Loren Berman, MD, MHS

Surgeon

Nemours Children's Hospital, Delaware 1600 Rockland Road Wilmington, DE 19803

Biography

Dr. Berman is a pediatric surgeon with interests in surgical education, shared decision-making, evidence-based practice, and quality improvement. She serves as program director for the Nemours pediatric surgery categorical fellowship and research fellowship, and she is the Nemours DE Valley Surgical Quality Officer and Surgical Director of the NICU. Dr. Berman's research seeks to generate data to inform best practice, investigating barriers to using data to drive clinical care, and effecting practice change through quality improvement. Her work also focuses on understanding the parent/patient perspective on experiences with health care and how this should inform current practice and training of future pediatric surgeons. Dr. Berman serves as a steering committee member for the Nemours peer support program and director of the American Pediatric Surgical Association peer support program. She has also studied the impact of adverse events on surgeon wellbeing, and strategies to support recovery after adverse events including peer support.

Fellowship

  • Pediatric Surgery - Ann and Robert Lurie Childrens Hospital, 2013

Internship Residency

  • General Surgery - Yale New Haven Hospital, 2010

Education

  • MD - Johns Hopkins University, 2004

Board Certifications

  • American Board of Surgery
  • American Board of Surgery/Pediatric Surgery

  • Appendicitis In Children
  • Biliary Atresia
  • Branchial Cleft Abnormalities
  • Breast And Chest Wall Abnormalities
  • Bronchopulmonary Sequestration
  • Ccam/Cpam
  • Choledochal Cysts And Other Biliary Malforamations
  • Chron'S Disease
  • Congenital Diaphragmatic Hernai
  • Conjoined Twins
  • Dermoid Cysts
  • Esophageal Atresia And Tracheoesophageal Fistula
  • Fetal Giant Neck Masses
  • Fetal Lung Lesions
  • Gallstones
  • Gastroesophageal Reflux Disease (Gerd)
  • Gastroschisis
  • Hirschsprung'S Disease
  • Hybrid Lesions
  • Hydrocele
  • Hyperhidrosis
  • Hyperthyroidism
  • Imperforate Anus/ Anorectal Malformation
  • Inflammatory Bowel Disease
  • Inguinal Hernia
  • Intestinal Malrotation And Volvulus
  • Intussusception
  • Meckel'S Diverticulum
  • Meconium Ileus
  • Myasthenia Gravis
  • Omphalocele
  • Outcomes
  • Pectus Carinatum
  • Pectus Excavatum
  • Pediatric Surgery
  • Peer Support
  • Pilomatrixoma
  • Pilonidal Cysts
  • Pyloric Stenosis
  • Quality And Safety
  • Sacrococcygeal Teratoma
  • Small Bowl Atresia
  • Spontaneous Pneumothorax
  • Thyroglossal Duct Cysts
  • Thyroid Nodules
  • Ulcerative Colitis
  • Umbilical Hernia
  • Undescended Testes

  • Increasing Caudal Block Utilization to Promote Opioid Stewardship in the NICU Population: A Quality Improvement Project; Journal of Pediatric Surgery; (2024).

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  • Antibiotic Use in Gangrenous, Suppurative, or Exudative Appendicitis; JAMA Surgery; (2024).

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  • Application of a Composite Score to Predict Adnexal Torsion in Premenarchal and Menarchal Children and Adolescents; Journal of Pediatric Surgery; (2024).

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  • Assessing Alternative Approaches for Wound Closure in a National Pediatric Learning Health System; Journal of Surgical Research; (2024).

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  • Association of Age at Duodenal Atresia Repair With Outcomes: A Pediatric NSQIP Analysis; Journal of Pediatric Surgery; (2024).

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  • Concurrent Cholecystectomy Does Not Increase Splenectomy Morbidity in Patients With Hemolytic Anemia: A Pediatric NSQIP Analysis; Journal of Pediatric Surgery; (2024).

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  • Factors Associated With Isolated Fallopian Tube Torsion in Pediatric Patients; Journal of Pediatric Surgery; (2024).

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  • Peer Support to Promote Surgeon Well-being: The APSA Program Experience; Journal of Pediatric Surgery; (2024).

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  • A tale of two techniques—thoracoscopic and robotic surgery for congenital lung lesions; Journal of Thoracic Disease; (2023).

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  • Antimicrobial Stewardship in Neonates with Necrotizing Enterocolitis: A Quality Improvement Initiative; Journal of Pediatric Surgery; (2023).

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  • Corrigendum to Clinical and Radiologic Factors Associated with Adnexal Torsion in Premenarchal and Menarchal Children and Adolescents. J Pediatr Surg 58 (2023): 767–73 (Journal of Pediatric Surgery (2023) 58(4) (767–773), (S0022346822005140), (10.1016/j.jpedsurg.2022.08.008)); Journal of Pediatric Surgery; (2023).

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  • Implementation of a quadratus lumborum regional block protocol with assessment of effectiveness for patients with appendicitis: a quality improvement project; Pediatric Surgery International; (2023).

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  • Pain Control and Opioid Consumption Following Laparoscopic Appendectomy with the Use of Quadratus Lumborum Regional Anesthesia; Research Square; (2023).

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  • Patient-Reported Outcomes in Pain Management After Ambulatory Pediatric General and Urologic Surgery; Journal of Pediatric Surgery; (2023).

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  • Postoperative Respiratory Complications in SARS-CoV-2 Positive Pediatric Patients Across 20 United States Hospitals: A Cohort Study; Journal of Pediatric Surgery; (2023).

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  • Quality improvement dissemination in pediatric surgery: The APSA quality and safety toolkit; Seminars in Pediatric Surgery; (2023).

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  • Clinical and radiologic factors associated with adnexal torsion in premenarchal and menarchal children and adolescents; Journal of Pediatric Surgery; (2023).

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  • Gastrostomy Tube Use in Pediatrics: A Systematic Review; Pediatrics; (2022).

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  • Inclusion and representation in the pediatric surgery workforce: Strategies to mitigate bias in the fellowship application process; Journal of Pediatric Surgery; (2022).

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  • A Standardized Diagnostic Pathway for Suspected Appendicitis in Children Reduces Unnecessary Imaging; Pediatric Quality and Safety; (2022).

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  • Commentary on ethical dilemmas in the management of infants with enterocolitis totalis; Journal of Pediatric Surgery; (2022).

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  • Barriers and facilitators of CT scan reduction in the workup of pediatric appendicitis: A pediatric surgical quality collaborative qualitative study; Journal of Pediatric Surgery; (2022).

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  • Drivers of distress and well-being amongst pediatric surgeons; Journal of Pediatric Surgery; (2021).

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  • Management of intussusception in children: A systematic review; Journal of Pediatric Surgery; (2021).

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  • Long-term vascular access for infants with moderate to severe osteogenesis imperfecta; Pediatric Surgery International; (2021).

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  • Engaging frontline providers prevents hypothermia and improves communication in the postoperative neonate; Advances in Neonatal Care; (2021).

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  • Institution-initiated text messaging can reduce unplanned emergency department visits after appendectomy; Journal of Pediatric Surgery; (2021).

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  • Distilling the Key Elements of Pediatric Appendicitis Clinical Practice Guidelines; Journal of Surgical Research; (2021).

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  • Addressing ethical clinical dilemmas with quality improvement methodology; Seminars in Pediatric Surgery; (2021).

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  • Sharing strategies for safe delivery of surgical care for children in the COVID-19 Era; Journal of Pediatric Surgery; (2021).

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  • A cross-sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric surgeons in the U.S.; Journal of Pediatric Surgery; (2021).

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  • Accommodations and Interventions to Decrease Unnecessary ED Utilization in Patients with Limited English Proficiency; Journal of Technology in Behavioral Science; (2021).

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  • The morbidity of open tumor biopsy for intraabdominal neoplasms in pediatric patients; Pediatric Surgery International; (2021).

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  • Supporting recovery after adverse events: An essential component of surgeon well-being; Journal of Pediatric Surgery; (2021).

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  • A Complicated Case of Vaccine Refusal; Pediatrics; (2020).

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  • Characterization of initial North American pediatric surgical response to the COVID-19 pandemic; Journal of Pediatric Surgery; (2020).

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  • Does academic authorship reflect gender bias in pediatric surgery? An analysis of the Journal of Pediatric Surgery, 2007–2017; Journal of Pediatric Surgery; (2020).

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  • Gastroesophageal Reflux in the Child with Cerebral Palsy; Cerebral Palsy: Second Edition; (2020).

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  • Preoperative Blood Transfusions and Morbidity in Neonates Undergoing Surgery; Pediatrics; (2020).

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  • Reducing resource utilization for patients with uncomplicated appendicitis through use of same-day discharge and elimination of postoperative antibiotics; Journal of Pediatric Surgery; (2020).

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  • Standardized pathway for feeding tube placement reduces unnecessary surgery and improves value of care; Journal of Pediatric Surgery; (2020).

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  • The resource use inflection point for safe NICU discharge; Pediatrics; (2020).

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  • Successful use of a damage control surgery for a premature infant with massive gastric necrosis and perforation; American Surgeon; (2020).

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  • The safety and efficacy of using negative pressure incisional wound VACs in pediatric and neonatal patients; Journal of Pediatric Surgery; (2020).

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  • Parent Perspectives on Readiness for Discharge Home after Neonatal Intensive Care Unit Admission; Journal of Pediatrics; (2019).

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  • Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference; Journal of Pediatric Surgery; (2019).

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  • Necrotizing enterocolitis totalis: High mortality in the absence of an aggressive surgical approach; Surgery (United States); (2019).

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  • Short-term outcomes in children undergoing restorative proctocolectomy with ileal-pouch anal anastomosis; Journal of Pediatric Surgery; (2018).

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  • Hospital variation in rates of concurrent fundoplication during gastrostomy enteral access procedures; Surgical Endoscopy; (2018).

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  • Mortality after emergency abdominal operations in premature infants; Journal of Pediatric Surgery; (2018).

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  • Outcomes in Children Undergoing Surgery for Congenital Pulmonary Airway Malformations in the First Year of Life; Journal of the American College of Surgeons; (2018).

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  • Postoperative outcomes of open versus laparoscopic pyloromyotomy for hypertrophic pyloric stenosis; Journal of Surgical Research; (2018).

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  • Process improvement strategies: Designing and implementing quality improvement research; Seminars in Pediatric Surgery; (2018).

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  • Safety culture among pediatric surgeons: A national survey of attitudes and perceptions of patient safety; Journal of Pediatric Surgery; (2018).

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  • Expert surgical consensus for prenatal counseling using the Delphi method; Journal of Pediatric Surgery; (2018).

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  • Understanding the Parent Perspective on Prenatal Consultation for Fetuses with Congenital Anomalies; Fetal Diagnosis and Therapy; (2018).

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  • Surgical site infections in neonates are independently associated with longer hospitalizations; Journal of Perinatology; (2017).

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  • Prematurity Affects Age of Presentation of Pyloric Stenosis; Clinical Pediatrics; (2017).

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  • MyPOD: an EMR-Based Tool that Facilitates Quality Improvement and Maintenance of Certification; Journal of Medical Systems; (2017).

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  • Case Volume and Revisits in Children Undergoing Gastrostomy Tube Placement; Journal of Pediatric Gastroenterology and Nutrition; (2017).

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  • Estimating Adverse Events after Gastrostomy Tube Placement; Academic Pediatrics; (2016).

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  • Emergency Department Visits and Readmissions among Children after Gastrostomy Tube Placement; Journal of Pediatrics; (2016).

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  • Exposure to prenatal consultation during pediatric surgery residency: Implications for training; Journal of Pediatric Surgery; (2016).

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  • Postoperative intussusception in 10-year-old presenting as decreased intestinal motility; Journal of Pediatric Surgery Case Reports; (2016).

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  • A risk calculator predicting postoperative adverse events in neonates undergoing major abdominal or thoracic surgery; Journal of Pediatric Surgery; (2015).

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  • Improving quality on the pediatric surgery service: Missed opportunities and making it happen; Seminars in Pediatric Surgery; (2015).

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  • Concomitant fundoplication increases morbidity of gastrostomy tube placement; Journal of Pediatric Surgery; (2015).

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  • Clinical evaluation of acute appendicitis; Clinical Pediatric Emergency Medicine; (2014).

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  • Hepatobiliary cystadenoma: A rare pediatric tumor; Pediatric Surgery International; (2013).

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  • Necrotizing enterocolitis; Surgical Care of Major Newborn Malformations; (2012).

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  • Necrotizing enterocolitis: An update; Seminars in Fetal and Neonatal Medicine; (2011).

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  • Pilot testing of a decision support tool for patients with abdominal aortic aneurysms; Journal of Vascular Surgery; (2011).

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  • Results of a longitudinal study of rigorous manuscript submission guidelines designed to improve the quality of clinical research reporting in a peer-reviewed surgical journal; Journal of Pediatric Surgery; (2011).

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  • Limitations of online information on abdominal aortic aneurysm; International Journal of Vascular Medicine; (2010).

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  • Serous Cystadenoma in Communication With the Pancreatic Duct:An Unusual Radiologic and Pathologic Entity; Journal of Clinical Gastroenterology; (2010).

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  • The paradoxical effect of medical insurance on delivery of surgical care for infants with congenital anomalies; Journal of Pediatric Surgery; (2010).

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  • Attracting Surgical Clerks to Surgical Careers: Role Models, Mentoring, and Engagement in the Operating Room; Journal of the American College of Surgeons; (2008).

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  • Computer-Based Endoscopy Simulation: Emerging Roles in Teaching and Professional Skills Assessment; Journal of Surgical Education; (2008).

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  • Defining surgical therapy for pseudomembranous colitis with toxic megacolon; Journal of Clinical Gastroenterology; (2008).

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  • Informed consent for abdominal aortic aneurysm repair: Assessing variations in surgeon opinion through a national survey; Journal of Vascular Surgery; (2008).

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  • Informed consent for abdominal aortic aneurysm repair: The patient's perspective; Journal of Vascular Surgery; (2008).

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  • Reply; Journal of Vascular Surgery; (2008).

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  • Neurocognitive changes after carotid revascularization: A review of the current literature; Journal of Psychosomatic Research; (2007).

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  • Utility of magnetic resonance imaging in anorectal disease; World Journal of Gastroenterology; (2007).

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  • Management of disorders of the posterior pelvic floor; Yale Journal of Biology and Medicine; (2005).

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  • Management of disorders of the posterior pelvic floor.; The Yale journal of biology and medicine; (2005).

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