A5051164226- Innovations in Medical Education
- Hospital Admissions and Outcomes
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Simulation-Based Education in Healthcare
- Healthcare Systems and Technology
- Pharmaceutical studies and practices
- Ocular Diseases and Behçet’s Syndrome
- Pharmaceutical Practices and Patient Outcomes
- Ethics and Legal Issues in Pediatric Healthcare
- Pneumonia and Respiratory Infections
- Tuberculosis Research and Epidemiology
- Antibiotics Pharmacokinetics and Efficacy
- Pneumocystis jirovecii pneumonia detection and treatment
- Gastroesophageal reflux and treatments
- Retinal Diseases and Treatments
- Palliative Care and End-of-Life Issues
- Nursing Roles and Practices
- Retinal and Optic Conditions
- Pediatric Urology and Nephrology Studies
- Patient-Provider Communication in Healthcare
- Interprofessional Education and Collaboration
George Washington University Hospital
2020-2025
George Washington University
2014-2024
Walter Reed Army Institute of Research
2024
Nepalese Army Institute of Health Services
2024
Children's National
2012-2023
Suraj Eye Institute
2020-2023
University College London
2016-2022
University College London Hospitals NHS Foundation Trust
2020-2022
Loma Linda University
2021
Orange County Healthcare Agency
2021
OBJECTIVES: To identify risk factors for recurrent urinary tract infection (UTI) and renal scarring in children who have had 1 or 2 febrile symptomatic UTIs received no antimicrobial prophylaxis. METHODS: This 2-year, multisite prospective cohort study included 305 aged to 71 months with vesicoureteral reflux (VUR) receiving placebo the RIVUR (Randomized Intervention Vesicoureteral Reflux) 195 VUR observed CUTIE (Careful Urinary Tract Infection Evaluation) study. Primary exposure was...
Pediatric Hospital Medicine (PHM) is an emerging field in pediatrics and one that has experienced immense growth maturation a short period of time. Evolution rapid expansion the invigorated goal standardizing PHM fellowship curricula, which naturally aligned with field's evolving pursuit defined identity consideration certification options. The national group program directors sought to establish curricular standards would more accurately reflect competencies needed practice pediatric...
Multidrug-resistant Acinetobacter baumannii, Klebsiella pneumoniae, and Pseudomonas aeruginosa have become common in many regions, often requiring therapy with colistin or polymyxin B. An increase resistance to these agents would render infections untreatable. We tested the activity of B novel analogue CB-182,804 against over 5,000 recent Gram-negative clinical isolates from New York City, a region high prevalence multiresistant strains. Over 96% Escherichia coli, K. A. P. were susceptible...
The authors declare no conflict of interest.
The detection of Enterobacteriaceae carrying the carbapenemase KPC has been problematic. Thirty isolates KPC-possessing Escherichia coli were gathered from hospitals in New York City and Connecticut. imipenem, meropenem, doripenem, ertapenem MIC50 values 4, 2, 1, 4 μg/ml, respectively. Over half belonged to a single ribotype. Using an breakpoint 0.25 μg/ml would efficiently detect these isolates.
BACKGROUND Pediatric hospital medicine (PHM) fellowship programs have grown rapidly over the last 20 years and varied in duration content. In an effort to standardize training absence of a single accrediting body, PHM directors now meet annually discuss strategies for standardizing enhancing training. OBJECTIVES To explore similarities differences curricular structure among inform future curriculum standardization efforts. METHODS An electronic survey was distributed by e‐mail all April...
Pediatric hospitalists report the need for additional training in clinical and nonclinical domains. hospital medicine (PHM) fellowships seek to provide this produce leaders field. Our objective is describe current roles perceived needs of PHM fellowship graduates.In 2014, all graduates were asked complete a Web-based survey. Survey questions addressed demographics, past training, roles, care, research, education, administration. Associations between experiences outcomes examined.Fifty-one 61...
Incorporating patient and family voices in the development of entrustable professional activities (EPAs) is not standard practice. Care children with medical complexity (CMC) an area pediatrics that relies on partnership, families CMC are ideal partners EPA given their expertise child's care experience interacting health system. The authors describe model for partnering to develop EPAs reflect unique contributions leaders process.After recruitment from a national organization friends special...
To report a case of young female who presented with scotoma in the right eye for few days.Krill's disease or acute retinal pigment epithelitis (ARPE) is self-limiting no specific treatment. Typical clinical and imaging features helped us to diagnose her ARPE. Intravenous methylprednisolone (IVMP), which gives rapid anti-inflammatory response, was advised. An SD-OCT scan post-injection showed reduction hyperreflectivity height lesion at day 3 near total resolution by 5.This suggests ARPE use IVMP.
Tuberculosis (TB) is the leading cause of death among persons with HIV.In 2022, an estimated 167,000 TB-related deaths occurred globally HIV.TB preventive treatment (TPT) helps prevent TB disease and recommended for at high risk developing TB, including those HIV.TPT, when taken antiretroviral (ART), can reduce TB-attributable 2018, U.S. President's Emergency Plan AIDS Relief (PEPFAR) program committed to offer one course TPT all eligible clients receiving ART.This analysis describes trends...
Promoting autonomy is at the core of fellowship education. Pediatric hospital medicine (PHM) programs are relatively new, and many supervising physicians not trained on how to promote fellow autonomy. Moreover, no studies have explored fellows' perception throughout training. To fill this gap, we PHM perceptions
The American Board of Pediatrics (ABP) and the Pediatric Hospital Medicine (PHM) subboard developed a content outline to serve as blueprint for inaugural certification examination through practice analysis. systematic approach analyses process is described in study.A diverse, representative panel 12 pediatric hospitalists draft using multiple resources (publications, textbooks, PHM Core Competencies, fellow's curriculum, etc). categorized knowledge into 13 domains 202 subdomains. By ABP...
<h3>ABSTRACT</h3> <h3>Introduction</h3> Polypharmacy is increasingly common and can increase the risk of adverse drug reactions (ADRs), accounting for a significant proportion hospital admissions. It may also impair functional status quality life. Current efforts to improve polypharmacy take place largely in primary care, but there be role increased support from medicines specialists secondary care setting. <h3>Methods</h3> We developed pilot clinic led by clinical pharmacologists...
OBJECTIVE: Management of febrile neonates includes obtaining blood, urine, and cerebrospinal fluid (CSF) cultures with hospitalization for empiric parenteral antibiotic therapy. Outcomes management were compared based on whether CSF was obtained. METHODS: This multicenter retrospective review the 2002 to 2012 Pediatric Health Information System database included hospitalized infants aged ≤28 days (neonates) admitted an inpatient ward a diagnosis code fever or neonatal fever. Patients ICU...
Pyogenic liver abscess (PLA) is a potentially fatal disease. Klebsiella pneumoniae ( K. ) has replaced Escherichia coli E. as the predominant causative organism for pyogenic abscess. Over years unique form of community-acquired invasive infection been well described in Southeast Asia. This recently linked to virulent hypermucoviscous phenotype and specific genotype, rmpA positive. To our knowledge, we report first case PLA with bacteremia meningitis Guyanese patient presence -positive...
Hospitals are employing more nurse practitioners and physician assistants on inpatient pediatric units. With this study, we compared patient outcomes in high-volume diagnoses hospital medicine services staffed by attending hospitalists residents (hospitalist resident service [HRS]) with 1 advanced practice providers (HAPPS).A historical cohort study was implemented using administrative data for patients admitted to HRS HAPPS from 2007 2011 asthma, bronchiolitis, cellulitis, pneumonia...
Pediatric hospital medicine (PHM) has experienced incredible growth in the last 20 years, including creation of >50 PHM fellowships since first program 2003. In 2013, a National Hospital Medicine Leaders Conference concluded that best path forward for field would be subspecialty certification with 2-year accredited fellowship.1 This process culminated formal recognition as by American Board Medical Specialties 2016 and Pediatrics (ABP) examination 2019.2,3 Also, 2019, Accreditation Council...
Background: Pediatric hospitalists are increasingly involved in the clinical management of children with medical complexity (CMC), specifically those neurologic impairment and technology dependence. Clinical care guidelines educational resources on diseases devices prevalent CMC scarce. The objective this study was to develop evaluate a web-based curriculum for at our institution using novel approach validate content. Methods: Junior faculty collaborated senior hospitalist peer mentors...
Aim To evaluate whether healthcare professionals within the local community are able to counsel paediatric patients on essential steps required for drug delivery with multi-dose inhalers (MDI), MDIs a spacer and turbohalers. Method An expert panel produced piloted checklists good practice counselling steps. Eligible participants included regularly children inhaler devices, including doctors, nurses pharmacy team members. Participants were recruited through purposive sampling general ward in...
Abstract Introduction Children with special health care needs are increasingly prevalent in US hospitals. The pediatric hospitalist is often the primary provider of inpatient for these patient...
OPEN ACCESSNovember 27, 2012Complex Care Curriculum: Enteric Feeding Tubes Rebekah Conroy, MD, Melanie Anspacher, Priti Bhansali, Neha Shah, MPH MD Children's National Medical Center Google Scholar More articles by this author , Anspacher https://doi.org/10.15766/mep_2374-8265.9274 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis learning module was developed to provide pediatricians with educational materials related the medically complex child feeding tubes. The...
OBJECTIVE To describe the development and implementation of a Peer Curbside Consult Service (PCCS) for pediatric hospital medicine (PHM) division. METHODS We developed pilot intervention with hospitalists at freestanding children’s to provide peer consultation services challenging clinical cases. Postconsultation surveys collected from both requesting consulting provided feedback about program. The 12-point Template Intervention Description Replication (TIDieR) checklist is used process...