Charting Pediatrics

Safety and teamwork are second nature for pediatric providers. In medicine, we have long looked to the airline industry as a leader in the application of crisis response and as the ideal of high reliability. Coming from a shared reality that even the most experienced professionals are vulnerable to human error, both aviation and medical professionals rely on problem-solving strategies to optimize responses to critical incidents. In this episode we discuss the collaborative work of physicians at Children's Colorado's Heart Institute and Human Factors and Pilot Development leaders at United Airlines. Our guests are Robby Bishop, MD, Director of the Simulation Lab at the Children's Hospital Colorado Heart Institute; Rob Strickland, Senior Manager of Human Factors and Pilot Development at United Airlines; and Carlos Porges, Psy.D, Neuropsychologist, Boeing 757/767 Pilot and member of the Human Factors and Development Team at United Airlines. Paper: Crisis Resource Management in Medicine: A Clarion Call for Change Video: Crisis Resource Management in Medicine: A Clarion Call for Change Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Join us for our bi-weekly COVID-19 Virtual Provider Town Hall series featuring updates from Children's Infectious Diseases team and live Q&A: https://bit.ly/3qiKGzV - our next Town Hall is on Thursday, December 3, 2020 from 6-7:30p.m. MST. With COVID-19 cases surging across the United States and Europe we hope this episode is a timely refresher for any of our pediatric colleagues who are being called into service to care for adult patients. In this rebroadcast of S3:E49, we have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of the pandemic. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 & 4 of the podcast. Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey. Steven is a pediatric hospitalist at Children's Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine. Aaron is also a pediatric hospitalist at Children's Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many "one-pagers" which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores) MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website) Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website) University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In our new series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice. Our guests today are CU School of Medicine Pediatric Residents, Telly Cheung, MD and Elizabeth Kerr, MD. Social Determinants of Health Resources from the AAP Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for the next Provider COVID-19 Town Hall on Thursday, December 3 from 6-7:30 p.m. MST: https://bit.ly/33eMy2D Today on Charting Pediatrics, we will talk about what to expect from the public release of the COVID-19 vaccine, what it means for pediatrics and facts you can begin sharing with parents in your practice to arm them with knowledge and confidence in this vaccine. Major breakthroughs have developed since we last visited the topic of Operation Warp Speed and the race for a COVID-19 vaccine. Pfizer's vaccine candidate has shown to be 95 percent effective and Moderna's has been similar at 94.5 percent, rivaling some of the most potent vaccines that we have. With vaccine candidates showing robust immune response there is mounting anticipation for a vaccination that could bring an end to the pandemic. This news comes as community spread of the virus is raging and hospitalizations have surged across the United States. Sean O'Leary, MD is our guest for this episode. Dr. O'Leary is an Infectious Disease physician at Children's Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics and can regularly be found quoted in publications like the New York Times.

The CDC estimates that at least 30 percent of antibiotic prescriptions dispensed from the outpatient setting are unnecessary. Providers working in primary care are perhaps the most influential healthcare providers in addressing the issue of antibiotic resistance, as the inappropriate antibiotic prescribing practices remain high. In this episode Sarah Parker, MD and Nicole Poole, MD join us to discuss the use of antimicrobial stewardship programs and how they be implemented in primary care. Dr. Parker is the Medical Director of Children's Antimicrobial Stewardship Program and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Dr. Poole is an Infectious Diseases Physician focused on Outpatient Antimicrobial Stewardship at Children's Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

As the United States enters the eighth month of the pandemic surrounded by a backdrop of payer pressures, demands for virtual care and societal unrest, our healthcare system is challenged daily to navigate uncharted territory. From rapid scaling COVID-19 testing and safety operations to securing PPE from disrupted supply chains, and trying to assure patient families that it is safe to continue to come to clinics and hospitals for care…. Our pediatric healthcare landscape has forever been changed by COVID-19. And as COVID-19 cases are surging across the U.S. and parts of Europe, we are acutely reminded that end of the pandemic is not readily in sight. In this episode, we will discuss the pediatric healthcare landscape and its forecasted pandemic recovery and considerations for primary care providers. On this episode we are joined by Children's Hospital Colorado Chief Strategy Officer Raphe Schwartz, and from Sg2 Healthcare Intelligence services, Karyl Kopaskie, PhD, Associate Principal; and Madeleine McDowell, MD, Principal and Medical Director. If you have thoughts about today's episode or suggestions for a future topic, write to us: [email protected]

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741 COVID-19 cases are surging across the U.S. and parts of Europe, outpacing the anticipated winter respiratory season. Locally in Colorado, community transmission is also on the rise with the Colorado Department of Public Health and Environment warning that hospitalizations in the state are likely to blast through the peaks of April and could overwhelm the state's intensive care units by January. In this our 27th COVID-19 podcast, we will delve into the latest epidemiology of the pandemic and where things are headed for pediatrics. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 and 4 of the podcast. We are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Do you have feedback about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741 In today's episode, we discuss special health care considerations for children and teens living in out-of-home placements, including foster care/kinship care/group home settings, particularly during the COVID-19 pandemic. Today we are joined by James Kafferly III, MD, pediatrician from Denver Health. Fostering Health Resources for Providers by the AAP Healthy Foster Care America from the AAP Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register now for the next COVID-19 Pediatric Provider Town Hall: https://register.gotowebinar.com/register/3768862387713545741 As a trusted pediatric publisher of peer-reviewed research, clinical references, patient education and coding & payment resources, the American Academy of Pediatrics has played a pivotal role in making the latest research and articles from its Pediatrics Journal related to COVID-19 available for free. In this episode, we are going to talk about the unique rapid scaling and dissemination of reliable clinical information during COVID-19 with Lewis First, MD, Editor-in-Chief of Pediatrics and Alex Kemper, MD, Deputy-Editor-in-Chief of Pediatrics. The editor of Pediatrics is Lewis R. First, MD, MS, [[email protected]] Professor and Chair, Department of Pediatrics, University of Vermont College of Medicine, and Chief of Pediatrics, University of Vermont Children's Hospital. The deputy editor is Alex R. Kemper, MD, MPH, MS, Division Chief, Ambulatory Pediatrics, Nationwide Children's Hospital [[email protected]]. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for this week's COVID-19 Provider Town Hall! Live Q&A with the Children's Colorado pediatric infectious disease team and updated epidemiology of the pandemic : https://register.gotowebinar.com/register/7276255001809281037 Hospitals and pediatric practices are under increasing pressure to be publicly transparent about their quality and safety outcomes. The rapid growth of quality improvement initiatives and surgical outcomes in pediatric heart care has made national news headlines in recent years, demonstrating the correlation between pediatric heart surgical volumes and outcomes for kids. On today's episode we are going to discuss outcomes transparency in pediatric heart care and the work that one nonprofit has done to lead the way in data transparency. Today we are fortunate to be joined by David Kasnic, Executive Director for the non-profit, Conquering CHD. 15 Participating Centers AdventHealth for Children – Orlando, FL Advocate Children's Hospital – Oak Lawn, IL Ann & Robert H. Lurie Children's Hospital – Chicago, IL Children's Healthcare of Atlanta – Atlanta, GA Children's Hospital Colorado – Aurora, CO Children's Hospital Los Angeles, Los Angeles, CA Children's National – Washington, DC Children's Wisconsin – Milwaukee, WI Cincinnati Children's Hospital – Cincinnati, OH Medical University of South Carolina – Charleston, SC Nationwide Children's Hospital – Columbus, OH New York Presbyterian Hospital – Columbia – Cornell – New York, NY Seattle Children's Hospital – Seattle, WA University of California at Davis Health – Sacramento, CA University of Michigan Congenital Heart Center – Ann Arbor, MI How to Get Involved: Patients and Families Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch Check the list of participating centers Use the Patient and Family Advocacy Toolkit to talk to your center about joining How to Get Involved: Providers/Hospitals Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch Download the invitation letter and submission form Send questions to Rebeka Acosta, Education Coordinator, at [email protected] Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for tomorrow night's COVID-19 Virtual Provider Town Hall! Thursday, October 8 2020 from 6-7 p.m. MST In this episode, we will focus on when to order an ECG and other cardiac considerations for return to play after COVID-19 infection. Approximately 35 to 45 million youth ages 6 to 18 participate in some form of athletics. As more of these young athletes return to sport amid the lingering pandemic, primary care providers are navigating new guidance about the evaluation and clearance of patients who have recovered from COVID-19. And because COVID-19 infections in pediatric patients are more likely to be asymptomatic or mild compared to adults, pediatric providers will frequently be presented with return-to play questions for patients who had asymptomatic or very mild disease. On Season 3, Episode 56 of the podcast we covered the initial guidance on the return to sport during COVID-19. Chris Rausch, MD is the Pediatric Cardiology Medical Director and Director of the Cardiopulmonary Exercise Laboratory at Children's Colorado and is Associate Professor of Pediatrics and Cardiology at the University of Colorado School of Medicine. Cardiac Evaluation for Post COVID-19 (SARS-CoV-2) Infection Return to Play in Children and Adolescents by the Children's Hospital Colorado Scientific Advisory Council

On this episode we are going to talk with Jenny Reese, MD about practical approaches to self-care and resiliency as we continue to move through this pandemic. Societal interruptions at every turn. Working remotely. Virtual school. Financial and health uncertainties. Massive disruptions to the delivery of healthcare, including impacted volumes and private practice business. The impact of the COVID-19 pandemic on every aspect of our lives is apparent. As providers who have uniquely felt the impacts of these changes because of our profession, it is imperative to take time to consider our own resiliency. Dr. Reese is the Section Head of Pediatric Hospital Medicine at Children's Colorado and is Associate Professor of Clinical Practice and Pediatrics at the University of Colorado School of Medicine.

Register today for our next COVID-19 Virtual Provider Town Hall with updates from our Infectious Diseases team and live Q&A from participants. https://register.gotowebinar.com/register/8317728907959325456 Just before the COVID-19 pandemic we were witnessing a fast-growing and new epidemic for pediatricians --the association between teen vaping and acute lung injury. It is not surprising that a recent study by researchers at Stanford University has shown a link between vaping and a substantially increased risk of COIVD-19 among teenagers and young adults. Today we are going to revisit the topic of EVALI – E-Cigarette or Vaping Associated Lung Injury – and the impact and of COVID-19 on teens who vape with Robin Deterding, MD. Dr. Deterding is the Chief of Pulmonary Medicine at Children's Colorado and is Professor of Pediatrics at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestions for a future topics? Write to us, [email protected]

A new season of Charting Pediatrics launches on Tuesday, September 22! Hear Dr. Brent, Dr. Brumbaugh and Dr. Nicklas reflect on Season 3, the pandemic and what is to come on an exciting new season of the podcast. Association for Medical Education in Europe: Charting Pediatrics e-Poster Do you have topic or guest suggestions for Season 4 of the podcast? Write to us, [email protected]

Join our next Virtual COVID-19 Provider Town Hall As countries in the Southern Hemisphere move through what would normally be their influenza season, early data indicates that efforts to stop COVID-19 have all but eliminated the typical viral spread of flu in those communities. These early behaviors have providers in the Americas speculating if influenza will take a similarly mild course, while others warn of a "Twindemic" dual impact of COVID-19 and influenza. In this our 21st COVID-19 podcast, we will delve into the latest epidemiology of the pandemic, how pediatricians might think about the approaching flu season and what testing to order. Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Resources and Publications Mentioned in this Episode: SARS-CoV-2 Infection Among Community Health Workers in India Before and After Use of Face Shields Absence of Apparent Transmission of SARS-CoV-2 from Two Stylists After Exposure at a Hair Salon with a Universal Face Covering Policy — Springfield, Missouri, May 2020 Researchers created a test to determine which masks are the least effective SARS-CoV-2 Transmission and Infection Among Attendees of an Overnight Camp — Georgia, June 2020 How four summer camps in Maine prevented COVID-19 outbreaks Children's Hospital Colorado Bug Watch by the Department of Pathology & Epidemiology Humoral Immune Response to SARS-CoV-2 in Iceland Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

En este episodio nos acompaña Carla Torres-Zegerra, MD, para discutir los problemas dermatológicos más comunes en el primer año de vida en español. In this episode we are joined by Carla Torres-Zegerra, MD, to discuss the most common dermatology issues in the first year of life, the episode was recorded in Spanish. You can follow Dr. Torres-Zegerra on Instagram @dermaskinmd where she posts dermatology tips for providers. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Drowning is quick and silent. It is also the single-leading cause of death among children aged 1-4 and is a top cause death among teens. As pediatricians, we offer an important voice to help educate our parents, patients and community about how to keep kids safe in and around the water. Recently two of our pediatric residents, Dr. Laura Bricklin and Dr. Emma Harding, were awarded a CATCH grant for drowning prevention and are joining us today to review important water safety information for bathtubs, pools and open water.

Join us for our next COVID-19 Virtual Provider Town Hall on Thursday, August 27 from 6-7:30 p.m. MST with the Children's CO Infectious Disease Team, including epi and literature updates: https://attendee.gotowebinar.com/register/4385745584068080396 Countries around the world are racing to develop a vaccine to end the COVID-19 global pandemic. In the United States, Operation Warp Speed – led by the Department of Health and Human Services and the Department of Defense -- involves almost $11 billion funding to seven different companies to develop vaccines. Three of these companies – Monderna, AstraZeneca and Pfizer – are in late stage trials. Today on Charting Pediatrics we are joined by Sean O'Leary, MD to talk about these accelerated efforts and what role a vaccine would play in pediatrics. Today we are joined by returning guest Dr. Sean O'Leary, an Infectious Disease physician at Children's Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics – if you have seen any major media coverage on the return to school, you have probably seen Sean quoted. Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

Scoliosis affects between 2 and 3 percent of the population with the primary onset age being between 10-15 years old, occurring equally among both genders. On this episode, Lori Karol, MD joins us to unpack the diagnosis and management of scoliosis. Dr. Karol in the new Chief of Pediatric Orthopedic Surgery at Children's Colorado and is Visiting Professor of Orthopedics at the University of Colorado School of Medicine.

Please join us for this week's COVID-19 Virtual Provider Town Hall, Thursday, August 13 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/4458292460271814414 The topic of face masks or face coverings use and their efficacy has rapidly morphed into one of the most divisive topics in American culture. Mandated by many government bodies in the US and around the globe, these face coverings have been encouraged to slow the spread of COVID-19. We have heard from many of you, our listeners, that parents are asking for anticipatory guidance around mask wearing and their children, particularly chronic asthmatics. In this our 18th COVID-19 podcast, we will discuss the AAP guidance around pediatric patients and face coverings, considerations for asthmatic patients and how these fit in with the return to school. In this episode we are joined by returning guest Monica Federico, MD, Medical Director of the Clinical Alignment and Asthma Programs at Children's Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine. Mask Exemptions During the COVID-19 Pandemic: A New Frontier for Clinicians, published by JAMA Cloth Face Coverings for Children During COVID-19 from the American Academy of Pediatrics Example letters referenced by Dr. Federico are forthcoming at the Charting Pediatrics website. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

When most of us were going through medical training the word podcast had still yet to be uttered. A mash-up of broadcast and ipod, the word was first introduced in 2004. But by 2020 the podcast platform has developed into an essential tool for dissemination of information amongst humans. Now we can get information on any conceivable topic and it seems inevitable that this will transform all continuing education, including medical education. We know that in pediatrics we still need trusted resources and in that spirit, today we are excited to introduce you to a new podcast on the block that you need to be aware of, AAP's new Pediatrics On Call Podcast, we're going to talk to its co-hosts and discuss the future of CME and learning for pediatricians. Today we are pleased to be joined by Joanna Parga-Belinkie, MD and David Hill, MD, co-hosts of the AAP's new podcast, Pediatrics On Call. Joanna is assistant professor of clinical pediatrics at the University of Pennsylvania and a pediatrician at Children's Hospital of Philadelphia. She co-created the podcast Baby Doctor Mamas as her first foray into podcasting and has been a contributor and writer for many news outlets including The New York Times, NPR and NBC News. David is a pediatrician at Goldsboro Pediatrics in Wayne County, North Carolina, where he practices both hospitalist pediatrics and outpatient pediatrics. He is an adjunct assistant professor of pediatrics at the University of North Carolina Chapel Hill. He has written and commentated for NPR's All Things Considered, is a frequent contributor to Parents Magazine and author of several books.

Cellular therapy is a new type of immunotherapy that is bringing hope to pediatric patients with blood cancers. The therapy is more specifically known as chimeric antigen receptor T cell therapy (or CAR-T cell therapy), and it has been hailed as a breakthrough in the field of immunotherapy. CAR-T cell therapy "takes the brakes" off the immune system's response. Essentially, it trains the cells within the immune system, called T cells, to see tumors they weren't naturally developed to recognize. Two years ago, we had the brilliant team of Terry Fry, MD and Mike Verneris, MD join us to discuss this therapy for patients with leukemia and other cancers; you can go back and listen to that initial discussion on Season 1, episode 33. We continue to hear from listeners how much they enjoyed this discussion of clinical invocation and application and decided that it was time to bring Dr. Fry and Dr. Verneris back to hear an update on their work and what the latest in the space of CAR-T cell therapy is.

As the COVID-19 pandemic enters its 8th month, we continue to learn more about how SARS-CoV2 impacts our pediatric population, including the severe Kawasaki-like disease, Multisystem Inflammatory Syndrome in Children Associated with COVID-19, or MIS-C. In this, our 17th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki's and what the early literature is saying. We are fortunate to be joined by two giants in the field of Pediatric Infectious Diseases: Jim Todd, MD and Mimi Glode, MD. Dr. Glode is the former Section Head of Infectious Diseases at Children's Colorado and is Professor Emerita of Pediatric Infectious Disease at the University of Colorado School of Medicine. Dr. Glode is an internationally recognized as an expert on Kawasaki disease and immunization pioneered the use of IVIG for the treatment for Kawasaki disease. Dr. Todd is the former-Jules Amer Chair in Community Pediatrics and Section Head of Epidemiology at Children's Hospital Colorado and Clinical Professor Emeritus in Pediatrics at the University of Colorado School of Medicine and is known for his discovery of Toxic Shock Syndrome. What We Know About Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19 Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Prenatally diagnosed with hydronephrosis, babies of ethnic minorities get surgery sooner than white ones, often within the first year. That's well documented; the trickier question is why. What role does implicit bias play, or at what point during the process does it come into play? What imaging studies do surgeons order, and how do they interpret the findings? How do those interpretations influence the decision whether to do surgery, or when? On today's episode, we are going to talk with Vijaya Vemulakonda, MD, JD, about her work studying demographic disparity in medicine and how the electronic health record can help close the gap. Dr. Vemulakonda is a pediatric urologist at Children's Colorado and Associate Professor of Surgery and Urology at the University of Colorado School of Medicine. Read more about Dr. Vemulakonda's research Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In this our 16th COVID-19 podcast, we will delve into the return to school guidance that both Children's Hospital Colorado and the American Academy of Pediatrics have released and talk about how pediatricians can be advocates for the safe return to in-person learning in their communities. When schools across the United States halted in-person learning because of COVID-19 this Spring, many of us never predicted that students would remain in a remote learning status for the remainder of the school year. As school districts and teachers worked tirelessly to utilize all resources at their disposal, it became apparent that virtual learning was not an ideal education setting. From the lack of learning equity and access to critical services for many students to mental health impacts, many educators and pediatricians began talking about the importance of in-person learning resuming in some fashion for fall 2020. Today we are joined by returning guest Sean O'Leary, MD. Sean is an infectious disease physician at Children's Colorado and Director of the Colorado Pediatric Practice-Based Research Network. And we are happy to welcome Heidi Baskfield, JD to the podcast. Heidi is a lawyer by training and the Vice President of Population Health and Advocacy at Children's Hospital Colorado. COVID-19 Return to School Risk-Based Guide from Children's Hospital Colorado COVID-19 Planning Considerations: Guidance For School Re-Entry from the AAP Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Months of progress in the United States has been overshadowed this week by a resurgence of COVID-19 cases, with areas of the South and West experiencing their first strong wave of cases. Earlier this week Texas Children's Hospital announced they are admitting adult patients to help with surge capacity in Houston. As pediatric providers, we are considering ongoing PPE preparedness for an unknown future, what the latest literature is telling us about the virus in kids and what a vaccine or treatment option might look like. In this our 15th COVID-19 podcast, we will delve into these topics and more as we unpack what we've learned about COVID-19 in pediatrics with Dr. Sam Dominguez. Today we are fortunate to be joined once again by my un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. COVID-19 Risk/Benefit Gauge from the Colorado Department of Public Health & Environment Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Across our organization, our Children's Hospital Colorado team members have engaged in dialogue about the institutional origins of systemic racism, the targeted injustices that continue in Black communities, and the ways our social structures produce disparities in education, housing, economics, and health. Today we want to bring this conversation to the podcast and talk about the opportunity our pediatric provider community has in turning the passion of these conversations into progress by providing positive impact to equity in pediatric medicine. In this moment, it is necessary for us all to demonstrate clarity, courage and fortitude to address these long-standing injustices. Today our guest is Brandi Freeman, MD. Dr. Freeman is a pediatrician at the Children's Colorado Child Health Clinic and Assistant Professor of Pediatrics at the University of Colorado School of Medicine. She is an advocate for Diversity and Inclusion in the Health Professions workforce.

As communities begin to emerge from stay-at-home orders, the question of return to sports and recreation is on the minds of many. While professional and collegiate sports may take longer to resume play and allow spectators in the stands, youth sports organizations are hopeful that they may be able to lead the way in restoring a sense of normalcy to everyday life. Given the unprecedented circumstances posed by the COVID-19 pandemic, there is no clear prescription for success, but guidance is emerging to help shape the re-opening of youth sports. In this our 14th COVID-19 podcast, we will discuss those considerations and guidance with Julie Wilson, MD and Aubrey Armento, MD. Dr. Wilson has joined us on Season 1 and 2 of the podcast to discuss the topic of concussion management – she serves as Club Outreach Medical Director of the Children's CO Sports Medicine Center and is an Assistant Professor of Orthopedics and Pediatrics at the University of Colorado School of Medicine. Dr. Armento is a Primary Care Sports Medicine Physician at Children's Sports Medicine Center and Assistant Professor of Orthopedics at the University of Colorado School of Medicine. Resources Mentioned in this Episode: Aspen Institute Project Play Return to Play COVID-19 Risk Assessment Tool CDC Considerations for Youth Sports NFHS Guidance for Opening up High School Athletics and Activities A Game Plan for the Resumption of Sport and Exercise after Coronavirus Disease 2019 (COVID-19) Infection Cardiac Considerations for Athletes with COVID-19 from the Pediatric Sports Medicine Podcast with Dr. Mark Halstead Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Clinical effectiveness seeks to answer the question "What works?" in healthcare; what are the best ways to prevent, diagnose and treat diseases in children? Today we are going to talk with Lalit Bajaj, MD, MPH/MPSH and dive in to clinical effectiveness and look at how those practices are be applied here at Children's Colorado and beyond and the impact of this work to the primary care setting. Dr. Bajaj is a Pediatric Emergency Medicine Physician, Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine, and Director of Clinical Effectiveness at Children's Hospital Colorado. Pediatric Clinical Pathways Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected] This episode was recorded prior to COVID-19.

We are privileged to have John Barnard, MD join us on the podcast today to discuss exciting pediatric research breakthroughs in fields of genomics, gene therapy, and more. Dr. Barnard is from Nationwide Children's Hospital where he serves as the chief of Pediatrics, president of The Research Institute and holds the Ann I. Wolfe Endowed Chair in Pediatric Research Leadership. He is also the chair of the Department of Pediatrics and professor of Pediatrics, Gastroenterology, Hepatology and Nutrition at The Ohio State University College of Medicine. This episode was recorded prior to the COVID-19 pandemic. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In this episode we cover the COVID-19 global pandemic, en Español with Edwin Asturias, MD. Dr. Asturias is part of the Infectious Disease Team and Director for Latin America at Children's Colorado and Professor of Pediatrics & Infectious Diseases at the University of Colorado School of Medicine. Dr. Asturias is headed for Guatemala on May 24 to become their Presidential Commissioner for the COVID-19 Response. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for our Weekly COVID-19 Town Hall, 5/21 from 6-7 p.m. MST The COVID-19 Pandemic has presented unprecedented challenges to maintaining healthy habits and healthy weight for our patients and families. We know that kids tend to loose structure and gain excess weight in the summer – we saw this prior to COVID-19 and we are now facing the most stressful and unpredictable summer of our lifetime. In this our 12th COVID-19 podcast, we will discuss healthy routines for pediatricians to discuss with patients and parents in their practice to help protect and preserve healthy habits and weight. Today we are fortunate to be joined by Matt Haemer, MD and Richard Boles, PhD of our Clinical Nutrition Team at Children's Hospital Colorado. Dr. Haemer helps to lead the nutrition team at Children's Hospital Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine. Dr. Boles is psychologist with the Clinical Nutrition Team at Children's and Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine. Key Points The habits that help kids maintain healthy weight during the COVID19 pandemic are the same habits that help with mental health, good school performance, and healthy peer relationships. By focusing on the healthy routines we'll talk about today, pediatricians can support parents as they help their children achieve all these goals. Lifestyle Medicine Psychologist Richard Boles PhD offers practical advice that pediatricians can share with families to help maintain healthy habits during this very challenging time. Pediatricians play a critical role in helping parents to promote healthy habits. They can help parents realize when a child's weight gain is unhealthy, offer brief follow-up counseling to help families set goals for lifestyle change, refer families for extra help when needed, and share resources like those below. A primary care provider can make a single referral to Children's Hospital Colorado's Lifestyle Medicine Program to address any and all medical problems from excess weight that a child may have, or to help children prevent these medical problems at any age. You can reach any of the Lifestyle Medicine team for consult or referral via OneCall, 720-777-3999. Fitness: Children's Hospital Colorado's Lifestyle Medicine Exercise Physiologist, Michael Witten MS has compiled a variety of fitness videos that kids of different ages and fitness levels can do at home, maybe with their parents! Subscribe to the CHCO Wellness Center gym Youtube channel: https://www.youtube.com/playlist?list=PLpuAXaEwLGbpvi_sqs9ZdhUJchqVGInP2 Nutrition and Food Resources The Food Bank of the Rockies has an updated list of all the food banks and food distribution sites: https://www.foodbankrockies.org/emergency-assistance/ Our dietitians recommend families try kid-friendly healthy recipes from the CHOP CHOP website: https://www.chopchopfamily.org/recipes/ Food preparation videos from the professional society of Registered Dietitians: https://www.eatright.org/food/planning-and-prep/cooking-tips-and-trends/basics-of-meal-prepping Shopping and meal preparation tips to save money on healthy food from Cooking Matters, an organization dedicated to reducing food insecurity for families with kids: http://cookingmatters.org/tips Psychology and Mental health: American Psychological Association: tips on learning at home, supporting play, and parenting in the era of COVID-19: https://www.apa.org/topics/covid-19/parenting-caregiving Children's Hospital Colorado has recommendations to help pediatricians and parents talk with children about the pandemic: https://www.childrenscolorado.org/conditions-and-advice/coronavirus-covid19-resources-updates/ Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for our weekly Provider Town Hall During COVID-19, May 21 from 6-7 p.m. MST. In recent weeks, there has been an outbreak of severe Kawasaki-like disease at the Italian epicenter of the SARS-CoV2 epidemic and as of May 12, the state of New York Health Department had identified 102 kids with potential infection. Up to this point, our pediatric population had seen a relatively mild disease course during this pandemic, but these recent developments have captured the attention of pediatricians, parents and the global news media. Yesterday the CDC officially named this the Multisystem Inflammatory Syndrome in Children, Associated with COVID-19. In this, our 13th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki's and what the early literature is saying. Sam Dominguez, MD, PhD, is an Infectious Disease physician at Children's Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine. Todd Carpenter, MD, is Director of the Pediatric Intensive Care Unity at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine.

In this our 11th COVID-19 podcast, we will discuss clinical considerations for women and babies in the era of COVID-19 with Jessica Cataldi, MD and Erica Wymore, MD. Join us for this week's Provider Town Hall, Thursday, May 14 from 6-7 p.m. MST: https://attendee.gotowebinar.com/register/5938843139417544973 The global pandemic has impacted every area of life, including the considerations and concerns that new mothers have bringing their babies into the world – will they be able to have a partner's support in their birthing room? Is it safe to breastfeed their baby if they, the new mother, test positive for SARS-CoV2? Should any family or friends be allowed around the baby? Is it safe to bring the baby in for routine checkups and well-child care in the middle of the pandemic? There are many questions that surround this special and critical time in a new mother and baby's life. Dr. Cataldi is a pediatric infectious disease physician at Children's Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Dr. Wymore is a neonatologist at Children's Colorado and Assistant Professor of Pediatrics and Neonatology at the University of Colorado School of Medicine. https://perinatalcovid19.org/neoclear/

Join us for our weekly Virtual Town Hall for Providers during COVID-19, Thursdays from 6-7 p.m. MST In this, our 10th COVID-19 podcast, we will have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of this pandemic. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast. Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey. Steven is a pediatric hospitalist at Children's Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine. Aaron is also a pediatric hospitalist at Children's Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many "one-pagers" which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores) MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website) Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website) University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

One of the bright spots during the COVID-19 pandemic has been the promising and experimental use of convalescent plasma, which was recently approved by the FDA for emergency treatment. The donation of antibody-rich blood from patients who have recovered from the SARS-CoV2 virus has been pioneered by Dr. Kyle Annan and the team at Children's Colorado. I n this, our 9th COVID-19 podcast we will cover the topic of convalescent plasma, discuss the current epidemiology of the pandemic, and talk through the impacts of loosened shelter-in-place orders around the country. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast. Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Additionally, we are joined by Dr. Kyle Annen who is Director of the Blood Donor Center at Children's Colorado and Assistant Professor of Pathology at the University of Colorado School of Medicine. Join our weekly COVID-19 Virtual Provider Town Hall - Thursday, April 30, 2020 from 6-7 p.m. MST Donate convalescent plasma ABC News Coverage of convalescent plasma for COVID-19 Do you have thoughts about today's episode or suggestions for a future podcast? Write to us, [email protected]

In this episode we will discuss the diagnosis and management of TSS and are privileged to be joined by Jim Todd, MD who first discovered TSS in 1975. Toxic shock syndrome (TSS) is a cluster of symptoms that involves many systems of the body. Certain bacterial infections release toxins into the bloodstream, which then spreads the toxins to body organs and can cause severe damage and illness. Dr. Todd is the previous Section Head of Infectious Diseases, Jules Amer Chair, and Community Pediatrics and Director of Epidemiology at Children's Hospital Colorado. He is also a Professor Emeritus in Pediatrics at the University of Colorado School of Medicine.

In this, our 8th COVID-19 podcast, I talk to two of my pediatric colleagues, Sean O'Leary, MD and Robin Larabee, MD who have had COVID-19 and are now recovered. We will discuss their symptoms and disease course in depth in hopes that it provides greater education and context for how different people have experienced COVID-19. As we move into our second month of the global pandemic most of us know someone who has contracted the SARS-CoV2 virus; this especially probable for you our listeners, as fellow healthcare workers who have many colleagues caring for COVID-positive and exposed patients. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42, 43 and 44. Sean has joined us several times on the podcast to discuss vaccines and vaccines hesitancy, he is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Sean is also an active spokesperson with the AAP on the topic of vaccines and services as the Director of the Colorado Children's Outcome Network. Additionally, we are pleased to have Dr. Robin Larabee join us today as well. Robin is a pediatrician in Denver and partner with Sapphire Pediatrics.

Today's guest is Dr. Scott Sagel, here to discuss the care of patients with cystic fibrosis (CF) and the clinical research that has led to the advances in access to these breakthrough therapies. Dr. Scott is a Pediatric Pulmonologist at Children's Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

In recent weeks, the podcast has received hundreds of questions from listeners around the topic of PPE. So today, this episode is for you. We are going to cover all things PPE while reviewing the current epidemiology of COVID-19. We are now entering our second month of the global COVID-19 Pandemic. Our world has never experienced anything like this before – some days feel like they have contained an entire month's worth of change and challenges. One of the difficult realities that many healthcare providers have faced is a shortage of necessary PPE. Additionally, what is the truth about the efficacy and use of homemade cloth face coverings? How should providers approach PPE as we move out of the peak of the pandemic? We will cover these topics and more in this episode. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42 and 43. Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD, PhD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Additionally, we are excited to have Pat Givens, DHA, EdM, RN, NEA-BC, as a guest today as we dive in to PPE. Pat is the Chief Nursing Executive for Children's Hospital Colorado and is serving as our PPE Guardian during the COVID-19 Pandemic. Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

In this episode, we are going to discuss practical ways primary care providers can protect their own mental health needs and also deliver meaningful mental health support to their patients and families during the COVID-19 global pandemic. Mental health; never has there been a more crucial time for our primary care providers to talk openly about finding creative and innovative ways to support the mental health needs both of their patients and for themselves. The COVID-19 pandemic has impacted every area of life. Nothing feels normal. Maintaining one's mental health while practicing social distancing, online learning and school, loss of routine and regular social interactions is a challenge! On the podcast we have previously covered a number of topics related to the COVID-19 pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38, 41 and 42. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In this episode, we are going to talk to the Telehealth team at Children's Hospital Colorado and share how primary care providers could operationalize the delivery of care through telehealth quickly to help navigate the COVID-19 pandemic and looking to the future post-pandemic. For all the reasons that COVID-19 has turned our personal and professional lives upside down, it has positively accelerated the delivery of care through telehealth. Until a few weeks ago, most of our ambulatory providers administered care through telehealth as a secondary, less preferred option in cases where distance between provider and patient was too far to be together in person. In this episode we are joined by Christina Olson, MD; Fred Thomas, PhD and Alison Brent, MD. Christina Olson, MD is Telehealth Medical Director at Children's Colorado and Assistant Professor of Pediatrics at the University of Colorado School of Medicine Fred Thomas, PhD is Director of Telehealth at Children's Colorado and Executive Director of ECHO Colorado; He has academic appointments in the Departments of Psychiatry, Pediatrics and Family Medicine in the Colorado School of Medicine. And finally, we turn the mic on Charting Pediatrics co-host, Alison Brent, MD. Alison is a Pediatric Emergency Medicine Physician at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. She is currently serving on the Executive Committee of the AAP Section of Telehealth Care. Telehealth Resources Mentioned: email your questions to the AAP: [email protected] From the AAP: Coding During the COVID-19 Pandemic AAP Guidance: Telehealth Payer Policy during the COVID-19 Pandemic State Notices on Telehealth Policy From the AAP: Telehealth and After Hours Care Join the Colorado ECHO online learnings about COVID-19 Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

As the COVID-19 global pandemic has entered its third week, our healthcare providers are realizing the dramatic impact this has had on how we deliver care. Our lives have been touched not only professionally, but certainly personally as well. The uncertainty that this pandemic has driven into our lives is equally matched by the resiliency and ingenuity of our healthcare providers and larger community to come together to face this head on. In this episode, we will cover the current epidemiology of COVID-19, answer listener submitted questions and talk about the creative delivery of primary care that you could consider implementing in your practice as you navigate the pandemic. On the podcast we have previously covered the clinical presentation of the coronavirus in pediatrics, what providers should do if their clinical suspension is high and approaches to pediatric care during the mitigation phase of this pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38. Today we are fortunate to be joined again on the podcast by Sam Dominguez, MD, PhD a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Maya Bunik, MD is the Medical Director of the Child Health Primary Care Pediatrics Clinic at Children's Hospital Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Bunik was previously on the podcast to discuss Breastfeeding Management, you can listen to that on Season 1, Episode 10. Kelly Galloway, RN, is the Director of Patient Care Services for primary care at Children's Hospital Colorado. COVID-19 Resources for Providers COVID-19 Resources for Patients and Families Do you have thoughts about this episode or suggestions for a future topic? Write to us, [email protected]

In this episode we talk with Todd Carpenter, MD and Cameron Gunville, DO about drivers behind general growth in pediatric critical care bed occupancy that has outpaced the general inpatient population; the most important critical care interventions in the last 10 years that has benefited children and the important outcome metrics that define success in pediatric critical care. Dr. Carpenter is the Medical Director of the PICU at Children's Hospital Colorado and is Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine. Dr. Gunville is the Associate Medical Director of the PICU at Children's Hospital Colorado and is Associate Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine. Do you have thoughts about this episode or suggestions for a future topic? Write to us, [email protected]

Kids are notorious for exploring small objects and putting them up their nose, in their ear or swallowing them. Some ingestions like button batteries and small, b-b sized magnets are potentially life-threatening for children and adolescents. Catastrophic and fatal injuries can occur when the object becomes lodged in the esophagus, where injury can extend beyond the esophagus to the trachea or aorta. In this episode, we are going to turn the mic on host, David Brumbaugh, MD, to look at the presentation and treatment of ingested foreign objects and the anticipatory guidance primary care providers can give to their patients and families. What our listeners may not know about Dr. Brumbaugh is that he has a job beyond co-hosting Charting Pediatrics; he is a pediatric gastroenterologist and Associate Chief Medical Officer at Children's Hospital Colorado and is Associate Professor of Pediatrics at the University of Colorado School of Medicine. Ingested Button Battery Clinical Pathway Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Coronavirus. COVID-19. Since we last recorded the podcast the World Health Organization has named COVID-19 a global pandemic. We have previously covered the clinical presentation of the coronavirus in pediatrics and what providers should do if their clinical suspension is high – you can go back and listen to both of those discussions on Season 3, Episodes 31 and 36. Given the rapidly changing nature of this situation and the virus' spread throughout our local Colorado communities we wanted to provide you with an update as we move from a containment to a mitigation strategy. In this episode we will cover the current epidemiology of COVID-19, answer listener submitted questions and provide you with resources of where to find ongoing resources. COVID-19 Provider Resources COVID-19 Telephone Triage Protocols by Bart Schmitt, MD CDC COVID-19 Information for Healthcare Professionals COVID-19 Updates from the American Academy of Pediatrics Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

There are many great things about living in rural communities. Across a broad range of healthcare indicators though, our children in rural America are doing more poorly urban areas — higher all-cause mortality rates, higher disability rates, higher rates of obesity and higher risks for suicide and unintentional injury. More than 50% of rural counties in the United States do not have a pediatrician and the number of patients per physician and healthcare professional shortage areas is twice that of a traditional urban area. What is it like to practice and take care of kids in a more rural setting? In this episode we will discuss rural and tertiary care bridges with Bird Gilmartin, MD. Dr. Gilmartin is the Pediatric Medical Director at Uinta Medical Group in Evanston, Wyoming. She is a member of the American Academy of Pediatrics (AAP) Section on Early Career Physicians and was the recipient of the AAP's 2019 Award for Outstanding Service to Maltreated Children. Do you have thoughts about this episode or suggestions for a future topic? Write to us, [email protected]

Coronavirus. COVID-19. It is safe to say that this virus is on the minds of people across the globe and there is increased anxiety among the general public who are seeking guidance from their healthcare providers. And many healthcare providers are looking to their regional healthcare centers and the local/national health authorities for guidance – this is an emerging, rapidly evolving situation. In mid-February we recorded our first episode about COVID-19 where we covered the clinical presentation of the coronavirus in pediatrics and what providers should do if their clinical suspicion is high – you can go back and listen to that on Season 3, Episode 31. Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources. Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources. We are fortunate to be joined again on the podcast by Dr. Sam Dominguez, a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. COVID-19 FAQs for Providers COVID-19 Pediatric Telephone Triage Protocols by Bart Schmitt, MD

In this episode we have the privilege of welcoming Rachel Moon, MD back to the podcast to discuss the importance of social networks, social norms and attitudes in infant care practice decisions. Dr. Moon first joined us on Charting Pediatrics at the 2018 AAP Conference, you can go back and listen to Dr. Brumbaugh's interview with her on Infant Safe Sleep Practices on Season 2, Episode 13. Dr. Moon is the Harrison Distinguished Teaching Professor of Pediatrics and the Division Head of Pediatrics at the University of Virginia School of Medicine. Do you have questions about today's episode or suggestion for a future topic? Write to us, [email protected]

State-level vaccination advocacy is the topic of today's podcast with Zach Zaslow, Director of Government Affairs at Children's Hospital Colorado. Colorado's current vaccination rate for the measles, mumps and rubella vaccine among kindergarteners is 87.4%, one of the lowest in the nation. After more than 15 hours of testimony in committee hearing on February 19, Colorado Senate Bill 163, which aims to standardize and challenge vaccine exemption, passed its first hearing 3-2. Today we are bringing you a special edition of Charting Pediatrics to discuss vaccine legislation and advocacy in our local state of Colorado, specifically Senate Bill 163, which sets a Colorado- statewide immunization goal of 95%. Zach Zaslow, Director of Government Affairs for Children's Hospital Colorado, directs local, state, and federal policy and advocacy efforts with the goal of improving child health by being a voice for kids when and where public policy decisions are being made. Join our 11,000+ advocates who speak up clearly and powerfully for kids' health when public policy decisions are made by signing up today to be a Child Health Champion: https://bit.ly/2uixrab. To learn more about general advocacy efforts at Children's Hospital Colorado visit www.childrenscolorado.org/advocacy. Finally, email [email protected] with questions or if you'd like to get more involved by joining our and the Colorado AAP's statewide pediatricians' advocacy network, penning letters to the editor, attending advocacy events and more. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]