Academic Pediatrics最新文献

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IMPLEMENTATION OF A VALIDATED DEVELOPMENTAL SCREENING TOOL IN AN AMBULATORY CARE CLINIC: SURVEY OF WELLBEING IN CHILDREN (SWYC)

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102653

Yusuke Matsuura MD

引用次数: 0

CHARTING A NEW PATH: TRACKING TIME OF PEDIATRIC RESIDENTS IN ELECTRONIC HEALTH RECORD

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102665

Kayla Gonzalez MD, Allyson McDermott MD, Jonah Mandell DO, Jane Im MD

引用次数: 0

THE IMPACT OF MISTREATMENT FROM PATIENTS AND FAMILIES ON PEDIATRIC RESIDENT PROFESSIONAL IDENTITY FORMATION: A MIXED METHODS EXPLORATORY STUDY

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102634

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

引用次数: 0

DEVELOPMENT AND IMPLEMENTATION OF A WOMEN'S LEADERSHIP CURRICULUM FOR PEDIATRIC TRAINEES

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102636

Meredith Mitchell MD , Deborah DiazGranados PhD, MS , Michael Ryan MD , Michelle Olson MD

引用次数: 0

EFFECT OF A CLINICAL CASE NARRATIVE ON PODCAST KNOWLEDGE ACQUISITION AND RETENTION: A RANDOMIZED CONTROLLED TRIAL

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102641

Zachary Hodges MD, Michael Green MD

引用次数: 0

A Randomized Trial of Virtual Reality Training to Improve Firearm Safety Counseling Skills 提高枪支安全咨询技能的虚拟现实培训随机试验。

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.08.005

Michelle March MD, MPH, MEd , Matthew Zackoff MD, MEd , Jacob Fleck , Andrea Meisman MA , Kristen Humphrey MD , Melinda C. MacDougall MS , Shelley Ehrlich MD, ScD, MPH , Cornelia Griggs MD , Chana Sacks MD, MPH , Peter Masiakos MD , Melissa Klein MD, MEd , Francis Real MD, MEd

Objective

To evaluate the efficacy of Resident Education And Counseling on Household (REACH) Firearm Safety, a novel virtual reality (VR) intervention.

Methods

We conducted a single-center, randomized controlled trial among pediatric residents in a Midwestern academic primary care center comparing REACH Firearm Safety 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.

Results

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 (P = 0.009) and increased confidence in providing information on secure storage (P = 0.002).

Conclusions

Compared with didactic training alone, a VR intervention using deliberate practice improved residents’ skills and confidence related to firearm safety counseling.

目的评估新型虚拟现实（VR）干预措施--"住院医师家庭枪支安全教育与咨询"（REACH）的效果：我们在美国中西部一家学术性初级保健中心的儿科住院医师中开展了一项单中心随机对照试验，比较了 "REACH 枪械安全 "与说教式培训（干预）和单独说教式培训（对照）的效果。在干预组中，参与者与虚拟人物一起练习枪械安全咨询，并获得即时反馈。所有住院医师都在培训前后完成了标准化患者（SP）会诊录音以及事后回顾调查。两名评审人员在分配组盲的情况下，使用标准化的评估工具对学员的表现进行评分。研究结果包括各组间的 SP 表现评分差异和自我信心报告：从 2023 年 3 月到 7 月，62% 符合条件的儿科住院医师（n=47/76）完成了分配的研究任务（干预组 19 人，对照组 28 人）。干预组和对照组的SP表现得分和自我信心均有所提高。与对照组相比，干预组在共享安全存储设备信息方面有所改善（p=0.009），在提供安全存储信息方面的信心有所增强（p=0.002）：与单纯的说教式培训相比，采用刻意练习的 VR 干预提高了住院医生在枪支安全咨询方面的技能和信心。

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引用次数: 0

“Racism Happens Every Day, All the Time”: Black Families’ Outpatient Experiences of Racism Across a Large Pediatric System "种族主义每天都在发生，无时无刻不在发生"：黑人家庭在大型儿科系统门诊的种族主义经历。

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.08.011

Margaret N. Jones MD, MS , Kiaira Elliott BS, BA , Susan N. Sherman DPA , Ebunoluwa Falade BS, MS , Rolanda L. Clark MEd , Lauren Lipps MA , Lenice Hill-Williams BA , Caneisha Williams , Kristen A. Copeland MD , Andrew F. Beck MD, MPH , Ndidi Unaka MD, MEd , Mary Carol Burkhardt MD, MHA , Alexandra M.S. Corley MD, MPH

Objective

To qualitatively understand and characterize the experience of racism in outpatient pediatric healthcare settings from the perspectives of Black families.

Methods

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.

Results

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.

Conclusions

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.

目的从黑人家庭的角度，定性地了解和描述儿科门诊医疗机构中的种族主义经历：我们与黑人儿童的家长或监护人进行了焦点小组讨论，这些家长或监护人是从一家儿科机构的学术初级保健办公室招募的。焦点小组由黑人小组成员使用开放式、半结构化焦点小组指南进行虚拟协助。我们使用经过培训的编码员独立进行的迭代式、主题式、归纳式开放编码对焦点小组记录进行了分析，并通过小组共识达成了最终编码：我们开展了 6 个焦点小组，每个小组有 3 至 5 人参加，还进行了 1 次个别访谈，共有 24 位家长参加。我们确定了以下主题：1）"我只是觉得我们是一个数字"：黑人家庭认为他们的经历没有人情味，缺乏同情心；2）"为什么医生把我当成无关紧要的人？3)黑人家庭在与儿科医疗系统互动时，经历了跨社会生态层面的种族主义；4)积极的感知体验可以指导改进工作；5)改进工作需要跨种族主义层面的反种族主义努力：在这项定性研究中，我们发现黑人家庭有许多糟糕的儿科经历，认为种族主义在各个社会生态层面广泛地影响着儿童健康，并建议采取多维度的反种族主义方法来进行改善。我们的研究结果强调，在制定优先考虑反种族主义的政策和努力消除种族主义对儿童健康的有害影响时，提高黑人家庭的声音非常重要。

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引用次数: 0

ASSESSING CONTINUITY IN AN X + Y PEDIATRIC RESIDENCY FORMAT: DOES X+Y = CONTINUITY IN A RESIDENT OUTPATIENT CLINIC?

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102661

Anina Ratjen MD , Susanne Tanski MD MPH , Catherine Shubkin MD, FAAP, HEC-C

引用次数: 0

EVALUATION OF THE IMPLEMENTATION OF A POINT OF CARE ULTRASOUND CURRICULUM FOR PEDIATRIC RESIDENTS IN TRAINING: A PILOT STUDY

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102654

Susana Ruano MD, Samantha Ribeiro MD, Brian Wrotniak PhD, Haiping Qiao MBBS, Mary Emborsky DO

引用次数: 0

A MODIFIED DELPHI STUDY FOR CONTENT PRIORITIZATION OF SIMULATION-BASED MEDICAL EDUCATION FOR PEDIATRIC RESIDENCY TRAINING PROGRAMS

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics

Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102645

Lorel Huber MD , Ryan Good MD , Meredith Bone MD , Shannon Flood MD , Ryan Fredericks MD , Frank Overly MD , Nancy Tofil MD, MEd , Robyn Wing MD, MPH , Kathryn Walsh MD

引用次数: 0

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