Core Curriculum for Fellows
Cross-Disciplinary Pathway
Hospital Medicine
Trainee Pathway
Jennifer Fuchs, MD (she/her/hers)
Assistant Professor
University of North Carolina at Chapel Hill School of Medicine
Chapel Hill, North Carolina, United States
Ashley Sutton, MD (she/her/hers)
Associate Professor of Pediatrics
UNC Chapel Hill
Chapel Hill, North Carolina, United States
Daniel Cheek, RN, MBA, BSN, CCRN, EMT-P, CMTE
Pediatric/Neonatal Flight Nurse
UNC Carolina Air Care - UNC Health
Durham, North Carolina, United States
Deana Miller, MD (she/her/hers)
Pediatric Hospitalist
University of North Carolina at Chapel Hill School of Medicine
Wilmington, North Carolina, United States
Steven Weinberg, MD
Assistant professor
University of North Carolina at Chapel Hill School of Medicine
Chapel Hill, North Carolina, United States
Giving handoff and taking transport calls are skills required in all pediatric occupations and subspecialties, but are often laced with anxiety and stress. Excluding neonatal births, 9.4% of hospitalizations involve a transfer from one hospital to another. Recently, interfacility transfers for pediatric patients have increased as fewer hospitals are able to provide inpatient care to pediatric patients. Interfacility transfers among children increased by 25% from 2006 to 2013 and 86% of these were to urban teaching hospitals. With the recent surge of pediatric hospitalizations, there is increasing stress and burden on pediatricians to be skilled in the art of the transfer. However, multiple studies have shown that pediatric trainees are unlikely to have significant experience with interfacility transport during residency training. Even in subspecialties where transport is an essential component, such as pediatric critical care, formalized teaching regarding interfacility medical transport is not. Therefore, our goal is to provide attendees with basic knowledge regarding interfacility transport: the types and modes of transport, typical transport criteria for each, staffing and training of most transport crew, and the capabilities of transport, including what medications and therapeutic interventions are typically available. This workshop will also review the clinical information needed for safe and effective handoffs, medicolegal specifics regarding transport, and generalized facts about the frequency and most common diagnoses related to interfacility transport. Participants will participate in multiple interactive activities, including determining the type of transport needed for sample scenarios, critiquing mock transport calls, and role-playing giving handoffs and taking interfacility transfers.