Charting Pediatrics

In 2020, firearm injuries were the leading cause of death in Americans 18 years old and younger. There was a total of 3,230 children's deaths, of which 63% were homicide, 30% were suicide, 4% were unintentional injury, 2% were undetermined and 0.4% were legal intervention. Healthcare providers who interact regularly with parents and children are well-positioned to discuss evidence-based strategies that reduce unauthorized access to firearms and minimize the risk of firearm injury.

Guest: Maya Haasz, MD, is a pediatric emergency medicine physician at Children's Hospital Colorado.

Resources: The Journal of Pediatrics: Firearms, Physicians, Families, and Kids: Finding Words that Work

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

No day is the same as the last when you work in pediatrics. Not only are viruses and public health outbreaks always changing, so are regulatory and administrative factors that impact pediatric healthcare and caring for patients. In this episode, we look at the ever-changing landscape of pediatrics, including the evolving trends in payor mix and common pediatric diseases including RSV, diabetes and obesity. These conditions affect millions of people worldwide and have a significant impact on health systems around the world.

Guests:

Raphe Schwartz serves as Chief Strategy Officer at Children's Hospital Colorado.

Rhae Gamber is a senior consulting director at Sg2 Healthcare Intelligence Services, a healthcare consulting firm.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

Sinusitis is a common viral or bacterial infection that causes swelling in the sinuses. Although some patients need prescription medication, often sinusitis can be triggered by allergies or the common cold. In general, sinusitis is overtreated with antibiotics. In the United States, there are five million antibiotic prescriptions for children and adolescents with acute sinusitis, and around 65% of patients are prescribed either amoxicillin or amoxicillin/clavulanate as first-line treatments. To date, there have been little to no studies to compare the effectiveness and safety of these prescriptions. In today's episode, we discuss a study done by Timothy Savage, MD, and Matthew Kronman, MD, to determine the effectiveness of antibiotics and how to determine who needs antibiotic treatment and who does not.

Guest:

Matthew Kronman, MD, MSCE, is the fellowship program director for Pediatric Infectious Diseases and the medical director of outpatient antimicrobial stewardship at Seattle Children's Hospital, and an associate professor at University of Washington School of Medicine.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

Necrotizing enterocolitis, or NEC, is a life-threatening illness with a mortality rate as high as 50% that almost exclusively affects neonates. The complex pathophysiology of NEC is based on an immature intestinal system that makes babies more susceptible to injury once they are fed. Ultimately, this can result in a breakdown of the gut, necrosis and then sepsis and death. There's still no known cure for NEC, but we will discuss the potential of probiotics, specifically lactobacillus reuteri, with our guest Gail Besner, MD. As part of our Women in Medicine series, we are pleased to talk to Dr. Besner, whose research at Nationwide Children's Hospital focuses on identifying novel therapeutic strategies to protect the intestines from intestinal injury, including necrotizing enterocolitis.

Guest:

Gail Besner, MD, is a surgeon-scientist at Nationwide Children's Hospital and The Ohio State University, holds the H. William Clatworthy, Jr. Chair in Surgery, and has been the Chief of Pediatric Surgery at Nationwide Children's Hospital for the past eleven years. She is a member of the Center for Perinatal Research at the Research Institute at Nationwide Children's Hospital. She was the Program Director of the Pediatric Surgery Residency Training Program for many years, and now serves as the Associate Program Director. She's also a scientific Co-Founder of Scioto Biosciences, Inc., a company designed to bring scientific findings from the laboratory to the bedside.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

An article published this spring reported that between 2008 and 2018, there was a 250% increase in suicide rates among 13- and 14-year-old youth in the United States across categories of gender, race and region. There are many factors that contribute to the startling suicide rates in the U.S., including the instability we experienced after the end of this study with the pandemic disrupting our lives.

As part of our 12-episode mental health series, host Dr. David Brumbaugh discusses depression and other mood disorders with two mental health providers from Children's Hospital Colorado.

Guests:

Dr. Melissa Batt specializes in Child and Adolescent Psychiatry at Children's Colorado as part of the Pediatric Mental Health Institute and is an assistant professor at the University of Colorado School of Medicine.

Dr. Joel Stoddard specializes in Psychiatry in the Pediatric Mental Health Institute at Children's Colorado and is an associate professor at the University of Colorado School of Medicine.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org.

This episode is underwritten by Ent Credit Union, a 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. Insured by NCUA.

During the COVID-19 pandemic, we couldn't bring folks together to learn about and discuss important concepts in clinical medicine. Nationally, pediatrics board exam passage rates have been falling every year since 2019, hitting its lowest point of just 80% in 2023. For this episode, we talk with a group of residents who saw conference attendance dwindling at their institution and used Kotter's change model to get teachers and learners back together. They share their results, the challenges they faced, and the lessons they learned along the way about pediatric resident education in this new era.

Guests: Drs. Sedler, Nguyen and Lion are all chief residents at Stanford University.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

In the emergency department, sepsis is a common problem and often lands patients in the ICU. Although there are many reasons patients may develop sepsis, it's critical to diagnose and treat this condition in a timely manner. In today's episode, we discuss sepsis and the point at which delays in antibiotics delivery increases the risk of mortality.

Roni Lane, MD, works in the Division of Pediatric Emergency Medicine at Primary Children's Hospital (PCH) and is the project lead for the PCH Emergency Department Septic Shock Program. Dr. Lane is also an associate professor of pediatrics at the University of Utah.

Halden Scott, MD, is an emergency medicine physician at Children's Hospital Colorado and an associate professor at the University of Colorado School of Medicine.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

Pediatricians see an array of patients with unique and individual needs, and each child requires their own specialized and unique care plan. As the rate of children diagnosed with autism continues to increase, it's important that pediatricians adapt and tailor visits to the needs of their patients. In this episode, we discuss some of the simple changes primary care providers can make to ensure patients with autism feel seen, comfortable and understood in their medical home.

Guest: Katharine Zuckerman, MD, is a general pediatrician and associate professor at Oregon Health & Science University. Dr. Zuckerman is also a member of the of the AAP Council on Children with Disabilities Executive Committee.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

Today on the podcast, we are going to be doing something a little different. As pediatricians and health care professionals, we dedicate our lives and our careers to helping others. Day in and day out we spend our time making sure our patients receive the best care possible to live life to the fullest. Although this can be one of the most fulfilling careers out there, it can also be physically and mentally demanding. Today, I want to ask each of you, how often do you take the time to check in with yourself? How often do you reflect on your own physical and mental health? If you are struggling physically or emotionally, are you taking the time to get help? Today we are honored to have Dr. Adam B. Hill, a Pediatric oncologist and palliative care physician, join us to share his story from the battle with depression, suicidal thoughts and alcoholism while working in the field of medicine.

Guest: Adam B. Hill, MD is the Palliative Medicine Department Chair at Children's Hospital Colorado. He recently wrote and published a book called "Long Walk Out of the woods: A Physicians Story of Addiction, Depression, Hope, and Recovery."

For more information on Children's Hospital Colorado, visit: childrenscolorado.org

As primary care providers, it's easy to assess a patient based on the symptoms and circumstances they present with when they walk in the door. However, patients who had adverse childhood experiences (ACEs) may have psychological injuries from that trauma that are more difficult to recognize. These patients also have a lifelong risk for health problems. What if healthcare professionals changed their mindset from "what is wrong with this child?" to "what has happened to this child?" In this episode, we explore childhood trauma with two experts and dive into the concept of trauma-informed pediatric care.

Guests: Lyndsay Jensen Gaffey, LPC, is the Director of Patient Care Services for the Pediatric Mental Health Institute at Children's Hospital Colorado.

Steven Berkowitz, MD, works in the child and adolescent psychiatry unit at Children's Hospital Colorado and is the Director of the START (Stress, Trauma, Research and Treatment) Center. Dr. Berkowitz is also a professor at the University of Colorado School of Medicine.

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. Insured by NCUA.

For more information on Children's Hospital Colorado, visit: childrenscolorado.org