Evidence-Based Pediatrics SIG


Table of Contents






Mission
To support APA members who seek to advance the use of evidence-based medicine in improving clinical care, research efforts, educational programming, health care delivery, and health care policy for children

Vision
To provide a thriving and vital academic home for academic pediatricians who teach EBM, investigate its methodologies, or apply its principles in academic investigations and publications

Membership

  • To join the SIG you must first become a member of the APA
  • The second step then is to join our SIG's list-serv
  • Our meetings are open to all attending the PAS, but our communications depend on the list-serv



The APA EBP SIG Listserv



Information on Recent and Upcoming EBP SIG Activities

  • It's not too soon to think about speakers and topics for PAS 2016 - The co-chairs are actively seeking suggestions for speakers including self-nominations for the 2016 meeting in Baltimore, MD.
  • Encourage your colleagues to become members, if they are not already!
  • Have an idea for the SIG? Contact the co-chairs! We welcome your input!
  • Keep our question bank alive! Each member should sign on to the APA EBP SIG wiki page and either comment on three existing boards-style questions for EBM or propose new questions.





Annual Report

Co-chairs:      (2014-2017) Rachel Boykan, SUNY Stonybrook, Rachel.Boykan@stonybrookmedicine.edu
(2015-2018) Kimberley Dilley, Advocate Children's Hospital, kimberley.dilley@advocatehealth.com

SIG purpose/mission: To support APA members who seek to advance the use of evidence-based medicine in improving clinical care, research efforts, educational programming, health care delivery, and health care policy for children

Current SIG goals:

  1. To provide a thriving and vital academic home for academic pediatricians who teach EBM, investigate its methodologies, or apply its principles in academic investigations and publications
  2. To continue a tradition of robust educational sessions at the PAS annual meeting as the cornerstone of that academic home
  3. To engage trainees in our SIG activities, particularly the annual meeting session

Annual summary:
The SIG session at PAS 2016 included speakers highlighting development of evidence-based  order sets with MOC credit for authors (Sarah Mennito), EBM curricula presented by trainees with support from faculty at 3 different institutions (Baystate, Mayo, Children's Mercy), and the lack of evidence behind several pediatric dogmas (Ricardo Quinonez).  

Other topics discussed in the business meeting session included that members of the EBP SIG participated in an effort from the Health Care Value SIG (in its inaugural year) to create pediatric focused case studies on health care value found at  https://www.acponline.org/clinical-information/high-value-care/resources-for-clinicians/high-value-care-pediatric-cases.  Rachel Boykan and Bob Jacobson updated the group on the progress of the Librarian study initiated through the SIG; data are currently being analyzed. Bob Jacobson encouraged the group to participate in resubmitting the HPV grant application  - which the SIG came in 3rd place for last year. Other ideas for collaboration were solicited and participants were reminded to complete evaluations on line and to provide feedback and ideas for next year’s presentations.

Other groups that work in your area of interest: ACP (see above), Choosing Wisely, APPD


October 2016 Newsletter Article

We had an informative and very interactive SIG this year with at least 35 people in attendance.

Sarah Mennito shared her expertise and experience at MUSC in developing evidence based order sets.  She highlighted the importance of a team-based approach, including librarians, quality officers, physicians and other health care providers in defining PICO questions, obtaining and evaluating the evidence, and providing links within the EMR to support decision making. Residents are also crucial to the process in identifying optimal work-flow and potential issues.

Following Dr. Mennito's presentation we learned about EBM curricula at three different institutions. Chrystal Wittcopp, Julie Sanville, Anne Hanley and Kevin O'Callaghan described the multi-faceted and longitudinal approach of Baystate Children's, including EBM morning reports, educational prescriptions and journal article reviews on subspecialty rotations. Ana Creo presented Mayo's curriculum, which includes a didactic board-relevant curriculum along with point-of care practice utilizing iPADs in the clinical setting.  Kathryn Spectorsky described the curriculum at Children's Mercy Hospital, with a focus on clinical practice guidelines, quality improvement, and encouraging participation of subspecialty faculty.

Following these three presentations, the group had a lively question/answer session and discussion regarding curricular design and strategies.

In a brief business meeting, Adam Schickendanz highlighted some activities of the Health Care Value SIG (in its inaugural year), highlighting resources through the ACP, including Pediatric-specific on-line modules, accessed at https://www.acponline.org/clinical-information/high-value-care/resources-for-clinicians/high-value-care-pediatric-cases.  Rachel Boykan and Bob Jacobson updated the group on the progress of the Librarian study initiated at last year's SIG; data are currently being analyzed. Bob Jacobson encouraged the group to participate in resubmitting the HPV grant application  - which the SIG came in 3rd place for last year. Other ideas for collaboration were solicited and participants were reminded to complete evaluations on line and to provide feedback and ideas for next year's presentations.

Finally, Ricardo Quinonez spoke about dogmas in pediatrics and the evidence (or lack thereof) behind them. He highlighted three examples - breast-feeding, flu vaccines and consideration of UTI as serious bacterial infection - which provided the group with much food for thought and continued discussion.

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Current SIG Co-Chairs:


Rachel Boykan, MD
Stony Brook University
Stony Brook, NY 11794
Phone: (631) 444-7884
rachel.boykan@stonybrookmedicine.edu

Monique Naifeh, MD, MPH
1200 N. Phillips Ave
Oklahoma City, OK 73104
Phone: (405) 271-4407
Monique-Mange@ouhsc.edu


 

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