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<a href="http://doi.org/10.1097/01.pec.0000245178.13418.4f" target="_blank" rel="noreferrer">http://doi.org/10.1097/01.pec.0000245178.13418.4f</a>
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Title
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Transitional medicine: will emergency medicine physicians be ready for the growing population of adults with congenital heart disease?
Publisher
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Pediatric Emergency Care
Date
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2006
Subject
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Cross-Sectional Studies; Humans; Adult; Education; Internship and Residency; Educational Measurement; Survivors; Medical; Emergency Service; Adolescent Transitions; Graduate; Heart Defects; Hospital; Congenital/therapy; Emergency Medicine/education
Creator
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Cross KP; Santucci KA
Description
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BACKGROUND: Currently, approximately 85% of children with significant congenital heart problems survive to adolescence and adulthood. This survival rate represents a dramatic improvement in the medical and surgical care of congenital heart disease (CHD) during the last 35 years. Nevertheless, these patients remain at increased risk for significant cardiac problems long after primary interventions are completed. They are more likely than the general population to seek urgent medical care, often in an emergency department setting. They represent a new and growing population of emergency department patients with a specialized set of problems not traditionally part of the training for emergency medicine (EM) physicians. OBJECTIVE: We investigated the current scope and status of training for EM physicians in the immediate management of CHD patients as they grow to adolescence and adulthood. METHODS: We conducted 2 cross-sectional surveys to assess the current training environment for 2 specific groups: (1) US general EM (GEM) residency programs, and (2) US and Canadian pediatric EM (PEM) fellowship programs. Surveys were mailed to program directors during the summer of 2005. A total of 198 surveys were sent out: 134 to GEM residency directors and 64 to PEM fellowship directors. RESULTS: The response rate overall was 68%, with a 64% response rate from the GEM residency directors and 77% from the PEM fellowship directors. Across all programs, 43% (56/130 respondents) were "unsure" about the existence or location of an adult CHD (ACHD) clinic in their area. When asked to rate the importance of ACHD as a training topic, 40 (85%) of 47 PEM fellowship directors and 62 (74%) of 84 GEM residency directors ranked it as "low priority" or "unnecessary." However, 70 (55%) of 127 respondents were "unsure," "uncomfortable," or "worried" about the ACHD training their trainees receive (PEM, 59%; GEM, 53%). In addition, most program directors (75%) estimated that their trainees care for 5 or fewer ACHD patients annually. CONCLUSIONS: There seems to be a mismatch between the growing need for ACHD emergency care and the current state of this topic in both GEM residency and PEM fellowship training programs.
2006
Identifier
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<a href="http://doi.org/10.1097/01.pec.0000245178.13418.4f" target="_blank" rel="noreferrer">10.1097/01.pec.0000245178.13418.4f</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2006
Adolescent Transitions
Adult
Backlog
Congenital/therapy
Cross KP
Cross-sectional Studies
Education
Educational Measurement
Emergency Medicine/education
Emergency Service
Graduate
Heart Defects
Hospital
Humans
Internship And Residency
Journal Article
Medical
Pediatric Emergency Care
Santucci KA
Survivors