Academic Pediatrics最新文献_第10页

Anxiety and Depression Symptoms, Adverse Childhood Experiences, and Persistent/Recurrent Pain Across Early Adolescence. 青春期早期的焦虑和抑郁症状、童年不良经历以及持续性/复发性疼痛。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-26 DOI: 10.1016/j.acap.2024.08.013

Thea Senger-Carpenter, Anao Zhang, Monica Ordway, Sarah A Stoddard, Terri Voepel-Lewis

{"title":"Anxiety and Depression Symptoms, Adverse Childhood Experiences, and Persistent/Recurrent Pain Across Early Adolescence.","authors":"Thea Senger-Carpenter, Anao Zhang, Monica Ordway, Sarah A Stoddard, Terri Voepel-Lewis","doi":"10.1016/j.acap.2024.08.013","DOIUrl":"https://doi.org/10.1016/j.acap.2024.08.013","url":null,"abstract":"Objective: To determine whether anxiety and depression symptoms are mechanisms through which adverse childhood experiences (ACEs) contribute toward persistent/recurrent pain (PRP) across early adolescence.Methods: This study described the direct and indirect (i.e. mediated) effects of ACEs on PRP across early adolescence, using four years of Adolescent Brain Cognitive Development Study® data. Annual pain frequency, anxiety, and depression symptoms were measured using the Child Behavior Checklist, and youth with pain for ≥3 of the 4-year study period were classified with PRP. Early (up to age 9-10 years; reported at baseline) and recent (at age 10-11 years; reported at year 1) ACE exposures were derived from parent and youth completed surveys. Structural equation modeling estimated the direct and indirect associations among early and recent ACEs, pain outcomes, and anxiety/depression symptoms reported in the year(s) in between.Results: Among 7,951 youth, 2,540 (31.9%) were classified with PRP. Higher levels of early ACE exposure were associated with an increased probability of having PRP (adj.β 0.65 (95% Confidence Interval [CI] 0.07, 1.22). Early ACEs also had indirect effects on PRP via higher interim anxiety (adj. β 5.36 [95% CI 3.45, 7.26]) and depression symptoms (adj. β 4.57 [95% CI 3.01, 6.13]). Early and recent ACE exposures predicted higher pain frequency scores in subsequent years, with mixed results regarding the role of anxiety and depression in the relationships between ACEs and pain frequency scores.Conclusion: Anxiety and depression symptoms are potentially important interventional targets to lower the risk for PRP among youth exposed to ACEs.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Racism Happens Every Day, All the Time": Black Families' Outpatient Experiences of Racism Across a Large Pediatric System. "种族主义每天都在发生，无时无刻不在发生"：黑人家庭在大型儿科系统门诊的种族主义经历。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-25 DOI: 10.1016/j.acap.2024.08.011

Margaret N Jones, Kiaira Elliott, Susan N Sherman, Ebunoluwa Falade, Rolanda L Clark, Lauren Lipps, Lenice Hill-Williams, Caneisha Williams, Kristen A Copeland, Andrew F Beck, Ndidi Unaka, Mary Carol Burkhardt, Alexandra M S Corley

{"title":"\"Racism Happens Every Day, All the Time\": Black Families' Outpatient Experiences of Racism Across a Large Pediatric System.","authors":"Margaret N Jones, Kiaira Elliott, Susan N Sherman, Ebunoluwa Falade, Rolanda L Clark, Lauren Lipps, Lenice Hill-Williams, Caneisha Williams, Kristen A Copeland, Andrew F Beck, Ndidi Unaka, Mary Carol Burkhardt, Alexandra M S Corley","doi":"10.1016/j.acap.2024.08.011","DOIUrl":"10.1016/j.acap.2024.08.011","url":null,"abstract":"Objective: To qualitatively understand and characterize the experience of racism in outpatient pediatric healthcare settings from the perspectives of Black families.Methods: We conducted focus groups with parents or guardians of Black children, recruited from academic primary care offices at a single pediatric institution. Focus groups were facilitated virtually by Black team members using an open-ended, semi-structured focus group guide. We analyzed focus group transcripts using iterative, thematic, inductive open coding performed independently by trained coders, with final codes reached by group consensus.Results: We conducted 6 focus groups of 3 to 5 participants each and 1 individual interview, with 24 total parents. We identified the following themes: 1) \"I just felt like we was a number\": Black families perceived experiences that felt impersonal and lacked empathy; 2) \"Why is the doctor treating me like I don't matter?\": Black families perceived experiences with poor care and worse treatment; 3) Black families experience racism across socioecological levels when interacting with pediatric health systems; 4) Positive perceived experiences can guide improvement; and 5) Improvement will require antiracist efforts across the levels of racism.Conclusions: In this qualitative study, we found that Black families have had many poor pediatric experiences, perceive racism as affecting child health broadly across socioecological levels, and recommend a multidimensional antiracist approach to improvement. Our findings underscore the importance of elevating Black family voices in developing policies that prioritize antiracism and work to eliminate the harmful impacts of racism on child health.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between child food allergy and family food insecurity in a nationally representative US sample. 在具有全国代表性的美国样本中，儿童食物过敏与家庭食物不安全之间的关系。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-22 DOI: 10.1016/j.acap.2024.08.010

Elsa R Treffeisen, Sara J Cromer, Marisela E Dy-Hollins, Sheng Yi Lin, Hiten Naik, Dionne A Graham, Lauren Fiechtner, Karen A Kuhlthau, Lynda C Schneider, Kathleen E Walsh

{"title":"The association between child food allergy and family food insecurity in a nationally representative US sample.","authors":"Elsa R Treffeisen, Sara J Cromer, Marisela E Dy-Hollins, Sheng Yi Lin, Hiten Naik, Dionne A Graham, Lauren Fiechtner, Karen A Kuhlthau, Lynda C Schneider, Kathleen E Walsh","doi":"10.1016/j.acap.2024.08.010","DOIUrl":"https://doi.org/10.1016/j.acap.2024.08.010","url":null,"abstract":"Objective: To assess whether child food allergy is associated with family food insecurity, overall, and across different income levels.Methods: We used the 2011-2018 National Health Interview Survey, a nationally representative cross-sectional survey. The exposure was child food allergy, and our main outcome was odds of family food insecurity, which was calculated using multivariable logistic regression models adjusted for child demographics, family characteristics and survey year. We examined for effect modification by the ratio of family income to the poverty threshold using stratification and tests for statistical interaction.Results: Among 83,287 children 6% had food allergy and 22% experienced family food insecurity. Child food allergy was associated with a 1.39-fold (95% confidence interval [CI]: 1.26, 1.53) increased odds of family food insecurity overall. Child food allergy was associated with a 1.46-fold (95% CI: 1.29, 1.66) increased odds of family food insecurity among children whose families lived below 200% of the federal poverty level, and a 1.26-fold (95% CI: 1.05, 1.51) increased odds of family food insecurity among children whose families lived at 200 to 399% of the federal poverty level, with no association among children whose families lived at or above 400% of the federal poverty level (P =.04 for interaction).Conclusion: There is an association between child food allergy and family food insecurity, and this association is modified by the ratio of family income to the poverty threshold. Improved availability and subsidy of allergen-free foods in nutrition assistance programs and food pantries are urgently needed.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

External validation of two clinical prediction models for pediatric pneumonia. 两种小儿肺炎临床预测模型的外部验证。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-17 DOI: 10.1016/j.acap.2024.08.009

Sriram Ramgopal, Melissa Neveu, Douglas Lorenz, Jillian Benedetti, Jack Lavey, Todd A Florin

{"title":"External validation of two clinical prediction models for pediatric pneumonia.","authors":"Sriram Ramgopal, Melissa Neveu, Douglas Lorenz, Jillian Benedetti, Jack Lavey, Todd A Florin","doi":"10.1016/j.acap.2024.08.009","DOIUrl":"https://doi.org/10.1016/j.acap.2024.08.009","url":null,"abstract":"Objective: To externally validate two prediction models for pediatric radiographic pneumonia.Methods: We prospectively evaluated the performance of two prediction models (Pneumonia Risk Score [PRS] and CARPE DIEM models) from a prospective convenience sample of children 90 days - 18 years of age from a pediatric emergency department undergoing chest radiography for suspected pneumonia between January 1, 2022, to December 31st, 2023. We evaluated model performance using the original intercepts and coefficients and evaluated for performance changes when performing recalibration and re-estimation procedures.Results: We included 202 patients (median age 3 years, IQR 1-6 years), of whom radiographic pneumonia was found in 92 (41.0%). The PRS model had an area under the receiver operator characteristic curve of 0.72 (95% confidence interval [CI] 0.64-0.79), which was higher than the CARPE DIEM (0.59; 95% CI 0.51-0.67) (P<0.01). Using optimal cutpoints, the PRS model showed higher sensitivity (65.2%, 95% CI 54.6-74.9) and specificity (72.7%, 95% CI 63.4-80.8) compared to the CARPE DIEM model (sensitivity 56.5 [95% CI 45.8-66.8]; specificity 60.9 [95% CI 50.2-69.2]). Recalibration and re-estimation of models improved performance, particularly for the CARPE DIEM model, with gains in sensitivity and specificity, and improved calibration.Conclusion: The PRS model demonstrated better performance than the CARPE DIEM model in predicting radiographic pneumonia. Among children with a high rate of pneumonia, these models did not reach a level of performance sufficient to be used independently of clinical judgement. These findings highlight the need for further validation and improvement of models to enhance their utility.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediagogy^TM: A Novel, Resident-Based Educational Podcast. PediagogyTM: 一种新颖的、基于居民的教育播客。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-16 DOI: 10.1016/j.acap.2024.08.002

Lidia Park, Tammy Yau, Lena van der List, Su-Ting T Li

引用次数: 0

Unveiling Gender Bias: An Update on Faculty Teaching Evaluations in Academic Medicine. 揭开性别偏见的面纱：学术医学界教师教学评价的最新情况。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-12 DOI: 10.1016/j.acap.2024.08.007

Sarah Webber, Jessica C Babal, Ann H Allen, Laura P Chen, Kirstin A M Nackers, Brittany J Allen, Deanna Jewell, Madeline Q Kieren, Michelle M Kelly

引用次数: 0

A Randomized Trial of Virtual Reality Training to Improve Firearm Safety Counseling Skills. 提高枪支安全咨询技能的虚拟现实培训随机试验。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-10 DOI: 10.1016/j.acap.2024.08.005

Michelle March, Matthew Zackoff, Jacob Fleck, Andrea Meisman, Kristen Humphrey, Melinda C MacDougall, Shelley Ehrlich, Cornelia Griggs, Chana Sacks, Peter Masiakos, Melissa Klein, Francis Real

{"title":"A Randomized Trial of Virtual Reality Training to Improve Firearm Safety Counseling Skills.","authors":"Michelle March, Matthew Zackoff, Jacob Fleck, Andrea Meisman, Kristen Humphrey, Melinda C MacDougall, Shelley Ehrlich, Cornelia Griggs, Chana Sacks, Peter Masiakos, Melissa Klein, Francis Real","doi":"10.1016/j.acap.2024.08.005","DOIUrl":"10.1016/j.acap.2024.08.005","url":null,"abstract":"Objective: To evaluate the efficacy of Resident Education And Counseling on Household (REACH) Firearm Safety, a novel virtual reality (VR) intervention.Methods: We conducted a single-center, randomized controlled trial among pediatric residents in a Midwestern academic primary care center comparing REACH Firearm Safety with didactic training (intervention) to didactic training alone (control). In the intervention arm, participants practiced firearm safety counseling with virtual characters and received immediate feedback. All residents completed audio-recorded standardized patient (SP) encounters before and after the training as well as a retrospective pre-post survey. Two reviewers, blinded to the allocation arm, used a standardized assessment tool to generate performance scores. Outcomes of interest included the difference between groups in SP performance scores and self-reported confidence.Results: From March to July 2023, 62% of eligible pediatric residents (n = 47/76) completed the allocated study tasks (intervention 19, control 28). In both groups, SP performance scores and self-reported confidence improved. Compared to the control group, the intervention group demonstrated improvement in sharing information on secure storage devices (P = 0.009) and increased confidence in providing information on secure storage (P = 0.002).Conclusions: Compared with didactic training alone, a VR intervention using deliberate practice improved residents' skills and confidence related to firearm safety counseling.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual identity is associated with adverse childhood experiences (ACEs) in US early adolescents. 美国早期青少年的性别认同与童年不良经历（ACEs）有关。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-10 DOI: 10.1016/j.acap.2024.07.022

Julia H Raney, Shayna Weinstein, Alexander Testa, Kyle T Ganson, Zain Memon, David V Glidden, Fiona C Baker, Claire D Brindis, Jason M Nagata

{"title":"Sexual identity is associated with adverse childhood experiences (ACEs) in US early adolescents.","authors":"Julia H Raney, Shayna Weinstein, Alexander Testa, Kyle T Ganson, Zain Memon, David V Glidden, Fiona C Baker, Claire D Brindis, Jason M Nagata","doi":"10.1016/j.acap.2024.07.022","DOIUrl":"10.1016/j.acap.2024.07.022","url":null,"abstract":"Objective: To determine disparities in adverse childhood experiences (ACEs) by sexual identity in a national cohort of early adolescents.Methods: We analyzed cross-sectional data from year 2 of the Adolescent Brain Cognitive Development Study (N=10,934, 2018-2020, ages 10-14 years). Disparities in ACE score across lesbian, gay, or bisexual (LGB), not sure, and heterosexual adolescents were assessed using multinomial logistic regression analyses. Logistic regressions estimated the associations between sexual identity and each individual ACE. Analyses were adjusted for potential confounders.Results: In adjusted models, LGB adolescents had higher risk of experiencing 2, 3, or ≥4 ACEs (Relative Risk Ratios [RRR] =1.57, 95% CI 1.01-2.42), 3 (RR=1.78, 95% CI 1.100-2.88), or ≥4 ACEs (RRR=3.20, 95% CI 1.92-5.32), and not sure adolescents had a higher risk of having ≥4 ACEs (RRR=2.17, 95% CI 1.22-3.87), compared to heterosexual adolescents. LGB and not sure adolescents had higher risks of reporting emotional abuse (\"yes\" OR =4.21, 95% CI 1.84-9.61; \"maybe\" OR=6.20, 95% CI 2.91-13.19) and parent mental illness (\"yes\" OR=1.95, 95% CI 1.48-2.57; \"maybe\" OR=1.63, 95% CI 1.21-2.18) compared to heterosexual adolescents.Conclusions: LGB adolescents and those questioning their sexual identity were at greater risk of having higher ACE scores, with LGB adolescents experiencing the highest risk of experiencing ACEs. LGB adolescents also had higher odds of reporting emotional and parent mental illness. Recognizing this heightened risk of ACEs in early adolescence is critical for designing clinic and school-based interventions.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Longitudinal Improvement in Public Speaking Skills Through Participation in a Resident Public Speaking Curriculum. 通过参加居民公共演讲课程纵向提高公共演讲技能。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-07 DOI: 10.1016/j.acap.2024.08.004

Tyler J Benning, Jacob R Greenmyer, Richmond M Castillo, James L Homme, David J Hall, Jason H Homme

{"title":"Longitudinal Improvement in Public Speaking Skills Through Participation in a Resident Public Speaking Curriculum.","authors":"Tyler J Benning, Jacob R Greenmyer, Richmond M Castillo, James L Homme, David J Hall, Jason H Homme","doi":"10.1016/j.acap.2024.08.004","DOIUrl":"https://doi.org/10.1016/j.acap.2024.08.004","url":null,"abstract":"Objective: To promote public speaking skills, a pediatrics residency program developed a longitudinal public speaking curriculum grounded in deliberate practice and reflective practice.Methods: Residents delivered annual presentations and received formal feedback. Audience evaluation forms from 2005-2017 were included for analysis. The form used 5-point scales (5= best) for specific presentation elements (clarity, eye contact/body language, pace, succinct text, minimally distracting delivery, clear conclusion, appropriate learning objectives, achieving learning objectives, and answering questions) and for overall quality. Longitudinal changes in scores were analyzed with paired t tests.Results: Overall, 5,771 evaluations of 276 presentations given by 97 residents were analyzed. Between post-graduate year (PGY)-1 and PGY-3 presentations, mean overall rating increased from 4.38 to 4.59 (P<.001, d=0.51). The median percentage of 5-point scores increased from 50.0% (IQR, 24.3%-65.4%) to 72.5% (IQR, 53.3%-81.2%). Eight of 9 specific elements showed significant increases (median effect size 0.55). Residents whose initial presentations ranked in the bottom quartile had larger improvements than residents initially ranked in the top quartile.Conclusions: After pediatric residents participated in a public speaking curriculum with targeted objectives, formal feedback, and repeated practice, their public speaking skills improved. Public speaking curricula can and should be adopted more broadly in graduate medical education.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Underrepresented in Medicine Trainees' Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program. 参加 "促进多元化领导力教育 "项目后，医学界少数派受训人员的归属感和职业认同感的形成》（Underrepresented in Medicine Trainees' Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program）。

IF 3 3区医学

Academic Pediatrics Pub Date : 2024-08-06 DOI: 10.1016/j.acap.2024.08.003

Lahia Yemane, Carmin Powell, Jeffrey Edwards, Takudzwa Shumba, Al'ai Alvarez, Belinda Bandstra, Michelle Brooks, Cati Brown-Johnson, Wendy Caceres, Tamara Dunn, Carrie Johnson, Felipe D Perez, Travis Reece-Nguyen, Reena P Thomas, Amelia C Watkins, Rebecca Blankenburg

{"title":"Underrepresented in Medicine Trainees' Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program.","authors":"Lahia Yemane, Carmin Powell, Jeffrey Edwards, Takudzwa Shumba, Al'ai Alvarez, Belinda Bandstra, Michelle Brooks, Cati Brown-Johnson, Wendy Caceres, Tamara Dunn, Carrie Johnson, Felipe D Perez, Travis Reece-Nguyen, Reena P Thomas, Amelia C Watkins, Rebecca Blankenburg","doi":"10.1016/j.acap.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.acap.2024.08.003","url":null,"abstract":"Background: There are persistent structural barriers that threaten inclusion and retention of underrepresented in medicine (UIM) residents and fellows (trainees) as future faculty in academic medicine. We developed the Leadership Education in Advancing Diversity (LEAD) Program at a single, academic institution, to address these barriers through a 10-month longitudinal curriculum across GME for trainees to develop leadership and scholarship skills in DEI.Objective: Explore how participation in LEAD impacted UIM trainees' sense of belonging and professional identity formation in academic medicine; as well as perceptions about pursuing a career in academic medicine and future leadership roles.Methods: IRB-approved qualitative study in August 2020-August 2021 with individual, semi-structured interviews of UIM LEAD graduates from the first 4 cohorts (2017-2021). Data were analyzed by two authors using modified grounded theory.Results: 14 UIM trainees were interviewed; seven themes emerged. Critical aspects of the program: (1) Creation of a community of shared DEI values (2) Mentorship (3) Role of allies. Results of the program: (4) Deepened appreciation of personal and professional identity as UIM (5) Fostered belonging in academic medicine (6) Appreciation of different careers in academic medicine and how to integrate DEI interests (7) Inspired trainees to pursue leadership roles.Conclusions: LEAD can serve as a model for other institutions that seek to support UIM trainees' sense of belonging, professional identity formation, and perceptions about pursuing careers in academic medicine and future leadership roles.","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0