Information

Related Research Units

Emergency Medicine Research

Research Overview

Dr. Nagler is involved in clinical as well as educational research. His clinical research interest aims at improving emergent advanced airway management in pediatrics. He is involved with studies comparing how new technologies such as videolaryngoscopy can improve success rates and decrease the risk of complications during pediatric intubation. In addition, he has studied various pedagogic strategies to improve intubation performance by emergency providers. Finally, he has investigated risk factors for misplaced endotracheal tubes in pediatrics, to inform strategies to help providers avoid related complications.

Dr.Nagler's medical education research has focused on the integration of information systems to improve clinical training within pediatrics. He has published work demonstrating the development of an automated system that integrates electronic information available through a patient tracking system in combination with the electronic health record to be used for educational initiatives. In addition, he has modeled how this tool can be used to guide training in pediatric emergency medicine, as well as to improve the evaluation process for medical students. He recently completed two randomized controlled educational intervention trials. The first demonstrated benefit in utilizing an electronic platform to deliver educational material to rotating residents. The second showed that the integration of patient intubation videos into an airway curriculum for residents improved their skills based performance during simulation.

Research Background

Josh Nagler received his medical degree from Cornell University Medical College and moved on to his residency and chief residency with the Boston Combined Residency Program in Pediatrics. He completed fellowship in Pediatric Emergency Medicine at Boston Children's Hospital in 2005, serving as a Chief Fellow in his final year. Dr. Nagler was an instructor of medicine for three years before his assistant professor appointment. He recently completed advanced coursework for his MHPE (M.Ed) degree through the Massachusetts General Hospital Institute for Health Professions. He is the Director of the Fellowship in Pediatric Emergency Medicine. He teaches in a number of national Pediatric and Advanced Airway Management Courses, and served as the Associate Editor for the 7th Edition of Fleisher and Ludwig’s Textbook of Pediatric Emergency Medicine.

Education

Medical School

Cornell University Medical College
1998 Ithaca NY

Residency

Pediatrics Boston Combined Residency Program (BCRP)
2002 Boston MA

Fellowship

Harvard Medical School/Boston Children's Hospital
2004 Boston MA

Publications

  1. Simulation-Based Training in Clinical Event Debriefing Improves Leadership Performance. Pediatr Emerg Care. 2025 Feb 01; 41(2):86-93. View Abstract
  2. Paths to learning: How residents navigate transience in supervisory relationships in the emergency department. AEM Educ Train. 2024 Dec; 8(6):e11037. View Abstract
  3. Usability Testing Via Simulation: Optimizing the NEAR4PEM Preintubation Checklist With a Human Factors Approach. Pediatr Emerg Care. 2024 Aug 01; 40(8):575-581. View Abstract
  4. Virtual Interviews and the Pediatric Emergency Medicine Match Geography: A National Survey. West J Emerg Med. 2024 Mar; 25(2):186-190. View Abstract
  5. Child Health Needs and the Pediatric Emergency Medicine Workforce: 2020-2040. Pediatrics. 2024 Feb 01; 153(Suppl 2). View Abstract
  6. It Takes a Village: Optimal Graduate Medical Education Requires a Deliberately Developmental Organization. Perspect Med Educ. 2023; 12(1):282-293. View Abstract
  7. Just-in-time procedural training for pediatric emergency medicine trainees: A randomized educational interventional trial. AEM Educ Train. 2023 Jun; 7(3):e10886. View Abstract
  8. High-risk criteria for the physiologically difficult paediatric airway: A multicenter, observational study to generate validity evidence. Resuscitation. 2023 09; 190:109875. View Abstract
  9. Coaching the coach: A randomized controlled study of a novel curriculum for procedural coaching during intubation. AEM Educ Train. 2023 Apr; 7(2):e10846. View Abstract
  10. Management of the Difficult Airway. Pediatr Emerg Care. 2023 Mar 01; 39(3):192-200. View Abstract
  11. Development of a paediatric airway management checklist for the emergency department: a modified Delphi approach. Emerg Med J. 2023 Apr; 40(4):287-292. View Abstract
  12. See one, see one, teach one - Decisions on allocating intubation opportunities in pediatric emergency medicine. AEM Educ Train. 2022 Dec; 6(6):e10830. View Abstract
  13. A Call to Action for Standardizing Letters of Recommendation. J Grad Med Educ. 2022 12; 14(6):642-646. View Abstract
  14. Video-Assisted Laryngoscopy for Pediatric Tracheal Intubation in the Emergency Department: A Multicenter Study of Clinical Outcomes. Ann Emerg Med. 2023 Feb; 81(2):113-122. View Abstract
  15. A Statewide Collaboration to Deliver and Evaluate a Pediatric Critical Care Simulation Curriculum for Emergency Medical Services. Front Pediatr. 2022; 10:903950. View Abstract
  16. The authors reply. Crit Care Med. 2022 07 01; 50(7):e654-e655e. View Abstract
  17. Pediatric Emergency Medicine Fellowship Programs. Pediatr Emerg Care. 2022 04 01; 38(4):187-193. View Abstract
  18. Virtual Interviewing for Pediatric Emergency Medicine Fellowship-A National Survey. Pediatr Emerg Care. 2022 Apr 01; 38(4):e1207-e1212. View Abstract
  19. Infant With Unilateral Periorbital Ecchymosis. Ann Emerg Med. 2022 02; 79(2):116-147. View Abstract
  20. Association between the number of endotracheal intubation attempts and rates of adverse events in a paediatric emergency department. Emerg Med J. 2022 Aug; 39(8):601-607. View Abstract
  21. Noninvasive Ventilation and Outcomes in Bronchiolitis. Crit Care Med. 2021 12 01; 49(12):e1234-e1240. View Abstract
  22. Emergency pediatric radiology imaging trends for non-COVID-19-related illnesses through different stages of the pandemic. Emerg Radiol. 2022 Feb; 29(1):1-8. View Abstract
  23. Pediatric Emergency Medicine Fellowship Directors' 2021 Collective Statement on Virtual Interviews and Second Looks. Pediatr Emerg Care. 2021 Nov 01; 37(11):585-587. View Abstract
  24. Exposure and Confidence With Critical Nonairway Procedures: A Global Survey of Pediatric Emergency Medicine Physicians. Pediatr Emerg Care. 2021 Sep 01; 37(9):e551-e559. View Abstract
  25. Early Use of Bronchodilators and Outcomes in Bronchiolitis. Pediatrics. 2021 08; 148(2). View Abstract
  26. Use of the C-MAC Macintosh 0 Blade for Intubation of Infants in the Emergency Department. Pediatr Emerg Care. 2021 Jul 01; 37(7):e404-e405. View Abstract
  27. Maintenance of Certification Pediatrics: Pediatric Emergency Medicine (PEM): The New Part 3 Maintenance of Certification Assessment Option. Pediatr Emerg Care. 2021 06 01; 37(6):329-333. View Abstract
  28. Pediatric Emergency Medicine Fellowship Programs. Pediatr Emerg Care. 2021 Apr 01; 37(4):237-243. View Abstract
  29. Conceptualizing intubation sharing: A descriptive qualitative study of videolaryngoscopy for pediatric emergency airway management. AEM Educ Train. 2021 Apr; 5(2):e10589. View Abstract
  30. Cognitive Errors in Pediatric Emergency Medicine. Pediatr Emerg Care. 2021 Feb 01; 37(2):96-103. View Abstract
  31. Exposure and confidence across critical airway procedures in pediatric emergency medicine: An international survey study. Am J Emerg Med. 2021 04; 42:70-77. View Abstract
  32. Technical factors associated with first-pass success during endotracheal intubation in children: analysis of videolaryngoscopy recordings. Emerg Med J. 2021 Feb; 38(2):125-131. View Abstract
  33. An infant with stridor and hypoxemia. J Am Coll Emerg Physicians Open. 2020 Dec; 1(6):1765-1766. View Abstract
  34. Pediatric Emergency Medicine Fellowship Directors' Collective Statement on Virtual Interviews. Pediatr Emerg Care. 2020 Nov; 36(11):549-550. View Abstract
  35. Advanced Pediatric Emergency Airway Management: A Multimodality Curriculum Addressing a Rare but Critical Procedure. MedEdPORTAL. 2020 09 04; 16:10962. View Abstract
  36. Are "Other Doctors Are Stupid" Jokes Appropriate? AMA J Ethics. 2020 07 01; 22(7):E583-587. View Abstract
  37. The Impact of Videolaryngoscopy on Endotracheal Intubation Success by a Pediatric/Neonatal Critical Care Transport Team. Prehosp Emerg Care. 2021 May-Jun; 25(3):325-332. View Abstract
  38. Spaced Education Through e-Learning for Ongoing Professional Development. AEM Educ Train. 2020 Oct; 4(4):423-427. View Abstract
  39. Research Interest in Pediatric Emergency Medicine Fellows. Pediatr Emerg Care. 2020 Feb; 36(2):e38-e42. View Abstract
  40. Blunt Laryngeal Injury in a Teenage Hockey Player. J Emerg Med. 2019 Sep; 57(3):e85-e87. View Abstract
  41. Application of Frequent, Spaced Multiple-choice Questions as an Educational Tool in the Pediatric Emergency Department. AEM Educ Train. 2020 Apr; 4(2):85-93. View Abstract
  42. Self-Confidence in Endotracheal Intubation Among Pediatric Interns: Associations With Gender, Experience, and Performance. Acad Pediatr. 2019 Sep - Oct; 19(7):822-827. View Abstract
  43. Advances in Emergent Airway Management in Pediatrics. Emerg Med Clin North Am. 2019 Aug; 37(3):473-491. View Abstract
  44. A Randomized Controlled Trial of a Video-Enhanced Advanced Airway Curriculum for Pediatric Residents. Acad Med. 2018 12; 93(12):1858-1864. View Abstract
  45. Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians. Emerg Med J. 2019 May; 36(5):273-280. View Abstract
  46. Reexpansion Pulmonary Edema in Pediatrics. Pediatr Emerg Care. 2018 Mar; 34(3):216-220. View Abstract
  47. Teaching Incision and Drainage: Perceived Educational Value of Abscess Models. Pediatr Emerg Care. 2018 Mar; 34(3):174-178. View Abstract
  48. A Hazardous Materials Educational Curriculum Improves Pediatric Emergency Department Staff Skills. AEM Educ Train. 2018 Jan; 2(1):40-47. View Abstract
  49. Seven-Year-Old Girl With Forehead Swelling. Ann Emerg Med. 2017 Dec; 70(6):771-796. View Abstract
  50. Point-of-Care Ultrasound to Diagnose Postpericardiotomy Syndrome in a Child. Pediatr Emerg Care. 2017 Oct; 33(10):700-702. View Abstract
  51. Tribalism in Medicine-Us vs Them. JAMA Pediatr. 2017 09 01; 171(9):831. View Abstract
  52. High-flow nasal cannula therapy beyond the perinatal period. Curr Opin Pediatr. 2017 Jun; 29(3):291-296. View Abstract
  53. Development and Assessment of an Advanced Pediatric Airway Management Curriculum With Integrated Intubation Videos. Pediatr Emerg Care. 2017 Apr; 33(4):239-244. View Abstract
  54. A Randomized Educational Interventional Trial of Spaced Education During a Pediatric Rotation. AEM Educ Train. 2017 Apr; 1(2):151-157. View Abstract
  55. In Reply to: Discrepancy Between Pediatric and Adult Patients Concerning Misplaced Endotracheal Tubes During Intubation. J Emerg Med. 2017 04; 52(4):578-579. View Abstract
  56. Comparison Between Direct and Video-assisted Laryngoscopy for Intubations in a Pediatric Emergency Department. Acad Emerg Med. 2016 08; 23(8):870-7. View Abstract
  57. Essentials of Pediatric Emergency Medicine Fellowship: Part 3: Clinical Education and Experience. Pediatr Emerg Care. 2016 Jul; 32(7):479-85. View Abstract
  58. Essentials of PEM Fellowship Part 2: The Profession in Entrustable Professional Activities. Pediatr Emerg Care. 2016 Jun; 32(6):410-8. View Abstract
  59. Factors Associated with Misplaced Endotracheal Tubes During Intubation in Pediatric Patients. J Emerg Med. 2016 Jul; 51(1):9-18. View Abstract
  60. Using Video-recorded Laryngoscopy to Evaluate Laryngoscopic Blade Approach and Adverse Events in Children. Acad Emerg Med. 2015 Nov; 22(11):1283-9. View Abstract
  61. Endotracheal Intubation In Pediatric Patients Using Video Laryngoscopy: An Evidence-Based Review. Pediatr Emerg Med Pract. 2015 Aug; 12(8):1-22; quiz 22-3. View Abstract
  62. Images in emergency medicine. Herpes simplex virus encephalitis. Ann Emerg Med. 2014 Dec; 64(6):588, 608. View Abstract
  63. Use of an automated case log to improve trainee evaluations on a pediatric emergency medicine rotation. Pediatr Emerg Care. 2013 Mar; 29(3):314-8. View Abstract
  64. Pediatric emergency medicine fellow training in ultrasound: consensus educational guidelines. Acad Emerg Med. 2013 Mar; 20(3):300-6. View Abstract
  65. Child with right eye redness and swelling. Carotid-cavernous fistula (direct type). Ann Emerg Med. 2011 Sep; 58(3):239, 256. View Abstract
  66. Picture of the month--quiz case. Plastic bronchitis. Arch Pediatr Adolesc Med. 2011 Sep; 165(9):865, 866. View Abstract
  67. Videos in clinical medicine. Intraosseous catheter placement in children. N Engl J Med. 2011 Feb 24; 364(8):e14. View Abstract
  68. Advanced airway management. Curr Opin Pediatr. 2009 Jun; 21(3):299-305. View Abstract
  69. Capnography: a valuable tool for airway management. Emerg Med Clin North Am. 2008 Nov; 26(4):881-97, vii. View Abstract
  70. Eye pain and double vision: superior orbital wall fracture with retro-orbital hematoma. Ann Emerg Med. 2008 Oct; 52(4):473, 481. View Abstract
  71. Coarctation of the aorta. J Pediatr. 2008 May; 152(5):737, 737.e1. View Abstract
  72. Use of an automated electronic case log to assess fellowship training: tracking the pediatric emergency medicine experience. Pediatr Emerg Care. 2008 Feb; 24(2):75-82. View Abstract
  73. Scholarship oversight under the new American Board of Pediatrics guidelines for subspecialty training: lessons learned from the first cycle. Pediatr Emerg Care. 2007 Nov; 23(11):771-3. View Abstract
  74. Stridor in an infant with myelomeningocele. Pediatr Emerg Care. 2007 Jul; 23(7):478-81. View Abstract
  75. Suppurative complications and upper airway obstruction in infectious mononucleosis. J Hosp Med. 2007 Jul; 2(4):280-2. View Abstract
  76. Images in emergency medicine. Foreign body aspiration. Ann Emerg Med. 2007 Jun; 49(6):822, 829. View Abstract
  77. End-tidal carbon dioxide as a measure of acidosis among children with gastroenteritis. Pediatrics. 2006 Jul; 118(1):260-7. View Abstract
  78. An automated electronic case log: using electronic information systems to assess training in emergency medicine. Acad Emerg Med. 2006 Jul; 13(7):733-9. View Abstract
  79. Sudden infant death syndrome. Curr Opin Pediatr. 2002 Apr; 14(2):247-50. View Abstract
  80. Child abuse and neglect. Curr Opin Pediatr. 2002 Apr; 14(2):251-4. View Abstract
  81. The pedagogic characteristics of a clinical conference for senior residents and faculty. Arch Pediatr Adolesc Med. 1995 Sep; 149(9):1023-8. View Abstract

Contact Joshua Nagler

Print Profile