Bio

Ryan is a Clinical Associate Professor of Pediatrics at Stanford University's Division of General Pediatrics. His primary clinical practices are at Gardner Packard Children's Health Center and Lucile Packard Children's Hospital. In addition to his work at Stanford, Ryan also serves as the Medical Director for The Primary School, a new integrated health and education model that serves low income children and families in East Palo Alto, CA. His work and leadership focuses on the intersection and reform of primary pediatric care and early childhood education. He works to integrate systems and promote models that ensure high quality care is accessible to all children.

Ryan graduated from Stanford University with a BA in Human Biology and earned his MD at University of California, San Francisco (UCSF). He completed his pediatric residency at UCSF and participated in UCSF's Pediatric Leadership for the Underserved (PLUS) program. He went on to complete a chief resident year at The San Francisco General Hospital and Trauma Center.

Clinical Focus

  • Pediatrics

Academic Appointments

Professional Education

  • Residency: UCSF Pediatric Department (2015) CA
  • Chief Resident, University of California, San Francisco, San Francisco General Hospital (2015)
  • Board Certification: American Board of Pediatrics, Pediatrics (2015)
  • Pediatric Residency, University of California, San Francisco, Pediatric Leadership for the Underserved Program (PLUS) (2014)
  • MD, University of California, San Francisco (2011)
  • BA, Stanford University, Human Biology (2002)

Community and International Work

  • Medical Director of The Primary School

    Populations Served

    East Palo Alto

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

Contact

  • Academic
    rpadrez@stanford.edu
    University - Academic staff Department: Pediatrics - General Pediatrics Position: Clinical Associate Professor
  • Clinical (Primary)  Gardner Packard Childrens Health Center 3351 El Camino Real Ste 100 Atherton, CA 94027 (650) 362-2584 (fax)

Additional Clinical Info

Additional Info

  • Mail Code: 5459

2024-25 Courses

All Publications

  • School Suspension and Expulsion: Policy Statement. Pediatrics Jain, S. K., Beers, N., Padrez, R. 2024; 154 (4)

    Abstract

    Exclusionary school discipline practices-ie, suspension and expulsion-represent some of the most severe consequences a school district can implement for unacceptable student behavior. Suspension and expulsion were traditionally used for student behaviors that caused serious harm, such as bringing a weapon to school. Currently, the most common indications for exclusionary school discipline are for behaviors that are neither violent nor criminal. There is little evidence that exclusionary school discipline practices make schools safer or deter future misbehavior. American Indian/Alaska Native students, Black students, students whose caregivers have low socioeconomic status, male students, lesbian, gay, bisexual, transgender, and queer or questioning students, and students with disabilities are disproportionately disciplined with suspension and expulsion. In addition, exclusionary school discipline in the preschool period can be harmful to early childhood development. Children and adolescents affected by exclusionary school discipline are at higher risk for dropping out of high school and for involvement with the juvenile justice system. Both of those experiences are associated with a worse profile of physical and mental health outcomes. A multidisciplinary and trauma-informed approach to reducing exclusionary school discipline practices is described. Recommendations are provided at both the practice level for pediatric health care providers and at the systems level for both pediatric health care providers and educators.

    View details for DOI 10.1542/peds.2024-068466

    View details for PubMedID 39349407

  • Beyond mortality: early childhood development and COVID's impact. Pediatric research Zahedivash, A., Padrez, R., Chamberlain, L. J. 2023

    View details for DOI 10.1038/s41390-023-02843-4

    View details for PubMedID 37833528

  • A Lost Pandemic Generation: Only If We Do Not Act Now. JAMA network open Padrez, R. C., Chamberlain, L. J., Wise, P. H. 2023; 6 (1): e2249267

    View details for DOI 10.1001/jamanetworkopen.2022.49267

    View details for PubMedID 36622680

  • Fostering Enhanced Integration Between Early Education and Pediatric Primary Care to Support Whole-Child Health NEJM Catalyst Innovations in Care Delivery Padrez, R. C., Iyer, N., Espinas, P., Dhingra, K. R. 2023; 4 (5)

    View details for DOI 10.1056/CAT.22.0216

  • Keeping Time: Implementing Appointment-based Family-centered Rounds. Pediatric quality & safety Bekmezian, A., Fiore, D. M., Long, M., Monash, B. J., Padrez, R., Rosenbluth, G., Sun, K. I. 2019; 4 (4): e182

    Abstract

    Background: Family-centered rounds (FCRs) provide many benefits over traditional rounds, including higher patient satisfaction, and shared mental models among staff. These benefits can only be achieved when key members of the care team are present and engaged. We aimed to improve patient engagement and satisfaction with our existing bedside rounds by designing a new FCR process.Methods: We conducted a needs assessment and formed a multidisciplinary FCR committee that identified appointment-based family-centered rounds (aFCRs) as a primary intervention. We designed, implemented, and iteratively refined an aFCR process. We tracked process metrics (rounds attendance by key participants), a balancing metric (time per patient), and outcome metrics (patient satisfaction domains) during the intervention and follow-up periods.Results: After implementing aFCR, 65% of patients reported positive experience with rounds and communication. Rounds duration per patient was similar (9 versus 9.4min). Nurse, subspecialist, and interpreter attendance on rounds was 72%, 60%, and 90%, respectively. We employed a Rounding Coordinator to complete the scheduling and communication required for successful aFCR.Discussion: We successfully improved our rounding processes through the introduction of aFCR with the addition of a rounding coordinator. Our experience demonstrates one method to increase multidisciplinary team member attendance on rounds and patient satisfaction with physician communication in the inpatient setting.

    View details for DOI 10.1097/pq9.0000000000000182

    View details for PubMedID 31572884

  • Stepping Out of the Walls of the Clinic: Integrating Health and Education Journal of the San Francisco Marin Medical Society Padrez, R. 2018; 91 (8): 23-24
  • Developing the PedsValue Modules - A National Pediatric High Value Care Curriculum. Academic pediatrics Avery, C. S., Beck, J., Padrez, R., LaRue Walker, L., Herrmann, L. E., Woods, S., Schroeder, A. R., Schickedanz, A. 2017

    View details for DOI 10.1016/j.acap.2017.04.006

    View details for PubMedID 28428096

  • R-SCAN: Imaging for Pediatric Minor Head Trauma. Journal of the American College of Radiology Lee, S., Grant, G. A., Fisher, P. G., Imler, D., Padrez, R., Avery, C., Sharp, A. L., Wintermark, M. 2017; 14 (2): 294-297

    View details for DOI 10.1016/j.jacr.2016.10.006

    View details for PubMedID 28017272

  • The impact of moderate-vigorous intensity physical education class immediately prior to standardized testing on student test-taking behaviors MENTAL HEALTH AND PHYSICAL ACTIVITY Thompson, H. R., Duvall, J., Padrez, R., Rosekrans, N., Madsen, K. A. 2016; 11: 7–12

    View details for DOI 10.1016/j.mhpa.2016.06.002

    View details for Web of Science ID 000390514500002

  • Using Your Voice Effectively: Advocacy as a Resident Journal of the San Francisco Medical Society Padrez, R. 2011; 84 (10)
  • Better evidence for real healthcare reform. Expert review of pharmacoeconomics & outcomes research Redberg, R., Padrez, R. 2007; 7 (5): 423-426

    View details for DOI 10.1586/14737167.7.5.423

    View details for PubMedID 20528386

  • The Medicare Drug Benefit: Implications for California White, C., Blum, J., Padrez, R. The California Healthcare Foundation. www.chcf.org. 2005 ; Issue Brief
  • The Medicare Drug Benefit: Implications for Chronic Disease Care White, C., Blum, J., Padrez, R., Gustafsson, L. The California Healthcare Foundation. www.chcf.org. 2005 ; Issue Brief
  • The Use of Oregon's Evidence-based Reviews for Medicaid Pharmacy Policies: The Experiences in Four States Padrez, R., Carino, T., Blum, J., Mendelson, D. The Kaiser Family Foundation. www.kff.org. 2005
  • Oregon's Medicaid PDL: Will an Evidence-based Formulary with Voluntary Compliance set a Precedent for Medicaid? Bernasek, C., Mendelson, D., Padrez, R., Harrington, C. The Kaiser Family Foundation. www.kff.org. 2004