Applying a Trauma-Informed Lens to Challenging Adolescent Encounters: A Faculty Development Session for Pediatricians.

Introduction: Patient encounters perceived to be challenging are common and contribute to both suboptimal patient health outcomes and provider burnout. A trauma-informed care (TIC) approach to these encounters is critical, as many of the characteristics associated with challenging patient encounters can be linked to a history of trauma exposure.

Methods: Our team created and delivered a 1-hour synchronous virtual session intended to bolster provider knowledge of TIC principles and their application to challenging adolescent encounters.

Social support, resource utilization, and well-being: a survey of adolescent parents in Washington, DC.

Background: Adolescent parents experience worse health and socioeconomic outcomes compared to older parents. Little is known about the factors that can lead to better health and well-being among teen-headed families. A city-wide collaborative conducted a comprehensive well-being assessment of expectant and parenting teens in Washington, DC.

Leveraging the Collective Impact Model to Advocate for Pregnant and Parenting Teens.

Over 140 000 adolescents in the United States became parents in 2021. Expectant and parenting youth face health and socioeconomic challenges, which in turn affect the health of their children. This case study describes the formation and outcomes of a citywide network, the District of Columbia Network for Expectant and Parenting Teens (DC NEXT), an interdisciplinary collaboration that aims to prioritize the voices of expectant and parenting teens and build their capacity to make healthy decisions about relationships, sex, parenting, and education.

Caregiver stress and social determinants of health in key populations: immigrant parents, parents of children with medical complexity, and adolescent parents.

Purpose Of Review: To examine the five domains of social determinants of health - economic stability, education access, healthcare access and quality, neighborhood and built environment, and social and community context - and how these relate to caregiver stress in under-resourced populations.

Recent Findings: Socioeconomic and family factors are increasingly understood as drivers of child health. Caregiver stress can impact family stability and child wellbeing.

Increasing Pediatric Residency Class Diversity to Improve Patient Outcomes and Address Structural Racism.

Problem: The racial and ethnic makeup of physicians in the United States does not reflect that of the communities they serve. Addressing this disparity may improve patient outcomes and combat structural racism.

Approach: Starting in 2014, the pediatric residency program at Children's National Hospital deliberately worked to assemble residency classes with racial and ethnic diversity that was similar to that of the Washington, DC, community it served.

Using a Community Bus Tour for Pediatric Residents to Increase Their Knowledge of Health Disparities.

A community bus tour with a focus on social determinants of health created through a partnership between the pediatric residency program and the hospital's Child Health Advocacy Institute was shown to increase knowledge of health disparities among pediatric interns.