Scholars@Duke
James Walter Fox

James Walter Fox

Professor of Pediatrics
Pediatrics, Emergency Medicine
james.fox@duke.edu
2301 Erwin Road, DUMC Box 102376, Durham, NC 27710
Dept of Pediatrics, Durham, NC 27710
Office hours n/a  

Selected Publications

Validity Evidence for Using Virtual, Interactive Patient Encounters to Teach and Assess Clinical Reasoning for First-Year Medical Students.

Journal Article Acad Med · April 1, 2025 PURPOSE: Despite universal agreement on the importance of clinical reasoning skills, inadequate curricular attention to these skills remains a problem. To facilitate integration of clinical reasoning instruction and assessment into the preclerkship phase, ... Full text Link to item Cite

The Psychology of Shame: A Resilience Seminar for Medical Students.

Journal Article MedEdPORTAL · December 24, 2020 INTRODUCTION: Shame is a powerful emotion that can cause emotional distress, impaired empathy, social isolation, and unprofessional behavior in medical learners. However, interventions to help learners constructively engage with shame are rare. This module ... Full text Open Access Link to item Cite

The impact of the implementation of a mobile stroke unit on a stroke cohort.

Journal Article Clin Neurol Neurosurg · November 2020 BACKGROUND: Mobile stroke units (MSUs), specialized ambulances with a built-in computed tomography (CT) scanner and telemedicine connected stroke team, have been on the rise in recent years largely due to the 'time is brain' concept. We aim to report our i ... Full text Link to item Cite

In Reply to Dyster.

Journal Article Acad Med · August 2020 Full text Link to item Cite

Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students.

Journal Article Acad Med · August 2019 PROBLEM: Medical schools face the challenge of developing efficacious resources to promote well-being and foster resilience in students. The authors developed, implemented, and evaluated a shame resilience seminar for second-year clerkship medical students ... Full text Link to item Cite

Epidemiology of preoperative hematologic assessment of children cared for in a pediatric emergency department.

Journal Article Am J Emerg Med · January 2018 OBJECTIVE: To assess frequency of preoperative hematologic testing in a tertiary care pediatric emergency department (PED) and how often these values predict clinical outcome or change management decisions. METHODS: Single-center retrospective cohort study ... Full text Link to item Cite

Heimlich valve orientation error leading to radiographic tension pneumothorax: analysis of an error and a call for education, device redesign and regulatory action.

Journal Article Emerg Med J · April 2016 Medical errors are commonly multifactorial, with adverse clinical consequences often requiring the simultaneous failure of a series of protective layers, termed the Swiss Cheese model. Remedying and preventing future medical errors requires a series of ste ... Full text Link to item Cite

An Asthma Protocol Improved Adherence to Evidence-Based Guidelines for Pediatric Subjects With Status Asthmaticus in the Emergency Department.

Journal Article Respir Care · December 2015 BACKGROUND: In our institution's pediatric emergency department, adherence to evidence-based asthma guidelines was noted to be suboptimal for patients with asthma exacerbations. We hypothesized that an evidence-based asthma protocol would improve time to t ... Full text Link to item Cite

Consensus development of a pediatric emergency medicine clerkship curriculum.

Journal Article West J Emerg Med · September 2014 INTRODUCTION: As emergency medicine (EM) has become a more prominent feature in the clinical years of medical school training, national EM clerkship curricula have been published to address the need to standardize students' experiences in the field. Howeve ... Full text Open Access Link to item Cite

Recurrent expressive aphasia as a presentation of cat-scratch encephalopathy.

Journal Article Pediatrics · March 2007 Cat-scratch disease is a common disease, occurring in an estimated 24,000 patients annually in the United States, and is one of the most common causes of chronic lymphadenitis in children. A wide array of neurologic complications occurs as a result of cat- ... Full text Link to item Cite

Performance of rapid streptococcal antigen testing varies by personnel.

Journal Article J Clin Microbiol · November 2006 Rapid carbohydrate antigen tests are frequently used to diagnose group A streptococcal (GAS) pharyngitis. Despite evidence of modest sensitivity in medical settings, rapid antigen tests are available to the public for self-testing. We sought to determine i ... Full text Link to item Cite

Diagnosis of streptococcal pharyngitis by detection of Streptococcus pyogenes in posterior pharyngeal versus oral cavity specimens.

Journal Article J Clin Microbiol · July 2006 Carbohydrate antigen detection, nucleic acid probe detection, and bacterial culture are commonly used to confirm group A streptococcus (GAS) pharyngitis. Compared to standard throat swab specimens, the sensitivities of these tests with mouth specimens are ... Full text Link to item Cite

Insulin replacement therapy in diabetic rats using an osmotic pump normalizes expression of enzymes key to hepatic carbohydrate metabolism.

Journal Article Arch Biochem Biophys · August 15, 1999 Intensively treating type I diabetics with continuous subcutaneous insulin infusions or multiple daily insulin injections to normalize mean blood glucose concentrations significantly reduces the onset of secondary diabetic complications when compared to co ... Full text Link to item Cite

Adaptation after small bowel resection is attenuated by sialoadenectomy: the role for endogenous epidermal growth factor.

Journal Article Surgery · November 1998 BACKGROUND: Epidermal growth factor (EGF) is likely involved during adaptation after small bowel resection (SBR) because some studies have shown enhanced adaptation by EGF administration. Because the major source of endogenous EGF in mice is the submandibu ... Link to item Cite

Epidermal growth factor augments adaptation following small bowel resection: optimal dosage, route, and timing of administration.

Journal Article J Surg Res · June 1998 BACKGROUND: In assorted animal models of small bowel resection (SBR), exogenous epidermal growth factor (EGF) has been shown to augment intestinal adaptation. This study was designed to elucidate the optimal dose, route, and timing of exogenous EGF to boos ... Full text Link to item Cite

Role of a Pediatric Asthma Protocol in the Emergency Department

Journal Article Virginia Henderson Global Nursing e-Repository Link to item Cite