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J Pediatr Orthop. 2015 Mar;35(2):199-202. doi: 10.1097/BPO.0000000000000201.

Emergency department on-call status for pediatric orthopaedics: a survey of the POSNA membership.

Author information

1
*Department of Orthopaedics, Yale University School of Medicine, New Haven, CT ‡Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR §Milwaukee Children's Hospital, Milwaukee, WI †MS of OrthoNorCal Orthopedic Specialists, San Jose ∥Children's Hospital of Orange County, Orange, CA ¶Texas Children's Hospital, Houston, TX #Cincinnati Children's Hospital, Cincinnati, OH.

Abstract

BACKGROUND:

The emergency room on-call status of pediatric orthopaedic surgeons is an important factor affecting their practices and lifestyles and was last evaluated in 2006.

METHODS:

The entire membership of the Pediatric Orthopaedic Society of North America (POSNA) was surveyed in 2010 for information regarding their emergency room on-call status with 382 surveys returned of over 1000 e-mailed to members of POSNA. Detailed information about on-call coverage, support, and frequency was obtained in answers to 14 different questions.

RESULTS:

Compared with the prior survey in 2006, the 2010 survey indicated that a higher percentage of pediatric orthopaedic surgeons receive compensation for taking emergency room call; a higher percentage cover pediatric patients only when on-call; and accessibility to operating rooms in a timely manner for trauma cases, although limited, has improved for pediatric patients. Utilization of support staff to meet on-call trauma coverage demands, such as residents, physician's assistants, and nurse practitioners, is becoming more common.

CONCLUSIONS:

Concentration of pediatric orthopaedic trauma has increased the coverage demands on pediatric orthopaedists. This has resulted in a change in reimbursement strategies, and allocation of OR time and hospital staffing resources.

PMID:
25668789
DOI:
10.1097/BPO.0000000000000201
[Indexed for MEDLINE]

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