Morgan Stanley Children’s Hospital of NewYork-Presbyterian

Bridging the Gap Between the Care for Children Given at PEDs and EDs in Community Hospitals

This past year, the Columbia University Morgan Stanley Children’s Hospital’s R Baby Fever in Infants Website for emergency physicians, headed by Dr. Meridith Sonnett, was piloted on 200 physicians. Three emergency departments adopted the R Baby guideline as their standard practice for evaluating infants with fever, and two leading Emergency Medicine Residency Training Programs incorporated the R Baby content into their educational curricula. The vast majority of trainees reported increased confidence and comfortableness in handling infants under 90 days old. This will now provide a tool to test the knowledge and competency of these emergency physicians-in-training in this key area of emergency pediatrics. Several manuscripts are in preparation for journal submission and presentation, and the program will be showcased this January at a national conference for emergency medicine doctors.

SECOND YEAR ACCOMPLISHMENTS:
The Columbia University Morgan Stanley Children’s Hospital’s “R-Baby Fever In Infants Website for Emergency Physicians” will help create a standard of care for infants at community hospitals, where emergency doctors may have less experience handling babies. This past year the website was piloted on 200 physicians, three emergency departments adopted the R Baby guideline as their standard practice for evaluating infants with fever, and two leading Emergency Medicine Residency Training  Programs  incorporated the R Baby program into their educational curricula. This  will now provide a tool to test the knowledge and competency of these emergency physicians-in-training in this  key area of emergency pediatrics. Several manuscripts are in preparation for journal submission and presentation at the Pediatric Academic Society Annual Meeting, and the program will be showcased this January at a national conference for emergency medicine doctors and offered for CME credit to all conference participants.


FIRST YEAR ACCOMPLISHMENTS:
Columbia University, working with Morgan Stanley Children’s Hospital of New York-Presbyterian, set up an initial platform using multi-modal educational method to improve physician knowledge targeted to reach Pediatric Emergency Medicine Physicians, initially at Columbia, but soon spreading out into the entire NYC base of practitioners, with a national program ultimately contemplated. Their achievements included establishing an online case repository with fifty cases including important clinical variants, Continuing Medical Education workshops, a telephone support service for discussions of actual, live cases, and an online reference website including treatment guidelines and descriptions of evidence-based data supporting the guidelines. Virtual experts were also made available as an enhancement to this online, “digital” and ongoing educational and informational platform.