Occult Injury Screening and the Detection of Physical Abuse in Young Children

描述(由申请人提供)：该职业发展奖支持Joanne Wood，医学博士，MSHP作为一名独立研究员的发展，专注于儿童虐待研究，并提高对虐待受害者的护理质量。通过K23奖项，伍德博士将获得卫生服务研究方面的高级培训，并将她的技能扩展到包括定性研究方法。申请书中概述的职业发展目标将作为未来虐待儿童领域调查的基础，包括医疗质量和结果研究以及质量基准。伍德博士提出了一项全面的研究计划，该计划将作为未来医疗服务研究和虐待儿童工作的基础。伍德博士的目标是开发、验证和应用隐匿性伤害筛查的质量指标，这是评估幼儿疑似身体虐待的关键组成部分。目标1将制定并验证儿童受伤儿童隐匿性损伤的放射检查的适当性标准。目标2将构建和验证一套算法，用于评估可应用于行政数据的隐匿性损伤筛查的适当性。目标3将比较各儿科医院隐性损伤筛查实践的质量。目标4将确定促进适当使用、过度使用和使用不足筛查的因素。她在处理认识和诊断虐待方面的局限性的方法涉及使用定量和定性方法。伍德博士是一名初级研究员，曾在一家大型城市儿童医院接受过卫生政策研究方面的培训，并在儿科和虐儿儿科方面拥有丰富的经验。她组建了一支杰出的多学科导师团队，由医学博士大卫·鲁宾(David Rubin)(主要导师)和克里斯·费德纳(Chris Feudtner)(医学博士、博士和公共卫生硕士)(共同导师)领导，指导她的职业发展。她的课程将包括通过使用定量和定性方法进行原创研究而获得的正式教学方法和实践经验。伍德博士将通过她的K23提案中提出的指导、高级培训和监督研究经验来提高她的工作质量和未来对该领域的贡献。费城儿童医院和宾夕法尼亚大学提供了出色的资源和指导，使伍德博士能够制定她的长期目标。她的从属关系和对许多部门和研究所的熟悉将为整个卫生系统和整个大学的研究人员提供机会。作为一个支持性的环境，普通儿科、儿科和医院致力于推进她的研究事业。

DESCRIPTION (provided by applicant): This career development award supports the development of Joanne Wood, MD, MSHP as an independent researcher focusing on child maltreatment research and improving the quality of care for victims of abuse. Through the K23 award, Dr. Wood will gain advanced training in health services research and expand her skills to include qualitative research methods. Career development goals outlined in the application will serve as the basis for future investigations in the field of child maltreatment, including healthcae quality and outcomes research and quality benchmarking. Dr. Wood proposes a comprehensive research program that will serve as the foundation for future work in health services research and child maltreatment. Dr. Wood aims to develop, validate, and apply quality metrics for occult injury screening, a crucial component of the evaluation for suspected physical abuse in young children. Aim 1 will develop and validate appropriateness criteria for radiographic screening for occult injuries in young injured children. Aim 2 will construct and validate a set of algorithms for assessing the appropriateness of screening for occult injuries that can be applied to administrative data. Aim 3 will compare the quality of screening practices for occult injuries across pediatric hospitals. Aim 4 will identify factors that promote appropriat use, overuse, and underuse of screening. Her approach to address limitations in recognizing and diagnosing abuse involves the use of quantitative and qualitative methods. Dr. Wood is a junior investigator with training in health policy research and extensive experience in pediatrics and child abuse pediatrics at a large, urban children's hospital. She has assembled an outstanding multidisciplinary team of mentors led by David Rubin, MD, MSCE (primary mentor) and Chris Feudtner, MD, PhD, MPH (co-mentor) to guide her career development. Her program will include formal didactics and practical experience gained through conduct of original research using both quantitative and qualitative methods. Dr. Wood will enhance the quality of her work and future contributions to the field through the mentoring, advanced training, and supervised research experience set forth in her K23 proposal. The Children's Hospital of Philadelphia and University of Pennsylvania offer outstanding resources and mentorship that will enable Dr. Wood to develop her long-term goals. Her affiliations and familiarity with the many departments and institutes will provide access to researchers across the health system and across the University. Serving as a supportive environment, the Division of General Pediatrics, the Department of Pediatrics, and the Hospital are committed to advance her research career.