Effect of 24/7 attending coverage in the neonatal intensive care unit on fellow education.

BMC Medical Education
Mitali Sahni, Anja Mowes

Abstract

There is a current change in type of attending coverage in the Neonatal Intensive Care Unit (NICU) from home calls to 24/7 in house coverage. Effects of this increased attending physician presence on education of NICU fellows has not been studied. The objective of this study is to evaluate the fellows' perception of in house attending coverage on their education and evaluate its effect on their perceived autonomy. A secure, anonymous, web-based survey was designed using RedCap. The web-based survey was sent via the section of Neonatal Perinatal Medicine of the American Academy of Pediatrics, to all members of Training & Early Career Neonatologists. Questions were focused on perception of IH attending coverage on fellows' educational experience including the respondent's perceived ability to make independent decisions (autonomy). Chi-square tests were used to compare responses between groups, with Fisher Exact tests used when the expected cell frequencies were small. One hundred and twenty-three surveys were analyzed, that included responses from 82 fellows & 41 early career neonatologists. 52% reported having 24/7 attending in-house (IH) coverage. Thirty of the 123 respondents experienced a change in model of attending coverage...Continue Reading

References

Nov 8, 2003·Critical Care Medicine·Marilyn T HauptUNKNOWN Task Force of the American College of Critical Care Medicine, Society of Critical Care Medicine
Nov 15, 2003·The Journal of Pediatrics·Shoo K LeeUNKNOWN Canadian Neonatal Network
Jun 19, 2008·Critical Care : the Official Journal of the Critical Care Forum·Yaseen Arabi
Jul 8, 2009·Pediatrics·Mark R Mercurio, Steven M Peterec
Jun 3, 2010·American Journal of Respiratory and Critical Care Medicine·Ellen L BurnhamMark W Geraci
Sep 14, 2010·American Journal of Respiratory and Critical Care Medicine·Alan H Jobe, Richard J Martin
Dec 11, 2013·Pediatrics·Kyle J RehderUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigators Network
Jan 8, 2014·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Glen J IannucciWilliam T Mahle
Jul 2, 2016·American Journal of Respiratory and Critical Care Medicine·Punkaj GuptaRandall C Wetzel

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