Charting Pediatrics

Hearing loss is the most common developmental disorder identifiable at birth and its prevalence increases throughout school‐age due to the additions of late‐onset, late identified and acquired hearing loss. Under identification and lack of appropriate management of hearing loss in children has broad effects and impact on educational, cognitive and social development. According to the American Academy of Pediatrics For all children, regular surveillance of developmental milestones, auditory skills, parental concerns, and middle-ear status should be performed in the medical home. On today's Resident Files episode we are going to walk through the hearing screening schedule and risk indicators with Jordan Yoeli, MD, PGY-3 pediatrics resident at Children's Hospital Colorado and the University of Colorado School of Medicine.

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Register for our next COVID-19 Town Hall - Thursday, February 11 at 6 p.m. MST. Read more about our COVID-19 Town Hall series for pediatric providers here.

The number of COVID-19 cases, deaths and hospitalizations are steadily declining in the U.S., signaling we may have turned a corner in the pandemic. And after a challenging start to rolling out the vaccine, about 31.6 million people in the US have received at least one dose of the COVID vaccine, including about 9.1 million people who are fully vaccinated. In today's episode, we discuss the latest in the journey to end the pandemic and what it means for pediatrics with Sam Dominguez, MD.

Dr. Dominguez 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 thoughts about today's episode or suggestions for a future podcast topic? Write to us, [email protected]

Join our next COVID-19 Provider Town Hall on Thursday, February 11 at 6 p.m. MST: https://bit.ly/3cMwxH5

Throughout the COVID-19 pandemic we have examined various impacts this time has had on the pediatric population. In recent months, the Charting Pediatrics host team has received multiple emails from pediatricians around the globe who are observing increased number of patients struggling with health weight stigma and eating disorders as the pandemic lingers on. The clinical experiences and observations of our colleagues writing in inspired today's discussion with Jennifer Hagman, MD and Matt Haemer, MD.

Dr. Hagman is Director of the Eating Disorder Program at Children's Hospital Colorado and Professor of Psychiatry at the University of Colorado School of Medicine.

Dr. Haemer helps lead the Nutrition team at Children's Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

Resources Mentioned:

• Children's Colorado Obesity Clinical Pathway
  • Resources for screening and discussing health behaviors can be found on page 2
• Food Security Resources
• Cooking Matters
• Fitness Blender
• National Association of Anorexia Nervosa and Associated Disorders
• Children's Colorado Eating Disorder Program

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Respiratory diseases account for nearly a quarter of all pediatric consultations. And in addition to the usual suspects on our differentials, we now have the consideration of COVID-19. In today's episode, we talk with Ben Hughes, MD about the most common breathing issues during respiratory season, important diagnostic considerations and treatments options.

Dr. Hughes is a pediatric pulmonologist at Children's Hospital Colorado and lives locally on the Western Slope of Colorado in Grand Junction; he is Assistant Professor of Pediatrics and Pulmonary Medicine at the University of Colorado School of Medicine.

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New studies from Germany, Norway and the U.S. offer yet more data to show that childcare facilities and elementary schools should remain open or re-open to full-time, in-person learning as quickly as possible. Despite these research findings, schools across the US have largely been closed to in-person learning since the pandemic reached critical mass in the U.S. in March 2020. On today's episode, we are going to talk through these recent studies and the advocacy needed to support the re-opening of schools to full-time, in-person learning.

https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.26.1.2002011

https://www.nejm.org/doi/10.1056/NEJMc2026670

https://pediatrics.aappublications.org/content/early/2021/01/06/peds.2020-048090

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 and can regularly be found being interviewed and quoted in the New York Times, C-SPAN, PBS and CNN to name a few.

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In this episode we are joined by Dr. Debbie Singer and Dr. Paula Riggs to discuss their successful collaboration screening adolescents for substance use disorders, implementing the SBIRE (screening for evaluation) vs SBIRT (referral for treatment) approach, and its rationale and effectiveness in this partnership between primary care pediatrics and psychiatry.

Debbie Singer, MD is a primary care pediatrician at Every Child Pediatrics in Denver, Colo. and Fellow of the American Academy of Pediatrics (FAAP).

Paul Riggs, MD is Director of the Division of Addiction Science, Prevention & Treatment; Vice Chair of Faculty Affairs for the Department of Psychiatry and Professor of Psychiatry at the University of Colorado School of Medicine; and Director of the Encompass Clinic.

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COVID-19 Provider Town Hall: COVID-19 Variants & Vaccine Focus: https://bit.ly/3ndY8Cs on Thursday, January 7, 2021 at 6 p.m. MST.

For the last month of the pandemic, hope and excitement have surrounded the COVID vaccination deployment as more than 3 million Americans received their first vaccine dose by the close of 2020. While the pandemic is far from over, there is a sense of hope that the vaccine represents the beginning of the end. As this hope was rising, a new variant of the virus emerged with an unusually large number of mutations. This variant seems to spread more easily and quickly than other variants and was first detected in September 2020. It is now highly prevalent in London and southeast England, and has since been detected in numerous countries around the world, including the United States and Canada. In today's episode, we are going to talk with Sam Dominguez, MD about the details of the virus variant mutations and what that means for pediatrics and the vaccine.

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 pleased to welcome back Dr. Sam Dominguez to the podcast. 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 thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

The COVID-19 pandemic has presented uncountable challenges for each of us, but as we considered some specific patient populations that have particularly been impacted our kids with autism and developmental delays come to mind. These children are especially vulnerable to the effects of the pandemic due to overall more significant healthcare needs, their dependency on community-based and school-based services and global mental health concerns. On today's episode we talk with Caitlin Middleton, PhD and Abigail Angulo, MD through the considerations primary care providers should make for their patients with autism and developmental delays as we move through the latest wave of the pandemic.

Dr. Middleton is part of the Developmental Pediatrics team at Children's Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Dr. Angulo is part of the Developmental Pediatrics team at Children's Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

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Last month we introduced you to Part I of primary care for children and teens living in out-of-home care -- In today's follow-up episode, we will discuss important aspects of the physical exam; considerations for ACE scores and their impacts to overall child health; and finally, how to advocate for this patient population particularly during the pandemic.

We are fortunate to be joined by Denver Health pediatrician Dr. James Kaferly and happy to welcome Dr. Sara Hills, Clinical Psychologist from Denver Health.

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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

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