Quick Literature Updates Ep 23

Hello pediatric surgery family, I'm Em Gdy from Cincinnati Children's Hospital Medical Center, and today our team is gonna deliver the articles that you should know about. We have 3 papers today but don't have much time, so let's start. Our first paper titled Locum Tanenins and Pediatric Surgery, a position Statement and Practice Guidelines from the ABSA by Fahi et al. This paper is summarized by Lizzie Lee, a physician associate by profession and a member of our team here at Cincinnati Children's dedicated to creating content for pediatric surgery. The American P Paediatric Surgical Association, APSA published best practices for locum tendon surgeons, hospitals and agencies in this review article. These guidelines stress the importance of patient safety and support for surgeons. Locum tenants can help prevent burnout by offering flexible work options for a better work-life balance. However, hospitals should avoid relying solely on locum tenants pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs. Locum tenants agencies should sponsor CME and conduct formal exit interviews. Our second paper is validation of the Clavian Madadi Classification for unexpected events in Pediatric Surgery, a collaborative Ernica project by Madadi Sanjani et al. and this paper is summarized by Alex Halpern. He is a research fellow at Children's National and collaborates with us to produce these article reviews. To attempt to validate this instrument, a working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events. They then circulated these scenarios within the European Reference Network of inherited and congenital anomalies, and surgeons rated the scenarios based on the Clavian Dindo classification or the Clavian Madadi classification. A total of 59 surgeons completed the questionnaire. The Clavian-Matti classification showed significantly better agreement rates and was less frequently considered inaccurate. More pediatric surgeons preferred using the Clavian-Matti classification. So it seems like the Clavian-Matti classification is both an accurate and useful tool in grading unexpected events in pediatric surgery. Now moving to the last paper of the day, transitional care in anorectal malformation and Hirschsprung's disease, a systematic review of challenges and solutions by Plascivi et al. This paper is summarized by Cecilia Ina. She's one of the previous research fellows at Cincinnati Children's Hospital. This is a systematic review done in the UK and their aim was to establish and categorize challenges and solutions related to transitional care in colorectal patients. They included 234 studies and established 3 challenges and solutions. The challenges were, first, the patients' lack of understanding of their own pathology. The second one was the lack of education and awareness of adult surgeons about pediatric colorectal pathologies and. And the 3rd is the lack of a structured transitional care program. So for the solutions they proposed, first, to foster young adult patients' autonomy, 2, to conduct joint pediatric adult transitional clinics, and 3, to create a structured and coordinated transition program. Thank you for listening. Please check the link in the description below to read each paper. We hope you liked this episode. Please follow Stay Curn MD on social media, give us a rating, and subscribe to our YouTube channel. And don't forget to download the Stay Curn app on the App Store or Play Store for tons of content.