Academic Pediatrics最新文献

{"title":"Corrigendum to Concordance in Child-Parent Reporting of Social Victimization Experiences in the Adolescent Brain Cognitive Development (ABCD) Study [Academic Pediatrics 23/4 (2023) 747–754]","authors":"Judy T. Tang MSN, RN , Altaf Saadi MD, MS , Erin C. Dunn ScD, MPH , Kristen Choi PhD, RN, FAAN","doi":"10.1016/j.acap.2024.02.002","DOIUrl":"10.1016/j.acap.2024.02.002","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102459"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143353802","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":"Hospitalization Patterns for Rural-Residing Children from 2002 to 2017","authors":"Corrie E. McDaniel DO ,&nbsp;Matt Hall PhD ,&nbsp;Jay G. Berry MD, MPH","doi":"10.1016/j.acap.2024.07.021","DOIUrl":"10.1016/j.acap.2024.07.021","url":null,"abstract":"<div><h3>Objective</h3><div>The closure of inpatient pediatric units within general hospitals has contributed to the regionalization of pediatric care. For children in rural areas, the distance traveled for hospitalization impacts the quality of care for children, the families, and the preparedness for disaster planning within rural communities. We assessed trends in location of hospitalization over time for rural-residing children.</div></div><div><h3>Methods</h3><div>Using the Healthcare Cost and Utilization Project’s State Inpatient Databases, we studied 256,947 hospitalizations for rural-residing children 0–17 years of age within eight states (CO, FL, KY, NC, NJ, NY, OR, WA) from 2002 to 2017. Level of rurality was defined by Rural-Urban Commuting Area Codes: micropolitan, small rural, and isolated rural. Birth, psychiatric, and surgical hospitalizations were excluded. Trends in number of hospitalizations by hospital location, interfacility transfer (IFT), and whether the hospital location was the same level of rurality as the patient’s home residence were assessed with the Cochran-Armitage trend test.</div></div><div><h3>Results</h3><div>From 2002 to 2017, hospitalizations for rural-residing children decreased by 52.7% (56,168 to 26,548) and IFTs increased from 6.7% to 26.5% (<em>P</em> &lt; .001). The proportion of total hospitalizations within metropolitan areas for rural-residing children increased from 32.2% to 72.8% (<em>P</em> &lt; .001). Local-area agreement between the patient’s residence and hospital utilized decreased from 53.6% to 21.5% (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Although overall hospitalizations for rural-residing children decreased, IFTs increased, and the proportion hospitalized in metropolitan areas increased. The impact of this shift in inpatient health services on efficiency and quality of care for rural-residing children needs further exploration.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102554"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903513","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":"Hopelessly Attached","authors":"Jennifer G. Fiore MD","doi":"10.1016/j.acap.2024.05.006","DOIUrl":"10.1016/j.acap.2024.05.006","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102508"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066399","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":"IMPLEMENTATION OF A VALIDATED DEVELOPMENTAL SCREENING TOOL IN AN AMBULATORY CARE CLINIC: SURVEY OF WELLBEING IN CHILDREN (SWYC)","authors":"Yusuke Matsuura MD","doi":"10.1016/j.acap.2024.102653","DOIUrl":"10.1016/j.acap.2024.102653","url":null,"abstract":"","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102653"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143290093","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":"CHARTING A NEW PATH: TRACKING TIME OF PEDIATRIC RESIDENTS IN ELECTRONIC HEALTH RECORD","authors":"Kayla Gonzalez MD,&nbsp;Allyson McDermott MD,&nbsp;Jonah Mandell DO,&nbsp;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 ,&nbsp;Jeffrey Edwards MD MPH ,&nbsp;Lauren Aiello MD ,&nbsp;Courtney Gilliam MD ,&nbsp;Leonard Seltz MD ,&nbsp;Dennis Spencer MD PhD ,&nbsp;Kristopher Kapphahn MS ,&nbsp;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 ,&nbsp;Deborah DiazGranados PhD, MS ,&nbsp;Michael Ryan MD ,&nbsp;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,&nbsp;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}