Emergency department on-call status for pediatric orthopaedics: A survey of the POSNA membership

Brian G. Smith, Jeffrey S. Kanel, Matthew F. Halsey, John G. Thometz, Samuel R. Rosenfeld, Howard R. Epps, James McCarthy

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

BACKGROUND:: The emergency room on-call status of pediatric orthopaedic surgeons is an important factor affecting their practices and lifestyles and was last evaluated in 2006. METHODS:: The entire membership of the Pediatric Orthopaedic Society of North America (POSNA) was surveyed in 2010 for information regarding their emergency room on-call status with 382 surveys returned of over 1000 e-mailed to members of POSNA. Detailed information about on-call coverage, support, and frequency was obtained in answers to 14 different questions. RESULTS:: Compared with the prior survey in 2006, the 2010 survey indicated that a higher percentage of pediatric orthopaedic surgeons receive compensation for taking emergency room call; a higher percentage cover pediatric patients only when on-call; and accessibility to operating rooms in a timely manner for trauma cases, although limited, has improved for pediatric patients. Utilization of support staff to meet on-call trauma coverage demands, such as residents, physician's assistants, and nurse practitioners, is becoming more common. CONCLUSIONS:: Concentration of pediatric orthopaedic trauma has increased the coverage demands on pediatric orthopaedists. This has resulted in a change in reimbursement strategies, and allocation of OR time and hospital staffing resources.

Original languageEnglish (US)
Pages (from-to)199-202
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume35
Issue number2
DOIs
StatePublished - Mar 14 2015

Keywords

  • emergency room call
  • pediatric orthopaedist
  • trauma call

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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