Julia E. Szymczak, PhD

Languages spoken: English

Academic Information

Departments: Internal Medicine - Associate Professor

Divisions: Epidemiology

Academic Office Information

Julia.Szymczak@hsc.utah.edu

Education History

Fellowship National Institutes of Health
Training Institute for Dissemination and Implementation Research in Health 		Fellow
Postdoctoral Fellowship Center for Pediatric Clinical Effectiveness, Children's Hospital of Philadelphia
Pediatric Infectious Diseases & Epidemiology 		Postdoctoral Fellow
Graduate Training University of Pennsylvania
Sociology 		Ph.D.
Graduate Training University of Pennsylvania
Sociology 		M.A.
Undergraduate Brandeis University
Sociology 		B.A.

Selected Publications

  1. Schnellinger EM, Cantu E, Kimmel SE, Szymczak JE (2022). A Conceptual Model for Sources of Differential Selection in Lung Transplant Allocation. Ann Am Thorac Soc.
  2. Anesi GL, Dress E, Chowdhury M, Wang W, Small DS, Delgado MK, Bayes B, Szymczak JE, Glassman LW, Barreda FX, Weiner JZ, Escobar GJ, Halpern SD, Liu VX (2022). Among-Hospital Variation in ICU Admission Practices and Associated Outcomes for Patients with Acute Respiratory Failure. Ann Am Thorac Soc.
  3. Vaughn VM, Giesler DL, Mashrah D, Brancaccio A, Sandison K, Spivak ES, Szymczak JE, Wu C, Horowitz JK, Bashaw L, Hersh AL (2022). Pharmacist gender and physician acceptance of antibiotic stewardship recommendations: An analysis of the reducing overuse of antibiotics at discharge home intervention. Infect Control Hosp Epidemiol, 1-8.
  4. Ding L, Szymczak JE, Evans E, Canepa E, Martin AE, Contractor F, Aplenc R, Joseph G, Winestone LE (2022). Factors that contribute to disparities in time to acute leukemia diagnosis in young people: an in depth qualitative interview study. BMC Cancer, 22(1), 531.
  5. Dutcher L, Degnan K, Adu-Gyamfi AB, Lautenbach E, Cressman L, David MZ, Cluzet V, Szymczak JE, Pegues DA, Bilker W, Tolomeo P, Hamilton KW (2021). Improving Outpatient Antibiotic Prescribing for Respiratory Tract Infections in Primary Care: A Stepped-Wedge Cluster Randomized Trial. Clin Infect Dis, 74(6), 947-956.
  6. Szymczak J, Trautner B (2021). Support to scale antibiotic stewardship in long-term care homes: how much is enough? BMJ Qual Saf, 31(2), 79-82.
  7. Livorsi DJ, Drainoni ML, Reisinger HS, Nanda N, McGregor JC, Barlam TF, Morris AM, Szymczak JE (2021). Leveraging implementation science to advance antibiotic stewardship practice and research. Infect Control Hosp Epidemiol, 43(2), 139-146.
  8. Woods-Hill CZ, Xie A, Lin J, Wolfe HA, Plattner AS, Malone S, Chiotos K, Szymczak JE (2022). Numbers and narratives: how qualitative methods can strengthen the science of paediatric antimicrobial stewardship. JAC Antimicrob Resist, 4(1), dlab195.
  9. Nampoothiri V, Bonaconsa C, Surendran S, Mbamalu O, Nambatya W, Ahabwe Babigumira P, Ahmad R, Castro-Sanchez E, Broom A, Szymczak J, Zingg W, Gilchrist M, Holmes A, Mendelson M, Singh S, McLeod M, Charani E (2021). What does antimicrobial stewardship look like where you are? Global narratives from participants in a massive open online course. JAC Antimicrob Resist, 4(1), dlab186.
  10. Li LX, Szymczak JE, Keller SC (2021). Antibiotic stewardship in direct-to-consumer telemedicine: translating interventions into the virtual realm. J Antimicrob Chemother, 77(1), 13-15.
  11. Walter JK, Hill DL, Schall TE, Szymczak JE, Parikh S, DiDomenico C, Carroll KW, Nye RT, Feudtner C (2021). An Interprofessional Team-Based Intervention to Address Barriers to Initiating Palliative Care in Pediatric Oncology: A Multiple-Method Evaluation of Feasibility, Acceptability, and Impact. J Pain Symptom Manage, 62(6), 1135-1144.
  12. Saine ME, Szymczak JE, Moore TM, Bamford LP, Barg FK, Forde KA, Schnittker J, Holmes JH, Mitra N, Lo Re V 3rd (2021). The impact of disease-related knowledge on perceptions of stigma among patients with Hepatitis C Virus (HCV) infection. PLoS One, 16(10), e0258143.
  13. Getz KD, Szymczak JE, Li Y, Madding R, Huang YV, Aftandilian C, Arnold SD, Bona KO, Caywood E, Collier AB, Gramatges MM, Henry M, Lotterman C, Maloney K, Mian A, Mody R, Morgan E, Raetz EA, Rubnitz J, Verma A, Winick N, Wilkes JJ, Yu JC, Fisher BT, Aplenc R (2021). Medical Outcomes, Quality of Life, and Family Perceptions for Outpatient vs Inpatient Neutropenia Management After Chemotherapy for Pediatric Acute Myeloid Leukemia. JAMA Netw Open, 4(10), e2128385.
  14. Schmidt H, Spieker AJ, Luo T, Szymczak JE, Grande D (2021). Variability in Primary Care Physician Attitudes Toward Medicaid Work Requirement Exemption Requests Made by Patients With Depression. JAMA Health Forum, 2(10), e212932.
  15. Szymczak JE (2021). Structural Factors, Power, and the Physician Sex Pay Gap. [Letter to the editor]. JAMA Pediatr, 175(8), 868.
  16. Szymczak JE (2021). Mandates are not magic bullets: Leveraging context, meaning and relationships to increase meaningful use of prescription monitoring programs. Pharmacoepidemiol Drug Saf, 30(7), 979-981.
  17. Farr BD, Otto CM, Szymczak JE (2021). Expert Perspectives on the Performance of Explosive Detection Canines: Operational Requirements. Animals (Basel), 11(7).
  18. Farr BD, Otto CM, Szymczak JE (2021). Expert Perspectives on the Performance of Explosive Detection Canines: Performance Degrading Factors. Animals (Basel), 11(7).
  19. Lavigne SH, Louis S, Rankin SC, Zaoutis TE, Szymczak JE (2021). How companion animal veterinarians in the United States perceive financial constraints on antibiotic decision-making. Vet Rec, 188(12), e62.
  20. Wang R, Degnan KO, Luther VP, Szymczak JE, Goren EN, Logan A, Shnekendorf R, Hamilton KW (2021). Development of a Multifaceted Antimicrobial Stewardship Curriculum for Undergraduate Medical Education: The Antibiotic Stewardship, Safety, Utilization, Resistance, and Evaluation (ASSURE) Elective. Open Forum Infect Dis, 8(6), ofab231.
  21. Szymczak JE, Keller SC, Linder JA (2020). "I Never Get Better Without an Antibiotic": Antibiotic Appeals and How to Respond. Mayo Clin Proc, 96(3), 543-546.
  22. Kim C, Szymczak JE, Schnellinger EM, Herman DJ, Kennedy LA, Talati NJ, Hamilton KW (2020). Survey to determine the relative importance of clinical factors used to make empiric antibiotic decisions. Infect Control Hosp Epidemiol, 42(1), 93-95.
  23. Saine ME, Szymczak JE, Moore TM, Bamford LP, Barg FK, Schnittker J, Holmes JH, Mitra N, Lo Re V 3rd (2020). Determinants of stigma among patients with hepatitis C virus infection. J Viral Hepat, 27(11), 1179-1189.
  24. Cowden C, Mwananyanda L, Hamer DH, Coffin SE, Kapasa ML, Machona S, Szymczak JE (2020). Healthcare worker perceptions of the implementation context surrounding an infection prevention intervention in a Zambian neonatal intensive care unit. BMC Pediatr, 20(1), 432.
  25. Redding LE, Muller BM, Szymczak JE (2020). Small and Large Animal Veterinarian Perceptions of Antimicrobial Use Metrics for Hospital-Based Stewardship in the United States. Front Vet Sci, 7, 582.
  26. Szymczak JE, Muller BM, Shakamuri NS, Hamilton KW, Gerber JS, Laguio-Vila M, Dumyati GK, Fridkin SK, Guh AY, Reddy SC, Lautenbach E, CDC Prevention Epicenters Program (2020). Prescriber perceptions of fluoroquinolones, extended-spectrum cephalosporins, and Clostridioides difficile infection. Infect Control Hosp Epidemiol, 41(8), 914-920.
  27. Maliha G, Nepps ME, Tamma PD, Dodds Ashley E, Szymczak JE, Kolesar E, Hamilton KW (2020). Legal implications of antibiotic stewardship programs. Infect Control Hosp Epidemiol, 41(7), 757-764.
  28. Thampi N, Szymczak JE, Leis JA (2020). Applying behavioral frameworks to antimicrobial stewardship. [Letter to the editor]. Infect Control Hosp Epidemiol, 41(5), 628-630.
  29. Triantafillou V, Kopsidas I, Kyriakousi A, Zaoutis TE, Szymczak JE (2019). Influence of national culture and context on healthcare workers' perceptions of infection prevention in Greek neonatal intensive care units. J Hosp Infect, 104(4), 552-559.
  30. Kohut MR, Keller SC, Linder JA, Tamma PD, Cosgrove SE, Speck K, Ahn R, Dullabh P, Miller MA, Szymczak JE (2019). The inconvincible patient: how clinicians perceive demand for antibiotics in the outpatient setting. Fam Pract, 37(2), 276-282.
  31. Saine ME, Moore TM, Szymczak JE, Bamford LP, Barg FK, Mitra N, Schnittker J, Holmes JH, Lo Re V 3rd (2020). Validation of a modified Berger HIV stigma scale for use among patients with hepatitis C virus (HCV) infection. PLoS One, 15(2), e0228471.
  32. Hill DL, Walter JK, Szymczak JE, DiDomenico C, Parikh S, Feudtner C (2019). Seven Types of Uncertainty When Clinicians Care for Pediatric Patients With Advanced Cancer. J Pain Symptom Manage, 59(1), 86-94.
  33. Clapp JT, Diraviam SP, Lane-Fall MB, Szymczak JE, Muralidharan M, Chung JJ, Gutsche JT, Curley MAQ, Berns JS, Fleisher LA (2019). Nephrology in the Academic Intensive Care Unit: A Qualitative Study of Interdisciplinary Collaboration. Am J Kidney Dis, 75(1), 61-71.
  34. Morris AM, Calderwood MS, Fridkin SK, Livorsi DJ, McGregor JC, Mody L, Moehring RW, Pakyz AL, Stenehjem E, Szymczak JE, Tamma PD (2019). Research needs in antibiotic stewardship. Infect Control Hosp Epidemiol, 40(12), 1334-1343.
  35. Vaughn VM, Szymczak JE, Newton DW, Fakih MG (2019). Addressing the Overuse of Cultures to Optimize Patient Care. Ann Intern Med, 171(7_Suppl), S73-S74.
  36. Szymczak JE (2018). Are Surgeons Different? The Case for Bespoke Antimicrobial Stewardship. Clin Infect Dis, 69(1), 21-23.
  37. Szymczak JE, Kitt E, Hayes M, Chiotos K, Coffin SE, Schriver ER, Patton AM, Metjian TA, Gerber JS (2019). Threatened efficiency not autonomy: Prescriber perceptions of an established pediatric antimicrobial stewardship program. Infect Control Hosp Epidemiol, 40(5), 522-527.
  38. Gerber JS, Ross RK, Szymczak JE, Xiao R, Localio AR, Grundmeier RW, Rettig SL, Teszner E, Canning DA, Coffin SE (2019). Infections after pediatric ambulatory surgery: Incidence and risk factors. Infect Control Hosp Epidemiol, 40(2), 150-157.
  39. Szymczak JE, Klieger SB, Miller M, Fiks AG, Gerber JS (2017). What Parents Think About the Risks and Benefits of Antibiotics for Their Child's Acute Respiratory Tract Infection. J Pediatric Infect Dis Soc, 7(4), 303-309.
  40. Szymczak JE (2018). Beyond barriers and facilitators: the central role of practical knowledge and informal networks in implementing infection prevention interventions. BMJ Qual Saf, 27(10), 763-765.
  41. Hill DL, Walter JK, Casas JA, DiDomenico C, Szymczak JE, Feudtner C (2018). The codesign of an interdisciplinary team-based intervention regarding initiating palliative care in pediatric oncology. Support Care Cancer, 26(9), 3249-3256.
  42. Szymczak JE, Lee G, Klieger SB, Woods C, Creech CB, Gilsdorf JR, Dennehy P, Zaoutis T (2018). Multifaceted but Invisible: Perceptions of the Value of a Pediatric Cognitive Specialty. Hosp Pediatr, 8(7), 385-393.
  43. Szymczak JE, Schall T, Hill DL, Walter JK, Parikh S, DiDomenico C, Feudtner C (2018). Pediatric Oncology Providers' Perceptions of a Palliative Care Service: The Influence of Emotional Esteem and Emotional Labor. J Pain Symptom Manage, 55(5), 1260-1268.
  44. Keller SC, Tamma PD, Cosgrove SE, Miller MA, Sateia H, Szymczak J, Gurses AP, Linder JA (2017). Ambulatory Antibiotic Stewardship through a Human Factors Engineering Approach: A Systematic Review. J Am Board Fam Med, 31(3), 417-430.
  45. Szymczak JE, Getz KD, Madding R, Fisher B, Raetz E, Hijiya N, Gramatges MM, Henry M, Mian A, Arnold SD, Aftandilian C, Collier AB, Aplenc R (2017). Identifying patient- and family-centered outcomes relevant to inpatient versus at-home management of neutropenia in children with acute myeloid leukemia. Pediatr Blood Cancer, 65(4).
  46. Gaw CE, Hamilton KW, Gerber JS, Szymczak JE (2018). Physician Perceptions Regarding Antimicrobial Use in End-of-Life Care. Infect Control Hosp Epidemiol, 39(4), 383-390.
  47. Elango S, Szymczak JE, Bennett IM, Beidas RS, Werner RM (2017). Changing Antibiotic Prescribing in a Primary Care Network: The Role of Readiness to Change and Group Dynamics in Success. Am J Med Qual, 33(2), 154-161.
  48. Gerber JS, Ross RK, Bryan M, Localio AR, Szymczak JE, Wasserman R, Barkman D, Odeniyi F, Conaboy K, Bell L, Zaoutis TE, Fiks AG (2017). Association of Broad- vs Narrow-Spectrum Antibiotics With Treatment Failure, Adverse Events, and Quality of Life in Children With Acute Respiratory Tract Infections. JAMA, 318(23), 2325-2336.
  49. Szymczak JE (2015). Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Sociol Health Illn, 38(2), 325-39.
  50. Szymczak JE, Smathers S, Hoegg C, Klieger S, Coffin SE, Sammons JS (2015). Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis. JAMA Pediatr, 169(9), 815-21.
  51. Szymczak JE (2014). Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med, 120, 252-9.
  52. Szymczak JE, Feemster KA, Zaoutis TE, Gerber JS (2014). Pediatrician perceptions of an outpatient antimicrobial stewardship intervention. Infect Control Hosp Epidemiol, 35 Suppl 3, S69-78.
  53. Szymczak JE, Bosk CL (2012). Training for efficiency: work, time, and systems-based practice in medical residency. J Health Soc Behav, 53(3), 344-58.
  54. Szymczak JE, Brooks JV, Volpp KG, Bosk CL (2010). To leave or to lie? Are concerns about a shift-work mentality and eroding professionalism as a result of duty-hour rules justified? Milbank Q, 88(3), 350-81.