General Pediatrics; Pediatrics; Psychology
My clinical expertise is focused on pediatric hospital medicine and pediatric urgent care. I practice an evidence-based, patient- and family-centered model of care at the Women and Children’s Hospital of Buffalo. Here, I care for children and adolescents exhibiting a wide array of illnesses and health issues, including infectious illnesses of the blood, skin, lungs and kidneys; respiratory illnesses such as pneumonia and croup; chronic illnesses such as diabetes and asthma and common pediatric illnesses such as influenza and dehydration. I also care for children and adolescents recovering from injuries or surgeries. I have a particular clinical and research interest in pain assessment and treatment. In the emergency department, I care for children and adolescents with mild-to-moderate acute problems in an urgent care setting, including fever, asthma exacerbations, lacerations, gastrointestinal tract complaints, fractures and other musculoskeletal injuries. Additionally, I have expertise in the psychological aspects of physical illness, which allows me to offer comprehensive care to my patients. Prior to medical school, I completed a PhD in child clinical psychology and a postdoctoral fellowship in pediatric psychology. I then practiced for more than 10 years as pediatric psychologist, applying the principles of psychology within the context of pediatric health and aiming to promote the health and development of children and adolescents and their families through use of evidence-based methods. In treating patients medically, I tap my expertise in assessing and treating behavioral and emotional concomitants of illness, injury and developmental disorders--and preventing illness and promoting health and health-related behaviors. I appreciate the importance of good communication between hospital-based providers and the patient’s primary care provider and ensure that my patient‘s primary care providers are alerted when their patient is admitted to my service. This allows the primary care doctor the opportunity to offer insight to the patient‘s medical history. At discharge, I carefully review the resident‘s discharge summary to make sure that the primary doctor knows what happened and why. I appreciate primary doctors’ time and ensure that the discharge summary is concise but brief. I teach medical students and residents daily. I allow my trainees to form their own assessments and plans, and I use their presentations as a platform to offer positive reinforcement, personal experience and evidence-based medicine teaching. I often ask trainees to research a topic and give a brief presentation on rounds. My goals are to foster collaborative learning, encourage a supportive learning environment and build the confidence of my trainees as they test their knowledge and skills.
Pediatrics; Psychology; Behavioral Medicine
I am a SUNY Distinguished Professor in the Departments of Pediatrics, Community Health and Health Behavior and Social and Preventive Medicine, and the Chief of the Division of Behavioral Medicine. My research interests focus on health behavior change and determinants of eating, physical activity and drug self-administration. I am an internationally recognized authority in the fields of childhood overweight, physical activity, weight control and family intervention. For the past 30 years, I have conducted research relevant to the prevention and treatment of childhood obesity, including mechanisms that regulate intake and energy expenditure in children. I am a fellow in numerous scientific organizations, and have been the President of the division of Health Psychology, APA, and recipient of the American Psychological Association Award for Outstanding Contributions to Health Psychology. I chaired the Behavioral Medicine Study Section, NIH, and served on the Advisory Board for Center for Scientific Research, NIH. I have published over 300 scientific papers and three books.