Academic Pediatrics最新文献_第7页

UNCOVERING A NEED: DERMATOLOGY EDUCATION IN PEDIATRIC RESIDENCY TRAINING

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102649

Leah Lalor MD , Sonal Shah MD

引用次数: 0

ENHANCING PEDIATRIC TRAINEE UNDERSTANDING OF HEALTHCARE COSTS AND FINANCIAL TOXICITY: A NOVEL BILLING DIDACTIC AND INSURANCE SIMULATION APPROACH

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102635

Jeremy Jones MD, Michelle Rose MD, Noreena Lewis JD, Brooks Lanham MD, MBA

引用次数: 0

MORE GRADUATING RESIDENTS FROM SMALL PROGRAMS ARE READY FOR UNSUPERVISED PRACTICE FOR THE 17 ABP GENERAL PEDIATRICS EPAS WHEN COMPARED TO MEDIUM AND LARGE PROGRAMS

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102685

Daniel Schumacher MD, PhD, MEd , David Turner MD , Benjamin Kinnear MD, MEd , Ariel Winn MD , Catherine Michelson MD, MMSc , Alan Schwartz PhD

引用次数: 0

ALONE WE SURVIVE, TOGETHER WE THRIVE: INTERNATIONAL MEDICAL GRADUATE EMPOWERMENT INITIATIVE

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102690

Elif Erkan MD, MS, Shruthi Mohan MD, Daniela Bullard-Elias MD, Laura Rangel Rodriguez MD, Jose Antonio Elizondo Leal MD

引用次数: 0

Postpartum Depression Screening in Pediatric Primary Care Clinics and Infant Receipt of Preventive or Acute Care 儿科初级保健诊所的产后抑郁症筛查与婴儿接受预防性或急性护理的关系。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.08.001

Danielle P. Tyson MS , Leah V. Utset MD , Rose Y. Hardy PhD, MPH , Mattina A. Davenport PhD , Kierra S. Barnett PhD, MPH , Deena J. Chisolm PhD, MS , Laura J. Chavez PhD, MPH

{"title":"Postpartum Depression Screening in Pediatric Primary Care Clinics and Infant Receipt of Preventive or Acute Care","authors":"Danielle P. Tyson MS , Leah V. Utset MD , Rose Y. Hardy PhD, MPH , Mattina A. Davenport PhD , Kierra S. Barnett PhD, MPH , Deena J. Chisolm PhD, MS , Laura J. Chavez PhD, MPH","doi":"10.1016/j.acap.2024.08.001","DOIUrl":"10.1016/j.acap.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the association between postpartum depression (PPD) screening results in pediatric primary care and subsequent infant preventive and acute care utilization.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort analysis of 5341 infants born in 2021 whose mothers were screened for PPD at a well-child visit during the first 6 months. Logistic regression was used to examine the association between a positive PPD screen and 1) adherence to the 12-month well-child visit, and 2) any acute care visits (urgent care or emergency department visits) from 6–15 months. The association between PPD screen and number of acute care visits was examined with negative binomial regression.</div></div><div><h3>Results</h3><div>The incidence of positive PPD screens was 15.6% in the first 6 months. There was no significant difference in 12-month well-child visit adherence based on PPD screening (adjusted odds ratio (aOR): 0.91; 95% confidence interval (CI): 0.77–1.06; <em>P</em>-value: 0.206). The odds of having any acute care visit were higher among infants whose mothers screened positive for PPD (aOR: 1.2; 95% CI: 1.0–1.3; <em>P</em>-value: 0.009). There was a significant difference in the incidence rate of acute care visits based on PPD screening results (incidence rate ratio: 1.1; 95% CI: 1.0–1.2; <em>P</em>-value: 0.005).</div></div><div><h3>Conclusions</h3><div>Screening positive for PPD was associated with subsequent acute care utilization but not 12-month preventive care. Primary care providers may need to proactively follow-up after acute care visits to ensure both infant health and maternal needs are met, connecting mothers to resources as needed.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102556"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903472","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 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 : 2025-01-01 DOI: 10.1016/j.acap.2024.07.022

Julia H. Raney MD , Shayna Weinstein MPH , Alexander Testa PhD , Kyle T. Ganson PhD, MSW , Zain Memon , David V. Glidden PhD , Fiona C. Baker PhD , Claire D. Brindis DrPH , Jason M. Nagata MD, MSc

{"title":"Sexual Identity Is Associated With Adverse Childhood Experiences in US Early Adolescents","authors":"Julia H. Raney MD , Shayna Weinstein MPH , Alexander Testa PhD , Kyle T. Ganson PhD, MSW , Zain Memon , David V. Glidden PhD , Fiona C. Baker PhD , Claire D. Brindis DrPH , Jason M. Nagata MD, MSc","doi":"10.1016/j.acap.2024.07.022","DOIUrl":"10.1016/j.acap.2024.07.022","url":null,"abstract":"<div><h3>Objective</h3><div>To determine disparities in adverse childhood experiences (ACEs) by sexual identity in a national cohort of early adolescents.</div></div><div><h3>Methods</h3><div>We analyzed cross-sectional data from year 2 of the Adolescent Brain Cognitive Development study (N = 10,934, 2018–20, ages 10–14 years). Disparities in ACE scores 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.</div></div><div><h3>Results</h3><div>In adjusted models, LGB adolescents had a higher risk of experiencing 2, 3, or ≥4 ACEs (relative risk ratios [RRR] = 1.57, 95% Confidence Interval (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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102555"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A National Survey to Assess LGBTQ+ Curricular Needs in Pediatrics Residency Programs 评估儿科住院医师项目中 LGBTQ+ 课程需求的全国调查。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.07.016

Lauren T. Roth MD , Pamela Carpenter MEd , Alan Schwartz PhD, JD , Brian Lurie MD, MPH

{"title":"A National Survey to Assess LGBTQ+ Curricular Needs in Pediatrics Residency Programs","authors":"Lauren T. Roth MD , Pamela Carpenter MEd , Alan Schwartz PhD, JD , Brian Lurie MD, MPH","doi":"10.1016/j.acap.2024.07.016","DOIUrl":"10.1016/j.acap.2024.07.016","url":null,"abstract":"<div><h3>Objective</h3><div>Despite incremental increases in lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ+) health education, there are no uniform training requirements in graduate medical education and the extent to which pediatrics residency programs incorporate LGBTQ+ curricula remains unknown. We aimed to assess the current state of LGBTQ+ health education in pediatrics residency programs.</div></div><div><h3>Methods</h3><div>We surveyed all 202 Accreditation Council for Graduate Medical Education (ACGME)-accredited categorical pediatrics program directors (PDs) in the United States. PDs were contacted via the Association for Pediatrics Program Directors (APPD) listserv with a link to an anonymous electronic survey.</div></div><div><h3>Results</h3><div>We had a 53.4% response rate (107/202) with representation from all regions, sizes, and settings. Only 7.5% of programs have robust LGBTQ+ curricula, but many (71%) offer some sessions. About half (54.2%) believe their residents are not at all or somewhat prepared to care for LGBTQ+ patients after training. Many PDs are not at all or somewhat confident their residents learn about gender affirming care (49.5%) or are aware of community resources for LGBTQ+ youth (54.2%). In 91% of programs, 0–25% of faculty educate trainees about LGBTQ+ health. The majority (74.8%) of PDs are very or moderately likely to implement a standardized LGBTQ+ health curriculum. The most prominent barriers were inadequate time (55.1%) and lack of faculty training (51.4%).</div></div><div><h3>Conclusion</h3><div>Many pediatrics programs have implemented some LGBTQ+ health education; however, PDs lack confidence in residents’ abilities to independently care for LGBTQ+ youth after training. An accessible and standardized curriculum is not only needed but desired by programs.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102549"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890794","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

CREATION AND EVALUATION OF A SIMULATION-BASED TRAINING CURRICULUM FOR PEDIATRIC INTERNS: ASSESSING AN ACUTELY ILL HOSPITALIZED CHILD

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102659

Sabina Qasim DO, Amber Hartman DO, Rhett Lieberman MD, UPMC, Kendra Woods MD

引用次数: 0

Advancing Research on Mobile Screen Media and Young Children’s Cognitive Skills 推进移动屏幕媒体与幼儿认知技能的研究。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.06.018

Daniel Ewon Choe PhD, Aubrey B. Golden BA, Madeline R. Olwert BA

引用次数: 0

PROFESSIONAL DEVELOPMENT IN THE PROGRAM COORDINATOR POPULATION: MAKING A SOUND INVESTMENT IN A CRUCIAL ASSET

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102640

Meredith Feldman BS , Amy Vezetti BA , Veronica Sapp BS , Joyce Stroud BS , Kelly Maas MPHE, C-TAGME , Danielle Harvey C-TAGME , Denise Abels C-TAGME , Christine Rockwell NA , Nancy Baumgartner AA

引用次数: 0