What is the main strength of Dr. Snitzer and the other hospitalists? Program consultation is offered at nearby Palomar Medical Center, a bed unit within a larger bed community hospital with a trauma center. All hospitalists are board-certified pediatricians and have additional degrees or postresidency training, such as chief residency or fellowship experience.
Hospitalists fulfill many leadership roles in the hospital and community when not on service. Current research includes an Agency for Healthcare Research and Quality AHRQ safety grant on medication errors, a bronchiolitis clinical trial, juvenile justice research on hepatitis B, a Hispanic cultural competency grant from the California Endowment, spiratory syncytial virus immunoprophylaxis outcomes in a managed population, and primary care perceptions of pediatric dentistry. Thus the hospitalist program has a long history of strong commitment to children and the core aspects of pediatric hospital medicine.
The CSSD Pediatric Hospitalist Fellowship Program goal is to train highly motivated pediatricians for careers in academic and clinical hospital medicine. Over a two-year period instruction is provided in clinical, advocacy, administrative, teaching, and research aspects of pediatric hospital medicine. Clinical education emphasizes inpatient acute care, including intensive care and emergency transport at the busy main campus at CHHC. Outpatient clinical care offers experiences in adolescent juvenile hall medicine, hospice, and child protection.
The diverse clinical exposure, teaching from local and national leaders, and volume of patients ensure graduates of this program are well prepared for any clinical hospitalist position. The staff gains administrative experience via both hospital and medical group quality improvement activities. Skills in process improvement, continuous quality improvement, risk management, organizational management and leadership are honed during the fellowship. Opportunity exists to take courses through the American College of Physician Executives if the trainee desires a future in administrative hospitalist medicine.
Academics and teaching are a core value of the pediatric hospitalist service. The fellow participates in the monthly division journal club and internal case review. Daily teaching while on the clinical service includes bedside rounds, management rounds, and attending rounds. Pediatric hospitalists are the primary inpatient teaching staff and as such have a significant responsibility for daily house staff education. The fellow participates in noon conferences and other educational venues under the guidance of the director of inpatient teaching also a pediatric hospitalist.
Under the leadership of the medical directors for the Center for Child Protection and the A. The fellow learns AAP local and national structure, participating in conferences and chapter events.
Research is expected during this two-year fellowship program. The first year of this two-year CREST program includes weekly classes covering epidemiology, patient-oriented research, health services research, and informatics. A research project and mentor is chosen after the first quarter of the first year. Research may be in any area of pediatric hospitalist medicine.
Research is presented at either Pediatric Academic Societies, Society of Hospital Medicine, or other similar forum upon completion. The schedule is flexible, but follows the template. See Table 1, p. One fellowship position is offered every year, with application submissions accepted through Dec. Preliminary diagnostic guidelines for macrophage activation syndrome complicating systemic juvenile idiopathic arthritis.
J Pediatr. Macrophage activating syndrome MAS is a complication of connective tissue disorders, most often associated with active systemic juvenile idiopathic arthritis S-JIA. It is a rare disorder and the exact incidence is unknown. It is characterized by uncontrolled activation and proliferation of T-lymphocytes and macrophages. If not recognized and treated aggressively, MAS can be life threatening. The goal was to develop criteria to diagnose MAS. The retrospective study was designed using the classification, criteria approach.
There were 74 patients in the index cases. They were identified using a database search. Fifty-seven of the cases were obtained from a Medline search. Of these 74 patients, eight were disqualified because they did not meet the definition of S-JIA, and 11 were excluded because of insufficient data. The study results found hemorrhages and central nervous dysfunction were the strongest clinical discriminating factors.
The strongest laboratory discriminators included thrombocytopenia, leukopenia, elevated aspartate aminotransferase, and hypofibrinogenemia. Histopathological criterion included evidence of macrophage hemophagocytosis in the bone marrow aspirate. Other useful discriminators included hypertriglyceridemia, elevated ferritin, hepatomegaly, hand hyponatremia.
A bone marrow aspirate for the demonstration of hemophagocytosis may be required only in doubtful cases. Residents rotate through Inpatient Wards and the Emergency Department and spend time in outpatient clinics including Primary Care where first and second year residents maintain their continuity clinics , Adolescent, Autism, and Child Protection. A number of other subspecialty clinics also have practices at Hughes Spalding that residents may rotate through.
These differences afford residents a contrasting experience to the more traditional academically structured services at Egleston. Located in downtown Atlanta alongside Hughes Spalding, Grady originally opened in with beds and has grown into one of the largest public health systems in the country.
Around newborns are delivered annually at Grady and it also serves as the Regional Perinatal Center for North Georgia. Scottish Rite Hospital.
Hughes Spalding Hospital. See all locations. As we marked this milestone, we remembered those who helped to make up our history, from physicians and patients to community leaders and volunteers. Documentary: A Story of Hope and Will. Watch the Trailer View this trailer for a three-minute sneak peek of our Children's documentary.
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