Betsy Anne Hunt, MD, MPH, PhD
Pediatric Critical Care Medicine
- Johns Hopkins School of Medicine Faculty
About Betsy Anne Hunt
Professional Titles
- Co-Chair of the Johns Hopkins CPR Advisory Committee
Primary Academic Title
Professor of Anesthesiology and Critical Care Medicine
Background
Dr. Elizabeth Anne Hunt is an associate professor of anesthesiology and critical care medicine and pediatrics at the Johns Hopkins University School of Medicine. She serves as the David S. and Marilyn M. Zamierowski Director of the Johns Hopkins Medicine Simulation Center. She specializes in pediatric critical care.
Dr. Hunt completed residencies in internal medicine and pediatrics at Duke University and conducted a fellowship in pediatric critical care at Johns Hopkins. Additionally, she earned an M.P.H. with a concentration in humanitarian assistance and a Ph.D. in clinical epidemiology from the Johns Hopkins Bloomberg School of Public Health. Her thesis focused on utilizing high fidelity simulation to measure performance during cardiopulmonary resuscitation. She described the "loss of the first responder instinct" for those that respond to in-hospital cardiac arrests. Her work revealed that healthcare providers with hands-on training with defibrillators are 87% faster at defibrillation than those without hands-on training. Dr. Hunt also observed that those that link out-loud verbalizations of their observations with actions i.e. "There's no pulse, I'm starting compressions" are faster to start compressions than those that do not. She coined the term "Action-Linked Phrases" to teach this concept. These concepts are embedded in a "First Five Minutes" Curriculum that has been associated with decreased time to defibrillation and increased survival to discharge.
Dr. Hunt has developed and rigorously studied innovative ways to teach more effectively. She has described how to make resuscitation more contextually relevant to the clinical location where the learner population works so that their skills will translate to the bedside. She has created a teaching style called "Rapid Cycle Deliberate Practice" that has been well received internationally. Her more recent work has focused on debriefing in-hospital cardiac arrests and a Resuscitation Quality Improvement program at Johns Hopkins and sharing lessons learned internationally.
Dr. Hunt has served as a volunteer on many committees and writing groups for the American Heart Association and for the Get With The Guidelines - Resuscitation. She was a co-founder and Senior Co-Chair for the International Network for Simulation-based Pediatric Innovation, Research and Education.
Centers and Institutes
Additional Academic Titles
Professor of Pediatrics
Research Interests
Pediatric Cardiac Arrest, Rapid Response Teams, Simulation, Teamwork in Crises
Lab Website
Elizabeth Hunt Lab - Lab Website
Research Summary
Dr. Hunt's thesis involved the use of simulation to assess the performance of pediatric residents during pediatric cardiopulmonary arrests.
She is a founding member and senior co-chair of INSPIRE (International Network of Simulation-based Innovation, Research and Education).
Dr. Hunt's research examines innovative methods to improve the quality of care delivered and ultimately clinical outcomes for children who suffer a cardiopulmonary arrest. This includes implementation of rapid response systems, cardiac arrest data capture and debriefing, medical device and simulator redesign and the introduction of novel simulation educational approaches including data driven debriefing and introduction of the approach “Rapid Cycle Deliberate Practice.”
She has been invited to present her simulation and rapid response team research around the globe and has been fortunate to have the opportunity to present, practice and teach issues pertaining to pediatric resuscitation throughout the world.
Selected Publications
Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, Bradshaw JH, Diener-West M, Perretta JS, Shilkofski NA. “Pediatric resident resuscitation skills improve after "rapid cycle deliberate practice" training.” Resuscitation. 2014 Jul;85(7):945-51
Cheng A, Auerbach M, Hunt EA, Chang TP, Pusic M, Nadkarni V, Kessler D. “Designing and conducting simulation-based research.” Pediatrics. 2014 Jun;133(6):1091-101.
Edelson DP, Yuen TC, Mancini ME, Davis DP, Hunt EA, Miller JA, Abella BS. “Hospital cardiac arrest resuscitation practice in the United States: a nationally representative survey.” J Hosp Med. 2014 Jun;9(6):353-7.
Lee JK, Brady KM, Chung SE, Jennings JM, Whitaker EE, Aganga D, Easley RB, Heitmiller K, Jamrogowicz JL, Larson AC, Lee JH, Jordan LC, Hogue CW, Lehmann CU, Bembea MM, Hunt EA, Koehler RC, Shaffner DH. “A pilot study of cerebrovascular reactivity autoregulation after pediatric cardiac arrest.” Resuscitation. 2014 Oct;85(10):1387-93.
Warren SA, Huszti E, Bradley SM, Chan PS, Bryson CL, Fitzpatrick AL, Nichol G; American Heart Association's Get With the Guidelines-Resuscitation (National Registry of CPR) Investigators. “Adrenaline (epinephrine) dosing period and survival after in-hospital cardiac arrest: a retrospective review of prospectively collected data.” Resuscitation. 2014 Mar;85(3):350-8.
Honors
- First Place Award, International Meetings on Simulation in Healthcare, 1/1/10
- Named one of the State of Maryland's Top 100 Women, The Daily Record, 1/1/08
- Johns Hopkins Helen Taussig Young Investigator Award, 1/1/04
- Johns Hopkins Harriet Lane House Staff Appreciation Award, 1/1/04
- Pearl M. Stetler Grant for Women Researchers, 1/1/03
Lectures & Presentations
- American Heart Association Scientific Symposium, Presentation, 1/1/06
- Third Annual Peter Safar Symposium, Presentation, University of Pittsburgh, 1/1/05
- Toronto Critical Care Conference, Presentation, 1/1/05
Memberships
- American Heart Association
- Society for Critical Care Medicine
- Society for Simulation in Healthcare
- Society in Europe for Simulation Applied to Medicine (SESAM), Member
Professional Activities
- AHA sponsored Resuscitation Science Symposium, Program Committee for 2006 and 2007, 1/1/06 - 1/1/07
- Archives of Pediatric and Adolescent Medicine, Reviewer, 1/1/07
- British Medical Journal, Reviewer, 1/1/06
- JCAHO journal, Reviewer, 1/1/07
- Journal of Simulation in Healthcare, Reviewer, 1/1/05
- Pediatric Blood and Cancer, Reviewer, 1/1/04
Locations
- The Johns Hopkins Hospital
- 1800 Orleans Street, Baltimore, MD 21287
- phone: 410-955-5000
- fax: 410-955-5001
Expertise
Education
Johns Hopkins Bloomberg School of Public Health
Graduate School, Epidemiology, PhD, 2008Johns Hopkins University School of Medicine
Fellowship, Pediatric Critical Care, 2003Duke University Hospital
Residency, Pediatrics, 2000Albany Medical College
Medical Education, MD, 1995Board Certifications
Pediatric Critical Care Medicine
American Board of Pediatrics, 2004Pediatrics
American Board of Pediatrics, 1999Insurance
- Aetna
- CareFirst
- Cigna
- First Health
- Geisinger Health Plan
- HealthSmart/Accel
- Humana
- Johns Hopkins Health Plans
- MultiPlan
- Pennsylvania's Preferred Health Networks (PPHN)
- Point Comfort Underwriters
- Private Healthcare Systems (PHCS)
- UnitedHealthcare
- Veteran Affairs Community Care Network (Optum-VACCN)