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9 DECEMBER - 2022Pediatric and Primary Care Healthcare Challenges into 2022or volunteer programs. Celebrating holidays or seasons can also break up the monotony of the week and provide staff with the opportunity to enjoy each other's company. Providing stress management tools or small group discussions can also promote overall wellness. As we move into 2022 and beyond, many of the processes and workflow changes we have experienced in primary care pediatrics over the past two years will remain. The industry will continue to require attentiveness to keep employees and patients safe against COVID and any additional variants. Even with these considerations, staffing will likely remain the biggest challenge that we face as an industry. Health care organizations will need to put an emphasis on improving their work culture to retain existing employees while implementing creative ways to recruit new employees. Reducing the burnout among existing staff will be paramount to the long-term ability to provide care to patientsit has resulted in employees choosing early retirement. With the recent FDA vaccine advisory panel endorsement for COVID vaccines for the 5-11 year old crowd, and the Biden administration's plan to distribute the shots to 25,000 pediatrician offices across the country, pediatricians and their administrators are feeling pressure to ensure these patients are vaccinated. Many practice administrators are reporting what they consider to be unrealistic pressure to offer COVID vaccine clinics during a time when they have unfilled positions and extremely high visit and telephone volumes. The importance of maintaining access to quality pediatric primary care cannot be overstated. With states such as Oklahoma already reporting a massive shortage of pediatricians, other solutions will need to be considered to address the issue. This could include the utilization of nurse practitioners, the expansion of student loan forgiveness programs or the ability to choose more flexible scheduling arrangements. For providers, this may mean a day at home offering telemedicine appointments, or a 3-day work week. For support staff, practices should consider partnering with local training programs, offering flexible work arrangements, or offering referral and hiring bonuses. Reducing the burnout among existing staff will be paramount to the long term ability to provide care to patients. Aside from increasing salary and benefits, other ideas are to have fun team events such as in-office scavenger hunts, paint nights, individually wrapped food and snacks, employee recognition programs, and community participation
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