Evidence map›Paper›PMID 38693783›Full record

ArticleJournal of pediatric gastroenterology and nutrition2024

Physician workload and practice management in pediatric gastroenterology.

Kimberley A Chien, Charlene Thomas, Victoria Cooley, Toba Weinstein, Karen F Murray, Linda Muir, Christopher Hayes, Benjamin D Gold, Linda M Gerber, Gitit Tomer and 1 more

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Generative AI in Pediatric Gastroenterology.Current gastroenterology reports · 2024
    Review
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

11 authors.

Kimberley A ChienDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-5328-1286
Charlene ThomasDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.
Victoria CooleyDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.
Toba WeinsteinDivision of Pediatric Gastroenterology, Liver Disease and Nutrition, Cohen Children's Medical Center, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lake Success, New York, USA.
Karen F MurrayPediatric Institute, Cleveland Clinic and Cleveland Clinic Children's, Cleveland, Ohio, USA.
Linda MuirDivision of Pediatric Gastroenterology, Oregon Health and Science University, Portland, Oregon, USA.
Christopher HayesDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Children's National Hospital, Fredericksburg, Virginia, USA.
Benjamin D GoldGI Care for Kids, LLC; Children's Center for Digestive Healthcare, Atlanta, Georgia, USA.
Linda M GerberDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.
Gitit TomerDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Montefiore, Einstein College of Medicine, Bronx, New York, USA.
Cary G SauerDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
NASPGHANNCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

objectivesThe pediatric gastroenterology workforce has grown in the last few decades. The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) formed a task force to understand current pediatric gastroenterology organizations' practice structures.

methods19-item electronic survey was distributed to NASPGHAN members who were clinical or academic division directors.

results30% responded to the survey, all directors of academic practices. The median number of clinical sessions per week was seven sessions, and the median individual work relative value unit (wRVU) target for practices was 4000-4500. Healthcare team ratios compared to provider clinical full-time equivalent were reported as the following: Nursing 0.80, medical assistant (MA) 0.29, dietitian 0.29, social worker 0.14, and psychologist 0.13. Regarding compensation, 68.0% were salaried with bonus based on billing or director decision, 28.0% were salaried with no incentive pay, and 4.0% were salaried with a portion at risk if the target was not met, and a bonus was given if the target was met. Most practices participated in a wellness activity with the most common strategies being didactic lectures about physician burnout (80%), annual burnout check-ins (68%), and/or after-hours social activities (60%).

conclusionsPediatric gastroenterology practices vary regarding clinical sessions per week and annual wRVU targets with the median at seven sessions per week and an annual goal of 4000-4500 wRVUs, similar to reported national benchmark goals at the 50th percentile. Healthcare teams, including nursing, MAs, dietitians, social workers, and psychologists, had similar ratios of staff to providers for all sizes and types of practices. Most practices are engaging in wellness initiatives.

Indexed as

GastroenterologyPediatricsWorkloadHumansMalePhysiciansPractice ManagementSalaries and Fringe BenefitsSurveys and QuestionnairesUnited Statesbusiness managementclinical practicephysician burnoutwellnessworkforce

Identifiers

PMID38693783
PMCPMC12870197

What OpenQuestion holds

Textmetadata
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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.