Ryan is a pediatrician and Assistant Clinical Professor of Pediatrics at Stanford University's Division of General Pediatrics. His primary clinical practice is at Gardner Packard Children's Health Center. 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 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 Assistant Professor, Pediatrics - General Pediatrics
Residency: UCSF Pediatric Department (2015) CA
Chief Resident, University of California, San Francisco, San Francisco General Hospital (2015)
Board Certification: Pediatrics, American Board of 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
East Palo Alto
Opportunities for Student Involvement
Keeping Time: Implementing Appointment-based Family-centered Rounds.
Pediatric quality & safety
2019; 4 (4): e182
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 2018; 91 (8): 23-24
- Developing the PedsValue Modules - A National Pediatric High Value Care Curriculum. Academic pediatrics 2017
- R-SCAN: Imaging for Pediatric Minor Head Trauma. Journal of the American College of Radiology 2017; 14 (2): 294-297
- The impact of moderate-vigorous intensity physical education class immediately prior to standardized testing on student test-taking behaviors MENTAL HEALTH AND PHYSICAL ACTIVITY 2016; 11: 7–12
- Using Your Voice Effectively: Advocacy as a Resident Journal of the San Francisco Medical Society 2011; 84 (10)
- Better evidence for real healthcare reform. Expert review of pharmacoeconomics & outcomes research 2007; 7 (5): 423-426
- The Medicare Drug Benefit: Implications for Chronic Disease Care 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 The Kaiser Family Foundation. www.kff.org. 2005
- The Medicare Drug Benefit: Implications for California The California Healthcare Foundation. www.chcf.org. 2005 ; Issue Brief
- Oregon's Medicaid PDL: Will an Evidence-based Formulary with Voluntary Compliance set a Precedent for Medicaid? The Kaiser Family Foundation. www.kff.org. 2004