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Prioritizing Pediatricians' Neurosurgical Education: Results From a National Survey of Primary Care Pediatricians.

Authors
  • Aldana, Philipp R1, 2
  • Beier, Alexandra D1, 2
  • Ranalli, Nathan J1, 2
  • Sisk, Blake3
  • Ragheb, John R4
  • 1 University of Florida, Jacksonville, FL, USA.
  • 2 Wolfson Children's Hospital, Jacksonville, FL, USA.
  • 3 American Academy of Pediatrics, Itasca, IL, USA.
  • 4 Nicklaus Children's Hospital, Miami, FL, USA.
Type
Published Article
Journal
Clinical Pediatrics
Publisher
SAGE Publications
Publication Date
Sep 01, 2020
Volume
59
Issue
9-10
Pages
902–909
Identifiers
DOI: 10.1177/0009922820928060
PMID: 32475161
Source
Medline
Keywords
Language
English
License
Unknown

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.

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