In my role as Associate Program Director, I work to ensure that our residents are able to explore various aspects of academic medicine, including scholarly activity. Our residents are required to participate in several structured activities such as Journal Club, Quality Improvement projects, and formal educational presentations at Morning Report and Grand Rounds. We also provide support and mentorship for residents to pursue a wide range of additional opportunities in their development of academic medicine skills. Our residents regularly pursue independent academic development resulting in poster and platform presentations at regional and national academic meetings, authorship of journal articles, and participation in existing clinical research projects as well as independent clinical research with support from the Maine Medical Center Research Institute.
We are proud to offer a wide range of both structured and independent scholarly activities that are integrated throughout the curriculum in a variety of settings from the bedside to didactic sessions. The ACQUIRE scholarly activity rotation in the spring of intern year is a unique experience that introduces residents to scholarly activity in Advocacy/Community, Quality Improvement, Research, and Education while also providing independent time to begin a long term scholarly project over the remainder of residency. This can be followed up with electives in scholarly activity during the 2nd and/or 3rd years as well as our TEACH rotation as a third year in which senior residents get to hone their education skills and scholarly activity prior to graduation. Our faculty have expertise and interest in incredibly diverse areas of pediatrics ranging from basic science to clinical research to policy and advocacy. Residents complete their training not only having gained an understanding of how to use medical research and basic research concepts to inform medical decision making via the application of evidence-based medicine (EBM) skills, but also experiences that will guide their career directions well into the future.
Thomas Q. Reynolds, D.O.
Associate Program Director, Pediatrics
Division Director, Pediatric Neurology
Sarah Reynolds, MD (2022) and Rachel Coffey, DO (2022) have launched an ambitious project to incorporate techniques of the Autism Friendly Initiative into the care of children at Maine Medical Center. Through a combination of advocacy and quality improvement strategies, they hope to change both the inpatient and outpatient experience of families affected by autism by creating EHR tools to help guide providers on best ways to interact with patients with autism, global developmental delay, or intellectual disability.
Colbey Bowen, DO (2022) is working on a quality improvement project in our NICU/CCN to examine the use of combination or individual vaccinations in the care of very premature infants who spend multiple months in the hospital after birth.
Robin Wolschendorf, MD (2022) has joined our pediatric hospitalists in a study of parental attitudes surrounding safe sleep for infants on our inpatient unit. Additionally, he has begun an advocacy project in our residency clinic that aims to improve the screening, referral, and access to child developmental services for families in whom English is a second language.
Amber Brown, DO (2022) is completing research on the use of OMT (osteopathic manipulative treatment) in inpatients on the hematology/oncology service and how this therapy may improve quality of life.
Anna Sagaser, MD (2022) has submitted a poster abstract as well as initiated publication on a study looking at the comparison of measuring POC versus whole blood glucose levels to best manage hypoglycemia in our at-risk newborn nursery population.
Dan Trigg, MD (2021) has created an advocacy/community based project in cooperation with a local bicycle store. He is using quality improvement techniques to screen for helmet use in the residency clinic and then provide vouchers for free bicycle helmets to underserved children who currently do not have access to or the means to obtain a helmet otherwise
Lauren McGovern, MD (2021) has completed quality improvement work on improving barriers to transportation for hospitalized patients with several of our hospitalist attending pediatricians. She has presented her work at regional Academic Pediatric Association meetings and recently had a virtual poster accepted at for a national AAP conference.
Kyle Deerwester, MD (2021) helped developed a pilot study assessing the safety of mothers holding their infants during therapeutic hypothermia and assessed the stability of vital signs during holding and the qualitative impact of holding on mothers and nurses. Kyle’s poster was presented at the Brain Monitoring and Neuroprotection Conference in Ireland in October 2017, at the Costas-Lambrew Research Conference at MMC in May 2018, and was subsequently published in 2019 in Acta Paediatrica. Kyle has continued other scholarly activity in studying educational techniques for improving arterial puncture through the use of Point-of-Care Ultrasound with our PICU attendings in 2020.
Kalyn Utley, MD (2021) has been working on quality improvement projects within the division of hematology/oncology focused on improving care and reducing length of stay for children admitted with fever and neutropenia as well as ongoing case reports in neuro-oncology.
Lauren McGovern, MD (2021) has completed quality improvement work on improving barriers to transportation for hospitalized patients. She has presented her work at regional Academic Pediatric Association meetings.
Hilary Schroeder, MD (2021), Chris Rogers, DO (2020), and Karl Santiago, MD (2020) have all been working on an advocacy project for a local family shelter to better determine what medical needs can be met at the shelter and how to collaborate with the MMC pediatric clinic.
Kyle Deerwester, MD (2021) was a research assistant for a clinical trial on the use of delayed rewarming for neuroprotection in infants after congenital heart surgery. During this time frame, Kyle also developed his own pilot study assessing the safety of mothers holding their infants during therapeutic hypothermia and assessed the stability of vital signs during holding and the qualitative impact of holding on mothers and nurses. Kyle’s poster was presented at the Brain Monitoring and Neuroprotection Conference in Ireland in October 2017, at the Costas-Lambrew Research Conference at MMC in May 2018, and was subsequently published in 2019 in Acta Paediatrica.
Catherine Ezzio, MD (2020) currently has a mentored research grant to perform a Delphi analysis on creating a better discharge bundle for children entering the foster care system from the inpatient unit of the hospital. She is working closely with several pediatric hospitalists (Katie Diamond-Falk, Shannon Bennett, and Leah Mallory).
Jenny Paul, MD (2020) has received grant funding from the Weill foundation to perform qualitative research on pediatrician use of integrative medicine. Her goals include assessing pediatrician usage of integrative medicine as well as providing further education on the topic to general pediatricians.
Chris Rogers, DO (2020), along with Janice Dudley, NP and Thomas Reynolds, D.O. (Division of Neurology), is pioneering a quality improvement project for the Neurodevelopmental Clinics at MMP Pediatric Neurology in order to improve the quality and quantity of take-home patient education and instruction for complex pediatric patients with muscular dystrophy, spina bifida, and cerebral palsy. Chris plans to present his work and results at a regional conference after several PDSA cycles.
Leah Fox, MD (2019) helped analyze the data for the Holding during Hypothermia study and presented the poster in Ireland. She wrote a grant that was funded by the Maine Medical Center Research Institute to assess the maternal and infant levels of salivary oxytocin and cortisol before and after holding during hypothermia. She also did scholarly activity in Vitamin D projects and neonatal abstinence syndrome with our NICU and newborn nursery. Over the course of her residency she presented her work both in poster format at multiple conferences and her work on holding in therapeutic hypothermia was published in 2019 in Acta Paediatrica.
Emily Jacobs, DO (2019) completed a research project examining urine cotinine levels in healthy children exposed to vapor from electronic nicotine delivery systems to determine, using existing data from children exposed to cigarette smoke, if there is a significant difference in exposure as parents often believe. She has designed several QI projects regarding questioning use of ENDS products ("vaping"), including incorporating data capturable elements into the passive smoke exposure documentation at all office visits. She presented a poster based on her preliminary data at the AAP National Conference in November 2018.
Ashley Jean, MD (2019) completed a major quality improvement project within the division of hematology/oncology to create and implement appropriate care guidelines for sickle cell emergencies when patients present to hospitals throughout the state. Additionally, she was an invited speaker at the Maine AAP annual conference to present her lecture on addressing gun violence in pediatrics.
Melissa Keeport, MD (2019) completed a combined advocacy/QI scholarship through her work on food insecurity and changing the way primary care providers in pediatrics and family medicine screen for this and then provide information on access to food for these families.
Katherine Redford, DO (2019) completed work on multiple QI projects within our NICU and also had a case report published in NeoReviews on Nicolau Syndrome and Vitamin K deficiency.
L McElwain, S Hoffman, A Buczkowski, L McGovern, C Taylor: "Inpatient Strategies to Reduce Transportation Barriers Lead to Improved Attendance at Post-Hospitalization Appointments: An Interprofessional Quality Improvement Project," accepted as a Virtual Poster at the first-ever virtual AAP National Conference & Exhibition, at the Section on Hospital Medicine, October 2020
C. Ezzio, A Buczkowski, L McElwain. Clinical Conundrum mini platform: Lumps and bumps in an inflamed patient: not just another case of the terrible twos. Pediatrics Hospitalist Medicine Conference July 2020
C. Ezzio, A. Coates, C. Murray, J. Meserve. Clinical Conundrum: Recurrent Stridor in an 18-month-old. Pediatric Hospitalist Medicine Conference. July 2019
C. Ezzio, K. Deerwester, M. Bryden. Clinical Conundrum: Emesis and Hyponatremia in a 5-month-old with total colonic Hirschsprung’s disease. Maine AAP Spring Conference. May 2019
Stanley L, Hoffman S, Mallory L, Coppen S, Longnecker L, Correia R, Maloney E, Douglas A, Holmes R, McElwain L: “Do our patients have transportation barriers?” Poster session presented at: Region 1 APA Conference, 2019 Mar 18; Waltham, MA
C. Ezzio, A. Coates, C. Murray, J. Meserve. Clinical Conundrum: Recurrent Stridor in an 18-month-old. Pediatric Pulmonology and Sleep Medicine Conference. February 2018
Fox L, Diminick N, Fey J, Crosby P, Cyr K, Youth B, Charron J, Stiles S, Tsai-Leonard D, Morin H, Bourque J, Dumais C, Hewitt W, and McElwain L: “Quality Improvement Project Leads to Improved Adherence to AAP Recommendations Regarding Supplementation of Vitamin D in Infants, Without Delaying Discharge from Newborn Nursery.” Poster session presented at: AAP National Conference and Exhibition; 2018 Nov 4; Orlando, FL
Jacobs E. and Wyatt C. Secondhand Nicotine Exposure in Pediatrics: A Pilot Study of Children and Parents Exposed to Electronic Cigarettes. AAP National Conference and Exhibition, November 2-6, 2018, Orlando, FL
Bryden M. Improving Safe Sleep Compliance in a Pediatric Inpatient Unit and Newborn Nursery Using Quality Improvement Methodology from the American Academy of Pediatrics Education and Safe Sleep Environment (EASE) Project. AAP National Conference and Exhibition, November 2-6, 2018, Orlando, FL.
Bateman JR, Hatfield LS, Morris L, Stepp KA, Kaufer DI. The Neuropsychiatric Inventory – Questionnaire (NPI-Q) in Clinical Practice: A Retrospective Review. American Neuropsychiatric Association Conference Poster Presentation, March 23, 2018, Boston, MA.
Fox L, Craig A, Deerwester K, Jacobs J, Evans S. “Feasibility of Maternal Holding during Therapeutic Hypothermia for Infants with Neonatal Encephalopathy.” Poster session presented at: 10th International Conference on Brain Monitoring and Neuroprotection in the Newborn; 2017 Oct 5-7; Killarney, IRE
Stepp KA, DiCesare D, Mallory L, and Hayman J. Provider Preferences for Communication About Medically Complex Patients. Pediatric Hospital Medicine Conference Poster Presentation; July 22, 2017, Nashville, TN.
Stepp KA, Folker C, Tanzer M, Reynolds T, Hayman J, and Mallory L. Autoimmune Channelopathy Presents as Catecholamine Excess. Pediatric Hospital Medicine Conference Poster Presentation, July 20, 2017, Nashville, TN
Sedney S. Two Month Old with Fever and a Rash. Poster Presentation; vignettes. Society of Hospital Medicine Annual Meeting. Las Vegas, NM. May 2017.
St. Onge I. Fever and irritability in a 16 day old Infant. Poster Presentation; vignettes. Society of Hospital Medicine Annual Meeting. Las Vegas, NM. May 2017.
Bryden M, Lord M. Improving the Pediatric Medication Discharge Process: a multidisciplinary approach. Oral Presentation, Children’s Hospital Association Quality & Safety Conference, Orlando, FL. March 22, 2017.
Newborn with Hemorrhagic Skin Reaction. Katherine Redford and Gina M. Trachimowicz. NeoReviews 2020; 21;e49. DOI: 10.1542/neo.21-1-e49
Craig A, Deerwester K, Fox, L, Jacobs J, Evans S. Maternal holding during therapeutic hypothermia for infants with neonatal encephalopathy is feasible. Acta Paediatr, 2019 Sep; 108(9):1597-1602.
Mallory L, Diminick N, Bourque J, Bryden M, Miller J, Nystrom N, Lord M, McElwain L. Pediatric Patient-Centered Transitions From Hospital to Home: Improving the Discharge Medication Process. Hospital Pediatrics, 2017 Dec; 7 (12) 723-730.
Stepp A, Folker C, Tanzer M, Hayman J, Reynolds T, Mallory L. Autoimmune voltage-gated potassium channelopathy presenting with catecholamine excess. Ped Neurology, 72 (2017); 86-89
Brownell AD, Reynolds TQ, Livingston B, McCarthy CA. Human Parechovirus-3 Encephalitis in Two Neonates: Acute and Follow-Up MRI and Evaluation of CNS Markers of Inflammation. Ped Neurology, 2015 Feb; 52(2): 245-249.
Johnson V, Hayman J, McCarthy C, Cardona I. Successful Treatment of Eczema Coxsackium with Wet Wrap Therapy and Low-dose Topical Corticosteroid. Journal of Allergy and Clinical Immunology: In Practice. 2014 Sept.; 2(6): 803-804.