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Pediatric Emergency Care Variation: Might Normothetic Data Undermine Adaptive Expertise? Cover

Pediatric Emergency Care Variation: Might Normothetic Data Undermine Adaptive Expertise?

Open Access
|Sep 2026

Figures & Tables

Figure 1

Acuity-Adjusted Emergency Department Inpatient Admission Rate By Attending Physician in Children Presenting with Acute Asthma Exacerbation.

Each blue circle represents a Pediatric Emergency Medicine (PEM) Attending Physician, with acuity-adjusted successful discharge rate on the y-axis and number of yearly asthma encounters on the x-axis. The dashed black line represents mean rate among all PEM physicians, with the green dashed line representing 95% control limits and the red dashed line representing 99.8% control limits. Physicians from across the spectrum of discharge rates were selected and interviewed within 1–2 days from last shift in a “respiratory cohort” team in the Emergency Department.

Table 1

Participant Characteristics.

SUBJECTACADEMIC TITLESEXSHIFTS PER MONTH (Min)SHIFTS PER MONTH (Max)YEARS FROM COMPLETION OF PEDIATRIC EMERGENCY MEDICINE FELLOWSHIPADMISSION TYPE
01Assistant ProfessorF8102Low
02Associate ProfessorF8910High
03ProfessorM5530High
04Assistant ProfessorF10123High
05ProfessorF8815High
06ProfessorF4425Average
07Associate ProfessorF11129Average
08Assistant ProfessorF11123Average
09ProfessorF8825Low
10Associate ProfessorF8910Low
11ProfessorF6636Average
DOI: https://doi.org/10.5334/pme.2887 | Journal eISSN: 2212-277X
Language: English
Page range: 1028 - 1038
Submitted on: Jun 8, 2026
Accepted on: Jun 29, 2026
Published on: Sep 30, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Laura F. Sartori, Bjorn K. Watsjold, Katherine Wu, Lanelle Quzack, Jonathan S. Ilgen, Joseph J. Zorc, Lara Varpio, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.