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Russ, Christiana

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Russ, Christiana
Author's Publications: search.filters.isAuthorOfPublication.9ff5f449-1d0f-41d6-aaab-da53a6d94d19

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    A Study of Global Health Elective Outcomes: A Pediatric Residency Experience
    (SAGE Publications, 2017) Russ, Christiana; Tran, Tony; Silverman, Melanie; Palfrey, Judith
    Background and Objectives: To identify the effects of global health electives over a decade in a pediatric residency program. Methods: This was an anonymous email survey of the Boston Combined Residency alumni funded for global health electives from 2002 to 2011. A test for trend in binomial proportions and logistic regression were used to document associations between elective and participant characteristics and the effects of the electives. Qualitative data were also analyzed. Results: Of the 104 alumni with available email addresses, 69 (66%) responded, describing 94 electives. Elective products included 27 curricula developed, 11 conference presentations, and 7 academic publications. Thirty-two (46%) alumni continued global health work. Previous experience, previous travel to the site, number of global electives, and cumulative global elective time were associated with postresidency work in global health or with the underserved. Conclusions: Resident global electives resulted in significant scholarship and teaching and contributed to long-term career trajectories.
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    P09-20 LB. Ultra-Deep Sequencing of Full-Length HIV-1 Genomes Identifies Rapid Viral Evolution During Acute Infection
    (BioMed Central, 2009) Henn, MR; Lennon, N; Malboeuf, C; Charlebois, P; Philips, L; Berical, A; Erlich, R; Kemper, M; Axten, K; Brumme, Z; Brumme, C; Jessen, H; Nusbaum, C; Birren, B; Allen, TM; Boutwell, C; Power, K; Gladden, Andrew B; Levin, Jonathan; Casali, Monica; Berlin, Adam; Anderson, S; Streeck, Hendrik; Ryan, Edward; Wang, Y; Green, L; Russ, Christiana; Rosenberg, Eric; Altfeld, Marcus; Walker, Bruce
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    Where are the paediatricians? An international survey to understand the global paediatric workforce
    (BMJ, 2019-01-31) Harper, Beth; Nganga, Waceke; Armstrong, Robert; Forsyth, Kevin D; Ham, Hazen P; Keenan, William J; Russ, Christiana
    Objective Our primary objective was to examine the global paediatric workforce and to better understand geographic differences in the number of paediatricians globally. Secondary objectives were to describe paediatric workforce expectations, who provides children with preventative care and when children transition out of paediatric care. Design Survey of identified paediatric leaders in each country. Setting Paediatric association leaders worldwide. Main outcome measures Paediatrician numbers, provision of primary care for children, age of transition to adult care. Results Responses were obtained from 121 countries (73% of countries approached). The number of paediatricians per 100 000 children ranged from a median of 0.5 (IQR 0.3–1.4) in low-income countries to 72 (IQR 4–118) in high-income countries. Africa and South-East Asia reported the lowest paediatrician density (median of 0.8 paediatricians per 100 000 children, IQR 0.4–2.6 and median of 4, IQR 3–9, respectively) and fewest paediatricians entering the workforce. 82% of countries reported transition to adult care by age 18% and 39% by age 15. Most countries (91%) but only 64% of low-income countries reported provision of paediatric preventative care (p<0.001, Cochran-Armitage trend test). Systems of primary care provision varied widely. A majority of countries (63%) anticipated increases in their paediatric workforce in the next decade. Conclusions Paediatrician density mirrors known inequities in health provider distribution. Fewer paediatricians are entering the workforce in areas with already low paediatrician density, which may exacerbate disparities in child health outcomes. In some regions, children transition to adult care during adolescence, with implications for healthcare training and delivery. Paediatrician roles are heterogeneous worldwide, and country-specific strategies should be used to address inequity in child health provision.