Bio

Clinical Focus


  • Pediatric Emergency Medicine
  • Pediatrics
  • Educational Scholarship
  • Global Pediatric Emergency Medicine
  • Health and Human Rights
  • Child Advocacy

Academic Appointments


Honors & Awards


  • Educational Scholar, Academic Pediatric Association (2015-present)
  • Anne E. Dyson Child Advocacy Award, American Academy of Pediatrics (2006)

Boards, Advisory Committees, Professional Organizations


  • Senior Fellow, Centre for Innovation in Global Health (2015 - Present)
  • Member, Academic Pediatric Association (2014 - Present)
  • Reviewer, Pediatric Emergency Care (2011 - Present)

Professional Education


  • Residency:UCSF Dept of Pediatrics (2011) CA
  • Internship:UCSF Dept of Pediatrics (2006) CA
  • Board Certification, American Board of Pediatrics, Pediatric Emergency Medicine
  • Fellowship, Children's Hospital of Los Angeles (CHLA), Pediatric Emergency Medicine
  • Board Certification, American Board of Pediatrics, Pediatrics
  • Pediatric Residency, University of California, San Francisco, Pediatric Leadership for the Underserved (PLUS) program
  • Internship, University of California, San Francisco, Department of Pediatrics, Pediatric Leadership for the Underserved (PLUS) program
  • MD, University of Toronto, Faculty of Medicine
  • JD, University of Toronto, Faculty of Law, Law
  • AB, Dartmouth College, Government and Biochemistry and Molecular Biology

Community and International Work


  • USAID Quality Health Services (2014-2015), Cambodia

    Populations Served

    Cambodia

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • GVK EMRI PEDIATRIC DISTRICT HOSPITAL TRAINING PROGRAM

    Topic

    Pediatric Emergency Medicine (2012)

    Partnering Organization(s)

    GVK/EMRI

    Populations Served

    India

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Lesotho Emergency Triage and Assessment Training (ETAT) Training Program, Lesotho

    Topic

    Pediatric Emergency Medicine (2009-2014)

    Partnering Organization(s)

    Baylor International Pediatric AIDS Initiative

    Populations Served

    Lesotho

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Health and Human Rights, Country Specific Document for Viet Nam

    Topic

    2007-2011

    Partnering Organization(s)

    World Health Organization

    Populations Served

    Viet Nam

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

Research & Scholarship

Current Research and Scholarly Interests


My research focus is on tackling health systems change on two fronts: (a) through educational scholarship on determining effective educational and implementation strategies leading to sustainable change in clinical practice in international settings and (b) through the use of a rights-based approach to help vulnerable populations achieve the highest standard of health.
Once we have an understanding of the resources needed to provide effective care to critically ill children, we can then use human rights as a framework for health development.

Publications

All Publications


  • The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department ACADEMIC PEDIATRICS Tiyyagura, G., Balmer, D., Chaudoin, L., Kessler, D., Khanna, K., Srivastava, G., Chang, T. P., Auerbach, M. 2014; 14 (6): 597-602
  • Global Health and Emergency Care: A Postgraduate Medical Education Consensus-based Research Agenda ACADEMIC EMERGENCY MEDICINE Martin, I. B., Jacquet, G. A., Levine, A. C., Douglass, K., Pousson, A., Dunlop, S., Khanna, K., Bentley, S., Tupesis, J. P. 2013; 20 (12): 1233-1240

    Abstract

    Global emergency medicine (EM) is a rapidly growing field within EM, as evidenced by the increasing number of trainees and clinicians pursuing additional experiences in global health and emergency care. In particular, many trainees now desire opportunities at the postgraduate level by way of global EM fellowship programs. Despite this growing popularity, little is known of the effects of postgraduate training in global health and emergency care on learners and patients in the United States and abroad. During the 2013 Academic Emergency Medicine consensus conference on global health and emergency care, a group of leading educators at the postgraduate medical education level convened to generate a research agenda of pressing questions to be answered in this area. The consensus-based research agenda is presented in this article.

    View details for DOI 10.1111/acem.12258

    View details for Web of Science ID 000328566800004

    View details for PubMedID 24341578

  • The Role of Graduate Medical Education in Global Health: Proceedings From the 2013 Academic Emergency Medicine Consensus Conference ACADEMIC EMERGENCY MEDICINE Tupesis, J. P., Jacquet, G. A., Hilbert, S., Pousson, A., Khanna, K., Ross, J., Butteris, S., Martin, I. B. 2013; 20 (12): 1216-1223

    Abstract

    The past 40 years have seen expanded development of emergency medicine (EM) postgraduate residency training programs worldwide. An important part of this educational experience is the ability of resident trainees to participate in experiences abroad. However, little is known about how these experiences shape trainees and the populations they serve. During the 2013 Academic Emergency Medicine consensus conference, a group of educators met to define and outline current trends in graduate medical education (GME) emergency care research. The authors discuss future research questions bridging the gap of GME and global health.

    View details for DOI 10.1111/acem.12260

    View details for Web of Science ID 000328566800002

    View details for PubMedID 24341576

  • Qualitative Evaluation of Just-in-Time Simulation-Based Learning The Learners' Perspective SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE Kamdar, G., Kessler, D. O., Tilt, L., Srivastava, G., Khanna, K., Chang, T. P., Balmer, D., Auerbach, M. 2013; 8 (1): 43-48

    Abstract

    Just-in-time training (JITT) is an educational strategy where training occurs in close temporal proximity to a clinical encounter. A multicenter study evaluated the impact of simulation-based JITT on interns' infant lumbar puncture (LP) success rates. Concurrent with this multicenter study, we conducted a qualitative evaluation to describe learner perceptions of this modality of skills training.Eleven interns from a single institution participated in a face-to-face semistructured interview exploring their JITT experience. Interviews were audio-recorded and transcribed. Two investigators reviewed the transcripts, assigned codes to the data, and categorized the codes. Categories were modified by 4 emergency physicians. As a means of data triangulation, we performed focus groups at a second institution.Benefits of JITT included review of anatomic landmarks, procedural rehearsal, and an opportunity to ask questions. These perceived benefits improved confidence with infant LP. Deficits of the training included lack of mannequin fidelity and unrealistic context when compared with an actual LP. An unexpected category, which emerged from our analysis, was that of barriers to JITT performance. Barriers included lack of time in a busy clinical setting and various instructor factors. The focus group findings confirmed and elaborated the benefits and deficits of JITT and the barriers to JITT performance.Just-in-time training improved procedural confidence with infant LP, but work place busyness and instructor lack of support or unawareness were barriers to JITT performance. Optimal LP JITT would occur with improved contextual fidelity. More research is needed to determine optimal training strategies that are effective for the learner and maximize clinical outcomes for the patient.

    View details for DOI 10.1097/SIH.0b013e31827861e8

    View details for Web of Science ID 000314807500008

    View details for PubMedID 23299050

  • Epididymo-Orchitis Fleisher and Ludwig's 5-Minute Pediatric Emergency Medicine Consult Khanna, K., Liu, D. . Wolters Kluwer, Lippincott, Williams and Wilkings. 2011
  • Emergency Department Surge: Models and Practical Implications JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE Nager, A. L., Khanna, K. 2009; 67 (2): S96-S99

    Abstract

    Emergency Department crowding has long been described. Despite the daily challenges of managing emergency department volume and acuity; a surge response during a disaster entails even greater challenges including collaboration, intervention, and resourcefulness to effectively carry out pediatric disaster management. Understanding surge and how to respond with appropriate planning will lead to success. To achieve this, we sought to analyze models of surge; review regional and national data outlining surge challenges and factors that impact surge; and to outline potential solutions.We conducted a systemic review and included articles and documents that best described the theoretical and practical basis of surge response. We organized the systematic review according to the following questions: What are the elements and models that are delineated by the concept of surge? What is the basis for surge response based on regional and national published sources? What are the broad global solutions? What are the major lessons observed that will impact effective surge capacity?Multiple models of surge are described including public health, facility-based and community-based; a 6-tiered response system; and intrinsic or extrinsic surge capacity. In addition, essential components (4 S's of surge response) are described along with regional and national data outlining surge challenges, impacting factors, global solutions, and lesions observed.There are numerous shortcomings regionally and nationally affecting our ability to provide an effective and coordinated surge response. Planning, education, and training will lead to an effective pediatric disaster management response.

    View details for DOI 10.1097/TA.0b013e3181ad2aaa

    View details for Web of Science ID 000268898600009

    View details for PubMedID 19667863