Hospital Medicine And Clinical Education An Issue Of Pediatric Clinics Of North America

Drs. Robert Wachter and Lee Goldman coined the term hospitalist in their New England Journal of Medicine article in 1996. Hospital Medicine is now the fastest growing medical specialty in the United States, due in part to the evolution of inpatient care. In this issue, the Guest Editor, Dr. Nancy Spector, and Consulting Editor Dr. Bonita Stanton, have assembled expert authors to examine the changing nature of inpatient care, including the major movements and trends that have influenced hospital-based practice, patient centered care, and education in this clinical learning environment. Articles are focused on the following: Quality of Care and Quality Improvement; Evidence-based Medicine; Patient Outcomes and Metrics; Inter-professional Teams; Handoffs; Patient Centeredness; Communication with Patients; Health Literacy; Bedside Rounds; Education in the Inpatient; Clinical Learning Environment and Workplace-based Assessment; Simulation in Medical Education; Feedback; Bedside Teaching and Learning; and Hospital Medicine: State of the Specialty, Looking Forward. The intended audience for this issue are frontline providers that provide care in community hospitals and faculty in academic medical centers. Pediatricians will come away with the information they need to improve patient outcomes with evidentiary support.

For the first time, Pediatric Clinics is devoting one issue to two clinically focused topics: Pediatric Palliative Care and Pediatric Hospital Medicine. Dr. Ottolini has organized her section to focus on a variety of issues of relevant to all pediatricians, but which pose special challenge to the Pediatric Hospitalists. As pediatric care has advanced, children who would not have survived infancy are growing into young adults with complex chronic diseases and dependence upon technology. They frequently require hospitalization to address exacerbation of underlying disease processes and procedures to improve their quality of life. The articles are devoted to patient care challenges of troubleshooting malfunctioning technology, co-managing medically complex patients pre and post-op with surgical colleagues, and the Hospitalist’s evolving role in performing procedures and sedation in this population of vulnerable patients. Also discussed rare strategies to maximize communication with parents, patients and primary care providers during hospitalization, especially for medically complex patients. Dr. Ullrich and Dr. Wolfe Pediatric have worked to bring relevant articles on palliative care to the pediatrician. While life-threatening conditions in childhood are rare, children with LTC account for a high proportion of pediatric hospital care, and about one half of such children die in the inpatient setting. The number of hospital-based pediatric palliative care programs has increased dramatically over the past decade to meet the palliative care needs of hospitalized children including symptom management, facilitation of communication, decision-making and advance care planning support, and coordination of care. Given these considerations, it is evident that the topics of pediatric palliative care and hospital medicine are fitting counterparts for this comprehensive issue.

In collaboration with Consulting Editor, Dr. Bonita Stanton, Dr. Paul Haynes has assembled expert authors to bring current information to pediatricians on the topic of Pediatric Orthopedics. The issue provides a general overview of evaluation and treatment of the pediatric orthopedic patients. Specific articles are devoted to the following topics: Evaluation: Pediatric Orthopedic Exam; Genetic and Metabolic Conditions; Musculoskeletal Infections; Neuromuscular Conditions - Orthopedic Manifestations; Pediatric Anesthesia as Related To Orthopedic Procedures -Perioperative Management; The Limping Child; Pediatric Orthopedic Trauma; Hand and Upper Extremity; Hip and Pelvis; Knee and Lower Extremity; Foot and Ankle; Pediatric Spine; Pediatric Sports Injuries; Concussions and Chronic Overuse Injuries And Injury Prevention; and Tumors and Tumor-Like Conditions. Readers will come away with the most current information on this important topic.

Clinical decision making in the emergency department; Recent advances in the recognition, evaluation and management of pediatric sepsis; Evaluation and management of the adult patient presenting to a pediatric ED; Critical care in the pediatric ED; Point of care testing in the ED: Implications, impact and future directions; Child abuse and conditions that mimic them; Indications and interpretation of common investigations/tests in the ED; Recent advances in pediatric concussion and mild traumatic brain injury; Pediatric emergency care: Impact on healthcare and implications for policy; Clinical decision rules in the pediatric ED; Pediatric urgent care: The good, the bad and the ugly; Advances in medical education and implications for the pediatric ED workforce; Quality and safety in pediatric ED; Optimizing resources and impact of lean processes on ED operations; Pediatric readiness and disaster management; Recent advances in technology and its applications to pediatric emergency care

With consultation of Dr. Bonita Stanton, Dr. James Chan has assembled a comprehensive list of articles that update the topic of kidney disorders in children. He has secured expert authors from around the world to contribute clinical reviews on the following topics: Urinary tract infection; Hematuria and proteinuria; Metabolic syndrome in childhood obesity; Hypertension; Post-infectious glomerulonephritis; Nephrotic syndrome and glomerular disease; Lupus nephritis; IgA nephropathy and anaphylactoid purpura nephropathy; Tubulointerstitial nephritis; Bartter syndrome and Gitelman syndrome; Renal tubular acidosis; Fanconi syndrome; Dent disease; Hypophosphatemic rickets; Syndrome inappropriate ADH secretion (SIADH); Nephrogenic diabetes insipidus; Hemolytic uremic syndrome and other acute kidney injuries; Chronic kidney disease and dietary measures to slow progression; and Long-term outcome of renal transplantation. Readers will come away with the most current clinical information they need to inform decisions to improve outcomes in pediatric patients.

Together with Consulting Editor Dr. Bonita Stanton, Dr. Elizabeth Secord has put together a comprehensive issue that discusses the updates in pediatric immunology and allergy. Expert authors have contributed clinical review articles on the following topics: Humoral Immune deficiency in childhood; Neutrophil deficiencies; Newborn screening for severe combined immune deficiency (SCID); New treatments for asthma; New insights and treatments in Atopic Dermatitis; Food allergy avoidance and treatments; Eosinophilic Esophagitis; Inner City Asthma; Allergic rhinitis; Anaphylaxis in children and adolescents; Biologic therapy induced immune deficiency; Drug Allergies and Sensitivities in children; and Secondary immune deficiency. Readers will come away with the information they need to improve outcomes in pediatric patients with immunologic and allergic conditions.

Consulting Editor, Dr. Bonita Stanton has worked closely with Guest Editors Drs. David R. Rosenberg and Leslie H. Lundahl to create a current issue devoted to substance abuse in children. Expert authors have written clinical review articles with the goal of providing the pediatrician with the latest information on substances and addiction medicine. The first half of the issue focuses on the following substances: Nicotine Use Disorders in Adolescents; Alcohol Use Disorders in Adolescents; Cannabis Use and Consequences; Medical and Non-Medical Use of Opiates; Stimulant Use and Cognitive Enhancement; and Club Drugs. The second half of the issue focuses on special topics important to pediatricians: Contingency Management for Substance Use Disorders; Behavioral Addictions: Gambling, Gaming, Internet; Juvenile Drug Court: Novel Approach to Treatment; Computer-Assisted Approaches to Substance Abuse Treatment; Co-Morbid Substance Use and Other Psychiatric Disorders; and Drug Use in Pregnant Teens. Readers will come away with the information they need to stay current on this changing field and to improve patient outcomes.

In this issue of Pediatric Clinics of North America, guest editors Drs. Roger W. Apple and Ethel G. Clemente bring their considerable expertise to the topic of Role of Psychologists in Pediatric Subspecialties. Top experts in the field highlight the interdisciplinary nature of primary care of children where psychology is a factor, placing emphasis the clinical topics, disease states, or medical specialties where mental health has a significant impact on the outcome and successful treatment of clinical issues in children. This issue offers a unique focus on collaboration between the psychologist and pediatrician to optimize outcomes. Contains 16 practice-oriented topics including helping physicians collaborate with psychologists; psychologists’ experiences in pediatric hematology-oncology; the role of psychologists in child abuse pediatrics; the critical role of psychologists in pediatric gastroenterology; the role of psychologists in pediatric sports medicine practice; and more. Provides in-depth clinical reviews on the role of psychologists in pediatric subspecialties, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.