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Who manages burn injuries in children? A program director survey evaluating burn training during pediatric surgery fellowship
Journal of Pediatric Surgery ( IF 2.4 ) Pub Date : 2021-09-20 , DOI: 10.1016/j.jpedsurg.2021.09.017
Joseph R Esparaz 1 , Scott A Anderson 1 , Mike K Chen 1 , Elizabeth A Beierle 1
Affiliation  

Purpose

Burn is one of the leading causes of injury and death in children. Currently, the Residency Review Committee does not require general surgery residents to rotate on a burn service. With many trainees no longer receiving burn training during residency, we sought to evaluate the exposure to burn management in pediatric surgery training programs.

Material and methods

An electronic survey was sent to program directors at accredited pediatric surgery training programs (56) during the 2020 academic year. Case log reviews were performed for 2005-2019. Descriptive statistical analysis was performed.

Results

Thirty-six program directors participated in the survey (64%), and 56% reported having an inpatient and outpatient component for burn management. Nearly 20% of program directors reported having no burn management at their institution. Fifty-four percent of responding programs had fellow participation in burn management. Over a fifteen-year period, case logs identified a median of 0–2 burn cases logged each year for graduating fellows. Logistically, 65% of burn centers relied on general pediatric surgeons for management.

Conclusion

Pediatric surgery trainee involvement in burn management varies with many programs offering no designated burn training. Increasing exposure to pediatric burn management during training is needed to provide improved care for this patient population.

Level of evidence

III, Retrospective Review



中文翻译:

谁管理儿童烧伤?一项项目主任调查评估儿科手术奖学金期间的烧伤训练

目的

烧伤是儿童受伤和死亡的主要原因之一。目前,住院医师审查委员会不要求普通外科住院医师轮换接受烧伤服务。由于许多学员在住院医师期间不再接受烧伤培训,我们试图评估小儿外科培训项目中烧伤管理的暴露程度。

材料与方法

在 2020 学年,向认可的儿科手术培训项目 (56) 的项目主管发送了一份电子调查。对 2005-2019 年进行了案例日志审查。进行了描述性统计分析。

结果

36 名项目主管(64%)参与了调查,56% 的项目主管报告有住院和门诊部分用于烧伤管理。近 20% 的项目主管报告说他们的机构没有烧伤管理。54% 的响应项目有同伴参与烧伤管理。在 15 年的时间里,病例日志确定了每年为即将毕业的学员记录的 0-2 起烧伤病例的中位数。从逻辑上讲,65% 的烧伤中心依靠普通儿科外科医生进行管理。

结论

小儿外科实习生参与烧伤管理的情况因许多不提供指定烧伤培训的项目而异。需要在培训期间增加对儿科烧伤管理的接触,以便为这一患者群体提供更好的护理。

证据级别

三、回顾性审查

更新日期:2021-09-20
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