Abstract:
BACKGROUND:The American Board of Pediatrics requires that pediatricians be able to initiate stabilization of a newborn. After residency, 45% of general pediatricians routinely attend deliveries. However, there is no standard approach or tool to measure resident proficiency in newborn resuscitation across training programs. In a national survey, we found a large variability in faculty assessment of the amount of supervision trainees need for various resuscitation scenarios. Objective documentation of trainee performance would permit competency-based decisions on the level of supervision required and facilitate feedback on trainee performance. METHODS:A simplified tool was created following the Neonatal Resuscitation Program (NRP) algorithm, with emphasis on communication, leadership, knowledge of equipment, and initial stabilization. To achieve content validity, the tool was evaluated by the NRP steering committee. To assess internal structure of the tool, we filmed 10 simulated resuscitation scenarios, 9 of which contained errors. Experienced resuscitation team members used the tool to assess performance of the team leader in the videos. To evaluate the response process, the tool was used to assess experienced resuscitators in real time at academic and non-academic sites. RESULTS:The NRP steering committee approved the tool, providing evidence of content validity. Performance of the team leader in the simulated videos was assessed by 16 evaluators using the tool. There was an intraclass coefficient of 0.86, showing excellent agreement. There was no statistical difference in scores between 102 resuscitations led by experienced resuscitators at academic and nonacademic hospitals (P = .98), which demonstrates generalizability. CONCLUSIONS:The tool we have developed to assess performance in initiating newborn resuscitation shows evidence of construct validity based on assessment of content and internal structure (interobserver agreement, response processes, and generalizability).
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Kane SK,Lorant DEdoi
10.1016/j.acap.2018.09.004subject
Has Abstractpub_date
2019-01-01 00:00:00pages
394-398issue
4eissn
1876-2859issn
1876-2867pii
S1876-2859(18)30607-7journal_volume
19pub_type
杂志文章abstract::Over the past 30 years, there have been major expansions in public health insurance for low-income children in the United States through Medicaid, the Children's Health Insurance Program (CHIP), and other state-based efforts. In addition, many low-income parents have gained Medicaid coverage since 2014 under the Affor...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.011
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:The cognitive expertise of Pediatric Hospitalists (PH) lies not in standard knowledge but in making decisions under conditions of uncertainty. To maintain expertise, PH should engage in deliberate practice via self-assessments that promote higher-level cognitive processes necessary to address problems with m...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.10.003
更新日期:2020-10-14 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of a traditional didactic session (TDS) as compared to a self-paced, interactive, multimedia module (SPM) on the application of evidence-based medicine (EBM) skills among medical students during their inpatient pediatric rotation. METHODS:We conducted a randomized controlled tri...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.09.012
更新日期:2020-09-30 00:00:00
abstract:OBJECTIVE:The objective of this study is to provide a comprehensive epidemiological profile detailing food allergy (FA) prevalence and related correlates among Medicaid-enrolled children. METHODS:The 2012 Medicaid Analytic eXtract person-level 100% files for 50 states and the District of Columbia were analyzed. The an...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.03.005
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:To examine whether infrequent bullying perpetration and victimization (once or twice a month) are associated with elevated levels of internalizing and externalizing problems and to assess evidence for a minimum frequency threshold for bullying involvement. METHODS:The analytic sample included 128,681 6th, 9t...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.02.004
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:Literacy promotion is a pediatric standard of care in which clinicians provide guidance on shared reading. Latino parents are more likely to hear advice to read with children but are less likely to do so. We sought to understand literacy promotion from the perspective of Latino parents and to identify facilit...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.003
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To investigate timing and strength of associations between mental health and overweight in childhood; to investigate how the cumulative burden of each of these problems affects the other. METHODS:Participants were 3197 children in the population-based Longitudinal Study of Australian Children. At 4 biennial ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.12.001
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To evaluate a pediatric otoscopy curriculum with the use of outcome measures that included assessment of skills with real patients. METHODS:Thirty-three residents in an intervention group from 2 institutions received the curriculum. In the previous year, 21 residents in a nonintervention group did not receiv...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2018.02.009
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:Primary care providers (PCPs) and hospitalists endorse the importance of effective communication yet studies illustrate critical communication problems between these 2 provider types. Our objective was to develop deeper insight into the dimensions of and underlying reasons for communication issues and determi...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.03.003
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:Incorporating culturally sensitive care into well-child visits may help address pediatric preventive care disparities faced by racial and ethnic minorities, families with limited English proficiency, and immigrants. We explored parents' perspectives about the extent to which their children's pediatric care is...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.12.007
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to categorize reasons behind missed opportunities for human papillomavirus (HPV) vaccine initiation in an under-resourced population and to identify associated patient and clinic characteristics. METHODS:Manual chart review was performed for patients aged 11 to 18 years who visited...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.12.003
更新日期:2020-12-21 00:00:00
abstract:OBJECTIVE:To assess primary care providers' current reminder/recall practices, preferences for collaboration with health departments in reminder/recall efforts, attitudes toward practice-based and population-based reminder/recall, and experiences with a population-based reminder/recall intervention. METHODS:Providers ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.09.003
更新日期:2014-01-01 00:00:00
abstract::All medical educators have experienced "teachable moments" during their career, and most can likely share examples of these moments from both training and their role as educators. In addition, most if not all have faced a situation in which an educational opportunity fell short or was missed entirely. This View from t...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.011
更新日期:2020-08-20 00:00:00
abstract:OBJECTIVE:The demand for global health electives among medical students and residents has grown substantially, yet perspectives of international hosts are not well documented. This study aimed to assess how host country supervising clinical preceptors perceive learners on short-term global health electives of up to 6 w...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.11.002
更新日期:2016-05-01 00:00:00
abstract::When Congress reenacted the Child Health Insurance Program (CHIP) in 2009, it incorporated a range of dental provisions that had not been considered when the program was initiated in 1997. This paper posits that this change evidences the establishment of pediatric oral health as a distinct policy issue within Congress...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2009.09.002
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to sc...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.06.002
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:Validated questionnaires help community pediatric services to identify emotional and behavioral problems (EBPs). This study assesses the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire (SDQ) for the identification of EBPs in adolescents (13 to 14years old) an...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.12.008
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To develop, validate, and test the feasibility of implementation of 4 new quality measures assessing emergency department (ED) and inpatient care for suicidal youth. METHODS:Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregiver...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.09.017
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To compare the prevalence of a medical home for children with public versus private insurance and identify components of the medical home that contribute to any differences. METHODS:We performed a secondary data analysis of the 2007 National Survey of Children's Health. A medical home was defined as meeting ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2011.03.006
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Accurate parental weight perception of one's child is an important step in addressing healthy behaviors, but its associations with socioeconomic status (SES) and household food insecurity (HFI) are unclear. We aimed to assess the association of parental weight perception with HFI. METHODS:This was a secondar...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.04.009
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To examine the prevalence trends and coexisting conditions in attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and intellectual disability (ID) in the pediatric Supplemental Security Income (SSI) population and general population. METHODS:The Social Security Administration (SS...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.05.002
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Many pediatric residents suffer from burnout. We aimed to describe the prevalence, source, and epidemiology of bullying, discrimination, harassment, and physical violence, and the relationship between these experiences and burnout. METHODS:We analyzed data from the Spring, 2019 Pediatric Resident Burnout an...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.02.023
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Use of complementary and alternative medical (CAM) therapies is common among adults with mental health concerns, but little is known about CAM use among adolescents with mental health concerns. METHODS:Data from the 2007 National Health Interview Survey were analyzed for youth from 7 to 17 years old. The st...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.05.001
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Prior health services research (HSR) agendas for children have been published, but major ones are now over 15 years old and do not reflect augmented understanding of the drivers and determinants of children's health; recent changes in the organization, financing, and delivery of health care; a growing emphas...
journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2017.04.015
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To develop a clinical score to predict appendicitis among older, male children who present to the emergency department with suspected appendicitis. METHODS:Patients with suspected appendicitis were prospectively enrolled at 9 pediatric emergency departments. A total of 2625 patients enrolled; a subset of 961...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.11.014
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:Depression among adolescents is a leading public health problem. Although screening for adolescent depression in primary care is strongly recommended, screening rates remain low. Effective quality improvement (QI) initiatives can facilitate change. This study aims to assess the impact of a QI learning collabo...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.02.014
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To identify factors associated with fighting among African American, Asian/Pacific Islander, Latino, and white youth, with a focus on family and school connectedness. METHODS:Subjects were 4010 adolescents (12-17 years old) from the 2003 California Health Interview Survey. Stratified logistic regression exam...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.06.004
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To identify factors that influence faculty to promote or reduce the expression of autonomy for pediatric hospital medicine (PHM) fellows and describe behaviors faculty employ to support fellow autonomy in the clinical setting. METHODS:This was a multicenter, qualitative study using semistructured interviews ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.05.003
更新日期:2019-08-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of use of fetal-harm drugs among women who received postpartum care in hospitals in Haiti and to identify groups of women at higher risk for potentially harmful medication exposures. METHODS:Women who received postpartum care in 2 large hospitals in Port-au-Prince, Haiti, from Augu...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.09.003
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:The Advisory Committee on Immunization Practices (ACIP) has recommended routine human papillomavirus (HPV) vaccination at age 11 or 12 years for girls since 2006 and for boys since 2011. We sought to describe adolescent HPV vaccination coverage, doses administered from 2009 to 2012, and age at first vaccinati...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.03.005
更新日期:2014-09-01 00:00:00