Lindsay Johnston, MD, MEd
Associate Professor of Pediatrics (Neonatology); Associate Director, Fellowship Training Program in Neonatal-Perinatal Medicine, Pediatrics; Director of Fellowships, Pediatrics
Research & Publications
Biography
News
Research Summary
I am primarily interested in Educational Research related to procedural skills training, assessment of trainee and provider competency, and curriculum development. Much of my work has focused on improving success rates in neonatal endotracheal intubation through numerous strategies, including simulation-based mastery training with deliberate practice, videolaryngoscopy, and quality improvement initiatives. I am also involved in curriculum development of a National Neonatal Fellowship Curriculum through the Organization of Neonatal Training Program Directors (ONTPD), of which I am a member of the Executive Committee. I have additionally dedicated time to enhancing training of interprofessional ECMO teams through my work with the Extracorporeal Life Support Organization (ELSO), and currently serve on ELSO's ECMOed education task force.
Extensive Research Description
Short and long term patient outcomes related to difficulties with neonatal intubation
Randomized Trial of Expert Procedural Coaching using the Storz C-MAC Videolaryngoscope and Effects on Neonatal Intubation Success Rates Among Trainees
Curriculum development for Neonatal Fellows using a Flipped Classroom approach, and assessment of effectiveness
ECMO curriculum development, simulation-based competency assessment
Coauthors
Selected Publications
- Value, Strengths, and Challenges of e-Learning Modules Paired with the Flipped Classroom for Graduate Medical Education: A Survey from the National Neonatology Curriculum.Gray MM, Dadiz R, Izatt S, Gillam-Krakauer M, Carbajal MM, Falck AJ, Bonachea EM, Johnston LC, Karpen H, Vasquez MM, Chess PR, French H. Value, Strengths, and Challenges of e-Learning Modules Paired with the Flipped Classroom for Graduate Medical Education: A Survey from the National Neonatology Curriculum. American Journal Of Perinatology 2021, 38: e187-e192. PMID: 32276279, DOI: 10.1055/s-0040-1709145.
- Associations 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 And Neonatal Edition 2021, 106: 392-397. PMID: 33478956, PMCID: PMC8237190, DOI: 10.1136/archdischild-2020-319709.
- Management 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 (American Society For Artificial Internal Organs : 1992) 2021, 67: 113-120. PMID: 33512912, DOI: 10.1097/MAT.0000000000001338.
- Associations 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.
- Impact 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.
- Milestone 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.
- 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, Abou Mehrem A, Howlett A, McKanna J, Nishisaki A, Foglia EE. Intubation Competence During Neonatal Fellowship Training. Pediatrics 2021, 148 PMID: 34172556, PMCID: PMC8290971, DOI: 10.1542/peds.2020-036145.
- Pivot and Persist: A Technical Report on Adapting an Existing Multi-Institutional Bootcamp to a Hybrid Platform.Lombardi K, Bruno CJ, French H, Ades A, Yang K, Polcaro A, Sudikoff S, Johnston L. Pivot and Persist: A Technical Report on Adapting an Existing Multi-Institutional Bootcamp to a Hybrid Platform. Cure¯us 2021, 13: e16181. PMID: 34367788, PMCID: PMC8336328, DOI: 10.7759/cureus.16181.
- 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 2020, 37: 1417-1424. PMID: 31365934, DOI: 10.1055/s-0039-1693698.
- 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 2020, 117: 65-72. PMID: 31563910, PMCID: PMC7098841, DOI: 10.1159/000502611.
- Position Paper on Global Extracorporeal Membrane Oxygenation Education and Educational Agenda for the Future: A Statement From the Extracorporeal Life Support Organization ECMOed Taskforce.Zakhary B, Shekar K, Diaz R, Badulak J, Johnston L, Roeleveld PP, Alinier G, Lai PCK, Ramanathan K, Moore E, Hassan I, Agerstrand C, Ngai WC, Salazar L, Raman L, Bembea MM, Davidson M, Gomez-Gutierrez RD, Mateo-Sidrón JAR, Kukutschka J, Antonini MV, Dickstein ML, Schmidt M, Abrams D, Ogino MT. Position Paper on Global Extracorporeal Membrane Oxygenation Education and Educational Agenda for the Future: A Statement From the Extracorporeal Life Support Organization ECMOed Taskforce. Critical Care Medicine 2020, 48: 406-414. PMID: 31833901, DOI: 10.1097/CCM.0000000000004158.
- Current 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 : Official Journal Of The California Perinatal Association 2020, 40: 589-594. PMID: 31932714, DOI: 10.1038/s41372-019-0587-3.
- 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.
- 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 : The Journal Of Teaching And Learning Resources 2020, 16: 11045. PMID: 33365389, PMCID: PMC7751327, DOI: 10.15766/mep_2374-8265.11045.
- Neonatal Intubation Competency Assessment Tool: Development and Validation.Johnston L, Sawyer T, Nishisaki A, Whtifill T, Ades A, French H, Glass K, Dadiz R, Bruno C, Levit O, Gangadharan S, Scherzer D, Moussa A, Auerbach M. Neonatal Intubation Competency Assessment Tool: Development and Validation. Academic Pediatrics 2019, 19: 157-164. PMID: 30103050, DOI: 10.1016/j.acap.2018.07.008.
- Neonatal Intubation Practice and Outcomes: An International Registry Study.Foglia EE, Ades A, Sawyer T, Glass KM, Singh N, Jung P, Quek BH, Johnston LC, Barry J, Zenge J, Moussa A, Kim JH, DeMeo SD, Napolitano N, Nadkarni V, Nishisaki A. Neonatal Intubation Practice and Outcomes: An International Registry Study. Pediatrics 2019, 143 PMID: 30538147, PMCID: PMC6317557, DOI: 10.1542/peds.2018-0902.
- Incidence, 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 And Neonatal Edition 2019, 104: F461-F466. PMID: 30796059, DOI: 10.1136/archdischild-2018-316336.
- Premedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events.Ozawa Y, Ades A, Foglia EE, DeMeo S, Barry J, Sawyer T, Singh N, Glass K, Jung P, Quek BH, Johnston L, Kim J, Napolitano N, Shults J, Nadkarni VM, Nishisaki A. Premedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events. Journal Of Perinatology : Official Journal Of The California Perinatal Association 2019, 39: 848-856. PMID: 30940929, DOI: 10.1038/s41372-019-0367-0.
- Education 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.
- Introduction: Update on neonatal extracorporeal membrane oxygenation.Johnston LC, Rintoul N, Ades AM. Introduction: Update on neonatal extracorporeal membrane oxygenation. Seminars In Perinatology 2018, 42: 65-67. PMID: 29291939, DOI: 10.1053/j.semperi.2017.12.001.
- Moving from controversy to consensus: premedication for neonatal intubation.Johnston L, Kwon SH. Moving from controversy to consensus: premedication for neonatal intubation. Journal Of Perinatology : Official Journal Of The California Perinatal Association 2018, 38: 611-613. PMID: 29930326, DOI: 10.1038/s41372-018-0115-x.
- Shoulder Dystocia and Neonatal Resuscitation: An Integrated Obstetrics and Neonatology Simulation Case for Medical Students.Alphonso A, Pathy S, Bruno C, Boeras C, Emerson B, Crabtree J, Johnston L, Desai V, Auerbach M. Shoulder Dystocia and Neonatal Resuscitation: An Integrated Obstetrics and Neonatology Simulation Case for Medical Students. MedEdPORTAL : The Journal Of Teaching And Learning Resources 2017, 13: 10594. PMID: 30800796, PMCID: PMC6338204, DOI: 10.15766/mep_2374-8265.10594.
- 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.
- Simulation 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.
- Learn, see, practice, prove, do, maintain: an evidence-based pedagogical framework for procedural skill training in medicine.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: an evidence-based pedagogical framework for procedural skill training in medicine. Academic Medicine : Journal Of The Association Of American Medical Colleges 2015, 90: 1025-33. PMID: 25881645, DOI: 10.1097/ACM.0000000000000734.
- 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: 285-91. PMID: 25010241, DOI: 10.1080/10401334.2014.910462.
- 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: 1359-64. PMID: 23562374, DOI: 10.1016/j.resuscitation.2013.03.014.
- Multidisciplinary teamwork and communication training.Deering S, Johnston LC, Colacchio K. Multidisciplinary teamwork and communication training. Seminars In Perinatology 2011, 35: 89-96. PMID: 21440817, DOI: 10.1053/j.semperi.2011.01.009.
- Opposing regulation of human alveolar type II cell differentiation by nitric oxide and hyperoxia.Johnston LC, Gonzales LW, Lightfoot RT, Guttentag SH, Ischiropoulos H. Opposing regulation of human alveolar type II cell differentiation by nitric oxide and hyperoxia. Pediatric Research 2010, 67: 521-5. PMID: 20098340, PMCID: PMC3066065, DOI: 10.1203/PDR.0b013e3181d4f20f.
- Tympanic membrane abnormalities and hearing levels at the ages of 5 and 6 years in relation to persistent otitis media and tympanostomy tube insertion in the first 3 years of life: a prospective study incorporating a randomized clinical trial.Johnston LC, Feldman HM, Paradise JL, Bernard BS, Colborn DK, Casselbrant ML, Janosky JE. Tympanic membrane abnormalities and hearing levels at the ages of 5 and 6 years in relation to persistent otitis media and tympanostomy tube insertion in the first 3 years of life: a prospective study incorporating a randomized clinical trial. Pediatrics 2004, 114: e58-67. PMID: 15231974, DOI: 10.1542/peds.114.1.e58.
- Optimizing 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 : Official Journal Of The California Perinatal Association 2022, 42: 155-156. PMID: 35027652, DOI: 10.1038/s41372-022-01316-6.
- Essentials of Neonatal-Perinatal Medicine Fellowship: careers in Neonatal-Perinatal Medicine.Trzaski JM, Kiefer AS, Myers P, Johnston LC. Essentials of Neonatal-Perinatal Medicine Fellowship: careers in Neonatal-Perinatal Medicine. Journal Of Perinatology : Official Journal Of The California Perinatal Association 2022 PMID: 35094019, PMCID: PMC8799965, DOI: 10.1038/s41372-022-01315-7.
- Is a haptic simulation interface more effective than computer mouse-based interface for neonatal intubation skills training?Agarwal A, Leviter J, Mannarino C, Levit O, Johnston L, Auerbach M. Is a haptic simulation interface more effective than computer mouse-based interface for neonatal intubation skills training? BMJ Simulation & Technology Enhanced Learning 2015, 1: 5-11. PMID: 35517842, PMCID: PMC8936558, DOI: 10.1136/bmjstel-2015-000016.
- Do you see what I see? A randomised pilot study to evaluate the effectiveness and efficiency of simulation-based training with videolaryngoscopy for neonatal intubation.Johnston LC, Chen R, Whitfill TM, Bruno CJ, Levit OL, Auerbach MA. Do you see what I see? A randomised pilot study to evaluate the effectiveness and efficiency of simulation-based training with videolaryngoscopy for neonatal intubation. BMJ Simulation & Technology Enhanced Learning 2015, 1: 12-18. PMID: 35517843, PMCID: PMC8936656, DOI: 10.1136/bmjstel-2015-000031.
- Changes, Challenges, and Variations in Neonatal-Perinatal Medicine Fellowship: A View from the Program Directors.Gray MM, Bruno CJ, French H, Myers P, Carbajal MM, Reber KM, Christou H, Karpen H, Johnston L. Changes, Challenges, and Variations in Neonatal-Perinatal Medicine Fellowship: A View from the Program Directors. American Journal Of Perinatology 2022 PMID: 35554889, DOI: 10.1055/a-1850-3929.
- Comparison 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 : Official Journal Of The California Perinatal Association 2022 PMID: 35660790, DOI: 10.1038/s41372-022-01423-4.