Adam B Goldin, MD, MPH

Adam B Goldin, MD, MPH

General Surgery, Cancer and Blood Disorders Center, Aerodigestive Program, Hernia Program, Inflammatory Bowel Disease Center

On staff since November 2005

Academic Title: Professor, Surgery

Research Center: Center for Child Health, Behavior and Development

"I believe that all patients, no matter their background, deserve the very highest quality of care. I believe that all patients should have comfort and trust in their physicians and in the system that cares for them. I believe that physicians and the healthcare system must earn patients’ trust. I believe that the first step in earning that trust occurs through education and transparency."

  • Biography

    Dr. Adam Goldin is a Professor in the Department of Surgery at the University of Washington School of Medicine. His clinical practice is within the Division of Pediatric General and Thoracic Surgery at Seattle Children's Hospital. He received his MD from Rush Medical College in Chicago, Illinois. He completed his general surgery residency and clinical research fellowship at the University of Washington and earned his MPH in epidemiology at the University of Washington School of Public Health and Community Medicine. He also completed a pediatric surgery fellowship at Childrens Hospital of Wisconsin in Milwaukee, WI. Dr. Goldin has been on faculty at the University of Washington in the Division of Pediatric General and Thoracic Surgery since October 2005. Specific areas of clinical interest include pediatric tumors, neonatal surgery and laparoscopic surgery. His research interests include clinical outcomes and quality of care in pediatric surgery.

    As a physician, Dr. Goldin focuses on addressing the surgical problem, but as importantly, he focuses on understanding and treating that problem in a way that takes each patients unique needs and values into consideration. Advances in medical and information technology are valuable tools that Dr. Goldin uses to achieve the ultimate goal of partnering with patients and parents to engender full trust and comfort in the decisions that are made together to achieve the best outcomes for his patients

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  • Awards and Honors

    Award Name Award Description Awarded By Award Date
    SEATTLE TOP DOCTOR - 2022 Seattle Magazine 2022
    Seattle Metropolitan Magazine top pediatric surgeons 2015
    Top Doctor Seattle Magazine top pediatric surgeons 2011 - 2019
    Seattle Metropolitan Magazine top pediatric surgeons 2008
    ARTist of the Month Children's Hospital and Regional Medical Center award for demonstration of Accountability, Respect, and Teamwork 2008
    Charlie Weems Award for best clinical resident Providence Medical Center 2002
    Resident Teaching Award University of Washington Department of Surgery 2002
    Henry M. Lyman Award “for the most outstanding junior medical student as voted by the faculty” Rush University Medical School 1996
    Cum Laude Duke University 1992

  • Publications

    Manuscripts in Refereed Journals

    Book Chapters

    • McAteer JP, Goldin AB
      Hirschsprungs Disease
      Common surgical diseases: an algorithmic approach to problem solving. 3rd ed., 2015 Jan. : 295-298
    • McAteer JP, Goldin, AB
      Intussusception
      Common surgical disease: an algorithmic approach to problem solving. 3rd ed., 2015 Jan. : 291-294
    • Goldin, AB and Sawin, RS
      Intussusception
      Common surgical disease: an algorithmic approach to problem solving. 2nd ed., 2008 Jan. : 259-262
    • Goldin AB, and Sawin, RS
      Hirschsprungs Disease
      Common surgical diseases: an algorithmic approach to problem solving. 2nd ed., 2008 Jan. : 263-266
    • Goldin, AB
      Longterm Outcomes in Pediatric Antireflux Operations
      Pediatric surgery and urology: long-term outcomes. 2nd ed., 2006 Nov. : 217-226
    • Goldin, AB, Karmy-Jones, R, and Cornejo, C
      Emergency Department Thoracotomy: Indications and Outcomes
      Thoracic trauma and critical care, 2002 : 57-58

    Published Abstracts

    • Salazar JH, Goldstein SD, Yang J, Gause C, Swarup A, Hsiung GE, Rangel SJ, Goldin AB, Abdullah F
      Regionalization of Pediatric Surgery: Trends Already Underway.
      Annuls of Surgery, 2016 June : 263(6)1062-6
      doi: 10.1097/SLA.0000000000001666.
    • Richards MK, Yanez D, Goldin AB, Grieb T, Murphy WM, Drugas GT
      Factors associated with 30-day unplanned pediatric surgical readmission.
      26924805 American Journal of Surgery, 2016 Feb 25 : 212(3)426-32
      https://www.ncbi.nlm.nih.gov/pubmed/26924805
    • Puligandla PS, Grabowski J, Austin M, Hedrick H, Renaud E, Arnold M, Williams RF, Graziano K, Dasgupta R, McKee M, Lopez ME, Jancelewicz T, Goldin A, Downard CD, Islam S
      Management of congenital diaphragmatic hernia: A systematic review from the APSA outcomes and evidence based practice committee.
      26463502 Journal of Pediatric Surgery, 2015 Nov. : 50(11)1958-70
      https://www.ncbi.nlm.nih.gov/pubmed/26463502
    • Nice T, Pasara S, Goldfarb M, Doski JJ, Goldin AB, Gow KW, Nuchtern JG, Vasudevan SA, Langer M, Beierle EA
      Pediatric papillary thyroid cancer > 1 cm: is total thyroidectomy necessary?
      Journal of Pediatric Surgery, 2015 June : 50(6)1009-1013
    • Feng C, Sidhwa F, Anandalwar S, Pennington EC, Ziniel S, Islam S, St Peter SD, Abdullah F, Goldin AB, Rangel SJ
      Variation in bowel preparation among pediatric surgeons for elective colorectal surgery: A problem of equipoise or a knowledge gap of the available clinical evidence?
      Journal of Pediatric Surgery, 2015 June : 50(6)967-971
    • Downard CD, Goldin A, Garrison MM, Waldhausen J, Langham M, Hirschl R
      Utility of onsite interviews in the pediatric surgery match.
      25818319 Journal of pediatric surgery, 2015 June : 50(6)1042-5
      https://www.ncbi.nlm.nih.gov/pubmed/25818319
    • Akhavan A, Richards M, Shnorhavorian M, Goldin A, Gow K, Merguerian PA.
      Renal cell carcinoma in children, adolescents, and young adults: a National Cancer Database study.
      The Journal of Urology, 2015 April : 193(4)1336-1341
      https://www.ncbi.nlm.nih.gov/pubmed/25451825
    • Kotagal M, Richards M, Flum DR, Acierno SP, Weinsheimer RL, Goldin AB
      Use and accuracy of diagnostic imaging in the evaluation of pediatric appendicitis
      Journal of Pediatric Surgery, 2015 April : 50(4)642-646
    • Rangel SJ, Islam S, St Peter SD, Goldin AB, Abdullah F, Downard CD, Saito JM, Blakely ML, Pugliandla PS, Dasgupta R, Austin M, Chen LE, Renaud E, Arca MJ, Calkins CM.
      Prevention of infectious complications after elective colorectal surgery in children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee comprehensive review
      J Pediatr Surg. , 2015 Jan. : 50(1)192-200
      https://www.ncbi.nlm.nih.gov/pubmed/25598122
    • Lao OB, Larison C, Garrison M, Healey PJ, Goldin AB
      Steroid use after the Kasai procedure for biliary atresia.
      20466116 American journal of surgery, 2010 May : 199(5)680-4
    • Lao OB, Crouthamel MR, Goldin AB, Sawin RS, Waldhausen JH, Kim SS
      Thoracoscopic repair of congenital diaphragmatic hernia in infancy.
      20059390 Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A, 2010 April : 20(3)271-6
      https://www.ncbi.nlm.nih.gov/pubmed/20059390
    • Lao OB, Healey PJ, Perkins JD, Horslen S, Reyes JD, Goldin AB
      Outcomes in children after intestinal transplant.
      20142294 Pediatrics, 2010 March : 125(3)e550-8
      https://www.ncbi.nlm.nih.gov/pubmed/20142294
    • Lao OB, Healey PJ, Perkins JD, Reyes JD, Goldin AB
      Outcomes in children with intestinal failure following listing for intestinal transplant.
      20105588 Journal of pediatric surgery, 2010 Jan. : 45(1)100-7; discussion 107
    • Lao OB, Larison C, Garrison MM, Waldhausen JH, Goldin AB
      Outcomes in neonates with gastroschisis in U.S. children's hospitals.
      19866404 American Journal of Perinatology, 2010 Jan. : 27(1)97-101
      https://www.ncbi.nlm.nih.gov/pubmed/19866404
    • Goldin AB, Garrison M, Christakis D
      Variations between hospitals in antireflux procedures in children.
      19581550 Archives of pediatrics & adolescent medicine, 2009 July : 163(7)658-63
      https://www.ncbi.nlm.nih.gov/pubmed/19581550
    • Jensen AR, Goldin AB, Koopmeiners JS, Stevens J, Waldhausen JH, Kim SS
      The association of cyclic parenteral nutrition and decreased incidence of cholestatic liver disease in patients with gastroschisis.
      19159741 Journal of pediatric surgery, 2009 Jan. : 44(1)183-9
      https://www.ncbi.nlm.nih.gov/pubmed/19159741
    • Goldin AB, Sawin RS, Garrison MM, Zerr DM, Christakis DA
      Aminoglycoside-based triple-antibiotic therapy versus monotherapy for children with ruptured appendicitis.
      17473090 Pediatrics, 2007 May : 119(5)905-11
      https://www.ncbi.nlm.nih.gov/pubmed/17473090
    • Goldin AB, Sawin R, Seidel KD, Flum DR
      Do antireflux operations decrease the rate of reflux-related hospitalizations in children?
      17142515 Pediatrics, 2006 Dec. : 118(6)2326-33
      https://www.ncbi.nlm.nih.gov/pubmed/17142515
    • Arca MJ, Somers KK, Derks TE, Goldin AB, Aiken JJ, Sato TT, Shilyansky J, Winthrop A, Oldham KT
      Use of vacuum-assisted closure system in the management of complex wounds in the neonate.
      15965692 Pediatric surgery international, 2005 July : 21(7)532-5
      https://www.ncbi.nlm.nih.gov/pubmed/15965692

    Other Publications

    • Berman L, Baird R, Sant'Anna A, Rosen R, Petrini M, Cellucci M, Fuchs L, Costa J, Lester J, Stevens J, Morrow M, Jaszczyszyn D, Amaral J, Goldin A
      Gastrostomy Tube Use in Pediatrics: A Systematic Review.
      35514122 Pediatrics, 2022 Jun 1 : 149(6)
    • Markham JL, Richardson T, DePorre A, Teufel RJ 2nd, Hersh AL, Fleegler EW, Antiel RM, Williams DC, Goldin AB, Shah SS
      Inpatient Use and Outcomes at Children's Hospitals During the Early COVID-19 Pandemic.
      33757994 Pediatrics, 2021 June : 147(6)
    • Grabowski J, Goldin A, Arthur LG, Beres AL, Guner YS, Hu YY, Kawaguchi AL, Kelley-Quon LI, McAteer JP, Miniati D, Renaud EJ, Ricca R, Slidell MB, Smith CA, Sola JE, Sømme S, Downard CD, Gosain A, Valusek P, St Peter SD, Jagannathan N', Dasgupta R
      The effects of early anesthesia on neurodevelopment: A systematic review.
      33509654 Journal of pediatric surgery, 2021 May : 56(5)851-861
    • Kelley-Quon LI, Arthur LG, Williams RF, Goldin AB, St Peter SD, Beres AL, Hu YY, Renaud EJ, Ricca R, Slidell MB, Taylor A, Smith CA, Miniati D, Sola JE, Valusek P, Berman L, Raval MV, Gosain A, Dellinger MB, Sømme S, Downard CD, McAteer JP, Kawaguchi A
      Management of intussusception in children: A systematic review.
      33158508 Journal of pediatric surgery, 2021 March : 56(3)587-596 PMCID:PMC7920908
    • Kelley-Quon LI, Kirkpatrick MG, Ricca RL, Baird R, Harbaugh CM, Brady A, Garrett P, Wills H, Argo J, Diefenbach KA, Henry MCW, Sola JE, Mahdi EM, Goldin AB, St Peter SD, Downard CD, Azarow KS, Shields T, Kim E
      Guidelines for Opioid Prescribing in Children and Adolescents After Surgery: An Expert Panel Opinion.
      33175130 JAMA surgery, 2021 Jan 1 : 156(1)76-90 PMCID:PMC8995055
    • Goldin AB, Raval MV, Thurm CW, Hall M, Billimoria Z, Juul S, Berman L
      The Resource Use Inflection Point for Safe NICU Discharge.
      32699067 Pediatrics, 2020 Aug. : 146(2)
    • Devin CL, Linden AF, Sagalow E, Reichard KW, Vinocur CD, Miller JM, Goldin AB, Berman L
      Standardized pathway for feeding tube placement reduces unnecessary surgery and improves value of care.
      32169345 Journal of pediatric surgery, 2020 June : 55(6)1013-1022
    • Jennings R, Guo H, Goldin A, Wright DR
      Cost-effectiveness of Imaging Protocols for Suspected Appendicitis.
      31964758 Pediatrics, 2020 Feb. : 145(2)
    • Grabowski J, Oyetunji TA, Goldin AB, Baird R, Gosain A, Lal DR, Kawaguchi A, Downard C, Sola JE, Arthur LG, Shelton J, Diefenbach KA, Kelley-Quon LI, Williams RF, Ricca RL, Dasgupta R, St Peter SD, Sømme S, Guner YS, Jancelewicz T
      The management of pilonidal disease: A systematic review.
      30948198 Journal of pediatric surgery, 2019 Nov. : 54(11)2210-2221
    • Grabowksi J, Oyetunji TA, Goldin AB, Jancelewicz T
      Reply to Letter to the Editor.
      31253492 Journal of pediatric surgery, 2019 Oct. : 54(10)2192
    • Waters AM, Maizlin II, Russell RT, Dellinger M, Gow KW, Goldin A, Goldfarb M, Nuchtern JG, Langer M, Vasudevan SA, Doski JJ, Raval M, Beierle EA
      Pancreatic islet cell tumors in adolescents and young adults.
      30954230 Journal of pediatric surgery, 2019 Oct. : 54(10)2103-2106
    • Berman L, Ottosen M, Renaud E, Hsi-Dickie B, Fecteau A, Skarda D, Goldin A, Rangel S, Tsao K, APSA Quality and Safety Committee
      Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.
      30765152 Journal of pediatric surgery, 2019 Sept. : 54(9)1872-1877
    • Tessler RA, Graves JM, Vavilala MS, Goldin A, Rivara FP
      Hospital factors associated with higher costs in pediatric blunt abdominal trauma: A national study.
      30773396 Journal of pediatric surgery, 2019 Aug. : 54(8)1621-1627 PMCID:PMC7477749
    • Gates RL, Price M, Cameron DB, Somme S, Ricca R, Oyetunji TA, Guner YS, Gosain A, Baird R, Lal DR, Jancelewicz T, Shelton J, Diefenbach KA, Grabowski J, Kawaguchi A, Dasgupta R, Downard C, Goldin A, Petty JK, Stylianos S, Williams R
      Non-operative management of solid organ injuries in children: An American Pediatric Surgical Association Outcomes and Evidence Based Practice Committee systematic review.
      30773395 Journal of pediatric surgery, 2019 Aug. : 54(8)1519-1526
    • Tessler RA, Dellinger M, Richards MK, Goldin AB, Beierle EA, Doski JJ, Goldfarb M, Langer M, Nuchtern JG, Raval MV, Vasudevan S, Gow KW
      Pediatric gastric adenocarcinoma: A National Cancer Data Base review.
      30824240 Journal of pediatric surgery, 2019 May : 54(5)1029-1034
    • Baird R, Lal DR, Ricca RL, Diefenbach KA, Downard CD, Shelton J, Sømme S, Grabowski J, Oyetunji TA, Williams RF, Jancelewicz T, Dasgupta R, Arthur LG, Kawaguchi AL, Guner YS, Gosain A, Gates RL, Sola JE, Kelley-Quon LI, St Peter SD, Goldin A
      Management of long gap esophageal atresia: A systematic review and evidence-based guidelines from the APSA Outcomes and Evidence Based Practice Committee.
      30853248 Journal of pediatric surgery, 2019 April : 54(4)675-687
    • Flack SH, Martin LD, Walker BJ, Bosenberg AT, Helmers LD, Goldin AB, Haberkern CM
      Ultrasound-guided rectus sheath block or wound infiltration in children: a randomized blinded study of analgesia and bupivacaine absorption.
      24853314 Paediatric anaesthesia, 2014 Sept. : 24(9)968-73 PMCID:PMC4125512
    • Pennington EC, Feng C, St Peter SD, Islam S, Goldin AB, Abdullah F, Rangel SJ
      Use of mechanical bowel preparation and oral antibiotics for elective colorectal procedures in children: is current practice evidence-based?
      24888857 Journal of pediatric surgery, 2014 June : 49(6)1030-5; discussion 1035
    • Goldin AB, Dasgupta R, Chen LE, Blakely ML, Islam S, Downard CD, Rangel SJ, St Peter SD, Calkins CM, Arca MJ, Barnhart DC, Saito JM, Oldham KT, Abdullah F
      Optimizing resources for the surgical care of children: an American Pediatric Surgical Association Outcomes and Clinical Trials Committee consensus statement.
      24851778 Journal of pediatric surgery, 2014 May : 49(5)818-22
    • Task Force for Children's Surgical Care
      Optimal resources for children's surgical care in the United States.
      24468231 Journal of the American College of Surgeons, 2014 March : 218(3)479-87, 487.e1-4
    • McAteer J, Larison C, LaRiviere C, Garrison MM, Goldin AB
      Antireflux procedures for gastroesophageal reflux disease in children: influence of patient age on surgical management.
      24197138 JAMA surgery, 2014 Jan. : 149(1)56-62
    • Akhavan A, Merguerian PA, Larison C, Goldin AB, Shnorhavorian M
      Trends in the Rates of Pediatric Pyeloplasty for Ureteropelvic Junction Obstruction over 19 Years: A PHIS Database Study.
      24949008 Advances in urology, 2014 : 2014142625 PMCID:PMC4052929
    • McAteer JP, Hecht A, De Roos AJ, Goldin AB
      Maternal medical and behavioral risk factors for congenital diaphragmatic hernia.
      24439577 Journal of pediatric surgery, 2014 Jan. : 49(1)34-8; discussion 38
    • McAteer JP, Goldin AB, Healey PJ, Gow KW
      Surgical treatment of primary liver tumors in children: outcomes analysis of resection and transplantation in the SEER database.
      23992390 Pediatric transplantation, 2013 Dec. : 17(8)744-50
    • McAteer JP, Goldin AB, Healey PJ, Gow KW
      Hepatocellular carcinoma in children: epidemiology and the impact of regional lymphadenectomy on surgical outcomes.
      24210185 Journal of pediatric surgery, 2013 Nov. : 48(11)2194-201
    • Sanchez SE, McAteer JP, Goldin AB, Horslen S, Huebner CE, Javid PJ
      Health-related quality of life in children with intestinal failure.
      23648789 Journal of pediatric gastroenterology and nutrition, 2013 Sept. : 57(3)330-4
    • Drake FT, Horvath KD, Goldin AB, Gow KW
      The general surgery chief resident operative experience: 23 years of national ACGME case logs.
      23864049 JAMA surgery, 2013 Sept. : 148(9)841-7 PMCID:PMC4237586
    • McAteer JP, Kwon S, LaRiviere CA, Oldham KT, Goldin AB
      Pediatric specialist care is associated with a lower risk of bowel resection in children with intussusception: a population-based analysis.
      23664141 Journal of the American College of Surgeons, 2013 Aug. : 217(2)226-32.e1-3
    • Goldin AB, Gow K
      Cancer care in the surgical patient: a matter of interpretation
      Surgery, 2009 Sept. : 528
    • Goldin AB
      Empyema Treatment
      Seattle Childrens Hospital patient and family education pamphlet

  • Presentations

    Presentation Title Event Location Date
    Day Surgery - Hernias/Lumps/Bumps Inguinal & Umbilical Hernias, Undescended Testes, Branchial Cleft Cysts, and Thyroglossal Duct Cyst, Lymphadenopathy, Pilonidal Cysts Faculty-Teaching Residents' Lecture Seattle Children's Hospital Jul 23, 2019
    IBD/FAP and Colectomy Stages ARNP Lecture Seattle Children’s Hospital Jul 15, 2019
    Empyema PedsCore Lecture Seattle Children's Hospital Jun 25, 2019
    Hirschsprung Disease PedsCore Lecture Seattle Children's Hospital Apr 23, 2019
    Omphalocele PedsCore Lecture Seattle Children's Hospital Sep 25, 2018
    Gastroesophageal Relux PedsCore Lecture Seattle Children's Hospital Jul 10, 2018
    Patient-Centered Care and Quality: Activating the System, and the Patient CME lecture to regional Pediatric Practices Tri-Cities Pediatrics, WA Dec 3, 2015
    Patient-Centered Care and Quality: Activating the System, and the Patient CME lecture to regional Pediatric Practices Providence Mill Creek, WA Nov 9, 2015
    Controversies in the Management of Gastro-esophageal Reflux in Children: Indications for Surgical Management of GERD in Children American College of Surgeons Clinical Congress Chicago, IL Oct 5, 2015
    Patient-Centered Care and Quality: Activating the System, and the Patient CME lecture to regional Pediatric Practices Peace Health, Bellingham, WA Sep 16, 2015
    Patient-Centered Care and Quality: Activating the System, and the Patient CME lecture to regional Pediatric Practices Everett Pediatrics, Everett, WA Jun 24, 2015
    Building a Quality Improvement Roadmap for Pediatric General Surgery: Patient-Centered Care and Quality: Activating the System, and the Patient American Pediatric Surgical Association Education Day Fort Lauderdale, FL Apr 30, 2015
    Outcomes and Evidence-based Medicine Committee Systematic Reviews: Gastro-Esophageal Reflux Disease and Congenital Pulmonary Airway Malformations Management and Controversies American Pediatric Surgical Association Education Day Fort Lauderdale, FL Apr 30, 2015
    Scholarship within the Department of Pediatric General and Thoracic Surgery University of Washington Department of Surgery Annual Harkins Symposium University of Washington, Seattle, WA Feb 27, 2015
    Imaging Safely in Pediatric Appendicitis Washington State Hospital Association Safe Table Feb 25, 2015
    Pediatric Appendicitis Management: A Statewide Collaboration Surgery/ED/Radiology joint Conference Seattle Children's Hospital, Seattle, WA Jan 15, 2015
    Quality Improvement and Reduction of Variation in Managing Appendicitis Washington State Hospital Association Safe Table Seattle, WA Apr 23, 2014
    GERD PedsCore Lecture, Seattle Children's Hospital Seattle, WA Mar 27, 2014
    Malrotation PedsCore Lecture, Seattle Childrens Hospital Seattle, WA Aug 22, 2013
    Clinical Outcomes Research at Seattle Childrens Hospital Reunion of the Seattle Childrens Hospital Fellowship Program Seattle, WA Jun 14, 2013
    Data Supporting the Optimization of Resources Summit on the Optimization of Resources for Childrens Surgery Rosemont, IL May 30, 2013
    A Systematic Review of Existing Evidence Regarding Resource Requirements in Childrens Surgery American Pediatric Surgical Association Education Day Marco Island, FL May 2, 2013
    Appendicitis: Building a Standard Approach Grand Rounds, Seattle Childrens Hospital Seattle, WA Feb. 2012
    Pediatric GERD: Modeling clinical outcomes research (guest lecture) Childrens Memorial Hospital, Northwestern University Chicago, IL June 2011
    Pediatric GERD: Modeling clinical outcomes research (guest lecture) Rush University Department of Surgery Grand Rounds Chicago, IL June 2011
    Surgery for GERD The Approach of Choice in Adults and Children American Society for Parenteral and Enteral Nutrition International Symposium Vancouver, BC Jan 27, 2011
    Surgery and Health in Developing Nations Coe Elementary School Dec 10, 2010
    Pediatric Surgery, Part I Virginia Mason General Surgery Resident Lecture Series Dec 2, 2010
    Expert Panel on Clinical Outcomes Research in Pediatric Surgery American Pediatric Surgical Association Annual Meeting May 2010
    Neonatal Congenital Diaphragmatic Hernia Repair After ECMO General Pediatric Surgery/Neonatology Monthly Interdisciplinary Conference Seattle, WA Feb. 2010
    Pediatric Gastroesophageal Reflux Disease University of Washington Department of Surgery 60th Annual Harkins Symposium Seattle, WA Oct. 2009
    Indications and Controversies of Pediatric Fundoplication General Pediatric Surgery/Gastroenterology Monthly Interdisciplinary Conference Seattle, WA Sept. 2009
    Surgical Management of Necrotizing Enterocolitis University of Washington Department of Neonatology Controversies in Perinatal/Neonatal Medicine Series Seattle, WA May 2008

  • Research Funding

    Grant Title Grantor Amount Award Date
    Academic Enrichment Fund Award Academic Enrichment Fund $23,000.00 2007 - 2009
    Clinical Outcomes Steering Committee Award Clinical Outcomes Steering Committee $25,000.00 2005 - 2006

Overview

Board Certification(s)

Surgery (General Surgery)
Pediatric Surgery

Medical/Professional School

Rush Medical College at Rush University, Chicago, IL
University of Washington School of Public Health, Seattle, WA

Residency

University of Washington School of Medicine, Seattle, WA

Fellowship

Children's Hospital of Wisconsin, Milwaukee, WI

Clinical Interests

Clinical Outcomes, research and quality of care.

Research Description

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.

Research Focus Area

Epidemiology, Quality Improvement