Evidence map›Paper›PMID 38976042›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Responding to the workforce crisis: consensus recommendations from the Second Workforce Summit of the American Society of Pediatric Nephrology.

Danielle E Soranno, Sandra Amaral, Isa Ashoor, Meredith A Atkinson, Gina-Marie Barletta, Michael C Braun, Joann Carlson, Caitlin Carter, Annabelle Chua, Vikas R Dharnidharka and 20 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Challenges Facing Contemporary Pediatric Nephrology: A Call to Global Advocacy.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  4. Article
  5. Kidney care at NICU discharge and follow-up recommendations for preterm infants<34 weeks.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Article
  7. Article
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

30 authors.

Danielle E SorannoDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA. dsoranno@iu.edu.ORCID 0000-0001-7019-809X
Sandra AmaralDepartments of Pediatrics and Biostatistics, Epidemiology and Informatics, Children's Hospital of Philadelphia and University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Isa AshoorDepartment of Pediatrics, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Meredith A AtkinsonDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Gina-Marie BarlettaDoernbecher Children's Hospital, Oregon Health & Science University, Portland, OR, USA.
Michael C BraunDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Joann CarlsonDepartment of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Caitlin CarterRady Children's Hospital, University of California San Diego, San Diego, CA, USA.
Annabelle ChuaDuke Children's Hospital and Health Center, Durham, NC, USA.
Vikas R DharnidharkaWashington University in St. Louis, St. Louis, MO, USA.
Keri DrakeUniversity of Texas Southwestern Medical Center, St. Louis, MO, USA.
Elif ErkanDepartment of Pediatrics, University of Cincinnati College of Medicine, Indianapolis, IN, USA.
Dan FeigDepartment of Pediatrics, University of Alabama, Heersink School of Medicine, Birmingham, AL, USA.
Stuart L GoldsteinDepartment of Pediatrics, University of Cincinnati College of Medicine, Indianapolis, IN, USA.
David HainsDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Lyndsay A HarshmanDepartment of Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, IA, USA.
Elizabeth IngulliRady Children's Hospital, University of California San Diego, San Diego, CA, USA.
Alexander J KulaAnn & Robert H Lurie Children's Hospital, Chicago, IL, USA.
Mary LeonardDepartment of Pediatrics, Stanford University, Stanford, CA, USA.
Sudha MannemuddhuEast Tennessee Children's Hospital, Knoxville, TN, USA.
Shina MenonDepartment of Pediatrics, Stanford University, Stanford, CA, USA.
Zubin J ModiDepartment of Pediatrics and Susan B. Meister Child Health Evaluation and Research (CHEAR) Center, University of Michigan, Ann Arbor, MI, USA.
Marva Moxey-MimsDepartment of Pediatrics, Children's National Hospital/George Washington University SOM, Washington, D.C, USA.
Arwa NadaDepartment of Pediatrics, Le Bonheur Children's Hospital, UTHSC, Memphis, TN, USA.
Victoria NorwoodDepartment of Pediatrics, University of Virginia, Charlottesville, VA, USA.
Michelle C StarrDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Priya S VergheseAnn & Robert H Lurie Children's Hospital, Chicago, IL, USA.
Darcy WeidemannDepartment of Pediatrics, Division of Nephrology, Children's Mercy Kansas City, Kansas City, MO, USA.
Adam WeinsteinDepartment of Medical Sciences and Pediatrics, Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, CT, USA.
Jodi SmithDepartment of Pediatrics, University of Washington, Seattle, WA, USA.

Funding

ASPN Foundation Foundation support
6 · The paper itself

Abstract

importancePediatric patients with complex medical problems benefit from pediatric sub-specialty care; however, a significant proportion of children live greater than 80 mi. away from pediatric sub-specialty care.

objectiveTo identify current knowledge gaps and outline concrete next steps to make progress on issues that have persistently challenged the pediatric nephrology workforce. EVIDENCE REVIEW: Workforce Summit 2.0 employed the round table format and methodology for consensus building using adapted Delphi principles. Content domains were identified via input from the ASPN Workforce Committee, the ASPN's 2023 Strategic Plan survey, the ASPN's Pediatric Nephrology Division Directors survey, and ongoing feedback from ASPN members. Working groups met prior to the Summit to conduct an organized literature review and establish key questions to be addressed. The Summit was held in-person in November 2023. During the Summit, work groups presented their preliminary findings, and the at-large group developed the key action statements and future directions.

findingsA holistic appraisal of the effort required to cover inpatient and outpatient sub-specialty care will help define faculty effort and time distribution. Most pediatric nephrologists practice in academic settings, so work beyond clinical care including education, research, advocacy, and administrative/service tasks may form a substantial amount of a faculty member's time and effort. An academic relative value unit (RVU) may assist in creating a more inclusive assessment of their contributions to their academic practice. Pediatric sub-specialties, such as nephrology, contribute to the clinical mission and care of their institutions beyond their direct billable RVUs. Advocacy throughout the field of pediatrics is necessary in order for reimbursement of pediatric sub-specialist care to accurately reflect the time and effort required to address complex care needs. Flexible, individualized training pathways may improve recruitment into sub-specialty fields such as nephrology. CONCLUSIONS AND RELEVANCE: The workforce crisis facing the pediatric nephrology field is echoed throughout many pediatric sub-specialties. Efforts to improve recruitment, retention, and reimbursement are necessary to improve the care delivered to pediatric patients.

Indexed as

NephrologyPediatricsChildDelphi TechniqueHealth WorkforceHumansNephrologistsSocieties, MedicalUnited StatesWorkforceAcademic RVUsPay equityPediatric NephrologyPediatric sub-specialtiesReimbursement and salary benchmarksWorkforce crisis

Identifiers

PMID38976042
PMCPMC11511730

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.