Pediatric Meltdown

https://302.buzz/PM-WhatAreYourThoughts

Dr. Michaela Voss graduated medical school from University of Kansas Medical Center – Kansas City, KS, in 2010. She completed her pediatric internship and residency in 2013 at Children’s Hospital of Wisconsin – Milwaukee, WI. Afterwards, she pursued advanced training in the field of adolescent medicine, graduating from fellowship in 2016 at Seattle Children’s Hospital – Seattle, WA. 

During this time, Dr. Voss was a Leadership and Education in Adolescent Health (LEAH) Fellow and participated in research under a T32 grant. Currently, Dr. Voss is Medical Director of The Eating Disorder Center at Children’s Mercy – Kansas City, MO. In addition to her clinical and administration duties, she enjoys educating medical professionals and the general community about adolescent health and eating disorders. She participates in multiple research and quality improvement projects to expand evidence based medical knowledge of eating disorders. 

[00:01] Dr. Michaela Voss Shares Her Story With Us

• I introduce and welcome Dr. Michaela Voss 
• Michaela shares why focuses on eating disorders

[04:45] Terms About Eating Disorders

• Here are the terms that we need to be familiar with according to Michaela
• anorexia nervosa
• Bulimia nervosa
• Binge eating disorders
• Avoidant/restrictive food intake disorder
• Orthorexia nervosa
• Atypical anorexia nervosa
• Being healthy “to the extreme” is also not healthy
• Anorexia does not discriminate

[09:44] How to Prevent Eating Disorders 

• The role of the primary care pediatrician in preventing eating disorders
• Here are a few resources that pediatricians can access now
• Michaela shares some interesting insights about Body Mass Index
• Health should be prioritized over weight

[19:15] Health at Every Size

• Michaela talks about the concept of “health at every size” (HAES)
• Children know how to eat intuitively
• Michaela explains
• What pediatricians should tell kids and adolescents about their bodies
• Here’s an analogy about dogs that you should hear right now

[29:39] Plating at an Early Age

• What if we never weigh a child?
• Listen to our exchange here
• Guidelines and checklists that pediatricians can use 
• Why kids should start plating their food at 3-4 years old
• The things that primary care pediatricians should unlearn

[39:17] Eating Disorders and Mental Health

• The reason primary care providers should advocate for more research
• The right words to say and when to say them
• Connections between eating disorders and mental health
• Focusing on things that the patient can control themselves

[49:05] Learning From Other Disciplines

• Listen to Michaela’s message for her resident self
• The additional experience that might save a life
• Resources about HAES that you can access now

 [52:59] Closing Segment  

• Final takeaways:
• Categories of eating disorders
• Primary care providers and their role in preventing eating disorders
• The importance of awareness about eating disorders among primary care providers
• Rethinking body mass index
• Weight guidelines that providers can use
• Genetics and growth trends 
• Health parameters to considers, not just weight
• The dangers of focusing on weight only
• The concept of “health at every size”
• Advice we can...

https://302.buzz/PM-WhatAreYourThoughts

Our guests for today are brothers, Brandt and Evan Ingber. Brandt is a 23-year-old who works full-time and lives with his brother. Brandt enjoys Pokemon Go, Anime, lightsaber dueling and volunteering with Special Olympics fundraisers and at animal shelters. Meanwhile, Evan is a 25-year old who also works full-time and enjoys outdoor activities, boating, fishing, camping, yardwork, working with his hands and lightsaber dueling. Evan also volunteers in his spare time as a snowboard coach and at fundraisers for Special Olympics.

ACTIVITY CODE 91839

CME INSTRUCTIONS: Completion of these steps are required to earn CME credit. 

TO OBTAIN CME CREDIT: SELF-ATTEST WITHIN 4 WEEKS. GO TO: https://cmetracker.net/MSU/Publisher?page=pubOpen#/EventID/91837/ (case sensitive) 

1. Click on the Sign In option on the left menu. 
2. You will be required to create a profile if you have not used the system before. 
3. Enter the activity code provided on this sheet. 
4. Complete the online evaluation, attest to your time in attendance, and follow the screen instructions to print your certificate. Make sure your computer is set to allow pop-ups from the site or the certificate will not show.

If you have any issues obtaining your certificate, please contact the CME Office at [email protected] or by calling 517-884-8871

CME Activity Information Sheet can be found here.

[00:01] Brandt and Evan Ingber Share Their Story

• Welcome to the first CME series in Pediatric Meltdown!
• What to expect in the 3rd episode of this series
• How to get credits for CME
• I introduce and welcome our guests, Brandt and Evan Ingber

[04:23] The Importance of Trust

• Brandt talks about how he learned he has autism
• Conversations are hard for people like Brandt
• He tells us why
• Parents should be supportive of their children
• Brandt shares his experience with his mother
• Brandt tells a story on how trust can be a big issue
• Brandt’s message for doctors about people with autism
• Is it hard to be in a romantic relationship?

[14:41] Going Through Depression

• Brandt talks about his experience in reading emotions
• What’s next for Brandt? 
• Evan shares his interesting thoughts about autism
• Evan tells us the importance of practicing social skills among people with autism
• He tells the story on how he got involved in social activities
• Evan shares his experience with depression
• When did he ask for help?

[25:04] The Right Kind of Care for People with Autism

• Evan shares his experience getting help with his depression
• How can doctors improve the way they help people with autism
• Here’s Evan’s message for doctors that you don’t want to miss
• The story behind Evan’s tattoos
• What healthcare providers should realize about Autism Spectrum Disorders
• How autism affects a person

[35:15] The Power of Sharing Your Story

• What’s next for Evan?
• Evan puts into perspective his life as a person with autism
• His bravery for sharing his story with someone
• How to earn CME credits

 [40:52] Closing Segment  

• Final takeaways:
• Doctors should realize autism is a spectrum disorder
• Don’t break promises
• The...

Dr. Joshua Prudent is a 3rd year pediatric resident at Nationwide Children's Hospital in Columbus, Ohio, and the District Resident Representative to the American Academy of Pediatrics for District 5 (Ohio, Michigan, Indiana, Ontario). He did medical school at the Johns Hopkins School of Medicine in Maryland, and initially came from the San Francisco Bay Area of California.

Following residency, Josh plans to spend some time working in an urgent care setting before pursuing fellowship in pediatric hematology/oncology. His advocacy interests include immigrant/refugee rights, vaccine advocacy, youth mental/behavioral health, childhood injury prevention and secure pediatric research funding.

[00:01] Dr. Joshua Prudent Shares His Story With Us

• Welcome to the bonus episode of Pediatric Meltdown!
• Here’s why this episode is special
• I introduce and welcome Dr. Joshua Prudent

[02:09] Advocacy on Safe Storage of Firearms 

• Joshua gives us a sneak peek about the Trainees for Child Injury Prevention (T4CIP)
• He talks about their advocacy on #saferstorage of firearms
• Is there a 100% safe option?
• How to give advice people who own firearms
• Joshua shares the mission of the Day of Action on safer storage of firearms

[12:51] Participating in the Day of Action

• How to participate in the Day of Action through our social media accounts
• The kinds of images that we can use for the Day of Action
• Attend T4CIP’s webinar on speaking up for child health
• What people should realize about firearm injuries on children
• The difference between young children and old children

 [22:55] Closing Segment  

• Final takeaways:
• 4.6 million children live in a home with a firearm, and every two hours and 48 minutes a child dies as a result of a firearm injury. 
• The conversations are hard and the emotions run high. But we must be able to talk about keeping kids safe.
• While the safest home for a child is one without a gun, safer storage is the next best thing.
• Removing a firearm from the home needs to be a heart to heart conversation

Key Quotes:

“One of the big goals of this year's campaign is to try to get more families, more community organizations involved in the Day of Action.” - Dr. Joshua Prudent

“Firearm safety has always been a big topic of interest for advocates, especially in the realm of childhood injury.” - Dr. Joshua Prudent

Email [email protected] to reach out to Joshua or check out https://www.nationwidechildrens.org/ to know more about his work.

• REGISTER to this webinar by the T4CIP on Wednesday, Oct. 27, 2021 at 12-1 p.m. ET: Why Ask?: Speaking Up for Child Health
• USE the hashtag  #SaferStorage to continue the conversation on Twitter at 2-3pm EST.
• SHARE your thoughts and messages all day in all your social media platforms #SaferStorage
• Join the conversation on Twitter @CIRPatNCH

Resources Mentioned:

• Trainees for Child Injury Prevention

https://302.buzz/PM-WhatAreYourThoughts

Dr. Stephanie M. Peterson is an Associate Dean of the College of Arts and Sciences at Western Michigan University (WMU). She earned her doctorate in Special Education at The University of Iowa in 1994. She served two 3-year terms on the Board of Directors for the Behavior Analyst Certification Board and was appointed by the Governor of Michigan to the Michigan Board of Behavior Analysts, Michigan’s licensing board for behavior analysts. She served as Board President for 2 years.  

Dr. Sheryl Rosin is a speech-language pathologist, professor, and certified autism specialist with 25 years of experience in the field. She has presented around the world and has been published in research journals on best practices in assessment and intervention for individuals with ASD. She is the owner and director of Palm Beach Speech-Language Specialists in south Florida and the Founder and Consulting Director of The St. Kitts Spectrum Services Centre in St. Kitts, the first autism clinic in the Caribbean.

Dr. Rick Solomon is a developmental and behavioral pediatrician with over 25 years’ experience diagnosing and providing intervention for children with ASD.  Dr. Solomon is a nationally recognized expert in the field of autism science and intervention. He is in private practice at The Ann Arbor Center for Developmental and Behavioral Pediatrics in Ann Arbor Michigan and is the founder of The PLAY Project, an evidence-based, parent-implemented autism intensive early intervention model that uses a developmental, relationship based, and playful approach.  

Kirsten Brown is a licensed Occupational therapist with over 25 years’ experience working with children and families.  She is the owner of First Achievements, PLLC in Hebron Kentucky and provides home-based early intervention and office-based OT services. She has presented workshops for early intervention providers, therapists, and parents on the topic of addressing the social-emotional, sensory, and behavior challenges in early intervention.  Kirsten co-authored the PLAY Project Tele-PLAY manual with Dr. Rick Solomon. 

ACTIVITY CODE 91838

CME INSTRUCTIONS: Completion of these steps are required to earn CME credit. 

TO OBTAIN CME CREDIT: SELF-ATTEST WITHIN 4 WEEKS. GO TO: https://cmetracker.net/MSU/Publisher?page=pubOpen#/EventID/91837/ (case sensitive)

1. Click on the Sign In option on the left menu 

2. Enter your email and password to log into the system. You will be required to create a profile if you have not used the system before. 

3. Enter the activity code provided on this sheet. 

4. Complete the online evaluation, attest to your time in attendance, and follow the screen instructions to print your certificate. Make sure your computer is set to allow pop-ups from the site or the certificate will not show. 

If you have any issues obtaining your certificate, please contact the CME Office at [email protected] or by calling 517-884-8871.

CME Activity Information Sheet can be found here.

[00:01] Early Intervention and Referrals

• Welcome to the first CME series in Pediatric Meltdown!
• What to expect in this series
• I introduce and welcome our guests

[06:48] Raising The Question of Autism

• Sheryl talks about her experience diagnosing autism
• She shares her day-to-day
• The possible red flags of...

https://302.buzz/PM-WhatAreYourThoughts

Dr. Susan Hyman is a Board Certified Developmental Behavioral Pediatrician. She is chief of the division of Developmental Behavioral Pediatrics at the University of Rochester, which includes outpatient specialty services dedicated to diagnosis and ongoing medical consultation and behavioral care for children and youth with autism and other developmental disabilities for a large region of Central and Western NY. 

The division provides inter-professional education for pediatric, nursing and other trainees and has a service that engages in community consultation.  She is the Co-Principal Investigator of the Rochester Site of the Autism Cares Network sponsored by Autism Speaks. Her research interests include medical care and behavioral interventions for children and youth with autism spectrum disorders, diet and nutrition in children with autism, among other areas. 

She has been very active in the American Academy of Pediatrics with a focus on supporting the primary care pediatrician in the identification and care of youth with autism and other developmental disorders in the medical home. Dr. Hyman served 14 years as chair of the Autism Subcommittee and 6 years on the Executive Committee of the Council on Children with Disabilities.  To further these goals, she and her team have been actively involved in ECHO Autism for practices in the Central and Western NY region.

CME INSTRUCTIONS: Completion of these steps are required to earn CME credit. 

TO OBTAIN CME CREDIT: SELF-ATTEST WITHIN 4 WEEKS. GO TO: https://cmetracker.net/MSU/Publisher?page=pubOpen#/EventID/91837/ (case sensitive)

1. Click on the Sign In option on the left menu 

2. Enter your email and password to log into the system. You will be required to create a profile if you have not used the system before. 

3. Enter the activity code provided on this sheet. 

4. Complete the online evaluation, attest to your time in attendance, and follow the screen instructions to print your certificate. Make sure your computer is set to allow pop-ups from the site or the certificate will not show. 

If you have any issues obtaining your certificate, please contact the CME Office at [email protected] or by calling 517-884-8871

CME Activity Information Sheet can be found here.

[00:01] Dr. Susan Hyman Shares Her Story With Us

• Welcome to the first CME series in Pediatric Meltdown!
• What to expect in this series
• I introduce and welcome Dr. Susan Hyman
• Susan shares why she pursue a career as a pediatrician

[07:12] The Clinical Report on Autism

• Susan gives emphasis about the need of patients to receive holistic care
• She raises some questions that pediatricians have to address for children with autism 
• We exchange ideas about this big myth about people with autism
• The overall goal of their Clinical Report on Autism according to Susan
• Physicians should convey to patients they have enough time
• We discuss the first part of the Clinical Report
• The privilege of being a primary care provider
• The screening measures recommended 

[20:13] Why Early Interventions Are Important

• Susan discusses the importance of early interventions
• Is there a difference between children who received early interventions and those who didn’t?
• Susan shares an interesting...

https://302.buzz/PM-WhatAreYourThoughts

Dr. Sarah Stelzner is an academic pediatrician, and the focus of her career has been developing programs in Community Pediatrics and promoting team-based care in the medical home model.  

She is currently the lead faculty in the Our Kids Our Community Advanced Training which was established in 2017 to improve health outcomes of children and youth served by Eskenazi Medical Group (EMG) and now other Pediatric Urban Teaching Clinicians through partnership with their medical groups.  

Dr. Stelzner is the Physician Lead for the Addressing Social Health and Early Childhood Wellness (ASHEW) program for the Indiana Chapter of the American Academy of Pediatrics.  She cares for patients and families and teaches medical students and residents in the International Marketplace neighborhood in a Federally Qualified Health Center (Eskenazi W. 38th st).   Finally, she served as co-president of the Indiana Chapter of the American Academy of Pediatrics and is currently INAAP Legislative Chairperson.

[00:01] Dr. Sarah Stelzner Shares Her Story With Us

• I introduce and welcome Dr. Sarah Stelzner
• The mentors who’ve helped Sarah in her career

[05:03] Early Childhood Wellness

• Sarah talks about the project, “Addressing Social Health and Early Childhood Wellness” (ASHEW)
• Mitigating the harmful impacts of toxic stress and nurturing human relationships
• How promising is the ASHEW Initiative and what is its potential to contribute in relational health?

[16:38] Survey of Well-being of Young Children

• What you should know about the Survey of Well-being of Young Children (SWYC)
• The features of SWYC that families and patients need to know
• Does SWYC have any limitations?
• What to do when positive screens appear
• Sarah talks about the Help Me Grow National Center

[26:44] Mobilizing Family Leaders 

• What families should know about Aunt Bertha
• How we can integrate community health worker models in our approach
• The power of mobilizing family leaders
• Sarah gives us a few tips to improve the language we used with patients

[36:14] Building Relationships and Identifying Strengths of Family and Community

• How pediatricians can join these advocacy groups
• Don’t miss Sarah’s message for her resident self
• Pediatricians need healing too
• Sarah explains
• There have been promising improvements in the relational health space
• Listen to our exchange

 [42:27] Closing Segment  

• Final takeaways:
• Relational health as a strengths-based model
• Sarah’s body of work and its connection with the 2021 AAP Policy Statement on Relational Health
• Learning collaborative models
• Engaging family at the beginning of a treatment
• Screening tools available right now
• How to sustain our work
• Explore resources in your state
• The EBCD resources
• Mobilizing family and community leaders
• Closed loop referrals
• How to ensure that the support provided is what the patient wants
• The ASHEW Initiative
• Keep looking or finding and rejoicing in the magic moments that we have with children and families

Key Quotes:

“...if we can help kids have those positive childhood events, it mitigates what they might be experiencing in terms of social drivers that have negative impacts.” - Dr. Sarah Stelzner

“Step back from trying to fix things and focus on building relationships and...

https://302.buzz/PM-WhatAreYourThoughts

Andrew Garner, MD, PhD, FAAP, is a Clinical Professor of Pediatrics at Case Western Reserve University (CWRU) School of Medicine and a Primary Care Pediatrician with University Hospitals Medical Practices in Cleveland, Ohio. Dr. Garner is a product of the Medical Scientist Training (MD, PhD) Program at CWRU and the Pediatric Residency Training Program at the Children’s Hospital of Philadelphia. 

Dr. Garner is the co-author of the American Academy of Pediatrics’ (AAP) original (2012) and recently revised (2021) Policy Statements on Childhood Toxic Stress. He has also co-authored an AAP-published book entitled “Thinking Developmentally.” Dr. Garner is a past-president of the Ohio Chapter of the AAP, and he has served on several AAP Leadership Workgroups, including Early Brain and Child Development, Epigenetics, and Poverty. 

Dr. Garner is passionate about promoting the safe, stable and nurturing relationships that buffer toxic stress and build the rudiments of resilience

[00:01] Dr. Andrew Garner Shares His Story With Us

• I introduce and welcome Dr. Andrew Garner
• Why pursue pediatrics? 
• Andy shares his reasons

[06:00] Safe, Stable, and Nurturing Relationships

• Andy talks about the effects of adverse experiences to children
• He shares some interesting insights about biological changes due to toxic stress
• Adversity is not destiny and here’s why
• The role of relational health in resolving toxic stress and adverse children experiences
• Why relationships should only be built, but nurtured as well
• Andy explains

[17:40] Public Health Approach and Positive Experiences

• Is there a connection between adversity and positive experiences?
• The role of pediatricians in promoting positive experiences among children 
• How to apply public health approach in addressing adverse experiences
• Don’t miss our exchange about the “universal prevention”
• How pediatricians think in a multi-generational manner

[29:01] Strong Emotions Are Superpowers

• Pediatricians can also support the parents, and here’s how
• Our only lever for change
• Andy breaks down the concept of bio-behavioral synchrony
• What the society can improve on in terms of handling and showing emotions
• He talks about how children can channel strong emotions into worthwhile endeavors

[39:35] Transform Pain, Not Transmit It

• How people really deal with stress
• Pain not transformed is transmitted to others
• Listen to our exchange about anti-vaccine movements
• How can healthcare providers simplify the benefits of vaccines

 [48:20] Closing Segment  

• Don’t miss Andy’s message for his resident self
• Final takeaways:
• AAP’s policy statements on toxic stress and trauma
• The relation between adverse childhood experiences and behavioral outcomes
• Adversity is not destiny
• Safe, stable, and nurturing relationships buffer and create positive experiences
• Building partnerships and systems to lift kids up
• The role of public health approach in promoting positive experiences among kids
• What to understand about relational health
• The social circles around the children
• Building solid therapeutic relationships with parents and patients
• How pediatricians can build their own resilience

Key Quotes:

“All kids need positive experiences to thrive.” - Dr. Andrew Garner

“What we all strive for as human beings is to

https://302.buzz/PM-WhatAreYourThoughts

I am honored to invite Dr. Hovig Artinian back to the podcast to talk about sleep. In this episode Dr. Artinian discusses obstructive sleep apnea and we delve a little deeper into the effects of sleep on behavior.

Dr. Artinian helps us create a differential diagnosis around the symptom of snoring and offers practical tips to help us determine when a sleep study may be indicated. We spend time discussing strategies for improving sleep and sometimes the answers are pretty straightforward - exercise and nutrition. Sit back, relax and listen , but don’t fall asleep!

[00:01] Dr. Hovig Artinian Shares His Story With Us

• I introduce and welcome Dr. Hovig Artinian
• Why Hovig loves to study sleep
• 6 Sleep Domains

[04:45] Obstructive Sleep Apnea 101

• Hovig talks about the obstructive sleep apnea
• What it is and isn’t
• What to look for in a child if you find out they’re snoring
• When to ask for a sleep study according to Hovig
• How sleep can affect the behaviors of children

[14:50] How Sleep Impacts Children’s Behaviors

• The red flags that parents should watch out for 
• The relationship between down syndrome and sleep
• Hovig gives an interesting knowledge about growth hormones
• The effects of the surrounding environment to a child’s sleep

[25:13] Preventing Sleep Disorders

• There’s no such thing as too much love
• Prevention strategies against sleep disorders
• The connection between sleep and trauma
• Don’t miss Hovig’s parting message for us! 

 [36:20] Closing Segment  

• Final takeaways:
• What we should know about the 6 sleep domains
• Does your child snore?
• The BEARS Questionnaire might help
• Dig a little bit deeper into the snoring of your child
• Be uneasy of the child is always uneasy
• Poor sleep among children can look like ADHD, depression, mood disruptions, and irritability
• The environment has an effect on a child’s sleep
• Sleep study as the gold standard to determine obstructive sleep apnea
• The uses of CPAP masks
• Other conditions where sleep disorders should be considered
• Preventing sleep disorders

Key Quotes:

“Certainly, having sleep problems can cause behavioral problems. It can worsen inattention, it can worsen hyperactivity, or irritability.” - Dr. Hovig Artinian

“If they snore do more!” - Dr. Hovig Artinian

Email [email protected] to reach out to Dr. Artinian and check out Helen DeVos Children’s Hospital to know more about his space.

Resources Mentioned:

• Pediatric Meltdown Ep. 25: Kids and Sleep Why Getting Enough ZZZ's Matters
• BEARS Questionnaire
• Michigan Child Collaborative Care

If you’d like to connect with me, you can find me on LinkedIn, Facebook,...

Trigger warning: suicide

https://302.buzz/PM-WhatAreYourThoughts

Dr. Zakia Alavi returns to the podcast to talk about physician burnout and suicide. This is a difficult conversation and for some this episode may be difficult and you may not be in a place to listen. If you are struggling please reach out to the National Suicide Prevention line 800-273-8255, the Crisis Text Line - text "HOME" to 741741 or the new Physician Support Line staffed by our psychiatrist peers - 888-409-0141.

We will be exploring the barriers physicians and other healthcare clinicians face when struggling with mental health concerns. The mental health stigma is real and many, even those in very dark spaces, may not seek help because of fear of repercussions, job loss and shame. While we may wear the superhero cape (stethoscope) and aspire to be superheroes, we are not super human only human. Many of us trained in an era of trial by humiliation and intimidation and learned that vulnerability of any kind was not an option. Today we share warning signs that you may be reaching your burnout threshold, crisis resources and a message of hope that we are here for each other.

[00:01] Dr. Zakia Alavi Shares Her Story With Us

• I introduce and welcome Dr. Zakia Alavi 
• Zakia shares her thoughts about physician suicide 
• Suicide is more complicated than most people think

[07:13] Recognizing One’s Struggles 

• Healthcare professionals can also be “not okay” too
• Why our competitiveness as humans can do us more harm than good
• We often feel guilty for not accomplishing all our tasks during the day
• How to stop this feeling

[17:06] Warning Signs Among Physicians

• Zakia talks about the biopsychosocial model
• What is it and why should we know about it?
• Check yourself and your colleagues too!
• Here’s how
• The airport sign that can be applicable for physicians 
• We have an interesting exchange about physicians being difficult patients

[27:04] How Physicians Can Ask for Help

• Here are some practical tips for physicians to take a break
• Who can physicians call when they need help?
• The number one thing we think about when we hear “trauma”
• We talk about this certain stigma about physicians 
• Why medical students should be taught how to say “no”
• The difference between suicide occurrences between male and female physicians

[39:53] Opportunities for Physicians to Help 

• Start speaking up to the healthcare leaders to make a positive change
• Don’t miss the opportunity to help when you feel you or others need help
• Contact details to take note of in case you need help

 [44:02] Closing Segment  

• Final takeaways:
• Warnings signs we should look out for
• Impact of burnout on physicians
• Self-care ingredients
• When should you ask for help?
• Suicide Prevention Hotlines

Key Quotes:

“A physician lost to suicide impacts so many people, so many more people than probably other professions.” - Dr. Zakia Alavi

“If you see something, say something...to yourself, to others.” - Dr. Zakia Alavi

Email [email protected] to get in touch with Dr. Alavi and visit https://raind.msu.edu/ to learn more about her work.

• Physician Support Line 1-888-409-0141 staffed by psychiatrists for...

https://302.buzz/PM-WhatAreYourThoughts

The simple act of asking LGBTQ youth, “how do you want to identify yourself? '' is already a big step towards making the world a better place for them. Another point of discussion that should be raised regarding this matter is mental health, specifically on how we can transform the culture of stigmatizing and victimizing these young people to one that simply recognizes them as humans, regardless of their Sexual orientation or gender identity.. The right questions to ask LGBTQ youth, alongside other related topics on their mental health, are what we discussed with Dr. Erin Klein and Dr. Karen Bernstein today. 

Dr. Klein is a third-year pediatrics resident at Northwestern University - Ann & Robert H. Lurie Children’s Hospital of Chicago while Dr. Bernstein is an Adolescent Medicine clinician and educator with special interests in adolescent reproductive health, adolescent weight management (including obesity and eating disorders), and adolescent primary care for underserved youth.

[00:01] Dr. Erin Klein and Dr. Karen Bernstein Share Their Story With Us

• Erin and Karen talk about where their paths have crossed 
• Don’t miss our discussion about “coming out” among the LGBTQ youth

[07:32] The Right Questions to Ask 

• How “Queer” has been reclaimed by the youth of today
• Language is crucial 
• Ask kids these questions if you want to know more about their sexual orientation
• We discuss making the youth’s identity “official” in electronic medical records (EMRs)
• Why confidentiality is a crucial factor for LGBTQ youth

[17:24] Making Mental Health Services Accessible

• We have an interesting discussion about mental health among LGBTQ youth
• Are mental health services accessible for the LGBTQ youth?
• Advocacies don’t always need to be big projects 
• Here’s what Karen thinks 

[27:28] How to Rally People to Join Our Advocacies

• Do you want to learn more about mental health among LGBTQ youth?
• Karen shares some resources you can check out now
• The initiatives of the American Academy of Pediatrics on LGBTQ issues
• Writing for publications is another powerful step to rally people and call on legislators

[37:57] What Erin and Karen Will Say To Their Younger Selves

• Erin tells the young version of her that things will always get better 
• Don’t miss Karen’s message for her resident self 

 [42:24] Closing Segment  

• Final takeaways:
• Words do matter
• Don't make assumptions when you go into a room. Be open and listen
• Questions to ask and how to phrase them
• Many EMRs now capture sexual orientation and gender identity or SOGIE data to allow preferred pronouns and names.
• The mental health of our teens is critical.
• The current problem is stigmatizing and victimizing LGBTQ youth 
• Resources you can access now 
• Links below
• Consider hospital committee policies and EMR options.
• Reaching out to school boards can be powerful.
• On the state and national level, learn about state legislation and speak up for LGBTQ youth
• Write op-eds blogs and post on social media
• If you're an AAP member, consider joining the section on LGBTQ health and wellness
• Practice with love

Key Quotes:

“It’s not being LGBT that causes these mental health problems. It’s living in a household or attending school or being in a community or society that doesn’t affirm your identity that’s more...