Presenter Profile

Altamish Daredia, MD

Resident, PGY-1
Emergency Medicine - UT Houston
altamish.f.daredia@UTH.tmc.edu

Altamish is a current first year emergency medicine resident at UT Houston. He graduated with a bachelor’s degree in neuroscience from the University of Alabama at Birmingham. He received his MD degree from the UAB Heersink School of Medicine in 2023. During his time in medical school he worked on research relating to pediatric firearm injuries in the state of Alabama. His current research focuses on medical education as well as injury prevention.

Presentations

Intentionality of Pediatric Firearm Injuries Based on Area Deprivation Index

Altamish Daredia, MD
Eric Jorge, MD
Elizabeth Baker, PhD
Gabriela Oates, PhD
Kathy Monroe, MD, MSQI

Part of session:

Lightning Round Presentations

Saturday Lightning Round

Saturday, December 2, 2023, 10:15 AM to 10:50 AM

Background:

Between 2012 and 2014, on average 1300 children under the age of 18 died each year because of a firearm related injury in the United States. Studies have shown that socioeconomic differences influence many health-related issues, including the overall number of firearm related injuries; however, the specific ways in which they affect pediatric firearm injuries is less well known. The Area Deprivation Index (ADI) is an objective measure used to stratify the level of socioeconomic disadvantage based on zip codes. This study aimed to divide locations into groups based on ADI and assess the intentionality of firearm injuries based on ADI in both rural and urban settings. The data shown here will help guide public health experts and pediatricians in targeting firearm injury prevention based on location.

Methods:

A retrospective chart review of firearm related wounds was conducted in children ages 0-19 who presented over a twenty-year period (2000-2019) to our institution (pediatric quaternary care center and the sole pediatric level one trauma center in the state of Alabama), as well as the local county medical examiner’s office. More than twenty variables, including zip code, associated ADI score, associated Rural-Urban Commuting Area (RUCA) code, intentionality, and outcomes, were collected using pre-determined criteria and analyzed. After accounting for the demographic characteristics of the patients, a multivariable logistic regression was used to assess for associations between socioenvironmental measures (socioeconomic and rurality) and the intentionality of the shooting.

Results:

Those who experienced an intentional shooting had a higher mortality rate compared to those who experienced an unintentional shooting (52.65% vs 12.34%). Those who resided in urban areas have three times the odds of experiencing an intentional shooting (OR: 3.04, 95%CI: 1.55-5.96). Additionally, older children, females, and non-Hispanic Black children were more likely to experience an intentional shooting. Although individuals who lived in urban areas were overall more likely to experience an intentional shooting, it depended on the ADI. In areas with lower ADI, intentionality of the shooting did not vary by urban status. However, in areas with higher ADI, those who resided in urban areas were more likely to experience an intentional shooting.

Conclusions:

There is a statistically significant increase in odds of an intentional shooting in an urban area as compared to a rural area, but only in low resource (high ADI) areas. More research is needed in this area of pediatric healthcare disparities, as well as ways that this knowledge can be used for more focused and targeted firearm injury prevention tactics.

Objectives:

1. Understand the basic trends in pediatric firearm injuries in the state of Alabama.
2. Learn which areas (based on SES and rurality) are more at risk for intentional vs. unintentional firearm injuries.
3. Identify how specific firearm injury prevention tactics can be applied to areas that are more at risk for intentional vs unintentional injuries.

Navigating Mentor-Mentee Relationships in Injury Prevention: From Successes to Challenges

Sofia Chaudhary, MD
Brent Troy, MD
Kathy Monroe, MD, MSQI
Wendy Pomerantz, MD, MSCE
Maneesha Agarwal, MD
Altamish Daredia, MD
Charles Jennissen, MD
Steve Rogers, MD, MS-CTR

Part of session:

Workshop Session 2D

Saturday, December 2, 2023, 2:50 PM to 4:05 PM

Description:

The mentor-mentee relationship is a vital connection for professional and personal growth and success. This relationship can be transformative for both the mentee and mentor and result in pivotal career defining moments. Yet there is no standardized curriculum for being a mentor during medical training and many of us find ourselves in this role early on in our careers. Additionally, finding a mentor that would support growth and discovery for your injury prevention interests may require making connections outside of your department or institution to find a good fit.

This workshop will include panelists that are in various stages of being a mentor (seasoned, mid career, early career) along with mentees to provide attendees with the breadth of experiences for mentor mentee relationships. How can we find that transformative mentor mentee relationship? This session will define key components needed for these relationships to thrive and panelists will share their best practices. Attendees will also learn pitfalls that can unravel mentor mentee relationships. We will discuss how to find a mentor that would support your injury prevention interests and share our mentorship discovery paths.

Attendees will then participate in break-out sessions with small groups to discuss best approach to challenging topics including: • What to do when the mentor mentee relationship isn’t working? • How to approach authorship discussions with your mentor or mentorship team? • How to navigate having a mentor from an outside institution?

At the conclusion of workshop groups will share what they have learned from the breakout session. We will conclude the session by discussing how to transition from being a mentee to mentor.