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Academic Pediatrics

Jennifer Bass
No abstract text is available yet for this article.
February 5, 2019: Academic Pediatrics
Elizabeth Toll
No abstract text is available yet for this article.
January 30, 2019: Academic Pediatrics
Gunjan Tiyyagura, Paula Schaeffer, Marcie Gawel, John M Leventhal, Marc Auerbach, Andrea G Asnes
OBJECTIVES: Emergency Department (ED) providers may fail to recognize or report child abuse and/or neglect (CAN). To improve recognition and reporting, we designed the Community ED CAN Program in which teams of local clinicians (nurses, physicians, physician assistants) received training in CAN and 1) disseminated evidence-based education, 2) provided consultation, case follow-up and access to specialists, and 3) facilitated multi-disciplinary case review. The aims of this study were to understand the Program's strengths and challenges and to explore factors that influenced implementation...
January 29, 2019: Academic Pediatrics
David Vyles, Rakesh Mistry, Viday Heffner, Patrick Drayna, Asriani Chiu, Alexis Visotcky, Raphael Fraser, David C Brousseau
BACKGROUND: PEM and PCP providers are the most likely physicians to initially label a child as penicillin allergic. Differences in knowledge and management of reported penicillin allergy between these two groups has not been well characterized. METHODS: A cross-sectional 20-question survey was administered to PEM and PCP's to ascertain differential knowledge and management of penicillin allergy. Knowledge regarding high and low-risk symptoms for true allergy and extent of history taking regarding allergy were compared between the two groups using t-tests, Chi-square and Wilcoxon tests...
January 28, 2019: Academic Pediatrics
Taylor Sawyer, Christopher Burke, D Michael McMullan, Titus Chan, Hector Valdivia, Larissa Yalon, Joan Roberts
OBJECTIVE: To examine the impacts of a large-scale simulation-based extracorporeal cardiopulmonary resuscitation (ECPR) training program in an academic children's hospital. METHODS: The study followed a quasi-experimental, mixed method, time series design. Two hour high-fidelity ECPR simulations were held monthly in the pediatric, cardiac, and neonatal ICU. ICU specific case were used in each unit. The learning objectives for all cases were the same. Each simulation included an average of 11 healthcare professionals, including nurses, physicians, respiratory therapist, and perfusionists...
January 23, 2019: Academic Pediatrics
Kayla Morel, Kelsey Nichols, Yvonne Nong, Nalini Charles, Sarah Price, Elsie Taveras, Roberta Goldman, Jennifer A Woo Baidal
BACKGROUND: Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days - pregnancy through age 2 years - are urgently needed. OBJECTIVE: To examine perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. METHODS: In this qualitative research, we performed semi-structured in-depth interviews of 25 women and 7 nutrition/health care providers...
January 21, 2019: Academic Pediatrics
Eric E Seiber, Evan V Goldstein
OBJECTIVE: Medicaid and the Children's Health Insurance Program (CHIP) provide health insurance to 38% of all children in the United States. Uninsured rates continued to fall over the past decade, and citizen children in immigrant families experienced the most dramatic gains. Our objective is to test whether states have managed to close Medicaid enrollment gaps between U.S. citizen children in native and immigrant families. METHODS: We use the 2008-2015 American Community Surveys to compare uninsured rates for 2...
January 18, 2019: Academic Pediatrics
Richard G Bachur, Kenneth A Michelson, Mark I Neuman, Michael C Monuteaux
OBJECTIVES: As both fever and pneumonia can be are associated with tachypnea, we investigated the relationship between body temperature and respiratory rate (RR) in young children and whether temperature-adjusted RR enhances the prediction of pneumonia. METHODS: In this retrospective cross-sectional analysis of 91,429 children <5 years of age presenting to an urban pediatric emergency department, the relationship between triage RR and temperature were analyzed using regression analysis...
January 16, 2019: Academic Pediatrics
Danielle Cullen, Ashley Woodford, Joel Fein
BACKGROUND/OBJECTIVE: Although there is growing interest in screening for food insecurity in the clinical setting, little evidence exists regarding screening formats that maximize disclosure and caregiver comfort. METHODS: In this randomized trial, we asked English-speaking adult caregivers of pediatric patients in the ED at an urban, freestanding children's hospital to complete a validated, two-question screen for FI. Respondents were assigned via block randomization to complete the survey by either verbal interview or electronic tablet...
January 10, 2019: Academic Pediatrics
Ariel S Winn, Lise E Nigrovic, Frederick H Lovejoy, Thomas J Sandora
No abstract text is available yet for this article.
January 10, 2019: Academic Pediatrics
Margaret J Trost, Nicholas M Potisek, L Barry Seltz, Melanie Rudnick, Mary Rose Mamey, Michele Long, Patricia D Quigley
PURPOSE: Pediatrics rotations may be medical students' only experience with patient and family centered rounding (PFCR). It is unclear how students participate in or are prepared for PFCR. We surveyed national pediatrics clerkships to determine the prevalence of PFCR and proportion providing orientation in order to inform a needs assessment for PFCR orientation. METHODS: A 5-item peer-reviewed survey was distributed to the Council on Medical Student Education in Pediatrics (COMSEP) membership as part of a larger survey in 2017...
January 10, 2019: Academic Pediatrics
Meinou H C Theunissen, Marianne S de Wolff, Sijmen A Reijneveld
PURPOSE: Validated questionnaires help community pediatric services to identify emotional and behavioral problems (EBP). This study assesses the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire for the identification of EBP in adolescents (13-14 years) and the added value of the SDQ parent-form. METHODS: We obtained data on 500 adolescents (mean age 13.5 years) from community well-child services and schools. Adolescents completed the SDQ self-report, and the Youth Self-Report (YSR)...
January 10, 2019: Academic Pediatrics
Kristin N Ray, Zhuo Shi, Sabrina J Poon, Lori Uscher-Pines, Ateev Mehrotra
OBJECTIVE: In commercial direct-to-consumer (DTC) telemedicine, physicians outside of the medical home treat common, acute complaints through real-time, audio-visual conferencing using telephones and personal computers. There has been little examination of the use of DTC telemedicine by children. We described trends in DTC telemedicine use and DTC telemedicine visit characteristics. METHODS: Using 2011-2016 claims from a large national health plan, we identified pediatric acute visits to DTC telemedicine and to primary care providers (PCPs)...
January 10, 2019: Academic Pediatrics
Philip J Landrigan, Joseph M Braun, Ellen F Crain, Joel Forman, Maida Galvez, Benjamin A Gitterman, Gali Halevi, Catherine Karr, Jennifer Kathleen Mall, Jerome A Paulson, Alan D Woolf, Bruce P Lanphear, Robert O Wright
BACKGROUND: Environmental exposures contribute to multiple diseases in children. Yet few pediatricians have training in Pediatric Environmental Health (PEH) and few academic health centers have PEH expertise. To build national capacity in PEH, the Academic Pediatric Association (APA) launched a professional development program that since 2002 has encouraged the establishment of post-residency/post-doctoral training programs, supported a Special Interest Group, and convened an annual mentored retreat for PEH trainees...
January 9, 2019: Academic Pediatrics
Michael S Ryan, Alix Darden, Steve Paik, Donna D'Alessandro, Leora Mogilner, Teri L Turner, H Barrett Fromme
Education, like clinical medicine, should be based on the most current evidence in the field. Despite the overwhelming breadth of literature in medical education, pediatric educators desire and need to incorporate best practices into their educational approaches. This article provides an overview of 18 articles from the literature in 2017 that the authors consider the key articles in the field of pediatric medical education. The seven authors, all medical educators with combined leadership experience and expertise across the continuum of pediatric medical education, used an iterative, staged process to review more than 1682 abstracts published in 2017...
January 3, 2019: Academic Pediatrics
Su-Ting T Li, Melissa Klein, Katherine A Poehling, Robert M Jacobson
No abstract text is available yet for this article.
January 2, 2019: Academic Pediatrics
Elizabeth D Allen, Tricia Montgomery, Gloria Ayres, Jennifer Cooper, Joshua Gillespie, Sean P Gleeson, Judith Groner, Stephen Hersey, Gerd McGwire, Courtney Rowe, Dane Snyder, David Stukus, Kristin S Stukus, Christopher Timan, Neal Wegener, Richard J Brilli
OBJECTIVE(S): This study evaluates the impact of a coordinated effort by an urban pediatric hospital and its associated accountable care organization (ACO) to reduce asthma-related emergency department (ED) and inpatient (IP) utilization by a large, county-wide Medicaid patient population. METHODS: Multiple evidence-based interventions targeting general pediatric asthma care as well as high healthcare utilizers were implemented using standardized quality improvement (QI) methodologies...
December 28, 2018: Academic Pediatrics
Michelle Shankar, Maria Fagnano, Susan W Blaakman, Hyekyun Rhee, Jill S Halterman
OBJECTIVES: Asthma is the most common chronic disease of childhood in the U.S., disproportionately affecting urban, poor, and minority children. Adolescents are at high risk for poor asthma outcomes and for depressive symptoms. The purpose of this study is to investigate associations between depressive symptoms and asthma-related clinical and functional outcomes among urban teens. METHODS: We used baseline data from a 3-arm randomized trial, School-Based Asthma Care for Teens (SB-ACT), in Rochester, NY...
December 19, 2018: Academic Pediatrics
David Mahoney, Alyssa Bogetz, Amanda Hirsch, Katherine Killmond, Elisa Phillips, Vasudha Bhavaraju, Alisa McQueen, Nicola Orlov, Rebecca Blankenburg, Caroline E Rassbach
OBJECTIVE: The ACGME calls for residency programs to incorporate multisource feedback, which may include patient feedback, into resident competency assessments. Program directors face numerous challenges in gathering this feedback. This study assesses the feasibility and acceptability of patient feedback collection in the inpatient and outpatient setting at three institutions. METHODS: Patient feedback was collected using a modified version of the Communication Assessment Tool (CAT)...
December 18, 2018: Academic Pediatrics
Daniel J Schumacher, Sue Poynter, Natalie Burman, Sean P Elliott, Michelle Barnes, Caren Gellin, Javier Gonzalez Del Rey, Daniel Sklansky, Lynn Thoreson, Beth King, Alan Schwartz
PURPOSE: Explore justifications for differences between summative entrustment decisions made about pediatric residents by individuals who are charged with the review of residents (clinical competency committee, or CCC, members) and those who ultimately make final summative decisions about resident performance (program directors, or PDs). METHODS: Individual CCC member and PD supervisory role categorizations were made in the 2015-2016 academic year at 14 pediatric residency program, placing residents into one of five progressive supervisory roles...
December 17, 2018: Academic Pediatrics
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