Journal of Pediatric Rehabilitation Medicine - Volume 16, issue 3

Article Type: Other

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 425-425, 2023

Authors: Pico, Elaine L.

Article Type: Editorial

DOI: 10.3233/PRM-239003

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 427-427, 2023

Authors: Brandenburg, Joline E. | Erlandson, Erika E. | Srinivasan, Rajashree

Article Type: Editorial

DOI: 10.3233/PRM-239017

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 429-430, 2023

Authors: Ventura, Juan | Gold-von Simson, Gabrielle | Sukhov, Renat

Article Type: Editorial

Abstract:  In this commentary, a medical student reflects on the promise of artificial intelligence (AI) in mitigation of physician burnout and moral injury. The rapid introduction of AI technologies may present a challenge to medical professionals, especially those engaged in the transdisciplinary care of children with disabilities.

Keywords: Burnout, moral injury, artificial intelligence, pediatric rehabilitation

DOI: 10.3233/PRM-230038

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 431-432, 2023

Authors: Osterwald, Ariane C. | Tsinberg, Julia | Sukhov, Renat R.

Article Type: Editorial

Abstract: This article describes the experience of a resident physician on the burnout-prone demands of postgraduate training during rapidly evolving integration of technology including artificial intelligence.

Keywords: Artificial intelligence, physician burnout

DOI: 10.3233/PRM-230039

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 433-434, 2023

Authors: Brandenburg, Joline E. | Schultz, Billie A. | Prideaux, Cara C. | Driscoll, Sherilyn W.

Article Type: Position Paper

Abstract:  Depression, suicidal ideation, burnout, and moral injury are on the rise among physicians. Depression and suicidal ideation are mental health disorders that result from multiple interacting factors including biological vulnerabilities and acute stressors. Medical treatment for depression and suicidal ideation is critical to interrupt the potentially deadly progression to suicide that occurs when one’s ability to find hope and other solutions is clouded by despair. Yet, stigma and perceived stigma of seeking treatment for mental health disorders still plagues medical providers. Transitions during medical training and practice can be particularly vulnerable time periods, though newer evidence suggests that overall, physicians …are not at an increased risk of suicide compared to the general population. While burnout and moral injury are common among rehabilitation physicians, unlike depression, they are not directly associated with suicidal ideation. Opportunities for continued improvement in mental health resources and institutional support exist across the spectrum from medical student to staff physician. With wellness now increasingly supported and promoted by various medical organizations and recognition of the importance of access to effective mental health treatment, regaining hope and positivity while restoring resiliency in physicians, trainees, and medical students is possible. Show more

Keywords: Suicide, moral injury, burnout, depression, transition

DOI: 10.3233/PRM-230032

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 435-442, 2023

Authors: Erlandson, Erika | Ramirez, Carrie | Dean, Wendy

Article Type: Case Report

Abstract: Dr. Jay Neufeld’s story in If I Betray These Words is a detailed account of one physician’s catastrophic journey through moral injury when caring for pediatric patients with complex medical conditions [1]. Many clinicians may recognize Jay’s journey in their own experiences, but what deserves parallel consideration are the journeys of patients and families when they are accompanied by physicians at risk of moral injury. This case study illustrates the tight link between drivers of physician moral injury and patients’ negative healthcare experiences. These include (1) decisions directed by health insurance regulations and prior authorizations; (2) the electronic medical …record (EMR); and (3) healthcare systems focused on revenue generation. Show more

Keywords: Moral injury, physician, patient experience, electronic medical record, prior authorization

DOI: 10.3233/PRM-230027

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 443-447, 2023

Authors: Turk, Margaret A. | Gans, Bruce M. | Kim, Heakyung | Alter, Katharine E.

Article Type: Article Commentary

Abstract:  Pediatric Rehabilitation Medicine (PRM) is a unique blend of traditional medical rehabilitation knowledge and skills primarily focused on temporary and/or permanent disability conditions of childhood onset throughout the age continuum, with an emphasis on promoting function and participation. Although there are two established pathways to enhance knowledge and skills in PRM, one a combined residency with Pediatrics and the other a PRM fellowship, there has been a relative decline in participants in this training, as has been seen across other subspecialties in Physical Medicine and Rehabilitation (PM&R) and other medical specialties. Based on pediatric rehabilitation physician surveys and the increasing …prevalence of children with disabilities, there has been a call to consider opening PRM fellowships to physicians not trained in PM&R. This commentary proposes establishing a commission to lead a transparent and inclusive process to assure that all options to address issues related to optimizing PRM care are considered and provide a course of action to address the needs of children and adults with childhood onset disabilities. Show more

Keywords: Pediatric rehabilitation medicine, training, subspecialization, childhood-onset disability

DOI: 10.3233/PRM-230044

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 449-455, 2023

Authors: Khalil, Muhammad Tawab | Rathore, Farooq Azam | Dy, Rochelle

Article Type: Article Commentary

Abstract: The concept of wellness incorporates many domains, including mental, physical, social, and integrated well-being. However, it is not well understood in most lower middle-income countries (LMIC). The significance of practicing wellness during residency, focusing on the context of LMIC, is described here. Based on the authors’ experiences of working in LMIC, the challenges faced during residency and the importance of prioritizing self-care and well-being is highlighted. Physician burnout is a global concern having a negative impact on patient care quality, patient satisfaction, and professionalism. Interventions to address wellness can be individual and organization-based. Individual interventions include mindfulness training, behavioral interventions, …self-care practices, and support networks. Organizational interventions involve the establishment of wellness committees, introduction of wellness curricula, optimization of workflows, and creation of shared social spaces. There is a need for implementing wellness practices within residency programs in LMIC. By focusing on wellness, physicians can mitigate burnout, enhance their well-being, and improve patient care outcomes. Show more

Keywords: Burnout, awareness, quality indicators, health metrics, Pakistan

DOI: 10.3233/PRM-230031

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 457-462, 2023

Authors: Middleton, Kate

Article Type: Article Commentary

Keywords: Australia, healthcare, burnout, physician wellness, health services

DOI: 10.3233/PRM-230040

Citation: Journal of Pediatric Rehabilitation Medicine, vol. 16, no. 3, pp. 463-464, 2023