Academic Pediatrics最新文献

{"title":"Who Interviews Residency Applicants? A National Study of Pediatric Programs' Practices.","authors":"Arishna Patel, Lahia Yemane, Caroline E Rassbach","doi":"10.1016/j.acap.2025.102842","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102842","url":null,"abstract":"<p><strong>Objective: </strong>Interviews play a critical role in assessing applicants for residency. Historically these interviews have been conducted primarily by faculty; however, in recent years, more programs have begun using non-faculty interviewers. We aimed to characterize the identity, prevalence, motivations behind, and perceived benefits and challenges of utilizing non-faculty interviewers during pediatric residency recruitment.</p><p><strong>Methods: </strong>We developed and distributed a survey to program leaders of all US categorical pediatric residencies from September - December 2022 to inquire about their interview methods. We analyzed the data using descriptive statistics and inductive content analysis for free-text responses.</p><p><strong>Results: </strong>The response rate was 65% (125/193 programs). Overall, 71% of programs used non-faculty interviewers, with the most common groups being chief residents (if not considered clinical faculty) (58%), residents (31%), and fellows (14%). Perceived benefits of non-faculty interviewers included providing diverse perspectives in evaluating applicants and increasing the number of interviewers. Noted challenges were scheduling difficulties, assuring adequate training and preparation, and uncertainty of applicant perceptions of interviewing with non-faculty members. Many programs felt that each non-faculty interviewer group positively or very positively impacted residency interviews (71%, 87/123).</p><p><strong>Conclusions: </strong>Many programs utilize non-faculty interviewers during pediatric residency recruitment. Respondents described several perceived benefits and challenges related to these interviewers and overall felt their inclusion positively impacted recruitment. These study findings can serve as a resource for program leaders seeking to evaluate and evolve their current interview practices.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102842"},"PeriodicalIF":3.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048707","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}

{"title":"Potential Pediatric Health Care Consequences of Not Getting Help for Disclosed Social Needs","authors":"Arvin Garg MD, MPH ,&nbsp;Annelise Brochier MPH ,&nbsp;Yorghos Tripodis PhD ,&nbsp;Katherine BarahonaPaz BA ,&nbsp;Mari-Lynn Drainoni PhD, MEd","doi":"10.1016/j.acap.2025.102834","DOIUrl":"10.1016/j.acap.2025.102834","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between double loss (disclosure of social needs without receiving assistance) with low-income children’s health care utilization outcomes.</div></div><div><h3>Methods</h3><div>Data were from a hybrid effectiveness-implementation trial evaluating a social needs screening and referral intervention (WE CARE) implemented in 3 community health centers. WE CARE included 3 components: 1) social risk/need screener assessing parental desire for assistance with unmet social needs, 2) resource information referrals, and 3) patient navigator. A family was defined as experiencing double loss if, at their child’s well-child visits (WCVs) from birth to age 3, there was at least 1 scanned screener with a request for help without a referral documented in the electronic health record. Multiple logistic regression was used to compare rates of double loss with adherence to WCV and immunization schedules.</div></div><div><h3>Results</h3><div>Among the cohort of children (n = 403), 43.4% were Black, 21.1% Latino/a/e, and 13.9% Asian. Overall, 40.5% of parents experienced double loss. Families who experienced double loss had fewer reported social needs (0.3 vs 1.5, <em>P</em> &lt; 0.001). Children whose families’ experienced double loss had significantly lower WCV adherence ratios in the first 3 years of life (0.40 vs 0.43, <em>P</em> &lt; 0.0001). Similarly, the immunization adherence ratio for children was significantly lower for families who experienced double loss than for families who did not experience double loss (0.79 vs 0.92, <em>P</em> &lt; 0.0001).</div></div><div><h3>Conclusions</h3><div>Families experienced double loss had significantly lower WCV and immunization adherence. These exploratory findings carry significant implications for pediatric practice, guidelines, and health policy.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 6","pages":"Article 102834"},"PeriodicalIF":3.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057777","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}

{"title":"The Landscape of Pediatric Residency Coaching Programs in the United States","authors":"Matthew W. Thomas MD ,&nbsp;Taryn A. Hill MD, MEd ,&nbsp;Alice Walz MD ,&nbsp;Caroline E. Rassbach MD, MAEd ,&nbsp;Monique M. Naifeh MD, MPH ,&nbsp;Rebecca Blankenburg MD, MPH","doi":"10.1016/j.acap.2025.102840","DOIUrl":"10.1016/j.acap.2025.102840","url":null,"abstract":"<div><h3>Objective</h3><div>Coaching is a growing approach within graduate medical educatin for clinical and professional development. Little is known about the variation in the goals and implementation of residency coaching programs nationally. We describe the current national landscape of coaching programs across pediatric residencies, including program goals, barriers, and facilitators to coaching program implementation.</div></div><div><h3>Methods</h3><div>In September to October 2022, we conducted a deidentified national cross-sectional, web-based survey of pediatric residency program directors. Data were analyzed using descriptive and inferential statistics and content analysis.</div></div><div><h3>Results</h3><div>In total, 46% (84/183) pediatric residency program directors responded; 40% (34/84) reported currently having a coaching program; and 27% (23/84) were considering program development. Most programs coached residents at multiple training levels, with first-year residents most commonly coached. Attending physicians served as coaches in most programs (79%, 27/34), while 41% (14/34) utilize residents, fellows, or nonphysicians as coaches. The top goals of coaching programs included skill development in professionalism (74%, 25/34), communication (68%, 23/34), clinical care (65%, 22/34), well-being (59%, 20/34), and remediation (50%, 17/34). Programs perceived multiple benefits of coaching, including enhancement of resident performance, growth mindset promotion, support for struggling residents, community-building, and increased resident and faculty engagement. Barriers to coaching program implementation included time, funding, faculty buy-in, professional development needs, and burnout.</div></div><div><h3>Conclusions</h3><div>Coaching is an emerging approach to promoting trainee development, with at least 30% of pediatrics residency programs either currently employing or considering future coaching program development. Residency programs perceived benefits for both residents and faculty in skill development, sense of community, and engagement.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 6","pages":"Article 102840"},"PeriodicalIF":3.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048452","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}

{"title":"Vision, Value and Vices; the Roles, Responsibilities and Resources of the Vice Chair of Education in Pediatrics.","authors":"Katherine E Mason, Casey Hester, Stephen Barone, Marina Catallozzi, Michael Dell, John Frohna, Catherine D Shubkin, Alan Schwartz, Pnina Weiss","doi":"10.1016/j.acap.2025.102838","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102838","url":null,"abstract":"<p><strong>Objective: </strong>The last decade has seen an increase in the number of Pediatric Vice Chairs of Education (VCEs), yet their roles and resources remain unclear.</p><p><strong>Methods: </strong>We distributed a survey to Pediatric VCEs in the United States in March 2023 that focused on roles, responsibilities, and resources, such as dedicated time. We used descriptive and inferential statistical methods for data analysis.</p><p><strong>Results: </strong>Forty-four of 65 (68%) VCE's responded. Most had a written job description (64%), yet only 25% described their responsibilities as very clear. Most VCEs defined themselves as leaders in graduate medical education (64%) and educational research (59%). Fewer led faculty development (36%), curricular development (36%), continuing medical education (32%), or undergraduate medical education (UME; 34%). VCEs reported a mean of 0.25 (SD 0.22) full-time equivalent (FTE) protected time for their VCE role but believed they needed 0.36 FTE (SD 0.29; p<0.001). Dedicated time for the VCE role positively correlated with the number of categorical pediatric residents, UME leadership, and their perceived ability to make a positive difference. Respondenfts who were also residency program directors reported less dedicated time for their VCE role and were less likely to report an ability to make a positive difference. Over half of VCEs had not been offered role specific professional development.</p><p><strong>Conclusions: </strong>The roles and responsibilities of VCEs vary between institutions. To enhance the effectiveness of VCEs an increase in dedicated time, resources, and professional development are important.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102838"},"PeriodicalIF":3.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042842","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}

{"title":"Take the Lead on Lead: Feasibility of a Telemedicine-Based Clinic for Lead Poisoning Prevention and Management","authors":"Ryan CL Brewster MD ,&nbsp;Keith Acosta BS ,&nbsp;Diane Story MPH ,&nbsp;Frehiwot Bayuh ,&nbsp;Shalini Shah DO ,&nbsp;Alan Woolf MD, MPH ,&nbsp;Noah Buncher DO ,&nbsp;Marissa Hauptman MD, MPH","doi":"10.1016/j.acap.2025.102844","DOIUrl":"10.1016/j.acap.2025.102844","url":null,"abstract":"<div><h3>Objective</h3><div>Despite there being no safe amount of lead in the body, most public health and clinical interventions are focused on secondary prevention. A greater emphasis on early outreach may reduce cumulative lead exposure. Towards this end, we aimed to assess the feasibility of a virtual model for lead poisoning prevention and management among at-risk populations.</div></div><div><h3>Methods</h3><div>We developed the Take the Lead on Lead (TLOL) clinic, a telemedicine-based program to facilitate educational visits, lead identification, and individualized resource allocation. We recruited patients aged 9 months-5 years with detectable, but low, BLLs (≥2 μg/dL and &lt;10 μg/dL) from two urban academic medical centers in Boston, MA. Virtual visits featured a remote residential inspection to identify potential lead hazards and inform targeted counseling. Families also received a lead testing and temporary mitigation kit, community referrals, and follow-up BLL surveillance, as indicated.</div></div><div><h3>Results</h3><div>Among 35 participants, most were Black, non-Latinx (51.4%) with residence in homes constructed before 1970 (60%). Potential lead hazards were visualized in the majority of homes that underwent a virtual home inspection (71.4%). On a post-participation survey, most families found that TLOL participation addressed their clinical concerns; provided actionable resources; and helped identify lead sources.</div></div><div><h3>Conclusions</h3><div>The TLOL program enabled detailed residential lead identification and early resource access with high levels of participant satisfaction. Further work is needed to assess the efficacy and cost-effectiveness of telemedicine-based care models applied towards lead poisoning prevention efforts.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 6","pages":"Article 102844"},"PeriodicalIF":3.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059113","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}

{"title":"The Impact of Telelactation on Breastfeeding Satisfaction at 6 Months Postpartum: Evidence from a Randomized Controlled Trial.","authors":"Maria DeYoreo, Kandice Kapinos, Molly Waymouth, Kortney Floyd James, Jill Demirci, Lori Uscher-Pines","doi":"10.1016/j.acap.2025.102837","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102837","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the impact of telelactation (video breastfeeding support visits) on breastfeeding satisfaction and the likelihood of breastfeeding another child. Breastfeeding satisfaction is a key person-centered outcome and indicator of breastfeeding success and is associated with longer duration of breastfeeding.</p><p><strong>Methods: </strong>This randomized controlled trial randomized pregnant individuals to receive a telelactation app (intervention group) or an infant care e-book (control group). The main outcome measured was self-reported breastfeeding satisfaction at 24 weeks postpartum, while a secondary outcome assessed the likelihood of breastfeeding another child. We estimated unadjusted and adjusted linear regression models for the effect of telelactation on breastfeeding satisfaction and logistic regression models for the effect of telelactation on likelihood of breastfeeding another child. We also examined whether the effects of telelactation differed by breastfeeding problems experienced.</p><p><strong>Results: </strong>Results indicated that telelactation significantly improved breastfeeding satisfaction scores by 0.53 points (CI:[0.04,1.04],p=0.04) and increased the likelihood of participants being very likely to breastfeed another child by 7% (RR= 1.07 (CI: [1.01, 1.14], p=0.02; ARR = 1.07 (CI: [1.01, 1.14], p=0.03). We found no significant differences in outcomes based on race or ethnicity. Further analysis highlighted that telelactation was particularly beneficial for participants experiencing common newborn/premature feeding issues.</p><p><strong>Conclusions: </strong>Telelactation can enhance breastfeeding experiences and satisfaction, with implications for public health strategies targeting new parents.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102837"},"PeriodicalIF":3.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065211","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}

{"title":"Characterizing Second Look Behaviors and Attitudes of Pediatric Residency Applicants.","authors":"Sophi R Lederer, Jonathan L Bressler, Christine C Cheston","doi":"10.1016/j.acap.2025.102832","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102832","url":null,"abstract":"<p><strong>Objective: </strong>We sought to explore participation in and experience of in-person Second Look visits by categorical pediatrics applicants across demographic groups.</p><p><strong>Methods: </strong>We surveyed applicants to a large pediatrics residency program using multiple choice, sliding scale, and Likert Scale questions. We calculated descriptive statistics and compared results across groups using T-tests and Fisher's Exact Tests.</p><p><strong>Results: </strong>Among 536 respondents (34.2% response rate), 190 (35.4%) attended at least one Second Look. Applicants from low socioeconomic (SES) backgrounds shouldered higher costs and were more likely to meet with a selection committee member (36.4% vs 17.9%, p<0.01). Applicants from groups underrepresented in medicine (UIM) and low SES background were more likely to agree or strongly agree that they would have attended more Second Looks had programs offered UIM-based (UIM: 66.7% vs non-UIM: 19.1%) or need-based (low SES: 70.1% vs non-low SES: 42.1%) funding. Overall, most applicants agreed or strongly agreed that need-based funding (63.6%) or UIM-based funding (62.7%) would increase equity in the Match.</p><p><strong>Conclusion: </strong>Pediatric applicants continue to pursue Second Looks despite guidelines discouraging programs from hosting them. Targeted funding for Second Looks is perceived by applicants to improve equity in selection. Perceived disproportionate benefit of Second Looks to minoritized and financially disadvantaged applicants should be explored in future study.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102832"},"PeriodicalIF":3.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044244","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}

{"title":"Assessing the impact of a novel arts and humanities initiative on factors related to pediatric resident wellbeing.","authors":"Rachel E Korus, Danielle G Rabinowitz, Jie He, Jennifer C Kesselheim","doi":"10.1016/j.acap.2025.102836","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102836","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102836"},"PeriodicalIF":3.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025106","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}

{"title":"Geographic Maldistribution of Pediatric Dermatologists in Relation to Pediatric and Family Medicine Residency Programs","authors":"Sarah Lee BA ,&nbsp;Itohan Aigbekaen BS ,&nbsp;Jennifer Huang MD","doi":"10.1016/j.acap.2025.102835","DOIUrl":"10.1016/j.acap.2025.102835","url":null,"abstract":"<div><h3>Objective</h3><div>Pediatric dermatology training is a critical yet underemphasized component of primary care residency programs, despite skin conditions being common in both pediatric and family medicine (FM) visits. Recently trained physicians consistently identify dermatology as a top educational need. This study aimed to evaluate whether geographic disparities in pediatric dermatologist distribution relative to primary care residency programs may limit opportunities for educational exposure and contribute to training variability.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis was conducted of US board-certified pediatric dermatologists and FM and pediatric residency programs across US states, Puerto Rico, and Washington, DC in 2024. Data were sourced from American Academy of Dermatology, Society for Pediatric Dermatology, American Board of Pediatrics, and American Academy of Family Physicians. Distances between pediatric dermatologists and residency programs were calculated. Lorenz curves and Gini coefficients assessed geographic maldistribution.</div></div><div><h3>Results</h3><div>There were 371 pediatric dermatologists, 776 FM, and 219 pediatric residency programs in the United States, with 8 states having no pediatric dermatologists. Exactly 36% of FM programs and 15.1% of pediatric programs lacked a pediatric dermatologist within 50 miles. Median distance to the nearest pediatric dermatologist was 22 miles for FM programs and 2.9 miles for pediatric programs. Lorenz curve analyses revealed Gini coefficients of 0.557 and 0.528 for FM and pediatric programs, indicating moderate to high inequality, with FM programs more affected.</div></div><div><h3>Conclusion</h3><div>This study highlights a geographic misalignment between pediatric dermatologists and primary care residency programs. Scalable strategies, including virtual learning modules and collaboration with nearby specialists, are needed to support integration of pediatric dermatology into training curricula and to help address geographic gaps in subspecialty educational exposure.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 6","pages":"Article 102835"},"PeriodicalIF":3.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038212","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}

{"title":"The Current State of Pediatric Emergency Care Coordinators- A Role Essential for High Quality Pediatric Care.","authors":"Christine Aspiotes, Hilary Hewes, Rachel Crady, Katherine Remick, Stephen Janofsky, Joyce Li","doi":"10.1016/j.acap.2025.102821","DOIUrl":"https://doi.org/10.1016/j.acap.2025.102821","url":null,"abstract":"<p><strong>Objective: </strong>High pediatric readiness is associated with decreased mortality. Pediatric emergency care coordinators (PECC) are associated with improved pediatric readiness. The presence of PECCs in emergency departments (EDs) after COVID is unknown. Our objectives were 1) to describe and analyze the PECC status in 2021 compared to 2013 and 2) describe the association of change in PECC status with pediatric readiness scores.</p><p><strong>Methods: </strong>We performed a retrospective cohort study comparing the 2013 and 2021 NPRP Assessments. PECC status was defined as: retained, lost, gained or never based on the presence of either a nurse or physician PECC in 2021 compared to 2013. Hospital and ED characteristics were assessed by PECC status using multivariable logistic analysis. Main outcomes include association of PECC change on adjusted Weighted Pediatric Readiness Score (aWPRS) and NPRP domain scores analyzed using Kruskal-Wallis. We calculated the aWPRS by removing points associated with a PECC (up to 19) from the overall Weighted Pediatric Readiness Score (WPRS) and normalizing to total 100 points.</p><p><strong>Results: </strong>There were 2825 EDs that completed both assessments. General EDs were more likely to have lost a PECC compared to other ED types (p<0.001). The loss of a PECC was associated with a 7-point lower overall aWPRS and a statistically significant lower score in all pediatric readiness domains (p<0.001) compared to EDs that retained or gained a PECC.</p><p><strong>Conclusion: </strong>Hospitals that lost a PECC in 2021 compared to 2013 had a lower overall aWPRS and in individual domains suggesting the importance of a PECC in pediatric readiness initiatives.</p>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":" ","pages":"102821"},"PeriodicalIF":3.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044492","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}