Current State of Institutional Privileging Profiles for Pediatric Procedural Sedation Providers.
OBJECTIVE
Providers from a variety of training backgrounds and specialties provide procedural sedation at institutions in the United States. We sought to better understand the privileging patterns and practices for sedation providers.


METHODS
Surveys were sent to 56 program directors belonging to the Society for Pediatric Sedation using Research Electronic Data Capture to 56 pediatric sedation programs. The survey was designed to gather information regarding characteristics of their sedation service and the privileging of their sedation providers.


RESULTS
The overall response rate was 41 (73%) of 56. Most programs surveyed (81%) said their physicians provided sedation as a part of their primary subspecialty job description, and 17% had physicians whose sole practice was pediatric sedation and no longer practiced in their primary subspecialty. Fifty-one percent of surveyed sedation programs were within freestanding children's hospitals and 61% receive oversight by the anesthesiology department at their institution. Eighty-one percent of the sedation programs require physicians to undergo special credentialing to provide sedation. Of these, 79% grant privileging through their primary specialty, whereas 39% require separate credentialing through sedation as a stand-alone section. For initial credentialing, requirements included completion of a pediatric sedation orientation and training packet (51% of programs), sedation training during fellowship (59%), and documentation of a specific number of pediatric procedural sedation cases (49%).


CONCLUSIONS
In this survey of pediatric sedation programs belonging to the Society for Pediatric Sedation, the process for privileging providers in procedural sedation varies significantly from institution to institution. An opportunity exists to propose privileging standards for providers of pediatric procedural sedation.
Department of Pediatrics, Emory University School of Medicine Atlanta, Georgia; Children's Healthcare of Atlanta at Egleston, Atlanta, Georgia; and pradip.kamat@choa.org.
Pradip P
PP
Kamat
Department of Pediatrics, University of Wisconsin American Family Children's Hospital, Madison, Wisconsin.
Gregory A
GA
Hollman
Department of Pediatrics, Emory University School of Medicine Atlanta, Georgia; Children's Healthcare of Atlanta at Egleston, Atlanta, Georgia; and.
Harold K
HK
Simon
Department of Pediatrics, Emory University School of Medicine Atlanta, Georgia; Children's Healthcare of Atlanta at Egleston, Atlanta, Georgia; and.
James D
JD
Fortenberry
Department of Pediatrics, Emory University School of Medicine Atlanta, Georgia;
Courteny E
CE
McCracken
Department of Pediatrics, Emory University School of Medicine Atlanta, Georgia; Children's Healthcare of Atlanta at Egleston, Atlanta, Georgia; and.
Jana A
JA
Stockwell
D002648:Child; D016292:Procedural Sedation / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D019983:Guideline Adherence; D019538:Health Care Surveys; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D010372:Pediatrics / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D010820:Physicians / Q000592:standards*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards; D011364:Professional Practice / Q000592:standards; D011787:Quality of Health Care / Q000592:standards*; D014481:United States