Adolescent Health History
History of the ProgramThe Adolescent Health Program resides within the Division of General Pediatrics and Adolescent Medicine and is located in the Rubenstein Child Health Building which is attached to and directly across the street from the new Charlotte R Bloomberg Children’s Hospital. The Division of General Pediatrics was founded in 1979 by Dr. Catherine DeAngelis, Dr. Modena Wilson and Dr. Alain Joffe, who were the first faculty members. In 1981, Dr. Joffe began the Adolescent Medicine Program at the Johns Hopkins Hospital.
At that time, the program consisted of a half day per week clinic. The two residents assigned to the adolescent rotation alternated two weeks in the adolescent clinic and two weeks on the in-patient service. Over the next five years, the adolescent clinic expanded to providing services all day every day and the program added the college- and school-based health centers to its list of responsibilities. Dr. Hoover Adger joined the adolescent program as the second adolescent medicine faculty member in 1984. The program grew with the recruitment of Drs. Michele Wilson, Anne Bruner, Jonathan ElIen and Maria Trent who helped to expand the research agenda and established a focus on sexually transmitted infections and reproductive
In 2001,the program was established as the Section of Adolescent Medicine in acknowledgement of our relationship and organization within the Division of General Pediatrics and Adolescent Medicine and the focus on interdisciplinary care for adolescents was strengthened. Concurrently, our broader focus and concentration on issues related to health disparities was sharpened. In 2006, the program was successful in securing funding from the NIH’s NICHD to further support the fellows in our research agenda. Additionally, in 2007, the program was successful in being awarded funding from HRSA as one of seven national adolescent health programs, through receipt of a Leadership Education in Adolescent Health (LEAH) award designed to educate the next generation of leaders in the fields of medicine,psychology, nursing, nutrition, and social work. The Section of Adolescent Medicine currently has five full-time board certified faculty members who are specialists in Adolescent Medicine as well as an outstanding core of faculty members in the areas of psychology, nursing, nutrition,and social work. All are involved inresearch, teaching, and clinical or other service activities.In addition, the Section has core clinical staff members including an adolescent clinical nurse specialist, a dedicated adolescent social worker, a dedicated adolescent nurse practitioner and nutritionist. The Section also has an administrator, program administrator, and a strong research infrastructure. All these core staff members support the training and research activities of the Section. The Section also houses the Adolescent Health Promotion Research Training Program (T32). In 2006, Dr. Jonathan Ellen was awarded a T32 from NICHD to train physicians in the Adolescent Medicine fellowship program in research. The current PI for the program is Dr. Maria Trent. The award supports one new Adolescent Medicine fellow each year. Fellows supported on the T32 generally complete a year of clinical training supported by the Division of General Pediatrics and Adolescent Medicine and then enter the research training portion of the program for 2-3 years of research-related training. The fellows funded by the T32 work in synergy with all fellows in the ACGME accredited Adolescent Medicine training program and all of the discipline specific trainees and post doctoral fellows in the LEAH program.
Adolescent Health Research Group (AHRG)The Section is also home of the Adolescent Health Research Group (AHRG). Formedin 1999, this group consists of investigators and staff who work together to conduct fundamental and applied public health research directed at prevention and control of sexually transmitted infections, including HIV. The AHRG isprimarily focused on adolescents and young adults, but since many STDs are transmitted from adults to adolescents, the AHRG also focuses its efforts onhigh-risk adults, e.g., women engaged in commercial sex work and men who injectdrugs. To better understand adolescent behavior, we investigate not only from an individual perspective, but also study the context, backdrop, and environment in which high-risk behaviors occur. The AHRG receives funding from a variety of sources such as National Institutes of Health (NIH), Maryland State AIDS Administration, Centers for Disease Controland Prevention (CDC), and Baltimore City Health Department (BCHD). Investigators come from many areas within JHU (faculty, post-doctoral fellows, graduate students, medical students, and senior research staff) and represent a diverse multi-disciplinary perspective on adolescents (Anthropology, Behavioral Psychology, Ecology, Epidemiology).Collaborators and consultants include The Baltimore City Health Department,Maryland State AIDS Administration as well as academic institutions across the country. While it is administratively located in the Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, many investigators have their primary appointment in the Bloomberg School of Public Health.
Physical Setting and Available ResourcesThe academic offices of the Section of Adolescent Medicine are located on the 2nd floor of the Rubenstein Child Health Building which opened in July 2006 on the East Baltimore Medical campus. TheSection along with the Division of General Pediatrics and Adolescent Medicine occupy over 17,923 square feet of office and research space and an additional1,238 square feet of research space in another building 1.5 blocks away. Because of the success of its clinical research enterprise, we also have acquired an additional 6,400 square feet of research space at the nearby Johns Hopkins Bayview Medical Center site to expand clinical research and develop a pediatric outcomes center. All faculty members have private offices and there are three fellow rooms with a total of 14 research carrels. All rooms are equipped with personal computers which have wired and wireless access to the internet.
Campus ResourcesThe Johns Hopkins Medical Institutions (JHMI) is comprised of the Johns Hopkins Hospital, the Bloomberg School of Public Health, the Schools of Medicine and Nursing, the Welch Library and the Kennedy Krieger Institute. As JHMI grows, its leaders are increasingly focused on strengthening ties across clinical and academic sites to increase cooperation toward the advancement of biomedical research and education. The resulting open communication and close collaboration among the staff members of the various parts of the University and Hospital is mutually rewarding and supportive. Available at JHMI, within a 2-block radius, are specialists in essentially every biomedical discipline, experts in every experimental technique, and examples of the most sophisticated biomedical instrumentation. The JHMI community is extraordinarilyinteractive, with a long-standing tradition of interdepartmental andinterdisciplinary cooperation. Program trainees therefore have ready access to these resources if they are required in the conduct of their research and program faculty are engaged in a number of collaborations with laboratories throughout JHMI.
The Johns Hopkins Bloomberg School of Public Health is the largest and oldest school of public health in the world. Advanced degrees are offered including the MPH, PhD, DrPH, and a variety of master’s degrees. Over 400 courses are offered by over 350 full and part-time faculty in Departments of Biochemistry,Environmental Health, Molecular Microbiology and Immunology, International Health, Epidemiology, Maternal and Child Health, Population and Family Health Sciences, and Health Policy and Management. Course offerings are also available at satellite locations in suburban and downtown Washington, and through Distance Education over the Internet.
The Johns Hopkins Hospital is a 1,025-bed hospital with over 40,000 discharges annually, an average of182,000 ambulatory visits per year, 70,000 emergency room visits annually, a regional Oncology Center, an 18 bed NIH-sponsored clinical research unit and organ transplant program for bone marrow, renal, liver, heart and heart-lungtransplants. The hospital has an operating budget of about $605 million/year and has been ranked #1 among US hospitals.
The Johns Hopkins University School of Medicine is located adjacent to the hospital. The school was founded in 1893 and now has 1,829 full-time faculty members and annual NIH research awards over $200 million, making it the top U.S. medical school in total research dollars.
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