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2 results on '"Grooms JR"'

1. Letters.

Author

McGonigal, Richard A., Klimen, S. E., Curtis, Lucy E., Norton, Arthur H., Beilman, Lewis J., Traphagen, Henry, Grooms Sr., B. L., Grooms Jr., B. L., Grooms, R., Mathias, Diana, MacFarland, H. B., Essen, H., Roth, Grace, Strauss, J. M., Peters, Bob, Salvadori, Raymond M., Rauh Jr., Joseph L., and Massa, Robert

Subjects
*LETTERS to the editor, *PHYSICIANS, *CITIES & towns, *MCCARTHYISM, *ANTI-communist movements
Abstract

Several letters to the editor are presented in response to articles published in previous issues. Letters are written in response to "Doctors Should Tell the Truth," by Phillips Frohman in the June 16, 1956 issue, "Cities of the World: Athens," by Ernest O. Hauser in the June 16, 1956 issue and "The A.D.A Can Take "McCarthyism" or Leave It Alone," in the May 5, 1956 issue.

Published
1956

2. Development of a multidisciplinary colorectal and pelvic health program: Program implementation and clinical impact.

Author

Style CC, Hsu DM, Verla MA, Mittal AG, Austin P, Seth A, Dietrich JE, Adeyemi-Fowode OA, Bercaw-Pratt JL, Chiou EH, Chumpitazi BP, Akalonu A, Victorian VA, Denner FR, Borden AN, Levitt MA, Grooms JR, Frazier GG, Rialon KL, and Lee TC

Subjects
Child, Cloaca pathology, Humans, Pelvic Floor, Program Development, Retrospective Studies, Constipation therapy, Hirschsprung Disease therapy
Abstract

Introduction: Pediatric patients with complex colorectal and genitourinary conditions often require coordinated multidisciplinary care; however, this coordinated care can be hard to structure and deliver. The purpose of this paper is to review the development and implementation of a multidisciplinary colorectal and pelvic health program, one year after the program's initiation., Methods: This is an observational retrospective 1-year study (10/1/2017 to 9/30/2018). In fiscal year (FY) 2018, a multidisciplinary colorectal and pelvic health program was initiated. The program development incorporated bimonthly team meetings, educational conferences, and initiation of three clinics: a complex colorectal and genitourinary reconstruction clinic, a bowel management clinic, and a colonic motility clinic. Conditions treated included complex anorectal and cloacal malformations, Hirschsprung disease, and idiopathic constipation. The fiscal year was selected to provide comparative administrative data after program implementation., Results: During the study period, 121 patients underwent comprehensive collaborative evaluation of which 58 (47%) were new to the institution compared to 12 (19%) new patients in the previous year (p < 0.001). In FY 2018, there were 130 procedures performed and 512 collaborative visits with an average of 47 visits per month. This was a 3.4-fold increase in visits compared to FY2017 (171 visits). Of the new patients, 60% (35/58), traveled a median of 181 miles, representing 33 statewide counties, and 4 states compared to a median of 93 miles in the previous fiscal year (p = 0.004)., Conclusion: The development of a colorectal and pelvic health program is feasible and requires a collaborative approach, necessitating multiple service lines within an institution. Program creation and implementation can result in rapid institutional clinical growth by filling a local and regional need through coordinated multidisciplinary care., Level of Evidence: IV., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Published
2020
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