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Anna Esparham; Sanghamitra M. Misra; Erica Sibinga; Timothy Culbert; Kathi Kemper; Hilary McClafferty; Sunita Vohra; Lawrence Rosen. Correction: Esparham, A., et al., Pediatric Integrative Medicine: Vision for the Future. Children, 2018, 5, 111. Children 2018, 5, 123 .
AMA StyleAnna Esparham, Sanghamitra M. Misra, Erica Sibinga, Timothy Culbert, Kathi Kemper, Hilary McClafferty, Sunita Vohra, Lawrence Rosen. Correction: Esparham, A., et al., Pediatric Integrative Medicine: Vision for the Future. Children, 2018, 5, 111. Children. 2018; 5 (9):123.
Chicago/Turabian StyleAnna Esparham; Sanghamitra M. Misra; Erica Sibinga; Timothy Culbert; Kathi Kemper; Hilary McClafferty; Sunita Vohra; Lawrence Rosen. 2018. "Correction: Esparham, A., et al., Pediatric Integrative Medicine: Vision for the Future. Children, 2018, 5, 111." Children 5, no. 9: 123.
Pediatric integrative medicine (PIM) is of significant interest to patients, with 12% of the general pediatric population and up to 80% of children with chronic conditions using PIM approaches. The field of PIM has evolved over the past 25 years, approaching child health with a number of guiding principles: preventive, context-centered, relationship-based, personalized, participatory, and ecologically sustainable. This manuscript reviews important time points for the field of PIM and reports on a series of meetings of PIM leaders, aimed at assessing the state of the field and planning for its future. Efforts in the first decade of the 2000s led to increased visibility in academic and professional pediatric organizations and through international listservs, designed to link those interested in and practicing PIM, all of which continue to flourish. The PIM leadership summits in recent years resulted in specific goals to advance PIM further in the following key areas: research, clinical practice, professional education, patient and family education, and advocacy and partnerships. Additionally, goals were developed for greater expansion of PIM professional education, broader support for pediatric PIM research, and an expanded role for PIM approaches in the provision of pediatric care.
Anna Esparham; Sanghamitra M. Misra; Erica Sibinga; Timothy Culbert; Kathi Kemper; Hilary McClafferty; Sunita Vohra; Lawrence Rosen. Pediatric Integrative Medicine: Vision for the Future. Children 2018, 5, 111 .
AMA StyleAnna Esparham, Sanghamitra M. Misra, Erica Sibinga, Timothy Culbert, Kathi Kemper, Hilary McClafferty, Sunita Vohra, Lawrence Rosen. Pediatric Integrative Medicine: Vision for the Future. Children. 2018; 5 (8):111.
Chicago/Turabian StyleAnna Esparham; Sanghamitra M. Misra; Erica Sibinga; Timothy Culbert; Kathi Kemper; Hilary McClafferty; Sunita Vohra; Lawrence Rosen. 2018. "Pediatric Integrative Medicine: Vision for the Future." Children 5, no. 8: 111.
Joy A. Weydert; Melanie L. Brown; Hilary McClafferty. Integrative Medicine in Pediatrics. Advances in Pediatrics 2018, 65, 19 -39.
AMA StyleJoy A. Weydert, Melanie L. Brown, Hilary McClafferty. Integrative Medicine in Pediatrics. Advances in Pediatrics. 2018; 65 (1):19-39.
Chicago/Turabian StyleJoy A. Weydert; Melanie L. Brown; Hilary McClafferty. 2018. "Integrative Medicine in Pediatrics." Advances in Pediatrics 65, no. 1: 19-39.
It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development recognize the unacceptably high resident burnout rates and present an important opportunity for programs to improve residents experience throughout training. These competencies encourage healthy lifestyle practices and cultivation of self-awareness, self-regulation, empathy, mindfulness, and compassion—a paradigm shift from traditional medical training underpinned by a culture of unrealistic endurance and self-sacrifice. To date, few successful and sustainable programs in resident burnout prevention and wellness promotion have been described. The University of Arizona Center for Integrative Medicine Pediatric Integrative Medicine in Residency (PIMR) curriculum, developed in 2011, was designed in part to help pediatric programs meet new resident wellbeing requirements. The purpose of this paper is to detail levels of lifestyle behaviors, burnout, and wellbeing for the PIMR program’s first-year residents (N = 203), and to examine the impact of lifestyle behaviors on burnout and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed.
Hilary McClafferty; Audrey J. Brooks; Mei-Kuang Chen; Michelle Brenner; Melanie Brown; Anna Esparham; Dana Gerstbacher; Brenda Golianu; John Mark; Joy Weydert; Ann Ming Yeh; Victoria Maizes. Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents. Children 2018, 5, 54 .
AMA StyleHilary McClafferty, Audrey J. Brooks, Mei-Kuang Chen, Michelle Brenner, Melanie Brown, Anna Esparham, Dana Gerstbacher, Brenda Golianu, John Mark, Joy Weydert, Ann Ming Yeh, Victoria Maizes. Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents. Children. 2018; 5 (4):54.
Chicago/Turabian StyleHilary McClafferty; Audrey J. Brooks; Mei-Kuang Chen; Michelle Brenner; Melanie Brown; Anna Esparham; Dana Gerstbacher; Brenda Golianu; John Mark; Joy Weydert; Ann Ming Yeh; Victoria Maizes. 2018. "Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents." Children 5, no. 4: 54.
Shiu-Lin Tsai; Richard C. Niemtzow; Melanie Brown; Melanie A. Gold; Danielle M. Graff; Im Quah-Smith; Hilary McClafferty. Acupuncture and Integrative Medicine in Pediatrics. Medical Acupuncture 2018, 30, 61 -67.
AMA StyleShiu-Lin Tsai, Richard C. Niemtzow, Melanie Brown, Melanie A. Gold, Danielle M. Graff, Im Quah-Smith, Hilary McClafferty. Acupuncture and Integrative Medicine in Pediatrics. Medical Acupuncture. 2018; 30 (2):61-67.
Chicago/Turabian StyleShiu-Lin Tsai; Richard C. Niemtzow; Melanie Brown; Melanie A. Gold; Danielle M. Graff; Im Quah-Smith; Hilary McClafferty. 2018. "Acupuncture and Integrative Medicine in Pediatrics." Medical Acupuncture 30, no. 2: 61-67.
Paria M. Wilson; Kathi J. Kemper; Charles J. Schubert; Maneesh Batra; Betty B. Staples; Janet R. Serwint; Hilary McClafferty; John D. Mahan. National Landscape of Interventions to Improve Pediatric Resident Wellness and Reduce Burnout. Academic Pediatrics 2017, 17, 801 -804.
AMA StyleParia M. Wilson, Kathi J. Kemper, Charles J. Schubert, Maneesh Batra, Betty B. Staples, Janet R. Serwint, Hilary McClafferty, John D. Mahan. National Landscape of Interventions to Improve Pediatric Resident Wellness and Reduce Burnout. Academic Pediatrics. 2017; 17 (8):801-804.
Chicago/Turabian StyleParia M. Wilson; Kathi J. Kemper; Charles J. Schubert; Maneesh Batra; Betty B. Staples; Janet R. Serwint; Hilary McClafferty; John D. Mahan. 2017. "National Landscape of Interventions to Improve Pediatric Resident Wellness and Reduce Burnout." Academic Pediatrics 17, no. 8: 801-804.
The primary goals of this Special Issue are to encourage readers to become more familiar with the range of mind-body therapies and to explore their application in the pediatric clinical setting. The Special Issue includes a deliberate mix of case studies and practical clinical guidance, with the dual goals of piquing curiosity and providing resources for clinicians interested in pursuing further training
Hilary McClafferty. Mind-Body Medicine in Pediatrics. Children 2017, 4, 76 .
AMA StyleHilary McClafferty. Mind-Body Medicine in Pediatrics. Children. 2017; 4 (9):76.
Chicago/Turabian StyleHilary McClafferty. 2017. "Mind-Body Medicine in Pediatrics." Children 4, no. 9: 76.
Betty B. Staples; Janet R. Serwint; Maneesh Batra; Alan Schwartz; Paria M. Wilson; Charles Schubert; Hilary McClafferty; John D. Mahan; Kathi J. Kemper. Burnout Status and Milestone Performance in Pediatric Residents (Research Abstract). Academic Pediatrics 2017, 17, e41 -e42.
AMA StyleBetty B. Staples, Janet R. Serwint, Maneesh Batra, Alan Schwartz, Paria M. Wilson, Charles Schubert, Hilary McClafferty, John D. Mahan, Kathi J. Kemper. Burnout Status and Milestone Performance in Pediatric Residents (Research Abstract). Academic Pediatrics. 2017; 17 (5):e41-e42.
Chicago/Turabian StyleBetty B. Staples; Janet R. Serwint; Maneesh Batra; Alan Schwartz; Paria M. Wilson; Charles Schubert; Hilary McClafferty; John D. Mahan; Kathi J. Kemper. 2017. "Burnout Status and Milestone Performance in Pediatric Residents (Research Abstract)." Academic Pediatrics 17, no. 5: e41-e42.
Resident burnout is associated with poor personal health and poor patient care. Previous studies of pediatric resident burnout have involved small samples, and gaps remain in understanding predictive factors to inform future interventions.
Maneesh Batra; Kathi J. Kemper; Janet R. Serwint; Alan Schwartz; Paria M. Wilson; Betty B. Staples; Charles Schubert; Hilary McClafferty; John D. Mahan. Burnout in Pediatric Residents: A National Survey to Inform Future Interventions (Platform Presentation). Academic Pediatrics 2017, 17, e39 -e40.
AMA StyleManeesh Batra, Kathi J. Kemper, Janet R. Serwint, Alan Schwartz, Paria M. Wilson, Betty B. Staples, Charles Schubert, Hilary McClafferty, John D. Mahan. Burnout in Pediatric Residents: A National Survey to Inform Future Interventions (Platform Presentation). Academic Pediatrics. 2017; 17 (5):e39-e40.
Chicago/Turabian StyleManeesh Batra; Kathi J. Kemper; Janet R. Serwint; Alan Schwartz; Paria M. Wilson; Betty B. Staples; Charles Schubert; Hilary McClafferty; John D. Mahan. 2017. "Burnout in Pediatric Residents: A National Survey to Inform Future Interventions (Platform Presentation)." Academic Pediatrics 17, no. 5: e39-e40.
Integrative medicine is an emerging field described as the blending of conventional and evidence-based complementary medicine with a focus on healthy habits in a healthy habitat. Broad categories for integrative therapies include: lifestyle (nutrition, exercise, environmental and mind body medicine), biochemical (medications, herbal remedies, nutritional supplements), biomechanical (massage, spinal manipulation chiropractic and osteopathic adjustments and surgery), and bioenergetics (acupuncture, therapeutic touch, prayer and spirituality, homeopathy). Statistics from the 2007 National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS), showed that approximately four out of ten adults, and approximately one in nine children (11.8 %), and more than 50 % of children living with chronic illness, used complementary therapies in the United States in 2007. The prevalent use of complementary and integrative therapies contrasts sharply with the low disclosure rates to medical providers. This chapter offers an overview of the field and a review of research on the use of integrative medicine in those with intellectual and developmental disabilities (IDD).
Hilary H. McClafferty; Kathi J. Kemper. Integrative Medicine. Health Care for People with Intellectual and Developmental Disabilities across the Lifespan 2016, 1943 -1965.
AMA StyleHilary H. McClafferty, Kathi J. Kemper. Integrative Medicine. Health Care for People with Intellectual and Developmental Disabilities across the Lifespan. 2016; ():1943-1965.
Chicago/Turabian StyleHilary H. McClafferty; Kathi J. Kemper. 2016. "Integrative Medicine." Health Care for People with Intellectual and Developmental Disabilities across the Lifespan , no. : 1943-1965.
Objective: A healthy environment is integral to health, yet clinicians receive minimal environmental health training, missing repeated opportunities for preventive counseling. To address educational gaps and examine the usefulness of online education in environmental health, a 6-hour online course, Environmental Health: An Integrative Approach was developed for healthcare practitioners. The objective of this study was to evaluate the feasibility and effectiveness of the course. Methods: This was a within subjects longitudinal study examining change in medical knowledge, beliefs and attitudes toward environmental health topics, attitude toward the importance of conducting an environmental health history, barriers to conducting an environmental health history and confidence in environmental health history assessment skills.. Participants included physicians, nurses, nurse practitioners and other healthcare providers. Measures were completed prior to the course, upon completion, and at a 30-day follow-up. A course evaluation survey assessing educational quality, personal benefit/improved patient care, meeting course expectations, faculty expertise, and course completion time was completed. Data were collected 2012-2013 and analyzed in 2013-2014. Results: Evaluation results indicate the online format and content were well-received, easily implemented, met learners’ expectations, and completed in a manageable timeframe (N=436). Participants evidenced positive pre-post changes in attitudes toward environmental health issues, taking an environmental health history, and confidence in conducting an environmental health history (N=478; P < .007). Positive changes were maintained at follow-up for attitudes and confidence (N=344; P < .001); however reductions in some history taking barriers were not maintained. Conclusion: An online curriculum is a promising method for delivering a foundational environmental health education course to diverse healthcare professionals. Further study is needed to assess best methods for translation of the curriculum into effective clinical practice and improved patient outcomes.
Hilary McClafferty; Audrey Brooks J; Sally Dodds; Victoria Maizes. Environmental Health: Evaluating an online educational curriculum for healthcare workers. Journal of Preventive Medicine 2016, 01, 1 .
AMA StyleHilary McClafferty, Audrey Brooks J, Sally Dodds, Victoria Maizes. Environmental Health: Evaluating an online educational curriculum for healthcare workers. Journal of Preventive Medicine. 2016; 01 (01):1.
Chicago/Turabian StyleHilary McClafferty; Audrey Brooks J; Sally Dodds; Victoria Maizes. 2016. "Environmental Health: Evaluating an online educational curriculum for healthcare workers." Journal of Preventive Medicine 01, no. 01: 1.
Pediatric integrative oncology, the intentional combining and coordinating of conventional and evidence-based complementary therapies into the overall treatment plan developed by the pediatric oncology team with the family, is a rapidly emerging field. Many pediatric oncology patients use complementary therapies, primarily in an attempt to support a healthy lifestyle and to mitigate treatment side effects such as pain, anxiety, nausea and vomiting, and fatigue. Most patients and families do not disclose the use of complementary therapy to their oncologist. The most common reason for nondisclosure is that the oncologist does not ask about use. Many oncologists report not feeling sufficiently educated about complementary therapies to answer patient and family questions or to determine whether the modality would be useful or detrimental to the child’s overall care. For providers to encourage patients and families to discuss their questions about the use of complementary therapies openly and honestly, providers must have access to reliable resources or to well qualified consultants. This chapter addresses some of the most common questions families ask about complementary therapies. More outcome-based research about the best ways to integrate these therapies into mainstream oncology care is critical, especially in pediatric patients.
Olle Jane Z. Sahler; Hilary McClafferty; Marilyn A. Rosen. Integrative Care in Pediatric Oncology. Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care 2016, 291 -305.
AMA StyleOlle Jane Z. Sahler, Hilary McClafferty, Marilyn A. Rosen. Integrative Care in Pediatric Oncology. Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care. 2016; ():291-305.
Chicago/Turabian StyleOlle Jane Z. Sahler; Hilary McClafferty; Marilyn A. Rosen. 2016. "Integrative Care in Pediatric Oncology." Pediatric Psychosocial Oncology: Textbook for Multidisciplinary Care , no. : 291-305.
Use of integrative medicine (IM) is prevalent in children, yet availability of training opportunities is limited. The Pediatric Integrative Medicine in Residency (PIMR) program was designed to address this training gap. The PIMR program is a 100-hour online educational curriculum, modeled on the successful Integrative Medicine in Residency program in family medicine. Preliminary data on site characteristics, resident experience with and interest in IM, and residents’ self-assessments of perceived knowledge and skills in IM are presented. The embedded multimodal evaluation is described. Less than one-third of residents had IM coursework in medical school or personal experience with IM. Yet most (66%) were interested in learning IM, and 71% were interested in applying IM after graduation. Less than half of the residents endorsed pre-existing IM knowledge/skills. Average score on IM medical knowledge exam was 51%. Sites endorsed 1–8 of 11 site characteristics, with most (80%) indicating they had an IM practitioner onsite and IM trained faculty. Preliminary results indicate that the PIMR online curriculum targets identified knowledge gaps. Residents had minimal prior IM exposure, yet expressed strong interest in IM education. PIMR training site surveys identified both strengths and areas needing further development to support successful PIMR program implementation.
Hilary McClafferty; Sally Dodds; Audrey J. Brooks; Michelle G. Brenner; Melanie L. Brown; Paige Frazer; John D. Mark; Joy A. Weydert; Graciela M. G. Wilcox; Patricia Lebensohn; Victoria Maizes. Pediatric Integrative Medicine in Residency (PIMR): Description of a New Online Educational Curriculum. Children 2015, 2, 98 -107.
AMA StyleHilary McClafferty, Sally Dodds, Audrey J. Brooks, Michelle G. Brenner, Melanie L. Brown, Paige Frazer, John D. Mark, Joy A. Weydert, Graciela M. G. Wilcox, Patricia Lebensohn, Victoria Maizes. Pediatric Integrative Medicine in Residency (PIMR): Description of a New Online Educational Curriculum. Children. 2015; 2 (1):98-107.
Chicago/Turabian StyleHilary McClafferty; Sally Dodds; Audrey J. Brooks; Michelle G. Brenner; Melanie L. Brown; Paige Frazer; John D. Mark; Joy A. Weydert; Graciela M. G. Wilcox; Patricia Lebensohn; Victoria Maizes. 2015. "Pediatric Integrative Medicine in Residency (PIMR): Description of a New Online Educational Curriculum." Children 2, no. 1: 98-107.
Increase in the prevalence of disease and illness has dramatically altered the landscape of pediatrics. As a result, there is a demand for pediatricians with new skills and a sharper focus on preventative health. Patient demand and shifting pediatric illness patterns have accelerated research in the field of pediatric integrative medicine. This emerging field can be defined as healing-oriented medicine that considers the whole child, including all elements of lifestyle and family health. It is informed by evidence and carefully weighs all appropriate treatment options. This Special Issue of Children, containing a collection of articles written by expert clinicians, represents an important educational contribution to the field. The goal of the edition is to raise awareness about integrative topics with robust supporting evidence, and to identify areas where more research is needed.
Hilary McClafferty. Integrative Pediatrics: Looking Forward. Children 2015, 2, 63 -65.
AMA StyleHilary McClafferty. Integrative Pediatrics: Looking Forward. Children. 2015; 2 (1):63-65.
Chicago/Turabian StyleHilary McClafferty. 2015. "Integrative Pediatrics: Looking Forward." Children 2, no. 1: 63-65.
Olle Jane Z. Sahler; Hilary McClafferty; Marilyn A. Rosen; Maryland Pao; Anne E. Kazak; Andrea Farkas Patenaude. Integrative Oncology. Pediatric Psycho-Oncology 2014, 199 -218.
AMA StyleOlle Jane Z. Sahler, Hilary McClafferty, Marilyn A. Rosen, Maryland Pao, Anne E. Kazak, Andrea Farkas Patenaude. Integrative Oncology. Pediatric Psycho-Oncology. 2014; ():199-218.
Chicago/Turabian StyleOlle Jane Z. Sahler; Hilary McClafferty; Marilyn A. Rosen; Maryland Pao; Anne E. Kazak; Andrea Farkas Patenaude. 2014. "Integrative Oncology." Pediatric Psycho-Oncology , no. : 199-218.
Treatment of asthma lends itself to an integrative medicine approach due to the multifactorial nature of the disease. It is well established that asthma has a neuromuscular component (bronchospasm), an immunological component (inflammation), and a psychological component. This encourages the use of diverse approaches to address all avenues of pathophysiology, aiming for the most effective blend of treatment approaches possible. Integrative medicine is defined by NIH NCCAM (http://nccam.nih.gov) as medicine that blends the use of evidence-based complementary therapies with conventional medicine. Statistics from the 2007 National Health Interview Survey (NHIS), conducted by the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS), showed that approximately four out of 10 adults and approximately one in nine children and more than 50 % of children living with chronic illness, including asthma, used complementary therapies in the USA in 2007. Asthma and allergies rank among the top 15 most common medical conditions in which integrative therapies are used in both children and adults. To date, integrative treatment approaches with some evidence for benefit in asthma treatment include the following: nutrition modification, mind-body medicine, physical activity, and certain dietary supplement interventions.
Hilary McClafferty. An Overview of Integrative Therapies in Asthma Treatment. Current Allergy and Asthma Reports 2014, 14, 1 -8.
AMA StyleHilary McClafferty. An Overview of Integrative Therapies in Asthma Treatment. Current Allergy and Asthma Reports. 2014; 14 (10):1-8.
Chicago/Turabian StyleHilary McClafferty. 2014. "An Overview of Integrative Therapies in Asthma Treatment." Current Allergy and Asthma Reports 14, no. 10: 1-8.
Focus Areas: Integrative Approaches to Care, Pediatrics
Hilary McClafferty. P4.01. Omega-3 Fatty Acids Throughout the Pediatric Lifecycle. Global Advances in Health and Medicine 2013, 2, S146 -S146.
AMA StyleHilary McClafferty. P4.01. Omega-3 Fatty Acids Throughout the Pediatric Lifecycle. Global Advances in Health and Medicine. 2013; 2 (1_suppl):S146-S146.
Chicago/Turabian StyleHilary McClafferty. 2013. "P4.01. Omega-3 Fatty Acids Throughout the Pediatric Lifecycle." Global Advances in Health and Medicine 2, no. 1_suppl: S146-S146.