2022
How Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency
Forson-Dare Z, Du N, Ocran A, Tiyyagura G, Bruno C, Johnston L. How Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency. Academic Pediatrics 2022, 23: 473-482. PMID: 36410602, DOI: 10.1016/j.acap.2022.11.005.Peer-Reviewed Original ResearchConsensus on an implicit bias and health disparities curriculum in neonatal medicine: a Delphi study
Mavis SC, Caruso CG, Carr CB, Dyess NF, French H, Dadiz R, Vasquez M, Johnston L, Gillam-Krakauer M, Chess P, Izatt S, Payne AH, Carbajal MM, Bonachea EM, Gray MM. Consensus on an implicit bias and health disparities curriculum in neonatal medicine: a Delphi study. Journal Of Perinatology 2022, 42: 1519-1526. PMID: 36203083, DOI: 10.1038/s41372-022-01530-2.Peer-Reviewed Original ResearchMeSH KeywordsBias, ImplicitClinical CompetenceConsensusCurriculumDelphi TechniqueHumansInfant, NewbornConceptsHealth disparities curriculumHealth professions educationKey curricular elementsImplicit bias educationDelphi studyTeaching strategiesCurricular elementsEducational goalsEducational relationshipCurricular componentsNPM fellowsSuch curriculaProfessions educationCurriculumContent expertsOngoing racismRecurrent callsEducationNeonatal-perinatal medicineImplicit biasHealth disparitiesVariety of itemsCritical topicNeonatal medicineNeonatal intensive care unitComparison of a dichotomous versus trichotomous checklist for neonatal intubation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Auerbach M. Comparison of a dichotomous versus trichotomous checklist for neonatal intubation. BMC Medical Education 2022, 22: 645. PMID: 36028871, PMCID: PMC9419414, DOI: 10.1186/s12909-022-03700-4.Peer-Reviewed Original Research
2021
Intubation Competence During Neonatal Fellowship Training
Evans P, Shults J, Weinberg DD, Napolitano N, Ades A, Johnston L, Levit O, Brei B, Krick J, Sawyer T, Glass K, Wile M, Hollenberg J, Rumpel J, Moussa A, Verreault A, Mehrem A, Howlett A, McKanna J, Nishisaki A, Foglia EE. Intubation Competence During Neonatal Fellowship Training. Pediatrics 2021, 148: e2020036145. PMID: 34172556, PMCID: PMC8290971, DOI: 10.1542/peds.2020-036145.Peer-Reviewed Original ResearchConceptsIntubation encountersFellowship trainingNational Emergency Airway RegistryMulti-center cohort studyNorth American academic centersNeonatal-perinatal medicine fellowsNumber of intubationsOverall success rateCumulative sum analysisProcedural competenceAirway RegistryCohort studyMultivariable analysisIntubation attemptsNeonatal intubationSuccessful intubationIntubation successAcademic centersIndividualized approachPractice characteristicsStart of trainingIntubationProgressionIndependent impactSuccess rateMilestone Level Changes From Residency to Fellowship: A Multicenter Cohort Study.
Sawyer T, Gray M, Chabra S, Johnston LC, Carbajal MM, Gillam-Krakauer M, Brady JM, French H. Milestone Level Changes From Residency to Fellowship: A Multicenter Cohort Study. Journal Of Graduate Medical Education 2021, 13: 377-384. PMID: 34178263, PMCID: PMC8207935, DOI: 10.4300/jgme-d-20-00954.1.Peer-Reviewed Original ResearchConceptsFellowship trainingPediatric residencyMulticenter cohort studyNPM fellowship programsMilestone levelsCohort studyMilestone scoresMixed effects modelsNext Accreditation SystemIntra-individual changesSignificant differencesFellowship programsAccreditation CouncilSubcompetenciesResidencyLevelsEducational milestonesFellowshipData System
2020
Stress as tool or toxin: physiologic markers and subjective report in neonatal simulation
Redmond B, Joseph M, Ray J, Shabanova V, Gross IT, Bruno C, McPadden J, Auerbach M, Johnston L. Stress as tool or toxin: physiologic markers and subjective report in neonatal simulation. Pediatric Research 2020, 88: 784-791. PMID: 32045934, DOI: 10.1038/s41390-020-0806-9.Peer-Reviewed Original ResearchCurrent training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows
Levit O, Shabanova V, Bizzarro MJ, Johnston L. Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal–perinatal medicine fellows. Journal Of Perinatology 2020, 40: 589-594. PMID: 31932714, DOI: 10.1038/s41372-019-0587-3.Peer-Reviewed Original ResearchMeSH KeywordsCatheterization, Central VenousCatheterization, PeripheralChi-Square DistributionClinical CompetenceCross-Sectional StudiesCurriculumEducation, Medical, GraduateEducational MeasurementFellowships and ScholarshipsHumansInfant, NewbornIntensive Care Units, NeonatalSurveys and QuestionnairesUnited StatesConceptsNeonatal-perinatal medicineNeonatal intensive care unitCentral catheter placementIntensive care unitNeonatal-perinatal medicine fellowsProgram directorsPICC insertionStudy designACare unitPICC placementPICC teamCatheter placementResponse rateMost program directorsConclusionsWide variationsEducational statusFormal trainingTraining program directorsCurrent educational status
2019
Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS
Umoren RA, Sawyer TL, Ades A, DeMeo S, Foglia EE, Glass K, Gray MM, Barry J, Johnston L, Jung P, Kim JH, Krick J, Moussa A, Mulvey C, Nadkarni V, Napolitano N, Quek BH, Singh N, Zenge JP, Shults J, Nishisaki A. Team Stress and Adverse Events during Neonatal Tracheal Intubations: A Report from NEAR4NEOS. American Journal Of Perinatology 2019, 37: 1417-1424. PMID: 31365934, DOI: 10.1055/s-0039-1693698.Peer-Reviewed Original ResearchConceptsAdverse eventsTracheal intubationAcademic neonatal intensive care unitNeonatal intensive care unitAdverse tracheal intubationIntensive care unitNeonatal tracheal intubationsHemodynamic instabilityOxygenation failureCare unitPotential confoundersNeonatal intubationFamily presenceEvent ratesIntubationPractice factorsHigh stress levelsLikert scaleAssociationTeam stressStress levelsPremedicationLevelsPatientsConfoundersIncidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates
Sawyer T, Foglia EE, Ades A, Moussa A, Napolitano N, Glass K, Johnston L, Jung P, Singh N, Quek BH, Barry J, Zenge J, DeMeo SD, Brei B, Krick J, Kim JH, Nadkarni V, Nishisaki A. Incidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates. Archives Of Disease In Childhood Fetal & Neonatal 2019, 104: f461. PMID: 30796059, DOI: 10.1136/archdischild-2018-316336.Peer-Reviewed Original ResearchMeSH KeywordsAirway ManagementClinical CompetenceEmergenciesFemaleHumansHypoxiaIncidenceInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalIntubation, IntratrachealMaleOutcome Assessment, Health CarePractice Patterns, Physicians'Quality ImprovementRegistriesRetrospective StudiesUnited StatesConceptsNeonatal intensive care unitNational Emergency Airway RegistrySevere oxygen desaturationIntensive care unitDifficult intubationAirway RegistryOxygen desaturationAdverse eventsCare unitTracheal intubationOdds ratioAcademic neonatal intensive care unitDifficult intubation groupSmall preterm infantsDifficult tracheal intubationIntubation groupPreterm infantsRetrospective reviewClinical impactIntubationNeonatesRegistryIncidenceDesaturationLack of sensitivity
2018
Neonatal Intubation Competency Assessment Tool: Development and Validation
Johnston L, Sawyer T, Nishisaki A, Whitfill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Gangadharan S, Scherzer D, Moussa A, Auerbach M, Network I. Neonatal Intubation Competency Assessment Tool: Development and Validation. Academic Pediatrics 2018, 19: 157-164. PMID: 30103050, DOI: 10.1016/j.acap.2018.07.008.Peer-Reviewed Original ResearchConceptsCompetency assessment toolNeonatal tracheal intubationsGlobal skills assessmentEPA levelsChecklist scoresCormack-Lehane scoreAssessment toolHealth care providersImportant clinical skillTracheal intubationGlottic exposureNeonatal simulatorCare providersGood internal consistencyPatient harmBlinded reviewersDelphi processActivity levelsSimulation-based trainingClinical skillsScoresInternal consistencyChecklist itemsFinal toolSkills assessmentEducation for ECMO providers: Using education science to bridge the gap between clinical and educational expertise
Johnston L, Williams SB, Ades A. Education for ECMO providers: Using education science to bridge the gap between clinical and educational expertise. Seminars In Perinatology 2018, 42: 138-146. PMID: 29336833, DOI: 10.1053/j.semperi.2017.12.010.Peer-Reviewed Original ResearchConceptsECMO providersActive learner involvementPrinciples of adultTechnical skills trainingFlipped classroomLearner involvementE-learningInterprofessional educationEducation SciencesEducational expertiseEducational methodsEducational curriculumDidactic lecturesLong-term retentionECMO trainingActive participationEducationSkills trainingUtilization of strategiesTrainingNew constructClassroomCurriculumLecturesNovices
2017
Improving neonatal intubation safety: A journey of a thousand miles
Sawyer T, Foglia E, Hatch L, Moussa A, Ades A, Johnston L, Nishisaki A. Improving neonatal intubation safety: A journey of a thousand miles. Journal Of Neonatal-Perinatal Medicine 2017, Preprint: 1-7. PMID: 28409758, DOI: 10.3233/npm-171686.Peer-Reviewed Original ResearchConceptsIntubation safetyNeonatal intubationLower first-attempt success rateSuccess rateFirst-attempt success rateSevere oxygen desaturationMultiple intubation attemptsAttempt success rateIntubation success rateQuality improvement effortsPatient safety researchOxygen desaturationAdverse eventsDecrease complicationsEndotracheal tubeIntubation attemptsNeonatal medicineHigh riskDangerous procedureIntubation trainingCommon procedureIntubationComplicationsNeonatesSafety
2016
Introduction: Simulation in neonatology
Johnston LC, Sudikoff SN. Introduction: Simulation in neonatology. Seminars In Perinatology 2016, 40: 419-420. PMID: 27746031, DOI: 10.1053/j.semperi.2016.08.001.Peer-Reviewed Original ResearchSimulation for neonatal extracorporeal membrane oxygenation teams
Johnston L, Oldenburg G. Simulation for neonatal extracorporeal membrane oxygenation teams. Seminars In Perinatology 2016, 40: 421-429. PMID: 27746030, DOI: 10.1053/j.semperi.2016.08.002.Peer-Reviewed Original ResearchNeonatal–perinatal medicine fellow procedural experience and competency determination: results of a national survey
Sawyer T, French H, Ades A, Johnston L. Neonatal–perinatal medicine fellow procedural experience and competency determination: results of a national survey. Journal Of Perinatology 2016, 36: 570-574. PMID: 26938919, DOI: 10.1038/jp.2016.19.Peer-Reviewed Original Research
2015
Learn, See, Practice, Prove, Do, Maintain
Sawyer T, White M, Zaveri P, Chang T, Ades A, French H, Anderson J, Auerbach M, Johnston L, Kessler D. Learn, See, Practice, Prove, Do, Maintain. Academic Medicine 2015, 90: 1025-1033. PMID: 25881645, DOI: 10.1097/acm.0000000000000734.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceCompetency-Based EducationEducational MeasurementEvidence-Based MedicineFemaleHumansLearningMaleModels, EducationalConceptsProcedural skills trainingSkills trainingPedagogical frameworkSimulation-based mastery learningAcquisition of competenciesProcedural skill developmentPsychomotor skill acquisitionSimulation-based trainingMastery learningSkill developmentDidactic educationCognitive knowledgeProcedural skillsMedical trainingSkill acquisitionCompetenciesLearnersTrainingDirect supervisionSkillsTraineesPracticeParadigm shiftFundamental goalEducation
2014
Utilization of Exploration-Based Learning and Video-Assisted Learning to Teach GlideScope Videolaryngoscopy
Johnston LC, Auerbach M, Kappus L, Emerson B, Zigmont J, Sudikoff SN. Utilization of Exploration-Based Learning and Video-Assisted Learning to Teach GlideScope Videolaryngoscopy. Teaching And Learning In Medicine 2014, 26: 285-291. PMID: 25010241, DOI: 10.1080/10401334.2014.910462.Peer-Reviewed Original ResearchConceptsEndotracheal intubationPediatric critical carePediatric endotracheal intubationSuccessful endotracheal intubationProcedural performancePediatric emergency medicinePediatric airwayProcedural durationGlideScope videolaryngoscopyAirway simulatorCritical carePediatric providersPediatric anesthesiaIntubation procedureAdult airwayGlideScopeDlRandom orderPediatric residentsEmergency medicineLevel of trainingAirway trainersSuccess rateAirwayBaseline success rate
2013
Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units
Haubner LY, Barry JS, Johnston LC, Soghier L, Tatum PM, Kessler D, Downes K, Auerbach M. Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units. Resuscitation 2013, 84: 1359-1364. PMID: 23562374, DOI: 10.1016/j.resuscitation.2013.03.014.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitIntensive care unitCare unitPatient factorsSuccess rateTI attemptsVocal cordsLevel III neonatal intensive care unitTertiary neonatal intensive care unitProcedural success rateProcedure success rateProspective descriptive studyStandardized data collection instrumentTI successTracheal intubation performanceRespiratory failureMedian durationCommon indicationPrimary outcomeHigh success rateNeonatal fellowsCommon reasonPatient decompensationLow success rateIntubation performance