Scholarly Activity

Amy Stepp seen here, at the Pediatric Hospital Medicine conference in Nashville, TN. July 20, 2017

Residency is an opportune time to explore all facets of medical education, further intellectual curiosity and establish a basis upon which to build adult learning skills. Participating in scholarly activity during residency is a great way to expand learning beyond the clinical setting.

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. 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

Recent Resident Experiences

Lauen Stanley, 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.

Micah Lamb, DO (2018) investigated the effects of various playing surfaces on injury types and frequency in soccer goalkeepers using data from the National Athletic Treatment, Injury and Outcomes Network (NATION) High School (HS) Surveillance Program as well as information from Maine High School Athletic Departments. Current internal medicine-pediatrics resident Jarrod Tembruell (2021) has since taken over this research project after Micah pursued a sports medicine fellowship at Children’s Hospital of Philadelphia.

Kevin Scully, MD (2018), Mike Dedekian, MD (Division of Endocrinology) and colleagues at the Maine Medical Center Research Institute investigated a potential novel pituitary hormone with a likely association with obesity in children. Kevin is now in fellowship in pediatric endocrinology at Boston Children’s Hospital.

Alexis Beinlich, MD (2018) and Alexa Craig, MD (Division of Neurology) analyzed a dataset of vital signs collected on term and preterm infants pre and post-osteopathic manipulative therapy (OMT) to determine safety of the procedure and is currently under editorial review for publication. She also designed and implemented a second study to assess the effect of OMT on reduction in hospital length of stay in neonates treated with therapeutic hypothermia in the NICU for neonatal encephalopathy. Recruitment was completed in August 2018 and the findings of the study are currently in submission to the Journal of the American Osteopathic Association.

Meredith Bryden, MD (2018) and the BBCH Nurse Manger had an invited oral presentation at the 2017 Children’s Hospital Association Quality & Safety Conference highlighting the BBCH Team work: Improving the Pediatric Medication Discharge Process: a multidisciplinary approach. From this research, a paper entitled "Pediatric Patient-Centered Transitions From Hospital to Home: Improving the Discharge Medication Process", was published in Hospital Pediatrics in December 2017. Meredith had a poster presentation accepted for the 2018 AAP National Conference and Exhibition entitled "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".

Presentation Academic Meetings

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

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.

Burns, D. Longitudinal Tracking of Overweight and obese patients in a primary care pediatric practice. Poster Presentation. Maine AAP Fall Conference. October 2016.

St. Onge I. Improving Experience and Outcomes During Hospitalization for Pulmonary Exacerbations. Poster Presentation. 2016 North American Cystic Fibrosis Conference, October 27-29, 2016 Orlando, Florida.

St. Onge I. Pediatric Patient-Centered Transitions from Hospital to Home. Oral Presentation (Research Platform Plenary Session). Pediatric Hospital Medicine Meeting (AAP, APA and SHM). July 28-31, 2016. Chicago, IL.

St. Onge I. Fever and Irritability in a 16-day old Infant. Poster Presentation, Maine Society for Hospital Medicine Annual Meeting. May 21, 2016 Portland, ME

Clem J. GI Upset After Recent Travel to Africa Poster Presentation. Hospital Medicine 2016 (Society for Hospital Medicine). March 2016 San Diego, CA

Dark J. Fever of Unknown Origin in a 6-year-old Female. Poster Presentation. Hospital Medicine 2016 (Society for Hospital Medicine). March 2016 San Diego, CA

Recent Resident Publications

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.