Matthew Goldsmith

Matthew I. Goldsmith, M.D.

Associate Professor of Pediatrics, Critical Care Medicine
Associate Professor of Pediatrics and Genetics

Washington University in St. Louis, St. Louis, MO

Abstract

Improving outcomes in pediatric neurocritical care

Mortality in pediatric critical care has been historically quite low (recently as low as 2% in some pediatric intensive care units).  Paradoxically, this can make it difficult to study the effect of therapeutic interventions, especially when using mortality as a clinical endpoint.  Over the past 15 years, we have, through a process focusing on multi-professional collaboration to develop best practices, developed a neurocritical care program that has led to significantly improved outcomes in some areas of neurocritical care such as traumatic brain injury.  

Biography

Education and Training
1987    BS, Anatomy and Physiology, University of Toronto, Toronto, Canada
1990    MSc, Anatomy and Cell Biology, University of Toronto, Toronto, Canada
1995    MD, University of Toronto
1995 - 1998    Resident, Pediatrics, St. Louis Children's Hospital, St. Louis, MO
1998 - 1999    Chief Resident, Pediatrics, St. Louis Children's Hospital, St. Louis, MO
1999 - 2002    Fellow, Pediatric Critical Care Medicine, Washington University School of Medicine/St. Louis Children's Hospital, St. Louis, MO
2014 - 2014    Solutions for Patient Safety, St. Louis Children's Hospital, St. Louis, MO
2015 - 2015    Program for Leading Innovation in Healthcare and Education, Harvard Macy Institute, Cambridge, MA
2015 - 2015    Lean Leader Training, St. Louis Children's Hospital, St. Louis, MO
2017 - 2017    Academic Medical Leadership Program for Physicians and Scientists, Washington University School of Medicine/Olin Business School/BJC Healthcare
2017 - 2017    Leadership Development for Physicians in Academic Health Centers, Harvard T.H. Chan School of Public Health, Boston, MA
Academic Positions and Employment
1995 - 1998    Resident, Pediatrics, Washington University/St. Louis Children's Hospital, St. Louis, MO
1998 - 1999    Chief Resident, Pediatrics, Washington University/St. Louis Children's Hospital, St. Louis, MO
1999 - 2002    Fellow, Pediatric Critical Care Medicine, Washington University/St. Louis Children's Hospital, St. Louis, MO
2002 - 2006    Instructor, Department of Pediatrics and Genetics, Washington University in St. Louis, St. Louis, MO
2006 - 2015    Assistant Professor, Department of Pediatrics and Genetics, Washington University in St. Louis, St. Louis, MO
2015 - Pres    Associate Professor of Pediatrics and Genetics, Washington University in St. Louis, St. Louis, MO
2016 - Pres    Associate Professor of Pediatrics, Critical Care Medicine, Washington University in St. Louis, St. Louis, MO
Appointments and Committees
National Appointments
2007 - 2009    Council Member, Midwest Society for Pediatric Research
2009 - 2010    President, Midwest Society for Pediatric Research
2010 - 2011    Past President, Midwest Society for Pediatric Research
Local Appointments
2014 - Pres    Critical Care Task Force, Mid-America Transplant Services
University Affiliations
2004 - 2014    Director, Pediatric Critical Care Fellowship Program, Washington University School of Medicine
2006 - Pres    Member, Division of Biology and Biomedical Sciences, Washington University School of Medicine
2008 - Pres    Member, Steering Committee, Graduate Program in Medical Genetics and Genomics, Washington University School of Medicine
2014 - Pres    Medical Director, Pediatric Intensive Care Unit, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Washington University School of Medicine
2014 - 2016    Co-chair, Clinical Leadership Group, Division of Pediatric Critical Care Medicine, Department of Pediatrics, Washington University School of Medicine
Hospital Affiliations
2002 - Pres    Full-Time Medical Staff, St. Louis Children's Hospital
2012 - 2016    Member, Unit-Based Joint Practice Team Subcommittee, St. Louis Children's Hospital
2014 - Pres    Co-Director, Unit-Based Joint Practice Team, Pediatric Intensive Care Unit, St. Louis Children's Hospital
2014 - Pres    Medical Director, Pediatric Intensive Care Unit, St. Louis Children's Hospital
2014 - Pres    Member/Critical Care Medicine Representative, Trauma Physician Peer Review Committee, St. Louis Children's Hospital
2014 - Pres    Leader, St. Louis Children's Hospital Clinical Care Work Group for Ebola Planning
2014 - Pres    Member, St. Louis Children's Hospital Physician Advisory Group, Ebola Incident Command Team
2014 - Pres    Member, St. Louis Children's Hospital Physician Advisory Council
2015 - Pres    Member, Capital Committee, St. Louis Children's Hospital
2015 - Pres    Standing Member, SLCH Telemedicine Task Force
2015 - Pres    Member, Pharmacy & Therapeutics Committee, St. Louis Children's Hospital
2015 - Pres    Member, End-Of-Life Subcommittee, PICU Unit Based Joint Practice Team, St. Louis Children's Hospital
2015 - Pres    Member, ECMO Anticoagulation Subcommittee, St. Louis Children's Hospital
2015 - Pres    Member, ECMO Steering Committee, St. Louis Children's Hospital
2016 - Pres    Member, Allied Health Professionals Subcommittee, St. Louis Children's Hospital
2016 - Pres    Member, CMEC Quality & Safety Subcommittee, St. Louis Children's Hospital
2017 - Pres    Member, Antibiotic Stewardship Subcommittee, St. Louis Children's Hospital
2017 - Pres    Member, Hospital Operations Subcommittee, St. Louis Children's Hospital
2017 - Pres    Standing Member, SLCH Pain Task Force
2017 - Pres    Standing Member, CMEC Pain and Sedation Subcommittee