BackgroundMental health disparities were prevalent among racially and ethnically minoritized youth prior to the COVID-19 pandemic. As complete datasets from 2022 become available, we can estimate extent which pandemic further magnified existing inequities.Objective(s)To quantify in trajectories of depression, anxiety, suicide risk-related diagnoses before after start pandemic, using an intersectional lens race, ethnicity gender.MethodsUsing Electronic Medical Record data one mid-Atlantic...

Background: A health system's commitment to delivering culturally competent care is essential in creating a culture of respect for patients, clinicians, and administrative staff. As the diversity workforce grows, gaining an understanding perspectives among different personnel value that they place on organizational cultural competence first step developing more effective team environments. Purpose: The aim study was determine whether association exists between perceptions teamwork climate...

The Association of American Medical Colleges identifies telemedicine competence as an important skill for graduating medical students, but which educational methods are effective in improving student performance is unclear. We aimed to assess the impact two interventions on standardized patient encounters.

We examined racial and gender disparities in the underrecognition of mental health disorders adolescents young adults as defined by a suicide-related diagnosis without previous or behavioral diagnosis.

Obesity and diabetes are common diagnoses in the primary care population, especially urban settings. Physicians providing preventive culinary nutrition education to patients may be able uniquely address these medical issues; however, among residency programs is insufficient.We describe a pilot of novel interactive approach focused on medicine residents who were trained provide skills community members three separate workshops. We developed implemented series workshops with 11, eight, nine...

Purpose To report on the implementation of a telephone medicine curriculum as part core clerkship in pediatrics for students at Johns Hopkins University School Medicine and evaluate curriculum’s effect student performance case required objective structured clinical exam (OSCE). Method Using prospective cohort design with convenience sample third-year medical during 2016–2017 2017–2018 academic years, authors compared OSCE scores assigned to both historical concurrent control groups who had...

As clinicians increasingly rely on telemedicine, medical students will need to learn how appropriately use telemedicine in patient care. A formal approach curriculum development is needed identify gaps and needs early student performance.In October 2020, 120 second-year completed a visit with standardized chronic essential hypertension. Students were assessed across five domains (history-gathering, communication, vitals, physical exam, assessment/management). An anonymous, voluntary survey...

We conducted a retrospective cohort study of medical records from large, Maryland, U.S.-based pediatric primary care patients for potential associations between antibacterial, antifungal and antiviral prescriptions subsequent suicidal thoughts and/or behaviors. Using first suicide-related diagnosis as the outcome prior prescription antifungal, use exposure, we employed series multivariate Cox proportional hazards models. These models examined hazard developing newly recognized behaviors,...

Summary Background Most medical schools teach a high‐value care ( HVC ) curriculum during the clinical years. Currently, there lacks any research demonstrating effectiveness of taught to students in their first year school. Methods A total 118 466 first‐year at Johns Hopkins School Medicine between 2013 and 2017 enrolled on an course that provided initial framework necessary practice cost‐conscious medicine. The was evaluated by comparing performance who completed with without training,...

Given the increasing prevalence of telehealth, medical students require dedicated instruction in practice high-quality telehealth. This study characterizes telehealth practices and curricula pediatric core clerkships across United States Canada.We surveyed clerkship directors site through 2020 Council on Medical Student Education Pediatrics (COMSEP) annual member survey. We analyzed results using descriptive statistics.Of 104 schools represented, 28 responded (26.9%). Directors reported...

OPEN ACCESSJanuary 7, 2021Phone It In: A Medical Student Primer on Telemedicine Consultation in Pediatrics Lauren M. McDaniel, MD, Matthew Molloy, MPH, Daniel J. Hindman, Suzanne R. Kochis, W. Christopher Golden, Amit K. Pahwa, Tina Kumra, MD Chief Resident, Department of Pediatrics, Johns Hopkins University School Medicine Baltimore E-mail Address: [email protected] , MPH Assistant Professor, Departments and Fellow Allergy Immunology, Division Associate Baltimore; Director, Newborn Nursery,...

To evaluate the relationship between antibiotic exposure and subsequent psychiatric disorders in a Pediatric primary care setting.We conducted retrospective cohort study using electronic clinical record data for patients ages 8-20 years seen outpatient setting of large urban health practice from 1/1/13 to 12/1/2018. We employed adjusted Cox regression analyses prescriptions anti-infective agents diagnosis anxiety or depression.Prescription medication was associated with hazard rate ratio...

Clinical coaching programs can improve clinician performance through feedback following direct observation and the promotion of reflection. This study assessed feasibility acceptability a primary care program applied in community-based practices.Using 31-item behavioral checklist that was iteratively revised, four faculty observed 18 clinicians (15 whom were physicians) across 36 patient encounters. Each behavior scored as binary variable (observed or not observed). After watching them for...

Ideal management of chronic disease includes team based primary care, however care medical staff face a lack training when addressing nutritional counseling and lifestyle prevention. Interactive culinary medicine education has shown to improve knowledge confidence among students. The aim this study was determine whether curriculum delivered multidisciplinary students in community setting would self-reported efficacy differed between participant roles. A 4-h interactive workshop that took...

Telemedicine is an increasingly common form of healthcare delivery in the United States. It unclear how there are differences clinical performance early learners between in-person and telemedicine encounters.

Viral infections during childhood can increase susceptibilities to neurodevelopmental and psychiatric disorders. We are currently in the early years following a viral pandemic caused by rapid evolution of highly transmissible, host-evading variants Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Here we place this virus disease it generates, Disease 2019 (COVID-19), context inflammatory host phenotypes psychosocial factors which exacerbate stress developing human nervous...

Positive youth development (PYD) is a strengths-based approach to programming which has been tested with success in largely higher income settings mostly White youth. This study aims identify the extent organizations who work an urban context serving predominately African American incorporate PYD principles into their work. Organizations located Baltimore, Maryland working ages 14–24 were recruited for participation. In-depth interviews conducted organization leaders this qualitative study....

Objectives: We conducted a retrospective cohort study of medical records from large, Maryland, U.S.-based pediatric primary care patients for potential associations between antibacterial, antifungal, and antiviral prescriptions subsequent suicidal thoughts and/or behaviors.Methods: Using first suicide-related diagnosis as the outcome prior prescription or use exposure, we employed series multivariate Cox proportional hazards models. These models examined hazard developing newly recognized...