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Nicole Anderson Smith, MD

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Trabajo y educación

Educación

University of Oklahoma College of Medicine, Oklahoma City, OK, 05/19/2017

Primeros años de residencia

UCLA Pediatric Residency, Los Angeles, CA, 06/30/2018

Últimos años de residencia

UCLA Pediatric Residency, Los Angeles, CA, 06/30/2020

Subespecialidad

UCLA, Los Angeles, CA, 07/07/2023

Certificado(s) de especialidad

Pediatrics, American Board of Pediatrics

Servicios

Neonatología

Todo Publicaciones

Identification and Management of Pediatric Sepsis: A Medical Student Curricular Supplement for PICU and NICU Rotations. MedEdPORTAL : the journal of teaching and learning resources Anderson, N. B., Chan, M. K., Gutierrez, C., Kambestad, K., Walker, V. 2021; 17: 11142

Abstract

Medical students frequently report lack of confidence and skill in managing ill pediatric patients. We aimed to implement targeted learning interventions to address these knowledge gaps, specifically focusing on pediatric sepsis. Our objective was to create a curriculum to advance knowledge and confidence in identifying and managing pediatric sepsis.We designed this curriculum to augment medical student pediatric ICU (PICU) and neonatal ICU (NICU) rotations. We first emailed students a pretest and upon completion, we emailed students a series of brief educational videos. Students then participated in a simulation experience designed to assess their ability to diagnose and manage severe sepsis. We provided immediate debriefing after each session. Upon completion of the simulation experience, we emailed students a posttest (identical to the pretest). The pre-/posttest included multiple-choice questions to assess the students' ability to recognize and manage pediatric sepsis and septic shock, as well as Likert-scale questions assessing confidence levels in diagnosis and management of pediatric sepsis. We performed paired Student t tests comparing knowledge-based question scores and Likert-scale results.Of students, 40 enrolled in and 30 completed the curriculum between 2015 and 2020. When comparing pre- and posttest results, we found a significant improvement in knowledge scores (33% mean increase, 95% CI [22%-45%], p < .001) and confidence levels (mean increase in Likert scale score of 1.5, 95% CI [1.2-1.7], p < .001).Results suggested that the curriculum advanced students' knowledge scores and improved self-reported confidence in managing theoretical pediatric patients with sepsis.

View details for DOI 10.15766/mep_2374-8265.11142

View details for PubMedID 33907708

View details for PubMedCentralID PMC8063627

Neonatal Indirect Hyperbilirubinemia. NeoReviews Anderson, N. B., Calkins, K. L. 2020; 21 (11): e749-e760

Abstract

Neonatal indirect hyperbilirubinemia (IHB) is caused by an imbalance in bilirubin production and elimination. Approximately 60% of term and 80% of preterm infants develop jaundice in the first week of age. This review seeks to provide the reader with a thorough understanding of the physiology of bilirubin, etiology of IHB, and management of severe IHB. Phototherapy and exchange transfusion remain the mainstays of treatment for severe IHB. Noninvasive screening tools, innovative treatments, and a better understanding of how prematurity and genetics contribute to severe IHB have improved our understanding of IHB and may help eliminate the hazards associated with severe IHB, including kernicterus spectrum disorder.

View details for DOI 10.1542/neo.21-11-e749

View details for PubMedID 33139512