Training Pediatric Cardiologists to Meet the Needs of Patients with Neurodevelopmental Disorders
The prevalence rate of congenital heart disease (CHD) in the US is currently 1% or about 40,000 births each year [1]. Unfortunately, CHD is often associated with other physical problems or developmental disabilities [2], significantly lower performance scores on intellectual assessments in the areas of sensorimotor functioning, language, attention, executive functioning, and memory [3] decreased social abilities [4], and autism spectrum disorders (ASD) [2,5]. In fact, children with CHD have 4.6 times higher rate of ASD than those without [6]. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - January 26, 2017 Category: Cardiology Authors: Krista M. Clancy, Steven E. Lipshultz Source Type: research
Patient Safety and Quality Improvement: What the Pediatric Trainee Needs to Know
Patient safety and quality improvement in healthcare has been a principle focus for more than a decade. Deaths attributable to medical errors have been estimated to be the third leading cause of mortality in the United States. As such, the healthcare industry has avidly pursued means to reduce errors by studying models of high reliability used in in the nuclear power and aviation industries. Pediatric studies have also shown the importance of patient safety events, and their contributory role to deaths and increased hospital charges and length of stay. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - January 24, 2017 Category: Cardiology Authors: Rudolph P. Valentini Source Type: research
Improving the American Board of Pediatrics Certifying Examination Pass Rate in a pediatric residency program
This article describes the development and implementation of a pediatric residency's program's efforts to improve the pass rates of its residents' on the ABP Certifying Examination. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - January 15, 2017 Category: Cardiology Authors: Lynn C. Smitherman, Deepak Kamat Source Type: research
Curricula components for entrustable professional activities for the subspecialty of pediatric cardiology
Entrustable professional activities (EPAs) for the subspecialty of pediatric cardiology were defined and developed by the task force committee for revised training guidelines chaired by Dr. Robert Ross in 2015 [1]. These were subsequently vetted, approved and published by the American Board of Pediatrics (ABP) and Council of Pediatric Subspecialties (CoPS) [2,3]. The EPA framework complements the competency/milestone framework and their integration provides a more comprehensive perspective on learner performance. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - January 13, 2017 Category: Cardiology Authors: Shubhika Srivastava, Elizabeth Braunlin, David Brown, Antonio Cabrera, Lowell Frank, Julie Glickstein, Troy Johnston, Peter Koenig, George McDaniel, Beth Printz, Benjamin Reinking, Pierre Wong, Carol Carraccio Source Type: research
Letter to the editor regarding the following article “The United States Pediatric Cardiology 2015 Workforce Assessment: A Survey of Current Training and Employment Patterns: A Report of the American College of Cardiology, American Heart Association, American Academy of Pediatrics Section on Cardiology and Cardiac Surgery, and Society for Pediatric C ardiology Training Program Directors.”
This report provides data that may validate these concerns. However, the report also showed that no graduate left the pediatric cardiology field during the survey period, providing an alternate interpretation that while the search may be more challenging than in the past, jobs are in fact available [1]. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - January 8, 2017 Category: Cardiology Authors: Tarek Alsaied, Jeanne F. James Source Type: research
Domains, competencies, EPAs, and training guidelines: A primer on developments in pediatric cardiology education
In 1999, the Accreditation Council for Graduate Medical Education (ACGME) and American Board of Medical Specialties (ABMS) adopted the six general competencies that have become ubiquitous in medical practice [1]. The domains of (1) medical knowledge (MK), (2) patient care (PC), (3) systems-based practice (SBP), (4) practice-based learning and improvement (PBLI), (5) interpersonal and communications skills (ICS), and (6) professionalism (PROF) (Table 1) are not only reflected in the goals and objectives, curricula, and evaluation tools of residencies and fellowship programs of all types, but are the standard by which hospit...
Source: Progress in Pediatric Cardiology - January 5, 2017 Category: Cardiology Authors: Lowell H. Frank Source Type: research
Connecting milestones to observable clinical performance through standardized pediatric cardiology rotations evaluations: Report and reflections on a novel pilot project
The Accreditation Council for Graduate Medical Education (ACGME) began the Next Accreditation System (NAS) in July 2013 as a restructuring of its accreditation process based on educational outcomes in the six core domains of competence [1,2]. In a joint effort of the ACGME and the American Board of Pediatrics (ABP), these domains of patient care, medical knowledge, systems-based practice, practice-based learning and improvement, interpersonal and communication skills, and professionalism were further divided into 48 subcompetencies with five developmental milestone levels defined for each [3 –10]. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 22, 2016 Category: Cardiology Authors: Lowell H. Frank, Peter R. Koenig, Shubhika Srivastava Source Type: research
Bronchopulmonary dysplasia associated pulmonary hypertension: Making the best use of bedside echocardiography
Pulmonary hypertension (PH) complicating bronchopulmonary dysplasia (BPD) is known though echocardiographic (ECHO) criteria and clinical relevance is unclear. An audit of infants ≤ 28 weeks gestational age (GA) and with ‘severe’ BPD was carried out for the period January 2014 to May 2015. Six objective ECHO markers were decided a priori. During the period, 56 infants with GA and birthweight 26 ± 1.4 weeks and 796 ± 190 g had ‘severe’ BPD. Twenty (35%) infants had no echocardiogram performed after 34 weeks corrected GA; the remaining 36 infants had an echocardiogram at 36.7 ± 2 weeks GA. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 18, 2016 Category: Cardiology Authors: Gopagondanahalli Krishna Revanna, Ansar Kunjunju, Arvind Sehgal Source Type: research
Transcatheter closure of perimembranous ventricular septal defects (VSDs) using the Amplatzer duct occluder I device
Isolated ventricular septal defects (VSDs) are the commonest congenital cardiac malformation. Approximately 80% of clinically relevant defects are perimembranous (pm VSD) [1]. Device closure of muscular and perimembranous VSD appears to offer a real alternative to the standard surgical approach [2]. However, the initial enthusiasm for transcatheter closure of clinically relevant pmVSDs was hampered with the anatomical challenges and the reported high rate of early and late heart block. Muscular defects are more amenable to closure, being distant from important structure. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 15, 2016 Category: Cardiology Authors: R. Sobhy, A El-Sisi, AM Fattouh, HM Agha, SA El-Saiedi, W Attia, DM Abdelaziz, H Hamza Source Type: research
Clinical Predictors of Permanent Injury to the Atrioventricular Conduction System after Congenital Heart Disease Surgery A new perspective on an old problem
This study was performed to identify clinical predictors of permanent complete heart block in the immediate post-operative period. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 7, 2016 Category: Cardiology Authors: M Cecilia Gonzalez, Gladys Salgado, Guillermo E. Moreno, Alberto Sciegata Source Type: research
Physician burnout: An emergent crisis
Every 24h, one physician commits suicide in the United States, making it the profession with the highest suicide rate [1]. In addition, physician drug abuse has been a growing issue, with surveys showing that at least 17% of physicians surveyed personally knew an impaired colleague [2]. The higher rates of suicide and substance abuse among physicians compared to the general population and other professionals have been linked to continuous stress from work challenges [3,4]. (See Fig. 1.) (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 5, 2016 Category: Cardiology Authors: Michelle E. Lee, David W. Brown, Antonio G. Cabrera Tags: Review Source Type: research
Pregnancy Causes a Transient Decrease in Systemic Ventricular Function in Women with Pre-existing Cardiac Disease
Pregnancy is known to induce significant hemodynamic changes. The purpose of our study was to determine the effects of these hemodynamic changes during pregnancy on systemic ventricular function (SVF) in women with pre-existing cardiac disease.A retrospective review of women followed in the Wisconsin Adult Congenital Heart Disease program with a concurrent pregnancy from 2006 to 2015 was conducted. The SVF was measured in a baseline echocardiogram (obtained ≤12months prior to the estimated dated of conception (EDC)), an echocardiogram during pregnancy, and a post-partum echocardiogram. (Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - December 4, 2016 Category: Cardiology Authors: Shivtej Singh Kaushal, Salil Ginde, Michael G. Earing, Peter Bartz, Aniko Szabo, Scott Cohen Source Type: research
Early extubation in pediatric heart surgery across a spectrum of case complexity: Impact on hospital length of stay and chest tube days
Early extubation is increasingly common in congenital heart surgery, but there are limited outcomes data across the spectrum of case complexity. We performed a retrospective review of 201 pediatric operations using cardiopulmonary bypass between 2012 and 2014. Patients extubated in the operating room or immediately on arrival to the ICU were compared to those extubated by traditional protocols. In-hospital mortality, major complications, need for re-intubation, hospital length of stay, and chest-tube days were compared between groups and by Society of Thoracic Surgeons-European Association for Cardiothoracic Surgery Congen...
Source: Progress in Pediatric Cardiology - December 4, 2016 Category: Cardiology Authors: Staci Beamer, Sunita Ferns, Lloyd Edwards, Greer Gunther, Jennifer Nelson Source Type: research
Future Topics and Guest Editors
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - November 30, 2016 Category: Cardiology Source Type: research
Future Meetings
(Source: Progress in Pediatric Cardiology)
Source: Progress in Pediatric Cardiology - November 30, 2016 Category: Cardiology Source Type: research
