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- Title
Prioritizing Pediatricians' Neurosurgical Education: Results From a National Survey of Primary Care Pediatricians.
- Authors
Aldana, Philipp R.; Beier, Alexandra D.; Ranalli, Nathan J.; Sisk, Blake; Ragheb, John R.
- Abstract
Introduction. We surveyed nonretired American Academy of Pediatrics–member US pediatricians regarding common neurosurgical conditions, identifying specific areas of focus in education. Methods. Data were acquired via self-administered electronic questionnaire. Results. Of 505 total respondents, 56% reported neurology was not a required residency rotation, and 86% had diagnosed craniosynostosis, plagiocephaly, or macrocephaly. Craniosynostosis can mostly be diagnosed by physical examination alone, but almost 50% reported relying on skull X-rays. Fifty-four percent reported diagnosing ocular surface disease (OSD; with 15% to 40% not screening an infant despite well-established cutaneous markers). Seventy-four screened OSD in a patient with sacral dimple. Ninety-seven percent reported treating concussion, but nearly 25% did not manage these patients alone. Two out of 3 patients indicated head injury as most important for continuing education. Conclusion. Improved education for craniosynostosis, OSD, head injury, and concussion management are important for earlier diagnosis, management, and referral of some disorders, while decreasing resource utilization in others. These results should be used when considering pediatrician educational programs.
- Subjects
UNITED States; SKULL radiography; AMERICAN Academy of Pediatrics; BIOMARKERS; BRAIN concussion; NEURAL development; CONTINUING education; CRANIOSYNOSTOSES; DRY eye syndromes; INTERNET; INTERNSHIP programs; NEUROSURGERY; PHYSICAL diagnosis; PRIMARY health care; QUESTIONNAIRES; SELF-evaluation; SURVEYS; X-rays; HEAD injuries; CEREBRAL cortex abnormalities; EARLY medical intervention; EARLY diagnosis; CRANIOFACIAL abnormalities
- Publication
Clinical Pediatrics, 2020, Vol 59, Issue 9/10, p902
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/0009922820928060