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We don’t question the years of formal and practical instruction it takes to develop competence in clinical medicine, and with good reason. It would be unconscionable to allow someone without adequate preparation or the proper tools perform a procedure. How do we ensure that researchers…
OBJECTIVE: To assess the impact of the COVID-19 pandemic on physical abuse in young children, we compared the following before and during the pandemic: (1) skeletal survey volume, (2) percent of skeletal surveys revealing clinically unsuspected (occult) fractures, and (3) clinical…
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has exacerbated multiple stressors for caregivers of children in the United States, raising concern for increased family conflict, harsh parenting, and child maltreatment. Little is known regarding children's perceptions…
Pregnancy complications may recur and are associated with potentially modifiable risks. The role of interconception preventive care in reducing repeat pregnancy complications is understudied. This retrospective cohort used 2007-2012 Medicaid claims from 12 states. Included women…
This qualitative study aimed to determine how men and gender diverse individuals who have sex with men describe their perceived risk of HIV and what factors influence this risk assessment. We conducted in-depth, virtual interviews with 18 HIV-negative individuals from Philadelphia,…
While the general relationship between ACEs and the development of chronic pain has become increasingly clear, how ACEs may shape a child's clinical presentation with regards to chronic pain has yet to be fully expounded. We aimed to determine the association between ACEs and clinical…
Evidence for the effectiveness of masking on SARS-CoV-2 transmission at the individual level has accumulated, but the additional benefit of community-level mandates is less certain. In this observational study of matched cohorts from 394 US counties between March 21 and October 20,…
Accurate, timely diagnosis of child physical abuse is key to preventing repeated and escalating abuse—however, nearly 1 in 3 young children diagnosed with an abusive injury had prior medical visits during which there was a missed opportunity to diagnose abuse and to intervene to…
Rates of sexually transmitted infections (STIs) are at an all-time high, a trend that has only been exacerbated by the COVID-19 pandemic. 1.8 million cases of chlamydia were recorded in 2019, and nearly half of infections occurred in youth ages 15-24. Routine population-based screening…
Limited research has simultaneously focused on sociodemographic differences in who receives recommended adolescent depression screening in primary care and who endorses elevated depression and suicide risk on these screeners. We describe screening and risk rates in a large pediatric…