title: Emergency department on-call status for pediatric orthopaedics: a survey of the POSNA membership.
abstract: BACKGROUND
  The emergency room on-call status of pediatric orthopaedic surgeons is an important factor affecting their practices and lifestyles and was last evaluated in 2006.
  
  
  METHODS
  The entire membership of the Pediatric Orthopaedic Society of North America (POSNA) was surveyed in 2010 for information regarding their emergency room on-call status with 382 surveys returned of over 1000 e-mailed to members of POSNA. Detailed information about on-call coverage, support, and frequency was obtained in answers to 14 different questions.
  
  
  RESULTS
  Compared with the prior survey in 2006, the 2010 survey indicated that a higher percentage of pediatric orthopaedic surgeons receive compensation for taking emergency room call; a higher percentage cover pediatric patients only when on-call; and accessibility to operating rooms in a timely manner for trauma cases, although limited, has improved for pediatric patients. Utilization of support staff to meet on-call trauma coverage demands, such as residents, physician's assistants, and nurse practitioners, is becoming more common.
  
  
  CONCLUSIONS
  Concentration of pediatric orthopaedic trauma has increased the coverage demands on pediatric orthopaedists. This has resulted in a change in reimbursement strategies, and allocation of OR time and hospital staffing resources.
authors: *Department of Orthopaedics, Yale University School of Medicine, New Haven, CT ‡Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR §Milwaukee Children's Hospital, Milwaukee, WI †MS of OrthoNorCal Orthopedic Specialists, San Jose ∥Children's Hospital of Orange County, Orange, CA ¶Texas Children's Hospital, Houston, TX #Cincinnati Children's Hospital, Cincinnati, OH.
authors: Brian G
authors: BG
authors: Smith
authors: Jeffrey S
authors: JS
authors: Kanel
authors: Matthew F
authors: MF
authors: Halsey
authors: John G
authors: JG
authors: Thometz
authors: Samuel R
authors: SR
authors: Rosenfeld
authors: Howard R
authors: HR
authors: Epps
authors: James
authors: J
authors: McCarthy
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration*; D015276:Health Care Rationing; D019538:Health Care Surveys; D006801:Humans; D009656:North America; D009985:Orthopedics / Q000379:methods*; D010372:Pediatrics / Q000379:methods*; D010561:Personnel Staffing and Scheduling; D010820:Physicians / Q000191:economics; D012955:Societies, Medical