Charting Pediatrics

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country. The section on pediatric trainees has implemented several initiatives into making pediatrics a more diverse and inclusive workforce. This group is working towards achieving child health equity in a global sense. The equity, diversity, and inclusion work group has focused their efforts on increasing visibility of underrepresented in medicine groups highlighting both trainees and faculty members using social media campaigns. This episode was broadcasted live from the AAP conference in Anaheim California. Today I am privileged to be joined by Jeffrey Edwards. Jeffrey is a member of the section on pediatric trainees currently wrapping up his time as the executive coordinator for equity diversity and inclusion with the section on pediatric trainees leadership council.

Although Acute Appendicitis(AA) is the most common acute surgical conditions encountered by children, multiple aspects of the approach to management of AA remain well debated. Despite recent advancements in management, including scoring systems, imaging, antibiotics, the variations in management options, from appendectomy to a laparotomic approach to non-operative management (NOM) remain topics of intense discussion. And with no absolute consensus in the literature, controversy among surgeons and faculty persists. This episode was broadcasted live from the AAP conference in Anaheim California. Today, I am delighted to be speaking with Dr. Lorraine Kelley-Quon. Dr. Kelley-Quon is joining us from Children's Hospital Los Angeles, where she practices as a pediatric surgeon and is an assistant professor of surgery and population and public health sciences at Keck school of Medicine at the University of Southern California.

Today, a vast majority of teenagers and adolescents dedicate their time to athletics. In fact, nearly 8 million students participate in high school sports. With the increasing popularity of club sports, most kids are practicing and playing their dedicated sports year-round. Participating in organized sports allows kids to become a part of a team and improves both physical and mental health. However, an injury to an athlete can impact their ability to perform and practice and can be devastating mentally. On today's episode, we will be discussing common orthopedic injuries among student athletes and how these injuries can be treated and prevented. Welcome to Charting Pediatrics. I'm your host Dan Nicklas. If you are new with us, welcome to our pediatric provider community where we release an episode every Tuesday, and special updates to cover hot topics that impact pediatric providers. Today I am happy to be speaking with Dr. Curtis VandenBerg. Dr. Curt VandenBerg is a Sports medicine surgeon with Children's Hospital Colorado and the University of Colorado school of medicine. Resources: https://www.joinmyhuddle.com/about

It is no surprise that more and more kids are experiencing stress and anxiety. With the recent current events including COVID-19, these last few years have been stressful for everyone. As kids get older and begin to take on more responsibility and experience more changes in life, stress becomes more apparent. Today we are going to talk about strategies that provider can incorporate into clinic, the right questions to ask patients and families, and talk about the post pandemic stress epidemic that we are seeing in kids. This episode is part of our 12-episode mental health series where we aim to give primary care providers useful tools and relevant clinical information to support them in the care of patients with mental health needs. Today I am happy to be speaking with Dr. Jenna Glover and Dr. Jessica Hawks. Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent, Colorado's largest credit union, has a passion for people, not for profit. Ent has more than 45 service centers located up and down the Front Range, including the Denver Metro area and Northern Colorado. Visit Ent.com. Insured by NCUA.

Today's episode is underwritten by Transamerica, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Transamerica is committed to helping improve the overall wellness within all communities. Their partnership supports the urgent need in our community of pediatric mental health. Thank you Transamerica. When a child is diagnosed with a serious illness, it is important for the whole family to get the support and care that they need. Palliative care not only helps children and families with the pain and symptoms of their illnesses, but it also helps to enhance the child's quality of life. In this episode, we are going to discuss how palliative care teams can partner with Primary care providers to help treat and ease the symptoms, pain, and stress of seriously ill patients. Today I am happy to be speaking with Dr. Adam B. Hill. Dr. Adam B Hill is the Palliative Medicine Department Chair here at Children's Hospital Colorado.

Getting your tonsils out used to mean spending a few days in the hospital and getting ice cream for breakfast, lunch, and dinner. Tonsillectomy and adenoidectomy, or T&A, is the second most common childhood surgery performed. It is important for pediatricians to have a detailed understanding of indication for referral, pre- and post-surgical management, and how this procedure has evolved over time. Today we are joined by an Otolaryngology expert to talk about tonsillectomy and adenoidectomy surgeries, when it is needed, and how this surgery is beneficial to patients. Today I am happy to be speaking with Dr. Soham Roy. Dr. Roy Soham is the chair of Pediatric Otolaryngology at Children's Hospital Colorado and is a professor and vice chair at the university of Colorado school of medicine.

Approximately 35 to 45 million youths, 6 to 18 years of age, participate in some form of athletics. The COVID-19 pandemic has affected many aspects of the lives of children and families, including youth sport activity. As children present for health supervision visits and preparticipation physical evaluations, parents and athletes likely will ask questions about how best to ensure safety when considering a return to sports participation and physical activity. In addition, there are lingering concerns about the risk of myocarditis in this population, from disease and vaccination. In this episode we will evaluate the most current guidance on this topic and discuss the risk of myocarditis, all from a cardiology perspective. Today I am happy to be speaking with Dr. Chris Rausch. Resources: https://www.jacc.org/doi/abs/10.1016/j.jacc.2022.02.003 https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports/

Recently, the American Academy of Pediatrics (AAP) revised clinical guidelines on hyperbilirubinemia and how to treat infants born at at least 35 weeks. Although it is common for many newborn infants to experience jaundice, it is important for physicians and primary care providers to understand and monitor newborn babies to ensure they don't develop hyperbilirubinemia. In this episode, we are going to discuss what primary care providers should know about these new guidelines and how they are different than the previous guidelines. Today I am happy to be speaking with Dr. Christine Gold. Resources: New 2022 AAP Hyperbilirubinemia guidelines: https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000 Old 2004 AAP guidelines: https://publications.aap.org/pediatrics/article/114/1/297/64771/Management-of-Hyperbilirubinemia-in-the-Newborn Bili Tool: https://bilitool.org Pedicalc: https://peditools.org/bili2022/

Primary care providers and Pediatricians play a vital role in the identification, prevention, and management of pediatric mental health. With the increased need for mental health services and limited access to resources, early detection is a crucial first step. On this episode, we are going to discuss the importance of routine mental health screenings and the tools and resources primary care providers can leverage within the medical home. Today I am happy to be speaking with Dr. Robert Hilt and Dr. Sandra Fritsch. Dr. Hilt is a professor at the University of Washington, Department of Psychiatry and Behavioral Sciences and a psychiatrist at Seattle Children's Hospital. Dr. Fritsch is a psychiatrist that works in our Child and Adolescent Psychiatry department here at Children's Colorado. Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado.

In the early 1950's, Polio was one of the most unknown and feared disease in the United States. According to the CDC, polio caused hundreds of thousands of cases of paralysis before the development of a vaccine. Since the vaccine, there have been no new cases, until now. In addition, we are seeing the continued spread of another virus that can cause paralysis, Enterovirus D68. Today we will talk about the possible relationships between these two viral diseases and what you our healthcare providers need to be aware of for prompt diagnosis and treatment. Today I am delighted to be speaking with my colleague Dr. Kevin Messacar. Kevin works in the Infectious Disease department at Children's Hospital Colorado and is an Associate professor in the department of pediatrics at the University of Colorado school of Medicine. Resources: Polio MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7133e2.htm EV-D68 MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7140e1.htm AFM Consensus Recommendations: https://www.thelancet.com/article/S0140-6736(20)32723-9/fulltext CDC Job Aid for AFM Reporting: https://www.cdc.gov/acute-flaccid-myelitis/downloads/job-aid-for-clinicians-508.pdf AFM Physician Support Portal: https://wearesrna.org/living-with-myelitis/resources/afm-physician-support-portal/ https://www.cdc.gov/acute-flaccid-myelitis/downloads/examining-proximal-muscle-weakness-508.pdf

Toilet training is a natural milestone that many children master by the age of 3. Although accidents are bound to happen from time to time, consistent day time wetting may be linked to a more serious medical condition. On average, daytime wetting, or Diurnal enuresis, happens in about 3-4% of children and is commonly associated with dysfunctional voiding. Today, we are going to unpack some of the common reasons kids experience daytime wetting and what primary care providers can do to treat this in the medical home. Today I am happy to be speaking with Brian Miller. Brian Miller is PA-C Lead Advanced Practice Provider for Pediatric Urology here at Children's hospital Colorado.

It is not uncommon for newborn babies to have slight imperfections in their heads. Most of the time, these imperfections will fix themselves over time, or once they begin to develop. However, sometimes a more serious diagnosis will require medical interventions. Craniosynostosis is a condition where a baby's skull begins to fuse together too early. This occurs at birth or shortly after and if not treated, can affect brain development. Today, I am excited to be speaking with my colleagues Dr. Brooke French and Dr. Allyson Alexander. Dr Allyson is a Pediatric Neurosurgeon here at Children's Hospital Colorado and is also an Assistant Professor at University of Colorado School of Medicine. Dr. Brooke French is the Co – Director of Cleft and Craniofacial Surgery Programs and is also the Director of Cosmetic Surgery here at Children's Hospital Colorado.

The youth mental health crisis in America is not a new problem. The pandemic drove unprecedented numbers of kids to seek care at all levels and really brought this to the public's attention. In 2021, to highlight the mental health crisis in the United States, the surgeon general's office issued the Youth Mental Health Advisory. Today, as we begin our season 6 focus on mental health with our Charting Pediatrics Mental Health series, we are privileged to talk with our U.S Surgeon General, Dr. Vivek Murthy, and our very own Mental Health In-Chief Ron-Li Liaw. Vivek Murthy serves as the 21st Surgeon General of the United States. Dr. Murthy is a renowned physician, research scientist, and entrepreneur. As the Nation's Doctor, the Surgeon General's mission is to help lay the foundation for a healthier country. Dr. Ron- Li Liaw 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. Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado.

Since 2020, life as we know it has been turned upside down. Every person has had to deal with the repercussions of the global COVID-19 pandemic in their own individual ways. Pediatrics is no different. Pediatrics has changed immensely over the last few years, and as we emerge from the pandemic, many people are anticipating the "normal" of life to come back. However, it is important to understand that there may be a "new normal". In this episode, we will be discussing what has changed in the landscape of pediatrics, what will stay, and what areas will not recover. Raphe Schwartz serves as Chief Strategy Officer at Children's Hospital Colorado and joining us from health care analytics and intelligence firm Sg2, Rhae Gamber, Senior Consulting Director of Women's Health & Pediatric Intelligence. If any children's hospital leaders or pediatric providers are looking for more info on Sg2 visit https://www.sg2.com/childrens

Sleep is an essential function that is vital to the health and well-being of every individual yet millions of people either neglect or have trouble sleeping. Sleep issues in kids are among the most common problems that parents report when visiting their Primary Care provider. In fact, 20% of all children suffer from some type of sleeping problem. In today's episode, we are going to discuss common sleep disorders and when Primary Care providers should refer patients to a sleep specialist. Today I am happy to be speaking with my colleague Dr. Antoinette Burns. Dr. Burns is a pediatric sleep physician. She is the Associate Medical Director of the Pediatric Sleep Lab in Colorado Springs, Colorado and is also an Associate Professor of Clinical Practice in the Department of Pediatrics at the University of Colorado school of Medicine.

When our pediatric and adolescent patients are diagnosed with cancer or another life-altering conditions, the focus is often on treatment and not the changes chemotherapy, radiation and surgery may have on their body's long-term function. In this episode, we are joined by Leslie Appiah, MD to discuss the innovative topic of fertility preservation for pediatric and adolescent patients -- both at cancer diagnosis and in survivorship. Dr. Appiah is part of the Pediatric and Adolescent Gynecology team at Children's Colorado and is Division Chief, Academic Specialists in Obstetrics and Gynecology and Director of the Fertility Preservation and Reproductive Late Effects Program at the University of Colorado School of Medicine. She is co-founder of the Pediatric Initiative Network of the Oncofertility Consortium where she served as chair for 5 years and is current co-chair of the Adolescent and Young Adult Reproductive Late Effects Committee.

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.