Evidence map›Paper›PMID 28988298›Full record

ArticleJournal of community health2018

Is There a Return on a Children's Hospital's Investment in a Pediatric Residency's Community Health Track? A Cost Analysis.

Cara Lichtenstein, Denice Cora-Bramble, Mary Ottolini, Dewesh Agrawal

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of community health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Cara LichtensteinDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA. clichten@childrensnational.org.ORCID 0000-0002-6288-6041
Denice Cora-BrambleDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Mary OttoliniDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Dewesh AgrawalDepartment of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Children's National · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Academic Medical Centers incur significant expenses associated with training residents and caring for underserved populations. No previous studies have analyzed hospital-level graduate medical education economics for pediatric residency training. Using data from the 2010-2011 academic year, we quantified total direct costs per year for training 12 community health track (CHT) residents. Utilizing sensitivity analyses, we estimated revenues generated by residents in inpatient and outpatient settings. The total yearly direct cost of training 12 CHT residents was $922,640 including salaries, benefits, and administrative costs. The estimated additional yearly inpatient net revenue from attending-resident clinical teams compared to attendingonly service was $109,452. For primary care clinics, the estimated yearly revenue differential of resident-preceptor teams was $455,940, compared to attending-only clinics. The replacement cost of 12 CHT residents with advanced practitioners was $457,596 per year.This study suggests there is positive return on a children's hospital's investment in a CHT.

Indexed as

Community Health PlanningCosts and Cost AnalysisEducation, Medical, GraduateHealth Care CostsHospitals, PediatricHumansInternship and ResidencyChildren’s Hospitals Graduate Medical Education (CHGME) FundingCommunity health trackResidency trainingReturn on investment

Identifiers

PMID28988298
OpenAlexW2762841240

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.