Jeffrey P Brosco, M.D.

Professor of Clinical

Phone:
(305) 243-3371
Locator Code:
D820

 
About

Jeffrey P. Brosco, M.D., Ph.D.

Profile:

Jeffrey P. Brosco, MD, PhD
Professor of Clinical Pediatrics, University of Miami Miller School of Medicine
Associate Director, Mailman Center for Child Development
Director, Population Health Ethics, Institute for Bioethics and Health Policy

Dr. Brosco is a clinician-educator who contributes to science by translating evidence-based clinical and organizational practice into ethically optimized public policy. His broad areas of interest are the organization of health care services for children with special health care needs, the education of professionals in family-centered, interprofessional practice, and public policy regarding public health programs such as newborn screening. In each of these areas, Dr. Brosco brings together three broad elements of his training and professional responsibilities: (1) scholarship in history and ethics; (2) practical experience as a clinician, educator, and administrator; and (3) leadership in state and national public advisory groups. Specific projects include an analysis of the history of health care for children in early 20th century Philadelphia, the historical epidemiology of intellectual disability, and the history of newborn screening in the US. With Diane Paul, he is co-author of The PKU Paradox: A Short History of a Genetic Disease (Johns Hopkins Press, 2013).

Dr. Brosco practices general pediatrics and developmental-behavioral pediatrics, including leading an interdisciplinary team that assesses children with neurodevelopmental disorders such as autism and intellectual disability. Dr. Brosco is responsible for medical student and pediatric resident training in ethics/professionalism and in development-behavioral pediatrics. He directs the MCHB-funded Leadership Education in Neurodevelopmental Disabilities (LEND) program in the Mailman Center for Child Development. Dr. Brosco was an Arsht Distinguished Ethics Faculty Fellow (2012-2015) and serves as Chair of the Pediatric Bioethics Committee at Jackson Memorial Hospital.

For over two decades, Dr. Brosco has held a series of leadership positions for the State of Florida Title V Program (Children’s Medical Services), which seeks to improve the health of children with special health care needs (CSHCN). From 2017-19 he was Florida’s Deputy Secretary of Health for Children’s Medical Services, overseeing Part C Early Interventions programs, child protection teams, newborn screening, and Florida’s health care plan for CSHCN. He is currently the state’s Title V Director for CSHCN.

Dr. Brosco is also active in national health policy groups, such as the Advisory Committee on Heritable Disorders in Newborns and Children (Department of Health and Human Services) and the National Workgroup on Standards for Systems of Care for Children and Youth with Special Health Care Needs (Association of Maternal and Child Health Programs/National Academy for State Health Policy). In 2019 he was awarded a Maternal and Child Health Bureau Director’s Award for noteworthy national level contributions to the health of infants, mothers, children, adolescents, and children with special health care needs. 

Phone 305-243-3371
Fax 305-243-5978
jbrosco miami.edu

PO Box 016820 (D-820)
Miami FL 33101-6820

Selected Publications

Kemper AR, Boyle CA, Brosco JP, Grosse SD, “Ensuring the Life-Span Benefits of Newborn Screening. Pediatrics. 2019;144(6):e20190904.

Lloyd-Puryear M, Brower A, Berry SA, Brosco JP, Bowdish B, Watson, MS, “Foundation of the Newborn Screening Translational Research Network and its tools for research. Genetics in Medicine 2019; 21:1271-1279. https://doi.org/10.1038/s41436-018-0334-8.

Wo SR, Largent EA, Brosco JP, Rosenberg AR, Goodman KW, Lantos JD, “Should Foreigners Get Costly Lifesaving Treatments in the United States?” Pediatrics 2018 doi: 10.1542/peds.2018-0175. [Epub ahead of print] PMID:30279236

Brosco JP, “Whose Odyssey Is It? Family-Centered Care in the Genomic Era,” Hastings Cent Rep. 2018 Jul;48 Suppl 2:S20-S22. doi: 10.1002/hast.879. PMID: 30133737

Goldenberg AJ, Lloyd-Puryear M, Brosco JP, Therrell B, Bush L, Berry S, Brower A, Bonhomme N, Bowdish B, Chrysler D, Clarke A, Crawford T, Goldman E, Hiner S, Howell RR, Orren D, Wilfond BS, Watson M; Bioethics and Legal Workgroup of the Newborn Screening Translational Research Network, “Including ELSI research questions in newborn screening pilot studies,” Genet Med. 2018 Aug 13. doi: 10.1038/s41436-018-0101-x. [Epub ahead of print] PMID: 30100612

Brosco JP, Pulgaron E, Vanderbilt DL, Macias M, Mathew MS, Blum NJ, “The Interprofessional/Family-Centered-Care Observation Rubric (I-FOR): Results of a Multicenter Study of a New Measure of Educational Outcomes,”Matern Child Health J. 2018 22(10):1384-1392. doi: 10.1007/s10995-018-2591-1. PMID:30014376

Johnston J, Lantos JD, Goldenberg A, Chen F, Parens E, Koenig BA, and members of the NSIGHT Ethics and Policy Advisory Board, “Sequencing Newborns: A Call for Nuanced Use of Genomic Technologies,” Hastings Cent Rep. 2018 Jul;48 Suppl 2:S20-S22. https://doi.org/10.1002/hast.874 PMID:30133723

Kemper AR, Brosco JP, Anne Marie ComeauNancy S. GreenScott D. Grosse, Elizabeth JonesJennifer M. KwonWendy K.K. LamJelili OjoduLisa A. Prosser, Susan Tanksley, “Newborn screening for X-linked adrenoleukodystrophy: evidence summary and advisory committee recommendation,” Genetics in Medicine 2017 19(1)121-26. DOI:doi:10.1038/gim.2016.68.  PMID: 27337030

Brosco JH and Brosco JP, “Zika as a Catalyst for Social Change,” Pediatrics 2016 138(6). pii: e20162095. PMID: 27940708

Brosco JP, “Child Rights and Clinical Bioethics: Historical Reflections on Modern Medicine and Ethics,” Perspectives in Biology and Medicine 2016 58(3):356-64. 
doi: 10.1353/pbm.2016.0003.

Brosco JP and Anna Bona, “Changes in Academic Demands and Attention Deficit/Hyperactivity Disorder in Young Children,” JAMA Pediatrics 2016 170(4):396-7. doi:10.1001/jamapediatrics.2015.4132

Kimberly L Reynolds, John D. Cowden, Jeffrey P. Brosco, John D. Lantos, “When a Family Requests a White Doctor,” Pediatrics. 2015 136(2):381-6.

Brosco JP, “Conflicts in Family-Centered Pediatric Care for Patients with Autism,” AMA Journal of Ethics 17 (2015) 299-304.

http://journalofethics.ama-assn.org/2015/04/ecas1-1504.html.  

Brosco JP, Scott D. Grosse, Lainie Friedman Ross, "Universal State Newborn Screening Programs Can Reduce Health Disparities," JAMA Pediatrics 169 (2015) 7-8.

Sarah E. Messiah, Vidot DC, Somarriba G, Haney K, Aytur S, Natale RA, Brosco JP, Arheart KL. Obesity and cardiometabolic disease risk factors among US adolescents with disabilities. World J Diabetes 6 (2015): 200-207.

Kathryn M. Camp, Melissa A. Parisi, Phyllis B. Acosta, Gerard T. Berry,  Deborah A. Bilder,  Nenad Blau, Olaf A. Bodamer, Jeffrey P. Brosco, et al, “Phenylketonuria Scientific Review Conference: State of the Science and Future Research Needs,” Molecular Genetics and Metabolism, 112 (2014) 87-122.

Jeffrey R. BotkinMichelle Huckaby LewisMichael S. WatsonKathryn J. SwobodaRebecca AndersonSusan A. BerryNatasha BonhommeJeffrey P. BroscoAnne M. ComeauAaron GoldenbergEdward GoldmanBradford TherrellJill Levy-FischBeth Tarini, and Benjamin Wilfond, on behalf of the Bioethics and Legal Work Group of the Newborn Screening Translational Research Network, “Parental Permission for Pilot Newborn Screening Research: Guidelines From the NBSTRN,” Pediatrics 133 (2014) e410-417.

Diane Paul and Jeffrey P. Brosco, The PKU Paradox: A Short History of A Genetic Disorder (Johns Hopkins Press, forthcoming 2013).

George Dalembert and Jeffrey P. Brosco, “Do Politics Affect Prevalence? An Overview and the Case of Cerebral Palsy,” Journal of Developmental & Behavioral Pediatrics (accepted for publication).

Jeffrey P. Brosco, Lee M. Sanders, Monica Dowling, Ghislaine Guez, “Impact of Specific Medical Interventions on Increasing the Prevalence of Intellectual Disability” JAMA Pediatrics Online First, April 2013.

Janet Golden and Jeffrey P. Brosco, “The United States Children’s Bureau and Pediatric Medicine: A Retrospective Analysis,” Pediatrics 130 (2012) 993-95.

Jeffrey P. Brosco, “Navigating the Future through the Past: The Enduring Historical Legacy of Federal Child Health Programs in the United States.” American Journal of Public Health 102 (2012) 1848-57.

Shari L. Barkin, Elena Fuentes-Afflick, Jeffrey P. Brosco, Arlene Tuchman, “Unintended Consequences of the Flexner Report: Women in Pediatrics.” Pediatrics 126 (2010) 1055-1057.

Jeffrey P Brosco, Lee M Sanders, Ghislaine Guez,  John Lantos, “Historical Trends in Low Birth Weight,” Archives of Pediatrics and Adolescent Medicine 164 (2010), 99-100.

Jeffrey P. Brosco, “The Politics of Prevalence.” [Invited Commentary.] JAMA Pediatrics 167 (Jan 2013): 10-11.

David C. Landy, Kenneth W. Goodman, and Jeffrey P. Brosco, “Clinical Ethics and Patient Satisfaction: The Practical Significance of Distinguishing Ethics and Morals,” an invited “open peer commentary” in The American Journal of Bioethics 12 (2012).

Jeffrey P. Brosco, “Classics in Pediatrics: A 100-Year History of Pediatrics in the United States.” Archives of Pediatrics and Adolescent Medicine 165 (Dec 2011) 1064 – 1065.

Vidya Bhushan Gupta, Jeffrey P. Brosco, Nidhip Patel, Adam Braddock, Martin Stein, “Ethical Conflict Between Parents and Clinician in a Child with a Language Delay,” Journal of Developmental & Behavioral Pediatrics 32 (Sept 2011) 559-560.

Jeffrey P. Brosco, “Hidden in the Sixties: Newborn Screening Programs and State Authority.” Archives of Pediatrics and Adolescent Medicine 165 (July 2011): 589-91.

Judy Schaechter and Jeffrey P. Brosco, “Violence in the Lives of Inner-City Youth in the United States,” Archives of Pediatrics and Adolescent Medicine 165 (Feb 2011), 183-84.

Frederick P. Rivara and Jeffrey P. Brosco, “The Archives of Pediatrics and Adolescent Medicine at 100: Another Turning Point in Medical Publishing,” Archives of Pediatrics and Adolescent Medicine 165 (Jan 2011), 6-8.

Jeffrey P Brosco, Robin Dharia, Ghislaine Guez,  Lee M Sanders, Chris Feudtner, “The Lure of Treatment: Expanded Newborn Screening and the Curious Case of Histidinemia,” Pediatrics 125 (2010), 417-19.

Weitzman CC, Schlegel S, Murphy N, Antommaria AHM, Brosco JP, Stein MT, “When Clinicians and a Parent Disagree on the Extent of Medical Care,”  Journal of Developmental & Behavioral Pediatrics, 30 (2009), 242-243.

Katherine Gordon, Lee M Sanders, Laurie Dunn, Kimberly Ross, Julia Sein, Adrienne Finley, Jeffrey P Brosco, “Caregiver Understanding of Expanded Newborn Screening,” Refereed Abstract/Poster at the Pediatric Academic Societies’ Annual Meeting, Baltimore, 2009.

Jeffrey P. Brosco, Lee M. Sanders, Michael I. Seider, Angela C. Dunn, “Adverse Medical Outcomes from Early Newborn Screening Programs for Phenylketonuria,” Pediatrics 122 (2008), 192-97.

Jeffrey P. Brosco, “More than the Names Have Changed: Exploring the Historical Epidemiology of Intellectual Disability in the US,” in Healing ¬the World’s Children: Comparative and Interdisciplinary Approaches to Child Health in the Twentieth Century, Cynthia Comacchio, Janet Golden, and George Weisz (eds.)  (McGill-Queens University Press: Montreal, 2008), 205-234.

Jeffrey P. Brosco, Paul Steven Miller, Kenneth W. Goodman, Sarah Fuchs, “Ethical Issues in Developmental-Behavioral Pediatrics: A Historical Approach,” in Wolraich et al., Developmental and Behavioral Pediatrics (Philadelphia: Elsevier, 2007), 905-923.

Matthew M. Davis and Jeffrey P. Brosco, “Being Specific About Being Special: Defining Children’s Conditions and Health Care Needs,” [invited editorial] Archives of Pediatrics and Adolescent Medicine, 161 (2007), 1003-05.

Chloe Silverman, Jeffrey P. Brosco, “Understanding autism: parents and pediatricians in historical perspective,” Archives of Pediatrics and Adolescent Medicine 161 (2007), 392-398.

Jeffrey P. Brosco, Michael I. Seider, Angela C. Dunn, “Universal Newborn Screening and Adverse Medical Outcomes: A Historical Note,” Mental Retardation and Developmental Disabilities 12 (2006), 262-69.

Jeffrey P. Brosco, Lee M. Sanders, Michael Mattingly, “Impact of Medical Interventions on Reducing the Prevalence of Mental Retardation,”  Archives of Pediatrics and Adolescent Medicine 160 (2006) 302-309.

Stephanie L Anderson, Judith Schaechter, Jeffrey P. Brosco, “Adolescent Patients and Their Confidentiality: Staying Within Legal Bounds,” Contemporary Pediatrics 22 (2005) 54-64.

Jeffrey P. Brosco, “Commentary: Successes and Missed Opportunities,” Pediatrics 115 (2005), 1134-35.

Jeffrey P. Brosco, “No Tears,” Health Affairs, 23 (2004), 236.

Jeffrey P. Brosco, “History and Ethics in Public Health Research,” Journal of Professional Ethics, 11 (2004), 45-64.

Jeffrey P. Brosco, “Weight Charts and Well Child Care: How the Pediatrician Became the Expert in Child Health,” Archives of Pediatrics and Adolescent Medicine 155 (2001), 1385-1389.

Jeffrey P. Brosco, “The Early History of the Infant Mortality Rate in America: ‘A Reflection Upon the Past and a Prophecy of the Future,’ “ Pediatrics 103 (1999), 478-485.

Jeffrey P. Brosco, “Policy and Poverty: Child and Community Health in Philadelphia, 1900-1930,” Archives of Pediatrics and Adolescent Medicine 149 (Dec 1995), 1381-87.

Kimberly L Reynolds, John D. Cowden, Jeffrey P. Brosco, John D. Lantos, “When a Family Requests a White Doctor,” Pediatrics. 2015 136(2):381-6.

Jeffrey P. Brosco, “Conflicts in Family-Centered Pediatric Care for Patients with Autism,” AMA Journal of Ethics 17 (2015) 299-304.

Jeffrey P. Brosco, Scott D. Grosse, Lainie Friedman Ross, “Universal State Newborn Screening Programs Can Reduce Health Disparities,” JAMA Pediatrics 169 (2015) 7-8.