John V. Pastore MD
John V. Pastore
MD
Clinical Associate Professor
Jacobs School of Medicine & Biomedical Sciences
Specialty/Research Focus
General Pediatrics; Pediatrics
Professional Summary:
I am a board-certified pediatrician who cares for children from birth to age 22. I specialize in pediatric hospital medicine, focusing on patients hospitalized with complex medical problems that defy a simple diagnosis, or those with multiple chronic medical conditions requiring, for example, home ventilators or gastrostomy tubes, or patients with rare diseases such as Menkes disease. Most of my patients require multidisciplinary care. I have extensive experience with complex medical care and collaborative medical coordination; as a result, my patients receive the best possible care, as I collaborate with every type of subspecialist, including pulmonologists, geneticists, endocrinologists, surgeons and rheumatologists.
I also have extensive experience as a primary care physician. This, together with my hospital experience, helps me give my patients and their families everything they need to navigate the hospital system from the moment they enter the emergency room to the time of discharge. My primary care experience is also a great asset in understanding the progression of illness, and I bring this expertise to every patient I care for. I lead the patient experience team at the Oishei Children’s Hospital, which means I review patient feedback and make decisions that continually improve the hospital experience of families.
I have several research foci. I conduct research on: 1.) antibiotic use for respiratory syncytial virus (RSV) bronchiolitis and the treatment of withdrawal symptoms in infants prenatally exposed to both recreational and prescribed medications, 2.) the care of opioid-addicted newborns (neonatal abstinence syndrome) and how they respond to medical treatment, with a goal of identifying better ways to treat these newborns and 3.) the use of high-flow nasal cannula for breathing support, for patients using this apparatus outside the ICU setting. I also focus on quality care initiatives such as the multidisciplinary care of patients as it applies to the family’s global hospital experience. My goal is to translate findings into improved medical care and ancillary services for hospitalized pediatric patients.
I teach medical students and family medicine and pediatrics residents, and I supervise them as they care for hospitalized patients. I teach evidence-based medicine at the bedside during family-centered rounds, in case presentations and in the classroom. My lectures to medical students include topics such as croup and epiglottitis.
My trainees benefit from my extensive primary care background. Sending patients to the hospital, and then caring for them when they return home has given me valuable experience: I understand what brings patients into the hospital from their primary care physicians, and I know how to transfer their care into a hospital setting. I also know what patients need to make a successful transition from the hospital to home — for example, how to dose a medication simply so that parents can understand and administer it — and what primary care physicians need to offer patients both before and after they are hospitalized, e.g., follow-up care, nursing support, help with medications. I impart this knowledge, this practical side of medicine, to my trainees.
Families come to the hospital with diverse backgrounds. I teach my trainees how to support families and learn their stories — without judging them — in order to give their children the best possible care. We care for teens who have tried to take their own lives, for example. I encourage my trainees to understand their patients’ backgrounds and the factors that drove them to their decisions. In modeling professional behavior to my trainees, I teach them to approach patients and their families with respect and compassion.
I want my trainees to be curious. I teach that not everything about their patients is obvious, and I encourage trainees to ask questions — that the answer to a patient’s care is often hidden in their illness, if they listen closely. I coax trainees to learn as much as they can, then study the literature and talk to colleagues for answers. I stress teamwork.
I work directly with the pediatrics resident program on curriculum development. I am part of the UBMD teaching interest group that evaluates and discusses how best to educate the next generation of physicians. This helps ensure that I am on the cutting edge of teaching techniques. Additionally, I am part of the New York state chapter of the American Academy of Pediatrics, which coordinates pediatricians’ activities for the entire state. As such, I bring to my trainees the latest information about education and the practice of medicine across disciplines.
Education and Training:
- Cert, Medical Educators, Royal College of Physicians (2009)
- Residency, Pediatrics, University at Buffalo (1998)
- Internship, Pediatrics, University at Buffalo (1996)
- MD, Medicine, St. George‘s University School of Medicine (1995)
- BS, Biology, Fordham University (1991)
Employment:
- Clinical Associate Professor, Pediatrics, University at Buffalo (2019-present)
- Medical Director, Pediatric Hospitalist Service, Oishei Children's Hospital (2006-present)
- Hospitalist, UBMD Pediatrics, Oishei Children's Hospital (2005-present)
- Clinical Assistant Professor, Pediatrics, University at Buffalo (2005–2019)
- Volunteer Faculty, Pediatrics, Stony Brook University, School of Medicine (2002–2004)
- General Pediatrician, Pediatrics, Mid-Suffolk Pediatrics (2002–2004)
- Pediatric Medical Director, Pediatrics, Primary Care LLC (2001–2002)
- General Pediatrician, Pediatrics, Crown Colony Pediatrics (1999–2002)
- General Pediatrician, Pediatrics, Pratt Medical Center (1998–1999)
Awards and Honors:
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Clinical Research Award (2011)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Quality Improvement Award (2010)
- Kaleida Health: WOW Award (2007)
- American Academy of Pediatrics: Physicians Recognition Award in Continuing Medical Education (2002-2004)
Grants and Sponsored Research:
- January 2010–January 2011
Proposed Use of High Flow Nasal Cannula
University at Buffalo Graduate Medical Education
Role: Co-Investigator
$3,000
Journal Articles:
- Hennon TR, Penque MD, Abdul Aziz R, Alibrahim OS, McGreevy MB, Prout AJ, Schaefer BA, Ambrusko SJ, Pastore JV, Turkovich SJ, Gómez OG, Hicar MD. COVID-19 associated Multisystem Inflammatory Syndrome in Children (MIS-C) guidelines; a Western New York approach. Prog Pediatr Cardiol. 2020; 57.
- Pastore JV. Family Life and Hospital Medicine. J Am Acad Pediatr. 2006; 1.
Abstracts:
- Kramer BC, Wagner SL, Black TA, Pastore JV, Leaderstorf M, Dull ME. The Safety of High Flow Nasal Cannula at Women and Children’s Hospital of Buffalo. Crit Care Med. 2011; 39(12).
Professional Memberships:
- American Academy of Pediatrics: Section on Hospital Medicine (2006–present)
- Buffalo Pediatric Society (2005–2017)
- Society of Hospital Medicine (2005–2009)
- American Academy of Pediatrics (1998–present)
Presentations:
- "Implementation of Standardized Pulse Oximetry Use and Its Impact of Hospital Expenditure" Annual Meeting, American Academy of Pediatrics/Society of Hospital Medicine (2018)
- "Implementation of Standardized Pulse Oximetry Use and Its Impact of Hospital Expenditure" Spring Clinical Day, University at Buffalo (2018)
- "Morphine versus Methadone for the Oral Treatmet of Neonatal Abstinence Syndrome" Annual Meeting, Pediatric Academic Societies, Hospital Medicine: Neonates (2018)
- "Zika Virus" Pediatric Grand Rounds, University at Buffalo (2016)
- "Should Your Kids Consume Energy Drinks?" Media Interview, WECK Radio, Parent Talk (2015)
- "Pediatric Hospitalist Service at the Women and Children’s Hospital of Buffalo" Primary Care Collaborative Presentation, Independent Health Association (2015)
- "Pediatric Summer Safety" Media Interview, WNLO CW23, Winging It! (2014)
- "Analysis of Antibiotic Use and Imaging Studies in Patients with RSV Bronchiolitis" Annual Meeting, Pediatric Academic Societies (2013)
- "Pediatric Hospital Medicine: Looking to the Future" Pediatric Grand Rounds, University at Buffalo (2012)
- "The Natural History of High Flow Nasal Cannula at Women and Children‘s Hospital of Buffalo" 41st Annual Congress, Society of Critical Care Medicine (2012)
- "The Natural History of High Flow Nasal Cannula at Women and Children‘s Hospital of Buffalo" Pediatric Hospital Medicine 2011, Society of Hospital Medicine (2011)
- "Pott‘s Puffy Tumor with Epidural Abscess" Pediatric Grand Rounds, University at Buffalo, Clinical Case Presentation (2011)
- "The Natural History of High Flow Nasal Cannula at Women and Children‘s Hospital of Buffalo" Scholarly Exchange Day, University at Buffalo (2011)
- "Family-Centered Care" Department of Pediatrics Full-Time Faculty Meeting, University at Buffalo (2010)
- "High Flow Nasal Cannula: History of Usage at WCHOB" Pediatric Grand Rounds, University at Buffalo (2010)
- "Ethical Dilemmas in End of Life Issues" Pediatric Grand Rounds, University at Buffalo (2009)
- "Acute Disseminated Encephalomyelitis" Medical Morbidity and Mortality Pediatric Case Presentations, Women and Children‘s Hospital of Buffalo (2009)
- "Legal Implications Related to Documentation and Quality of Care" Pediatric Grand Rounds, University at Buffalo (2009)
- "Medical Illness Presenting as Psychiatric Disease" Medical Morbidity and Mortality Pediatric Resident Case Presentations, Women and Children‘s Hospital of Buffalo (2008)
- "Pediatric Intestinal Transplantation: Dispelling Some Myths" Pediatric Grand Rounds, University at Buffalo (2006)
Service Activities:
- American Academy of Pediatrics, New York State Chapter: Committee to form Chapter of Pediatric Hospital Medicine; Committee Member (2018–present)
- Oishei Children‘s Hospital: Patient Experience Team; Physician Leader (2015–present)
- Women and Children‘s Hospital of Buffalo: Oishei Children‘s Hospital Moving Planning Committee; Committee Member (2015–2017)
- Buffalo Spree: 'Raising a Happy Health Family'; Contributor (2014)
- UBMD Pediatrics: Board of Directors; Vice President (2014–2015)
- Women and Children‘s Hospital of Buffalo: Pain Management Team; Member (2014–2015)
- Kaleida Health: Women and Children‘s Hospital of Buffalo/Oishei Children's Hospital Leadership Committee; Committee Member (2014–present)
- Buffalo Spree: 'Kids - School and Sports Safety'; Contributor (2013)
- Kaleida Health: Medical Executive Committee; Committee Member (2013–2015)
- UBMD Pediatrics; Board of Directors (2013)
- Women and Children‘s Hospital of Buffalo: Medical Observation Unit; Co-Director (2012–2015)
- Kaleida Health: Physician Productivity Incentive Committee; Committee Member (2012–2014)
- Shepley-Bulfinch: Medical Consultation Team for John R. Oishei Children‘s Hospital; Hospitalist Physician Leader (2012–2014)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatric Hospital Medicine Inpatient Elective; Director (2012–present)
- Women and Children‘s Hospital of Buffalo: Medical Advisory Committee; General Pediatrics Physician Representative (2011–2015)
- Hillview Elementary: Starry Night Fund Raiser for Women and Children‘s Hospital of Buffalo Foundation; Kaleida Foundation Representative (2010)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Search Committee for Pediatric Cardiology; Hospitalist Leader (2010–2015)
- Kaleida Health: Inpatient Electronic Medical Record Development Team; Physician Hospitalist Leader (2010–2014)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Faculty Practice Management Plan Governing Board; Alternate Member (2010–2011)
- Women and Children‘s Hospital of Buffalo: High Flow Nasal Cannula Pathway Development Team; Chair (2010–2011)
- Women and Children‘s Hospital of Buffalo: High Flow Protocol Development Team; Team Leader (2010–2011)
- Women and Children‘s Hospital of Buffalo: Methadone Weaning Protocol Development Team; Hospitalist Leader (2010–2011)
- Women and Children‘s Hospital of Buffalo: Pulse Oxygenation Protocol Development Team; Team Leader (2010–2011)
- Oishei Children‘s Hospital: Pharmacy and Therapeutic Subcommittee; Physician Representative (2009–present)
- UBMD Pediatrics: Board of Directors; Treasurer (2009–2012)
- UBMD Pediatrics: Physician Productivity Review Committee; Committee Member (2009–2016)
- Women and Children‘s Hospital of Buffalo: Strategic Planning Subcommittee; Hospitalist Leader (2009–2016)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Search Committee for Pediatric Infectious Diseases; Hospitalist Leader (2009–2015)
- Women and Children‘s Hospital of Buffalo: Pandemic Planning Team; Hospitalist Leader (2009–2014)
- Women and Children‘s Hospital of Buffalo: Bronchiolitis Care Pathway Development Team; Hospitalist Leader (2009–2010)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatrics Teaching Interest Group; Member (2009–present)
- UBMD Pediatrics: Patient Keeper Smartphone Biling Implementation; Physician Leader and SuperUser (2008–2015)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Students Interested in Pediatrics; Physician Mentor (2008–2012)
- Women and Children‘s Hospital of Buffalo: Children and Youth Investigational Review Board; Board Member (2008–2012)
- ExitCare; Editor (2008–2011)
- Women and Children‘s Hospital of Buffalo: Communication Team; Hospitalist Representative (2008–2009)
- Women and Children‘s Hospital of Buffalo: Direct Admission Team; Chair (2008–2009)
- Women and Children‘s Hospital of Buffalo: Focused Acute Service Tract Development Team; Physician Leader (2008–2009)
- University at Buffalo: Students Interested in Pediatrics; Student Mentor (2008–present)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Inpatient Rotation on Pediatric Hospitalist Service; Educational Leader (2007–present)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatric Curriculum Committee; Committee Member (2007–2017)
- Women and Children‘s Hospital of Buffalo: Companies Coming Team; Hospitalist Physician Representative (2007–2010)
- Women and Children‘s Hospital of Buffalo: Culture Club Team; Hospitalist Physician Representative (2007–2010)
- Women and Children‘s Hospital of Buffalo: Outreach and Access Team; Hospitalist Representative (2007–2008)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatric Resident Recruitment Committee; Committee Member (2007–present)
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences: Pediatric Resident Review Committee; Committee Member (2007–present)
- Women and Children‘s Hospital of Buffalo: Quality and Patient Safety Council; Member (2006–2015)
- Women and Children‘s Hospital of Buffalo: Throughput Team; Chair (2006–2011)
- Women and Children‘s Hospital of Buffalo: NICE Team; Member (2005–2006)
- Primary Care LLC: Pediatric Asthma Education Program; Teacher (2000)