Scholars@Duke
Kathleen Anne McGann

Kathleen Anne McGann

Professor Emeritus of Pediatrics
Pediatrics
kathleen.mcgann@duke.edu
102346 Box Med Ctr, Durham, NC 27710
Hanes House #373, 315 Trent Drive, Durham, NC 27710
Office hours 24/7  

Scholarly Works - Journal articles

Use of entrustable professional activities for reliable overall entrustment decisions.

Journal article Acad Med · January 1, 2026 PURPOSE: Entrustable professional activities (EPAs) detail essential activities within a given specialty. Although 17 general pediatrics EPAs have been defined, it is not known how many are needed to make high-reliability overall entrustment decisions abou ... Full text Link to item Cite

Pediatric Fellows and Their Ability to Meet Minimum Supervision Levels at Graduation.

Journal article Pediatrics · July 1, 2025 OBJECTIVE: Assessing pediatric subspecialty fellows using entrustable professional activities (EPAs) to determine readiness for graduation has not been described. We aimed to determine whether graduating pediatric fellows are meeting the minimum supervisio ... Full text Link to item Cite

Graduating Residents' Readiness for Unsupervised Practice.

Journal article Pediatrics · May 1, 2025 OBJECTIVE: This study sought to determine whether graduating residents were deemed ready for unsupervised practice for each of the 17 general pediatrics entrustable professional activities (EPAs). METHODS: At the end of the 2021-22, 2022-23, and 2023-24 ac ... Full text Link to item Cite

Many Pediatric Subspecialty Fellows Are Not Ready to Graduate From Fellowship in 2 Years.

Journal article Pediatrics · April 1, 2025 BACKGROUND AND OBJECTIVES: The American Board of Pediatrics requires that proposed changes to the duration of pediatric subspecialty training must include a framework for competency assessment with a measurement component. We analyzed the clinical Entrusta ... Full text Link to item Cite

Validity Evidence for Level of Supervision Scales With Pediatric Subspecialty-Specific Entrustable Professional Activities.

Journal article Acad Pediatr · 2025 OBJECTIVE: To generate validity evidence based on Messick's framework for the use of supervision scales in assessment of the entrustable professional activities (EPAs) specific to each pediatric subspecialty. METHODS: From 2018 to 2022, we asked clinical c ... Full text Link to item Cite

Implementing Entrustable Professional Activities in Pediatric Fellowships: Facilitating the Process.

Journal article Pediatrics · June 1, 2024 BACKGROUND AND OBJECTIVES: Entrustable professional activities (EPAs) will be used for initial certification by the American Board of Pediatrics by 2028. Less than half of pediatric fellowships currently use EPAs for assessment, yet all will need to adopt ... Full text Link to item Cite

Fostering the Facilitator: Promoting Clinical Educators' Interprofessional Education Facilitation Skills and Socialization Using Exclusively Online Learning.

Journal article J Allied Health · 2024 Health professions educators can benefit from continuing education to more effectively facilitate interprofessional education (IPE) in clinical settings. Online learning formats enable broader participation and overcome barriers to in-person events, though ... Open Access Link to item Cite

Relationship between epa level of supervision with their associated subcompetency milestone levels in pediatric fellow assessment.

Journal article BMC Med Educ · October 3, 2023 BACKGROUND: Entrustable Professional Activities (EPA) and competencies represent components of a competency-based education framework. EPAs are assessed based on the level of supervision (LOS) necessary to perform the activity safely and effectively. The b ... Full text Link to item Cite

In-Person Instruction and Educational Outcomes of K-8 Students During the COVID-19 Pandemic.

Journal article Pediatrics · July 1, 2023 OBJECTIVES: Quantify the relationship between district policy permitting in-person instruction and educational outcomes during the 2020 to 2021 academic year for kindergarten through eighth grade students. METHODS: An ecological, repeated cross-sectional a ... Full text Link to item Cite

Fellow Entrustment for the Common Pediatric Subspecialty Entrustable Professional Activities Across Subspecialties.

Journal article Acad Pediatr · August 2022 OBJECTIVE: To determine the relationship between level of supervision (LOS) ratings for the Common Pediatric Subspecialty Entrustable Professional Activities (EPAs) with their associated subcompetency milestones across subspecialties and by fellowship trai ... Full text Link to item Cite

School Masking Policies and Secondary SARS-CoV-2 Transmission.

Journal article Pediatrics · June 1, 2022 OBJECTIVES: Throughout the COVID-19 pandemic, masking has been a widely used mitigation practice in kindergarten through 12th grade (K-12) school districts to limit within-school transmission. Prior studies attempting to quantify the impact of masking have ... Full text Link to item Cite

Secondary Transmission of COVID-19 in K-12 Schools: Findings From 2 States.

Journal article Pediatrics · February 1, 2022 OBJECTIVES: We evaluated the impact of distancing practices on secondary transmission of severe acute respiratory syndrome coronavirus 2 and the degree of sports-associated secondary transmission across a large diverse cohort of schools during spring 2021. ... Full text Link to item Cite

A School-Based SARS-CoV-2 Testing Program: Testing Uptake and Quarantine Length After In-School Exposures.

Journal article Pediatrics · February 1, 2022 OBJECTIVES: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-related quarantines, which are required after close contact with infected individuals, have substantially disrupted in-person education for kindergarten through 12th grade (K-12) stud ... Full text Open Access Link to item Cite

Achieving Entrustable Professional Activities During Fellowship.

Journal article Pediatrics · November 2021 BACKGROUND AND OBJECTIVES: Entrustable Professional Activities (EPAs) were developed to assess pediatric fellows. We previously showed that fellowship program directors (FPDs) may graduate fellows who still require supervision. How this compares with their ... Full text Link to item Cite

Community SARS-CoV-2 Surge and Within-School Transmission.

Journal article Pediatrics · October 2021 OBJECTIVES: When the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic began, experts raised concerns about in-person instruction in the setting of high levels of community transmission. We describe secondary transmission of SARS-CoV-2 ... Full text Link to item Cite

Continued Supervision for the Common Pediatric Subspecialty Entrustable Professional Activities May Be Needed Following Fellowship Graduation.

Journal article Acad Med · July 1, 2021 PURPOSE: Entrustable professional activities (EPAs) are one approach to competency-based medical education (CBME), and 7 EPAs have been developed that address content relevant for all pediatric subspecialties. However, it is not known what level of supervi ... Full text Link to item Cite

Incidence and Secondary Transmission of SARS-CoV-2 Infections in Schools.

Journal article Pediatrics · April 2021 BACKGROUND: In an effort to mitigate the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), North Carolina closed prekindergarten through grade 12 public schools to in-person instruction on March 14, 2020. On July 15, 2020, North Carol ... Full text Link to item Cite

Agreement of Program Directors With Clinical Competency Committees for Fellow Entrustment.

Journal article J Med Educ Curric Dev · 2020 OBJECTIVES: Fellowship program directors (FPD) and Clinical Competency Committees (CCCs) both assess fellow performance. We examined the association of entrustment levels determined by the FPD with those of the CCC for 6 common pediatric subspecialty entru ... Full text Link to item Cite

Cultivating Research Skills During Clinical Training to Promote Pediatric-Scientist Development.

Journal article Pediatrics · August 2019 Physician-scientists represent a critical component of the biomedical and health research workforce. However, the proportion of physicians who spend a significant amount of effort on scientific research has declined over the past 40 years. This trend has b ... Full text Open Access Link to item Cite

Funding Sources and Perceived Financial Insecurity in Pediatric Subspecialty Fellowship Programs.

Journal article Acad Pediatr · 2019 OBJECTIVE: Shortages of pediatric subspecialists exist in many fields with insufficient recruitment of new fellows. The current system of funding graduate medical education is inadequate. We examined funding sources for trainee salary and educational expen ... Full text Link to item Cite

Neutropenic enterocolitis (typhlitis) in a pediatric renal transplant patient. A case report and review of the literature.

Journal article Pediatr Transplant · September 2017 NE (typhlitis) is a potentially life-threatening disease process characterized by bowel wall edema, ulceration, and hemorrhage in an immunosuppressed patient. We report a 15-year-old boy status post deceased donor renal transplantation who presented with f ... Full text Link to item Cite

CD4+ and viral load outcomes of antiretroviral therapy switch strategies after virologic failure of combination antiretroviral therapy in perinatally HIV-infected youth in the United States.

Journal article AIDS · October 23, 2015 OBJECTIVE: This study compared 12-month CD4 and viral load outcomes in HIV-infected children and adolescents with virological failure, managed with four treatment switch strategies. DESIGN: This observational study included perinatally HIV-infected (PHIV) ... Full text Link to item Cite

Persistent and Prolonged Parvovirus B19 Viremia in a Pediatric Patient With Acute Lymphoblastic Leukemia.

Journal article J Pediatric Infect Dis Soc · September 2015 Parvovirus B19 is a small single-stranded DNA virus of the Parvoviridae family. Depending on host factors, it may produce a wide array of clinical disease states. Disease severity can range from self-limited to severe, requiring significant supportive care ... Full text Link to item Cite

Can Tablet Computers Enhance Faculty Teaching?

Journal article J Grad Med Educ · June 2015 BACKGROUND: Learner benefits of tablet computer use have been demonstrated, yet there is little evidence regarding faculty tablet use for teaching. OBJECTIVE: Our study sought to determine if supplying faculty with tablet computers and peer mentoring provi ... Full text Link to item Cite

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

Journal article Hosp Pediatr · March 2015 OBJECTIVE: Teaching and evaluation of handovers are important requirements of graduate medical education (GME), but well-defined and effective methods have not been clearly established. Case-based computer simulations provide potential methods to teach, ev ... Full text Link to item Cite

Milestone-Based Assessments Are Superior to Likert-Type Assessments in Illustrating Trainee Progression.

Journal article J Grad Med Educ · March 2015 BACKGROUND: The Pediatrics Milestone Project uses behavioral anchors, narrative descriptions of observable behaviors, to describe learner progression through the Accreditation Council for Graduate Medical Education competencies. Starting June 2014, pediatr ... Full text Link to item Cite

Using an innovative curriculum evaluation tool to inform program improvement: the clinical skills fair.

Journal article J Grad Med Educ · March 2014 BACKGROUND: Program evaluation is important for assessing the effectiveness of the residency curriculum. Limited resources are available, however, and curriculum evaluation processes must be sustainable and well integrated into program improvement efforts. ... Full text Link to item Cite

An innovative process for faculty development in residency training.

Journal article Teach Learn Med · 2012 BACKGROUND: For programs to accomplish the goals of the Accreditation Council of Graduate Medical Education (ACGME) Outcome Project, faculty must be trained to deliver and assess education that is level-specific, competency-based, standardized, integrated, ... Full text Link to item Cite

Do pediatric residents prefer interactive learning? Educational challenges in the duty hours era.

Journal article Med Teach · 2011 BACKGROUND: The volume of information that physicians must learn is increasing; yet, trainee educational time is limited. Many experts propose using trainees' learning preferences to guide teaching. However, data regarding predominant learning preferences ... Full text Link to item Cite

Quality of life for children and adolescents: impact of HIV infection and antiretroviral treatment.

Journal article Pediatrics · February 2006 BACKGROUND: HIV/AIDS mortality rates in the United States are declining; pediatric HIV has become a chronic disease, with quality of life (QoL) outcomes assuming greater importance. OBJECTIVES: To compare QoL among HIV-infected and uninfected children and ... Full text Link to item Cite

Mapping students' clinical experiences to pediatric clerkship goals.

Journal article AMIA Annu Symp Proc · 2006 In anticipation of new LCME accreditation requirements, our third year clerkship students began tracking pediatric clinical experiences using a hand-held Electronic Student Encounter Log (ESEL) in June 2005. ESEL was tailored to support rapid documentation ... Link to item Cite

Complications of human immunodeficiency virus therapy.

Journal article Pediatr Infect Dis J · September 2004 Full text Link to item Cite

Steps to reduce nosocomial infections in children

Journal article Infections in Medicine · September 1, 2002 The ltypes of nosocomial infections in children vary depending on the child's age, hospital unit, and instrumentation devices in use. The most common include viral upper and lower respiratory tract infections, gastroenteritis, bloodstream infections, and v ... Cite

Herpesvirus infections in the fetus and neonate: Epidemiology and clinical manifestations

Journal article Seminars in Pediatric Infectious Diseases · January 1, 1997 The herpesvirus family includes several pathogens that can cause maternal and, therefore, fetal and neonatal infections. This review focuses on the following members of the herpesvirus family and their role in congenital and neonatal infections: herpes sim ... Full text Cite

Management of infants with HIV-1 infection

Journal article Report on Pediatric Infectious Diseases · January 1, 1996 Cite

Human immunodeficiency virus type 1 Tat activity in human neuronal cells: uptake and trans-activation.

Journal article J Gen Virol · August 1994 Neurological dysfunction in AIDS occurs in the absence of productive infection of neurons, and may involve modulation of neuronal cell function by viral or cellular products released from surrounding infected cells. The human immunodeficiency virus type 1 ... Full text Link to item Cite

Distinct effects in primary macrophages and lymphocytes of the human immunodeficiency virus type 1 accessory genes vpr, vpu, and nef: mutational analysis of a primary HIV-1 isolate.

Journal article Virology · May 1, 1994 Macrophages and lymphocytes are the two main targets for productive HIV-1 infection in vivo. To compare the effects of the "nonessential" HIV-1 accessory genes vpr, vpu, and nef on viral replication in these primary cell types, we generated a panel of muta ... Full text Link to item Cite

Human immunodeficiency virus type 1 causes productive infection of macrophages in primary placental cell cultures

Journal article Journal of Infectious Diseases · 1994 To characterize the role of the placenta in vertical transmission of human immunodeficiency virus type 1 (HIV-1), the susceptibility of primary human placental cultures and of transformed trophoblast cell lines to infection by several HIV-1 isolates was ex ... Cite

The evolution of virus diseases: their emergence, epidemicity, and control.

Journal article Virus Res · July 1993 The evolution of virus diseases, both their emergence and disappearance, involves complex interactions between the agent, the host, and the environment. These themes are illustrated by three examples, poliomyelitis of humans, bovine spongiform encephalopat ... Full text Link to item Cite

Achromobacter xylosoxidans bacteremia.

Journal article Infect Control Hosp Epidemiol · October 1990 Full text Link to item Cite