Impact of a 1-Year Pediatric Emergency Medicine Training Program for International Medical Graduates.

Objectives: The Hospital for Sick Children in Toronto has offered a 1-year subspecialty residency training program in pediatric emergency medicine (PEM) to Canadian and internationally trained pediatricians and emergency physicians since 1993. The program is intended to support clinical service delivery while simultaneously offering a unique educational opportunity to Canadian and international physicians who desire 1 year of clinically focused training. We describe the experiences and career outcomes of participants who completed this program.

Scalp Hematoma Characteristics Associated With Intracranial Injury in Pediatric Minor Head Injury.

Objectives: Minor head trauma accounts for a significant proportion of pediatric emergency department (ED) visits. In children younger than 24 months, scalp hematomas are thought to be associated with the presence of intracranial injury (ICI). We investigated which scalp hematoma characteristics were associated with increased odds of ICI in children less than 17 years who presented to the ED following minor head injury and whether an underlying linear skull fracture may explain this relationship.

Reimagining the self at late-career transitions: how identity threat influences academic physicians' retirement considerations.

Purpose: There is scant empirical work exploring academic physicians' psychosocial adjustment during late-career transitions or on the factors that influence their retirement decisions. The authors examine these issues through the lens of sociopsychological identity theory, specifically examining how identity threat influences academic physicians' decisions about retirement.

Method: Participants were academic physicians at a Canadian medical school and were recruited via e-mail requests for clinical faculty interested in discussing late-career and retirement planning issues.

A Framework for Successful Remediation within Allied Health Programs: Strategies Based on Existing Literature.

The effective assessment methods of various health and allied health educational programs frequently work to identify trainees in difficulty who may require assistance to improve their academic and practical performances. However, although the methods of assessing trainees are often well-established, the essential skills for dealing with a trainee in difficulty are largely underdeveloped across curricula, and research within the field remains limited. This article reviews remediation in medicine and allied health professional programs based on existing literature.

Charting errors in a teaching hospital.

Objective: The objective of this study was to assess charting errors by junior trainees in the emergency department at the beginning of the academic year and to evaluate the effect of audits and reminders in reducing charting errors in July.

Methods: Medical records from June and July 2006 were reviewed to identify incomplete documentations (charting errors) in 5 areas. The audit was repeated in July 2007 after sample charts were displayed, and reminders were sent.

An international fellowship training program in pediatric emergency medicine: establishing a new subspecialty in the Land of the Dragon.

Introduction: The health care system reform in the People's Republic of China has brought plans for establishment of a universal coverage for basic health services, including services for children. This effort demands significant change in health care planning. Pediatric emergency medicine (PEM) is not currently identified as a specialty in China, and emergency medicine systems suffer from lack of appropriate training.

CATCH: a clinical decision rule for the use of computed tomography in children with minor head injury.

Background: There is controversy about which children with minor head injury need to undergo computed tomography (CT). We aimed to develop a highly sensitive clinical decision rule for the use of CT in children with minor head injury.

Methods: For this multicentre cohort study, we enrolled consecutive children with blunt head trauma presenting with a score of 13-15 on the Glasgow Coma Scale and loss of consciousness, amnesia, disorientation, persistent vomiting or irritability.

Delay to diagnosis in acute pediatric arterial ischemic stroke.

Background And Purpose: For the clinician, the diagnosis of arterial ischemic stroke (AIS) in children is a challenge. Prompt diagnosis of pediatric AIS within 6 hours enables stroke-specific thrombolytic and neuroprotective strategies.

Methods: We conducted a retrospective study of prospectively enrolled consecutive cohort of children with AIS, admitted to The Hospital for Sick Children, Toronto, from January 1992 to December 2004.

The effect of detection approaches on the reported incidence of tenfold errors.

Background: Tenfold errors in calculation of paediatric drug doses are often life threatening. The magnitude and characteristics of this phenomenon have not been fully described.

Objectives: The objective of this study was to describe the incidence and nature of paediatric tenfold errors and to describe the effect of different detection approaches on the detection of such errors.

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Objectives: To characterise the incidence and nature of medication errors during paediatric resuscitations.

Design: A prospective observational study of simulated emergencies.

Setting: Emergency department of a tertiary paediatric hospital.