Training, attitudes, and income profiles of pediatric emergency physicians: The results of a 1993 survey of the American Academy of Pediatrics Section on Pediatric Emergency Medicine

Workplace factors leading to planned reduction of clinical work among emergency physicians

“…Many factors appear to impact upon the decision to decrease clinical workload, especially excess workload, effects on family life and emotional health, shift work and work stress. These important factors are cited commonly in similar studies from the UK and US 1,9,11–16 . Notably, the threats of litigation and physical violence received relatively low ratings in our study, in contrast to the findings of some US studies 12,14 …”

“…Reports published overseas, mostly in the UK and US, have examined the sources of EP stress and the rates of, and reasons for, EP attrition 9,11–16 . In the UK, these have included lack of funding and beds, understaffing, on‐call requirements, conflicts between clinical and administrative responsibilities and the effect of work on family and personal life 11,16 .…”

“…7,10 Reports published overseas, mostly in the UK and US, have examined the sources of EP stress and the rates of, and reasons for, EP attrition. 9,[11][12][13][14][15][16] In the UK, these have included lack of funding and beds, understaffing, on-call requirements, conflicts between clinical and administrative responsibilities and the effect of work on family and personal life. 11,16 Alternatively, in the US, violence in the ED, 12 shift work, 13 night duty, threat of malpractice and responsibility for dead and dying patients are commonly reported.…”

Adolescent Girls and Pelvic Inflammatory Disease

“…In addition, a recent survey of the same group of pediatricians by different investigators for a different purpose noted a similar demographic profile, lending external validity to our sampling technique. 18 The pediatricians surveyed reported on characteristics of the patients served in their pediatric emergency departments. All saw adolescents up to age 18 years, and 17 (31%) saw patients up to age 21 years.…”

“…17 Most fellowship-trained emergency medicine pediatricians work in teaching hospitals affiliated with medical schools, and many are in leadership positions. 18 Such pediatric emergency medicine specialists are a critical component in the education of medical students and pediatric residents and thus have an impact on the practice of future pediatricians. In addition, when they make a diagnosis of PID in the emergency department, pediatric emergency medicine specialists often advise the referring primary care physician and health insurance carrier about appropriate treatment and follow-up for the patient.…”