediatric Critical Care, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX
| | - Toni Petrillo
- Division of Critical Care Medicine, Department of Pediatrics, Emory School of Medicine, Atlanta, GA
| | - Ranna A Rozenfeld
- Division of Pediatric Critical Care Medicine, Department of Pediatrics, Hasbro Children's Hospital, Brown University, Providence, RI
| | - William C Sasser
- Division of Pediatric Critical Care Medicine, University of Alabama - Birmingham, Birmingham, AL
| | - Jennifer Schuette
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Children's Center and Johns Hopkins School of Medicine, Baltimore, MD
| | - M Hossein Tcharmtchi
- Section of Pediatric Critical Care, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, TX
| | - Christopher M Watson
- Department of Pediatrics, Medical College of Georgia at Augusta University, Augusta, GA
| | - Angela S Czaja
- Section of Critical Care Medicine, Department of Pediatrics, University of Colorado at Denver, Anschutz Medical Campus, Denver, CO
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