Though technical aspects of surgical practice are commonly emphasized, communication is the most frequent "procedure" employed by surgeons. A good patient-physician relationship enhances the quality of surgical care by improving outcomes and patient and family satisfaction. There are general principles that can enhance communication with all children and families. Employing a developmentally sensitive approach that adjusts communication style based on a child's cognitive abilities and emotional concerns can further enhance the relationship with children of different ages. These communication skills can be learned and are improved by practice and self-reflection.
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| http://dx.doi.org/10.1053/j.sempedsurg.2013.04.002 | DOI Listing |
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Objective: As surgical residency programs begin developing communication skills-specific training curricula, it is important to understand those skills required of surgeons in the many settings in which they work. It is also useful to observe the skills that residents already demonstrate, as well as those skills that need further development. This study evaluated surgical residents' communication behaviors across different services to understand how the clinical learning environment influences their approach to surgeon-patient interactions.
View Article and Find Full Text PDFDisparities in completing testing for SARS-CoV-2 prior to otolaryngology procedures.
Am J Otolaryngol
December 2024
Division of Pediatric Otolaryngology, Department of Otolaryngology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, United States. Electronic address:
Article Synopsis
- The study aimed to identify patient characteristics influencing the completion of asymptomatic pre-operative SARS-CoV-2 testing among children undergoing ambulatory surgery.
- Out of 216 patients, 40.7% completed the testing, with results indicating that location of surgery and household income significantly affected testing compliance, while other factors like race and insurance type did not.
- The findings highlight the importance of socioeconomic factors in access to healthcare and adherence to safety measures during public health emergencies.
YouTube as a Source of Patient Education for Transcranial Craniosynostosis Procedures.
Cleft Palate Craniofac J
September 2023
Cleft and Craniofacial South Australia, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Introduction: The internet has improved access to knowledge, with a reported 72% of internet users accessing health information online. YouTube is the most popular video-sharing website and is a frequently accessed source for health information. There are concerns, however, that patients and carers may be unable to identify and filter for trustworthy sources of information on these platforms.
View Article and Find Full Text PDFTo tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis.
Spine Deform
July 2022
Department of Pediatric Orthopaedic Surgery, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Purpose: Vertebral body tethering (VBT) continues to grow in interest from both a patient and surgeon perspective for the treatment of scoliosis. However, the data are limited when it comes to surgeon selection of both procedure type and instrumented levels. This study sought to assess surgeon variability in treatment recommendation and level selection for VBT versus posterior spinal fusion (PSF) for the management of scoliosis.
View Article and Find Full Text PDFParental Expression of Emotions and Surgeon Responses During Consultations for Obstructive Sleep-Disordered Breathing in Children.
JAMA Otolaryngol Head Neck Surg
February 2022
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Importance: Little is known about emotional communication between parents and surgeons. Understanding the patterns and correlates of emotional communication may foster collaboration during surgical consultations.
Objective: To describe the emotional expressions by parents when bringing their child for evaluation of obstructive sleep-disordered breathing (SDB) as well as surgeon responses to these emotional expressions and to evaluate the association between parental demographic characteristics and surgeon response types.
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