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Pediatrics Oct 2019Physicians must balance career and home responsibilities, yet previous studies on work-life balance are focused primarily on work-based tasks. We examined gender... (Comparative Study)
Comparative Study
BACKGROUND
Physicians must balance career and home responsibilities, yet previous studies on work-life balance are focused primarily on work-based tasks. We examined gender discrepancies and factors related to household responsibilities and work-life balance among pediatricians.
METHODS
We used 2015 data from the American Academy of Pediatrics Pediatrician Life and Career Experience Study, a longitudinal study of early-career pediatricians. χ tests and multivariable logistic regression were used to examine the effects of gender on household responsibilities, satisfaction, and work-life balance attainment. We formally reviewed responses from 2 open-ended questions on work-life balance challenges and strategies for common themes.
RESULTS
Seventy-two percent of participants completed the survey (1293 of 1801). Women were more likely than men to report having primary responsibility for 13 of 16 household responsibilities, such as cleaning, cooking, and routine care of children (all < .001). All gender differences except budget management remained significant when controlling for part-time work status and spouse or partner work status ( < .05). Women were less satisfied with their share of responsibilities relative to others (52% vs 62%; < .001), and few women and men report being very successful at achieving balance between their job and other life areas (15% vs 19%, respectively; = .05). Open-ended responses ( = 1145) revealed many barriers to achieving work-life balance. Strategies to increase work-life balance included reducing work hours, outsourcing household-related work, and adjustments to personal responsibilities and relationships.
CONCLUSIONS
Female pediatricians spend more time on household responsibilities than male pediatricians, and gender is a key factor associated with work-life balance satisfaction.
Topics: Chi-Square Distribution; Child; Child Care; Cross-Sectional Studies; Employment; Family Characteristics; Female; Household Work; Humans; Logistic Models; Longitudinal Studies; Maintenance; Male; Pediatricians; Personal Satisfaction; Physicians, Women; Sex Factors; Surveys and Questionnaires; Work-Life Balance
PubMed: 31506304
DOI: 10.1542/peds.2018-2926 -
Pediatric Annals Mar 2024Pediatricians are faced with a multitude of difficult tasks each day for a variety of age groups. Providing medical care and support to children with medical complexity... (Review)
Review
Pediatricians are faced with a multitude of difficult tasks each day for a variety of age groups. Providing medical care and support to children with medical complexity and their families adds additional challenges, including management of polypharmacy, therapies, complications, and difficult conversations. The relationship a family has with their pediatrician is extremely special and valuable. As such, pediatricians may find themselves guiding parents through decision-making without the proper training or tools. They may struggle with navigating the conversations to assist families in reaching a helpful conclusion. This article reviews three difficult situations that families of children with medical complexity may face and three different readily available and valuable frameworks to assist with navigating those difficult conversations. .
Topics: Child; Humans; Communication; Parents; Pediatricians
PubMed: 38466332
DOI: 10.3928/19382359-20240109-04 -
Journal of the Indian Society of... 2023Background It is important to assess pediatrician's perception on children's oral health as they tend to meet children early on a regular basis. Quantitative research...
UNLABELLED
Background It is important to assess pediatrician's perception on children's oral health as they tend to meet children early on a regular basis. Quantitative research has shown that pediatricians in India have inadequate knowledge and limited awareness about oral health care in children. Hence, it is important to assess pediatrician's opinion and perception on children's oral health using qualitative interview method.
AIM
The aim of the study is to assess and explore the perception of pediatricians on children's oral health in Western Tamil Nadu, India.
METHODS
A grounded theory approach was employed to conduct this qualitative study. Face-to-face interviews with the pediatricians were conducted using a semi-structured interview guide. Interviews were audio-recorded and transcribed verbatim. Collected data were written as codes, from which categories and themes were derived.
RESULTS
Four themes arrived: (1) dental health and disease, (2) anticipatory guidance, (3) barriers, and (4) remedial measures. The participants felt that they were underinformed about dental home, emergency care for dental trauma, and the interceptive role of dentists on oral deleterious habits. Insufficient dental information in their curriculum and the absence of common guidelines between pediatricians and pediatric dentists in India were considered the common causes for their lack of knowledge.
CONCLUSION
Pediatricians were receptive to acquire knowledge and improvising their skills. They felt that periodic lectures and formal gatherings should be planned between pediatric dentists and pediatricians. Collaborations between pediatrics and pediatric dentistry societies are warranted to provide children with better oral health care.
Topics: Child; Humans; Oral Health; Dental Caries; India; Pediatricians; Perception
PubMed: 37861639
DOI: 10.4103/jisppd.jisppd_431_23 -
Pediatric Annals Apr 2024Dermatologic concerns are common in the general pediatrician's practice. Herein, we review the most commonly encountered cutaneous bacterial, viral, and superficial... (Review)
Review
Dermatologic concerns are common in the general pediatrician's practice. Herein, we review the most commonly encountered cutaneous bacterial, viral, and superficial fungal infections in the pediatric population. We describe clinical presentation, pathogenesis, and current treatments. The goal of this guide is to increase pediatricians' comfort in diagnosing and managing common skin infections, as well as determining when a dermatology referral may be necessary. .
Topics: Humans; Child; Skin; Family Practice; Pediatricians
PubMed: 38574073
DOI: 10.3928/19382359-20240205-01 -
Pediatric Annals Jan 2020
Topics: Child, Preschool; Hematologic Diseases; Humans; Pediatricians
PubMed: 31930417
DOI: 10.3928/19382359-20191212-03 -
Italian Journal of Pediatrics Dec 2021Pediatrics and society are closely related. This link is as old as the history of Pediatrics, and dates to the second half of the eighteenth century. The vocation of the...
Pediatrics and society are closely related. This link is as old as the history of Pediatrics, and dates to the second half of the eighteenth century. The vocation of the first European pediatric schools, indeed, was clinical and scientific, as well as social. The founding fathers of Pediatrics were scientists of great talent, and many of them benefactors and philanthropists. They spent their lives assisting the suffering childhood, and became promoters and organizers of social securities for the poorest and most vulnerable categories. The attention to the problems of abandonment was closely linked to study, prevention, and treatment of pathologies (especially infectious, deficiency and neurological ones). The profile and activity of pediatricians grew in the following decades after the birth of the first pediatric schools. The University institutions contributed to provide a further impulse to childcare as well as cultural authority, also thanks to the foundation of the first chairs and scientific journals of Pediatrics. The relevance and prestige of the studies performed rapidly spread throughout Europe, and also reached our country, contributing to a progressive and relevant improvement in the quality of children's care, and in the meantime to the decrease of neonatal and infant mortality rates.Today's pediatricians, as in the past, must spend his efforts to face the needs of children and their families, be their social receptor, interpreter if necessary, and credible and authoritative interlocutor beside institutions. The current coronavirus pandemic dramatically exposed social inequalities and inequities. In this new scenario, the pediatrician's role of defender of all children becomes even more necessary and indispensable. Here we trace the historical steps which led to the birth and development of pediatrics, as independent medical discipline with ethical and social vocation. Its rise within the University institutions is analyzed, as well as the contribution of the greatest European and Italian masters. Finally, the role of today's pediatrician is described, his responsibilities also in dealing with new health critical issues, related to the biological, cultural, and psychological changes of the patients of present days. He must have holistic competences, to effectively take care of all children. In addition, he must socially act to guarantee the best possible context for the well-being of the child.
Topics: Child; Europe; Humans; Pediatricians; Pediatrics; Societies, Medical; Socioeconomic Factors
PubMed: 34922600
DOI: 10.1186/s13052-021-01190-6 -
Journal of Health Care For the Poor and... 2022Food insecurity (FI) causes worse health and education outcomes for children. Screening for FI is feasible and acceptable during well-child visits. Standard protocols,...
Food insecurity (FI) causes worse health and education outcomes for children. Screening for FI is feasible and acceptable during well-child visits. Standard protocols, upon positive screen, refer families to community resources, such as food pantries, but followthrough rates are low. Good Apple (GA) was developed to deliver fresh produce and pantry staples to the homes of families facing FI, as identified by pediatricians. Good Apple uses a two-sided, self-sustaining business model: a subscription-based produce delivery service generates revenue from paying customers, which funds free grocery delivery services for families facing FI. The program works with (1) local farmers to rescue and redistribute unsold fruits and vegetables; (2) local food pantries to supplement deliveries with proteins, grains, and dairy; and (3) pediatricians who prescribe GA to families facing FI. Good Apple helps food pantries reach more clients; empowers pediatricians with closed-loop referrals; and delivers healthy food to families facing FI and transportation barriers.
Topics: Food Assistance; Food Insecurity; Food Supply; Humans; Pediatricians; Vegetables
PubMed: 35153233
DOI: 10.1353/hpu.2022.0034 -
European Journal of Pediatrics Feb 2017This study investigates the current position of hospital clowns from the perspective of paediatricians and paediatric residents. A total of 14 attending paediatricians...
UNLABELLED
This study investigates the current position of hospital clowns from the perspective of paediatricians and paediatric residents. A total of 14 attending paediatricians and paediatric residents participated in two focus group sessions. Data were analysed using Atlas.ti 5.0. In general, physicians reported positive experiences regarding the interaction between hospital clowns and paediatric patients on the ward. Physicians were more interested in research on children's perception of hospital clowns than in research on the clinical efficacy of hospital clowning. No direct collaboration between physicians and hospital clowns was reported. However, physicians proposed conditions which may streamline their encounters with hospital clowns such as clear communication prior to hospital clown visits, and the condition that visits do not impede medical interventions.
CONCLUSION
Overall, paediatricians and paediatric residents view the positive impact on paediatric patients as the most important aspect of hospital clown visits, rather than the clinical efficacy of hospital clowning. In light of the growing number of hospital clowns worldwide, this article provides recommendations for arranging their encounters with paediatricians and paediatric residents to maintain optimal health care. What is known: • Previous studies show a clinically significant pain- and anxiety-reducing effect of hospital clowning in paediatric patients admitted to hospitals or undergoing (invasive) medical procedures. • In general, paediatricians have positive ideas about hospital clowns, aside from personal prejudices. What is new: • This novel study gives deeper insight into day-to-day interaction between paediatricians and hospital clowns on the ward. • This study provides recommendations for clinical practice to arrange encounters between physicians and hospital clowns during hospital clown visits.
Topics: Adult; Attitude of Health Personnel; Child; Child, Hospitalized; Communication; Delivery of Health Care; Female; Focus Groups; Humans; Internship and Residency; Interprofessional Relations; Laughter Therapy; Male; Netherlands; Pediatricians; Pediatrics; Qualitative Research
PubMed: 28013377
DOI: 10.1007/s00431-016-2821-8 -
JAMA Pediatrics Jun 2018
Review
Topics: Child; Child Advocacy; Humans; Pediatricians; Physician's Role; Reproductive Health
PubMed: 29710137
DOI: 10.1001/jamapediatrics.2018.0116 -
Acta Paediatrica (Oslo, Norway : 1992) Dec 2019
Topics: Attitude of Health Personnel; Consultants; Humans; Pediatricians; Primary Immunodeficiency Diseases
PubMed: 31621102
DOI: 10.1111/apa.15000