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Peter G. Szilagyi, M.D., M.P.H.

Contact Information

Phone Numbers

Administrative: (585) 275-5798

Office: (585) 275-5798

Fax: (585) 276-2595

Research Labs

Biography

Dr. Szilagyi is a respected community healthcare leader. He directs a city-wide outreach program that has reduced disparities in immunizations, and is Chair of the Board of Directors of the largest Medicaid Managed Care plan in Upstate NY. Nationally, he recently served on a standing study section for the Agency for Healthcare Quality and Research (AHRQ) and is on the advisory board of the American Academy of Pediatrics (AAP) Community Pediatric Training Initiative. He is an active Board member and Past-President of the Academic Pediatric Association (APA) formally the Ambulatory Pediatric Association, the national organization of general academic pediatrics.

Dr Szilagyi is the Editor of Academic Pediatrics and a member of Board of Directors. He is the 2010 recipient of the Dr. David Satcher Community Health Improvement Award, from the University of Rochester's Center for Community Health.

Professional Background

Dr. Szilagyi is a health services researcher and studies methods to improve the quality of care and health outcomes for children and adolescents. He directs a large research operation in the Robert J Haggerty Health Services Research Laboratory. His major areas of research are: (1) improving immunization coverage for children (2) evaluating the effect of health insurance or lack of insurance on pediatric health care and (3) improving the quality of care and outcomes for high risk children including impoverished children, and those with chronic medical or psychosocial problems.

Dr. Szilagyi's directs one of the leading childhood immunization research centers in the nation. Studies include measuring the burden of vaccine-preventable diseases, studying new vaccines and their impact on health, adolescent immunization delivery, influenza vaccination, and strategies to improve immunization rates for impoverished children, adolescents, and adults. His studies of the uninsured and the impact of health insurance on children helped lead to the national implementation of the State Children's Health Insurance Program (SCHIP), and his recent evaluations of SCHIP have contributed to major health policy improvements for children. Multidisciplinary studies led by Dr. Szilagyi and colleagues have involved improving the care of urban children with asthma in both primary care and community settings, enhancing the detection and management of post-partum depression in primary care, improving the quality of care and health outcomes of children in foster care, and studies of the natural history, detection and management of childhood obesity. He is one of the medical center's leaders of the Clinical Translational Science Institute (CTSI) funded by an NIH CTSA grant, serving as co-leader of the practice-based research network program, a leader within the Community Engagement component, and a member of the Mentoring Committee.

Dr. Szilagyi is the author of more than 165 peer-reviewed manuscripts, numerous chapters and invited papers, and is the pediatric editor of several textbooks- the Bates Guide to Physical Examination and History Taking, the Merck Manual, the Merck Home Edition, and the Merck Manual of Children's Health. He is also the Editor, Academic Pediatrics and member of Board of Directors.

He spends substantial time each week mentoring faculty and fellows, directs the General Academic Pediatric Fellowship Program, and is the 2006 recipient of the University of Rochester's School of Medicine faculty mentoring award.

Research

I am a pediatric health services researcher with a common theme of improving the access to healthcare, quality of care, and health outcomes for vulnerable children-- children who are poor or who have chronic conditions. I have concentrated my research on the delivery of healthcare in primary care settings in three related areas, all for low-income families: immunization delivery, healthcare financing, and primary care for children with chronic diseases.



Immunization delivery: In collaboration with many others, my studies helped refocus the nation on primary care practices for vaccinations, contributed to the Vaccines for Children Program (VFC), led to national guidelines for standards of care for vaccine delivery in medical homes, and have frequently contributed to ACIP/AAP/AAFP recommendations for new vaccines or new vaccine policies. Our translational research studies have contributed to understanding the burden of vaccine-preventable diseases for new vaccines, and thereby new vaccine recommendations (particularly for influenza and rotavirus), and to the new emphasis on adolescent vaccinations.

Healthcare Financing: In collaboration with a different set of researchers, my studies on healthcare financing for poor children contributed heavily to the passage of the State Children's Health Insurance Program (SCHIP) in 1998, the SCHIP reauthorization debate in 2008, and the expansion of SCHIP in the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA).

Primary Care for children with chronic diseases: In collaboration with local and national colleagues, our studies have led to improved financing of primary care for children with special healthcare needs; enhanced care of children with asthma in medical homes and schools; a focus on mental health problems of poor children, those in foster care, and mothers of poor children (post-partum depression); and an emerging focus on identification, management, and prevention of obesity among low-income populations. The common thread is improved primary care, using a chronic disease model of care.

A second major theme of my research career has been to mentor others in health services and clinical research. I have therefore spent considerable effort mentoring junior faculty within the Department of Pediatrics and other departments (e.g., Emergency Medicine, Psychiatry, Community and Preventive Medicine). Most studies have involved improving primary care for children and families, or care of children with chronic diseases. I have devoted considerable effort within our University's CTSA-funded Clinical Translational Science Institute (CTSI), and co-direct the Greater Rochester Practice-Based Research Network (GR-PBRN). As Co-PI of the National Children's Study Monroe County site, I hope to use this study as a platform for research by colleagues.

Credentials

Specialties

  • Pediatrics - American Board of Pediatrics

Education

1981
MD | University of Rochester School of Medicine and Dentistry
Medicine

1987
MPH | University of Rochester School of Medicine and Dentistry
Public Health

1977
BA | Dartmouth College
Psychology

Post-doctoral Training & Residency

07/01/1981 - 06/30/1982
Internship in Pediatrics at University of Rochester Medical Center

07/01/1982 - 12/31/1984
Residency in Pediatrics at University of Rochester Medical Center

Awards

2011
John C. Robinson, MD Lecture
Sponsor: Massachusetts General Hospital for Children

2010
Pediatric Alumnus Award for Research
Location: Rochester, NY

2010
Dr. David Satcher Community Health Improvement Award, University of Rochester's Center for Community Health

2010
American Journal of Nursing Book of the Year Award (category of Advanced Practice Nursing)

2009
Joel and Barbara Alpert Lecture, Boston University

2006
Recipient of Junior Faculty Mentoring Award, Awarded at Convocation Ceremony
Location: Rochester, NY

2005
Elizabeth R. McAnarney Guest Lecturer, Rochester Pediatric Society,
Location: Rochester, NY.

2005
Finalist for the Humanism in Medicine Award
Location: University of Rochester School of Medicine and Dentistry

2004
CDC; Honor for the direction of the top practice-based immunization quality improvement program in the US.

2004
Recipient of the Howard J. Berman prize for Primary Care Outreach Program and its success in improving the health of children in
Location: Rochester, NY

2002
Ambulatory Pediatric Association; National Research Award Recipient Pediatric Academic Societies' Annual Meeting
Location: Baltimore, MD

1990
Outstanding Teacher Award, Department of Pediatrics (by medical students)
Location: University of Rochester School of Medicine and Dentistry

1986 - 1987
National Center for Health Services Research Fellow, Individual NRSA Award

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Publications

Journal Articles

4/2015
Lande MB, Hooper SR, Batisky DL, Kupferman JC, Szilagyi PG, Samuels JA, Adams HR. "Sleep disordered breathing as measured by SRBD-PSQ and neurocognition in children with hypertension." American journal of hypertension.. 2015 Apr 0; 28(4):552-8. Epub 2014 Sep 20.

8/2014
Stevens TP, Finer NN, Carlo WA, Szilagyi PG, Phelps DL, Walsh MC, Gantz MG, Laptook AR, Yoder BA, Faix RG, Newman JE, Das A, Do BT, Schibler K, Rich W, Newman NS, Ehrenkranz RA, Peralta-Carcelen M, Vohr BR, Wilson-Costello DE, Yolton K, Heyne RJ, Evans PW, Vaucher YE, Adams-Chapman I, McGowan EC, Bodnar A, Pappas A, Hintz SR, Acarregui MJ, Fuller J, Goldstein RF, Bauer CR, O'Shea TM, Myers GJ, Higgins RD, . "Respiratory outcomes of the surfactant positive pressure and oximetry randomized trial (SUPPORT)." The Journal of pediatrics.. 2014 Aug 0; 165(2):240-249.e4. Epub 2014 Apr 13.

7/31/2014
Wagner Z, Szilagyi PG, Sood N. "Comparative performance of public and private sector delivery of BCG vaccination: evidence from Sub-Saharan Africa." Vaccine.. 2014 Jul 31; 32(35):4522-8. Epub 2014 Jun 18.

Books & Chapters

2012
Book Title: Bates' Guide to Physical Examination and History Taking
Author List: Bickley LS, Szilagyi PG
Published By: Lippincott Williams & Wilkins2012 in Philadelphia

2012
Book Title: Bates' Pocket Guide to Physical Examination and History Taking
Author List: Bickley LS, Szilagyi PG
Published By: Lippincott Williams & Wilkins2012 in Philadelphia

2010
Book Title: Bates' Pocket Guide to Physical Examination and History Taking
Author List: Bickley LS, Szilagyi PG
Published By: Lippincott Williams & Wilkins2010 in Philadelphia

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