Research Roundtable October 4, 2022 | 8-9 am

Difficult Conversations in Child Maltreatment: Assessing Communication Skills in Pediatric Residents 

Dr. Michelle Wooldridge, PGY2

Supervisors: Dr. Brittany Anne Howson-Jan & Dr. Kathleen Nolan

There is a paucity of information in the literature regarding the use of simulation in medical education for the purposes of assessing communication skills, particularly in the area of child maltreatment. We are designing a project in which we will recruit pediatric residents to undergo teaching and simulation in a randomized fashion at which time they will be assessed using the Kalamazoo framework. We aim to understand if our teaching intervention, the simulation experience or both, help improve communication skills. We will also survey residents to explore their thoughts before and after their participation.

Objectives:

  1. Understand the current status of what is known about simulation for assessment of communication skills in child maltreatment.
  2. Explore our current study design and understand our aims and objectives.
  3. Participate in discussion about improvement opportunities in our design/future directions.

Research Roundtable September 16, 2022 | 12-1 pm

FHS Clinical Research Support Unit: Supports for early- to mid-career researchers

Dr. Paul Moayyedi, Assistant Dean of Research, FHS, McMaster University

Recently, the Faculty of Health Sciences launched the Clinical Research Support Unit aimed at decreasing barriers to clinical research conduct for early- and mid-career investigators. With a focus on capacity building, the CRSU offers support services via core staff that can be engaged to varying degrees, depending on need: from brief 1-hour advisory consultations through to collaborative and full research management services. Bring your questions and join us to learn more about this new offering!

Research Roundtable September 6, 2022 | 8-9am

Assessment of the Barriers to Care Amongst Street-Involved Youth in Hamilton, Ontario

Dr. Orianna Mak, PGY2

Supervisor: Dr. Ania Van Meer

It is widely known that street-involved youth face a myriad of negative health-related outcomes relative to their housed counterparts. The proposed project will therefore seek to understand the self-identified barriers to care amongst street-involved youth in Hamilton. I will be presenting my research proposal for this qualitative assessment and seeking feedback on the study design.

Objectives:

  1. Understand some of the negative health-related outcomes associated with street-involvement amongst youth.
  2. Develop an understanding of integrated knowledge translation and its importance.

Research Roundtable June 17, 2022 | 12-1 pm

MICYRN: Supports for multi-site pediatric trials

Breanne Stewart, Associate Director, Clinical Trials, MICYRN

The national Maternal Infant Child and Youth Research Network (MICYRN) links the 18 child and child/maternal academic health centres across the country, including the Department of Pediatrics at McMaster University. A focus for MICYRN is enabling efficient, streamlined pediatric multicentre clinical trials in Canada and it is increasing its capacity to function as an academic research organization.

MICYRN’s offers pre-and post-award services for funded investigator-initiated pediatric trials led by member sites – from study design consultations to assistance with protocol and CTA development to trial monitoring services and more. Join us to learn more about how the services can support your multi-site trial!

Research Roundtable June 7, 2022 | 8-9 am

Maternity Experiences Behind Bars: Exploring Incarcerated Indigenous Women’s Reproductive and Maternal-Child Health

Dr. Christine Wang, PGY2

Supervisors: Drs. Anne Niec, Fiona Kouyoumdjian, & Jennifer Leason

Due to ongoing systemic racism and oppression, socio-economic marginalization, and impacts of colonialism, Indigenous women account for half of the female population in Canadian federal prisons. My presentation will outline our mixed methods approach and scoping review search strategy seeking to identify policies, initiatives and best practices that meet sexual and reproductive rights of incarcerated Indigenous women in Canada, USA, New Zealand and Australia, along with their lived experiences surrounding maternal-child health.

Objectives:

  1. To discuss how a mixed methods approach with quantitative, qualitative and community-based participatory measures can be adopted to explore incarcerated Indigenous women’s sexual, reproductive, and maternal child experiences, needs, strengths and priorities as they relate to gender, wellness, and trauma
  2. To explore how we decolonize previous public health research through a trauma and violence informed lens to illuminate incarcerated women’s experiences related to their strength and resilience, culture and contexts surrounding social and moral determinants of health

Research Roundtable May 3, 2022 | 8-9 am

Building a safety culture in the NICU

Jimmy Hu, PhD Candidate, Health Research Methodology

Supervisors: Drs. Lehana Thabane & Salhab el Helou

The McMaster Neonatal Intensive Care Unit is aiming to improve its safety culture, through a multi-pronged complex intervention. This talk will describe the components of this complex intervention, and how they drive change towards improving safety culture. Methodogic challenges will also be described, including the use of novel frameworks, and evaluating the dynamic intervention.

Objectives:

  1. Understand what is safety culture and the frameworks used to change safety culture.
  2. Understand that changing safety culture is a complex, dynamic and interdependent process.

Research Roundtable April 29, 2022 | 12-1 pm

Improving inhaled Nitric Oxide (iNO) use in a tertiary level NICU: decreasing cost and standardizing usage of iNO through quality improvement methodology

Dr. Jennifer Twiss, Assistant Professor, Division of Neonatology

Dr. Eman al Johani, Neonatal Perinatal Medicine fellow

Use of iNO in the preterm population for hypoxemic respiratory failure is controversial and currently off label.  After a chart review, our center was identified as having high rates of use of iNO in this population, therefore a quality improvement study was designed to decrease the off label usage of iNO and standardize our approach to using iNO, with the anticipated effect of decreasing the associated cost.

Objectives:

  1. Review the choices of QI tools and methodology used during this project.
  2. To discuss challenges in launching interventions that require testing prior to implementation, and seek feedback on how to move through these challenges

Research Roundtable April 5, 2022 | 8-9 am

Vaccination in Children with Special Needs

Dr. Emily Fong, PGY2

Supervisor: Dr. Ronit Mesterman

This study assesses vaccination rates in children with special needs, especially children with autism spectrum disorder (ASD) and intellectual disability (ID.) Vaccination rates in children with ASD and ID are affected by different factors, including behaviours such as aggression or anxiety. We want to assess which factors have had the most impact on children with special needs completing their vaccinations or refusing them. We are also hoping to learn what kinds of interventions have helped them to receive their required vaccines

Objective:

This session will consider different barriers to vaccination for children with special needs.

Research Roundtable March 25, 2022 | 12-1 pm

Non-inferiority trials: What you need to know about what the are (not), pros and cons, why we use them, and how to appraise them

Dr. Lehana Thabane

Dr. Lehana Thabane is Vice President of Research at St Joseph’s Healthcare – Hamilton; Scientific Director of the Research Institute at St Joseph’s Healthcare; Professor of Biostatistics and former Interim Chair/Associate Chair of the Department of Health Research Methods, Evidence, and Impact; Associate Member of the Departments of Pediatrics, Medicine, Family Medicine, Surgery, Psychiatry and Behavioural Neurosciences, and Anesthesia, School of Nursing, and School of Rehabilitation Science in the Faculty of Health Sciences at McMaster University. He is also the Director of Biostatistics at St. Joseph’s Healthcare – Hamilton.

Research Roundtable March 1, 2022 | 8-9 am

Estimates of pediatric pneumonia incidence, morbidity, and mortality in developed countries since 2010: a systematic review and meta analysis

Dr. Kevin Karivelil, PGY2

Supervisor: Dr. Jeff Pernica

Pediatric pneumonia is a significant cause of morbidity and mortality worldwide, being responsible for the deaths of more than 800,000 children per year. Most of these deaths occur in the non-industrialized world; however, the incidence and burden of pneumonia in developed nations has not been recently well described. This presentation will outline the early stages of a systematic review, aiming to quantify the incidence and burden of pneumonia in high-income countries after the inclusion of 13-valent pneumococcal conjugate vaccines in universal immunization programs. The research question, search strategy, inclusion/exclusion criteria, and outcomes of interest will be shared for critical feedback.

Objectives:

  1. To recognize the paucity of recent data on pediatric pneumonia incidence/morbidity in high-income countries, and reflect critically about how new data might affect current antibiotic prescribing practices and/or health policy.
  2. To provide feedback on various methodological steps in this systematic review.