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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 -
Pediatrics Apr 2024
Topics: Humans; United States; Mass Shooting Events; School Health Services; Physicians; Pediatricians
PubMed: 38433663
DOI: 10.1542/peds.2023-065281 -
Pediatrics Dec 2020The time providers spend using their electronic health records (EHRs) delivering care and its potential impact on patient care are of concern for the health care system....
BACKGROUND
The time providers spend using their electronic health records (EHRs) delivering care and its potential impact on patient care are of concern for the health care system. In studies to date, researchers have focused on providers who primarily care for adults. Scant information exists for pediatricians. Given this gap, it is important to quantify EHR activity for this group.
METHODS
We studied pediatricians practicing in US-based ambulatory practices using the Cerner Millennium EHR by extracting data from software log files in the Lights On Network for the calendar year 2018 and summarizing the time spent on each of 13 clinically-focused EHR functions according to clinical specialty.
RESULTS
Our data included >20 million encounters by almost 30 thousand physicians from 417 health systems. Pediatric physicians spent an average of 16 minutes per encounter using their EHR. Chart review (31%), documentation (31%), and ordering (13%) functions accounted for most of the time. The distribution of time spent by providers using their EHR is highly variable within subspecialty but is similar across specialties. Because of data limitations, we were unable to examine geographic or health system-specific variation.
CONCLUSIONS
Pediatricians, like physicians who care for adults, spend a large portion of their day using their EHR. Additionally, although chart review and documentation accounted for 62% of the activity, as in previously published studies, in our study, we found that chart review accounted for half of that time. Wide variation suggests opportunities to optimize both the processes of entering information and searching for patient data within the EHR.
Topics: Ambulatory Care Facilities; Child; Electronic Health Records; Female; Humans; Male; Outpatients; Patient Care; Pediatricians; Retrospective Studies
PubMed: 33139456
DOI: 10.1542/peds.2019-4017 -
Clinical Pediatrics Oct 2018
Review
Topics: Housing; Humans; Internship and Residency; Pediatricians; Practice Management, Medical; Retirement
PubMed: 29695167
DOI: 10.1177/0009922818772055 -
Pediatric Research Sep 2023
Topics: Humans; Surveys and Questionnaires; Pediatricians
PubMed: 37016002
DOI: 10.1038/s41390-023-02571-9 -
Journal of Nutrition Education and... Jan 2020Assess pediatrician practices around growth and nutrition for children under 2 years.
OBJECTIVE
Assess pediatrician practices around growth and nutrition for children under 2 years.
DESIGN
2017 cross-sectional survey of a national random sample of the American Academy of Pediatrics members.
SETTING
US.
PARTICIPANTS
Practicing primary care pediatricians and residents (n = 698).
MAIN OUTCOME MEASURES
World Health Organization growth chart use, solid food introduction recommendations, healthy behaviors discussion.
ANALYSIS
Descriptive statistics were calculated for nutrition-related questions. McNemar tests compared recommendations on the introduction of different solid foods at <6 months; chi-square tests of independence examined outcomes by pediatrician and practice characteristics.
RESULTS
Most respondents (82.2%) reported using the World Health Organization growth charts at all well visits. Nearly half (45.3%) recommended solid food introduction at 6 months; 48.2% recommended <6 months. Cereals were more frequently recommended at <6 months than fruits/vegetables or meats (P <.001). Topics most frequently discussed were limiting juice (92.3%), and sugar-sweetened beverages (92.0%), avoiding restrictive and permissive food practices (30.7%), and avoiding food as a reward (29.1%) were least discussed. Pediatricians in hospital/clinic settings discussed healthy behaviors less than group or solo/2-physician practices.
CONCLUSIONS AND IMPLICATIONS
For children under 2 years, most pediatricians reported using recommended growth charts and discussing healthy behaviors. Fewer discussed responsive feeding topics. Results for guiding solid food introduction were mixed. Continued efforts to support pediatricians' work could improve the implementation of recommended practices.
Topics: Adult; Cross-Sectional Studies; Female; Growth Charts; Health Promotion; Humans; Infant; Infant Nutritional Physiological Phenomena; Infant, Newborn; Male; Middle Aged; Pediatricians; Physician-Patient Relations; Practice Patterns, Physicians'
PubMed: 31759892
DOI: 10.1016/j.jneb.2019.10.006 -
Current Opinion in Pediatrics Jun 2024The internet has changed the way children can work and play. With the preferences of the youth population constantly evolving, it is important that parents and... (Review)
Review
PURPOSE OF REVIEW
The internet has changed the way children can work and play. With the preferences of the youth population constantly evolving, it is important that parents and pediatricians continue to be informed of the ways children spend their time on the internet. Online gaming continues to soar in popularity, as does school usage of educational platforms.
RECENT FINDINGS
Roblox, Fortnite, and Minecraft are three examples of games that have widespread popularity among youth populations. Though none of the game are designed to display graphic violence, sexual content, or other features that could be considered off-limits for children, there still ways for children to exposed to inappropriate material or engage with strangers. The rise in popularity of eSports also reflects changing attitudes about the value of gaming. On the educational side, school-student platforms and powerful artificial intelligence (AI) tools are becoming more and more prevalent.
SUMMARY
Parents should not simply know which games or educational tools their children are using, but understand them. This article seeks to provide some insight into popular games and platforms so that parents and pediatricians can make better decisions about what children access.
Topics: Humans; Video Games; Child; Adolescent; Pediatricians; Internet; Pediatrics; Parents
PubMed: 38446183
DOI: 10.1097/MOP.0000000000001341 -
Bulletin Du Cancer Apr 2021This literature review aims to explain how the emotions aroused by the announcement of bad news in pediatric oncology affect communication between parents and pediatric... (Review)
Review
This literature review aims to explain how the emotions aroused by the announcement of bad news in pediatric oncology affect communication between parents and pediatric oncologists. In the first part, we summarize the parents' expectations regarding communication with the pediatrician at this critical time in their child's care. Then, in a second part, we specify the influence that the emotions of pediatric oncologists and parents during these announcements can have on parent-pediatrician communication. In this context, the emotions and defense mechanisms of pediatric oncologists, parental distress as expressed by parents and as perceived or feared by pediatricians, are discussed. For this synthesis, we have endeavoured to select studies including both mothers and fathers. On the basis of the observations carried out in this review, we conclude by suggesting avenues for the practical implications and for future research. The continuation of research including both parents appears necessary to allow for a closer adaptation of the reactions and needs of each parent, particularly at key moments in the child's care, such as the announcement of bad news. Encouraging exchanges on the emotions felt within the medical and care team, particularly with the department psychologist, could be an opportunity for pediatricians to question their experience of the announcement of bad news and could promote the circulation of emotions in the parent-pediatrician relationship and communication.
Topics: Adult; Child; Defense Mechanisms; Emotions; Empathy; Fear; Female; Humans; Male; Neoplasms; Oncologists; Parents; Pediatricians; Physician-Patient Relations; Prognosis; Psychological Distress; Social Support; Truth Disclosure
PubMed: 33707034
DOI: 10.1016/j.bulcan.2020.11.018 -
Pediatrics Jan 2018
Topics: Child; Child Welfare; Emigration and Immigration; Female; Humans; Judicial Role; Male; Pediatricians; Physician's Role; Texas
PubMed: 29196506
DOI: 10.1542/peds.2017-0921 -
Psychotherapy for Adolescents With Attention-Deficit Hyperactivity Disorder: A Pediatrician's Guide.Clinical Pediatrics Jun 2017Attention-deficit hyperactivity disorder (ADHD) presents with high levels of inattention, impulsiveness, and hyperactivity. ADHD starts in childhood and results in... (Review)
Review
Attention-deficit hyperactivity disorder (ADHD) presents with high levels of inattention, impulsiveness, and hyperactivity. ADHD starts in childhood and results in impairments that continue into adulthood. ADHD symptoms lead to decreased functionality in various life domains and result in poor academics, behavioral challenges, delayed independence, and strained relationships. Despite advances in diagnosis and treatment, persistent residual symptoms are common, highlighting the need for novel treatment strategies. This article aims to provide a review of the psychotherapeutic interventions available for teens that receive pharmacotherapy but continue to struggle with the residual symptoms of ADHD that interfere with academic function, relationship formation, and psychological development.
Topics: Adolescent; Attention Deficit Disorder with Hyperactivity; Female; Humans; Male; Pediatricians; Psychotherapy
PubMed: 27895149
DOI: 10.1177/0009922816673308