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Trainee Spotlights

DMCHWD is pleased to highlight how MCH Trainees are contributing to the field. To submit a highlight, trainees should contact their program directors, and program directors should contact their project officers.

Kylie Boyd, B.S., B.A.

Arizona LEND

Kylie Boyd is currently an Audiology Doctoral student at the University of Arizona. She has always known that she wanted to pursue a career that would help improve the lives of children. Throughout her undergraduate education, she obtained a double degree in Speech and Hearing Science and Early Childhood and Family Studies. She wanted to learn as much as possible about childhood development and what barriers to communication children and their families may face. Her background in pediatrics has lent well to her current training as a student clinician and LEND fellow. Throughout the past semester, she has had the opportunity to work with patients at the Arizona-Sonora Border Projects for Inclusion (ARSOBO) in Nogales, Mexico.

In 2010, the AROSBO clinic opened shop to construct standard and custom all-terrain wheelchairs for individuals with disabilities. In 2013, ARSOBO expanded and began creating prosthetic limbs and orthotics and the following year, partnered with the University of Arizona Speech Language and Hearing Science faculty, along with the Au.D. students, to begin providing hearing healthcare for the community. Each month, faculty and students have the opportunity to travel to Nogales and provide full audiologic evaluations and hearing aid fittings for patients across the lifespan. ARSOBO is a sustainable program achieved through the apprenticeships that this non-profit organization creates and continues to contribute to the educational experience of audiology students. Additionally, during the month when students are not present, an audiology assistant provides services and continued care to patients.

During each monthly visit, the focus is on providing quality hearing healthcare and building trusting relationships with their patients and the community. Although the COVID-19 pandemic delayed monthly visits last year, they have been able to come back with vigor. Throughout the last few months, they have been able to expand their scope of care by providing auditory brainstem response (ABR) testing, meaning that they are now able to evaluate infants and those who cannot test behaviorally. Additionally, they will soon be offering Real Ear Measures (REM) for hearing aid fittings, which can evaluate the acoustic properties of each patient's specific ear canal, providing more accurate fitting outcomes. Overall, ARSOBO is an incredible organization and clinic that provides quality and accessible healthcare to those in the community.

Kylie believes that every person has the ability to make an impact on the lives of others, and she feels extremely fortunate to be a part of the ARSOBO clinics. Every child deserves the right to quality hearing healthcare and every child has the right to reach their full communication potential. She is certain that her past experiences have provided her with a solid foundation to continue to develop her clinical skills and make a difference within the community.

Ettya Fremont, PhD, MPP

Children's Hospital of Philadelphia LEAH

The author in the midst of her Three-Minute Thesis talk.

I am passionate about translating scientific literature, and helping others understand how that information is (or could be) relevant to their lives. Throughout my CHOP LEAH Program fellowship, I have been fortunate enough to work with the Center for Parent Teen Communication at CHOP to practice synthesizing research in adolescent development and writing translation pieces in a way that is applicable and accessible to caregivers, teens, and others who work with adolescents. But writing is not the only way scientist-practitioners are called upon to disseminate research.  We must also be able to speak to non-scientists about our research.

I had the opportunity to practice my oral communication skills through a CHOP/UPenn sponsored competition called the Three-Minute Thesis Competition (3MT). To enter the competition, I video recorded and delivered a three-minute speech about my research on parental remote monitoring of their adolescents' glucose levels. The rules also stipulated that I create a single slide that would be visible the duration of my presentation. In drafting the script and designing my slide, I learned a few lessons that I hope will help others as they think of ways to broaden their audiences:

  1. Use analogies to connect with your audience. Analogies are an effective way to simplify your research while making it relevant to your listeners. I asked my audience to recall their adolescence (likely) before cell phones, and to imagine that they were at a sleepover when their mother called, asking if they'd forgotten their toothbrush. By having my audience recall their reaction to their own parents' over-monitoring, I broadened the relevance of my talk to individuals, regardless of whether they have experience with Type 1 Diabetes.
  2. It is okay to feel as though you're leaving out information. Ask yourself, what is the biggest takeaway from your research. Then select one or two key points that you want your audience to remember (or that you find particularly fascinating); save the details for a 1:1 conversation at another time.
  3. Visual aids should enhance understanding and help convey a message. Instead of using words to duplicate your speech, use images to compliment your words. I talked over my ideas with friends outside of my field (another great way to practice your elevator pitches or science translation!). Ultimately, I used seesaws accompanied by light text to relay the importance of balance in parental monitoring and communication.

I recently received notification that I was one of two runners up in the 3MT competition. Not only am I thrilled about the present recognition, I am also excited to carry the above three takeaways with me throughout my career.

Arek Hidirsah, MD and Kate Rand, MD

Children's Hospital Los Angeles LEAH

Children's Hospital Los Angeles (CHLA) LEAH fellow Dr. Arek Hidirsah has been collaborating with CHLA Pediatrics resident Dr. Kate Rand for the last two years on a quality improvement (QI) project with the aim to increase access to the etonogestrel subcutaneous implant, a highly effective long-acting reversible contraceptive method, to youth seen in pediatrics clinics.  Their project began with a knowledge and comfort assessment of pediatrics residents and general pediatrics faculty at CHLA related to counseling for and provision of the contraceptive implant, 37 residents and 19 faculty completed the survey.  Overall, they found that there was significant variability in comfort with counseling on the benefits and side effects of the etonorgestrel implant, with the majority of respondents reporting neutral or discomfort. 77% of respondents were interested in getting trained in implant insertion. They proceeded to work together with the drug manufacturer (previously Merck, now Organon) and CHLA faculty to increase training opportunities.  The result of this effort was the certification of CHLA Adolescent Medicine faculty Dr. Michele Roland as a Nexplanon trainer, and she now provides Nexplanon training to every pediatric resident rotating through Adolescent Medicine.  Additionally, the training has been offered to general pediatrics faculty at CHLA, as well as residents who had already completed their adolescent medicine rotation prior to the initiation of the project.

Prior to the initiation of this QI project, CHLA only had 1/109 residents trained.  10 months after initiation 29 residents have completed the training process.  Drs. Hidirsah and Rand's ultimate objective is to increase the number of providers confident in the placement of Nexplanon not only at CHLA, but also wherever CHLA trainees move on to practice.  The next phase of this project will be to find clinical opportunities for residents to solidify the skills they learn in the training provided by Dr. Roland, so they can feel confident enough in the insertion and removal that they could provide this care independently in their future practices.  This in turn will provide adolescents and young adults in diverse practices settings with increased access to this very effective form of contraception.

Adriana Hurley, MPH, BSN, RN

Florida International University MCH Catalyst Trainee

Nurses Adriana Hurley and Crystal Walker from the Nurse Family Partnership with FIU MCH students Angelina Darius and Patricia Paraison at one of their Zoom meetings

Adriana Hurley, MPH, BSN, RN, graduated with the first cohort of MCH Catalyst Trainees from FIU's Robert Stempel College of Public Health and Social Work. She has worked with the Miami-Dade Nurse Family Partnership (NFP) at the Health Choice Network (HCN), a nationally-recognized health services organization based in Miami, Florida, for the past seven years. She has served as NFP's Clinical Manager of Maternal and Child Health Programs since 2018. Through prenatal and postpartum home visiting, parenting education, and infant growth and development support, the NFP transforms the first two years of life of babies born to first-time, low-income mothers.

As Clinical Manager, Adriana directs maternal and child community health services within the HCN and leads Miami-Dade County's Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN 2.0), funded by HRSA in support of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program.  HV CoIIN 2.0 builds on the success of HV CoIIN 1.0, the first national quality improvement (QI) collaborative focused on advancing health equity in home visiting.  HV CoIIN 2.0 uses a dynamic approach of the Breakthrough Series from the Institute for Healthcare Improvement, that disseminates evidence-based practices to achieve fast results and create a culture of change while preparing new leaders to work on QI initiatives.

Adriana is committed to mentoring the next generation of MCH leaders in South Florida.  She frequently guests lectures in MCH courses at FIU and has already served as a preceptor to four MCH trainees.  Under her mentorship, FIU students have been afforded the invaluable experience of taking part in HV CoIIN QI training and are already playing vital roles in improving the practice of home visiting and linking families to MCH services in Miami.  Now that she is precepting students, she is proud to say she has "come full circle," in the training process and always looks forward to mentoring FIU students interested in pursuing careers in the field of maternal and child health. 

Amanda Elmore

University of South Carolina Catalyst Trainee

Growing up in Kentucky, Amanda Elmore witnessed many of her neighbors lose loved ones to addiction and overdose as a result of the opioid epidemic. To learn more, she studied medical lab sciences at the University of Kentucky before pursuing a Master of Public Health at Florida State University. It was during this time that she became interested in maternal and child health.
"I was hired as an abstractor with the Florida Birth Defect Registry during the Zika virus outbreak," Elmore says of her first experiences in the field. "I believe improving and supporting the health of women and children is key to a healthy, thriving population."

As a graduate scholar with the Maternal and Child Health Public Health Catalyst Program
at the University of South Carolina's Arnold School of Public Health, Elmore is integrating these two interest areas. Her project involves conducting a longitudinal study of mother and infant dyads to determine the long-term effects of opioid dependency on maternal and child health outcomes. While previous research has examined the immediate risks to maternal and infant health, Elmore's work will investigate how children with in-utero opioid exposure and mothers with opioid use disorder are impacted up to 20 years later.

"Amanda will examine the association between maternal opioid use disorder and hospital readmission over time for both the mother and the infant to assess long-term morbidity outcomes," says Nansi Boghossian, an associate professor in the Department of Epidemiology and Biostatistics. "This study will provide very important contributions to the field of maternal and child health and is highly relevant to care providers and policy makers."

The Ph.D. in Epidemiology student is one of just three students selected to join the inaugural cohort of the Arnold School of Public Health's Maternal and Child Health Graduate Scholars Program. Now in year four of her program, Elmore has published five peer-reviewed papers (four as first author). She is also a member of UofSC's Behavioral Biomedical Interface Program – a National Institutes of Health-funded predoctoral fellowship that offers interdisciplinary training in epidemiology, exercise science and psychology to better prepare the next generation of behavioral scientists – and a Board Member of the National Birth Defects Prevention Network. In addition, Elmore is the current Treasurer of the UofSC Maternal and Child Health Student Association (MCHSA) and a student representative for the Maternal and Child Health National Network.

Time with TAGTrainee Ambassador Group

Valerie Aalo

Boston University SPH, Center of Excellence in Maternal and Child Health

My interest in MCH started as an undergrad at Florida Atlantic University. Having majored in Neuroscience and Behavior with a minor in Women, Gender, and Sexuality studies, I had the amazing opportunity to work as a researcher at FAU's Infant Cognition Lab. This was my first hands-on opportunity working with both parents and babies that inspired me to pursue graduate education to have a stronger and deeper understanding of maternal and child health topics.

While working on my MPH in Health Policy and Law with a concentration in Maternal and Child Health, I spent my practicum working as a research assistant at Boston Medical center in their OB/GYN clinic. Part of my role as a research assistant was to recruit and survey patients in the clinic to better understand the degree to which pregnant women worry about experiencing pain during childbirth and the postpartum period. Specifically, comparing the attitudes of women with opioid use disorder maintained on methadone or buprenorphine to those of opioid-naive women. We were also interested in identifying other patient characteristics that may contribute to anxiety around the anticipation of pain. This experience allowed me to work alongside midwives, doulas, and OB/GYNs and apply so many concepts that I had learned throughout my program. Through this opportunity, I was able to not solidify my passion for maternal and child health but set a solid foundation for my future career in medicine.

Being a member of TAG has allowed me to network with other MCH professionals across the nation. Having started my MCH training at the start of the pandemic, it was difficult to foster strong connections throughout my program. It's been inspiring to work alongside a diverse group of MCH trainees who come from so many backgrounds but have a similar passion for maternal and child health. As I finish up my graduate program at Boston University, I look forward to continuing my work in the field of maternal and child health while staying connected to the amazing colleagues I've met through this program.

Bevyn Mannke

My experience with TAG built upon a foundation of skills that I began developing as a graduate student. As an MPH student and MCH Catalyst Trainee at Drexel University, I also served as the President of Drexel's Maternal and Child Health Student Organization (MCHSO). Due to COVID-19, this experience strengthened my communication skills as I led MCHSO's officers and membership. I also developed a knowledge of best practices for virtual engagement. Our group organized a variety of student led discussions of recent academic work and non-profit driven webinars that illustrated how COVID-19 directed the struggles, strategies, and partnerships of various local Philadelphia organizations. As COVID-19 rattled our international health systems and magnified socioeconomic and racial health related barriers, MCHSO worked to engage with the difficulties and disparities that we were seeing affect maternal and child health populations.

This work served as my inspiration to get involved with TAG and to continue to build strategies for increasing engagement in our new mostly virtual reality. Working with our diverse team has been a great opportunity to expand my own understanding of how best to utilize our MCH network. Our national collaborations have allowed me to continue building upon the local experiences that I had through my MPH. My ultimate goal is to amplify this network's unique professional development and service opportunities to enhance our shared learning environment for all current and former trainees.

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