Bio

Bio


Neonatal-Perinatal Medicine Fellow. Center for Advanced Pediatric and Perinatal Education (CAPE) Research Fellow.

Professional Education


  • MD, Lucile Packard Children's Hospital at Stanford University, Pediatrics Resident (2013)
  • MD, SUNY Buffalo School of Medicine and Biomedical Sciences, Medicine (2010)
  • BS, Brown University, Neuroscience (2003)

Stanford Advisors


Research & Scholarship

Current Research and Scholarly Interests


Currently, I am a Neonatal-Perinatal Medicine Fellow and am committed to improving the health and safety of neonates. My research interests include neonatal resuscitation and redesigning clinical spaces/data displays to improve patient care. I am particularly interested in using simulation as a training and research methodology to accelerate the learning process from novice trainee to expert practitioner.

I have identified, Dr. Lou Halamek as my fellowship mentor. He is the former neonatology fellowship program director at Lucile Packard Children’s Hospital at Stanford University, and the founder and medical director of the Center for Advanced Pediatric and Perinatal Education (CAPE) at Stanford. CAPE is a state-of-the-art facility that provides a realistic delivery and resuscitation room with microphones, cameras, and a computerized neonatal patient simulator, separated from a control room by a one-way mirror. These facilities have been in operation since 2002 and have been used to train hundreds of healthcare providers in the complex task of neonatal resuscitation.

I spend my non-clinical time conducting research projects at CAPE in addition to gaining other skills for my career, including becoming an experienced NRP instructor and continuing to use simulation as a research methodology.

Projects


  • Improving diagnostic accuracy and efficiency by optimization of bedside data display: A human factors approach, Stanford University

    Current methods of bedside data display in intensive care units requires healthcare professionals to assimilate multiple sources of data located in separate physical and virtual locations in order to respond to time sensitive changes in clinical status. Such a system fails to facilitate pattern recognition essential for the trainee learning experience; thus is suboptimal for both ensuring patient safety and enhancing skill acquisition. Other high-risk industries have developed strategies to address these safety and human performance issues. In the commercial aviation industry, flight cockpits are designed to facilitate expedient assimilation of time sensitive data (“the glass cockpit”) and their implementation has been shown to reduce crew mental workload, prevent accidents/errors and enhance cost savings. Such a strategy may yield similar results when applied in healthcare. The aim of this study is to evaluate if simultaneous data display (patient problem list, vital sign trends/current vital signs, pertinent laboratory results, and most recent radiographs) at the patient bedside improves diagnostic accuracy and efficiency in a simulated neonatal intensive care environment.

    Location

    Welch Road, Palo Alto, CA

    Collaborators

Publications

Journal Articles


  • A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE Epstein, L. H., Roemmich, J. N., Robinson, J. L., Paluch, R. A., Winiewicz, D. D., Fuerch, J. H., Robinson, T. N. 2008; 162 (3): 239-245

    Abstract

    To assess the effects of reducing television viewing and computer use on children's body mass index (BMI) as a risk factor for the development of overweight in young children.Randomized controlled clinical trial.University children's hospital.Seventy children aged 4 to 7 years whose BMI was at or above the 75th BMI percentile for age and sex.Children were randomized to an intervention to reduce their television viewing and computer use by 50% vs a monitoring control group that did not reduce television viewing or computer use.Age- and sex-standardized BMI (zBMI), television viewing, energy intake, and physical activity were monitored every 6 months during 2 years.Children randomized to the intervention group showed greater reductions in targeted sedentary behavior (P < .001), zBMI (P < .05), and energy intake (P < .05) compared with the monitoring control group. Socioeconomic status moderated zBMI change (P = .01), with the experimental intervention working better among families of low socioeconomic status. Changes in targeted sedentary behavior mediated changes in zBMI (P < .05). The change in television viewing was related to the change in energy intake (P < .001) but not to the change in physical activity (P =.37).Reducing television viewing and computer use may have an important role in preventing obesity and in lowering BMI in young children, and these changes may be related more to changes in energy intake than to changes in physical activity.

    View details for Web of Science ID 000253672100007

    View details for PubMedID 18316661

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