2023
Simulation in a blended learning curriculum for neonatology
Chang C, Dyess N, Johnston L. Simulation in a blended learning curriculum for neonatology. Seminars In Perinatology 2023, 47: 151824. PMID: 37748941, DOI: 10.1016/j.semperi.2023.151824.Peer-Reviewed Original ResearchConceptsBlended learning curriculumLearning curriculumBlended learningHealth professions educationSimulation-based educationProcedural skills trainingExperiential learningProfessions educationEducational frameworkEducational methodsTraditional faceEducational strategiesCurriculumLearningSkills trainingEducationBest practicesNeonatal-perinatal medicineReal-world examplesTrainingProgramPracticeNeonatal Resuscitation ProgramResuscitation ProgramChallengesSignificant deficiency in mentorship amongst female neonatologists in the United States: a descriptive national survey by women in neonatology
Leeman K, Gray M, Dammann C, Reber K, Poindexter B, Johnston L. Significant deficiency in mentorship amongst female neonatologists in the United States: a descriptive national survey by women in neonatology. Journal Of Perinatology 2023, 43: 526-528. PMID: 36658203, DOI: 10.1038/s41372-023-01616-5.Peer-Reviewed Original ResearchIlluminating the path towards inclusivity: strategies to improve workforce diversity in neonatal-perinatal medicine
Boyd C, Myers P, Gray M, Johnston L. Illuminating the path towards inclusivity: strategies to improve workforce diversity in neonatal-perinatal medicine. Journal Of Perinatology 2023, 43: 415-416. PMID: 36624305, DOI: 10.1038/s41372-023-01599-3.Peer-Reviewed Original ResearchConceptsNeonatal-perinatal medicine
2022
Consensus 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 ResearchImpact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS
Singh N, Sawyer T, Johnston LC, Herrick HM, Moussa A, Zenge J, Jung P, DeMeo S, Glass K, Howlett A, Shults J, Barry J, Brei BK, Kim JH, Quek BH, Tingay D, Mehrem AA, Napolitano N, Nishisaki A, Foglia EE. Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS. Journal Of Perinatology 2022, 42: 1221-1227. PMID: 35982243, DOI: 10.1038/s41372-022-01484-5.Peer-Reviewed Original ResearchConceptsIntubation attemptsNational Emergency Airway RegistryAdverse tracheal intubationClinical adverse outcomesDesignA retrospective studySevere oxygen desaturationMultiple intubation attemptsTracheal intubation attemptsAdverse safety eventsAirway RegistryOxygen desaturationAdverse eventsRetrospective studyTracheal intubationAdverse outcomesDelivery roomOdds ratioNeonatal intubationHigh riskTI attemptsAcademic centersIntubationSafety eventsNumber of attemptsNeonatesDoes videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS
Moussa A, Sawyer T, Puia-Dumitrescu M, Foglia EE, Ades A, Napolitano N, Glass KM, Johnston L, Jung P, Singh N, Quek BH, Barry J, Zenge J, DeMeo S, Mehrem AA, Nadkarni V, Nishisaki A. Does videolaryngoscopy improve tracheal intubation first attempt success in the NICUs? A report from the NEAR4NEOS. Journal Of Perinatology 2022, 42: 1210-1215. PMID: 35922664, PMCID: PMC9362392, DOI: 10.1038/s41372-022-01472-9.Peer-Reviewed Original ResearchComparison of knowledge acquisition and retention following traditional didactic vs. flipped classroom education utilizing a standardized national curriculum: a randomized controlled trial
Gray MM, Dadiz R, Izatt S, Gillam-Krakauer M, Carbajal MM, Johnston LC, Payne A, Vasquez MM, Bonachea EM, Karpen H, Falck AJ, Chess PR, Huber M, French H. Comparison of knowledge acquisition and retention following traditional didactic vs. flipped classroom education utilizing a standardized national curriculum: a randomized controlled trial. Journal Of Perinatology 2022, 42: 1512-1518. PMID: 35660790, DOI: 10.1038/s41372-022-01423-4.Peer-Reviewed Original ResearchEssentials of Neonatal–Perinatal Medicine Fellowship: careers in Neonatal–Perinatal Medicine
Trzaski JM, Kiefer AS, Myers P, Johnston L. Essentials of Neonatal–Perinatal Medicine Fellowship: careers in Neonatal–Perinatal Medicine. Journal Of Perinatology 2022, 42: 1135-1140. PMID: 35094019, PMCID: PMC8799965, DOI: 10.1038/s41372-022-01315-7.Peer-Reviewed Original ResearchOptimizing neonatal patient care begins with education: strategies to build comprehensive and effective NPM fellowship programs
Johnston LC, Gray MM, French H. Optimizing neonatal patient care begins with education: strategies to build comprehensive and effective NPM fellowship programs. Journal Of Perinatology 2022, 42: 155-156. PMID: 35027652, DOI: 10.1038/s41372-022-01316-6.Peer-Reviewed Original ResearchMeSH KeywordsCurriculumEducation, Medical, GraduateFellowships and ScholarshipsHumansInfant, NewbornPatient Care
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 rateImpact of Physician Training Level on Neonatal Tracheal Intubation Success Rates and Adverse Events: A Report from National Emergency Airway Registry for Neonates (NEAR4NEOS)
Johnston L, Sawyer T, Ades A, Moussa A, Zenge J, Jung P, DeMeo S, Glass K, Singh N, Howlett A, Shults J, Barry J, Brei B, Foglia E, Nishisaki A. Impact of Physician Training Level on Neonatal Tracheal Intubation Success Rates and Adverse Events: A Report from National Emergency Airway Registry for Neonates (NEAR4NEOS). Neonatology 2021, 118: 434-442. PMID: 34111869, PMCID: PMC8376802, DOI: 10.1159/000516372.Peer-Reviewed Original ResearchMeSH KeywordsChildEducational StatusHumansInfant, NewbornIntubation, IntratrachealPhysiciansProspective StudiesRegistriesConceptsPhysician training levelFirst-attempt successOxygen desaturationAdverse eventsMultivariable analysisNeonatal physiciansNational Emergency Airway RegistryTracheal intubation success rateFirst-attempt success rateSevere oxygen desaturationProspective cohort studyIntubation success rateSuccess rateTraining levelAirway RegistryCohort studyPatient ageIntubation outcomesUnivariable analysisIndependent associationOdds ratioPractice characteristicsPrimary TiDesaturationTI successMilestone 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 SystemAssociations of Stylet Use during Neonatal Intubation with Intubation Success, Adverse Events, and Severe Desaturation: A Report from NEAR4NEOS
Gray MM, Rumpel JA, Brei BK, Krick JA, Sawyer T, Glass K, DeMeo S, Barry J, Ades A, Napolitano N, Johnston L, Moussa A, Jung P, Quek BH, Mehrem AA, Zenge J, Shults J, Nadkarni V, Kim J, Singh N, Tisnic A, Foglia E, Nishisaki A. Associations of Stylet Use during Neonatal Intubation with Intubation Success, Adverse Events, and Severe Desaturation: A Report from NEAR4NEOS. Neonatology 2021, 118: 470-478. PMID: 33946064, PMCID: PMC8376756, DOI: 10.1159/000515872.Peer-Reviewed Original ResearchMeSH KeywordsChildHumansInfant, NewbornIntensive Care Units, NeonatalIntubation, IntratrachealLogistic ModelsRegistriesConceptsTracheal intubation-associated eventsNeonatal intensive care unitFirst-attempt intubation successSevere desaturationStylet useIntubation successDelivery roomIntubation outcomesOral intubationNeonatal intubationSevere oxygen desaturationIntensive care unitFirst-attempt successGeneralized estimates equationsMainstem intubationOxygen desaturationAdverse eventsCare unitTracheal intubationInternational registryPediatric providersIntubationUnsuccessful first attemptEsophageal intubationLogistic regressionManagement of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization.
Guner Y, Jancelewicz T, Di Nardo M, Yu P, Brindle M, Vogel AM, Gowda SH, Grover TR, Johnston L, Mahmood B, Gray B, Chapman R, Keene S, Rintoul N, Cleary J, Ashrafi AH, Harting MT. Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization. ASAIO Journal 2021, 67: 113-120. PMID: 33512912, DOI: 10.1097/mat.0000000000001338.Peer-Reviewed Original ResearchMeSH KeywordsConsensusExtracorporeal Membrane OxygenationFemaleHernias, Diaphragmatic, CongenitalHumansInfantInfant, NewbornMaleConceptsExtracorporeal life supportCongenital diaphragmatic herniaDiaphragmatic herniaChildren’s Hospitals Neonatal ConsortiumLife supportExtracorporeal Life Support OrganizationCDH Study GroupManagement of infantsECLS useLack of evidenceCDH patientsConsensus statementStudy groupHerniaManagement recommendationsPatientsGroupInfantsPrevalenceSignificant variabilitySupport organizationsAssociations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS
Brei BK, Sawyer T, Umoren R, Gray MM, Krick J, Foglia EE, Ades A, Glass K, Kim JH, Singh N, Jung P, Johnston L, Moussa A, Napolitano N, Barry J, Zenge J, Quek B, DeMeo SD, Shults J, Unrau J, Nadkarni V, Nishisaki A. Associations between family presence and neonatal intubation outcomes: a report from the National Emergency Airway Registry for Neonates: NEAR4NEOS. Archives Of Disease In Childhood Fetal & Neonatal 2021, 106: 392-397. PMID: 33478956, PMCID: PMC8237190, DOI: 10.1136/archdischild-2020-319709.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitSevere oxygen desaturationNational Emergency Airway RegistryTracheal intubationOxygen desaturationFamily presenceAirway RegistryIntubation successAcademic neonatal intensive care unitFirst-attempt success rateAdverse tracheal intubationChronic respiratory failureIntensive care unitAttempt success rateFirst-attempt successNeonatal tracheal intubationsRespiratory failureIntubation outcomesCare unitIndependent associationImportant patientAttempt successRetrospective analysisMultivariate analysisOlder infants
2020
Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
Simmons MA, Otero-Luna A, Redmond B, Fahey J, Beach C, Bruno C, Johnston L. Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows. MedEdPORTAL 2020, 16: 11045. PMID: 33365389, PMCID: PMC7751327, DOI: 10.15766/mep_2374-8265.11045.Peer-Reviewed Original ResearchMeSH KeywordsCardiologyChildCurriculumEmergenciesFellowships and ScholarshipsHumansInfantInfant, NewbornNeonatologyConceptsCardiac diseaseMean overall satisfaction scoreNeonatal cardiac emergencyManagement of neonatesCongenital heart diseaseRemote consultationsPediatric cardiology fellowsOverall satisfaction scoreCardiac concernsCardiogenic shockMultidisciplinary managementUnstable arrhythmiasBedside evaluationPediatric cardiologistsCardiac careHeart diseaseCardiac emergenciesPediatric cardiologyClinical decisionSatisfaction scoresCyanosisNeonatesSimulation curriculumCardiology fellowsDiseaseStress 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
Comparison of Neonatal Intubation Practice and Outcomes between the Neonatal Intensive Care Unit and Delivery Room
Herrick HM, Glass KM, Johnston LC, Singh N, Shults J, Ades A, Nadkarni V, Nishisaki A, Foglia EE. Comparison of Neonatal Intubation Practice and Outcomes between the Neonatal Intensive Care Unit and Delivery Room. Neonatology 2019, 117: 65-72. PMID: 31563910, PMCID: PMC7098841, DOI: 10.1159/000502611.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitFirst-attempt success rateIntensive care unitAttempt success rateTracheal intubationFirst-attempt successDelivery roomUnivariable analysisCare unitAttempt successNational Emergency Airway RegistryAdverse tracheal intubationRetrospective cohort studyNeonatal tracheal intubationsSuccess rateExposure of interestLogistic regression modelsAirway RegistryBaseline characteristicsCohort studySevere desaturationMultivariable analysisIntubation practicesSafety outcomesPractice characteristics