Charting Pediatrics

Welcome back Charting Pediatrics listeners! We are so excited to announce that the sixth season of the podcast will release on August 23rd. In this new season, our host team will bring you the latest and greatest in pediatrics along with the bread-and-butter topics that help you in your daily practices. In addition, the Charting Pediatrics team is excited to launch a 12-part Mental Health Series. This series will take a deep dive into relevant behavior health topics that will help inform and equip primary care providers in these challenging times. These episodes will cover a variety of topics such as the history of pediatric mental health, stress and resiliency management, trauma informed care and more. In today's teaser episode, we are joined by Ron-Li Liaw. Ron-Li is our inaugural Mental Health-in-Chief at Children's Hospital Colorado and has teamed up with us to create this exciting new series. On behalf of the host team, thank you for your faithful support in listening and engaging with us and also sharing the content with your colleagues. Be sure to join us weekly for yet another great season!

Central nervous system (CNS) tumors account for a quarter of all cancers in children aged 1 to 19 years. Nearly 70% of CNS tumors can be effectively treated, but early detection is critical to allow for the best possible treatments and outcomes. Too often, CNS tumors are initially misdiagnosed as more common pediatric conditions such as migraine, gastroenteritis or other psychologic and behavioral problems. In this episode, we discuss the classic signs and presentations of CNS tumors to support early detection. Our guest for today's episode is Dr. Green. Dr. Green is part of the Center for Cancer and Blood Disorders Team at Children's Hospital Colorado and is Assistant Professor of Pediatrics, Hematology/Oncology/and Bone Marrow Transplantation at the University of Colorado School of Medicine.

Annual seasonal influenza vaccination remains the most effective means of protection against contracting influenza illness and preventing spread of the disease. It is estimated that more than 23,000 deaths occur each year in the United States because of influenza, including approximately 124 children. Egg-allergic children are a subgroup who may be at higher risk for influenza-related complications. In this episode we are joined by Matt Greenhawt, MD to review the incidence, suspected epidemiology and current policy related to allergic reactions to the influenza vaccine and steps for avoiding potential adverse reactions. Dr. Greenhawt is the Director of the Food Challenge and Research Unit at Children's Hospital Colorado and Associate Professor of Pediatrics, Section of Allergy & Immunology at the University of Colorado School of Medicine.

Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the United States, affecting almost 10 percent of all children. Sometimes referred to as "fatty liver disease," it is actually a range of diseases that all begin when excess fat gets deposited in the liver, most significantly impacting our obese patients. In today's episode we are joined by guest Shikha Sundaram, MD to discuss the clinical presentation and treatment of NAFLD, including how primary care providers can provide critical support to families making significant lifestyle changes as part of their treatment. Dr. Sundaram is the Medical Director of the Pediatric Liver Transplant Program at Children's Hospital Colorado and is Associate Professor of Pediatrics, Gastroenterology, Hepatology and Nutrition at the University of Colorado School of Medicine.

Each year, global neonatal mortality accounts for nearly 2.4 million deaths. Most of these occur during the first weeks or even within the first few minutes of life. With simple resuscitation training and newborn care interventions, many of these deaths can be prevented. Helping Babies Breathe (HBB) is a skills-based program for medical staff in settings that have limited resources. Since its release in 2010, it has been implemented in over 80 countries. Today we are going to be talking with a pediatrician who has dedicated her career to serving kids in a global context. As an individual provider on the front lines to now directing these programs. This episode was recorded at the 2022 PAS Conference in Denver, Colorado. I am honored to be speaking with Dr. Beena Kamath- Rayne. Beena Kamath-Rayne is currently the Vice President of Global Newborn and Child Health in the Division of Global Health and Life Support. In her role at the AAP, Dr. Kamath-Rayne is advancing AAP training programs and technical assistance in global newborn and child health.

Entrustable Professional Activities, or EPAs, are a concept that was developed by Olle ten Cate in 2005 as a way to operationalize and assess competency-based medical education. EPAs are observable, routine activities that a general pediatrician or subspecialist should be able to perform safely and effectively to meet the needs of their patients. The American Board of Pediatrics, or ABP, collaborated with the education community several years ago to develop 17 core EPAs that are essential activities needed for practice in general pediatrics and that can be used as a framework for curriculum and assessment. The ABP also worked with the subspecialty community to develop EPAs that define what patients need from our subspecialty physicians. However, the original pediatric EPA framework developed by the ABP in conjunction with the general pediatrics and subspecialty communities did not adequately address structural racism, discrimination, and social determinants of health and their contribution to inequities. Today, we are going to hear about the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations. Today, I am happy to be speaking with Dr. Ndidi Unaka and Dr. David Turner. Ndidi is a pediatric hospitalist who is involved in Cincinnati Children's Community Health initiatives, medical director of QI and data analytics for Cincinnati Children's ACO called HealthVine and until recently was the associate program director of the pediatric residency program at Cincinnati Children's. David is the Vice President of Competency-Based Medical Education at the American Board of Pediatrics.

It is impossible to ignore the deep, and ongoing impact the COVID-19 pandemic has on every aspect of our lives. As providers who have uniquely felt these changes because of our profession, it is imperative to take time to consider our own resiliency. On today's episode we are joined by Sylvia Klauser, PhD to talk through the practice of bringing a non-anxious presence as an avenue towards resilience and healing. Dr. Klauser is the Manager of Spiritual Care and Bereavement Services at Children's Hospital Colorado. References: "What is happening to our nervous system" and interview of Dr. Christine Runyan, PhD, with Krista Tippett at On Being Wintering: The Power of Rest and Retreat in Difficult Times by Katherine May. This is a book, but also in interview with Krista Tippett and the author Katherine May For the more spiritual, or theological minded folks: Serene Jones, PhD, Trauma and Grace: Theology in a Ruptured world. Serene Jones is the President of Union Theological Seminary. And one for all healthcare providers who would like to learn to be more mindful and present a more contemplative approach: Roshi Joan Halifax, PhD: Standing at the Edge: Finding Freedom where Fear and Courage meet. And here the link to her book

Suicide rates continue to increase across the United States and around the world at an alarming rate. In fact, suicide is now the second leading cause of death for youth age 10-24 years. While suicide is complex, it is often preventable. Suicide risk screening has been identified as a direct method to detect youths at risk for suicide. Today, the medical home as well as many other settings are perfectly positioned to screen adolescents at risk. In this episode, we are going to unpack the use of evidence-based screening and how primary care providers play a critical role in the identification and prevention of youth suicide. This episode was recorded at the 2022 PAS Conference in Denver, Colorado. Today I am joined by Alex Kemper, Kristen Beck, and Lisa Horowitz. Alex Kemper is joining us from Nationwide Children's Hospital where he serves as the Division Chief in Ambulatory Pediatrics and is a professor at the Ohio State University college of Medicine. Kristen Beck is also joining us from Nationwide Children's where she works in the department of pediatrics in the primary care setting. Lisa Horowitz is joining us from the National Institute of Mental Health where she is a pediatric Psychologist and Senior Associate Scientist.

Note: This was recorded on June 22, 2022. After reviewing the data submitted by both Pfizer and Moderna, the FDA authorized the COVID-19 vaccines under emergency use authorization (EUA) for children ages 6 months to 4 years.

The American Academy of Pediatrics defines culturally sensitive care as "the delivery of care within the context of appropriate physician knowledge, understanding, and appreciation of all cultural distinctions leading to optimal health outcomes." In addition, providing culturally safe and sensitive care enhances patient-centered care which is one of the 6 aims of quality as defined by the Institute of Medicine and a part of the Triple Aim for populations as defined by the Institute for Health Improvement. Today, we are going to hear from the authors of a review article that identified culturally sensitive interventions in pediatric primary care settings. It was published in the February 2022 issue of Pediatrics. Today, I am happy to be speaking with Dr. Maya Ragavan and Dr. John, JC, Cowden. Maya is an Assistant Professor of Pediatrics at the University of Pittsburgh and UPMC Children's Hospital of Pittsburgh. Maya is also a Community Partnered Researcher, and a general Pediatrician. JC is Professor of Pediatrics, a qualified bilingual primary care pediatrician, the Culture and Language Coaching Program Director and the Health Equity Integration Project Leader at Children's Mercy Kansas City.

Providers and health systems around the world are seeing mysterious Hepatitis outbreaks in pediatric patients. Worldwide, there have been hundreds of cases linked to an "unknown origin." Although medical professionals are scrambling to find answers, there seems to be a link between Adenoviral viruses. In today's episode, we are going to talk about this hepatitis outbreak, possible causes, and what our Primary Care Providers need to know. Today, I am excited to be speaking with my colleague Dr. Amy Feldman. Dr. Feldman is a pediatric Gastroenterologist and is the Director of the Liver Transplant program here at Children's Hospital Colorado.

As the shortage of baby formula continues, it is important that primary care providers are giving timely and helpful information to their patient families. Today, we are going to hear from Dr. Liliane Diab who works in the Department of Pediatric Nutrition at Children's Hospital Colorado. If you and your practice would like some additional resource and guidance on this topic, please click HERE.

Medical experts are racing to unravel one of COVID'S greatest mysteries -- the lingering effects of the COVID in children, when symptoms last months or longer. Patients who contract COVID-19 can experience a wide range of symptoms that span from mild to severe. For most children, mild COVID-19 symptoms include a fever, cough, and body fatigue which often lasts around two to three weeks. However, it is becoming increasingly apparent that large number of children with symptomatic and asymptomatic COVID-19 are experience long term effects months after the initial infection. This episode was recorded at the 2022 PAS Conference in Denver, Colorado. We are honored to be speaking with Dr. Ben Katz. Ben is joining us from Lurie Children's Hospital where he is a professor of Pediatrics specializing in infectious diseases.

Throughout season 5 of Charting Pediatrics, we have had the pleasure to talk with an array of guests discussing topics including Asthma Care guidelines, Health inequities and disparities, COVID-19 and Vaccine updates, and other relevant topics that relate to your daily practice. We have loved learning alongside each of you, our listeners and pediatric community. As we close out this season of the podcast, I am honored to be joined with the entire host team to discuss what's next in Pediatrics, and what we have to look forward to in the comming season of Charting Pediatrics. As we plan for season 6, we would love to hear from you! If you have a topic that you would like to hear on Charting pediatrics, please email them to [email protected].

Charting Pediatrics is excited to celebrate the 1 year anniversary of Pediatras En Línea!! Pediatras En Línea is our weekly podcast in Spanish for pediatric healthcare providers hosted by Carla Torres-Zegarra, MD. In the first year, Pediatras En Línea released 55 episodes and has reached over 69 total countries. We can't wait to see what year two brings! Listen and subscribe on Spotify, iTunes, Google Podcasts and Google Play.

Today's episode is underwritten by Aflac, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. For more than 20 years, Aflac has dedicated its heart and philanthropic mission to helping children with cancer. Thank you to Aflac for envisioning a world without pediatric cancer by supporting our Center for Cancer and Blood Disorders. Please visit our Charting Pediatrics website to learn more about becoming an underwriting sponsor. Pediatric cancer is a devastating diagnosis that thousands of patients and families receive a year. When faced with such a diagnosis, it is crucial that patients and families have access to the most current and effective treatment options as possible. In the past few decades, pediatric cancer survival rates have improved immensely. Today, we are going to be discussing the treatment options, clinical trials, and the disparities and equity in pediatric oncology. Today, I am happy to be speaking with my collogues Dr. Adam Green and Dr. Kelly Faulk. Both Dr. Green and Dr. Faulk are a part of the Center for Cancer and Blood Disorders Team at Children's Hospital Colorado. Dr. Green specializes in Pediatric Oncology and is an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Faulk is also an Assistant Professor of Pediatrics and specialize in pediatric Leukemia and Lymphoma, with research focused on early phase trial design and experimental therapeutics for high risk forms of leukemia.

As a pediatrician, it can be easy to screen your patients for physical health problems, treat them, and send them on their way. But what about other medical conditions that are not as obvious? Conversations with adolescent patients can be tough in an office setting but with a little guidance, pediatricians can feel equip to ask their teens about sex, sexuality, gender, and sexual abuse all in just 3 minutes. In this episode, we will be discussing the importance and practicality of the HEEADSSS assessments and how to conduct an effective, trauma sensitive, and time efficient exam. Today, we are excited to be recording from the 2022 PAS Conference in Denver, Colorado. I am honored to be speaking with Dr. Samantha Hill.

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country. In this Resident Files series, we are going to hear from a resident who is working to ensure that patients and families are adequately screened for diaper and formula needs in the medical home. Today, I am happy to be speaking with Dr. Brooke Pfister and Alisa Chandrabose. Brooke is currently a Chief resident and Alisa is the Director of Ambulatory and Satellite Services at Lurie Children's Hospital of Chicago. Contact Information Email: [email protected] Resources National Diaper Bank Network: https://nationaldiaperbanknetwork.org/get-help-now/ Find Relief Near You: Call 211 or visit their website at www.211.org Find Your Local Food Bank: https://www.feedingamerica.org/find-your-local-foodbank NowPow (Unite Us): https://www.nowpow.com/ Social Media: Follow #EndDiaperNeed Articles Referenced Sobowale, Clayton and Smith (2021):https://pubmed.ncbi.nlm.nih.gov/33130154/ Smith, Kruse, Weir and Goldblum (2013):https://pubmed.ncbi.nlm.nih.gov/23897910/ Berry and Blatt (2021): https://pubmed.ncbi.nlm.nih.gov/32896645/

An important measure of success for healthcare institutions is how well they recruit, develop, and value a diverse workforce that mirrors the communities they serve. From physicians and nurses to therapists and administrative staff, inclusive excellence matters. Today we are going to define inclusive excellence, discuss many aspects of the diverse healthcare workforce, and how we encourage our facilities to move towards developing providers and staff that resemble their patients. Welcome to Charting Pediatrics LIVE at PAS. Today, we have a very special guest joining us on Charting Pediatrics. Please help me give a warm welcome to O.N. Ray Bignall II. Ray joins us from Nationwide Children's Hospital in Columbus, Ohio where he is the Assistant Chief Diversity and Health Equity Officer and the Director of Kidney Health Advocacy and Community Engagement for the Division of Nephrology and Hypertension. He is also an assistant professor of pediatrics at The Ohio State University college of Medicine.

Today's episode is underwritten by Metlife, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. MetLife is commited to expanding opportunities for low-and moderate-income people around the world to create financial health solutions and build stronger communities. Children's Colorado is grateful for MetLife and their support of our community. Late in 2021, the FDA approved the COVID-19 vaccine for children ages 5-11, a milestone many parents were anxiously awaiting. The FDA and CDC signed off on the use of this vaccine after a historic clinical trial demonstrated it was both safe and effective. Children's Hospital Colorado had the privilege to advance the use of the COVID-19 vaccine by becoming the largest supersite for Pfizer's clinical trial. Today, we are going to hear from some of my colleagues who worked tirelessly and ultimately paved the way for the EUA for children ages 5-11 in November 2021. Lalit Bajaj is the Chief Quality officer here at Children's Hospital Colorado, Erin Sandene is the Director of Research operations and Administration, and Eric Simoes is an Infectious Disease expert here at Children's and professor of pediatrics at the University of Colorado School of Medicine.

Today, there are many complicated pediatric issues that are often hard to discuss in an office setting. The drivers of these modern health care dilemmas are often the social determinants of health or the conditions in which people are born, work, live, and age. Because these social determents vary considerably across the communities that we serve, health disparities exist for many Americans. In this episode, we are going to be talking with a pediatrician who is trying to get up stream on many of the health care problems in Southern California. Dr. IIan Shapiro is the Medical Director of Health and Wellness Education and currently serves as the Chief Health Correspondent and Medical Affairs Officer at AltaMed. Ilan has spent his entire career providing care to medically underserved populations.

Diabetes, both type 1 and type 2, are among the most serious chronic conditions in children and teens. Unfortunately, there is an increasing prevalence of both types of diabetes, especially in T2DM. During the last 2 years, COVID-19 has uniquely impacted this patient population. Stay at home orders have exacerbated and increased Type 2 risk factors including being overweight or being physically active less than 3 times a week. In this episode, we are going to discuss the impacts COVID-19 has had on kids with Type 2 Diabetes and how primary care providers can help support patients as they identify them in the medical home. Today I am delighted to be speaking with my colleague Dr. Megan Kelsey. Megan is the Medical Director of Lifestyle Medicine and Metabolic and Bariatric Surgery at Children's Colorado and is an Associate Professor of Pediatric Endocrinology at the University School of Medicine.

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country. In this Resident Files series, we are going to hear from a couple of residents who aim to improve the care of mothers with postpartum depression and discuss the role of a pediatrician. Today, I am happy to be speaking with Dr. Natasha Dilwali and Kate Schertz. Kate and Natasha are currently PGY3 residents at Weill Cornell Medical Center.

Over the last few years, the coronavirus pandemic has raised concerns for expectant mothers and their babies, ranging from concerns over fertility, breastfeeding, vaccine safety and the risk of covid infection. Recent reports show that pregnant women have a higher risk of getting severely ill from respiratory viruses like COVID-19. In this episode, we are going to unpack the risks and implications that COVID may have on pregnant women and what primary care providers can do to allay fears, dispel rumors and foster optimal care in medical home setting. Today, I am honored to be speaking with my colleague Dr. Anna Euser.

Today Kerry Reed, NP and host David Brumbaugh, MD talk about constipation management, one of the most common issues in pediatrics. Kerry is a nurse practitioner in the Digestive Health Institute at Children's Colorado and is Senior Instructor of Pediatrics, Gastroenterology, Hepatology & Nutrition at the University of Colorado School of Medicine.

Today's episode is underwritten by Voya, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Voya Cares is committed to being a leader in making a positive difference in the lives of people with disabilities and special needs. Thank you to Voya for their generous support of our mission at Children's Colorado. Please visit Childrens Colorado dot o-r-g slash charting pediatrics to learn more about becoming an underwriting sponsor. Patients with medical complexity have more fragile and intensive care needs that thrive with support from their primary care provider. In this episode we are discussing the role of the medical home for children with complex needs, including high-risk newborns and children with complex medical conditions and siblings of patients with special needs, and how intentional care models support the care and outcomes for these children and their families. Listeners you are in for a great discussion today – I am happy to be joined by my colleague Dr. David Fox. David is a pediatrician with the Special Care Clinic at Children's Colorado and is Associate Professor of Pediatrics at the University of Colorado School of Medicine.

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country . In this Resident Files series, we are going to explore a primary care program that is working to close the gap in disparities that emerge before formal schooling begins. Today, I am happy to be speaking with Dr. Matthew Present. Matthew is a PGY pediatric resident at the U. Of Rochester School of Medicine.

This episode is part of our Women in Medicine series where we are pleased to feature the journey and experiences of women leaders in pediatric medicine. Today, I am so fortunate to be joined by an exceptional woman in medicine, my colleague Dr. Ron- Li Liaw. Ron-Li is the Cannon Y. & Lyndia Harvey Chair in Child and Adolescent Psychiatry, the vice chair of Diversity, Equity, and inclusion and most recently, Ron-Li has been announced as the first ever Mental Health In-Chief for Children's Hospital Colorado.

The transition from adolescent to adult care can often be a series of challenging obstacles for patients, families, and providers. This time of adjustment can be both overwhelming and difficult, especially for patients with congenital health conditions. Moving from a parent supervised visit to an independent patient model takes time and often takes a lot of discussion. In this episode, we are going unpack and inform primary care providers on how they can play a pivotal role in the transition of care. Dr. Daniel Wood is the newest addition to our Urology department here at Children's Hospital Colorado. Resources: Twitter for pediatric healthcare professionals.

For most children, a healthy and well-balanced diet incorporates components from each major food group that nourishes their body and plays a significant role in development. A question that commonly presents to those of us in primary care is what role dairy should play in a child's diet. Rich in nutrients and health benefits, most dairy products are key components for building and maintaining strong bones. Today, we are going to be discussing both the blessings and the challenging implications dairy can have on a child's health. Today, I am happy to be speaking with my colleague, Dr. Stephanie Gilley. Stephanie works in our Growth and Parenting nutrition clinic here at Children's Hospital Colorado. She is also an instructor in Nutrition at the University of Colorado School of Medicine. Resources: Twitter for pediatric healthcare professionals.

Today's episode is underwritten by The Hartford, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. The Hartford works to empower others to achieve their full potential in order to help communities thrive. Thank you to The Hartford for helping Children's Colorado families thrive. Please visit our Charting Pediatrics website to learn more about becoming an underwriting sponsor. Once upon a time, American youth played pick-up games in the street and tried out for their first organized school sport teams as they entered middle and high school. And occasionally, a local hometown hero went on to play at the collegiate level … and even more rare, someone made it to the pros. Fueled by families paying big money for private club teams, today's youth sports have gone pro. According to TIME Magazine, kids' sports make up a more than $15 billion industry. Children as young as five attend tryouts, are ranked in their discipline and shuttled around the country to play with the best. We are talking about the impact of sport specialization on young athletes. Joining us to talk through this important topic is my colleague, Dr. Greg Walker. Greg is part of our Sports Medicine and Orthopedics Institute teams, and he is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

It is no secret that medical visits of any kind can sometimes be scary for children and their families. Certified Child Life Specialists are educated and clinically trained in the healthcare setting to help children and their families navigate and cope with the hardships of illness, hospitalization, diagnosis, and trauma. Their work improves patient and family care, satisfaction, and overall experience. In this episode, we are going to discuss how primary care providers can incorporate Child Life tools into daily practice in support of their patient families. Today, I am happy to be speaking with my colleagues, Jennifer Staab & Stephanie Barta. Both Jennifer and Stephanie work in our Child life department here at Children's Hospital Colorado. Jennifer is the Manager of the department and Stephanie is a Child life Specialist. Resources: Comfort Holds

Infantile Hemangiomas is a common skin disorder that usually appears on children at birth or during the first few months of life. Hemangiomas are blood vessels that have incorrectly formed and multiply rapidly. Although they can form on any part of the body, they most often appear on the face, chest, scalp or back. Most of the time, Infantile Hemangiomas go away on their own, but some situations may require you to refer your patient to a specialist. In this episode we will unpack the presentation and management of infantile hemangiomas in the primary care setting. Today I am happy to be speaking with my colleague, Dr. Carla Torres-Zegarra. Dr. Torres-Zegarra is a Dermatologist here at Children's Hospital Colorado and is an Assistant Professor at the University of Colorado School of Medicine. Dr. Torres-Zegarra is also the host for our sister podcast, Pediatras En Linea. Pediatras En Linea is Childrens first ever Spanish speaking podcast. Just like Charting Pediatrics, she and her team release weekly episodes for our provider community. Resources: Clinical care Guidlines for the Management of Infantile Hamangiomas - Pediatrics - American Academy of Pediatrics Infantile Hamagioma Referral Score: A validated Tool for Physicians - Pediatrics - American Academy of Pediatrics Instagram for Dr. Torres- Zegarra: www.instagram.com/dermaskinmd

Systemic racism is a crisis that daily impacts our patients and the communities in which we as Pediatricians practice medicine. As healthcare providers it is our responsibility to uphold values of justice, inclusion and equity as we serve our patient families as child advocates. Today, we will dive into what health equity is and the challenges that must be navigated in addressing health disparities, including understanding gaps of inclusion and equity in our hospital and clinics as a crucial first step in ensuring health justice for our patient families and colleagues. Today's discussion is such an important conversation for us to share with each of you, our listeners. I am fortunate to be joined by my colleagues Robert Franklin II and Dr. Brandi Freeman. Brandi and Robert work together for Diversity Health Equity and Inclusion at Children's Hospital Colorado. Robert serves as the Program Manager and Brandi as the Associate Vice Chair for Diversity, Equity and Inclusion in the department of Pediatrics. Brandi is also Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Today's episode is underwritten by Allstate, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Allstate believes in empowering youth and transforming communities. Thank you to Allstate for partnering with Children's Colorado to create innovative, long-term solutions for those in need. Please visit our Charting Pediatrics website to learn more about becoming an underwriting sponsor. While our pediatric patients have been at lower risk for severe disease during the COVID pandemic, its direct and indirect repercussions on pediatric illnesses have been experienced. In this episode we are going to unpack the impact that COVID has had on pediatric critical care. Today I am joined by my colleague, Dr. Cam Gunville. Cam serves as our Medical Director of our PICU and is Associate Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine.

If you are interested in learning more about the impact that can be made to child health through underwriting sponsorship of Charting Pediatrics visit our website or contact Kali Wallace at the Children's Hospital Colorado Foundation, [email protected]

Last week my colleague, Dr. Glenn Furuta, was named recipient of the 2021 Harry Shwachman Award by the North American Society for Pediatric GI, Hepatology and Nutrition. This is the highest honor given by NASPGHAN and is awarded to one person each year who has made outstanding lifetime achievements and contributions to the field of pediatric gastroenterology, hepatology and nutrition. Glenn's lifelong work in the field of eosinophilic and allergic GI disorders has been a game changer for all pediatric (and adult) gastroenterologists and allergists, and he continues to be a global thought and research leader in all aspects of these disorders. In recognition of this honor, we wanted to rebroadcast my discussion with Glenn about Eosinophilic Esophagitis from Season 3 of the podcast. Congratulations Glenn!! Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected].

If the pandemic has taught us nothing else, it is that we humans are a hopeful people. I think most of us entered 2021 with high hopes that the new year would make the COVID-19 pandemic a distant memory… we kicked off the year vaccinating healthcare workers and had great promise for living in a post-pandemic world, personally and professionally. As we come to the end of this year, I think many of us might even consider 2021 even more challenging than 2020 … today we are going to reflect on the last year of pediatric care and how this shared experience has shaped us as pediatric providers. Today I am joined by my friend and colleague, Dr. Mike DiStefano. Mike serves as our Chief Medical Officer to our Southern Colorado region. He is a practicing emergency medicine physician and is Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Happy Holidays from the Charting Pediatrics team!

Due to deficient synthesis of hemaglobin that may be caused by inadequate heme production or abnormalities of globin chain synthesis, Microcytic anemias are among the most common types of anemia in pediatric patients. Today, we will talk through their screening, workup, and treatment. Thank you to listener, Dr. Michelle Shiffman, a colleague from Denver Health, who inspired this episode. Today I am joined by Dr. Taizo Nakano, Medical Director of the Vascular Anomalies Center at Children's Colorado and Associate Professor of Pediatrics, Hematology/Oncology & Bone Marrow Transplantation at the University of Colorado School of Medicine.

In today's episode all three hosts are in the recording studio for a round table discussion about provider self-care and compassion fatigue. The host team shares personal experiences and strategies they utilize for keeping them energized when cases have challenging outcomes. The host team includes is David Brumbaugh, MD, pediatric gastroenterologist and Associate Chief Medical Officer at Children's Colorado; Alison Brent, MD Pediatric Emergency Medicine Physician and Medical Director of Physician Relations and the Network of Care at Children's Colorado; and Dan Nicklas, MD, pediatrician and Medical Director of the Pediatric Call Center at Children's Colorado.

For the latest information about Omicron, please join us at our next town hall this Thursday, December 10, from 6-7:30. Register Here: Registration (gotowebinar.com) On November 26 the World Health Organization declared Omicron the fifth variant of concern. First detected two weeks ago, South African researchers were the first to sequence this variant, identifying more than 20 mutations of SARS-CoV-2 that had never been seen before. In this episode, I am joined once again by my un-official Charting Pediatrics co-host, Dr. Sam Dominguez, to unpack what this variant means for pediatrics. Is the Omicron variant more contagious? Does it cause more severe illness? Are the vaccines still effective against it and are our pediatric patients more or less suspectable? These are all good questions. Even if you are unable to join us live, go ahead and register and you will receive a copy of the recording sent to your email at the conclusion of the live event. If you have any questions you would like specifically addressed on the Town Hall, please email [email protected]

Developmentally, the first five years of a child's life are crucial. If children do not get the support for healthy development early on, these children and their families may experience serious challenges down the road. Assuring Better Child Health and Development, or ABCD, was established in Colorado in 2006 to address some of these needs. As a statewide nonprofit, they are focused on improving the lives of Colorado children through early identification of developmental needs. Within this nonprofit, is a program called HealthySteps. This program is the only program of its kind that places a child with a development specialist within a pediatric primary care team. Their mission is to align and mobilize pediatric and community partners to improve early childhood developmental outcomes. Melissa Buchholz is the state director for HealthySteps in Colorado. She is a licensed clinical psychologist and an associate professor at the University of Colorado School of Medicine. Susan Burton is the Manager of Practice Improvement for HealthySteps. She offers clinical quality improvement and supports community partner's professional development through trainings on child development and HealthySteps implementation.

In celebration for reaching 1 Million Downloads we have set up a forum to have one of you, our listeners, join us on the podcast as a guest covering one of two topics: What is the most creative and innovative practice solution that you have implemented since the start of the pandemic? Tell us about an intervention that has improved the mental health of your patients or team working in your practice? Click this link to record a 90 second spot submission: https://www.speakpipe.com/Charting_Pediatrics We will be taking submissions until December 20, 2021 when Dan, Alison and David will review your submissions and choose the best to record an episode with us! If you have any questions, email us at [email protected]. We can't wait to hear from you and have one of you join us on the other side of the mic soon.

Many young women and adolescents experience heavy or abnormal menstrual cycles. Typically, if a cycle lasts longer than 8 days, it is considered abnormal. Some other abnormalities include bleeding that occurs more than every three weeks and cycles that require one to change products every hour or less during menstruation. These symptoms can also cause fatigue, dizziness, or other signs of anemia. In today's episode, we are going to unpack and inform providers on how to best support young women in their practices that have abnormal menstrual cycles. Dr. Huguelet is the Section Chief for the Division of Pediatric and Adolescent Gynecology and the Fellowship Program Director at Children's hospital Colorado. Dr. Moyer is part of the Hematology/ Oncology internal Medicine team at Children's and is also an Assistant Professor at the University of Colorado School of Medicine. Both Dr. Huguelet and Dr. Moyer run the "Spots and Dots Clinic" here at Children's. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected].

Note: This Live Event was recorded on October 28, 2021. We are sharing the live recording of our Special Roundtable Town Hall covering the topic of COVID-19 Vaccines for Kids Ages 5-11. This event was recorded live on October 28, 2021, is hosted by David Brumbaugh, MD and was attended virtually by more than 900 providers across the United States. The panelists include Sean O'Leary, MD; Sam Dominguez, MD; Jessica Cataldi, MD; Lalit Bajaj, MD; Shen Nagel, MD; Jann Hodge, RN. Discussed in this Town Hall: Latest vaccine data Risk/benefit conversations with patient families Vaccine distrust from communities of color Motivational Interviewing techniques to leverage with patient families Resources you and your practice can use to support patient family questions Idea/information sharing about hosting COVID-19 Vaccine clinics in your practice Live Q&A COVID Vaccine Resources for Providers Click HERE to visit previous COVID-19 Virtual Town Hall recordings Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In celebration for reaching 1 Million Downloads we have set up a forum to have one of you, our listeners, join us on the podcast as a guest covering one of two topics: What is the most creative and innovative practice solution that you have implemented since the start of the pandemic? Tell us about an intervention that has improved the mental health of your patients or team working in your practice? Click this link to record a 90 second spot submission: https://www.speakpipe.com/Charting_Pediatrics We will be taking submissions until December 20, 2021 when Dan, Alison and David will review your submissions and choose the best to record an episode with us! If you have any questions, email us at [email protected]. We can't wait to hear from you and have one of you join us on the other side of the mic soon.

Colorado and Washington became the first states to fully legalize the recreational use of marijuana back in 2012. Since then, many states have followed. Although marijuana is usually a natural and non-harmful drug, researchers do not know the effect THC can have on a fetus during the prenatal period or on infants during breastfeeding. As a start, researchers set out to understand how much THC is excreted in breast milk and for how long. Today, I am happy to be speaking with my colleagues, Dr. Maya Bunik & Dr. Erica Wymore. Dr. Bunik is the Medical Director for our Child Health Clinic and is a Professor for General Pediatrics at the University of Colorado School of Medicine. Dr. Wymore is a Neonatologist here at Children's. She is also an Assistant Professor for Pediatrics Neonatology at the University of Colorado School of Medicine. Resources cited in this episode: Colorado Department of Public Health & Environment - Healthcare Provider Resources Marijuana: Health care provider resources | Department of Public Health & Environment (colorado.gov) 1(800) CHILDREN will connect patients with substance use disorder resources Alcohol and Substance Abuse Screening, Brief Intervention, Referral to Treatment (SBIRT) - Online Training — SBIRT Colorado Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected].

After a long 18 months of living through a pandemic, vaccines have paved a way forward to a new normal – Just 6 weeks ago, the Pfizer vaccine received emergency use authorization for adolescents down to age 12; and here at Children's Colorado, we are a Pfizer vaccine trial site for kids ages 5-11. As more of our pediatric patients become eligible for the vaccine, primary care providers will be considering how to safely vaccinate patients with a risk of allergic reaction. In this episode, we will talk about the incidence, suspected epidemiology and current policy related to allergic reactions to the SARS-CoV-2 vaccines and steps for avoiding potential adverse reactions. Today's guest is Dr. Matt Greenhawt, Director of the Food Challenge and Research Unit at Children's Hospital Colorado and Associate Professor of Pediatrics, Section of Allergy & Immunology at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

As the pandemic continues to alter our expectations for typical respiratory season patterns it has become especially important for patients to have good control and management of their asthma. In today's episode, we are going to discuss the recent asthma guideline updates and how to apply them to your clinical practice. Today I am happy to be joined by my colleagues Dr. Bill Anderson and Dr. Monica Federico. Bill is the Director of the Multidisciplinary Asthma Clinic at Children's Colorado and Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Monica is Medical Director of the Asthma Program and Clinical Alignment for the Breathing Institute at Children's Colorado and is Associate Professor of Pediatrics & Pulmonary Medicine at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected].