Michael L. Nance, MD, FACS, FAAP

Michael L. Nance, MD, is director of the Pediatric Trauma Program at CHOP and an investigator at the Center for Injury Research and Prevention.

Areas of Expertise: Critical care, Neonatal Surgery, Oncology, Trauma
Locations: Main Campus; Specialty Care & Surgery Center, Bucks County
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

  • Background

    Dr. Nance is the director of the Pediatric Trauma Program at The Children’s Hospital of Philadelphia and investigator for CHOP’s Center for Injury Research and Prevention. He is also a professor of surgery at the Perelman School of Medicine at the University of Pennsylvania, where he holds the Josephine J. and John M. Templeton Jr. Chair in Pediatric Trauma.

    As an attending surgeon at CHOP for more than 15 years, Dr. Nance brings his clinical expertise in pediatric trauma to CHOP’s busy level 1 trauma center in the heart of Philadelphia. He has conducted extensive research in the field of pediatric trauma, specifically examining firearms injury in children, solid organ injuries and traumatic brain injury. His research has also focused on broader issues related to pediatric trauma such as access to trauma care and injury prevention.

    While his research interests have been largely concentrated in the area of pediatric trauma, Dr. Nance maintains interest in all aspects of the care of the newborn or child with surgical problems including congenital anomalies, oncology and gastrointestinal disorders.

    Dr. Nance earned his bachelor’s degree in biology from Rhodes College, Memphis, TN, his medical degree from Louisiana State University School of Medicine, New Orleans, LA, and completed his surgical residency at The University of Pennsylvania. He completed fellowships in pediatric surgery research and surgical critical care at The University of Pennsylvania.

    In 1997, Dr. Nance was selected as the Louise Schnaufer senior fellow in Pediatric Surgery and chief resident at CHOP.

    Dr. Nance has published extensively in scientific journals and books, and presents regularly about childhood trauma, brain injuries and violence. He has served as a member of the editorial board, as a guest editor and as a reviewer for more than a dozen medical journals. Dr. Nance has been recognized as one of the top pediatric trauma surgeons by Philadelphia Magazine.

  • Education and Training

    Medical School

    MD — Louisiana State University School of Medicine, New Orleans, LA (1988)

    Internship

    Surgery — Hospital of the University of Pennsylvania, Philadelphia, PA (1988-89)

    Residency

    Surgery — Hospital of the University of Pennsylvania, Philadelphia, PA (1989-91; 1993-95)

    Fellowship

    Surgery Research — Hospital of the University of Pennsylvania, Philadelphia, PA (1991-93)
    Surgical Critical Care — Hospital of the University of Pennsylvania, Philadelphia, PA (1995-96)
    Assistant chief resident, Pediatric Surgery — The Children's Ho

    Board Certification

    Pediatric Surgery
    Surgery
    Surgical critical care

    Undergraduate Degree

    BS in Biology — Rhodes College, Memphis, TN (1984)

  • Titles and Academic Titles

    Director, Pediatric Trauma Program

    Investigator, Center for Injury Research and Prevention

    Professor of Surgery, Perelman School of Medicine at the University of Pennsylvania

  • Conditions Treated
  • Centers and Programs
  • Research Interests

    Firearms injury in children
    Solid organ injuries
    Injury prevention

  • Publications

    Books

    Chapters

    2012

    Duchossois GP, Nance ML. Injury Prevention. In: Coran AG, Adzick NS, Shamberger R, Laberge JM, Krummel T, Caldamone A, editors. Pediatric surgery. Philadelphia: Elsevier; 2012.

    2011

    Nance ML. Abdominal trauma. In: Mattei P, editor. Fundamentals of pediatric surgery. New York: Springer; 2011. p. 135-44.

    Collins JL, Nance ML. Thoracic emergencies. In: Fleischer J, Ludwig S, editors. Textbook of pediatric emergency medicine. 6th ed. Philadelphia: Lippincott, Williams & Wilkins; 2010. p. 1603-23.  

    2009

    Merianos D, Nance ML. Pediatric surgery. In: Porrett P, Roses R, Frederick J, Kaiser LR, editors. The surgical review. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins; 2009. p. 382-93.

    Nance ML, Cooper AR. The visceral manifestations of child physical abuse. In: Christian C, Reece RM, editors. Child abuse: a medical reference. 4th ed. New York: Churchill Livingstone; 2008. p.167-88. 

    2007

    Blinman TA, Nance ML. Special considerations in trauma in children. In:  Schwab CW, Trunkey D, Flint L, Meredith W, Taheri P, editors. Trauma: contemporary principles and therapy. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 575-94.

    Nance ML. Paediatric injury. In: Brooks AJ, Mahoney PF, editors. Churchill's pocketbook of major trauma.  Philadelphia: Churchill Livingstone; 2007. p. 208-13.

    Durbin DR, Nance ML. Trauma systems and regionalization of trauma care. In: Wheeler DS, Shanley TP, Wong HR, editors. Pediatric critical care medicine: basic science and clinical evidence. London (UK): Springer-Verlag;  2007. p. 1523-26.

    Nance ML, Nichol PF. Abdominal mass. In: Liacouras C, Piccoli D, editors.  Pediatric gastroenterology: the requisites in pediatrics. Philadelphia: Elsevier Science; 2007. p. 3-12.

    2005

    Winkelstein A, Blackstone M, Dawid S, Nance ML. Surgery. In: Frank G, Shah SS, Catallozzi MC, Zaoutis LB, editors. The Philadelphia guide: inpatient pediatrics. Malden (MA): Blackwell Publishing; 2005. p. 381-97.

    Morowitz MJ, Nance ML. Pediatric surgery. In: Atluri P, Karakousis GC, Porrett P, editors. The surgical review. 2nd ed. Philadelphia: Lippincott, Williams & Wilkins; 2005. p. 143-63.

    2002

    Nance ML.  Neonatal bowel obstruction. In: Mattei PW, editor. Surgical directives: pediatric surgery. Philadelphia: Lippincott, Williams & Wilkins; 2002.  p. 313-16.

    Nance ML.  Penetrating abdominal trauma. In: Mattei PW, editor. Surgical directives: pediatric surgery. Philadelphia: Lippincott, Williams & Wilkins; 2002.  p. 119-21.

    2001

    Nance ML, Rotondo MF. Abdominal trauma. In: Lanken PN, Manaker S, Hanson CW, editors. The intensive care unit manual. Philadelphia: WB Saunders Co.; 2001. p. 1041-49.

    1999

    Nance ML, Adamson WT. Pediatric surgery. In: Breckler G, Maul K, editors. General surgery medical student: USMLE boards parts II & III, pearls of wisdom. Norfolk: Boston Medical Publishing Corp.; 1999. p. 213-20. 

    1998

    Nance ML, Adamson WT. Pediatric surgery. In: Breckler G, Maul K, editors. General surgery pearls of wisdom. Norfolk: Boston Medical Publishing Corp.; 1998. p. 281-92.

    1995

    Nance ML, Nance FC. Blunt abdominal trauma. In: Cameron JC, editor. Current surgical therapy. 5th ed. St. Louis: Mosby Inc.; 1995. p. 811-15.

    Gorman RC, Nance ML, Morris JB. Enteral feeding techniques. In: Torosian MH, editors. Nutrition for the hospitalized patient: basic science and principles of practice. New York: Marcel-Dekker; 1995. p. 329-51.

    1993

    Rombeau JL, Strear CM, Nance ML. Elemental diets and short-bowel syndrome: scientific rationale and clinical utility. In: Bounous G, editor. Uses of elemental diets in clinical situations. Boca Raton: CRC Press, Inc.; 1993. p. 297-317.

    Nance ML, Savage EB. Digestion and absorption in the gastrointestinal tract.  In: Fishman SJ, Savage EB, editors. Essentials of basic science in surgery. Philadelphia: JB Lippincott, Inc.; 1993. p. 208-13.

    Nance ML. Motility of the gastrointestinal tract.  In: Fishman SJ, Savage EB, eds. Essentials of basic science in surgery. Philadelphia: JB Lippincott, Inc.; 1993. p. 170-77.

    Abstracts

    2011

    Myers SR, Branas CC, Kallan MJ, Nance ML, Carr BG. Who cares for our injured children? [abstract].  Pediatric Academic Society; 2011 Apr 30-May 3; Denver, CO.

    Reisner I, Nance ML, Zeller JS, Houseknecht EM, Kassam-Adams N, Wiebe DJ. What you know might hurt you: A prospective study of behavioral correlates of dog bites to children presented to an urban trauma center [abstract]. American Public Health Association; 2011 Oct 29-Nov 2; Washington, DC.

    2010
     

    Wiebe DJ, Anderson E, Richmond TS, Nance ML, Branas CC. Neighborhood violence and safe routes to school [abstract]. Annual Meeting American Society of Criminology; 2010 Nov 17-20; San Francisco, CA.

    Myers SR, Branas CC, Kallan ML, Wiebe DJ, Nance ML, Carr BG. Using home location as a proxy for injury location and the implications for trauma planning [abstract]. Society for Academic Emergency Medicine; 2010 Jun 3-6; Phoenix, AZ.

    Santore MT, Behar BJ, Blinman TA, Doolin EJ, Hedrick HL, Mattei P, et al. Hepaticoduodenostomy versus hepaticojejunostomy for reconstruction after resection of choledochal cyst [abstract]. American Pediatric Surgical Association; 2010 May 16-19; Orlando, FL.

    Papers

    2013

    Myers SR, Branas CC, French, C, Nance ML, Kallan MJ, Wiebe DJ, et al. Safety in numbers: are major cities the safest places in the United States? Ann Emerg Med. Epub 2013 Jul 18. pii: S0196-0644(13)00520-9. doi: 10.1016/j.annemergmed.2013.05.030. Read the abstract

    2011

    Gurnaney HG, Maxwell LG, Kraemer FW, Goebel T, Nance ML, Ganesh A. Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anesthetic infiltration for umbilical hernia repair. Br J Anaesth. 2011 Nov;107(5):790-5. Epub 2011 Aug 19. Cited in PubMed; PMID 21856778. Read the abstract

    Myers SR, Branas CC, Kallan MJ, Weibe DJ, Nance ML, Carr BG. The use of home location to proxy injury location and implications for regionalized trauma system planning. J Trauma. 2011 Nov;71(5):1428-34. Cited in PubMed; PMID 21610527. Read the abstract

    Kassam-Adams N, Garcia-Espana JF, Marsac M, Lohser K, Baxt C, Nance M, Winston FK. A pilot randomized controlled trial assessing secondary prevention of traumatic stress integrated into pediatric trauma care. J Trauma Stress. 2011 Jun; 24(3):252-9. doi: 10.1002/jts.20640. Epub 2011 May 18. Cited in PubMed; PMID 21594900. Read the abstract

    Reisner, IR, Nance ML, Zeller JS, Houseknecht EM, Kassam-Adams N, Wiebe DJ. Behavioral characteristics associated with dog bites presenting to an urban trauma center. Inj Prev. 2011 Oct;17(5):348-53. Epub 2011 Mar 28. Cited in PubMed; PMID 21444335. Read the abstract

    Weibe DJ, Comstock D, Nance ML. Concussion research: A public health priority. Inj Prev. 2011 Feb;17(1):69-70. Epub 2011 Jan 6. Cited in PubMed; PMID 21212444. No abstract available.

    Santore MT, Behar BJ, Blinman TA, Doolin EJ, Hedrick HL, Mattei P, Nance ML, Adzick NS, Flake AW. Hepaticoduodenostomy versus hepaticojejunostomy for reconstruction after resection of choledochal cyst. J Pediatr Surg. 2011 Jan;46(1):209-13. Cited in PubMed; PMID 21238669. Read the abstract

    Posters and Presentations

    2012

    Nance ML. Brain matters: Protecting your head from trauma and managing concussions [presentation].  Advances in Pediatric Medicine; 2012 Mar; The Children’s Hospital of Philadelphia, Philadelphia, PA.

    Nance ML. Trauma Directors Roundtable [roundtable discussion].  John M. Templeton, Jr., Pediatric Trauma Symposium; 2012 Mar; The Children's Hospital of Philadelphia,  Philadelphia, PA.

    Nance ML. Mild traumatic brain injury in the pediatric patient [presentation]. Pediatric Surgery Grand Rounds, University of Mississippi; 2012 Feb; Jackson MS.

    Nance ML. Cervical spine: Evaluation and clearance [presentation]. Pediatric Trauma: New Concepts and Controversies “How I Do It!” A Worldwide Interactive Web Symposium. Sponsored by Case Western Reserve University; 2012 Feb; Cleveland, OH.

    2011

    Nance ML. Concussion management: Keeping aHEAD [presentation].  Ninth Annual Conference -Topics Explored: Pediatric Surgical and Trauma Nursing; 2011 Nov; Philadelphia, PA.

    Nance ML. Development of pediatric TQIP [presentation]. TQIP Annual Scientific Meeting and Training; 2011 Nov; Chicago, IL.

    Nance ML. News from Chicago … [presentation]. Digital Innovations Users Conference; 2011 Oct; San Diego, CA.

    Nance ML. Imaging of the pediatric trauma patient [presentation]. Emergency Medicine Grand Rounds, Reading Hospital; 2011 Sep; Reading, PA.

    Nance ML. Access to pediatric trauma care [presentation]. 12th Annual Ohio Pediatric Trauma Directors Symposium; 2011 Sep; Cleveland, OH.

    Nance ML. Imaging of the pediatric trauma patient [presentation].  American Association for the Surgery of Trauma; 2011 Sep; Chicago, IL.

    Nance ML. Mild traumatic brain injury in the pediatric patient [presentation]. Uniformed Services Pediatric Seminar; 2011 Mar; Washington, DC.

    Nance ML. Pediatric trauma resuscitation for the adult trauma surgeon [presentation].  Breakfast Session, Eastern Association for the Surgery of Trauma; 2011 Jan; Naples, FL. 

    2010

    Nance ML. Case Session 2, Annual Day of Trauma [moderator]. Philadelphia Trauma Directors; 2010 Dec; Philadelphia, PA.

    Nance ML. An update on the use of imaging in the pediatric trauma population [presentation]. 14th Annual PTSF/PaCOT Conference; 2010 Oct;  Harrisburg, PA.

    Nance ML. Risk adjusted benchmarking in pediatric trauma [presentation]. American College of Surgeons Committee on Trauma; 2010 Oct;  Washington, DC.

    Nance ML. Pediatric trauma care in the United States: Got access? [presentation]. Surgery Grand Rounds, Dartmouth-Hitchcock Medical Center; 2010 Jul; Lebanon, NH.

    Nance ML. Mild traumatic brain injury in the pediatric patient [presentation]. 24th Annual Pediatric/Pediatric Surgery Symposium, Uniformed Services University; 2010 Jun; Bethesda, MD.

    Nance ML. Clinical significance of crash investigation in the trauma patient [presentation]. Pennsylvania-American Trauma Society Conference; 2010 Apr; Hershey, PA.

    Nance ML. Mild traumatic brain injury in the pediatric patient [presentation]. Pediatric Surgery Grand Rounds, Texas Children’s Hospital; 2010 Apr; Houston, TX.

    Nance ML. What’s new in pediatric trauma? [presentation]. John M. Templeton, Jr., Pediatric Trauma Symposium; 2010 Mar; The Children's Hospital of Philadelphia; Philadelphia, PA.

    Nance ML. Mild traumatic brain injury in the pediatric patient [presentation]. Pediatric Surgery Grand Rounds, The Children’s Hospital of Philadelphia; 2010 Feb; Philadelphia, PA.

  • Editorial and Academic Positions

    Editorial positions

    Guest editor 

    November 2010,  Seminars in Pediatric Surgery: Pediatric Trauma

    Editorial Board

     2007-present,  Pediatric Emergency Care

    Ad hoc reviewer

    2007-present, JAMA
    2007-present, Southern Medical Journal
    2007-present, Annals of Emergency Medicine
    2006-present, Pediatrics
    2005-present, Journal of Pediatric Surgery
    2003-present, Archives of Pediatrics and Adolescent Medicine
    2001-present, Annals of Thoracic Surgery
    1998-present, Journal of Parenteral and Enteral Nutrition
    1997-present, Pediatric Emergency Care
    1996-present, Journal of Trauma

    Academic positions

    2007-present, Executive Committee of the Medical Staff, Information Systems Committee, Children's Hospital of Philadelphia
    2006-present, Emergency Preparedness Committee, Children’s Hospital of Philadelphia
    2004-present, Transport Committee, Children’s Hospital of Philadelphia
    2001-present, Resident Selection Committee, University of Pennsylvania
    2001-present, OR Operations Committee, Children’s Hospital of Philadelphia 
    2000-present, Claims Committee, Children’s Hospital of Philadelphia
    1998-present, Resuscitation Committee, Children’s Hospital of Philadelphia
    1996-present, Trauma Committee, Children’s Hospital of Philadelphia

    •   Chair, 2003-present