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Article ; Online: Enhancing Leadership and Faculty Development: The Benefits of Coaching for Physicians and Physician Leaders.

Schulte, Elaine E

2023 Volume 268, Page(s) 113827

MeSH term(s)	Leadership ; Humans ; Mentoring/methods ; Faculty, Medical ; Staff Development ; Physicians ; Pediatrics/education
Language	English
Publishing date	2023-11-17
Publishing country	United States
Document type	Editorial
ZDB-ID	3102-1
ISSN	1097-6833 ; 0022-3476
ISSN (online)	1097-6833
ISSN	0022-3476
DOI	10.1016/j.jpeds.2023.113827
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Article ; Online: Coaching for Clinician Educators.

Branzetti, Jeremy / Love, Linda M / Schulte, Elaine E

Journal of graduate medical education

2023 Volume 15, Issue 2, Page(s) 261–262

MeSH term(s)	Humans ; Mentoring ; Internship and Residency ; Faculty, Medical
Language	English
Publishing date	2023-04-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2578612-X
ISSN	1949-8357 ; 1949-8357
ISSN (online)	1949-8357
ISSN	1949-8357
DOI	10.4300/JGME-D-23-00071.1
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Pediatric Faculty Engagement and Associated Areas of Worklife After a COVID19 Surge.

Uong, Audrey M / Cabana, Michael D / Serwint, Janet R / Bernstein, Carol A / Schulte, Elaine E

Journal of healthcare leadership

2023 Volume 15, Page(s) 375–383

Abstract: Purpose: Healthcare organizations strive to increase physician engagement and decrease attrition. However, little is known about which specific worklife areas may be targeted to improve physician engagement or retention, especially after stressful ... ...

Abstract	Purpose: Healthcare organizations strive to increase physician engagement and decrease attrition. However, little is known about which specific worklife areas may be targeted to improve physician engagement or retention, especially after stressful events such as a COVID19 surge. Our objective was to identify demographic characteristics and worklife areas most associated with increased physician engagement and decreased intent to leave in pediatric faculty. Patients and methods: In September 2020, we conducted a cross-sectional survey of faculty at an academic, tertiary-care children's hospital. A convenience and voluntary sampling approach was used. The survey included demographics, Maslach Burnout Index-Human Services Survey (MBI-HSS) and the Areas of Worklife Survey (AWS). The MBI-HSS was used to measure faculty engagement. The AWS measures satisfaction with six worklife areas (workload, control, reward, fairness, community, values). We used bivariate analyses to examine relationships between worklife areas and engagement and between worklife areas and intent to leave. We included multivariate logistic regression models to examine worklife areas most associated with increased work engagement and decreased intent to leave. Results: Our response rate was 41% (113/274 participants). In bivariate analysis, engaged faculty reported higher satisfaction in all worklife areas. In multivariate analyses, positive perceptions of workload (odds ratio (OR) 2.83; 95% confidence interval (CI), 1.2-6.9), control (OR, 3.24; 95% CI 1.4-7.3), and community (OR, 6.07; 95% CI 1.9-18.7) were associated with engagement. Positive perceptions of values (OR, 0.07; 95% CI 0.02-0.32) and community (OR, 0.19; 95% CI 0.05-0.78) were negatively associated with intent to leave. Conclusion: We found that positive perceptions of workload, control, and community were most associated with engagement. Alignment of values and increased sense of community were associated with decreased intent to leave. Our findings suggest specific worklife areas may be targeted to increase faculty engagement and retention.
Language	English
Publishing date	2023-11-28
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2587466-4
ISSN	1179-3201 ; 1179-3201
ISSN (online)	1179-3201
ISSN	1179-3201
DOI	10.2147/JHL.S410797
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Article ; Online: Comprehensive Health Evaluation of the Newly Adopted Child.

Jones, Veronnie Faye / Schulte, Elaine E

Pediatrics

2019 Volume 143, Issue 5

Abstract: Children who join families through the process of adoption, whether through a domestic or international route, often have multiple health care needs. Pediatricians and other health care personnel are in a unique position to guide families in achieving ... ...

Abstract	Children who join families through the process of adoption, whether through a domestic or international route, often have multiple health care needs. Pediatricians and other health care personnel are in a unique position to guide families in achieving optimal health for the adopted children as families establish a medical home. Shortly after placement in an adoptive home, it is recommended that children have a timely comprehensive health evaluation to provide care for known medical needs and identify health issues that are unknown. It is important to begin this evaluation with a review of all available medical records and pertinent verbal history. A complete physical examination then follows. The evaluation should also include diagnostic testing based on findings from the history and physical examination as well as the risks presented by the child's previous living conditions. Age-appropriate screenings may include, but are not limited to, newborn screening panels and hearing, vision, dental, and formal behavioral and/or developmental screenings. The comprehensive assessment may occur at the time of the initial visit to the physician after adoptive placement or can take place over several visits. Adopted children can be referred to other medical specialists as deemed appropriate. The Council on Adoption, Foster Care, and Kinship Care is a resource within the American Academy of Pediatrics for physicians providing care for children who are being adopted.
MeSH term(s)	Adoption/psychology ; Child ; Child Welfare/psychology ; Child, Adopted/psychology ; Foster Home Care/methods ; Foster Home Care/standards ; Humans ; Immunization/methods ; Immunization/standards ; Physical Examination/methods ; Physical Examination/standards ; Symptom Assessment/methods ; Symptom Assessment/standards
Language	English
Publishing date	2019-04-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2019-0657
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Article ; Online: Learning disorders: How pediatricians can help.

Schulte, Elaine E

Cleveland Clinic journal of medicine

2015 Volume 82, Issue 11 Suppl 1, Page(s) S24–8

Abstract: Learning disabilities are common and can negatively affect the individual and, ultimately, society. Pediatricians should be able to identify the risk factors for learning disabilities, recognize the early warning signs, and apply the appropriate ... ...

Abstract	Learning disabilities are common and can negatively affect the individual and, ultimately, society. Pediatricians should be able to identify the risk factors for learning disabilities, recognize the early warning signs, and apply the appropriate diagnostic tools. Pediatricians also can play a crucial role by encouraging schools to provide accommodations for the child, requesting multifactorial evaluations from the school district, and referring patients for detailed neuropsychological evaluation outside the school district when appropriate. Information from the pediatrician can help the school formulate an individualized education plan for the child. Additionally, the primary care pediatrician can support families with referrals to appropriate healthcare specialists.
MeSH term(s)	Child ; Education, Special ; Humans ; Learning Disorders/diagnosis ; Learning Disorders/epidemiology ; Learning Disorders/therapy ; Pediatrics ; Physician's Role ; Physician-Patient Relations ; Professional-Family Relations ; Referral and Consultation ; United States/epidemiology
Language	English
Publishing date	2015-11
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	639116-3
ISSN	1939-2869 ; 0891-1150
ISSN (online)	1939-2869
ISSN	0891-1150
DOI	10.3949/ccjm.82.s1.05
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Article ; Online: Addressing Faculty Emotional Responses during the Coronavirus 2019 Pandemic.

Schulte, Elaine E / Bernstein, Carol A / Cabana, Michael D

The Journal of pediatrics

2020 Volume 222, Page(s) 13–14

MeSH term(s)	Academic Medical Centers/organization & administration ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/psychology ; Coronavirus Infections/therapy ; Emotions ; Faculty, Medical/organization & administration ; Faculty, Medical/psychology ; Hospitals, Pediatric/organization & administration ; Humans ; New York ; Occupational Health ; Pandemics ; Pediatricians/organization & administration ; Pediatricians/psychology ; Pediatrics/education ; Pediatrics/organization & administration ; Pneumonia, Viral/psychology ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; Social Support
Keywords	covid19
Language	English
Publishing date	2020-05-07
Publishing country	United States
Document type	Editorial
ZDB-ID	3102-1
ISSN	1097-6833 ; 0022-3476
ISSN (online)	1097-6833
ISSN	0022-3476
DOI	10.1016/j.jpeds.2020.04.057
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Article ; Online: Pediatrician Guidance in Supporting Families of Children Who Are Adopted, Fostered, or in Kinship Care.

Jones, Veronnie F / Schulte, Elaine E / Waite, Douglas

Pediatrics

2020 Volume 146, Issue 6

Abstract: The child welfare system strives to provide children and adolescents in foster care with a safe, nurturing environment through kinship and nonkinship foster care placement with the goal of either reunification with birth parents or adoption. ... ...

Abstract	The child welfare system strives to provide children and adolescents in foster care with a safe, nurturing environment through kinship and nonkinship foster care placement with the goal of either reunification with birth parents or adoption. Pediatricians can support families who care for children and adolescents who are fostered and adopted while attending to children's medical needs and helping each child attain their developmental potential. Although this report primarily focuses on children in the US child welfare system, private and internationally adopted children often have similar needs.
MeSH term(s)	Adoption ; Child ; Child Welfare ; Counseling/organization & administration ; Foster Home Care/organization & administration ; Guidelines as Topic ; Health Promotion ; Humans
Language	English
Publishing date	2020-10-12
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	207677-9
ISSN	1098-4275 ; 0031-4005
ISSN (online)	1098-4275
ISSN	0031-4005
DOI	10.1542/peds.2020-034629
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Article ; Online: Using the "Coach Approach": A Novel Peer Mentorship Program for Pediatric Faculty.

Schulte, Elaine E / Alderman, Elizabeth / Feldman, Jonathan / Hametz, Patricia / Havranek, Thomas / Kaskel, Frederick J / Levy, Adam / Manwani, Deepa / Stein, Ruth E K

Academic pediatrics

2022 Volume 22, Issue 7, Page(s) 1257–1259

MeSH term(s)	Child ; Faculty ; Faculty, Medical ; Humans ; Mentoring ; Mentors ; Peer Group ; Program Evaluation
Language	English
Publishing date	2022-04-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2483385-X
ISSN	1876-2867 ; 1876-2859
ISSN (online)	1876-2867
ISSN	1876-2859
DOI	10.1016/j.acap.2022.03.020
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Article: Addressing Faculty Emotional Responses during the Coronavirus 2019 Pandemic

Schulte, Elaine E / Bernstein, Carol A / Cabana, Michael D

J Pediatr

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #197816
Database	COVID19

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Article ; Online: Changes in Pediatric Faculty Burnout During the COVID-19 Pandemic.

Uong, Audrey M / Cabana, Michael D / Serwint, Janet R / Bernstein, Carol A / Schulte, Elaine E

Hospital pediatrics

2021

Abstract: Objectives: To examine the impact of the coronavirus disease 2019 (COVID-19) pandemic and associated workflow changes, such as deployment on pediatric faculty burnout in an early epicenter of the pandemic. We hypothesized burnout would increase during ... ...

Abstract	Objectives: To examine the impact of the coronavirus disease 2019 (COVID-19) pandemic and associated workflow changes, such as deployment on pediatric faculty burnout in an early epicenter of the pandemic. We hypothesized burnout would increase during the COVID-19 surge. Methods: We conducted serial cross-sectional surveys of pediatric faculty at an academic, tertiary-care children's hospital that experienced a COVID-19 surge in the Northeastern United States. Surveys were administered pre-surge (February 2020), during the surge (April 2020), and postsurge (September 2020). The primary outcome was burnout prevalence. We also measured areas of worklife scores. We compared responses between all 3 survey periods. Continuous variables were analyzed by using Student's t or Mann-Whitney tests, and categorical variables were analyzed by using χ2 or Fisher's exact test, as appropriate. Results: Our response rate was 89 of 223 (40%) presurge, 100 of 267 (37%) during the surge, and 113 of 275 (41%) postsurge. There were no differences in demographics, including sex, race, and academic rank between survey periods. Frequency of burnout was similar in all 3 periods (20% to 26%). The mean scores of emotional exhaustion improved during the surge (2.25 to 1.9; P = .04). Conclusions: Contrary to our hypothesis, we found no changes in pediatric faculty burnout after a COVID-19 surge. Emotional exhaustion improved during the COVID-19 surge. However, these findings represent short-term responses to the COVID-19 surge. Longer-term monitoring of the impact of the COVID-19 surge on pediatric faculty burnout may be necessary for health care organizations to mitigate burnout.
Language	English
Publishing date	2021-12-01
Publishing country	United States
Document type	Journal Article
ISSN	2154-1671
ISSN (online)	2154-1671
DOI	10.1542/hpeds.2021-006045
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