General Pediatrics - UT Southwestern

Glenn Flores, M.D.Professor,Director, Division of General Pediatrics,Judith and Charles Ginsburg Chair in PediatricsGeneral Pediatrics2011 Academic ReviewThe mission of the Division of General Pediatrics is to improve the health andwell-being of children through excellence in clinical care, teaching, research, andadvocacy. The Division has recognized national leadership in research, healthpolicy, and advocacy regarding racial and ethnic disparities in children’s healthand healthcare, and in improving access to and quality of care for underservedpopulations of children.In 2011, division faculty supervised the care of more than 9,300 patients seenby pediatric residents in the Resident Continuity Clinic. More than 6,000additional patients were seen in our specialized clinics, and our attendingphysicians cared for more than 2,000 hospitalized children on the inpatientteaching services while providing outstanding teaching to pediatric residentsand UT Southwestern medical students.FacultyDivision faculty published 18 articles and garnered numerous honors and awards,including a 2011 UT Southwestern Faculty Teaching Award, a UT Academyof Health Science Education Innovations in Health Science Education Award,election as the 2011-2014 APA Region VII Co-chair, a Pre-Clinical TeachingAward from the UT Southwestern School of Medicine Class of 2012, a grant from the Rees-Jones Foundation and the 2011Dannon Institute’s Nutrition Leadership Institute.Matthew Cox, M.D.Associate ProfessorSuzanne Dakil, M.D.Assistant ProfessorGlenn Flores, M.D.Professor, Division DirectorClinical Services, Division of Outcomes & HealthServices ResearchVanthaya Gan, M.D.ProfessorLauren Gore, M.D.Assistant ProfessorShelby Jacob, M.D.Assistant ProfessorNancy Kelly, M.D., M.P.H.Assoc Prof, Dir of the Residents Continuity ClinicKaren Y. Latour, M.D.Assistant ProfessorMay Lau, M.D.Assistant ProfessorResearch ActivitiesMichael Lee, M.D.Associate ProfessorAngela Mihalic, M.D.Associate Professor, Assoc Dean for Student AffairsVineeta Mittal, M.D.Assistant ProfessorAnu N. Partap, M.D., M.P.H.Assistant ProfessorErin E. Scheideman, M.D.InstructorRashmi Shetgiri, M.D.Assistant ProfessorJoel Steinberg, M.D.ProfessorChristy Turer, M.D.Instructor, Pediatics and Internal MedicineJennifer Walsh, M.D.Assistant Professor, Pediatics and Internal MedicineResearch activities in the Division of General Pediatrics encompass a wide variety of domains, including pediatric healthservices, health policy, access to healthcare, quality of care, patient safety, racial/ethnic disparities, language issues inhealthcare, cultural competency, asthma, obesity, oral health, poverty and its impact on child health, pediatric workforcediversity, qualitative research, prevention of youth violence and bullying, teen dating, prevention of teen pregnancy, use ofpoison control centers, family-centered care, educational interventions for residents and medical students, and transitionalcare for adolescents and young adults.1

Clinical ActivitiesThe Division of General Pediatrics provides both inpatient and outpatient care at Children’s Medical Center. Division facultymembers staff both the inpatient teaching service and provide outpatient care and consultation in nine specialized clinicsand at Los Barrios Unidos Community Clinic, where four residents and two attending physicians provided care in 2011.Adolescent Young Adult (AYA) ClinicThrough healthcare delivery, education and research, the AYA Clinic seeks to improve adolescent health. Staffed by physicianswho have a special interest and training in adolescent and sports medicine, this clinic provides primary and specialty careservices for patients 11 to 21 years old, and welcomes referrals from community physicians and healthcare clinics.Referral Evaluation of At Risk Children (REACH) ProgramThe REACH Program provides outpatient medical evaluations for child-abuse diagnosis, prevention and treatment,as well as inpatient and emergency department consultations in cases of suspected child abuse. Medical follow-up andnetworking with a variety of state and local agencies and social services are offered through the REACH Program.Foster Care ClinicThe Foster Care Clinic provides placement exams, medical homes, and pre-adoption physicals for children from infancyto 19 years old living in out-of-home placement due to child abuse and neglect. Dr. Anu Partap, Alexandria Coverson, LilyIteld, Angela Moten, Laura Rowley, and PNPs Sandra Arthur and Mary Pat Glazier work closely with foster parents, fosteragencies, CPS, court systems and the REACH Team to optimize each child’s health, healthcare, safety and well-being.Resident Continuity ClinicPediatric residents receive training in primary care in the Resident Continuity Clinic, providing comprehensive careunder the supervision of division faculty to both well and chronically ill children. The Clinic also is the setting formany clinical studies. This state-of-the-art clinic includes technologies that maximize the educational experience forresidents and improve care for patients.Acute Care Clinic (First Care)First Care evaluates acute, nonemergency patients. Division physicians supervise pediatric residents and supporteducational objectives through patient care, informal lectures and teaching conferences.Pediatric Diagnostic and Consultation ClinicThe Pediatric Diagnostic and Consultation Clinic cares for patients referred by primary-care physicians and specialists.Division faculty conduct comprehensive evaluations and diagnoses of patients and make recommendations for treatmentand referrals back to primary-care physicians and specialists.Medical Student Teaching ClinicThe Medical Student Teaching Clinic evaluates selected acute, nonemergency patients while providing outstandingsupervised learning experiences for medical students rotating through the outpatient component of their pediatricclerkship. It is staffed both by division faculty and clinical faculty pediatricians from the community.Education and TrainingThe Division of General Pediatrics provides educational opportunities for medical students, residents and fellows.In addition to the opportunities for residents mentioned above, opportunities for medical students include:• The Academic Colleges at UT Southwestern• Extremes of Life: Pediatrics and Geriatrics• International Service Learning Elective• Public Policy and Healthcare Financing Elective• International Medical Exchange Program• Medical Student Clinic• Pediatric Preceptorship2

The aim of our fully-accredited fellowship program is to produce successful and productive general academicians committedto advancing the health and well-being of children. We seek highly motivated candidates whose goal is to make a differencein children’s lives as a clinician-researcher, clinician-educator, or clinician-advocate.PresentationsGlenn Flores, M.D.• “Dreams, Goals, and Secrets to Success: One Physician’s Journey from Jungle Lizards to Insuring Uninsured Children,”Senior Resident Grand Rounds, The Massachusetts General Hospital, Boston, MA, March 2011• “The Successful Elimination of Racial/Ethnic Disparities in Children’s Health and Healthcare,” Keynote Address, VisitingLecture, The Office of Diversity and Community Partnership, Harvard Medical School, Boston, MA, March 2011• “Research on Child Health Disparities: Current Status, Common Challenges, and Potential Solutions,” PediatricAcademic Societies’ Annual Meeting, Denver, CO, May 2011• “The Successful Elimination of Racial/Ethnic Disparities in Children’s Health and Healthcare,” Keynote Speaker, 1stAnnual University of New Mexico National Health Disparities Conference, Albuquerque, NM, May 2011• “New Developments and Seminal Advances in Pediatric Quality: The Institute of Medicine (IOM) Report from the Committeeon Pediatric Health and Health Care Quality,” Pediatric Academic Societies’ Annual Meeting, Denver, CO, May 2011• “The Successful Elimination of Racial/Ethnic Disparities in Children’s Health and Healthcare,” Grand Rounds,Department of Pediatrics, Weill Cornell Medical Center/New York Presbyterian Hospital, New York, NY, December 2011• Visiting Professor, University of Michigan, Division of General Pediatrics and Child Health Evaluation and ResearchUnit, Ann Arbor, MI• Visiting Professor, The Office of Diversity and Community Partnership, Harvard Medical School, Boston, MAVineeta Mittal, M.D.• “Special Interest Group: Family Centered Care,” Pediatric Academic Societies’ Annual Meeting, Denver, CO, May 2011• “Fine Tuning Family Centered Rounds Using a Training Toolbox: A Faculty Development Program Through PeerObservation and Feedback” Workshop, Pediatric Hospital Medicine in Kansas City, July 2011Angela Mihalic, M.D.• “APA Special Interest Group: Medical Student Education,” PediatricAcademic Societies’ Annual Meeting, Denver, CO, April 2011Rashmi Shetgiri, M.D.• “Identifying Children At-Risk for Being Bullies,” PediatricAcademic Societies’ Annual Meeting, Denver, CO, April 2011• “Is There a Bullying Epidemic? Trends in Risk and ProtectiveFactors for Bullying in the US,” Pediatric Academic Societies’Annual Meeting, Denver, CO, May 2011Christy Turer, M.D.• “The Costs and Consequences of Childhood Overweight in theUS,” Pediatric Academic Societies’ Annual Meeting, Denver, CO,April 2011Dr. Rashmi ShetgiriAwards and HonorsGlenn Flores, M.D.• Invited Briefing, Department of Health and Human Services (including Assistant Secretary Koh) and Administrationfor Children and Families, Washington, DC• Appointed to Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Pediatric Quality MeasuresProgram (PQMP) Expert Panel of the Agency for Healthcare Research and Quality (AHRQ) and the Centers forMedicare and Medicaid Services (CMS)Vanthaya Gan, M.D.• Best Pediatric Specialists in Dallas, D Magazine• Texas Super Doctor, Texas MonthlyNancy Kelly, M.D.. M.P.H.• Appointed as the 2011-2014 APA Region VII Co-chair . Region VII includes: Texas, Oklahoma, Arkansas, andLouisiana3

Michael Lee, M.D.• Best Pediatric Specialists in Dallas, D MagazineAngela Mihalic, M.D.• Awarded the Pre-Clinical Teaching Award from the UT Southwestern School of Medicine Class of 2012Vineeta Mittal, M.D.• Awarded 2011 Faculty Teaching Award• Second Prize in UT Academy of Health Science Education Innovations in Health Science Education Awards• Appointed Section Editor for textbook for 3 rd – and 4 th –year medical students, Step Up to Pediatrics• Article and work on family-centered rounds featured as one of the most accessed articles of year for Children’s Hospital This WeekChristy Turer, M.D., M.H.S.• Selected as a participant in the Dannon Institute’s 2011 Nutrition Leadership Institute.Jennifer Walsh, M.D.• Best Pediatric Specialists in Dallas, D MagazinePublications1. Alexander SC, Cox ME, Boling Turer CL, et al. Do the five A’s work when physicians counsel about weight loss? FamMed 2011:43(3):179-84.2. Alexander SC, Cox ME, Yancy WS, Jr., Boling Turer CL, et al. Weight-loss talks: What works (and what doesn’t).Family Practice 2011;60(4):213-9.3. Dakil SR, Cox M, Lin H, Flores G. Racial and ethnic disparities in physical abuse reporting and child protectiveservices interventions in the United States. J Natl Med Assoc;103:926-31.4. Dakil SR, Sakai C, Lin H, Flores G. Recidivism in the child protection system: identifying children at greatest risk ofreabuse among those remaining in the home. Arch Pediatr Adolesc Med;165:1006-12.5. Eaton DK, Foti K, Brener ND, Crosby AE, Flores G, Kann L. Associations between risk behaviors and suicidal ideationand suicide attempts: do racial/ethnic variations in associations account for increased risk of suicidal behaviors amongHispanic/Latina 9th- to 12th-grade female students? Arch Suicide Res 2011;15(2):113-26.6. Flores G, Maldonado J, Duran P. Making Tortillas without Lard: Latino Parents’ Perspectives on Healthy Eating,Physical Activity, and Weight-Management Strategies for Overweight Latino Children. J Am Diet Assoc;112(1):81-897. U.S. Preventive Services Task Force. Screening for testicular cancer: U.S. Preventive Services Task Force reaffirmationrecommendation statement. Ann Intern Med 2011:154(7):483-6.8. U.S. Preventive Services Task Force. Screening for osteoporosis: U.S. preventive services task force recommendationstatement. Ann Intern Med 2011:154(5):356-64.9. Guerrero AD, Rodriguez MA, Flores G. Disparities in provider elicitation of parents’ developmental concerns for USchildren. Pediatrics;128:901-9.10. Lee BC, Flores G. The hybrid hospitalist teaching service: an innovative model for individualized learning, patientcase-mix, and medical student and resident education. Clin Pediatr (Phila);51:321-31.11. McCavit TL, Lin H, Zhang S, Ahn C, Quinn CT, Flores G. Hospital volume, hospital teaching status, patientsocioeconomic status, and outcomes in patients hospitalized with sickle cell disease. Am J Hematol;86:377-80.12. McCavit TL, Xuan L, Zhang S, Flores G, Quinn CT. Hospitalization for invasive pneumococcal disease in a nationalsample of children with sickle cell disease before and after PCV7 licensure. Pediatr Blood Cancer;58:945-9.13. McCormick MC, Flores G, Freed GL, Homer CJ, Johnson KB, DeFriese GH. Challenge to child health servicesresearch: report from the Committee on Pediatric Health and Health Care Quality Measures. Acad Pediatr2011:11(4):257-9.14. Mittal VS, Sathe M, Troendle D, Cox M. An 18-month-old boy with severe dermatitis, edema, muscle wasting.Pediatr Ann;40:393-6.15. Moyer VA, U.S. Preventive Services Task Force. Screening for bladder cancer: U.S. Preventive Services Task Forcerecommendation statement. Ann Intern Med 2011;155(4).16. Sakai C, Lin H, Flores G. Health outcomes and family services in kinship care: analysis of a national sample ofchildren in the child welfare system. Arch Pediatr Adolesc Med;165:159-65.17. Shetgiri R, Kataoka S, Lin H, Flores G. A randomized, controlled trial of a school-based intervention to reduceviolence and substance use in predominantly Latino high school students. J Natl Med Assoc;103:932-40.18. Turer C, Bernstein IH, Edelman DE, Yancy WS, Jr. Low HDL predicts differential blood pressure effects from twoweight-loss approaches: a secondary analysis of blood pressure from a randomized, clinical weight-loss trial. DiabetesObes Metab;14:375-8.4

GrantsNIH and Other Government Grants & ContractsGlenn Flores, M.D.A Randomized Trial of Effects of Parent Mentors on Insuring Minority ChildrenNIH, 5-R01-HD066219-0209/01/10 – 05/31/15May Lau, M.D.A Community Study of Latino Adolescents’ Beliefs and Practices Regarding Unintended Pregnancy and Its Prevention(PDEMCHID), Department of Clinical Sciences, UT Southwestern07/01/11 – 06/30/13Vineeta Mittal, M.D.Family Centered Care Special Interest Group of the Academic Pediatric Association Focusing on Family-centered RoundsUT Academy of Health Science, OGM1-8782206/01/11 – 05/31/12Rashmi Shetgiri, M.D.Why Adolescents Fight: Study of Attitudes and Ambulatory CareProgram for the Development and Evaluation of Model Community Health Initiatives in Dallas (PDEMCHID),Department of Clinical Sciences, UT Southwestern02/01/10 – 12/31/12North and Central Texas Clinical and Translational Science Initiative (KL2)NIH, 5 KL2 RR024983-0406/01/10 – 05/31/12Non-governmental Organization Grants and ContractsSuzanne Dakil, M.D.APA Young Investigator AwardAmerican Pediatric Association07/15/10 – 07/14/12Glenn Flores, M.D.Pediatric ServicesLos Barrios Unidos Commuity07/01/10– 06/30/12Nancy Kelly, M.D., M.P.H.Love Your Baby, Wrap Your NewbornAmerican Academy of Pediatrics, Community Access to Child Health (CATCH) Resident Grant08/08/11 – 02/08/12Transforming Pediatric Residency Training to Improve Care for Underserved ChildrenAmerican Academy of Pediatrics, Community Pediatrics Training Iniative (CPTI)09/15/11 – 09/14/13Anu Partap, M.D., M.P.H.An Innovative Intervention to Improve Health, Healthcare, and School Outcomes for Children in Foster CareChildren’s Medical Center of Dallas, Rees-Jones Foundation01/01/11 – 12/31/12Rashmi Shetgiri, M.D.Risk and Protective Factors for Child Maltreatment: Qualitative Study of Parents and CaretakersAcademic Pediatric Association, Young Investigator Award07/15/11 – 06/30/12Jennifer Walsh, M.D.Transitioning Youth with Special Healthcare NeedsAmerican Academy of Pediatrics, Community Access to Child Health (CATCH) Planning Funds Grant05/03/11 – 04/27/125