Journal article
Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology
Pediatric nephrology (Berlin, West), Vol.39(12), pp.3609-3619
12/2024
DOI: 10.1007/s00467-024-06410-9
PMCID: PMC11511730
PMID: 38976042
Abstract
Pediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care.IMPORTANCEPediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care.To identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce.OBJECTIVETo identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce.Workforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN's 2023 Strategic Plan survey, the ASPN's Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions.EVIDENCE REVIEWWorkforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN's 2023 Strategic Plan survey, the ASPN's Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions.A holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member's time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology.FINDINGSA holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member's time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology.The workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients.CONCLUSIONS AND RELEVANCEThe workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients.
Details
- Title: Subtitle
- Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology
- Creators
- Danielle E Soranno - Purdue University West LafayetteSandra Amaral - Children's Hospital of PhiladelphiaIsa Ashoor - Harvard Medical SchoolMeredith A Atkinson - Johns Hopkins UniversityGina-Marie Barletta - Indiana UniversityMichael C Braun - Baylor College of MedicineJoann Carlson - Rutgers, The State University of New JerseyCaitlin Carter - Rady Children's Hospital-San DiegoAnnabelle Chua - Duke Children's Hospital & Health CenterVikas R Dharnidharka - Washington University in St. LouisKeri Drake - The University of Texas Southwestern Medical CenterElif Erkan - Indiana UniversityDan Feig - University of Alabama School of MedicineStuart L Goldstein - University of CincinnatiDavid Hains - Indiana University School of MedicineLyndsay A Harshman - University of IowaElizabeth Ingulli - Rady Children's Hospital-San DiegoAlexander J Kula - Lurie Children's HospitalMary Leonard - Stanford UniversitySudha Mannemuddhu - East Tennessee Children's HospitalShina Menon - Stanford UniversityZubin J Modi - University of MichiganMarva Moxey-Mims - George Washington UniversityArwa Nada - Le Bonheur Children's HospitalVictoria Norwood - University of VirginiaMichelle C Starr - Indiana University School of MedicinePriya S Verghese - Lurie Children's HospitalDarcy Weidemann - Children's Mercy HospitalAdam Weinstein - Quinnipiac UniversityJodi Smith - University of Washington
- Resource Type
- Journal article
- Publication Details
- Pediatric nephrology (Berlin, West), Vol.39(12), pp.3609-3619
- DOI
- 10.1007/s00467-024-06410-9
- PMID
- 38976042
- PMCID
- PMC11511730
- NLM abbreviation
- Pediatr Nephrol
- ISSN
- 1432-198X
- eISSN
- 1432-198X
- Language
- English
- Electronic publication date
- 07/08/2024
- Date published
- 12/2024
- Academic Unit
- Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Radiation Oncology
- Record Identifier
- 9984656626202771
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