NIH: Office of Disease Prevention

Medicine: Mind the Gap

3-Part Series on Disease Prevention Screening

Series Topic #2:
Guidelines for Screening in Children

October 20, 2016
This Mind the Gap lecture was presented as a webinar.

Dr. David Grossman

David C. Grossman, M.D., M.P.H. External Website Policy
Executive Medical Director, Senior Investigator, Pediatrician
Group Health Research Institute


NIH VideoCast of This Seminar

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About the Seminar

Prevention is often viewed as the cornerstone of pediatrics and child health. This view is supported by the tremendous advances in the prevention of infectious diseases and even some non-chronic conditions, such as many types of injuries. Infectious disease prevention has resulted largely from advances in immunizations and the use of preventive medication. Injury deaths have largely been reduced by advances in environmental health and engineering, and not through clinical services. Despite these recognized advances, there are still significant gaps in our understanding of pediatric clinical preventive services, largely in the domains of screening asymptomatic children and providing behavioral interventions to improve healthful activities. The U.S. Preventive Services Task Force has identified a number of key evidence gaps in these areas and issued a call for research to close these gaps. This seminar focused on the evidence gaps in children’s clinical preventive services and addressed how these gaps might be filled through a combination of different study designs that best address these gaps, including screening trials, treatment trials and observational evidence across a broad variety of conditions.

About David C. Grossman, M.D., M.P.H.

David C. Grossman, M.D., M.P.H., is Senior Investigator at the Group Health Research Institute, Executive Medical Director for Population and Purchaser Health Strategy, and a practicing pediatrician at the Group Health healthcare system in Seattle, WA. He is also Professor of Health Services and Adjunct Professor of Pediatrics at the University of Washington. In his current research and administrative roles, he leads Group Health leaders and researchers who address the design, promotion, delivery, and evaluation of population care services, including studies of the impact of health benefit design changes to promote prevention.

Dr. Grossman holds numerous leadership positions within the professional community. He is the co-vice chair of the U.S. Preventive Services Task Force and also recently served as a member of the Community Preventive Services Task Force. He served several terms as a member of the Board of Scientific Counselors of the Centers for Disease Control and Prevention's National Center for Injury Prevention and Control.

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