Academic Pediatrics最新文献

{"title":"Child Maltreatment Evaluations Following Out-of-Hospital Cardiac Arrests","authors":"Sabrina M. Darwiche MD, MPH ,&nbsp;Cindy W. Christian MD ,&nbsp;Cody-Aaron L. Gathers MD, MSHP ,&nbsp;Ryan W. Morgan MD, MTR ,&nbsp;Maryam Y. Naim MD, MSCE ,&nbsp;Joanne N. Wood MD, MSHP","doi":"10.1016/j.acap.2025.102777","DOIUrl":"10.1016/j.acap.2025.102777","url":null,"abstract":"<div><h3>Objective</h3><div>In children admitted after an out-of-hospital cardiac arrest (OHCA), this study 1) determines the proportion that undergo physical abuse and toxin exposure evaluation, child protection team (CPT) consultation, and child protective services (CPS) referral, and 2) evaluates the association between demographic, social, clinical characteristics with CPT consultation and CPS referral.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted of children &lt;4 years old admitted following an OHCA between November 2012 and February 2023. Associations between demographics, caregiver social risk factors, and clinical characteristics with CPT consultation and CPS referral were examined using logistic regression.</div></div><div><h3>Results</h3><div>Among 157 cases, 70 (45%) had skeletal surveys; 8 (11%) identified an occult fracture. Seventy-five (48%) children had toxicology testing; 16 of the 75 (21%) revealed a toxic ingestion. Sixteen of the 49 (33%) patients receiving ophthalmologic evaluations had significant retinal hemorrhages. Seventy-seven (49%) patients had a CPT consultation, while 74 (47%) were referred to CPS. A history concerning for ingestion perfectly predicted CPT consultation. History of ingestion, injury on exam, positive skeletal survey, and positive toxicology testing perfectly predicted CPS referral. In multivariate analyses, unsafe sleep history (84% versus 41%, <em>P</em> &lt; 0.001) and caregiver social risk factors (82% versus 31%, <em>P</em> &lt; 0.001) were associated with CPT consultation, while caregiver social risk factors (70% versus 34%, <em>P</em> &lt; 0.001) and normal medical work-up (53% versus 38%, <em>P</em> = 0.050) were associated with CPS referral.</div></div><div><h3>Conclusions</h3><div>Following OHCA, a child maltreatment evaluation may be underutilized with medical decision-making around CPT consultation and CPS referral driven by knowledge of caregiver social risk factors.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 3","pages":"Article 102777"},"PeriodicalIF":3.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973055","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":"Evolving Roles: Adolescent Perspectives on Shared Decision Making With Their Parents and Health Care Providers","authors":"Chelsey B. Anderson PhD ,&nbsp;Isabella K. Pallotto MPH ,&nbsp;Lindsay Dominguez BS ,&nbsp;Mary Anne Ammon MS ,&nbsp;Adam Carle MA, PhD ,&nbsp;Ellen A. Lipstein MD, MPH","doi":"10.1016/j.acap.2025.102778","DOIUrl":"10.1016/j.acap.2025.102778","url":null,"abstract":"<div><h3>Objective</h3><div>Shared decision making (SDM) involving adolescents presents unique challenges. To adequately support and evaluate SDM that includes adolescents, parents, and health care providers, it is imperative to understand adolescent perspectives. This study aims to describe the perspectives of adolescents with chronic health conditions regarding sharing medical decisions with their parents and health care providers.</div></div><div><h3>Methods</h3><div>Adolescents ages 12 to 17 years with chronic health conditions participated in semistructured qualitative interviews via video conference. Interview questions focused on adolescents’ decision-making experiences. Additionally, concepts of SDM were explored in depth. Transcribed interviews were coded and thematically analyzed using a combination of inductive and deductive coding.</div></div><div><h3>Results</h3><div>Sixteen adolescents participated in qualitative interviews (median age 14 years, 62% male, 62% non-white). Analysis of interviews revealed 4 themes that highlight adolescent perspectives on the process of SDM: <em>defining the adolescent’s role and degree of participation in decisions, understanding complex information, sharing the adolescent’s unique perspective</em>, and <em>coming to consensus.</em> Adolescents in this study described increasingly active participation in more complex decisions as they gained independence, experience, and understanding of health information. Adolescents discussed the importance of their perspectives being acknowledged in the final decision. They also felt it was important to identify values they have in common with their parents and health care providers.</div></div><div><h3>Conclusions</h3><div>Results from this work indicate that adolescents with chronic health conditions experience evolving roles in SDM. These data can be used to tailor and improve SDM to address adolescent needs through active engagement, personalized communication, and inclusion of adolescent values.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 4","pages":"Article 102778"},"PeriodicalIF":3.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973056","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":"A NOVEL MULTIMODAL INTERPROFESSIONAL CURRICULUM TO STRENGTHEN RESIDENTS AS LEADERS IN BEHAVIORAL DE-ESCALATION","authors":"Grace Quinn MD ,&nbsp;Ariella Weinstock MD, MS.Ed ,&nbsp;Lauren Ameden MD ,&nbsp;Alison Konopka MD ,&nbsp;Lydia Lissanu MD ,&nbsp;Sarah Miller MD ,&nbsp;Stephanie Milne MD, MS ,&nbsp;Laura Nicholson MSN, RN ,&nbsp;Amber Shelton MD, MS ,&nbsp;Heather Walsh MSN, RN, PCNS-BC, CHSE-A, CPN ,&nbsp;Elana Neshkes MD ,&nbsp;Jeremy Kern MD","doi":"10.1016/j.acap.2024.102669","DOIUrl":"10.1016/j.acap.2024.102669","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102669"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143305865","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":"IMPROVING NOON CONFERENCE ATTENDANCE FOR PEDIATRIC RESIDENTS: DO QUESTIONS AND CONSEQUENCES HELP?","authors":"Hope Kile MD,&nbsp;Richa Gupta MD,&nbsp;Claire Wyman DO,&nbsp;Rachel Jones MD,&nbsp;Caren Gellin MD","doi":"10.1016/j.acap.2024.102689","DOIUrl":"10.1016/j.acap.2024.102689","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102689"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306378","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":"CHARACTERISTICS AND MOTIVATIONS OF PEDIATRIC RESIDENCY ASSOCIATE PROGRAM DIRECTORS PARTICIPATING IN A NATIONALLY SPONSORED PEER MENTORING GROUP PILOT PROGRAM","authors":"Lisa DelSignore MD ,&nbsp;H. Mollie Grow MD, MPH ,&nbsp;Lynn Thoreson DO ,&nbsp;Megan Aylor MD ,&nbsp;Erika L. Abramson MD, MS ,&nbsp;Suzanne Reed MD, MAEd ,&nbsp;Anshu Gupta MBBS, MS ,&nbsp;Sarah L. Hilgenberg MD","doi":"10.1016/j.acap.2024.102658","DOIUrl":"10.1016/j.acap.2024.102658","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102658"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143281367","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 HOLISTIC REVIEW ON EVALUATION OF PEDIATRIC RESIDENCY APPLICANTS WHO IDENTIFY AS UNDERREPRESENTED IN MEDICINE","authors":"Kevin Fang MD MPH,&nbsp;Adriana Hernandez MD,&nbsp;Trinh Ha BS,&nbsp;Hanna Song PhD","doi":"10.1016/j.acap.2024.102672","DOIUrl":"10.1016/j.acap.2024.102672","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102672"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143285312","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":"MENTORING YOU, SUPPORTING AND UPLIFTING US: NOVEL DEI PROGRAM FOR RESIDENTS & FELLOWS BENEFITS UNDERREPRESENTED IN MEDICINE FACULTY TOO","authors":"Marisela Aguilar MD ,&nbsp;Rebecca Blankenburg MD, MPH ,&nbsp;Takudzwa Shumba MD, MPH ,&nbsp;Gladys Rodriguez MD, MS ,&nbsp;Lourdes Eguiguren MD ,&nbsp;Lahia Yemane MD","doi":"10.1016/j.acap.2024.102691","DOIUrl":"10.1016/j.acap.2024.102691","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102691"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143286510","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":"Underrepresented in Medicine Trainees’ Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program","authors":"Lahia Yemane MD ,&nbsp;Carmin Powell MD ,&nbsp;Jeffrey Edwards MD, MPH ,&nbsp;Takudzwa Shumba MD MPH ,&nbsp;Al’ai Alvarez MD ,&nbsp;Belinda Bandstra MD, MA ,&nbsp;Michelle Brooks ,&nbsp;Cati Brown-Johnson PhD ,&nbsp;Wendy Caceres MD ,&nbsp;Tamara Dunn MD ,&nbsp;Carrie Johnson MBA ,&nbsp;Felipe D. Perez MD ,&nbsp;Travis Reece-Nguyen MD, MPH ,&nbsp;Reena P. Thomas MD, PhD ,&nbsp;Amelia C. Watkins MD, MS ,&nbsp;Rebecca Blankenburg MD, MPH","doi":"10.1016/j.acap.2024.08.003","DOIUrl":"10.1016/j.acap.2024.08.003","url":null,"abstract":"<div><h3>Background</h3><div>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 Graduate Medical Education for trainees to develop leadership and scholarship skills in diversity, equity, and inclusion (DEI).</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>Institutional Review Board-approved qualitative study in August 2020–August 2021 with individual, semi-structured interviews of UIM LEAD graduates from the first four cohorts (2017–2021). Data were analyzed by two authors using modified grounded theory.</div></div><div><h3>Results</h3><div>Fourteen 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, and 7) Inspired trainees to pursue leadership roles.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102558"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","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}

{"title":"Mental Health Outcomes Among Youth With Nonfatal Firearm Injuries","authors":"Elizabeth R. Oddo MD, MPH ,&nbsp;Ashley B. Hink MD, MPH ,&nbsp;Annie L. Andrews MD, MSCR","doi":"10.1016/j.acap.2024.06.009","DOIUrl":"10.1016/j.acap.2024.06.009","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102522"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447498","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":"Tonsillectomy Utilization: Persisting Associations with Ethnicity and Race, Public Insurance, and Rurality Across Studies","authors":"Anne R. Links MS MHS ,&nbsp;Jennifer Cooper PhD ,&nbsp;Meredith Lind MD ,&nbsp;Laura J. Chavez PhD MPH ,&nbsp;Emily F. Boss MD MPH","doi":"10.1016/j.acap.2024.06.020","DOIUrl":"10.1016/j.acap.2024.06.020","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102533"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581373","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}