Quick Literature Updates Ep 23

APSA published best practices for locum tenens surgeons, hospitals and agencies stressing the importance of patient safety and support for surgeons.

Locum tenens can help prevent burnout by offering flexible work options for a better work-life balance.

Hospitals should avoid relying solely on locum tenens pediatric surgeons without any full-time surgeons, because this may cause patients to slip through handoffs.

Locum tenens agencies should sponsor CME and conduct formal exit interviews.

A working group of pediatric surgeons from Europe created 19 case scenarios with unexpected events to validate the Clavien-Madadi classification.

Surgeons within the European Reference Network of inherited and congenital anomalies rated scenarios based on the Clavien-Dindo classification or the Clavien-Madadi classification.

A total of 59 surgeons completed the questionnaire.

The Clavien-Madadi classification showed significantly better agreement rates and was less frequently considered inaccurate compared to Clavien-Dindo.

More pediatric surgeons preferred using the Clavien-Madadi classification.

The Clavien-Madadi classification is both an accurate and useful tool in grading unexpected events in pediatric surgery.

A UK systematic review aimed to establish and categorize challenges and solutions related to transitional care in colorectal patients with anorectal malformations and Hirschsprung's disease.

The systematic review included 234 studies and established 3 challenges and solutions.

The first challenge in transitional care for colorectal patients is the patients' lack of understanding of their own pathology.

The second challenge is the lack of education and awareness of adult surgeons about pediatric colorectal pathologies.

The third challenge is the lack of a structured transitional care program.

The first proposed solution is to foster young adult patients' autonomy.

The second proposed solution is to conduct joint pediatric-adult transitional clinics.

The third proposed solution is to create a structured and coordinated transition program.