Pediatric Intensivist to Join 3 in Wichita, KS.
Pediatric Critical Care in Wichita, Kansas
HCA-Wesley Medical Center announces 1 Pediatric Critical Care position (for 2008 or 2009 start dates) with their Children's Center in Wichita, Kansas. The intensivist group is currently made up of 2 pediatric intensivists with a 3rd joining 9-08. The Pediatric Critical Care Service covers a 12-bed PICU and an 11-bed Pediatric Sedation Unit as well as provides pediatric hospital services for a 43-bed General Pediatric Floor. This is one of two PICUs in Wichita (other unit: 8 beds at Via Christi - St. Francis).
Wichita has a population of approximately 350K, but the referral base is about 2/3rds of the State of Kansas---1.5 million people. In 2007 there were 1044 PICU/Intermediate PICU admissions with an average daily census of 7 patients. This is a "semi" closed unit: while patients may be admitted by various attendings or services, all PICU or IPICU patients require co-management with the pediatric intensivists. Wesley is a level one trauma center and had approximately 270 pediatric traumas with about 100 admitted to the PICU in 2006. Intensivists are involved with all pediatric trauma patients admitted to the PICU. Make-up of our PICU patients is a mix of acute illness, acute exacerbations of chronic illnesses, post-op pediatric surgeries and the traumas patients. We do not have a pediatric open heart program. Call at night / weekends is taken from home.
The Intensivists performed over 1450 moderate and deep sedations in 2007, (majority being out-patients) for patients in need of sedated EEGs, CT / MRI scans, Nuclear Med studies, VCUGs, BMAs, LPs / intrathecal chemo, organ biopsies, CT/US guided abscess drainage, radiation therapy, bronchoscopies, and joint aspirations.
The group also provides a pediatric hospitalist service for referring pediatricians and family practice physicians within Wichita and throughout the state (approximately 575 patients in 2006). The total admissions to the general pediatric floor for 2006 was 3181 (includes ASU and Infusion Center patients).
The Wesley Intensivists are associated with the Wichita branch of the University of Kansas School of Medicine and actively involved with the teaching, training , mentoring, advising and assisting with research projects of 3rd and 4th year medical students and Peds and Med-Peds residents (plus the occasional anesthesia and orthopedic resident who rotates through the PICU). The PICU core "team" consists of the PICU intensivist, 2 pediatric or med-peds residents, or one peds/med-peds resident and a anesthesia or orthopedic resident (residents rotate through on a monthly basis), a pediatric pharmacologist, and usually 2 or 3 third and/or fourth year medical students (usually rotate every 7-10 days for their pediatric clerkship, or a one-month elective for the 4th year students). There is an upper class pediatric or med-peds resident assigned to the PICU on in-house call at night.
The majority of pediatric subspecialties are represented in Wichita… they include: three pediatric cardiologists, two pediatric surgeons, one pediatric pulmonologist, one pediatric nephrologist, one pediatric infectious disease specialist, one pediatric radiologist, two pediatric endocrinologists, one pediatric allergy and immunologist, one developmental pediatrician, two pediatric neurologists, one hem-onc, two pediatric ophthalmologists, one peds emergency medicine, one pediatric gastroenterologist, and many neonatologists. Several adult subspecialists assist with the care of acute and chronic pediatric conditions as needed (orthopedics, neurosurgery, ENT, urology, and maxillofacial surgery).
The group is employed by the hospital on a salary basis with bonuses determined on a quarterly basis according to a "production" incentive (determined by the number of "unique cases" seen), and a "quality" incentive (based on referring physician satisfaction, patient satisfaction, and core-measure adherence). Benefits include health, disability, dental, malpractice, retirement benefits, CME allowance, etc.
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