Adam B Goldin, MD, MPH

Professional History

Board Certified:

Pediatric Surgery

Medical/Professional School:

Rush Medical College of Rush University, Chicago

Residency:

University of Washington School of Medicine, Seattle, Surgery - General

Fellowship:

Children's Hospital of Wisconsin, Milwaukee, Pediatric Surgery

Clinical Interests:

Clinical Outcomes, research and quality of care.

Description of Research:

Clinical outcomes research in pediatric surgery is a relatively uncharted field. As a subspecialty, we treat a huge variety of diseases rarely. Our research focus at Seattle Children's Hospital has been to develop a model for approaching a surgical diagnosis, question the assumptions upon which our current practice decisions are based, and identify appropriate historical and appropriate new processes and outcomes in order to improve the care that is delivered to our patients.

We have begun with the model of gastroesophageal reflux disease (GERD) in infants and children. Currently, this is one of the most common diagnoses in pediatrics, resulting in a significant over-prescription of anti-acid medications among children. Many children, however, fail medical management of their GERD and are ultimately referred to surgeons for anti-reflux procedures (ARPs). While the diagnostic algorithm to identify and treat this disease in adults is standardized, the pathway in children is variable and controversial. This variability stems largely from the multitude of etiologies and symptoms, the fact that most of the patients are not able to communicate their symptoms directly, the lack of evidence that specific symptoms are truly attributable to GERD, and the variability with which these aspects of the disease are reported in the literature.

Honors & Awards:

Seattle Metropolitan Magazine Top Doctor, 2008