Bio

Clinical Focus


  • Adolescent Medicine

Academic Appointments


Boards, Advisory Committees, Professional Organizations


  • Member, Academic Pediatric Association (2014 - Present)
  • Member, American Academy of Pediatrics (2012 - Present)
  • Member, Society for Adolescent Health and Medicine (2015 - Present)
  • Electronic Health Record Committee Member, Society for Adolescent Health and Medicine (2017 - Present)

Professional Education


  • Residency:Stanford University Pediatric Residency (2015) CA
  • Fellowship:Stanford University Adolescent Medicine Fellowship (2018) CA
  • Board Certification: Pediatrics, American Board of Pediatrics (2015)
  • Medical Education:University of California at San Francisco School of Medicine (2012) CA
  • MD, University of California, San Francisco (2012)
  • Residency, Stanford University Medical Center, Pediatrics (2015)

Publications

All Publications


  • EFFECTS OF PARTICIPATION IN AN INPATIENT REPRODUCTIVE HEALTH CONSULT SERVICE ON PEDIATRIC RESIDENTS' COMPETENCE IN PROVIDING REPRODUCTIVE CARE FOR ADOLESCENTS AND YOUNG ADULTS Hill, K., Goldstein, R. ELSEVIER SCIENCE INC. 2019: S86
  • Contraception for Adolescents and Young Adults in the Inpatient Setting: The Providers' Perspective. Hospital pediatrics Goldstein, R. L., Carlson, J. L., Halpern-Felsher, B. 2018

    Abstract

    To assess pediatric providers' attitudes and barriers to initiating a contraceptive method in the inpatient setting.Pediatric attending physicians and trainees from 5 academic institutions were surveyed about contraceptive prescribing practices, attitudes, and potential barriers to initiating contraception in the inpatient setting.In 2016, 271 pediatric providers (34.0% were attending physicians, 18.1% fellows, and 47.9% residents) completed the survey; the response rate was 19.2%. Most participants practiced in both inpatient and outpatient settings (95.7% and 85.0%, respectively). More providers felt confident screening for sexual activity among young adults as compared with adolescents (71.9% vs 65.6%). The same was true for discussing contraceptive options (44.0% vs 38.8%, respectively). Inpatient providers reported seeing adolescents and young adults privately, discussing confidentiality, and asking about sex less than half of the time. More than 80% of providers agreed that it would be appropriate to initiate a contraceptive method for inpatients; 35.8% had done so, and 85.2% indicated that having additional consultation would increase initiation of a contraceptive method in the hospital (88.1% felt similarly for long-active reversible contraception methods). General barriers to initiating contraception included insufficient training, insufficient exposure to adolescents and young adults to maintain skills, and lack of time. Barriers specific to the inpatient setting included concerns about follow-up, confidentiality, and interference with the treatment plan.Initiation of a contraceptive method in the inpatient setting is acceptable to providers. In our findings, it is suggested that strategies are needed to enhance provision of these services by addressing confidentiality concerns and educating providers.

    View details for PubMedID 29496729

  • Adolescent Oral Sex and Condom Use: How Much Should We Worry and What Can We Do? The Journal of adolescent health : official publication of the Society for Adolescent Medicine Goldstein, R., Halpern-Felsher, B. 2018; 62 (4): 363?64

    View details for PubMedID 29571434

  • PROVIDERS' ATTITUDES, BELIEFS, AND BARRIERS REGARDING INITIATION OF HORMONAL CONTRACEPTION FOR ADOLESCENT AND YOUNG ADULTS IN THE INPATIENT SETTING Goldstein, R. L., Carlson, J., Halpern-Felsher, B. ELSEVIER SCIENCE INC. 2017: S114?S115
  • With Pills, Patches, Rings, and Shots: Who Still Uses Condoms? A Longitudinal Cohort Study JOURNAL OF ADOLESCENT HEALTH Goldstein, R. L., Upadhyay, U. D., Raine, T. R. 2013; 52 (1): 77-82

    Abstract

    To describe women's condom use patterns over time and assess predictors of dual method use 12 months after initiating hormonal contraceptives.We conducted a prospective cohort study among women aged 15-24 years initiating oral contraceptive pills, patch, ring, or depot medroxyprogesterone and attending public family planning clinics. Participants completed questionnaires at baseline and 3, 6, and 12 months after enrollment. We used multivariable logistic regression to assess baseline factors associated with dual method use at 12 months among 1,194 women who were sexually active in the past 30 days.At baseline, 36% were condom users, and only 5% were dual method users. After initiation of a hormonal method, condom use decreased to 27% and remained relatively unchanged thereafter. Dual method use increased to a peak of 20% at 3 months but decreased over time. Women who were condom users at baseline had nearly twice the odds of being a dual method user at 12 months compared with nonusers (adjusted odds ratio [AOR] = 2.01, 95% CI: 1.28-3.14). Women who believed their main partner thought condoms were "very important," regardless of perceived sexually transmitted infection risk or participant's own views of condoms, had higher odds of dual method use (AOR = 2.89, 95% CI: 1.47-5.71).These results highlight a potential missed opportunity for family planning providers. Providers focus on helping women initiate hormonal methods, however, they may improve outcomes by giving greater attention to method continuation and contingency planning in the event of method discontinuation and to the role of the partner in family planning.

    View details for DOI 10.1016/j.jadohealth.2012.08.001

    View details for Web of Science ID 000312850500011

    View details for PubMedID 23260838

    View details for PubMedCentralID PMC3745283

Footer Links:

Stanford Medicine Resources: