The Pediatrician ’s Role in Protecting Children from Environmental Hazards
Children suffer disproportionately from disease and disability due to environmental hazards, for reasons rooted in their biology. The contribution is substantial and increasingly recognized, particularly due to ever-increasing awareness of endocrine disruption. Regulatory actions can be traced directly to reductions in toxic exposures, with tangible benefits to society. Deep flaws remain in the policy framework in industrialized countries, failing to offer sufficient protection, but are even more limited in industrializing nations where the majority of chemical production and use will occur by 2030. Evidence-based steps fo...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Leonardo Trasande, Christopher D. Kassotis Source Type: research
Child Advocacy in Action
The notion that the physician has a responsibility to both the patient in their care and the community in which they reside has been a source of inspiration and tension within the profession for centuries. The profession of Pediatrics has uniquely incorporated advocacy into its training programs and will likely continue to incorporate advocacy into its professional standards for the foreseeable future. In this article, we review the history of advocacy within the profession, outline the skills needs for successful child health advocacy and offer examples of how advocacy combined with pediatric practice has improved the liv...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: David M. Keller Source Type: research
Inclusion of Children in Clinical Research
Many groups have historically been excluded from clinical research. It has required vigorous, long-term advocacy efforts for better inclusion of women and children across racial and ethnic groups. To understand who is included in clinical research, data are required. A personal journey of advocacy requiring the National Institutes of Health to report inclusion in clinical studies by age was ultimately accomplished by federal legislation. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Scott C. Denne, James Baumberger, Lynn Olson Source Type: research
Advocacy for Unaccompanied Migrant Children in US Detention
During 2021, nearly 150,000 unaccompanied children (UCs) were apprehended at the US –Mexican border. Most are leaving Guatemala, Honduras, and El Salvador, motivated by poverty, climate change, and violence. UCs are most often apprehended by the Border Patrol and then transferred to the Office of Refugee Resettlement (ORR), the Department of Health and Human Services. ORR is resp onsible for ensuring that the child is released to a parent or sponsor in the United States capable of providing an adequate home. Advocacy must not only address a complex system of legal and custodial care but also confront a troubled political...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Paul H. Wise Source Type: research
Going Farther by Going Together
With greater understanding of the impact of social determinants on child health, advocacy has become essential to promoting children ’s health, particularly at the population level. Successful advocacy requires coalition building. Steps on how to create a productive coalition, including the selection of partner organizations, understanding how these groups enhance your activities, and strict definition of assigned roles is revi ewed. Examples of successful coalitions are reviewed. A list of potential partners, who focus on various aspects of child health, is provided. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Shetal Shah Source Type: research
Making Advocacy Part of Your Job
Effective child health advocacy is an essential strategy to improve child health, and can improve access to equitable care. It can also be professionally rewarding and improve career satisfaction. However, while advocacy has been a part of pediatrics since its origins as a specialty, many barriers to engaging in health advocacy exist which can be challenging to navigate. There are a wide range of organizational practice settings, which are each accompanied by unique strengths and limitations. No matter the practice setting, pediatricians can be effective advocates for child health through leveraging organizational, profess...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Lee Savio Beers, Melinda A. Williams-Willingham, Lisa J. Chamberlain Source Type: research
Community Advocacy in Pediatric Practice
Pediatrics is a specialty that is grounded in advocacy, possibly more than any other field of medicine. Infants, children, and adolescents depend on others to cover their basic needs including food, shelter, and education and rely on proxy voices to speak out on their behalf. In this article, we describe the importance of community advocacy in pediatrics, best practices for training pediatricians in community advocacy, and case studies to highlight trainee experiences and demonstrate how community advocacy and community-based participatory research can be incorporated in the career of a pediatrician. (Source: Pediatric Cli...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Karen Camero, Joyce R. Javier Source Type: research
Making Maternal Child Health a Population Health Priority in Maryland
This case study illustrates state legislative advocacy in action in Maryland. Success in strengthening maternal and child health is described using the Academic Pediatric Association ’s 4-step approach to advocacy: (1) Identify the Issue and Target Audience; (2) Craft the Message; (3) Develop Relationships and Coalitions, and (4) Communicate the Message. Starting with state legislation and formation of a Maryland Maternal Child Health Task Force led to maternal child health na med as 1 of 3 state population health priorities. This guided subsequent programmatic investment and attention. Further dissemination of task forc...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Tina L. Cheng Source Type: research
Advocacy for Global Tobacco Control and Child Health
Tobacco and secondhand smoke remain leading threats to public health. Evidence since the 1950s has shown that the tobacco industry has acted in bad faith to deceive the public about the health effects of smoking. They have specifically targeted vulnerable populations including children and adolescents with various —and often misleading—marketing efforts and promotions. The increased popularity and weak regulation of electronic cigarettes have created a new generation of smokers who mistakenly believe they are “safer” from harm. Continued research, advocacy, and government action are needed to protect public health....
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Felicia Scott-Wellington, Elissa A. Resnick, Jonathan D. Klein Source Type: research
Translating Research into Child Health Policy
This article outlines barriers to translation, provides examples of discordance between evidence and policy, summarizes models to inform translation, and offers strategies to improve translation of research to policy. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Christian D. Pulcini, Jean L. Raphael, Keila N. Lopez Source Type: research
Community Engagement
Pediatricians play a critical role in promoting child health through community engagement, yet the skills required to be effective leaders and advocates alongside the community are often not the focus of traditional medical training. The American Academy of Pediatrics Community Pediatrics Training Initiative provides faculty and resident training, curricula, and collaboratives to teach the core skills needed for upstream interventions that can affect the entire population of a community. Core skills include community assessment and competence, composed of data, observational, and experiential components. The work of commun...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Sara M. Bode Source Type: research
Child Health Advocacy
The last several years have seen accelerated activity and discourse directed at antiracism. Specifically following the 2020 murder of George Floyd, institutions across the country engaged in a range of introspective exercises and transparent reckonings examining their practices, policies, and history insofar as equity and racism is concerned. The authors of this article, both active protagonists in this domain, have been, and continue to be, part of ongoing national efforts and have learned much about the strategies and tactics necessary to initiate, engage, and sustain traction on the path to antiracism. (Source: Pediatri...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Joseph L. Wright, Tiffani J. Johnson Source Type: research
Effective Communication for Child Advocacy
Clinicians who want to communicate child advocacy messages, stories, and arguments can draw on their clinical and scientific experience, but effective communication to wider ––and nonmedical––audiences requires careful thought. We discuss choosing and honing the message, developing writing and speaking skills that fit both the exigencies of the chosen medium and format, including op-eds, essays, social media, public testimony, and speeches. We provide guidance o n proposing articles, working with editors, shaping language and diction for a general audience, and drawing on clinical experiences while respecting confi...
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Perri Klass, Nia Heard-Garris, Dipesh Navsaria Source Type: research
Child Advocacy in Action
Child health professionals are natural advocates. We recognize the great potential of each child and the importance of investing early for healthy children and the adults they will become. We see social inequities affecting child health and work to make an impact child by child, family by family, and through advocacy. Children can ’t vote, so we must stand and vote for them. (Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Authors: Tina L. Cheng Tags: Foreword Source Type: research
CME Accreditation Page
(Source: Pediatric Clinics of North America)
Source: Pediatric Clinics of North America - November 17, 2022 Category: Pediatrics Source Type: research
