Seven alumni of Robert Wood Johnson Foundation (RWJF) Human Capital programs contributed articles to the most recent issue of Academic Pediatrics, covering topics ranging from teaching teamwork skills in medical school to the effect of mothers’ use of medicine that can harm developing fetuses. To read an abstract of each article, use the "table of contents" above.
Angelo P. Giardino, M.D., Ph.D., M.P.H., an alumnus of the RWJF Clinical Scholars program (1990-1992), and colleagues report on their recent research examining how pediatric residents at in-patient facilities regard community-based general pediatricians. They found that residents tend to express neutral or somewhat negative views of their general pediatric community counterparts, and call for explicit teamwork training designed to encourage cooperation and better attitudes across the pediatrics specialty.
John M. Leventhal, M.D., an alumnus of the RWJF Clinical Scholars program (1976-1978), and colleagues report on their recent research on the impact of Utah’s efforts to warn new mothers about the dangers of infant shaking. Many states have created such programs, the authors report, but few have been evaluated for effectiveness. The authors conducted a statistical analysis of data from a trauma center and from a medical examiner’s office, seeking to determine whether the state’s educational video on infant shaking has had an impact. They conclude that while small reductions in abusive head trauma were associated with the video, the differences were not statistically significant, casting doubt on the effectiveness of the program.
William O. Cooper, M.D., M.P.H., an alumnus of the RWJF Generalist Physician Faculty Scholars (1999 –2003) program, and colleagues report on their recent research into the use by pregnant women in developing countries of medicine that can harm developing fetuses. Their research focused on Haiti where, the authors write, “the combination of unregulated acquisition of medications and cultural practices result[s] in unique patterns of off-label use and may lead to exposures that potentially place developing fetuses at risk.” The study found an elevated use among new mothers of drugs that could cause harm to the fetus, by comparison to other studies from North America and Europe. Many of the new mothers in the study reported that they had used such drugs to induce an abortion, unsuccessfully.
Two alumni of the RWJF Clinical Scholars program—Anisha I. Patel, M.D., M.S.P.H., (2006-2009) and Michael D. Cabana, M.D., M.P.H., (1997-1999)— join several colleagues in reporting on their recent research into rates of diagnosis, counseling and laboratory testing for pediatric obesity. They conclude that rates for all three were “suboptimal,” and urged that future efforts should be focused on diagnosis “as a first step toward improving pediatric obesity management.”
James W. Stout, M.D., M.P.H., an alumnus of the RWJF Clinical Scholars program (1989-1991), tested a method of identifying children with lifelong chronic conditions, with an eye toward eventually improving the coordination of care such children receive. Specifically, the research evaluated a risk-adjustment method developed by 3M Health Information Systems and the National Association of Children’s Hospitals and Related Institutions. Their “Clinical Risk Groups” (CRG) method uses data, usually medical claims data, to assign patients a specific risk category, based on their specific chronic conditions. In the study, researchers merged the CRG data with hospital discharge data, and concluded that the method was effective at identifying children with lifelong chronic conditions, allowing providers to better coordinate their care.
Jerry Rushton, M.D., an alumnus of the RWJF Clinical Scholars program (1997-1999), joins fellow members of the Association of Pediatric Program Directors in an article expressing concerns about recent proposals for new shift-length requirements for interns, and embracing further study and analysis of the issue with the goal of identifying unforeseen consequences.
- 1 Use of Drugs Known to Cause Fetal Harm Among Women Delivering Infants in Haiti
- 2 Underdiagnosis of Pediatric Obesity During Outpatient Preventive Care Visits
- 3 Resident Work Duty Hour Requirements
- 4 Just be Respectful of the Primary Doc
- 5 Identifying Children with Lifelong Chronic Conditions for Care Coordination by Using Hospital Discharge Data
- 6 A Case-Control Study to Evaluate Utah's Shaken Baby Prevention Program
RWJF Scholar examines neighborhood-based death rates from opiate-based painkiller overdoses, compared with heroin overdose deaths.
This month the Johns Hopkins Bloomberg School of Public Health published a special issue of its magazine devoted to food.
Unengaged patients can incur costs of up to 21% higher than patients who are highly engaged in care. This suite of materials from RWJF's AF4...
The LEAP project identified 30 primary care practices that use health professionals and other staff in ways that maximize access to their se...
List of most current annual reports.
Adverse working conditions contribute substantially to the risk of depression for working-age adults, according to new research from a team ...
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
The Health and Medical Care Archives at the University of Michigan's Inter-University Consortium for Political and Social Research is the of...
A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality o...
Hilary Levey Friedman, author of Playing to Win: Raising Children in a Competitive Culture, writes about youth sports.
The reconvened Commission to Build a Healthier America will provide new guidance in three key areas: early childhood, healthy communities, a...
The RWJF DataHub tracks state-level data, and allows visitors to customize and visualize facts and figures.