Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-23T00:17:05.571Z Has data issue: false hasContentIssue false

Subspecialty referrals and consultation: it’s time to partner with primary care paediatricians

Published online by Cambridge University Press:  16 August 2022

Ashraf S. Harahsheh*
Affiliation:
Division of cardiology, Children’s National Hospital, Washington, DC, USA and Department of Pediatrics, The George Washington University School of Medicine & Health Sciences, Washington, DC, USA
*
Author for correspondence: Ashraf S. Harahsheh, M.D., F.A.C.C., F.A.A.P. Director of Quality and Outcomes in Cardiology. Medical Unit Director of both the Northern Virginia (NoVA) and Fredericksburg, VA Regional Outpatient Centers. Director of Children’s National Kawasaki Disease Program. Director of Resident Education in Cardiology, Division of cardiology, Associate Professor of Pediatrics, Children’s National Hospital, The George Washington University School of Medicine & Health Sciences, 111 Michigan Ave, N.W. Washington, DC 20010, USA. Tel: 202 476 2020. E-mail: [email protected]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Commentaries
Copyright
© The Author(s), 2022. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Tweet: It’s time to partner with primary care pediatricians to improve referrals and subspecialty consultation in Cardiology @ChildrensNatl

Twitter handle is @ChildrensNatl

References

Hamburger, EK, Lane, JL, Agrawal, D, et al. The referral and consultation entrustable professional activity: defining the components in order to develop a curriculum for pediatric residents. Acad Pediatr 2015; 15: 58.CrossRefGoogle ScholarPubMed
Forrest, CB, Glade, GB, Baker, AE, Bocian, AB, Kang, M, Starfield, B. The pediatric primary-specialty care interface: how pediatricians refer children and adolescents to specialty care. Arch Pediatr Adolesc Med 1999; 153: 705714.CrossRefGoogle ScholarPubMed
Englander, R, Hicks, P, Benson, B. Pediatrics milestones: a developmental approach to the competencies. J Pediatr 2010; 157: 521–2, 22 e1.CrossRefGoogle Scholar
Harahsheh, AS, OʼByrne, ML, Pastor, B, Graham, DA, Fulton, DR. Pediatric chest pain-Low-Probability referral: a Multi-Institutional analysis from standardized clinical assessment and management plans (SCAMPs(R)), the pediatric health information systems database, and the national ambulatory medical care survey. Clin Pediatr (Phila) 2017; 56: 12011208.CrossRefGoogle Scholar
Tretter, JT, Kavey, RE. Distinguishing cardiac syncope from vasovagal syncope in a referral population. J Pediatr 2013; 163: 161823 e1.CrossRefGoogle Scholar
Warren, P, Beck, A, Zang, H, Anderson, J, Statile, C. Inequitable access: factors associated with incomplete referrals to pediatric cardiology. Cardiol Young 2022; 18: 126.CrossRefGoogle ScholarPubMed
Teitel, DF, Newburger, JW, Sutton, N, et al. Development and utility of quality metrics for ambulatory pediatric cardiology in kawasaki disease. Clin Pediatr (Phila) 2020; 59: 245251.CrossRefGoogle ScholarPubMed
Bohnhoff, JC, Taormina, JM, Ferrante, L, Wolfson, D, Ray, KN. Unscheduled referrals and unattended appointments after pediatric subspecialty referral. Pediatrics 2019; 144: 144.CrossRefGoogle ScholarPubMed
Phillips, AA, Sable, CA, Atabaki, SM, Waggaman, C, Bost, JE, Harahsheh, AS. Ambulatory cardiology telemedicine: a large academic pediatric center experience. J Investig Med 2021; 69(7): 13721376.CrossRefGoogle ScholarPubMed
Harahsheh, AS, Selekman, RE, Simpson, JN, et al. Children’s hospital ambulatory response to the 2019 novel coronavirus disease (COVID-19) pandemic. J Ambul Care Manage 2021; 44(3): 184196.CrossRefGoogle Scholar
Dalal, NN, Dzelebdzic, S, Frank, LH, et al. Recurrent cardiology evaluation for innocent heart murmur: echocardiogram utilization. Clin Pediatr (Phila) 2018; 57: 14361441.CrossRefGoogle ScholarPubMed
Harahsheh, AS, Hamburger, EK, Saleh, L, et al. Promoting judicious primary care referral of patients with chest pain to cardiology: a quality improvement initiative. Med Decis Making 2021; 41: 559572.CrossRefGoogle ScholarPubMed
Friedman, KG, Kane, DA, Rathod, RH, et al. Management of pediatric chest pain using a standardized assessment and management plan. Pediatrics 2011; 128: 239245.CrossRefGoogle ScholarPubMed
Angoff, GH, Kane, DA, Giddins, N, et al. Regional implementation of a pediatric cardiology chest pain guideline using SCAMPs methodology. Pediatrics 2013; 132: e1010e1017.CrossRefGoogle ScholarPubMed
Harahsheh, AS, Ottolini, M, Lewis, K, Blatt, B, Mitchell, S, Greenberg, L. An innovative pilot curriculum training pediatric residents in referral and communication skills on a cardiology rotation. Acad Pediatr 2016; 16: 700702.CrossRefGoogle ScholarPubMed
Stave, EA, Greenberg, L, Hamburger, E, et al. An educational intervention to facilitate appropriate subspecialty referrals: a study assessing resident communication skills. BMC Med Educ 2022; 22: 533.CrossRefGoogle ScholarPubMed
Diamond, L, Izquierdo, K, Canfield, D, Matsoukas, K, Gany, F. A systematic review of the impact of Patient-Physician Non-English language concordance on quality of care and outcomes. J Gen Intern Med 2019; 34: 159115606.CrossRefGoogle ScholarPubMed
Hsueh, L, Hirsh, AT, Maupome, G, Stewart, JC. Patient-Provider language concordance and health outcomes: a systematic review, evidence map, and research agenda. Med Care Res Rev 2021; 78: 323.CrossRefGoogle ScholarPubMed
Parker, MM, Fernandez, A, Moffet, HH, Grant, RW, Torreblanca, A, Karter, AJ. Association of Patient-Physician language concordance and glycemic control for Limited-English proficiency latinos with type 2 diabetes. JAMA Intern Med 2017; 177: 380387.CrossRefGoogle ScholarPubMed
Traylor, AH, Schmittdiel, JA, Uratsu, CS, Mangione, CM, Subramanian, U. Adherence to cardiovascular disease medications: does patient-provider race/ethnicity and language concordance matter? J Gen Intern Med 2010; 25: 11721177.CrossRefGoogle Scholar
Zhao, C, Dowzicky, P, Colbert, L, Roberts, S, Kelz, RR. Race, gender, and language concordance in the care of surgical patients: a systematic review. Surgery 2019; 166: 785792.CrossRefGoogle ScholarPubMed