Bio


Pediatric Hospitalist since 1996.

Clinical Focus


  • Pediatric Hospital Medicine with special focus on the Neonate
  • Breastfeeding medicine
  • Pediatric Hospital Medicine

Academic Appointments


Administrative Appointments


  • Clinical Educator, Stanford University (2003 - Present)
  • Clinical Assistant Professor, Stanford University (2014 - Present)

Boards, Advisory Committees, Professional Organizations


  • Member, AAP-Section of Pediatric Hospital Medicine (2014 - Present)
  • Member, AAP-Section of Breastfeeding Medicine (2017 - Present)
  • Fellow, AAP (1994 - Present)

Professional Education


  • Board Certification: International Board of Lactation Consultant Examiners, Lactation Consultant
  • Board Certification: American Board of Pediatrics, Pediatrics (1995)
  • Residency: Harbor-UCLA Medical Center Pediatric Residency (1995) CA
  • Internship: Harbor-UCLA Medical Center Pediatric Residency (1993) CA
  • Medical Education: St Louis University School of Medicine (1992) MO

Current Research and Scholarly Interests


QI project: I created a document and a visual guide that nurses used to document nipple pain and trauma on every eligible mother.
This is a one time assessment, done along with their normal assessment upon transfer of the mother from L&D to the Mother Baby Unit (usually within 4 hours after delivery). Inclusion and exclusion criteria were defined: gestational age > or = 37 completed weeks, no medical indications for supplementation, no separation of mom from baby before transfer to MBU, mother stated intention to exclusively breastfeed prior to delivery.
Before doing the education piece, we collected baseline data for 3 months.
The next three months, we disseminated the tutorial either by me personally presenting at the Labor and Delivery nurses' skills fair or running a recording of my presentation.We also encouraged L&D nurses to ask for additional help from LLC’s.
Then we started collecting post-intervention data. So far we have a decrease from 27% to 17%.

Projects


  • Improving the Breastfeeding experience by decreasing Nipple pain and Trauma, Joint Venture site: LPCH and John Muir Hospital in Walnut Creek (2/17/2019 - 2/16/2020)

    Developed a step-by-step technical tutorial for nurses and parents on how to achieve an effective non-painful latch with the first latch.

    Location

    Walnut Creek, California

All Publications