Locum Tenens Guidelines, Clavien-Madadi Validation, and Transitional Care Challenges

APSA published best practices for locum tenens surgeons, hospitals, and agencies

APSA guidelines stress the importance of patient safety and support for surgeons in locum tenens practice

Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance

Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons because this may cause patients to slip through handoffs

Locum tenens agencies should sponsor CME and conduct formal exit interviews

A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification

The validation scenarios were circulated within the European Reference Network of inherited and congenital anomalies, and surgeons rated them using either Clavien-Dindo or Clavien-Madadi classification

59 surgeons completed the Clavien-Madadi validation questionnaire

The Clavien-Madadi classification showed significantly better agreement rates than Clavien-Dindo and was less frequently considered inaccurate

More pediatric surgeons preferred using the Clavien-Madadi classification over Clavien-Dindo

The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery

A UK systematic review aimed to establish and categorize challenges and solutions related to transitional care in colorectal patients with anorectal malformation and Hirschsprung's disease

The transitional care systematic review included 234 studies

Patient's lack of understanding of their own pathology is a challenge in transitional care for colorectal patients

Lack of education and awareness of adult surgeons about pediatric colorectal pathologies is a challenge in transitional care

Lack of a structured transitional care program is a challenge for colorectal patients moving from pediatric to adult care

Fostering young adult patients' autonomy is a proposed solution for transitional care challenges

Conducting joint pediatric-adult transitional clinics is a proposed solution for transitional care challenges

Creating a structured and coordinated transition program is a proposed solution for transitional care challenges