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

描述（由申请人提供）：这个职业发展奖支持乔安妮伍德，医学博士，MSHP作为一个独立的研究人员，专注于虐待儿童的研究和提高虐待受害者的护理质量的发展。通过K23奖，伍德博士将获得卫生服务研究的高级培训，并扩大她的技能，包括定性研究方法。申请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，包括医疗保健质量和成果研究以及质量基准制定。 伍德博士提出了一个全面的研究计划，将作为未来卫生服务研究和虐待儿童工作的基础。伍德旨在开发，验证和应用隐性损伤筛查的质量指标，这是评估幼儿疑似身体虐待的重要组成部分。目标1将制定和验证适用于受伤儿童隐匿性损伤的影像学筛查标准。目标2将构建和验证一组算法，用于评估筛查隐性损伤的适当性，这些算法可应用于管理数据。目的3将比较儿科医院隐性损伤筛查实践的质量。目标4将确定促进筛查的适当使用、过度使用和使用不足的因素。她的方法，以解决在识别和诊断虐待的局限性涉及使用定量和定性方法。 伍德博士是一名初级调查员，在一家大型城市儿童医院接受过卫生政策研究培训，在儿科和虐待儿童儿科方面有丰富的经验。她组建了一个由大卫鲁宾，医学博士，MSCE（主要导师）和克里斯Feudtner，医学博士，哲学博士，公共卫生硕士（共同导师）领导的杰出的多学科导师团队，以指导她的职业发展。她的课程将包括正式的教学法和通过使用定量和定性方法进行原创研究获得的实践经验。伍德将提高她的工作质量和未来的贡献，通过指导，先进的培训，并在她的K23提案中提出的监督研究经验的领域。 费城儿童医院和宾夕法尼亚大学提供优秀的资源和指导，使伍德博士能够发展她的长期目标。她的隶属关系和熟悉的许多部门和研究所将提供访问整个卫生系统和整个大学的研究人员。作为一个支持性的环境，普通儿科，儿科系和医院的部门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.