# Quick Literature Updates Ep 23 — GCMD Library We’re back with 23rd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesting and relevant topics in the field.

These articles are either chosen by JPS editors or our collaborators. We present these reviews as short news pieces with a summarization of key points.

Whether you're a trainee, attending, or an advanced medical professional, tune in to our podcast for a dose of medical knowledge in every episode. Stay up to date on the latest trends and advancements in pediatric surgery with "Quick Literature Updates".

Host: Em Gootee

0:00 Introduction
0:39 Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA)
1:40 Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project
2:50 Transitional Care in Anorectal Malformation and Hirschsprung's Disease: A Systematic Review of Challenges and Solutions
4:03 Outro

https://pubmed.ncbi.nlm.nih.gov/38806318/

Fahy AS, Klima DA, Gillam MM, Aprahamian CJ, Kim SS, Kokoska ER, Teeple EA, Weiss RG, Escobar MA Jr. Locum Tenens and Pediatric Surgery: A Position Statement and Practice Guidelines From the American Pediatric Surgical Association (APSA). J Pediatr Surg. 2024 Oct;59(10):161567. doi: 10.1016/j.jpedsurg.2024.04.021. Epub 2024 May 8. PMID: 38806318.

https://pubmed.ncbi.nlm.nih.gov/38582705/

Madadi-Sanjani O, Kuebler JF, Brendel J, Costanzo S, Granström AL, Aydin E, Loukogeorgakis S, Lacher M, Wiesner S, Domenghino A, Clavien PA, Mutanen A, Eaton S, Ure BM. Validation of the Clavien-Madadi Classification for Unexpected Events in Pediatric Surgery: A Collaborative ERNICA Project. J Pediatr Surg. 2024 Sep;59(9):1672-1679. doi: 10.1016/j.jpedsurg.2024.03.022. Epub 2024 Mar 16. PMID: 38582705.

https://pubmed.ncbi.nlm.nih.gov/37996349/

Plascevic J, Shah S, Tan YW. Transitional Care in Anorectal Malformation and Hirschsprung's Disease: A Systematic Review of Challenges and Solutions. J Pediatr Surg. 2024 Jun;59(6):1019-1027. doi: 10.1016/j.jpedsurg.2023.10.066. Epub 2023 Nov 2. PMID: 37996349.
Type: video · 4 min · posted 2025-10-29 Canonical: https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174 ## Chapters - [0:16](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=16) APSA Locum Tenens Guidelines - [1:40](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=100) Clavien-Madadi Classification Validation - [2:50](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=170) Transitional Care Systematic Review ## Statements - "APSA published best practices for locum tenens surgeons, hospitals and agencies" — Lizzie Lee (guideline) [1:02](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=62) - "APSA guidelines stress the importance of patient safety and support for surgeons" — Lizzie Lee (guideline) [1:12](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=72) - "Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance" — Lizzie Lee (opinion) [1:17](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=77) - "Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons because this may cause patients to slip through handoffs" — Lizzie Lee (guideline) [1:23](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=83) - "Locum tenens agencies should sponsor CME and conduct formal exit interviews" — Lizzie Lee (guideline) [1:32](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=92) - "A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification" — Alex Halpern (clinical) [2:01](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=121) - "Scenarios were circulated within the European Reference Network of inherited and congenital anomalies" — Alex Halpern (clinical) [2:10](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=130) - "Surgeons rated scenarios based on either Clavien-Dindo classification or Clavien-Madadi classification" — Alex Halpern (clinical) [2:10](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=130) - "59 surgeons completed the questionnaire" — Alex Halpern (epidemiological) [2:23](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=143) - "The Clavien-Madadi classification showed significantly better agreement rates than Clavien-Dindo" — Alex Halpern (clinical) [2:27](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=147) - "The Clavien-Madadi classification was less frequently considered inaccurate" — Alex Halpern (clinical) [2:27](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=147) - "More pediatric surgeons preferred using the Clavien-Madadi classification" — Alex Halpern (opinion) [2:34](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=154) - "The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery" — Alex Halpern (clinical) [2:38](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=158) - "The systematic review was done in the UK and aimed to establish and categorize challenges and solutions related to transitional care in colorectal patients" — Cecilia Gigena (clinical) [3:10](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=190) - "The systematic review included 234 studies" — Cecilia Gigena (epidemiological) [3:23](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=203) - "First challenge identified was patients' lack of understanding of their own pathology" — Cecilia Gigena (clinical) [3:29](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=209) - "Second challenge was the lack of education and awareness of adult surgeons about pediatric colorectal pathologies" — Cecilia Gigena (clinical) [3:34](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=214) - "Third challenge was the lack of a structured transitional care program" — Cecilia Gigena (clinical) [3:42](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=222) - "First proposed solution is to foster young adult patients' autonomy" — Cecilia Gigena (guideline) [3:46](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=226) - "Second proposed solution is to conduct joint pediatric-adult transitional clinics" — Cecilia Gigena (guideline) [3:46](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=226) - "Third proposed solution is to create a structured and coordinated transition program" — Cecilia Gigena (guideline) [3:46](https://library.globalcastmd.com/watch/quick-literature-updates-ep-23-11174?t=226) ## Transcript 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. --- Not medical advice · citation policy: https://library.globalcastmd.com/ai