About
As a board-certified…
Experience & Education
Licenses & Certifications
-
Certificate of Added Qualification in Sports Medicine
American Board of Pediatrics
Issued ExpiresCredential ID 212 -
Volunteer Experience
Publications
-
Sport specialization's association with an increased risk of developing anterior knee pain in adolescent female athletes.
Journal of Sports Rehabilitation
OBJECTIVES:
To determine if sport specialization increases the risk of anterior knee pain in adolescent female athletes.
DESIGN:
Retrospective cohort epidemiology study.
METHODS:
Female basketball, soccer, and volleyball players (N = 546) were recruited from a single county public school district in Kentucky consisting of 5 middle schools and 4 high schools. A total of 357 multisport and 189 single-sport (66 basketball, 57 soccer, and 66 volleyball) athlete subjects were…OBJECTIVES:
To determine if sport specialization increases the risk of anterior knee pain in adolescent female athletes.
DESIGN:
Retrospective cohort epidemiology study.
METHODS:
Female basketball, soccer, and volleyball players (N = 546) were recruited from a single county public school district in Kentucky consisting of 5 middle schools and 4 high schools. A total of 357 multisport and 189 single-sport (66 basketball, 57 soccer, and 66 volleyball) athlete subjects were included due to their diagnosis of patellofemoral pain (PFP) on physical exam. Testing consisted of a standardized history and physician-administered physical examination to determine the presence of PFP. This study compared self-reported multisport athletes with sport-specialized athletes participating in only 1 sport. The sports-participation data were normalized by sport season, with each sport accounting for 1 season of exposure. Incidence rate ratios and 95% confidence intervals (CI) were calculated and used to determine significant differences between athletes who specialized in sport in early youth and multisport athletes.
RESULTS:
Specialization in a single sport increased the relative risk of PFP incidence 1.5-fold (95% CI 1.0-2.2, P = .038) for cumulative PFP diagnoses. Specific diagnoses such as Sinding Larsen Johansson/ patellar tendinopathy (95% CI 1.5-10.1, P = .005) and Osgood Schlatter disease (95% CI 1.5-10.1, P = .005) demonstrated a 4-fold greater relative risk in single-sport compared with multisport athletes. Incidence of other specific PFP diagnoses such as fat pad, plica, trauma, pes anserine bursitis, and iliotibial-band tendonitis was not different between single-sport and multisport participants (P > .05).
CONCLUSION:
Early sport specialization in female adolescents is associated with increased risk of anterior knee-pain disorders including PFP, Osgood Schlatter, Sinding Larsen-Johansson compared with multisport athletes. -
Reducing the Blood Culture Contamination Rate in a Pediatric Emergency Department and Subsequent Cost Savings
Pediatrics
BACKGROUND AND OBJECTIVE: Blood culture contamination in the pediatric population remains a significant quality and safety issue because false-positive blood cultures lead to unnecessary use of resources and testing. In addition, few studies describe interventions to reduce peripheral blood culture contamination rates in this population. We hypothesized that the introduction of a standardized sterile collection process would reduce the pediatric emergency department’s peripheral blood culture…
BACKGROUND AND OBJECTIVE: Blood culture contamination in the pediatric population remains a significant quality and safety issue because false-positive blood cultures lead to unnecessary use of resources and testing. In addition, few studies describe interventions to reduce peripheral blood culture contamination rates in this population. We hypothesized that the introduction of a standardized sterile collection process would reduce the pediatric emergency department’s peripheral blood culture contamination rate and unnecessary use of resources.
METHODS: A sterile blood culture collection process was designed by analyzing current practice and identifying areas in which sterile technique could be introduced. To spread the new technique, a web-based educational model was developed and disseminated. Subsequently, all nursing staff members were expected to perform peripheral blood cultures by using the modified sterile technique.
RESULTS: The peripheral blood culture contamination rate was reduced from 3.9% during the baseline period to 1.6% during the intervention period (P < .0001), with yearly estimated savings of ∼$250 000 in hospital charges.
CONCLUSIONS: Subsequent to our intervention, there was a significant reduction of the peripheral blood culture contamination rate as well as considerable cost savings to the institution. When performed in a standardized fashion by using sterile technique, blood culture collection with low contamination rates can be performed via the insertion of an intravenous catheter.
Honors & Awards
-
Phoenix Top Docs -2018, 2019, 2020, 2021, 2022, 2023
Phoenix Magazine
Every year, PHOENIX magazine obtains the names and addresses of all Valley physicians, including M.D.s (medical doctors), D.O.s (osteopathic doctors), N.D.s/N.M.D.s (naturopathic doctors) and podiatrists (D.P.M.s) from their respective medical boards. The anonymous survey asks the doctors to nominate peers who, in their judgment, are the best in each of 58 specialties, and a variety of pediatric subspecialties.
-
The Arizona Athletic Trainers Association Non-Certified Service Award
Arizona Athletic Trainers Association
This award will be given to one person who is not a certified athletic trainer at the winter meeting in Phoenix. This award will go to one individual whose contributions positively impact the profession and/or association.
-
Children’s Hospital Association, Race for Results, Top 10 Finalist
Children’s Hospital Association
-
Oscar B. Crawford, M.D. Medical Student Award in Endocrinology Research
Vanderbilt University
Languages
-
English
Native or bilingual proficiency
-
Spanish
Professional working proficiency
Organizations
-
Pediatric Research in Sports Medicine
-
- Present -
American Medical Society for Sports Medicine
Member
- Present -
American Academy of Pediatrics
-
- Present
Other similar profiles
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More