Awards

2016 EBSCO-PEMSoft Award For Technological Innovations in Pediatric Emergency Medicine

2011-12 Cincinnati Children’s Hospital Medical Center Faculty Teacher of the Year Award

Who do I teach?

Residents

Over 60% of the patients seen in the ED at Cincinnati Children’s are initially evaluated by residents. The majority hail from Cincinnati Children’s pediatric residency training program and the emergency medicine residency at the University of Cincinnati. Residents from local family medicine programs also rotate through the ED on a monthly basis. On any given shift I will supervise anywhere from two to eight residents potentially across 15+ rooms and the 4 bed trauma bay. The residents see patients first develop a differential diagnosis and plan of care and then present the attending physician. As a supervising physician my job is ultimately be responsible for the care of the patients, but also to provide hands-on teaching, instruction and mentoring to the residents.

Pediatric Emergency Medicine Fellows

The Division of Emergency Medicine is staffed by over 3 dozen faculty physicians and supports 11 Pediatric Emergency Medicine Fellows who spend the majority of their training caring for patients in the pediatric ED. They directly supervise residents, and are themselves supervised by faculty from the Division of Emergency Medicine. On any given shift I may be working in an Area of the ED staffed by a fellow. My role is to mentor them through precepting trainees while teaching them both about patient care, and management of a busy urban ED (patient flow, coordination of care). The fellows also assume the role of team leader in the trauma bay, where critically ill and injured children are cared for. Again, support is provided by the attending.

Pediatric Emergency Medicine Faculty

I educate my faculty colleagues primarily via traditional didactic lectures and my online presence.

Other Health Care Professionals

I also participate in the education of other members of the health care team including nurses, respiratory therapists and paramedics both via lectures and through in department bedside and informal teaching.

Presentations

Below you will find a repository of many presentations I have given over the past several years. They are divided into main categories each with pdf  versions of the presentations. I have also included evaluations of select presentations.

National and International Plenaries

PEMPix – 2020
Online, AAP National Conference and Exhibition
September-October 2020

Alternate realities: Fixing a broken system to care for kids
Plenary, Don’t Forget the Bubbles: Live and Connected
August 26, 2020

Adventures in FOAM
Plenary, Pediatric Emergency Medicine Fellows Conference – Denver, CO
February 16, 2020

PEMPix – 2019
Plenary, AAP National Conference and Exhibition – New Orleans, LA
October 26, 2019

PEMPix – 2018
Plenary, AAP National Conference and Exhibition – Orlando, FL
November 3, 2018

PEMPix – 2017
Plenary, AAP National Conference and Exhibition – Chicago, IL
September 16, 2017

Perils of professionalism in the digital age: version 2.0
Plenary, Pediatric Emergency Medicine Fellows National Conference – Ann Arbor, MI
February 29, 2016

1 hour single lecture – 100 pediatric emergency medicine fellows. My presentation at the 2016 Pediatric Emergency Medicine Fellows Conference was more than just an update of the 2012 talk. I focused on how physicians can nurture their online reputations, and how patients often Google their doctor – and what that means for us in the Pediatric Emergency Department.

Incorporating innovative educational technology to maximize learning
Plenary, Pediatric Emergency Medicine Fellows National Conference – Philadelphia, PA
March 3, 2014

My 2014 presentation focused on the world of online learning, detailing how the #FOAMed movement has grown, and how Emergency Medicine has lead the way in nurturing an online community of like-minded educators. I elaborated on how compelling online content leverages both the constant stream of social media aided information, as well as durable, persistent content designed for ongoing engagement over time.

Perils of professionalism in the digital age
Plenary, Pediatric Emergency Medicine Fellows National Conference – Cincinnati, OH
March 11, 2012

I presented the closing plenary at the 2012 conference with the aim to discuss how to conduct yourself in a professional manner while interacting with each other as well as patients and families in the digital age. I discussed email etiquette, social networking faux pas, text message use and issues with privacy and the electronic medical record. The essential question that I asked was whether or not physicians are held to a higher standard in their personal lives because of their chosen profession.

Workshops

So, you want to record a podcast?
Pediatric Emergency Medicine Fellows Conference March 2019 – Chicago, IL

Where did you learn that? Appraisal and curation of free online educational resources
Pediatric Emergency Medicine Fellows Conference March 2019 – Chicago, IL

Time Management and Personal Wellness = Are they related?
Pediatric Emergency Medicine Fellows Conference February 2018 – Washington, DC

Activating Adult Learners: Getting out of the PowerPoint Rut
Pediatric Emergency Medicine Fellows Conference February 2018 – Washington, DC

Where Did You Learn That? Appraisal and Curation of Free Online Educational Resources for Residents
Association of Pediatric Program Directors Annual Spring Meeting March 2018 – Atlanta, GA

Leveraging technology to create innovative and engaging educational experiences
Pediatric Emergency Medicine Fellows Conference April 2017 – Las Vegas, NV

Maximizing engagement of millennial learners with educational technologies
Pediatric Academic Societies Annual Meeting May 2014 – Vancouver, BC, Canada

E-Learning 101: Best practices for developing and curating successful self-directed teaching modules
Pediatric Academic Societies Annual Meeting May 2014 – Vancouver, BC, Canada

Talkin’ ’bout My Generation: Maximizing Engagement of Millennial Learners with Innovative Educational Technologies
Pediatric Academic Societies Annual Meeting May 2013 – Washington, DC

eLearning 101: Creating Web-Based Self-Directed Teaching Modules
Pediatric Academic Societies Annual Meeting May 2013 – Washington, DC

Talkin’ ’bout My Generation: Maximizing Engagement of Millennial Learners with Innovative Educational Technologies
2013 Regional Faculty and Health Care Educators Conference September 20, 2013 – Cincinnati, OH

Cincinnati Children’s Grand Rounds

The weekly Grand Rounds at Cincinnati Children’s Hospital Medical Center is a multidisciplinary conference presented to the entire medical community. I have presented twice, both as a part of the biennial Clinicopathologic Conference. Once, as a case presenter when I was a Chief Resident, then later as a guest discussant as Pediatric Emergency Medicine faculty.

Clinicopathologic Conference: Bronchial Hemangioma
Guest Discussant: Presented on respiratory distress and discussed workup and diagnosis of an unknown case
Cincinnati Children’s Hospital Medical Center – Cincinnati, OH
November 17, 2015

Clinicopathologic Conference: Wegener’s Granulomatosis
Case Presentation: I presented the unknown case to a guest discussant
Cincinnati Children’s Hospital Medical Center – Cincinnati, OH
February 26, 2008

Invited Presentations

Adventures in FOAM – How we use blogs, podcasts, social media, and other analytics to disseminate knowledge
A presentation given at the Innovating Digital Medicine 2020 Conference
June 25, 2020

FOAM Club
September 19, 2019

A first of its kind presentation developed in conjunction with colleagues from the University of Michigan that taught attendees how to critically appraise blog posts and podcast episodes

The Power of #FOAM
Presented with Alex Towbin, MD from the Division of Radiology at the first annual Cincinnati Children’s Digital Pediatrics Conference.
September 13, 2019

Emergency Medicine: Injuries and Exposures
Presentation to >150 attendees at the first Cincinnati Children’s Hospital Medicine Board Review Conference.
September 6, 2019

Community acquired pneumonia
Cincinnati Children’s Hospital Medical Center – 2013

Pediatric Resident Advocacy and Injury Prevention course: Media Violence & Online Safety – Recurring since 2008

Interdivisional Research in Progress: Predictors of mental health follow up among adolescents with suicidalideation after emergency department discharge – September 21, 2010

Non-Accidental Trauma in Children: Evaluation, Diagnosis, and Management – March 26, 2009 – Trauma Surgery Conference
University of Cincinnati Trauma & Critical Care Surgery Division

Pediatric Resident Noon Conferences – Cincinnati Children’s

Presented to 100-150 attendees across multiple levels of training. On a regular basis faculty from the Division of Emergency Medicine are invited to give Noon Conference for the Pediatric Residents. The topics selected are generally high impact clinical entities generally presented in a didactic format.

SVT – June 2018

CSF Shunt Complications – November 2017

Code Conference – Multiple, 2015 – present

Altered Mental Status March 2012   December 2014    August 2017
1 hour single lecture – 100 pediatric residents & 25 medical students
This presentation focused on the evaluation and diagnosis of patients with acute alterations in mental status including a stepwise work-up for patients with altered sensorium that includes labs, computed tomography scan of the head, and lumbar puncture if warranted.

Appendicitis November 2010
1 hour single lecture – 100 pediatric residents & 25 medical students
This lecture focused on the diagnosis and management of acute appendicitis in the pediatric ED. I emphasized the need for a good history and physical exam, and discussed the current ability of labs and imaging to aid in diagnosis.

Cincinnati Children’s Medical Resuscitation Committee’s Medical Video Review

Medical Video Review is presented multiple times a year by members of the Medical Resuscitation Committee of the Division of Pediatric Emergency Medicine at Cincinnati Children’s. A physician and nurse from the aforementioned committee partner to review recent cases of critically ill patients seen in the resuscitation area of the Emergency Department. The format is didactic and interactive. Attendees include faculty and fellows from the Division of Emergency Medicine at CCHMC as well as nurses, pharmacists, respiratory therapists and other personnel that participate in the care of critically ill patients in the ED. Past topics include shock, respiratory failure, anaphylaxis, arrhythmias and more.

Anemia – September 22, 2020

SVT – May 23, 2019

DKA and Respiratory Failure – July 24, 2018

Low and Slow   July 2017
1 hour single lecture – 60 multidisciplinary learners
This Medical Video Review focused on bradycardia and hypothermia in the child with impending cardiac arrest.

SVT   May 2016
1 hour single lecture – 60 multidisciplinary learners
This Medical Video Review focused on SVT treatment, introducing the audience to a new, evidence based vagal maneuver and discussed adenosine administration and whether or not it works through an IO.

Upper GI Bleeds   May 2015
1 hour single lecture – 60 multidisciplinary learners
This presentation reviewed four cases of upper GI bleeds and discussed the nuances of medical interventions as well as the role of early consultation with GI.

DKA   November 2014
1 hour single lecture – 60 multidisciplinary learners
This Medical Video Review presentation examined DKA treatment in the trauma bay, specifically looking at interventions that reduce the risk of cerebral edema.

Altered Mental Status   April 2014
1 hour single lecture – 60 multidisciplinary learners
This presentation used a case of diphenhydramine overdose to illustrate how to effectively manage critically ill patients with altered mental status.

Non-Invasive Respiratory Support   November 2013
1 hour single lecture – 60 multidisciplinary learners
This Medical Video Review focused on various types of non-invasive respiratory support in the context of the ill infant with bronchiolitis.

Pressing Matters   September 2012
1 hour single lecture – 60 multidisciplinary learners
This Medical Video Review presentation focused on the use of vasopressors and inotropes in the resuscitation area of the Emergency Department.
Evaluations: Peer / Expert

Shunt Malfunctions   February 2012
1 hour single lecture – 60 multidisciplinary learners
This Medical Review Presentation focused on the management of acute ventriculoperitoneal shunt malfunctions and infections, and presented a case of a mechanical shunt malfunction in a school aged child.

Cincinnati Children’s Division of Emergency Medicine Journal Club

Journal Club is presented monthly by the fellows of the Division of Emergency Medicine at Cincinnati Children’s. Fellows are mentored by Emergency Medicine faculty, and the topics and article selection are themed around core Evidence Based Medicine topics.

Strength in Numbers – September 9, 2010 – Ondansetron and hospital return rates

Harm – February 11, 2010 – Topic: High Flow Nasal Cannula in bronchiolitis

Clinical Questions – August 13, 2009 – Topic: MRSA Skin and soft tissue infections

Clinical Questions – June 9, 2009 – Topic: Septic Shock

Pediatric Emergency Medicine Fellows Conferences

There are a variety of rotating lectures that comprise the curriculum for the pediatric emergency medicine fellows at Cincinnati Children’s. Many of these lectures are given by the fellows themselves – including these ones that I’ve posted here.

Pediatric Emergency Medicine Mythbusters February 2011
1 hour single lecture – 10 pediatric emergency medicine fellows
The main goal of this talk was to explore several ‘myths’ – or more accurately misconceptions in pediatric emergency medicine in the style of the Discovery Channel’s Mythbusters.

Electrocardiograms January 2011
1 hour single lecture – 10 pediatric emergency medicine fellows
This talk focused on context specific interpretation of EKGs in the pediatric ED. Specifically I investigated EKGs in chest pain, syncope and poisonings.

Jaw Injuries June 2010
1 hour single lecture – 10 pediatric emergency medicine fellows
This presentation focused on pediatric and adolescent jaw injuries including fractures and dislocations.

Toxicology: Muscle Relaxants February 2009
1 hour single lecture – 10 pediatric emergency medicine fellows
As a part of the regular toxicology curriculum I gave this talk on skeletal muscle relaxant toxicity complete with a case presentation of a baclofen overdose.

University of Cincinnati Emergency Medicine Resident Lectures

On a monthly basis Pediatric Emergency Medicine Fellows and Attendings are invited to join the Department of Emergency Medicine at the University of Cincinnati for a lecture series focusing on common pediatric conditions that residents will encounter. During each year of my fellowship I gave one such lecture. They are typically presented in a traditional didactic format but are also quite interactive. The topics are chosen by the Chief Residents in the Emergency Medicine program. I have also presented to the new interns on fever and respiratory distress.

Fever / Respiratory Distress   July 2016
2 hour lecture – 14 Emergency Medicine interns
This lecture focused on the management and work-up of pediatric fever at different age cutoffs and then a basic overview of respiratory distress in pediatrics – particularly in the context of bronchiolitis and asthma.

Headache   August 2010
1 hour single lecture – 40 emergency medicine residents, 10 pediatric emergency medicine fellows, 20 faculty
This lecture focused on a review of the common causes of headache  that present to the pediatric ED, especially migraines. It concluded with a thorough review of the myriad of therapies available for status migrainosus.

Normal Childhood Development   September 2009
1 hour single lecture – 40 emergency medicine residents, 10 pediatric emergency medicine fellows, 20 faculty
Over 20% of patients seen in a general (non-pediatric) emergency department are under the age of 21. A thorough understanding of normal childhood development is essential for understanding how children respond to injury and illness. This lecture was an overview of normal developmental milestones, and how they might be relevant to common ED problems. Overall the topic was well received – but it was agreed that it was exceedingly broad.

Fever of Uncertain Source  October 2008
1 hour single lecture – 40 emergency medicine residents, 10 pediatric emergency medicine fellows, 20 faculty
Fever is a common presenting problem to the ED especially in children under the age of two months. These patients are unable to compartmentalize their illness and are at higher risk for invasive bacterial infections. This lecture detailed the diagnostic workup and management of newborns and young infants with fever and an unknown source.This is one of the core topics of pediatric emergency medicine.

Pediatric Emergency Medicine Conferences for Residents

On a bimonthly basis residents at our institution attend a series of lectures during which the emergency department is covered by the attendings and fellows. The curriculum rotates through a variety of topics, and the lectures are generally given by Pediatric Emergency Medicine attendings and fellows. Efforts are made to assure that the breadth of topics outlined in the American Board of Pediatrics content specifications for emergency medicine are covered.

Sore Throat
1 hour recurring lecture 1-2 times a year – 15-20 residents
This recurring lecture reviews the common causes of sore throat that present to the ED, and specifically focuses on a case of a retropharyngeal abscess.

Back Pain
1 hour recurring lecture 1-2 times a year – 15-20 residents
This recurring lecture focuses on worrisome causes for back pain that present to the ED and includes diagnoses such as spondylolysis, spondolisthesis and discitis.

Scrotal Pain
1 hour recurring lecture 1-2 times a year – 15-20 residents
This recurring lecture stresses the mantra that “time is testicle” and reviews common causes of scrotal pain in children and adolescents. Though many topics are covered, the diagnosis of testicular torsion is featured.

Media Violence & Online Safety
1 hour recurring lecture 5-6 times a year – 8-10 residents
This lecture reviews the impact that violent media has on children as well as current recommendations on how to keep kids safe online.

Chief Resident Conferences (2007-2008)

Conferences presented to the trainees of the pediatric residency training program at Cincinnati Children’s during the 2007-2008 academic year.

Firms (five presentations)

Watson’s Rounds (multiple) – interactive case based conference for pediatric residents

Bringing Evidence to the Bedside Series (four lectures)