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Academic Pediatrics

Tiffani J Johnson, Daniel G Winger, Robert W Hickey, Galen E Switzer, Elizabeth Miller, Margaret B Nguyen, Richard A Saladino, Leslie R M Hausmann
BACKGROUND AND OBJECTIVES: The general population and most physicians have implicit racial bias against black adults. Pediatricians also have implicit bias against black adults, albeit less than other specialties. There is no published research on the implicit racial attitudes of pediatricians or other physicians towards children. Our objectives were to compare implicit racial bias towards adults versus children among resident physicians working in a pediatric emergency department (ED), and to assess whether bias varied by specialty (pediatrics, emergency medicine, or other), gender, race, age, and year of training...
September 9, 2016: Academic Pediatrics
Marta A King, Carrie A Phillipi, Paula M Buchanan, Linda O Lewin
OBJECTIVE: The written history and physical exam (H&P) is an underutilized source of medical trainee assessment. The authors describe development and validity evidence for Pediatric History and Physical Exam Evaluation (P-HAPEE) rubric: a novel tool for evaluating written H&Ps. METHODS: Through an iterative process, the authors drafted, revised, and implemented the 10-item rubric at three academic institutions in 2014. Eighteen attending physicians and 5 senior residents each scored 10 3(rd) year medical student H&Ps...
August 10, 2016: Academic Pediatrics
Elizabeth Kathleen Darling, Timothy Ramsay, Doug Manuel, Ann E Sprague, Mark C Walker, Astrid Guttmann
OBJECTIVE: To determine whether implementation of universal bilirubin screening in Ontario, Canada was associated with improved rates of recommended follow-up care across socioeconomic status (SES). METHODS: We conducted a retrospective population-based cohort study of all babies born at ≥ 35 weeks gestation and discharged to home within 72 hours from 97 hospitals between April, 2003 and February, 2011. We used linked administrative health datasets to measure recommended follow-up care (physician visit within one day of discharge for babies discharged ≤24 hours after birth, or physician visit within two days for babies discharged 24-72 hours after birth)...
August 4, 2016: Academic Pediatrics
Arti D Desai, Q Burkhart, Layla Parast, Tamara D Simon, Carolyn Allshouse, Maria T Britto, JoAnna K Leyenaar, Courtney A Gidengil, Sara L Toomey, Marc N Elliott, Eric C Schneider, Rita Mangione-Smith
BACKGROUND AND OBJECTIVES: Few measures exist to assess pediatric transition quality between care settings. The study objective was to develop and pilot test caregiver-reported quality measures for pediatric hospital- and emergency department (ED)-to-home transitions. METHODS: Based on an evidence review, we developed draft caregiver-reported quality measures for transitions between sites of care. Using the RAND-UCLA modified Delphi method, a multi-stakeholder panel endorsed measures for further development...
August 2, 2016: Academic Pediatrics
Ruth Ek Stein, Amy Storfer-Isser, Bonnie D Kerker, Andrew Garner, Moira Szilagyi, Kimberly E Hoagwood, Karen G O'Connor, Cori M Green, Sarah McCue Horwitz
OBJECTIVE: Since 1997 pediatric residencies have been required to provide a 4-week block rotation in developmental and behavioral pediatrics (DBP), but it is not known whether this has altered the care and management of children by practicing pediatricians. To compare the self-reported practice patterns of pediatricians who were trained with 4 or more weeks of DBP to the practice patterns of those who were trained for < 4 weeks. METHODS: We used self-reported practices from the American Academy of Pediatrics Periodic Survey #85...
July 29, 2016: Academic Pediatrics
Arvin Garg, Sarah Toy, Yorghos Tripodis, John Cook, Nick Cordella
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Evan S Fieldston, Jessica Hart
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Danny Castro, M Hossein Tcharmtchi, Satid Thammasitboon
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Cynthia S Minkovitz
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Moira Szilagyi
No abstract text is available yet for this article.
November 2016: Academic Pediatrics
Sarah J Beal, Ilka K Riddle, Jessica C Kichler, Amie Duncan, Andrea Houchen, Lori Casnellie, Jason Woodward, Sarah D Corathers
OBJECTIVE: Identifying differences in transition readiness according to chronic condition is essential for understanding whether special emphasis within specific populations is warranted. Youth with chronic conditions (type 1 diabetes, Turner syndrome, spina bifida, autism spectrum disorder [ASD]) representing various types of impairments were compared with youth without chronic conditions. It was hypothesized that differences would be observed according to condition type, with youth with cognitive/behavioral conditions showing less readiness than youth with other conditions and youth without chronic conditions showing the highest levels of transition readiness...
September 2016: Academic Pediatrics
Maryellen E Gusic
No abstract text is available yet for this article.
September 2016: Academic Pediatrics
Ashraf S Harahsheh, Mary Ottolini, Karen Lewis, Benjamin Blatt, Stephanie Mitchell, Larrie Greenberg
No abstract text is available yet for this article.
September 2016: Academic Pediatrics
L Barry Seltz, Erin Preloger, Janice L Hanson, Lindsey Lane
OBJECTIVE: To explore pediatric interns' perspectives on the educational value of general pediatric ward rounds, in particular their rounding experiences with and without an attending physician. METHODS: Qualitative study using individual interviews of pediatric interns (2013-2014) rotating on 2 general pediatric inpatient services at different institutions with different rounding team structures. In accordance with grounded theory methodology, data were analyzed using the constant comparative method...
September 2016: Academic Pediatrics
Moira Szilagyi, Bonnie D Kerker, Amy Storfer-Isser, Ruth E K Stein, Andrew Garner, Karen G O'Connor, Kimberly E Hoagwood, Sarah McCue Horwitz
OBJECTIVE: Cumulative adverse childhood experiences (ACE) can have profound and lasting effects on parenting. Parents with a history of multiple ACE have greater challenges modulating their own stress responses and helping their children adapt to life stressors. We examined pediatric practice in inquiring about parents' childhood adversities as of 2013. METHODS: Using data from the 85th Periodic Survey of the American Academy of Pediatrics (AAP), we restricted analyses to the 302 pediatricians exclusively practicing general pediatrics who answered questions regarding their beliefs about childhood stressors, their role in advising parents, and whether they asked about parents' ACEs...
September 2016: Academic Pediatrics
Julie R Pasternack, Rita Dadiz, Ryan McBeth, James M Gerard, Daniel Scherzer, Gunjan Tiyyagura, Pavan Zaveri, Todd P Chang, Marc Auerbach, David Kessler
OBJECTIVE: To explore the factors that facilitated or hindered successful implementation of a multi-centered infant lumbar puncture (LP) competency-based education program that required interns to demonstrate skills readiness on a task trainer before performing their first clinical LP. METHODS: In 2013, investigators conducted a qualitative study utilizing semistructured interviews and focus groups of site directors (SDs) from the International Network for Simulation-Based Pediatric Innovation, Research, and Education (INSPIRE) who were responsible for implementing the LP competency-based education program...
September 2016: Academic Pediatrics
Daniel J Schumacher, Mary Pat Frintner, William Cull
OBJECTIVE: To determine the relationship between pediatric residency program size and resident demographic characteristics, career intentions, and training experiences. METHODS: Annual national random samples of 1000 graduating pediatrics residents were surveyed between 2010 and 2014. Response years were pooled for analysis, and trends in resident demographic characteristics, career intentions and job search, and training experiences were compared across program class size: small (<10 residents per class), medium (10-19 residents per class), and large (≥20 residents per class)...
September 2016: Academic Pediatrics
Chris Gillette, Nicole Rockich-Winston, JoBeth A Kuhn, Susan Flesher, Meagan Shepherd
BACKGROUND: Pediatric asthma is an important public health problem worldwide. The primary methods of medication delivery are inhalation devices. OBJECTIVES: This systematic review examined: 1) what is the prevalence of correct inhaler technique among children with asthma, 2) are educational interventions associated with improved rates of correct inhalation technique, and 3) is improved inhaler technique associated with improved asthma outcomes? DATA SOURCES: We included experimental and observational studies through searches of PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL Complete, and clinicaltrials...
September 2016: Academic Pediatrics
Monica Eneriz-Wiemer, Olga Saynina, Vandana Sundaram, Henry C Lee, Jay Bhattacharya, Lee M Sanders
OBJECTIVE: Preterm/very low birth weight infants may suffer neurodevelopmental delays. Pediatricians should monitor neurodevelopment and pursue timely referrals. Yet parents who speak non-English primary languages (NEPL) report worse health care communication and fewer appropriate specialty referrals for their children. We sought to determine whether infants of NEPL parents receive recommended outpatient follow-up care for neurodevelopment. We hypothesized that these infants received less care than infants of English speakers...
September 2016: Academic Pediatrics
Jennifer L Rosenthal, Megumi J Okumura, Lenore Hernandez, Su-Ting T Li, Roberta S Rehm
BACKGROUND: Children with special health care needs often require health services that are only provided at subspecialty centers. Such children who present to nonspecialty hospitals might require a hospital-to-hospital transfer. When transitioning between medical settings, communication is an integral aspect that can affect the quality of patient care. The objectives of the study were to identify barriers and facilitators to effective interfacility pediatric transfer communication to general pediatric floors from the perspectives of referring and accepting physicians, and then develop a conceptual model for effective interfacility transfer communication...
September 2016: Academic Pediatrics
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