Academic Pediatrics最新文献

{"title":"CHARTING A NEW PATH: TRACKING TIME OF PEDIATRIC RESIDENTS IN ELECTRONIC HEALTH RECORD","authors":"Kayla Gonzalez MD, Allyson McDermott MD, Jonah Mandell DO, Jane Im MD","doi":"10.1016/j.acap.2024.102665","DOIUrl":"10.1016/j.acap.2024.102665","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102665"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143299369","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 MISTREATMENT FROM PATIENTS AND FAMILIES ON PEDIATRIC RESIDENT PROFESSIONAL IDENTITY FORMATION: A MIXED METHODS EXPLORATORY STUDY","authors":"Elisa Phillips MD , Jeffrey Edwards MD MPH , Lauren Aiello MD , Courtney Gilliam MD , Leonard Seltz MD , Dennis Spencer MD PhD , Kristopher Kapphahn MS , Carrie Rassbach MD, MA Ed","doi":"10.1016/j.acap.2024.102634","DOIUrl":"10.1016/j.acap.2024.102634","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102634"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306234","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":"DEVELOPMENT AND IMPLEMENTATION OF A WOMEN'S LEADERSHIP CURRICULUM FOR PEDIATRIC TRAINEES","authors":"Meredith Mitchell MD , Deborah DiazGranados PhD, MS , Michael Ryan MD , Michelle Olson MD","doi":"10.1016/j.acap.2024.102636","DOIUrl":"10.1016/j.acap.2024.102636","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102636"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306266","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":"EFFECT OF A CLINICAL CASE NARRATIVE ON PODCAST KNOWLEDGE ACQUISITION AND RETENTION: A RANDOMIZED CONTROLLED TRIAL","authors":"Zachary Hodges MD, Michael Green MD","doi":"10.1016/j.acap.2024.102641","DOIUrl":"10.1016/j.acap.2024.102641","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102641"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143306267","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 Randomized Trial of Virtual Reality Training to Improve Firearm Safety Counseling Skills","authors":"Michelle March MD, MPH, MEd ,&nbsp;Matthew Zackoff MD, MEd ,&nbsp;Jacob Fleck ,&nbsp;Andrea Meisman MA ,&nbsp;Kristen Humphrey MD ,&nbsp;Melinda C. MacDougall MS ,&nbsp;Shelley Ehrlich MD, ScD, MPH ,&nbsp;Cornelia Griggs MD ,&nbsp;Chana Sacks MD, MPH ,&nbsp;Peter Masiakos MD ,&nbsp;Melissa Klein MD, MEd ,&nbsp;Francis Real MD, MEd","doi":"10.1016/j.acap.2024.08.005","DOIUrl":"10.1016/j.acap.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of <em>Resident Education And Counseling on Household (REACH) Firearm Safety</em>, a novel virtual reality (VR) intervention.</div></div><div><h3>Methods</h3><div>We conducted a single-center, randomized controlled trial among pediatric residents in a Midwestern academic primary care center comparing <em>REACH Firearm Safety</em> 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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> = 0.009) and increased confidence in providing information on secure storage (<em>P</em> = 0.002).</div></div><div><h3>Conclusions</h3><div>Compared with didactic training alone, a VR intervention using deliberate practice improved residents’ skills and confidence related to firearm safety counseling.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102560"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","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}

{"title":"“Racism Happens Every Day, All the Time”: Black Families’ Outpatient Experiences of Racism Across a Large Pediatric System","authors":"Margaret N. Jones MD, MS ,&nbsp;Kiaira Elliott BS, BA ,&nbsp;Susan N. Sherman DPA ,&nbsp;Ebunoluwa Falade BS, MS ,&nbsp;Rolanda L. Clark MEd ,&nbsp;Lauren Lipps MA ,&nbsp;Lenice Hill-Williams BA ,&nbsp;Caneisha Williams ,&nbsp;Kristen A. Copeland MD ,&nbsp;Andrew F. Beck MD, MPH ,&nbsp;Ndidi Unaka MD, MEd ,&nbsp;Mary Carol Burkhardt MD, MHA ,&nbsp;Alexandra M.S. Corley MD, MPH","doi":"10.1016/j.acap.2024.08.011","DOIUrl":"10.1016/j.acap.2024.08.011","url":null,"abstract":"<div><h3>Objective</h3><div>To qualitatively understand and characterize the experience of racism in outpatient pediatric healthcare settings from the perspectives of Black families.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102566"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASSESSING CONTINUITY IN AN X + Y PEDIATRIC RESIDENCY FORMAT: DOES X+Y = CONTINUITY IN A RESIDENT OUTPATIENT CLINIC?","authors":"Anina Ratjen MD ,&nbsp;Susanne Tanski MD MPH ,&nbsp;Catherine Shubkin MD, FAAP, HEC-C","doi":"10.1016/j.acap.2024.102661","DOIUrl":"10.1016/j.acap.2024.102661","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102661"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143281369","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":"EVALUATION OF THE IMPLEMENTATION OF A POINT OF CARE ULTRASOUND CURRICULUM FOR PEDIATRIC RESIDENTS IN TRAINING: A PILOT STUDY","authors":"Susana Ruano MD,&nbsp;Samantha Ribeiro MD,&nbsp;Brian Wrotniak PhD,&nbsp;Haiping Qiao MBBS,&nbsp;Mary Emborsky DO","doi":"10.1016/j.acap.2024.102654","DOIUrl":"10.1016/j.acap.2024.102654","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102654"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143290094","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 MODIFIED DELPHI STUDY FOR CONTENT PRIORITIZATION OF SIMULATION-BASED MEDICAL EDUCATION FOR PEDIATRIC RESIDENCY TRAINING PROGRAMS","authors":"Lorel Huber MD ,&nbsp;Ryan Good MD ,&nbsp;Meredith Bone MD ,&nbsp;Shannon Flood MD ,&nbsp;Ryan Fredericks MD ,&nbsp;Frank Overly MD ,&nbsp;Nancy Tofil MD, MEd ,&nbsp;Robyn Wing MD, MPH ,&nbsp;Kathryn Walsh MD","doi":"10.1016/j.acap.2024.102645","DOIUrl":"10.1016/j.acap.2024.102645","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102645"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143293203","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":"Adolescent Relationship Abuse Among Hospitalized Adolescents","authors":"Kimberly A. Randell MD, MSc ,&nbsp;Abbey R. Masonbrink MD, MPH ,&nbsp;Jane A. Hunt MD ,&nbsp;Sarah Mermelstein MD ,&nbsp;Raga Kilaru MD ,&nbsp;Sarah Thevatheril MD ,&nbsp;Melissa K. Miller MD, MSce","doi":"10.1016/j.acap.2024.09.001","DOIUrl":"10.1016/j.acap.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>We assessed adolescent relationship abuse (ARA) prevalence and ARA intervention acceptability and perceived benefit among hospitalized adolescents and young adults (AYA).</div></div><div><h3>Methods</h3><div>This was a planned secondary analysis of a cross-sectional survey exploring sexual and reproductive health among a convenience sample of AYA (14–25 years) hospitalized in medical/surgical units at two Midwest children’s hospitals. Survey items assessed history of dating, lifetime prevalence of four types of ARA (physical abuse, sexual abuse, reproductive coercion, sexual exploitation), and demographics.</div></div><div><h3>Results</h3><div>Among 324 participants, 72.5% reported dating and, among those with history of dating, 17% reported one or more types of ARA. ARA was more common among those who reported foregone health care in the preceding 12 months. There was no difference in likelihood of dating and ARA between those with and without a chronic health condition. Approximately half felt it is helpful for clinicians to discuss dating relationships with adolescents (58.6%) and acceptable to do this during a hospitalization (50.6%). Conversations with clinicians about dating relationships were more likely to be reported helpful by those who had dated (63.9% reporting dating vs 50.6% not reporting dating, <em>P</em> 0.04) and those who reported prior ARA (79.5% reporting ARA vs 60.4% not reporting ARA, <em>P</em> 0.02).</div></div><div><h3>Conclusions</h3><div>Hospitalization may represent a unique opportunity to support healthy AYA dating relationships. Further work is needed to further explore acceptability and feasibility of such interventions.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102577"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331794","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}