Opinion survey regarding pediatric orthopaedic trauma call and emergency trauma management

Susan A Scherl, Karl E. Rathjen, Joseph Gerardi, Gerhard Kiefer, Gaia Georgopoulos, M. Siobhan Murphy-Zane, R. Dale Blasier, Perry L. Schoenecker, Howard Epps

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

BACKGROUND:: To determine the attitudes and practices of pediatric orthopaedic surgeons regarding on-call coverage and emergency fracture management. METHODS:: A 32-question online survey was sent to all 597 active members of the Pediatric Orthopaedic Society of North America. There were 296 completed surveys, for a response rate of 49.6%. RESULTS:: Of the respondents, 85.1% were male. The respondents ranged in age from 30 to older than 70 years, with 54% between 36and 50 years of age, corresponding to an average of 15 years in practice. Seventy-seven percent of the respondents felt that taking trauma call is an integral aspect of being a pediatric orthopaedist. Of the respondents, 64.9% take call 1 to 9 times per month, 15.8% take 10 to 19 calls, 2.7% take 20 or more, and 16.6% take no call. The number of orthopaedists taking call per practice was fairly evenly distributed between 3 and 10. Call was shared equally in 32% of practices, and mandatory in 72%. Twenty-eight percent of the respondents were additionally compensated for taking calls, in amounts ranging from $100 to $2000 per night, with 1000 dollars the most common rate. One third of operative cases are done that night; one third, the next day; and one third, later in the week. Twenty-four percent of the respondents have dedicated operative block time on the day after the call. Forty-seven percent have a dedicated fracture clinic, of which 51% receive institutional support. CONCLUSIONS:: Providing emergency trauma care for children is an integral aspect of pediatric orthopaedics. This survey provides information on the attitudes and strategies of practicing pediatric orthopaedic surgeons in the face of decreasing manpower and increasing demand for such services.

Original languageEnglish (US)
Pages (from-to)393-396
Number of pages4
JournalJournal of Pediatric Orthopaedics
Volume28
Issue number4
DOIs
StatePublished - Jun 1 2008

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Orthopedics
Emergencies
Pediatrics
Wounds and Injuries
Surveys and Questionnaires
Emergency Medical Services
Operative Time
North America
Orthopedic Surgeons

Keywords

  • Fracture clinics
  • Practice management
  • Trauma call

ASJC Scopus subject areas

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

Cite this

Scherl, S. A., Rathjen, K. E., Gerardi, J., Kiefer, G., Georgopoulos, G., Murphy-Zane, M. S., ... Epps, H. (2008). Opinion survey regarding pediatric orthopaedic trauma call and emergency trauma management. Journal of Pediatric Orthopaedics, 28(4), 393-396. https://doi.org/10.1097/BPO.0b013e318173f76c

Opinion survey regarding pediatric orthopaedic trauma call and emergency trauma management. / Scherl, Susan A; Rathjen, Karl E.; Gerardi, Joseph; Kiefer, Gerhard; Georgopoulos, Gaia; Murphy-Zane, M. Siobhan; Blasier, R. Dale; Schoenecker, Perry L.; Epps, Howard.

In: Journal of Pediatric Orthopaedics, Vol. 28, No. 4, 01.06.2008, p. 393-396.

Research output: Contribution to journalArticle

Scherl, SA, Rathjen, KE, Gerardi, J, Kiefer, G, Georgopoulos, G, Murphy-Zane, MS, Blasier, RD, Schoenecker, PL & Epps, H 2008, 'Opinion survey regarding pediatric orthopaedic trauma call and emergency trauma management', Journal of Pediatric Orthopaedics, vol. 28, no. 4, pp. 393-396. https://doi.org/10.1097/BPO.0b013e318173f76c
Scherl, Susan A ; Rathjen, Karl E. ; Gerardi, Joseph ; Kiefer, Gerhard ; Georgopoulos, Gaia ; Murphy-Zane, M. Siobhan ; Blasier, R. Dale ; Schoenecker, Perry L. ; Epps, Howard. / Opinion survey regarding pediatric orthopaedic trauma call and emergency trauma management. In: Journal of Pediatric Orthopaedics. 2008 ; Vol. 28, No. 4. pp. 393-396.
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abstract = "BACKGROUND:: To determine the attitudes and practices of pediatric orthopaedic surgeons regarding on-call coverage and emergency fracture management. METHODS:: A 32-question online survey was sent to all 597 active members of the Pediatric Orthopaedic Society of North America. There were 296 completed surveys, for a response rate of 49.6{\%}. RESULTS:: Of the respondents, 85.1{\%} were male. The respondents ranged in age from 30 to older than 70 years, with 54{\%} between 36and 50 years of age, corresponding to an average of 15 years in practice. Seventy-seven percent of the respondents felt that taking trauma call is an integral aspect of being a pediatric orthopaedist. Of the respondents, 64.9{\%} take call 1 to 9 times per month, 15.8{\%} take 10 to 19 calls, 2.7{\%} take 20 or more, and 16.6{\%} take no call. The number of orthopaedists taking call per practice was fairly evenly distributed between 3 and 10. Call was shared equally in 32{\%} of practices, and mandatory in 72{\%}. Twenty-eight percent of the respondents were additionally compensated for taking calls, in amounts ranging from $100 to $2000 per night, with 1000 dollars the most common rate. One third of operative cases are done that night; one third, the next day; and one third, later in the week. Twenty-four percent of the respondents have dedicated operative block time on the day after the call. Forty-seven percent have a dedicated fracture clinic, of which 51{\%} receive institutional support. CONCLUSIONS:: Providing emergency trauma care for children is an integral aspect of pediatric orthopaedics. This survey provides information on the attitudes and strategies of practicing pediatric orthopaedic surgeons in the face of decreasing manpower and increasing demand for such services.",
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