EVMS Peds Residents and Faculty developed a formalized advocacy curriculum in 2017 to improve knowledge, enhance professional skills and provide actionable resources.

Gun safety panelists

In 2018, Drs. R Furby and A Kirby (class of '18) were awarded an AAP CATCH Grant used to organize and moderate a gun safety panel discussion at CHKD.  It brought together national subject matter expert, Dr. Joseph Wrigth, Dr. Karen Remely (AAP President), community members, local organizations, medical professionals, and educators to spark an on-going dialog in hopes of ultimately eliminating gun violence in our area.

 

In Oct 2019, Dr. Natasha Sriraman (EVMS Peds Faculty) had an article published in the New York Times parenting section entitled "You Can Treat Your Postpartum Depression and Still Breastfeed."  In addition to discussing her article on local news stations, she was the keynote speaker for the AMWA regional meeting where she lectured on "Women in Medicine." 

dr sriraman introducing integrated behavioral health services in GAP

In the same year, Dr. Sriraman, along with help from Dr. Brandon Hark (class of '22) and CHKD social worker Mitzi Glass, spearheaded the integration of mental and behavioral health services in the General Academic Pediatrics clinic.

 

EVMS Pediatrics at CHKD provides an excellent environment for research and discovery, spanning: 

  • Basic science studies
  • Translational projects
  • Clinical research
  • Global health projects
  • Community health projects
  • Clinical case reports and series
  • Other endeavors of your choosing

 resident explains research to conference attendee

Research is fostered through elective months with faculty mentors along with financial travel support for presenting at local, regional and national conferences.  Last year, 15 EVMS Pediatric Residents traveled to national conferences (AAP, PAS, APPD, etc) to exhibit their research. 

In July 2019, research conducted by Dr. Crystal Proud allowed a CHKD patient to be the first in Virginia to receive a gene therapy drug since FDA approval.  This groundbreaking single-dose treatment is for patients with Spinal Muscular Atrophy (SMA). 

PIC1 diagram showing inhibition mediators

Also in 2019, research by Drs. K Cunnion, N Krishna, and T Shah (EVMS Peds Faculty) culminated in the development of PIC1, a new compound revolutionizing the care of patients with autoimmune and inflammatory diseases.  This research is currently being funded by the NIH.

 

EVMS Pediatric Residents have access to an entire division dedicated to community health.  Since 2010, they've received $10 Million in external funding (88 grants/contracts) for designing and evaluating behavior-change programs to ensure the health and safety of kids, teens, and families in Hampton Roads communities.  Emphasis areas include:

  • Substance use and drug policy
  • Tobacco and air quality
  • Vaping and youth
  • Motor vehicle safety
  • Obesity
  • Global Health
  • Maternal, infant and child health
  • Health disparities

Moreover, the division empowers residents to participate in 3 local collaboratives aimed at sustaining community health:

  • Consortium for Infant and Child Health (CINCH)
  • Easter Shore Healthy Communities (ESHC)
  • Minus 9 to 5

In 2018, Dr. Kelli England's "Boost 'em in the Back Seat" awareness campaign, which encourages the use of booster seats in vehicles, received several awards, including the prestigious John T. Hanna Award for Excellence in Traffic Safety and Occupant Protection, Governor's EMS Award for Outstanding Contribution to EMS for children, and Governor's Transportation Safety Award.  Several residents contributed to the project, including Dr. Phillip Thomas (current chief resident) who appeared on camera! 

 

After Dr. Paul Harrell's years of studying increased use of e-cigarettes by middle and high school students, a "Rethink Vape" campaign was launched by a team of EVMS Pediatric researchers in 2018.

 

  

The EVMS/CHKD Global Health Program was recently revamped under the leadership of Dr. Rupa Kapoor (APD) into formalized curriculum material and experiential learning options.  Residents are supported academically and financially through the EVMS Department of Peds and EVMS Global Health Center.

Last year, 12 EVMS Pediatric Residents gained exposure to world-wide pediatric health care issues through international travel.

In 2019, we established our 15th supporting site abroad (and still growing)

 

Our LIFT leadership and professional development curricula equips residents to train to be effective leaders in medicine. Residents learn how to talk to patients, solve conflict, deliver bad news, manage tasks, handle emotions, and lead others. Moreover, residents receive career guidance and "how tos" for their individual focus areas (primary care, fellowship) including interviewing for a job, negotiating contracts, and effective communication.

We are currently in the process of developing a new approach to resident learning that implements modern technology and design utilizing feedback from current residents and educational specialists.  This includes web access to didactics, role playing, learning games, interactive videos, podcasts and animation.

Residents develop and initiate QI projects, both individually and in groups with faculty mentorship, using industry-recognized methods and tools (Six Sigma, LEAN, 5 Whys, PDSA cycles, DMAEC, etc.).  Our program is on the cutting-edge of QI through active partnerships with Toyota as well as recruitment and consultation with industry leaders.

In 2018, EVMS Pediatrics and the Institute of Healthcare Improvement (IHI) formed a formalized alliance.  This has catalyzed the creation of a formalized resident QI curriculum that will be introduced in 2020.

Stay tuned for updated resident QI project examples!

In 2010, EVMS Pediatrics was awarded a HRSA grant used to create a pediatric public health curriculum. 

Accredited by EVMS in 2011 as a certificate program, it grants ~9 elective credit hours towards an MPH.

In 2014, course delivery shifted to online/in-person hybrid modality for sustainability.

Courses include:

  • A Practical Approach to Pediatric Public Health: the Basic Principles
  • Clinical Application of Pediatric Public Health Policy and Economics
  • Pediatric Epidemiology and Biostatistics
  • Community Pediatrics and Public Health
  • Quality Improvement Principles for Public Health of Children: the Fundamentals
  • Motivating and Fostering Self-Care in Children, Families and the Community
  • Children’s Behavioral & Mental Health- A Community-Based Approach
  • Pediatricians and Community Partnerships
  • Health Disparities and Inequities

In 2013, a formalized breastfeeding curriculum was developed into 2 tracks under the leadership of Dr. Natasha Sriraman (EVMS Peds Faculty). 

CHKD opened a Milk Bank to aid community infants' nutritional needs in the same year.

To date, 14 residents and 4 students have completed the robust curriculum, gaining a robust educational basis for counseling nursing mothers and promoting breastfeeding among professionals and all people groups.  Here's an overview of the 2 tracks:


TRACK 1: BREASTFEEDING & LACTATION CERTIFICATE

  • Must complete all core curriculum components
    • 15 hours of the core curriculum   
    • at least 10 hours of clinical experience counseling nursing and lactating mothers
    • Must score at least 65% on the post‐test after completion of the core curriculum

TRACK 2: CERTIFICATE + IBLCE LACTATION EXAM ELIGIBLE

  • Residents must successfully complete all components of TRACK 1.
  • Must also complete the following pre‐requisites to sit for IBLCE exam
    • 90 cumulative hours of academic education in human lactation and breastfeeding
    • 1000 cumulative hours of clinical experience

 

In 2018, state of the art Philips Lumify devices were purchased to introduce residents to POCUS (Point of Care Ultrasound) during their residency training. 

In the near future, we hope to provide robust self-study modules, small group learning sessions and simulated patient cases along with opportunities for live clinical care (ED, PICU) patients.

In 2018, a formalized poverty curriculum was offered to residents to promote understanding of the impact of poverty and other social determinants of health on child well-being over the life course and across generations. Courses include:

  • Epidemiology of Child Poverty
  • Social Determinants of Health
  • The Biomedical Influences of Poverty
  • Taking Action
  • Medicaid

*material adapted from the Academic Pediatric Association (APA) Task Force on Child Poverty