Academic Pediatrics

Associations between preschooler screen time trajectories and executive function
Fitzpatrick C, Florit E, Lemieux A, Garon-Carrier G and Mason L
To examine associations between preschooler screen time trajectories and executive functions and effortful control at age 5.
My Father's Daughter and Doctor
Lucas CM
Pediatric Practices' Experiences with Massachusetts' Medicaid Accountable Care Organizations
Jamakandi S, Li J, Chien AT, Alcusky M and Kerrissey M
To examine the experience of Medicaid Accountable Care Organizations (ACOs) that include pediatric practices, including their motivations and experiences working together.
Is "No News is Good News" Enough? A Thematic Analysis Exploring Clinical Reasoning Assessment in Pediatric Residency Programs
Bowen J, Kelleher M, Kinnear B, Schumacher D, Turner DA and Herrmann LE
Clinical reasoning (CR) includes numerous essential skills for clinicians, but how these skills are assessed in pediatric residency training is not well described. This study aimed to explore pediatric residency program leader perspectives on clinical reasoning assessment and identification of trainee deficiencies in this area.
Assembling the Pediatric Emergency Medicine Social Care Toolkit: A Modified Delphi Study
Doucet HB, Assaf RR, Das K, Tedford NJ, Graff D and Fleegler EW
The pediatric emergency department is a high-value site for screening and resource referral for health-related social needs. However, best practices for this unique environment remain unclear. This study's objective was to introduce a consensus-based social care training toolkit for the pediatric emergency medicine (PEM) setting.
An Untold Story: The Feelings of Pediatric Residents Early in the Covid-19 Pandemic and What They Can Teach Us Today
Winn AS, Naifeh MM, Hilgenberg S, Unaka NI, Mollie Grow H, Myers RE, Schwartz A, Lieberman R and Schumacher DJ
To understand the feelings of pediatrics residents early in the COVID-19 pandemic and to offer insights still relevant today.
The Effect of Mandatory Medicaid HMOs on Health Access, Utilization, and Health Outcomes for Children
Toyin-Thomas P and Wehby G
Mandatory enrollment into Medicaid-contracted Health Maintenance Organizations (HMOs) is the most common form of Medicaid managed care (MMC), but the effects of this enrollment on children are unclear. We leveraged variation in MMC implementation within and across states over time to examine the effect of mandatory Medicaid HMO enrollment on children's access, utilization, and health outcomes.
Adverse Childhood Experiences and Insufficient Sleep
Forthal S, Lin S and Cheslack-Postava K
Quality Initiative to Increase Early Initiation and Series Completion of HPV Vaccine and its Impact on Health Disparities
Miller CJ, Boopathi A, Slovin SR, Gao Z, Maiden K, Ray M and Miller JM
HPV infection is associated with a large burden of disease prevalence, morbidity, and known disparities. HPV vaccination rates remain lower than other childhood immunizations, despite vaccine safety and effectiveness. The objective of this QI intervention was to improve HPV vaccination rate by 15% over 3-years through early initiation and analyze trends across health disparities.
A Narrative Review of Key Studies in Medical Education in 2023: Applying the Current Literature to Educational Practice and Scholarship
Oddiri U, Ryan MS, Collins JE, Han P, Klein M, Lyle ANJ and Kloster HM
Pediatric clinician educators face the challenge of juggling clinical practice with teaching responsibilities. The balancing act is even more challenging when one considers the need to stay current with evidence from clinical and medical education literature. In this narrative review of 2023 medical education literature, the Academic Pediatric Association Education Committee's Top Articles team summarizes high-yield articles that possess the potential to significantly influence pediatric clinician educator teaching and practice. A standardized blinded rubric was applied to identify the most impactful articles from 19 medical education and specialty journals. Final selections were categorized into six domains: artificial intelligence and technology, belonging in the learning environment, bias in the workplace, clinical learning, curriculum and assessment, and family and community partnerships. The reviewers summarize key findings from the top articles and describe implications for pediatric clinician educator practice.
Food and housing insecurity, COVID-19 pandemic effects on health-related activities, and care plans for children with obesity
Egan KA, Fiore JG, Luo M, Kelly S, Adams WG, Taveras EM, Simione M and Kistin CJ
To understand the association between food insecurity (FI) and housing insecurity (HI) risk, the effects of the COVID-19 pandemic on health-related activities among children with overweight or obesity, and caregivers' and clinicians' challenges and priorities related to pediatric weight management.
Variation in use of neuroimaging in the care of infants undergoing subspecialty evaluations for abuse: A multicenter study
Alpert E, Wood JN, Shults J, Lindberg DM, Campbell KA, Bhatia A, Anderst JD, Bachim A, Berger RP, Brink FW, Frasier LD, Harper N, Laub N, Melville J, Leonard J and Henry MK
(1) To quantify hospital-level variation in use of neuroimaging to screen for intracranial injury (ICI) among infants without overt signs or symptoms of head trauma undergoing subspecialty evaluations for physical abuse; (2) to assess for disproportionality in neuroimaging based on race/ethnicity and insurance type.
Selective Serotonin Reuptake Inhibitor Prescribing Within An Integrated Pediatric Primary Care Behavioral Health Program
Vernacchio L, Bromberg J, Correa ET, Fry M and Walter HJ
Selective serotonin reuptake inhibitor (SSRI) prescribing is increasingly being integrated into primary care but few data are available about prescribing patterns by pediatric primary care clinicians (PCCs) following implementation of integrated behavioral health (BH) care.
Mapping out Remediation: An Actionable Roadmap to Support Trainees Through Remediation
Orlov NM, Goodrich N, Mills D, Nelsen E and Li ST
This qualitative analysis offers an actionable, stepwise approach to remediation.
Considerations for Behavioral Health Integration Program Implementation in Pediatric Primary Care Settings: A Qualitative Study
Goff SL, Brooks B, DaCosta MC, DeCou E, Wallace K, Sule S, Bromberg J, Vernacchio L and Walter HJ
More than 16% of children in the U.S. have a behavioral health (BH) disorder but less than half receive recommended care. Integrated BH programs in primary care settings can address gaps in BH care. This qualitative study sought to understand pediatric primary care clinicians' experiences with the novel multi-component Behavioral Health Integration Program (BHIP) in a large network of independent pediatric practices and to identify potential barriers and facilitators for implementation of such programs.
Language Matters: Language Inclusivity in Pediatric Health Care
Alvarado-Little W and Flores G
Leveraging Pediatric Departmental Infrastructure to Promote Anti-racism
Deen J and Walker-Harding L
A Research Agenda on Anti-Racism in Child and Adolescent Health
Liljenquist K and Coker TR
Reawakening a Reckoning: Health Equity's Disheartening Disappearing Act
Danielson B and Boynton-Jarrett R
Editorial Efforts Across Pediatric Journals to Address Racism
Lopez MA, Bearer CF, Christakis DA, First LR, Fisher PG, Ford CA, Szilagyi PG and Raphael JL
A Future Where Children and Their Families' Health Is No Longer a Privilege but a Right
Morita J