As the name suggests, the Division Hospital & Emergency Medicine is comprised of faculty who practice in more than one venue. Some serve as hospitalists, some work in our sedation service and others provide care in the pediatric emergency department. All faculty members take part in clinical care, medical education, quality improvement and other scholarly activities.
Our hospitalists provide comprehensive, child-centered care to children admitted to the general pediatric service at Duke University Hospital. We work with families’ primary care providers throughout the course of their child’s hospital stays to ensure clear communication and continuity of care. Our faculty also provide consultation and co-management services to medically complex pediatric patients on medical and surgical subspecialty services.
Our pediatric emergency medicine faculty work together with our colleagues in general emergency medicine to staff our state-of–the-art pediatric emergency department that opened in January 2008. We are trained, equipped and experienced to manage the full array of complaints our patients present with, from simple evaluations of minor complaints to complex medical and surgical resuscitation of critically ill and injured children. We work closely with physicians in the community to provide care to their patients whose needs exceed what can be safely managed in office settings. We work closely with local Emergency Medical Services providers, and we are involved in community outreach efforts to prevent injury and avoidable illness.
Division members provide procedural sedation services to young children undergoing imaging procedures in radiology. Our expertise in the care of acutely ill and complex patients make us well prepared to provide safe and effective sedation to children undergoing these complex studies. Our focus is always on patient safety and comfort.
All Division members are regarded within the Department of Pediatrics as skilled educators, and the Division has regularly won the Arena-Palumbo award for excellence in resident education. In addition, our faculty have major teaching responsibilities and leadership roles in the Duke Pediatric Residency Training Program and with Duke medical students.
Another area of emphasis for our faculty is quality improvement. Division members sit on three “Process Improvement Boards” for the Children’s Services clinical service unit. Our heavy clinical presence throughout the hospital puts us in ideal positions to work on improving major systems such as patient flow, computerized order entry, medication safety, patient hand-offs and a host of other areas.