Primary Care Perspectives: Recent Episodes
Children's Hospital of Philadelphia
The CHOP Neonatal Intensive Care Unit is working on enhancing communication of nutrition plans to primary care providers when infants are discharged. In this episode, Sarvin Ghavam, MD, an attending neonatologist and Kristina Spaide, MS, RD, CNSC, clinical nutrition manager, identify the unique nutritional needs of premature babies, common feeding concerns, and nutrition management pearls for the transition from NICU to home.
How well do you know the stigmata of Marfan Syndrome, which are an important components of the pre-participation sports physical? Staci M. Kallish, DO, a clinical geneticist at Children's Hospital of Philadelphia reviews how the clinical diagnosis of Marfan Syndrome is made and tools that can be used in screening and diagnosis. Also, learn about the CHOP Cardiovascular Connective Tissue Disorders Clinic and how they can help in the evaluation and management of patients with connective tissue disorders.
While many famous figures, including President Biden, have worked to decrease the stigma around stuttering, there are still significant psychosocial effects for many children who stutter. Joseph Donaher, PhD, CCC-SLP, a speech language pathologist at the Center for Childhood Communication at Children's Hospital of Philadelphia, teaches us about the natural history of stuttering, when to refer to a speech therapist or other clinician, and how we can help support the well-being of these children. This is an important listen for pediatricians, parents, and teachers!
How can lawyers and pediatricians work together to improve patient care? Osarugue Osah-Edoh and Andrew Yang, lawyers at Community Legal Services of Philadelphia and in the CHOP Medical Legal Partnership, educate us on how lawyers embedded in the healthcare setting support patients and their families with critical legal needs.
Inflammation, recurrent infections, fevers and rashes, and poor growth may all be ways that immune dysregulation presents in primary care patients. Edward Behrens, MD, Chief of the Division of Rheumatology at Children's Hospital of Philadelphia, discusses the Dysregulated Immune Response Team (DIRT) and their innovative approach to immune dysregulation management. Using a multidisciplinary team, precision medicine, collaborative research, and care coordination, the DIRT program is improving care for patients with rare diseases.
Google searches for tongue tie, or ankyloglossia, have doubled in the past five years and the number of infants having frenotomies is also increasing. Helping us understand the tongue anatomy and sort out myths surrounding tongue ties is Adva Buzi, MD, an attending physician in the Division of Otolaryngology at Children's Hospital of Philadelphia. Together, we discuss diagnosis, indications for referral, potential benefits/risk of frenotomy, and the myths surrounding ankyloglossia.
How is artificial intelligence (AI) already being used in pediatrics and how will we use it in the future? In this episode, Bimal Desai, MD, MBI, FAAP and Kevin Johnson, MD, MS, FAAP explain not only how we use AI currently, such as using an ambient scribe, but also how we can use AI in the future, including augmented imaging. We explore the benefits of AI for patient outcomes, concerns about data privacy, and anticipatory guidance for our patients.
Diet culture seems pervasive in our society and impacts our children and adolescents. In this episode, Nicole Cifra, MD, MPH, MHPEd, Assistant Professor of Clinical Pediatrics in the Division of Adolescent Medicine at Children’s Hospital of Philadelphia discusses the influence of diet culture, signs of eating disorders, and ways to have a weight neutral approach with patients. Early identification of eating disorders has a huge impact on prognosis and primary care providers play a crucial role in this identification.
With their diverse work experience and unique skill sets, advanced practice providers (APPs) are able to contribute to not only the wellbeing of patients but also that of other providers. Bridget Sullivan Garmisa, MSN, MS, CRNP, RD, nurse practitioner at Children’s Hospital of Philadelphia, shares her perspective as an APP and gives insight into clinician well-being and burnout, including the varying degrees of burnout among different roles, driving factors like workplace inequality, as well as ways to spark joy in the workplace; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
As the fourth most abundant mineral in the body, magnesium is essential for regulating many bodily functions. But as a supplement — especially over the counter — it could do more harm than good. Neil Patel, PharmD, BCOP, Director of Retail and Specialty Pharmacy and Investigational Drug Service at Children's Hospital of Philadelphia, reviews different formulations and potential contraindications, and shares dosing considerations and general guidelines for treating pediatric constipation and migraine management; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Unlike diabetes, the first line of treatment for prediabetes isn’t medication — but rather lifestyle modifications. Rachana D. Shah, MD, MsTR, Medical Director of the Healthy Weight Program at Children’s Hospital of Philadelphia, reminds primary care physicians about therapeutic options, reviews the American Academy of Pediatrics’ most recent screening guidelines, highlights the risk factors of prediabetes plus how to manage it; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
“To fast or not to fast?” When it comes to cholesterol screening, that is the question. Rachel Shustak, MD, and Jordy Martino, MSN, CRNP, an attending cardiologist and a nurse practitioner with the Lipid Heart Clinic at Children's Hospital of Philadelphia, respectively, provide answers to that age-old question plus non-pharmacologic approaches proven to lower cholesterol levels; and more. By taking the ideal screening ages, lifestyle changes and diet recommendations from the American Academy of Pediatrics (AAP) and translating them into real, practical tips for reducing the risk of cardiovascular disease, they help to settle a longstanding debate among primary care physicians.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
If there’s one lesson the COVID pandemic taught us, it is that public health lives on a local level — and in order to learn from the community, we must listen to the individual. Angela K. Shen, ScD, MPH, Visiting Research Scientist at the Vaccine Education Center at Children’s Hospital of Philadelphia, addresses growing concerns over vaccines and how physicians can help not only ease the worries of parents but also rebuild trust amidst the spread of misinformation; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
For the first time, a preventative medicine is available to protect infants and high-risk toddlers from respiratory syncytial virus (RSV). Lori Handy, MD, MSCE, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, details the science behind the monoclonal antibody, nirsevimab (Beyfortus) and its importance, safety and efficacy, side effects, administration and proven benefits, such as a decrease in morbidity, as shown by clinical trials; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
It’s hard to call an opioid overdose an accident when it happens to a young child — at home and under supervision. Some fatal poisonings are deliberate or even malicious. But such is the opioid epidemic.
Christopher E. Gaw, MD, MBE, assistant professor at Nationwide Children’s Hospital, shares the latest findings from his recent study on fatal poisonings among young children. His findings include common themes, risk factors and demographic characteristics among victims; the shift from prescription to synthetic opioids; and as a result, how the emergency department has had to adapt to better counsel families on childproofing and preventing accidental ingestions; examples of community involvement and intervention; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
When thinking about physical therapy, babies may not necessarily come to mind. But in the case of congenital muscular torticollis patients, PT can have a profound impact on their motor development into early childhood.
Meredith Caverow, PT, DPT, and Kristen Kouvel, PT, DPT, PCS, physical therapists at Children’s Hospital of Philadelphia, offer primary care pediatricians the top three takeaways from their new clinical pathway: how to detect and distinguish between the three main types of torticollis, including common physical exam findings as well as anomalies to look out for, and why that distinction is important; when to consider referrals for further evaluation by a physical therapist and what parents can do with their child at home for an early as possible resolution.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Snuffles, Hutchinson teeth and saber shins — what do these things all have in common? They are symptoms of syphilis. Also known as the “great mimicker,” syphilis can present itself in many ways.
Ericka Hayes, MD, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, addresses the growing problem of congenital syphilis and the rising rates of transmission from mother to child; describes the common symptoms at birth or in early infancy as found in the newborn nursery and at early newborn checkups, including the classic syphilis rash and its variations; stresses the importance of universal STI screening for teens in prevention; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Through no fault of their own, ADHD medications often bear the misconception of being ineffective — or worse, unsafe — yet they are the first line of treatment used by many physicians, including primary care pediatricians. Katrina A. Fletcher, MD, attending psychiatrist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children's Hospital of Philadelphia, provides a broad overview of ADHD medications, including the highs and lows of varying treatments, from increased productivity to loss of appetite; the trial and error in determining the correct dosing; adjuncts such as behavioral interventions; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Did you know that in the late 19th and early 20th centuries, there were “milk stations” that provided supervision of infant feeding and growth? The roots of pediatric care can be traced back to those early days, and there have been considerable changes since. With no signs of slowing down, pediatric care continues to evolve at a rapid pace.
Katie K. Lockwood, MD, MEd, a pediatrician and holder of a Distinguished Endowed Chair in the Department of Pediatrics at Children's Hospital of Philadelphia, and Alex Fiks, MD, MSCE, a pediatrician, academic investigator, and the Director of both Clinical Futures (Research Center of Emphasis) and the Possibilities Project: Innovation at CHOP, review the present, past and future state of pediatric primary care, which includes the pros and cons of the electronic health record (EHR) and its evolution; the innovation of clinical decision support tools and its effect on patient outcomes; pediatric career outlooks, including expected labor shortages; and more while also offering supporting evidence and advice to trainees.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Have you heard that babies can’t get sinusitis because they don’t have sinuses? Not true! Mark Rizzi, MD, attending physician in the Division of Otolaryngology (ENT) at Children’s Hospital of Philadelphia, provides a useful review for primary care, including: an overview of sinus formation by age; allergic rhinitis and other pre-disposing factors; how to decide if a routine URI has become sinusitis and antibiotics are warranted (you don’t necessarily need to wait 10 days); neti pots, nasal steroids and other adjuvant treatments; complications to look out for, including unremitting headache for intracranial spread; prevention tips; when to refer to ENT or the ER; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Somatic symptoms are real; we all experience them. One Canadian study found that somatic complaints account for more than 25% of all primary care visits. Samuel Neher, MD, pediatric hospitalist at the Children’s Hospital of Philadelphia, introduces a new clinical pathway for Somatic Symptom and Related Disorder (SSRD) that suggests a standard of care for these symptoms. Goals are to build empathetic rapport with patients and families; encourage somatic symptom treatment alongside diagnostic testing; and promote strong communication and collaboration among the interdisciplinary care team.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Each year in the U.S., more than 400,000 children are in foster care. Jennifer Keim, MD, MPH, primary care pediatrician at the Nicholas and Athena Karabots Pediatric Care Center of Children’s Hospital of Philadelphia, provides a review of important considerations in primary care for these vulnerable children, including: explanations of common terms, such as medical foster homes, resource parents, respite care, and more; the significance of placement instability and a trauma-informed approach to care; resources such as CHOP’s Fostering Care Program for outpatient assessment, and CASA volunteers; consent and confidentiality issues and how to sort through them; defining permanency, aging out and other outcomes and a review of national and local statistics; and more. Published May 2023.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
CHOP has a new primary care clinical pathway for the diagnostic evaluation of development delay and intellectual disability. Its co-authors, Elana Huang, MD, primary care pediatrician, CHOP Care Network, and Hana Alharbi, MBBS, MS, pediatric geneticist, University of Tabuk, Saudi Arabia (who did a fellowship at CHOP), review the pathway and how it might help a primary care practitioner, including information about: testing tiers; limits of newborn screening panels; non-genetic test recommendations; which subspecialties to refer to for certain symptoms; recommendations for next steps when encountering recognizable syndromes; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
It’s estimated that 20 percent of variation in health outcomes is due to medical and healthcare system factors. Environment makes up a significant portion of the other 80 percent. Stephanie Mayne, PhD, MHS, epidemiologist and research scientist at PolicyLab at Children’s Hospital of Philadelphia, provides information to help primary care clinicians understand neighborhood-level social determinants of health, including: the roots of disparities in resources by neighborhood and how this affects children; specific neighborhood attributes that impact sleep and mental health, such as noise, violence, pollution, tree canopy and green space; suggestions for how to advocate for interventions; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Lunch at school. A birthday party. Dinner out. For kids with food allergies, everyday activities can be fraught. Megan Lewis, MSN, RN, CRNP, nurse practitioner and program manager, Food Allergy Center at Children’s Hospital of Philadelphia, and James (JP) Senter, MD, a third-year resident at CHOP, review: the extent to which food allergies affect quality of life for children and families; oral immunotherapy; Scale of Food Allergy Anxiety (SOFAA); tips for talking to patients with food allergies about anxiety; how history of anaphylaxis can lead to anxiety; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Children born with congenital heart disease (CHD), the most common birth defect in the U.S., are at greater risk for emotional and behavioral health concerns. Lyla El-Messidi Hampton, PhD, ABPP-CN, pediatric neuropsychologist and co-director of the Cardiac Kids Developmental Follow-up Program at CHOP, and Nicholas Seivert, PhD, psychologist in the Cardiac Center at CHOP, review the many reasons for increased mental health risk among children with heart defects, especially single ventricle patients, and provide information about: importance of early identification and intervention; ADHD meds for CHD patients; the higher rate of autism spectrum disorders in this population; the parental distress loop; screening in primary care, and red flags; places to refer at CHOP; and more. Published February 2023.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Are occipital headaches always cause for alarm? What if the headache is always on the right side or the left side? What is a thunderclap headache? Ishani Kumar, MD, pediatric headache fellow, Division of Neurology, Children’s Hospital of Philadelphia, provides a review to help primary care providers manage migraine headaches, including:tips for taking a headache history; red flags; distinguishing a migraine from a tension headache; explaining aura with headache; use of NSAIDs and triptans for pain; use of nutraceuticals for prevention; how to counsel patients about when improvements from treatment may begin (usually at least 8 weeks); when to refer for outpatient imaging and to neurology; when to send to the ER for urgent imaging or work-up; and more. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
How can pediatricians move away from “diet culture” and encourage children and teenagers to have healthy relationships with food, exercise and their bodies? Two experts from the Eating Disorder Assessment and Treatment Program at Children’s Hospital, Eleanor Benner, PsyD, MA, psychologist, and Kerri Heckert, MS, RD, LDN, clinical dietician, discuss: suggestions for how pediatricians can talk about weight, nutrition and exercise without causing harm; socioeconomic factors that affect eating and activity; tips to offer parents, such as avoiding “fat talk”; encouraging kids to eat intuitively; limits to the usefulness of BMI; acknowledging weight bias in healthcare provider decision-making; explaining “body positivity” and “body neutrality”; red flags and what to do if there is suspicion for an eating disorder; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Approximately one-quarter of Americans have disabilities. How can primary care pediatricians better support the health and goals of patients with disabilities? Danielle Barber, MD, PhD, attending physician, Division of Neurology, Children’s Hospital of Philadelphia, discusses: the World Health Organization’s International Classification of Functioning, Disability and Health (ICF); making care decisions based on the child’s wishes and goals, such as swimming; fostering the growth of a disability identity; presumptions in diagnosing everyday ailments in patients with disability; how community integration and the ability to function affect quality of life and perceived good health; changes in the office setting to improve the patient experience; suggestions for resources and “first steps”; and more.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2023 by Children's Hospital of Philadelphia, all rights reserved.
Updated clinical practice guidelines for management of hyperbilirubinemia – including revised phototherapy thresholds – were published in August, the first major change since 2004. Joanna Parga-Belinkie, MD, attending neonatologist, Division of Neonatology, Children’s Hospital of Philadelphia, provides a review for the nursery and primary care clinic, including a new name for “breastfeeding jaundice”; determining risk for isoimmune hemolytic disease; the importance of G6PD in bilirubin results; the limits of visual assessment of jaundice; using transcutaneous bilirubin meters in primary care; answers to parent questions such as, “Will sunlight help jaundiced babies?”; management of “rebound bili”; tools to help measure phototherapy thresholds by age as you adjust to the new guidelines; and more. Published December 2022.This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
The Adolescent Protective Collaborative (APC) at Children’s Hospital of Philadelphia is dedicated to providing a specialized medical home for youth who have experienced or are at high risk for sex trafficking. Primary care physicians can be partners in identifying and helping children who are victims. Guests Kali Hackett, MSW, MPH, a public health social worker and clinical services coordinator for the APC, and Polina Krass, MD, and Anish Raj, MD, both fellows in Emergency Medicine and co-founders of the APC, provide an overview and practical information, including: defining sex trafficking and commercial exploitation of children (CSEC); red flags in history, complaints, and physical exam; the effects of exploitation beyond reproductive health; an explanation of the Adolescent Protection Collaborative, including what a clinic visit entails for the child and how the team works with other community organizations; and what a primary care physician can do to identify and help victims, including detailed suggestions for how to have the initial conversation, how to ask questions, and what to do if the child confirms they are abused.Kali Hackett, MSW, MPH, a Public Health Social Worker and the Clinical Services Coordinator for the APCPolina Krass, MD, a Fellow Physician in Emergency Medicine and Co-Founder of the APCAnish Raj, MD, a Fellow Physician in Child Abuse Pediatrics and Co-Founder of the APCThis podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Lyme disease can be challenging to distinguish from many common pediatric infections. Michael Russo, MD, attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, reviews: disease history and incidence; disease stages, including early localized, early disseminated, and late; tips for distinguishing the Lyme-related symptoms bull’s-eye rash, facial palsy and arthritis from other ailments; indications for testing (and why tick-testing isn’t advised); amoxicillin, doxycycline, and ceftriaxone for different manifestations; duration of treatment; indications for post-exposure prophylaxis; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
The new SMART guidelines for children whose asthma is not well controlled, including use of one inhaler for maintenance and rescue, was a significant change to which both caregivers and providers are still adjusting. Tyra Bryant-Stephens, MD, Medical Director of the Community Asthma Prevention Program and Chief Health Equity Officer of the Center for Health Equity at Children's Hospital of Philadelphia, reviews: who is eligible for SMART; signs and symptoms of asthma that is not well controlled; case examples; tips for discussing the changes with parents; tips for SMART prescription-writing; benefits of the new guidelines; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
More than half of infants experience gastroesophageal reflux (GER) and 10-20% have gastroesophageal reflux disease (GERD), and guidelines for this issue often change. Here to help clear up confusion is Jefferson Brownell, MD, pediatric gastroenterologist, Children’s Hospital of Philadelphia. He first provides a review of red flags for referral to GI or the emergency room, and then an overview of GERD in otherwise healthy babies, including: scheduled small-volume feedings; thickening options; amino acid formulas and other formula options; positioning during sleep; medication options; duration of meds and how to wean; counseling families hesitant to start meds; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Primary care physicians can play a key role in helping patients who are intellectually and cognitively gifted get the resources they need, including children who may otherwise be missed. Thomas Flynn, PhD, a pediatric neuropsychologist at Children’s Hospital of Philadelphia, discusses: characteristics a primary care physician can look for that may predict a high likelihood of being gifted; pros and cons of knowing a child’s IQ; variabilities in testing; racial and ethnic disparities in identifying intellectually gifted children; the pediatrician’s role in advocating for testing for children; “twice exceptional” children who are gifted and have ADHD or a learning disability; impact of giftedness on mental health; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Lupus is one of the most common diseases in pediatric rheumatology, but it is complicated to diagnose because its symptoms can be broad and nonspecific, creating overlap with other diagnoses. Sarah Bayefsky, MD, a pediatric and adult rheumatology fellow at Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania, and Melissa Argraves, MD, MSEd, a pediatric rheumatologist at Nationwide Children’s Hospital, discuss what a primary care physician should look for if suspecting pediatric-onset lupus — a disease that is seen primarily in teenagers, and in particular females of color. They explain the nuances of possible symptoms; what can be observed during a clinical visit; what labs to order; and what a PCP should keep an eye on if a patient has been diagnosed with lupus.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
In the U.S., Black women are 3 times more likely to experience infant mortality and previously healthy Black children are 3.4 times more likely to die within 30 days after a surgery. What do these statistics – and many others around healthcare, housing and other topics – have to do with vaccine hesitancy? Everything. Latasha Easter, MD, a pediatric resident at Children’s Hospital of Philadelphia, provides an overview of: disparities in immunization rates; the historical context for distrust of the medical establishment and government among Black patients, and the importance of acknowledging it; the CASE Approach, a framework for conversations with hesitant families; sample conversations and responses; an HPV vaccination success story; social media as an information source; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Did you know that lack of canal swelling should be a red flag in physical exam of otorrhea? Ryan Ruiz, MD, MS, attending physician, Division of Otolaryngology, Children’s Hospital of Philadelphia, provides a broad review, covering: key physical exam findings that indicate otitis externa; using antibiotic ear drops and/or oral antibiotics; when to culture; the role of cerumen; when to bring patients back to evaluate tympanic membrane closure; guidelines for water precautions, including for children with ear tubes; evaluating for acute mastoiditis; assessments after trauma; tools an ENT and audiologists have at their disposal that primary care doesn’t; and more. Published August 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
The Philadelphia Youth Sports Collaborative has more than 70 member organizations that help promote leadership, grit, and other important skills through sports. Beth DeVine, executive director, Philadelphia Youth Sports Collaborative, explains the term “sports-based youth development” and provides an overview of the organization’s goals and role, including trauma-informed coaching, outcome measurement, equitable access, sports as a promoter of social and emotional learning, differences between benefits to boys and girls, and more. She also provides advice on how pediatricians can encourage kids to participate in beneficial sports programs, including pointing them to rec centers and specific resources. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Climate change has many health effects, yet doctors and patients don’t routinely discuss this topic. Harleen Marwah, MD, MS, a pediatric resident at Children’s Hospital of Philadelphia who is the founder of Medical Students for a Sustainable Future,provides an overview of the many ways climate changes affects children’s health, including prenatal health and mental health. Presented with overwhelming information about climate change, doctors may struggle to know how to put helpful steps into practice. Dr. Marwah discusses ideas for how pediatricians can incorporate anticipatory guidance and screening questions related to climate change into practice,with the goal of helping families navigate the changing environment; how doctors can participate in advocacy; and the one step every doctor, no matter how busy,can take today to help address climate change.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
How can a primary care physician be sure their patient’s oral allergy syndrome (OAS) is not another type of allergy that may require more aggressive management? Katie Kennedy, MD, attending physician, Division of Allergy and Clinical Immunology, Children’s Hospital of Philadelphia, discusses: how to get a history to distinguish between OAS and IgE-mediated food allergies and seasonal/environmental allergies; the importance of pollen patterns in your region and a review of cross-reactive foods; why kids with OAS react differently to raw and cooked food (raw apples vs. apple pie); whether to recommend antihistamines; differentiating between contact rashes (such as from strawberries and tomatoes) and OAS; how to evaluate whether the child may be at risk for systemic reaction (and should carry epinephrine); can a child outgrow OAS; when to refer to a pediatric allergist, plus a review of the treatments the allergist might suggest; and more. Published June 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
In Philadelphia, sleep-related deaths (including SIDS, accidental suffocation, and unknown cause) are the second-highest cause of infant mortality, after prematurity. Two pediatricians, Roy Hoffman, MD, MPH, Medical Director, Fatality Review Program, Philadelphia Department of Public Health, who sees patients at a health department-run community health center (Health Center #6), and Stacey Kallem, MD, Director, Division of Maternal, Child, & Family Health at Philadelphia Department of Public Health, provide an overview, including: incidence and factors; racial-ethnic disparity; a review of barriers to safe sleep and ideas for effective counseling for prevention; ways to help parents get support, including for lactation and smoking cessation; genomic sequencing and other research into medical causes for sleep-related deaths; practical tips to share with parents; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Parents worry when a child hits their head. This podcast will help inform the important decisions you need to make as a primary care provider, including whether to send them to the emergency room. Daniel Corwin, MD, MSCE, an emergency medicine physician and researcher at Children’s Hospital of Philadelphia, discusses acute (less than 24 hours) head trauma in otherwise healthy children, reviewing: the 6 criteria for each age group; why criteria for children younger than 2 are different (and the reassuring research behind the criteria); severe injury mechanisms; how to advise parents about keeping the child awake and what to watch for; the 9 features of the visio-vestibular exam; changes in concussion management and “return to normal” criteria; when to refer to a concussion specialist; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
One in 4 children will have an episode of chronic pain before they reach adulthood, and kids with chronic pain are 3 times as likely to suffer anxiety or depression. How can primary care pediatricians help de-stigmatize the role of psychology in treatment for chronic pain? Jessica Collins, PsyD, and Christina Holbein, PhD, psychologists who run Comfort Ability workshops at Children’s Hospital of Philadelphia for kids with chronic pain, discuss: common diagnoses that come with chronic pain and discomfort; evidence-based interventions for chronic pain, including the role of cognitive behavioral therapy; differences in reporting of pain and discomfort based on culture and race, and how language barriers affect reporting; how to recognize and address bias in pain management referrals and suggestions for how to help families overcome barriers to resources; a review of CHOP resources for chronic pain, including Comfort Ability; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Chlamydia is the most commonly reported bacterial disease in the U.S., and half of the 1.8 million cases reported in 2019 were in youth. A recent publication by Kenisha Campbell, MD, MPH, and Sarah Wood, MD, MSHP, adolescent medicine physicians at Children’s Hospital of Philadelphia, showed providers are much more likely to screen Black adolescent females for chlamydia than white females. In a review of their study, the two doctors discuss how to address biases as individual providers and as practices or systems, and: a review of chlamydia screening guidelines, prevalence of asymptomatic cases, and effects of untreated infections; the recently modified CDC treatment guidelines, with doxycycline now preferred; when to still consider using azithromycin; when to refer to adolescent medicine; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Less than a quarter of children with developmental disabilities receive early intervention services before age 3. The recent update to the “Learn the Signs: Act Early” guidelines is a step toward more children and families getting help sooner. Kate Wallis, MD, MPH, a developmental behavioral pediatrician at Children’s Hospital of Philadelphia, reviews: how and why the changes were made; how evaluating milestones when 75% of the age group is meeting them (rather than the previous rate of 50%) affects the wait-and-see approach; why it was important to add milestones for the 15- and 30-month visits; how the milestones may be helpful to parents; and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Friendships and social bonds are integral to children’s health. How can a pediatrician help those struggling with social skills? Emily DePaul, BS, MPH, MA, who is a clinical research coordinator for the PriCARE Parenting Program and runs group social skills training for children with autism spectrum disorders (ASD), provides an overview of the importance of social skills and possible diagnoses in children who have delays or deficits (consider ADHD and anxiety, in addition to ASD). She explains group social skills training, why these programs are valuable, and how a caregiver or pediatrician can find them; and provides tips and real-world advice pediatricians can use in practice (for example, how to help with issues like volume control and personal space, simple coping strategies, and how to encourage “perspective-taking”). If you’re searching for reasons to be positive and hopeful, hearing DePaul will help: A believer in social skills training at a very young age, she has received funding to start a social skills program (called First Friends) for toddlers and preschoolers. And her description of the resiliency of the ASD children in her groups during the pandemic – they had to do group social skills training on Zoom! – is inspiring. Published March 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
How should a primary care physician evaluate neutropenia, and decide when it’s time to worry? Kandace Gollomp, MD, pediatric hematologist, Children’s Hospital of Philadelphia, discusses: tips for evaluating a CBC with differential; absolute neutrophil count (ANC) parameters for mild/moderate/severe neutropenia; when to worry about increased risk of infection, both in previously well children and in those with risk factors; a review of risk factors; lymphopenia, granulocytopenia and agranulocytosis and how they are different; benign ethnic neutropenia; post-infectious neutropenia and when you should re-check the CBC; when an infectious history should raise a red flag; when to order a peripheral smear or refer a patient to hematology for bone marrow biopsy or other evaluation; and more. Published February 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS) have skyrocketed as a result of the ongoing opioid epidemic. Celina C.S. Migone, MD, attending neonatologist, CHOP at Einstein Montgomery, discusses inpatient management of NAS and NOWS, including a new scoring system (replacing the Finnegan) and a move away from pharmacologic management (morphine dosing), and how the changes have had downstream effects that may require a new approach to supporting babies and families in primary care. She reviews: withdrawal symptoms providers may see; which substances are safe for breastfeeding and which are contraindicated; plans of safe care, which are begun during pregnancy and should be in place for a year after the baby is born; developmental monitoring; the CHOP NAS/NOWS inpatient clinical pathway and why it’s helpful to outpatient providers; and more. Published February 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
The AAP recommends that infants get 400 IUs of vitamin D per day; fewer than 40% meet this guideline. Erica Schwab, RD, LDN, a clinical dietitian who supports the Division of Gastroenterology, Hepatology and Nutrition at Children’s Hospital of Philadelphia, discusses: why most babies, whether breast- or formula-fed, need vitamin D supplementation; how to know when to stop supplementation; good sources of vitamin D for babies transitioning to solid food; why Vitamin D is vital to the health and growth of babies; a review of rickets (breast-fed, non-supplemented infants are at highest risk); and risk groups that may require additional vitamin D supplementation, including preemies. She also provides a review of iron guidelines, including: when to start and stop iron supplementation for breast-fed infants; tips for getting babies to take iron; how to take a dietary history to ascertain whether supplementation is needed; differences between U.S. and European formulas; where to refer for complicated cases; and more. Published January 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Anxiety disorders collectively are the third most common psychiatric condition in children. Katrina Fletcher, MD, psychiatrist, and Jason Lewis, PhD, psychologist, Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, review: tools to screen and assess anxiety disorders; other diagnoses to consider in your differential or as co-morbidities; medical causes and medications that can cause anxiety symptoms; importance of time course (such as abrupt onset) in your differential; types of anxiety disorders; how to determine severity; what is cognitive behavioral therapy (CBT); when to initiate an SSRI and tips for discussing antidepressants with patients and families; how to know if a treatment plan is working and when to taper or discontinue SSRIs; how to help families navigate anxiety disorders, such as encouraging healthy sleep, diet and exercise; CHOP’s new clinical pathway for anxiety disorders; and more. Published January 2022.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2022 by Children's Hospital of Philadelphia, all rights reserved.
Chalkin’ Your Walkin’ is a pandemic-era project to chalk inspirational messages on the South Street Bridge in Philadelphia, over which many healthcare workers walk and bike to work. The messages are created by Katie Woo Castelo, MSN, CRNP, a nurse practitioner in the Emergency Department at Children’s Hospital of Philadelphia, with help from her kids. In this 15-minute episode, Castelo explains why she started chalking your walking, and the response to the effort. She also provides useful ideas for how to encourage and connect with children and teenagers during the pandemic, and how to stay connected and support one another as healthcare workers. Published December 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Food protein-induced enterocolitis syndrome, or FPIES, is a rare and different food allergy with a complex etiology and management. Amy Dean, MPH, RD, CSP, LDN, clinical dietitian, Gayle Diamond, MD, attending gastroenterologist, Terri Brown-Whitehorn, MD, attending allergist, who all work together in the FPIES Clinic at Children’s Hospital of Philadelphia, provide a review. Their discussion includes: symptoms and how FPIES may present in the primary care setting; tips for getting a useful history for diagnosis; how FPIES is different from other food allergies; which foods are the most common causes; what is acute FPIES; respecting parent fear of FPIES reactions, which can be upsetting; tips on diet modification; why a multidisciplinary approach, including allergy and GI, is important; an overview of how CHOP manages FPIES; biomarker research that may lead to a diagnostic test; and more. Published December 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
One in 5 children will experience the death of a loved one before age 18. Consuelo Cagande, MD, Division Chief, Community Care and Wellness Program, Children’s Hospital of Philadelphia, reviews the difference between grief and mourning; how children may grieve differently and the William Worden stages, which may be more applicable than the Kubler-Ross model; “masked” somatic and behavioral symptoms that may indicate grief; suggestions for how to help a child experiencing grief; how children of different ages may grieve; the importance of asking the family about their cultural norms for grieving; distinguishing between PTSD and grief; COVID and grief; resources to direct families to; and more. Published November 2021.
Symptoms tend to be worse in the morning. Approximately a quarter of cases present without pain. And erythema is not generally a sign. Jay Mehta, MD, MS, attending physician, Division of Rheumatology, Children’s Hospital of Philadelphia, reviews juvenile idiopathic arthritis (JIA), one of the most common chronic diseases of childhood. He discusses: questions for a useful history; what to look for on physical exam; why labs aren’t super-helpful in diagnosis; symptoms that may indicate an oncologic cause; JIA classification criteria (a review of subtypes); potential genetic and environmental etiologies, including association with the microbiome; treatment paths, including steroid injections, low-dose methotrexate, TNF inhibitors, and tailored biologics, and why NSAIDs are no longer advised; complications of untreated arthritis, including uveitis and blindness; and more. Published October 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Bridget Sullivan Garmisa, MSN, MS,CRNP, RD, a nurse practitioner and registered dietitian at a Children’s Hospital of Philadelphia primary care practice, discusses: tips for helping parents deal with picky eaters; importance of role-modeling by parents; how to help parents with common household challenges, such as having time to prepare a healthful dinner; suggestions for breakfasts teenagers might actually eat; healthful, easy-to-pack lunches; what to do when food options are limited, such as from vending machines and corner stores; ideas for on-the-go snacks; why sports drinks are a no-go; how to talk to kids and families about their food decisions; introducing cost savings as a motivator to modify food habits; and more. Published October 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
More and more pediatric healthcare systems are incorporating acupuncture for pain management and other purposes. Dr. Winona Chua, attending physician, Division of General Pediatrics, and Douglas McDaniel, licensed acupuncturist, Cancer Center, Children’s Hospital of Philadelphia, discuss: a review of what acupuncture is, its history, and theories about why it is effective for some patients; why research in acupuncture in pediatrics has been limited; licensing for acupuncturists; how CHOP is using acupuncture; conditions for which acupuncture may be indicated and how a primary care physician can refer; how to explain acupuncture to children, who may fear needles; insurance coverage for acupuncture; and more. Published September 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Sleep-disordered breathing, including snoring and sleep apnea, affects up to 17 percent of youth, and the AAP recommends screening for it at every visit. Ariel Williamson, PhD, DBSM, psychologist, and Ignacio Tapia, MD, attending pulmonologist, of the Sleep Center at Children’s Hospital of Philadelphia, provide a review of high-risk populations for sleep-disordered breathing; how to screen for sleep-disordered breathing; what to ask parents to distinguish between primary snoring and obstructive sleep apnea; when to refer for a sleep or CPAP study; how to help prepare a patient for a sleep study; the information a sleep study yields and what will be reported to the provider; the importance of sleep hygiene/routine and sleep duration; when to recommend melatonin; daytime symptoms that may be caused by sleep disruption; the link between sleep and mental health; and more. Published September 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
A team discusses a CHOP program called Picture This, in which colorful and interactive murals are used in primary care exam rooms to encourage parent-child interaction and facilitate care. Danielle Erkoboni, MD, primary care pediatrician, CHOP Care Network, Melanie Hoynoski, CCLS, STRS, child life specialist at CHOP, and Steve Wilmot, MSW, Associate Vice President of Primary Care, CHOP, talk about the goals of the mural project; how the visual environment in which a child receives care can change the patient-family experience; the importance of play and visual arts to children; how murals or other types of art can prompt conversations and be incorporated into care; and more. Published August 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Did you know that if a new mom is suffering from postpartum depression, the chances are high that the new dad or partner may be struggling as well? David Levine, MD, pediatrician and board member, Postpartum Support International, discusses perinatal mood and anxiety disorders(PMADs) in dads, partners, and adoptive parents. Among the topics: prevalence and risk factors for postpartum depression and other mood issues in dads and partners; cultural attitudes, including factors that keep dads from asking for help and the lack of public role models for struggling dads; how to include dads and partners in screening during obstetric or newborn care; use of the Edinburgh postnatal depression scale; how postpartum depression in dads may affect bonding with the infant; what to do if you suspect postpartum depression in a dad or partner; and more. Published August 2021.
As children and teenagers return to summer activities and school sports, particularly after the pandemic down-time, injuries, including fractures, are on the rise. Brendan Williams, MD, attending pediatric orthopaedic surgeon, Sports Medicine and Performance Center, Children’s Hospital of Philadelphia, discusses: physical exam findings that raise suspicion for fractures; the Ottowa Ankle Rules; clavicle fractures in older children (not newborns); how skeletal maturity changes fracture management decisions; pain management and immobilization guidance for sprains; when to send patients who are still in pain for follow-up evaluation or additional imaging; injury prevention advice to share with patients and families; when to send patients straight to the emergency room; and more. Published July 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Acne is one of the most common skin conditions, affecting about 80% of all teens. While some teens will only experience mild symptoms, others may develop scarring, hyperpigmentation and negative psychosocial effects. Amanda Shepard-Hayes, MD, an Attending Pediatrician specializing in dermatology at Children’s Hospital of Philadelphia, discusses the importance of recognizing and treating this condition; the combination of factors that cause acne including hormone level changes during puberty or when certain drugs (i.e., corticosteroids, oral birth control) are started or stopped; the different types of acne lesions, and when distribution patterns may indicate a more serious health issue; treatment goals and therapies including topical and systemic medications. In many cases, combination therapy is appropriate, which includes low-dose benzoyl peroxide to kill the bacteria and tretinoin to halt the development of new acne lesions. Recurrent acne that occurs in young children (aged 1 to 7), or in unusual places (like the groin area), should be sent for further evaluation. Published July 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Did you know that the pincers of head lice are perfectly suited to the caliber of children’s hair? And they need a blood-meal every 24 hours to survive? If you hate lice – and love puns – tune in for this discussion with Albert Yan, MD, pediatric dermatologist, Children’s Hospital of Philadelphia. He reviews: the epidemiology of lice, including why they may be more common in certain types of hair; distinguishing between nits and dandruff during exam; treatments for lice and resistance to permethrin and pyrethrum; and newer treatment options like spinosad and topical ivermectin. Scabies are also discussed: a review of transmission, findings and risk factors; where to look for lesions; correctly applying permethrin for scabies; differential diagnosis for scabies; secondary infections from scabies; when to consider referral to dermatology for lice or scabies; and more. Published June 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
At what age should pediatricians worry if a patient hasn’t had their first period? How can they help patients manage chronic period pain?What is “period poverty” and how can doctors help? Shelby Davies, MD, a fellow in the Division of Adolescent Medicine, Children’s Hospital of Philadelphia, discusses a variety of period-related topics, including: a review of the normal sequence of puberty and menarche and a normal menstrual cycle; etiologies of amenorrhea and how to evaluate for different causes ; laboratory tests to consider in cases of primary and secondary amenorrhea; a review of causes and management suggestions for irregular cycles and heavy flow; a review of management options for dysmenorrhea, including effectiveness of different OTC painkillers; an explanation of menstrual cups and reusable period underwear, alternatives to tampons and pads that are increasingly popular; a discussion of “period poverty” and the barriers some teenagers face in managing their periods, and how doctors can screen for this and help; and more. Published June 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Colleen Lukens, PhD, psychologist, and Sherri Cohen, MD, MPH, medical director, the Pediatric Feeding and Swallowing Center, Children’s Hospital of Philadelphia, discuss how their multidisciplinary clinic would manage this case, and review: some underlying causes for feeding disorders; common reasons for referral to the center; when an additional referral to GI might be appropriate; important feeding milestones; positive, simple strategies to recommend to parents of picky eaters; and more. Published May 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Approximately 15% of school-age children and adolescents in the U.S. are thought to have an emotional or behavioral disorder, and nearly two-thirds receive no formal mental health care. Pediatricians are increasingly being called on to screen for and treat mental health problems. Billie Samantha Schwartz, PhD, a Psychologist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children's Hospital of Philadelphia, sits down to tackle common communication challenges faced by primary care providers, and how to find a common factors approach (as recommended by the AAP) to build into practice. Published May 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Parents often have questions about organic foods and environmental toxins such as BPA and phthalates. This conversation will help provide answers. Leonardo Trasande, MD, MPP, Jim G. Hendricks, M.D. Professor of Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, and author of “Sicker, Fatter, Poorer: The Urgent Threat of Hormone-disrupting Chemicals to Our Future...and What We Can Do” discusses a range of topics, including why environmental medicine is important in pediatrics; the importance of studying disease-related costs of chemicals; racial disparities in exposures to pesticides and other harmful chemicals; and information about topics parents often ask about, such as benefits of organic food, minimizing phthalate exposure, plastics versus glass, BPA and BPA-like chemicals in canned food and drinks, the safest water (probably from your tap!), safe baby food, and more. Published April 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
In celebration of the 100th episode of the Primary Care Perspectives podcast, Dr. Katie Lockwood welcomes a special guest, author Jessica Lahey, to discuss her most recent book, “The Addiction Inoculation: Raising Healthy Kids in a Culture of Dependence.” Lahey, whose perspective is informed by her own recovery from alcohol addiction and her experiences as a writing teacher and parent, writes for The New York Times and The Washington Post and is the author of the bestseller “The Gift of Failure: How the Best Parents Learn How to Let Go So Their Kids Can Succeed,” from 2015. Here she shares insight on topics including: countering myths about drinking and drugs (such as “everyone does it”); the gateway hypothesis; how pediatricians can be an ally for parents and teenagers in decision-making around alcohol and drugs; the AAP guidelines for substance abuse in youth; tips for effective discussions with teenagers; and more. Published April 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
A baby who can’t sit up by 7 months of age. A “clumsy” child who struggles with tasks such as riding a bike. A teenager experiencing dizziness 2-3 months after concussion. What do these patients have in common? They may benefit from assessment for a vestibular disorder. Robert O’Reilly, MD, attending physician, Division of Otolaryngology, and director, Balance and Vestibular Program, Children’s Hospital of Philadelphia, discusses vestibular issues in children and teenagers. Includes: a review of the vestibular apparatus; clinical symptoms and signs of chronic vestibular issues; review of common causes of vestibular issues; when to refer for post-concussion dizziness or post-concussion positional vertigo; and more. Published March 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Ergonomics is the science of fitting a given environment to a person, to limit exposure to physical stressors that could lead to discomfort or injury. Ian Leahy, PT, DPT, a physical therapist with the Sports Medicine and Performance Center at Children’s Hospital of Philadelphia, discusses: the basics of a good home set-up; whether to recommend a standing desk; advice to help parents avoid unnecessary costs; tips for laptop users; importance of variability of position; tips to encourage movement; how static positions can cause adaptive shortening and trigger soft-tissue injury with return-to-sport; what to ask in the history to elicit information about home learning set-ups; relationship between forward head posture and new onset of headache; and more. Published March 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Matthew Elias, attending cardiologist, Children’s Hospital of Philadelphia, discusses COVID-19’s impact on the heart and how it affects outpatient care for children who have recovered. Includes: a refresher on clinical symptoms of myocarditis, which vary by age and can be subtle; review of EKG findings with myocarditis (again, tricky); other cardiac effects of COVID; the potential for long-term cardiac effects; lack of knowledge about the extent to which other pediatric viruses affect the heart; significance of troponin levels in adults versus children; guidelines for return to sport following COVID infection, with age and severity of infection as factors; when to consider referral for EKG and outpatient cardiology evaluation; symptoms of multisystem inflammatory syndrome in children (MIS-C); differences between MIS-C and Kawasaki disease; whether patients with congenital heart disease are at higher risk; and more. Published February 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Fifteen million children are exposed to intimate partner violence (IPV) in the U.S. every year, with 50% of those exposures severe. This podcast offers perspective from Kalena Brown, an advocate and mother whose primary care pediatrician helped her and her three children safely leave a domestic violence situation; Ashlee Lynn Murray, MD, MPH, attending physician, Emergency Department, Children’s Hospital of Philadelphia; and Melissa Dichter, MSW, PhD, associate professor, Temple University School of Social Work. They discuss the importance of routine screening for IPV in primary care; barriers to disclosure; co-occurrence of IPV and child abuse; how to screen under and over the age of 2; safety in screening and documentation; how to manage a positive screen; how to offer support when the family isn’t ready to be directed to resources; importance of longitudinal relationships between pediatricians and families; and more. Published February 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Kerri Heckert, MS, RD, LDN, CEDRD-S, clinical dietitian, and Eleanor Benner, PsyD, psychologist, of the Eating Disorder Assessment and Treatment Program at Children’s Hospital of Philadelphia (CHOP), discuss the most recent (and more inclusive) diagnostic criteria for anorexia and bulimia; the relatively new diagnosis ARFID (Avoidant Restrictive Food Intake Disorder); the role of growth charts in diagnosis; red flags to look for in a primary care setting; strategies for promoting positive body image; indications for inpatient admission; CHOP’s inpatient protocol for eating disorders; resources for parents; family-based treatment; how to make a referral, and more. Published January 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
Arunjot Singh, MD, MPH, attending physician and Co-Director of the Center for Celiac Disease at Children’s Hospital of Philadelphia (CHOP), talks about when and how to start celiac screenings, genetic links to other autoimmune diseases, common presentations of celiac disease in a primary care setting, understanding IgG levels, role of different diagnostic tests and biopsy, how pediatricians can monitor celiac patients on an ongoing basis, vaccine considerations, and more. Published January 2021.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2021 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, we explore the ethical considerations around the development and distribution of SARS-CoV-2 vaccines with Chris Feudtner, MD, PhD, MPH, Director of Research for the Justin Michael Ingerman Center for Palliative Care and Endowed Chair in Medical Ethics at CHOP. He discusses how are advisory groups are deciding who will receive priority immunization given limited supply, logistical distribution challenges, the question of equitable access, ethical considerations of including kids in vaccine trials, the mandate question, counseling parents and more. Published December 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, Katie Lockwood, MD, sits down with a panel of experts to talk about CHOP’s clinical pathway for the management of challenging behaviors in children. Vicky Scheid, MD, Pediatrician, Melanie Hoynoski, Child Life Specialist, and Julie Ginsburg, MSN, CPNP-PC, AE-C, Ambulatory Nursing Practice Specialist, share strategies to support and promote proactive management of behavior safety needs of patients with the goal of improving care experiences for patients, families and staff. Topics include support resources, planning and preparation, de-escalation techniques, biopsychosocial pain management strategies and more. Published December 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Autism effects as many as 1 in 54 children. In this episode, we focus on alternative treatments. Amanda Bennett, MD, MPH, developmental pediatrician and clinical chair of the Autism Integrated Care Program at Children’s Hospital of Philadelphia, talks about why families look to integrative medicine for treatment of autism, and dives into the safety and efficacy of some common integrative approaches, such as gluten-free diets, equine therapy, vitamin supplements, music therapy, social skills training, melatonin, CBD and more. Published November 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Dr. Irene Mathieu is an academic pediatrician, writer, educator and public health researcher focused on teaching health equity through the medical humanities. In this episode, she defines narrative medicine and discusses the role of poetry as a narrative medicine tool. She also explores how narrative medicine impacts medical education, particularly looking at outcomes such as empathy, tolerance for ambiguity, and burnout, as well as how narrative medicine frames how we teach medical students and residents about health equity, power differentials and more. Published November 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Jonathan Spergel, MD, PhD, Chief of Allergy Program at CHOP, covers the top 9 most common food allergens, current recommendations for when and how to safely introduce potential food allergens, when to refer to an allergist for testing, when different tests (skin, IgE or RAST testing) are indicated, outgrowing allergies, and exciting research underway around immunotherapy and other treatment advances. Published October 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Poisoning is the number one cause of death due to injury in the U.S. In this episode, Kevin Osterhoudt, MD, Medical Director of CHOP’s Poison Control Center, talks about common poison exposures in children, unexpected poisons, the use of naloxone for opioid overdose, identifying toxidromes, advice for pediatricians counseling parents to protect children from poisoning, popular social media “challenges” to watch for, and more. Published October 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Guest Lori B. Feldman-Winter, MD, MPH, is internationally-recognized for her work related to breastfeeding education programs and nutrition policy, and serves as Chair of the American Academy of Pediatrics (AAP) Section on Breastfeeding. She joins us to talk about all things breastfeeding, including benefits, contraindications, jaundice, managing hypoglycemia in breastfeeding newborns, lactogenesis, tools for pediatricians to support breastfeeding moms, and more. Published September 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Why are there so many children in cities like Philadelphia that aren’t proficient readers? Danielle Erkoboni, MD, a pediatrician at CHOP’s Care Network location in Norristown, and Trude Haecker, MD, Medical Director of Global patient Services and Reach Out and Read, talk about the complex factors that impact literacy skills, long-term impact related to lack of literacy or low proficiency in reading, how pediatricians can address these disparities in their practice and at a policy level, early literacy programs available to families, and much more. Published September 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Maria R. Mascarenhas, MBBS, Director of Integrative Health, and Tracey F. Jubelirer, MD, Integrative Oncology Medical Director, talk about what culinary medicine is and how it is different than nutrition; how it can be used to provide evidence-based nutrition guidance, translating research into practical advice for patients; how to use food and nutrition as part of a patient’s healthcare goals; how culinary medicine is being deployed at Children’s Hospital of Philadelphia; practical tips for pediatricians to use in their practice, and more. Published August 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Kathleen E. Sullivan, MD, PhD, Chief of the Division of Allergy and Immunology at Children’s Hospital of Philadelphia, sits down to discuss the risk of COVID-19 in children who are immunocompromised. She talks about early findings from international research about how COVID-19 impacts patients with different immunodeficiencies, the role of convalescent plasma, vaccines, school considerations, preventative care, and more. Published August 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Pamela Pojomovsky McDonnell, MD, a pediatric neurologist with the Division of Neurology at Children’s Hospital of Philadelphia, defines tics and tic disorders. Topics covered include distinctive features of a tic, typical presentation of tics seen in primary care, common questions from parents, when to refer to neurology, Tourette’s syndrome, causes, medications, current studies and more. Published July 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Naomi Brown, MD, and Matthew Grady, MD, pediatric sports medicine specialists in the Division of Orthopaedics at Children’s Hospital of Philadelphia (CHOP), talk about factors for a safe return to youth sports after coronavirus shutdowns, strategies teams can use to mitigate risk, and what to do in case of COVID-19 symptoms or exposures. They also offer advice for student-athletes as they seek to return to play, the importance of re-conditioning to prevent injury, and other advice for players, parents, and coaches to consider as they weigh pros and cons of getting back to sports. Published July 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
When is a child just flexible, and when do we say they’re hypermobile? Staci Kallish, DO, a clinical geneticist in the Division of Human Genetics at Children’s Hospital of Philadelphia, talks about hypermobility, covering topics such as red flags for joint hypermobility, what systemic symptoms might indicate a potential inherited connective tissue disorder, and how primary care providers can screen for features of potential syndromes. Published June 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
With fewer children seeking care due to physical distancing, the early detection of pediatric cancers is being impacted. Julie Stern, MD, Director of Outreach Services for the Division of Oncology at Children’s Hospital of Philadelphia, discusses how children with cancer may present differently during the COVID-19 pandemic and how pediatricians can optimize physical exams in telemedicine settings to screen for malignancies, common early presentations of a malignancy to watch for, what to include in initial lab workups, how to reassure parents it’s safe to seek care in this time and more. Published June 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Parenting challenges faced in typical times are heightened by the COVID-19 pandemic, and both parents and children may be feeling stressed. In this episode, Emily DePaul, MPH, MAC, and Linda McWhorter, PhD, talk about positive parenting during a pandemic and the PriCARE Parenting Program, which focuses on providing a toolbox of parenting techniques to increase positive behavior and build a strong caregiver-child relationship. They offer advice and tools to help address some of the common concerns and challenges parents are facing during COVID-19. Published May 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
This episode’s guests Flaura Winston, MD, PhD, Founder and Scientific Director of the Center for Injury Research and Prevention, and Daria Ferro, MD, a pediatric hospitalist, discuss all things related to innovation and quality improvement, particularly during the times of a pandemic. They talk about the “innovation ecosystem” at Children’s Hospital of Philadelphia, where the goal is to efficiently, effectively, and safely address acute pain points in pediatric healthcare with sustainable, actionable solutions that can be widely shared -- especially important in a time when we need to get solutions out there safely but quickly. Published May 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
In the age of COVID-19, many families are wanting to leave the hospital as soon as possible after delivering a new baby. But is it the right thing to do? Joanna Parga-Belinkie, MD, attending neonatologist at Children’s Hospital of Philadelphia, talks about the many factors that must be considered for the health and safety of both mothers and newborns, key newborn screenings, the role primary care providers can play in monitoring infants who were discharged early, resources for new mothers, and more. Published April 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Child abuse is unfortunately very common, and in the setting of a pandemic like COVID-19, the risk is elevated. Cindy Christian, MD, talks about the factors that increase the risk for abuse during a pandemic, such as heightened stressors facing families and the fact that children are not visible to those who often recognize and report abuse, like teachers and pediatricians. She also discusses what pediatricians can do to identify possible signs of abuse and neglect, specific injuries that warrant closer evaluation, recommendations for documentation and reporting, and more. Published April 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Preterm birth results in multiple challenges, both short term in newborn intensive care units, and long term in the neurodevelopmental outcomes of these babies. gretchen Lawhon, PhD, RN, CBC, FAAN, a clinical nurse scientist at Abington-Jefferson Health’s Division of Neonatology, discusses how scientific advances continue to inform how we care for these vulnerable patients, with an emphasis on protecting a baby’s developing brain in the context of their specific behaviors, environment, and family unit. Published March 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Kevin Osterhoudt, MD, emergency medicine physician and Medical Director of the Poison Control Center at Children’s Hospital of Philadelphia, covers all things lead – common sources of lead exposure, long-term effects on children, screenings for blood lead levels, lead poisoning, and management of lead poisoning. Published March 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Pediatric cardiologist Shohba Natarajan, MD, talks about identifying and treating patients at risk for early cardiovascular disease. She identifies pediatric diagnoses that put a child at risk, what to look for in family history, and discusses the important role that primary care pediatricians play in cardiovascular disease screenings and identifying patients who may not otherwise be considered high risk. Published February 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Pediatric endocrinologist Marissa Kilberg, MD, gives a refresher on the hypothalamic pituitary adrenal (HPA) axis and endocrine labs, including a breakdown of what is being looked at and how to best evaluate adrenal function of a pediatric patient. Published February 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Roy Wade Jr., MD, PhD, MPH, MSHP, a researcher and pediatrician at Primary Care, Cobbs Creek, discusses adverse childhood experiences (ACEs) and their life course impact on the health and well-being of kids. He talks about how primary care pediatricians can assess for ACEs and help address these experiences by collaborating with agencies in our community that are directly addressing these issues with patients and families, current research trends and advocacy efforts, and much more. Published January 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2020 by Children's Hospital of Philadelphia, all rights reserved.
Lan Chi “Krysti” Vo, MD, an attending psychiatrist at Children’s Hospital of Philadelphia, discusses the current landscape of mental health care in the United States, the need for specialized child and adolescent psychiatrists, and how telepsychiatry has the potential to expand access to mental health services for more patients. Published January 2020.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
While any child can experience a febrile seizure, they are most common between the ages of 18 and 24 months. Sara Fridinger, MD, an attending pediatric neurologist at Children’s Hospital of Philadelphia, talks about causes, signs and symptoms of febrile seizures, as well as how to differentiate between simple and complex febrile seizures and when to take action. Published December 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Sarah Fesnak, MD, an attending physician in the Emergency Department at Children’s Hospital of Philadelphia, discusses the evaluation and management of lacerations in primary care. Appropriate referrals to the Emergency Department and the wound follow-up after repair are reviewed. Published December 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Sabrina Gmuca, MD, MSCE, and David Sherry, MD, pediatric rheumatologists at Children’s Hospital of Philadelphia, explain the intense pain experienced by children with amplified musculoskeletal pain syndrome (AMPS), common causes and presentations of amplified pain, and evidence-based interventions that can help manage pain in these patients. Published November 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Pediatric neurologist Elizabeth Kichula, MD, PhD, discusses the pathophysiology and clinical presentation of spinal muscular atrophy (SMA), prenatal screening, diagnosis and treatment for this neurodegenerative disease. Published November 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Zachary McClain, MD, a pediatrician specializing in adolescent medicine and Medical Director of CHOP’s Young Men’s Clinic, talks about taking care of teenagers, in particular young men. He covers strategies for addressing common teen concerns, such as sexuality and sexual function, how to normalize topics that may be uncomfortable to discuss, common testicular pathology, importance of routine testicular exams, and more. Published October 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Children and infants have different needs than adults when it comes to anesthesia. Ronald Litman, DO, ML, talks about how anesthesia in children is different than anesthesia in adults, commonly used medications, recent research around maximizing comfort as well as risks associated with anesthesia, and how pediatric anesthesiologists are specially trained to help kids cope and prepare them for surgery. Published October 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Pediatric neurologist Sarah Hopkins, MD, MSPH, talks about the presentation, diagnosis, and management of acute flaccid myelitis (AFM), including how to distinguish it from other similar neurologic diseases. Published September 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
The most common sexually transmitted infection in the United States, HPV (and HPV vaccinations) is a hot topic for primary care providers. Aletha Akers, MD, MPH, FACOG, an attending physician in the Division of Adolescent Medicine at Children’s Hospital of Philadelphia, discusses HPV symptoms, screening recommendations, transmission and prevention, long-term implications, the latest studies looking at the impact of the HPV vaccine, and more. Published September 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Between 400,000 – 500,000 children are in foster care in the U.S. on any given day. Because children in foster care have a higher prevalence of physical, developmental, dental, and behavioral health conditions than any other group of children, the AAP has identified them as a population with special healthcare needs. Pediatric residents Drs. Zoe Bouchelle, Shari Gitlin, and Josh Sperling discuss the unique healthcare needs of children in foster care with Dr. Kristin Fortin, attending physician with Safe Place and the Center for Child Protection and Health at Children's Hospital of Philadelphia. Published August 2019
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Ian Lahey, PT, DPT, OCS, SCS, CSCS, FAAOMPT, a Physical Therapist with the Sports Medicine and Performance Center at CHOP, discusses the latest non-surgical treatments for scoliosis in children, including guidelines for wearing braces and the benefits of scoliosis rehab, plus the importance and challenges of furthering research in this field. Published August 2019
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Clinical Director of Endocrinology at CHOP, Andrew Calabria, MD, talks about forms and sources of vitamin D, the role it plays, targets for vitamin D intake for infants and children, when vitamin D supplements are called for, preventing vitamin D deficiency and rickets, and more. Published July 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
E-cigarette Use in Adolescents Based on recent data, up to 20% of high school students regularly use e-cigarettes. 1 in 5 high school students and 1 in 20 middle school students are regularly using these products. Brian Jenssen, MD, MSHP, talks about concerning trends in adolescent e-cigarette use, different vaping devices, exposure risks related to harmful chemicals in these products, the latest regulations, and what pediatric healthcare providers need to know about the effects e-cigarettes can have, specifically on adolescents and teens. Published July 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Teens who identify as transgender have high rates of depression, anxiety, eating disorders, substance abuse, self-harm and suicide. Primary care providers are in a unique position to inquire about gender development as part of routine well-child care and be a trusted source of support and information for patients and families. Sarah Hart-Unger, MD, endocrinologist at Joe DiMaggio Children’s dives into the endocrine issues and how pediatricians can provide gender-affirmative medical care for transgender and gender-diverse youth. Published June 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Gil Binenbaum, MD, MSCE, reviews Children’s Hospital of Philadelphia’s new clinical pathway on the management of patients with suspected preseptal or orbital cellulitis, including the differential diagnosis, physical exam for orbital signs, reasons for admission, and outpatient management of preseptal cellulitis. Published May 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Paul Offit, MD, Director of the Vaccine Education Center and attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, defines fever in children and talks about counseling families about the benefits of fevers. He discusses strategies for treating fevers appropriately, with emphasis on why treating fever with antipyretic drugs is often NOT the right thing to do. Published May 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
In honor of National Occupational Therapy Month, occupational therapist Ashley Binkowski, MS, OTR/L, CKTP, talks about what an occupational therapist can do for a child, examples of when a child might need occupational therapy in an outpatient setting, issues commonly seen at different ages, tips for pediatricians when dealing with sensory challenges, and more. Published April 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Licensed social worker Sara Kurlansik, MSW, LSW, discusses how primary care providers can help children and families deal with divorce and separation. The episode covers custody issues that frequently come up in primary care and offers tips for physicians to share with parents to ease the transition for children when parents are separating. She also discusses the importance of keeping the focus on the child when issues arise in the office. Published April 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Pediatric dermatologist Patrick McMahon, MD, talks about when skin cultures may be indicated for various skin conditions in children. He talks through common examples seen by pediatricians, such as tinea corporis and tinea capitis, when to culture versus when to proceed with treatment following your clinical judgement, tips for obtaining a quality culture, and more. Published March 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Jesse Taylor, MD, Chief of the Division of Plastic and Reconstructive Surgery at Children’s Hospital of Philadelphia sits down to discuss positional plagiocephaly (development of a flat spot on a baby’s head), the impact of the Back to Sleep campaign, risk factors for developing plagiocephaly, how it can be clinically differentiated from craniosynostosis and more. Published March 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
To maximize safe participation in sports, a pre-participation physical evaluation is recommended for all children and adolescents before the season begins. This cardiovascular evaluation should be routinely done at pre-adolescent and adolescent annual well visits, with the goal of identifying medical problems that could have life-threatening complications or require treatment before participation. Maully Shah, MBBS, an attending cardiologist at Children’s Hospital of Philadelphia, discusses what PCPs should know about the cardiovascular sports physical, symptoms and history to look for, and more. Published February 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Research shows that about 50 percent of children with a complex congenital heart defect requiring surgical or catheter intervention in the first year of life have some level of neurodevelopmental disability. Alisa Burnham, MD, Lyla Hampton, PhD, and Kate Wallis, MD, MPH, sit down to talk about the importance of routine neurodevelopmental assessments for children born with complex congenital heart disease, deficits to watch for at different ages, follow-ups and support services pediatricians should be aware of and more. Published February 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Rachana Shah, MD, attending physician and Director of the Polycystic Ovarian Syndrome (PCOS) Clinic at CHOP, discusses diagnostic criteria and screening for PCOS in adolescents, diseases that mimic PCOS, the first labs that should be considered by primary care providers, appropriate use of ultrasound, and more. Published January 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
Joanna Parga-Belinkie, MD, a neonatologist at Children’s Hospital of Philadelphia, talks about the potential harmful effects of plastics, in particular BPA, phthalates, PFCs and perchlorates; new recommendations from the AAP in response to emerging child health concerns related to environmental toxins; and reasonable recommendations and substitutes pediatricians can suggest to parents to minimize the effects of plastics and other environmental toxins on children. Published January 2019.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.
What is functional medicine? Pediatrician Ann McCarthy, MD, explains what functional medicine is and is not, how it can complement conventional medicine to help patients find relief from chronic conditions, the focus on addressing underlying causes of symptoms, and more. Published December 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Maria G. Vogiatzi, MD, an attending physician in the Division of Endocrinology at Children's Hospital of Philadelphia, discusses how precocious puberty is defined, what causes it, how it is diagnosed and more. Published December 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Sarah Dziedzic, MSW, a social worker at Children’s Hospital of Philadelphia, offers advice for primary care pediatricians when discussing options counseling with a newly pregnant teenager, including how to talk to the teen, identifying a trusted adult, and assessing coping ability and safety, as well as planning for next steps. Published November 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Jessica Lilley, MD, Division Chief of Endocrinology at the Mississippi Center for Advanced Medicine, talks about how a new-onset diabetic might present in a pediatrician’s office, the variety of presentations and symptoms to watch for at different ages, risk factors for type 1 diabetes, what tests primary care providers should start with and more. Published November 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Motor vehicle crashes are the leading cause of death for U.S. teens. Flaura K. Winston, MD, PhD, founder of the Center for Injury Research and Prevention at Children’s Hospital of Philadelphia, talks about teen driving safety and how pediatricians play an important role in preventing teen crashes through counseling and education. Published October 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, Rebecca Ahrens-Nicklas, MD, PhD, a senior research scientist and attending physician with the Metabolic Disease Program and Division of Human Genetics at Children’s Hospital of Philadelphia (CHOP), talks about the evolution of universal newborn screening and resources for providers. She discusses how families and providers are notified of results and how CHOP specialists partner with primary care providers in cases where newborns require immediate care. Published October 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Quality improvement in healthcare is typically defined as a framework to systematically improve the way we deliver care to patients. Elena Huang, MD, Director of Quality for the CHOP Care Network talks about what QI means in a pediatric healthcare setting; what it takes to start a QI project and key stakeholders to engage; how to identify opportunities for improvement; how PDSA cycles (plan, do, study, act) work; how physicians can earn MOC Part 4 credits; resources for getting more involved in QI; and more. Published September 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Research shows that nearly 95 percent of parents are not using car seats properly. Alisa Baer, MD, a nationally-certified child passenger safety instructor, sits down to talk about all things car seat safety, including common installation mistakes, tips for installing car seats correctly, how pediatricians can play a role in improving usage, car seats for children at different ages, and more. Published September 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Tiffani Johnson, MD, an expert in pediatric emergency care and ethnic health disparities, discusses subconscious racial bias and what impact it has in a healthcare setting. She talks about the difference between stereotypes and implicit bias, how subconscious bias can impact patient-provider communication as well as treatment decisions and disparities, ways to examine and explore your own unconscious biases, and more. Published August 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, Christina L. Master, MD, FAAP, CAQSM, Co-Director of the Concussion Care for Kids: Minds Matter program at Children’s Hospital of Philadelphia, talks about all things concussion — symptoms, when to seek medical care after head injury, common myths and misconceptions about concussions, current research, and more. Published August 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Billie Schwartz, PhD, discusses the ways that anxiety presents in pediatric primary care patients, when and how to refer to Behavioral Health, and strategies primary care providers can use with patients in their offices to manage anxiety. Published July 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
The incidence of inflammatory bowel disease (IBD) seems to be increasing in children. Pediatric gastroenterologist Betsy Maxwell, MD, MS, talks about the theories as to why that might be happening, including an overlap between genetic factors, the immune system, the microbiome, and environmental triggers. She discusses the evaluation of suspected IBD in primary care, the unique way IBD can present in infants, and what’s new in IBD treatment. Published July 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Christopher Long, MD, an attending pediatric urologist at Children’s Hospital of Philadelphia, discusses common urology topics that come up in a primary care setting. The episode includes advice for counseling families on both the risks and benefits of circumcision, when retraction of foreskin is recommended, and when to refer to a pediatric urologist for other common urologic conditions such as retractile and undescended testes, hydroceles, bedwetting, UTIs, and more. Published June 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode about transitioning to adult care, Dava Szalda, MD, an Attending Physician in the Division of Oncology at Children's Hospital of Philadelphia, talks about guidelines for transitioning patients to adult care, assessing the “readiness” of a patient to transition to adult care, how providers can help prepare patients for the transition, and more. Published June 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode about preemie nutrition, Margaret (Mimi) Girten, RD, CSP, LDN, a clinical dietitian at Children's Hospital of Philadelphia, talks about the unique nutrition needs of premature infants, including: special formulas for preemies; when to supplement with a multivitamin; clinical nutrition, feeding and breastfeeding resources; when to introduce solids; tips for dealing with a picky eater as a child grows, and more. Published May 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Over the past 20 years, the probability of having a kidney stone before the age of 18 has approximately doubled. In this episode, Gregory Tasian, MD, attending urologist at Children’s Hospital of Philadelphia, explores why, including factors like temperatures and medication, which have emerged in recent studies as contributing factors. He also discusses signs and symptoms, recurrence risks, and a collaborative approach to providing care for children and adolescents with stone disease. Published May 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Maria Mascarenhas, MBBS, a pediatric gastroenterologist and nutrition pediatrician at Children’s Hospital of Philadelphia, defines the role of probiotics and prebiotics, how to increase them in your diet or through supplements, and the conditions for which they have been most studied. Published April 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, Robert Grundmeier, MD, attending physician and Director of Clinical Informatics at Children’s Hospital of Philadelphia, discusses the multiple factors that contribute to missed patient appointments, the impact of this issue, and both current and future solutions to this problem. Using data from a recent pilot study, Dr. Grundmeier offers ideas for how our electronic health records can help prevent missed appointments and improve access to care. (PATTERNS: Predictive Analytic Technology to Eliminate Repeat No Shows) Published April 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
This episode explores the origins, health benefits, and uses of the anti-inflammatory diet with Maria Mascarenhas, MBBS, an attending physician and Medical Director of the Integrative Health Program at Children's Hospital of Philadelphia. She discusses the data-based origins of the diet; foods to focus on, including a sample menu for kids; and how the diet can help improve outcomes and health, especially for patients with chronic conditions attributed to inflammation. Published March 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Kate Wallis, MD, a fellow with the Division of Developmental and Behavioral Pediatrics at Children's Hospital of Philadelphia, talks about autism screening using the M-CHAT, signs of autism spectrum disorder, cultural and language considerations, management of common comorbidities like food selectivity, and more. She also discusses how pediatricians can support parents and siblings of children with autism spectrum disorder. Published March 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Julie Stern, MD, attending physician with the Division of Oncology at Children's Hospital of Philadelphia, talks about the examination and evaluation of lymph nodes, and the diagnostic work-up for abnormal nodes. Also, how to approach difficult conversations with patients and families, when to refer to oncology services, and what resources are available to primary care physicians with diagnostic dilemmas. Published February 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
Ian Jacobs, MD, Medical Director of the Center for Pediatric Airway Disorders at Children's Hospital of Philadelphia, discusses common causes of stridor, including croup, foreign body aspiration, and laryngomalacia. He also talks about the most dangerous foreign body ingestions in young children and the latest clinical advances and research underway in the airway clinic at CHOP. Published February 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, Jennifer Webster, MD, a pediatric gastroenterology fellow at Children’s Hospital of Philadelphia, discusses childhood constipation. She covers things like diagnostic criteria, signs of constipation, treatment, tips for increasing dietary fiber intake in toddlers, related diagnoses, and more. Published January 2018.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.
In this episode, pediatric dermatologist James Treat, MD, from Children’s Hospital of Philadelphia, talks about a variety of dermatology issues commonly seen in primary care. Topics discussed include eczema treatment, congenital skin lesions and hemangiomas, evaluating irregular moles, acne, molluscum, contact dermatitis, and when to refer to dermatology. Published December 2017.
In this episode, David Hill, MD, PhD, a fellow in the Division of Allergy at Children’s Hospital of Philadelphia, discusses the prevalence and incidence of peanut allergies, how to safely introduce peanuts to infants, and how to evaluate children for peanut allergy in context of new guidelines and recent research. Published November 2017.
In this episode, Adva Buzi, MD, an attending physician in the Division of Otolaryngology at Children's Hospital of Philadelphia, discusses a variety of common ear, nose and throat issues encountered in primary care settings, including strep throat, chronic otitis, sinusitis and more. Published October 2017.
In this episode, CHOP PolicyLab experts Rhonda Boyd, PhD, Marsha Gerdes, PhD, and James Guevara, MD, MPH, discuss caregiver depression. Mothers of young children and those with fewer economic resources are at particularly high risk for caregiver depression, making young patients in disadvantaged households particularly vulnerable. Learn how pediatricians can more effectively screen for and intervene in caregiver depression. Published September 2017.
This episode explores development of gender identity and sexuality with Linda Hawkins, PhD, MSEd, LPC, co-director of the Gender & Sexuality Development Clinic at Children's Hospital of Philadelphia. She discusses common developmental stages, gender language, and when to refer to a gender specialist. She also offers advice for how providers can talk to both patients and parents about gender and sexuality, and other ways to best support them. Published September 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Meg Kawan, MD, MPH, IBCLC, a pediatrician at CHOP’s Karabots Pediatric Care Center, talks about how pediatricians can help families achieve breastfeeding goals and manage breastfeeding and lactation obstacles, such as medicine contraindications, initiation barriers, low milk supply and tongue ties. She offers advice for talking to families about the health benefits of human milk, and finding lactation support and resources in your community. Published August 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Despite the proven benefits of spending time outside, there are many barriers to getting kids their much-needed time outdoors, including time, accessibility and safety. Christopher Renjilian, MD, a primary care sports medicine physician and adolescent medicine fellow at Children’s Hospital of Philadelphia, discusses NaturePHL, a new program dedicated to solving this problem; the unique benefits of nature-based play; and how pediatricians can be ambassadors for outdoor play for kids and families. Published August 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Maria Mascarenhas, MBBS, Medical Director of the Integrative Health Program at Children’s Hospital of Philadelphia, defines a modern approach to integrative health and how it can play a complementary role in primary care. She discusses the three categories of integrative health as designated by the NIH, how primary care providers can stay up-to-date on new integrative therapies, as well as current services being offered at Children’s Hospital, including acupuncture, massage, yoga, and integrative nutrition, among others. Published July 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
In 2000, measles was eliminated from the United States due to the effectiveness of the MMR vaccine. However, outbreaks have been occurring across many states. Dr. Kristen Feemster, MD, MPH, MSHPR, FAAP, attending physician in the Division of Infectious Diseases and Director of Research for the Vaccine Education Center, explains the reasons for the resurgence of this highly contagious infection. She also talks about the effectiveness and safety of the MMR vaccine and other prevention measures to help stop the spread of measles. Published June 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Beth Rezet, MD, Vice Director of the Pediatric Residency Program at Children's Hospital of Philadelphia, discusses the importance of mentoring in the development of future pediatricians. She shares advice for both mentor and mentee on how to establish the most effective relationship and deal with challenging situations. Published May 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
It’s no surprise that teenagers don’t get enough sleep, and pediatricians often field questions from concerned parents. In this episode, Billie Schwartz, PhD, a Psychologist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children’s Hospital of Philadelphia, talks about all things related to teen sleep, including promoting good sleep hygiene, what underlying issues might be causing sleep problems, and more. Published May 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
At any given time, approximately 11 to 20 percent of children in the U.S. meet diagnostic criteria for a behavioral health disorder. Joanne Wood, MD, MSHP, Attending Physician at Children’s Hospital of Philadelphia and a faculty member at CHOP’s PolicyLab, talks about a research project focused on positive parenting to improve problem behaviors in preschool-age children (PriCARE). Published May 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
In Philadelphia, 40 to 50 percent of children have biologically confirmed rates of secondhand smoke exposure. Brian Jenssen, MD, a primary care pediatrician with Children’s Hospital of Philadelphia and a faculty member at CHOP’s PolicyLab, talks about this problem and how primary care pediatricians can help parents and caregivers quit smoking to improve the health of children. Published April 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Sarah Wood, MD, an Adolescent Medicine fellow at Children's Hospital of Philadelphia, discusses what's new in the prevention of HIV, which patients are high-risk for HIV, and local resources for HIV care. Published March 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Despite increased funding, control measures and medications, tuberculosis (TB) remains as problem in the U.S. Jane Gould, MD, a pediatric TB consultant with the Philadelphia Department of Public Health, discusses TB trends, risk factors for developing TB disease, treating latent TB, screening for TB, and more. Published March 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Mamata Senthil, MD, a Fellow in the Emergency Department at Children’s Hospital of Philadelphia, shares tips for preventing carbon monoxide poisoning, which is particularly prevalent during the winter months. She discusses common sources of CO, symptoms of CO poisoning that may resemble typical flu symptoms, how to avoid exposure, and more. Published February 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
As primary care pediatricians are often first to care for refugee children when they arrive in the US, it’s important to understand the unique needs of this community and know about available resources to help us provide the best care. Katherine Yun, MD, MHS, Attending Physician with Children’s Hospital of Philadelphia’s Refugee Health Program and PolicyLab faculty member, discusses resettlement trends, medical screening guidelines, resettlement organizations in Philadelphia, refugee programs, and more.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
In 2011, 1 in 5 adolescents in the U.S. were reported to have permanent hearing loss attributed to noise exposure. Children’s Hospital of Philadelphia Audiologist Frank Wartinger, AuD, discusses the prevalence, risk factors and prevention strategies for noise-induced hearing loss. Published January 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Jeffrey Gerber, MD, Attending Physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia walks us through common pathogens, treatment guidelines and the challenges physicians often face in diagnosing pneumonia. See CHOP’s recently updated pneumonia pathway for more information. Published January 2017.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2017 by Children's Hospital of Philadelphia, all rights reserved.
Pediatricians play an important role in screening for food insecurity, a problem that impacts many families. Saba Khan, MD, Medical Director of Children's Hospital of Philadelphia's Healthy Weight Program, discusses how providers can screen for food insecurity at well visits, ways to advocate for access to healthy food at the local level, and the important role pediatricians can play in referring families to nutrition programs and other community resources. Published December 2016.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.
Meningitis B Vaccine Recommendations: In light of new recommendations from the AAP, ACIP and CDC surrounding the use of two recently licensed meningococcal B vaccines, Paul Offit, MD, Director of the Vaccine Education Center at Children’s Hospital of Philadelphia, sits down to address some common questions related to these recommendations. Published December 2016.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.
In June 2016, the CDC’s Advisory Committee on Immunization Practices (ACIP) voted that the intranasal vaccine should not be used this season due to low efficacy from 2013 to 2016. Susan Coffin, MD, MPH, Attending Physician and Clinical Director of the Division of Infectious Diseases at Children’s Hospital of Philadelphia, explains the new influenza vaccine recommendations for the 2016-2017 season and talks about new information revealed in recent studies, timing and supply. Published September 2016.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.
As our knowledge of the Zika virus and the current landscape of outbreaks continues to evolve, how can pediatricians stay current with clinical management guidelines? In this episode, Julia Shaklee Sammons, MD, MSCE, hospital epidemiologist and medical director of the Department of Infection Prevention and Control at Children’s Hospital of Philadelphia, discusses the current guidelines on Zika. Published September 2016.
This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.