Academic and Research Skills
Emergency Medicine
Health Services Research
Public Health
Quality Improvement/Patient Safety
Trainee
Danielle Cullen, MD, MPH, MSHP (she/her/hers)
Assistant Professor
Pediatric Emergency Medicine
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Session
Description: Alarmingly, it takes an average of 17 years for only 14% of original research to be integrated into clinical practice. Conversely, some low-value and potentially harmful practices remain a cornerstone of clinical care. This “evidence-to-practice” or “know-do” gap translates into inequitable and suboptimal care, poor health outcomes, increased costs, and strain on limited healthcare resources. A growing number of studies characterize evidence-to-practice gaps in pediatric emergency medicine in areas such as head trauma, sepsis, bronchiolitis and asthma, leading to increased calls for implementation research. Despite the demand for this work, few clinician researchers are trained to successfully conduct implementation research. The first portion of this session will introduce participants to implementation research methods, frameworks, and the funding landscape, and the second will highlight active efforts focused on implementation and de-implementation in pediatric prehospital and emergency care. Panelists will discuss the trajectory from efficacy and effectiveness to implementation research in three stages: 1) evaluating the evidence behind practices to determine readiness for implementation or de-implementation, 2) planning for implementation by evaluating barriers to implementation during efficacy/effectiveness research, and 3) writing successful grants and running implementation trials. Resources, tips, and an emphasis on team science will be integrated throughout the session. Panel participants include experts in implementation science, pediatric emergency medicine, and prehospital care who have designed and led local and national efforts including grant-funded and multi-center collaborations to rigorously define and study best practices for implementation.
Speaker: Danielle Cullen, MD, MPH, MSHP (she/her/hers) – Children's Hospital of Philadelphia
Speaker: Tim Dribin, MD (he/him/his) – Cincinnati Children's Hospital Medical Center
Speaker: Tehnaz P. Boyle, MD, PhD (she/her/hers) – Boston University School of Medicine
Speaker: Margaret Samuels-Kalow, MD MPhil MSHP (she/her/hers) – MassGeneral Hospital for Children