Pediatric Meltdown

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On this episode of Pediatric Meltdown, I welcome Dr. Chris Barnes, Chief Executive Officer at Kalamazoo Counseling and Assessment Center. We discuss psychological assessment reports and why we should still read and understand them. Dr. Barnes also shared some tips to write these reports in an engaging manner and in a language that the target readers can understand.    

This is because psychological reports are often too long and use language most can't comprehend. This leads Dr. Barnes to an ever-flowing state of creativity and translates this into his clinical work through refining clinical assessment documents and leveraging technology to meet the needs of providers and other stakeholders. Chris's hope is to increase the efficiency of clinical communication without sacrificing clinical care.

Dr. Barnes is a licensed clinical psychologist whose clinical work is focused on integrative clinical assessment. As an assessment psychologist, he is passionate about effective communication and customer service. He will join us today to talk about psychological assessment reports and why medical practitioners should still make an effort to understand them. 

[00:01] Dr. Chris Barnes Shares His Story with Us    

• Why Dr. Barnes wanted to be a clinical psychologist
• Science and human interactions in one 
• What revealed Dr. Barnes’ “inner nerd?”
• Dr. Barnes makes a difference among social work, counseling psychology, clinical psychology, and assessment psychology
• The thing is that they should not be lumped together 

[07:10] The Right Assessment to Determine the Patient’s True Situation 

• Dr. Barnes shares his thoughts about pediatricians partnering with psychologists when assessing patients
• Specificity and sensitivity in utilizing measures 
• We talk about the key differences between screening tools and diagnostic tools 
• You should consider psychological assessments if the situation meets these criteria 
• The right assessment should be administered to fully determine the situation and think of a plan for the patient 
• Why feedback is important 

[17:34] A Readable and Engaging Psychological Assessment Report  

• Communicating the results of a psychological assessment report 
• Many of us are actually over-documenting and here’s Dr. Barnes’ advice to break this habit 
• It’s about identifying the target audience groups of the report 
• How to spot a good psychological report 
• Diagnosing learning disabilities
• The challenges of school systems not following the recommendations of a psychological report 

[32:53] The Right Way to Refer Someone for an Assessment 

• Dr. Barnes talks about the metaphor he often uses for his patients 
• The two common reasons for holding an Individualized Education Program meeting as discussed by Dr. Barnes 
• Why we should keep our colleagues close to us according to Dr. Barnes 
• A better understanding among kids about why they will be diagnosed with a treatment plan is crucial
• If you’re referring someone for an assessment, here’s what you need to do

 [47:19] Closing Segment 

• Dr. Barnes shares some points to consider when referring a patient to someone like him 
• Is writing assessment reports boring?
• Dr. Barnes weighs in 
• Final Takeaways: 
• Referral to a therapist or psychologist can mean several...

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Welcome to Pediatric Meltdown! I’m your host, Dr. Lia Gaggino. Today, I'm welcoming both of my daughters Elyse and Julia and they're going to be talking about parenting styles; their dad’s and mine. 

I just thought it might be fun to hear from an adult “kid's” perspective what it's like growing up in a household when Mom's a doctor and dad is way more fun. My husband has gotten us through the ups and downs of parenting. And I really couldn't have done it without him. So this podcast is really a tribute to him. And this conversation with my daughters was just really fun! So sit back and enjoy.

I hope it's something light and that you'll find something you can relate to. 

[01:55] A Fun Chat with Elyse, Julia and Dr. Lia on Childhood Memories

• Walking through Elyse and Julia’s lives and what it was like parenting them from birth to toddler years 
• Elyse and Julia share fun things about bath time that they remember as children 
• Healthy meals, nutritious food, and Pop-Tarts: Mom vs. Dad
• While Dad let the girls eat in front of the TV, bought Pop-Tarts, and packed the girls fun lunches with cards, Mom preferred to feed the girls nutritious food. Mom makes a killer noodle casserole and Dad’s culinary creativity went a little too off the rails, sometimes.  
• Fun activities with Dad and Mom 
• Dad was the supportive, easy-going coach who brought snacks to the girls' games and took them to the carnival. Mom did fun activities outdoors, bike rides, swimming, and crafts. Mom gets extra points for party planning!
• Gift giving 
• Dad gives very interesting gifts. 

[14:23] Personality Differences Between Mom and Dad  

• Dr. Lia, Elyse, and Julia talk about more differences between ‘Mom and Dad’ especially mentally and emotionally. Mom and Dad’s differences balanced each other out and in a way completed each other.  
•  Dr. Lia talks about lessons learned in wanting to always rescue her girls from emotional discomfort right away.  

[20:32] Parenting Advice From the Adult ‘Children’  

• Dad’s Fashion Collection
• Advice from Elyse and Julia on parenting 
• Find your complement, not your clone
• Try not to take it so seriously   
• If you're going to break the rules. talk to dad, not mom

 [24:17] Closing Segment  

• Final words from Dr. Lia 

Key Quotes:

“Find your compliment, not your clone. You need a little balance.” - Elyse Parzyck

“How about you do also like tie knots take it so seriously.” Julia Parzyck 

“And I just want to reassure you not to worry too much about being perfect and that our kids are resilient. And if we have those safe, stable, nurturing relationships with adults and kids, we can get them through and be resilient. So trust yourself, do the best you can, and give yourself a break.” - Dr. Lia Gaggino  

“Don't take yourself too seriously, relax, and you get a lot of brownie points just for trying.” - Dr. Lia Gaggino  

If you’d like to connect with me, you can find me at LinkedIn, Facebook, and Twitter or email me at

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On this episode of Pediatric Meltdown, I welcome Dr. Jenn Kuhn. We discuss everything from baby worries to how we as practitioners can help our patients as they enter parenthood. Being a parent is difficult, but it does bring some of the greatest rewards, so it’s ok to give yourself a break.  

Dr. Jenn Kuhn is a pediatric psychologist working in integrated primary care at Nemours Alfred I duPont Hospital for Children in Wilmington, Delaware. She received her bachelor's degree and master's degree in psychology from Tulane University in New Orleans and received her Ph.D. in clinical psychology from Western Michigan University in Kalamazoo, Michigan in 2016. Dr. Kuhn and I crossed paths when she completed her pre-doctoral internship in Pediatric Psychology at the Munroe Meyer Institute at the University of Nebraska Medical Center in Omaha, Nebraska, and completed her postdoctoral fellowship in pediatric integrated behavioral health at Nemours Alfred I duPont Hospital for Children. 

In her current role, she works in two pediatric primary care clinics. Her clinics serve patients aged 0 to 21. She is responsible for providing prevention-based services, psycho-educational services, consultation and education to medical trainees and staff, warm handoffs and consultation with patients, short-term therapy, and brief intervention assessments. 

Her specific areas of interest include early intervention services, postpartum depression, and anxiety screening, postpartum wellness, management of disruptive behaviors, ADHD, assessments, anxiety, and sleep in providing clinical services. She supervises psychology residents, postdoctoral fellows, and provides behavioral health education to medical students and residents. 

Clearly, Dr. Kuhn is very busy in pediatric clinics. Stay tuned for the interview and hopefully, you can see where this might fit into your practice.

[00:01] Dr. Jenn Kuhn Shares Her Story with Us    

• Why Dr. Kuhn wanted to be a clinical psychologist
• Dr. Kuhn first heard of integrated behavioral health from a book and then in the middle of her graduate school career. Wanting to get involved in more preventative measures rather than reaching kids at their breaking point, she began to pursue integrated behavioral health
• How integrated behavioral health serves the patients Dr. Kuhn sees and why it should be regularly practiced 

[13:23] New Babies and Postpartum Mothers   

• On Dr. Kuhn’s newborn baby! And whether or not being a pediatric psychologist prepared her to be a mom 
• Why OBGYNs should ask how mothers are doing mentally and administer the Edinburgh Postnatal Depression Scale (EPDS) 
• Looking to patient’s partners to know them best and when to get help 
• 40% of moms have some risk factor

[22:07]  What Do Parents Need From Their Pediatrician?     

• Guidance, education, reassurance, and validation 
• With so much fear, shame, and bad advice surrounding motherhood, we as practitioners need to support our patients by giving them a nurturing environment in which they are comfortable to ask questions and not ashamed.   
• Ask how your patients are doing: The asking is in and of itself therapeutic, because it helps kind of chase away shame that if I'm asking you, it must not be that bad, that you would share that something difficult happening 
• Don’t worry if every moment of motherhood doesn’t feel magical 
• Even if all you can do is provide some resources, and be there to listen, that helps...

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I am so excited to welcome another pediatric trainee to the podcast. My guest, Dr. Nina Kuei, MD has always aspired to be a physician. After a long journey, including 6 years of working in the medical field between undergrad and medical school, she’s found herself in her happy place; Pediatrics. Nina received her medical degree from the Medical College of Georgia and completed her pediatrics residency at the Grand Rapids Helen DeVos Children's Hospital in Michigan. She'll be moving to Cleveland, Ohio for her Developmental-Behavioral Pediatrics Fellowship and wishes to pursue a Sleep Medicine Fellowship afterward.  

Nina has a passion for diversity, equity, and inclusion topics in clinical medicine. Nina co-founded the pediatric program’s Diversity and Inclusion Committee. Today, we’ll be talking about Microaggressions and how we can improve the clinical medicine workspace for everyone.

[00:01] Dr. Nina Kuei Shares Her Background With Us   

• Growing up and receiving her medical training in the south, Dr. Kuei moved out to Grand Rapids, MI to be a Pediatrics Specialist  
• She didn’t plan to go into pediatrics initially, but she discovered how fulfilling it was for her.  
• She initially wanted to pursue a fellowship in Sleep Medicine, but then decided to go for Developmental-Behavioral Pediatrics first 

[06:05] What Are Microaggressions?   

• With the current social climate of rampant hate crimes against Asians and the unrest surrounding George Floyd’s death, microaggressions are a topic we need to be discussing.   
• Dr. Kuei explains what microaggressions are
• Acts or language that communicates bias towards another person or group 
• Stems from systemic racism 
• Often times are subconscious   
• How microaggressions feel to the receiver
• Dr. Kuie explains microassaults, microinsults, and microinvalidations  
• Educating ourselves and seeking to understand 

[16:53]  How We Can Educate Ourselves To Understand and Avoid Causing Microaggressions     

• Implicit bias testing 
• See links below for articles, podcasts, and resources for self-educating on this topic 
• If you witness a microaggression, do something about it 
• Microaggressions that are prevalent in the medical field 
• Microaggressions from patients 
• Microaggressions within an interprofessional team 
• Dealing with microaggressions as the receiver 
• The power of self-affirmation  

[27:14]  Dr. Nina Kuei’s Quality Improvement Project Regarding Microaggressions   

• An educational intervention 
• Taking medical providers from a 17% to a 63% level of confidence in their ability to identify microaggressions 
• Standing up for victims helps validate them and opens up doors for conversation 
• The importance of discussing microaggressions 
• Being comfortable with being uncomfortable 
• We all have our own innate biases
• We have to be vulnerable enough to admit our own weaknesses without shaming    

 [37:24]   Closing Segment 

• What advice would you give your younger self? 
• I would allow myself a lot of grace 
• Final Takeaways: 
• Nina describes microaggressions as small signals towards marginalized populations that may demean, insult or hurt the...

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Today’s episode is a wrap-up of May’s Mental Health Month on our Suicide Prevention series and will feature a clinician who is using the Ask Suicide-Screening Questions (ASQ) Toolkit in real life. 

Dustin Bogan is a Board Certified Pediatric Physician Assistant and a Fellow of the American Academy of Physician Assistants, The Virginia Academy of Physician Assistants, and The Society for Physician Assistants in Pediatrics.

After growing up in rural Virginia, he attended Shenandoah University for his bachelor's degree in Biology. He minored in Psychology and then got his master’s degree as a Physician’s assistant. After graduation, he began working immediately in primary care pediatrics. 

He is at Pediatric & Adolescent Health Partners and strives to combine his personal background, medical knowledge, and passion for mental health in his career. He serves as a care coordinator and facilitates the trauma-informed leadership team in his practice. He is also an adjunct professor at South University, educating students on pediatrics and topics related to mental health.    

The Hotline for Suicide Prevention is 1-800-273-8255. Crisis Text Line: text HOME to 741741   

[02:31] Dustin Bogan Shares His Background    

• Growing up in a rural area in Virginia, Dustin didn’t have access to a pediatrician
• Seeing so much needed around him inspired Dustin to go into a helping profession 
• At Pediatric & Adolescent Health Partners Dustin met Dr. Abernathy     
• There are only 8000+ Child Physiatrists in the whole country  

[07:02] The Impact Dustin Sees on Mental Health in His Practice  

• The uptick of suicidality due to COVID-19   

[09:28]  Why Dustin’s Practice Decided to Start Generalized Screening for Mental Health    

• Dr. Abernathy and Dr. Horowitz opting to do a research study which led to findings of 12% of patients with suicidal ideations 
• Barriers to implementation
• Are parents upset about it? 
• workforce issue in terms of flow  
• How are nurses and staff able to get involved
• Dustin shares a story of how the ASQ Toolkit identified a patient in his practice with suicidal ideations and help save his life 
• Being able to convince the staff to adopt general screening when they saw its necessity firsthand 
• Parents reactions to the general screening 
• The ages that Dustin’s practice screens 
• How to screen kids that come in with chronic headaches, tummy aches 
• Research has proven that kids that come in with chronic abdominal pain, chronic headaches, etc., are likely to have a history of trauma or an underlying mental health disorder  
• How to handle positive screening results
• Building a smooth process for handling patients that screen positive 
• Zero Suicide Framework
• Lead, Train, Identify, Treat, Engage, Improve, and transition
• Creative ways practitioners can partner up with experts   
• Get comfortable with being uncomfortable
• Tools and resources (Links below) 
• Creating a Trauma-Informed Leadership Team 

[41:53]   Closing Segment 

• What advice would you give your younger self? 
• Embrace the moment, learn from the present and not take opportunities for granted.  
• Final Takeaways: 
• Dustin’s group started screening for suicide risk intentionally after Dr. Abernathy...

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Today’s episode is an encore of an interview I did with Dr. Lisa Horowitz last fall. Suicide is the second leading cause of death in youth 15-24. Dr. Horowitz talks about how pediatricians can incorporate the Ask Suicide Screening Questions (ASQ) screening tool into their practice to help identify children and adolescents at risk of suicide and to link them to coordinated care.   

Dr. Lisa Horowitz is a Staff Scientist and Pediatric Psychologist at the Nation Institute of Mental Health Intermural Research Program at NIMH. The major focus of her research has been detection of suicide risk in the medical setting. She is the head PI in several ‘Suicide Prevention Protocols’ using the ASQ Toolkit. She assists hospitals, schools, and pediatric centers in implementing Suicide Screening of patients.   

The Hotline for Suicide Prevention is 1-800-273-8255. Crisis Text Line: text HOME to 741741 

[00:01 - 10:54] Dr. Lisa Horowitz Shares Her Story   

• I introduce my guest, Dr. Lisa Horowitz
• Dr. Horowitz shares a bit of her background 
• How Dr. Horowitz got into her line of work 
• Realizing the need for developing a suicide screening tool 
• The Creation of ASQ   

[10:55 - 22:25] How To Implement Suicide Risk Screening When It’s Outside of Your Medical Training 

• The pushback Dr. Horowitz experienced when trying to implement Ask Suicide Screening Questions (ASQ) Toolkit
• Creating a script for Nurses or practitioners that will help parents and patients feel comfortable 
• Using appropriate language when checking up on patient’s mental health 
• Doctor’s fear about patient’s screening positive for suicide risk   

[22:26 - 49:48]  How What Dr. Horowitz Did in the Emergency Room Translates To Primary Care  

• Despite suicide being the 2nd leading cause of death, most health care professionals are not trained in dealing with it 
• Dr. Horowitz tells a pediatrician superhero story about Dr. Ted Abernathy
• “He’s not worried about all the ones he’s going to catch. He’s worried about the ones he’s going to miss.”  
• What a practitioner should do if they get a positive screening 
• Conducting the 2nd tier safety assessment
• Creating safety plans for the patient with the ASQ toolkit  
• Having experts with mental health experience and training in the clinic is ideal
• Partnering with mental health professionals or partnering with your local crisis hotline 
• Having the patient return to your office in a few days until you can secure them with a mental health professional    
• Asking about access to lethal means particularly firearms
• Disrupting at-risk patient’s means of suicide can be a big lifesaver 
• Fostering resilience 
• Checking your own emotional regulation 

[49:48 - 00:00]   Closing Segment 

• Pediatricians can make a difference 
• To learn more about the ASQ, please refer to the link below 
• Final Takeaways: 
• The ASQ is a lot more sensitive than the PHQ9 
• It is OK to ask parents to step outside the room 
• It’s a myth that asking will put suicidal ideas who weren’t thinking about suicide 
• This can be implemented in a primary care setting; Listen to next week's episode on how it can be implemented in a way it makes sense 
• We can make a difference by using these 5 questions 
• Never forget to ask...

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My guest today is Christopher Thomas Veal, a 4th-year medical student at The Larner College of Medicine in Vermont. Christopher earned his Bachelor of Science in Studio Art and Biochemistry at The University of Vermont. He has served on the Vermont Governor’s Council for Child and Family Prevention Programs and has led several activist groups while in medical school. He has also published essays centered on mental health advocacy and social justice in the annals of internal medicine and academic medicine. Currently, he is directing a film series centered on medical student’s mental health called The Larner Stories Project  

Caution: This episode discusses the subject of suicide and may be a trigger for some. If you or someone you love struggles with suicidal thoughts, please reach out. The Hotline for Suicide Prevention is 1-800-273-8255 or Crisis Text Line: text HOME to 741741     

[00:01 - 36:20] Christopher Shares His Story  

• As Christopher journeyed into medical school, the heavy pressure of failure, expectation, discrimination, and isolation drove him into depression. 
• Calling his late friend’s mother saved his life. Christopher began going to therapy, got the support system that he needed, and embraced failure as an avenue for growth.  
• In 2020 Christopher experienced an awakening in recognizing the role he had in activism after experiencing the pain, death, discrimination and financial turmoil COVID-19 brought onto minorities
• Christopher began sharing stories of lived experiences in order to help others 

[36:20 - 46:54] The Longing for Belonging 

• Christopher felt the importance of letting people know suicide is not the only option. 
• Dr. Lia and Christopher discuss how the privilege of accessing mental health may not even have been something people of color realized was an option for them.  

[46:55 - 54:14]  Christopher’s Activism in Kenosha 

• Mental and Physical health care is a right, not a privilege. 
• Christopher’s pursuit into psychiatry and primary care comes from a hope to serve his community and provide a place of belonging for people of color who have been minoritized

[54:15 - 00:00]  If You Could Go Back and Give Yourself Advice What Would It Be?  

• To recognize that failure will build you into who you will become. To not live in fear but to live honestly, passionately, and authentically.  
• To connect with Christopher Veal please visit the links and resources below 
• Main Takeaways:  
• It is critical that medical training programs create a safe and welcoming place for medical students.
• Out of hopelessness, there is hope and help. 
• Medical training continues to promote the stigma of failure and culture of perfectionism 
• As a black man Christopher shared a painful reality. “There is a target on my back that follows generations of racism and dehumanization.”   
• Black patients may not seek mental health because it historically has not been seen as an option. This is exclusionism.  
• Activism is an obligation to change minds and change hearts. 
• A message to medical students; Asking for help works, therapy help and there is no shame in failure.  

Tweetable Quotes:

“When I started looking at failure as an opportunity instead of a liability, that’s when things started to turn around.” - Christopher Veal

“We burn out, we break from the...

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May is Mental Health Awareness month and today’s episode begins a 4 part series dedicated to suicide prevention. 

My guest today is Anne Moss Rogers the Emotionally Naked public speaker, registered suicide prevention trainer, TEDx storyteller, and NAMI Virginia fundraising chair. Anne Moss is the author of the award-winning book, Diary of a Broken Mind, and her second book Emotionally Naked: A Teacher's Guide to Preventing Suicide and Recognizing Students at Risk will be out in August of 2021.

Anne Moss helps people foster a culture of connection to prevent suicide, reduce substance misuse, and find life after loss.

Caution: This episode discusses the subject of suicide and may be a trigger for some. If you or someone you love struggles with suicidal thoughts, please reach out. The Hotline for Suicide Prevention is 1-800-273-8255 or Crisis Text Line: text HOME to 741741     

[00:01 - 16:43] Anne Moss Shares Her Story About Her Beloved Son, Charles 

• Anne Moss highlights the difficulty in being able to get a diagnosis or the help they needed from health professionals
• Charles had seen 3 health professionals in the 2 week period prior to his suicide
• In Trying to deal with the devastation Anne Moss started the Emotionally Naked blog and started writing about her experience. 
• Her writing went viral, reaching those who shared her story 
• The moment Charles lost faith in the Mental Health system 
• Shame is a focus on self, guilt is a focus on behavior. Shame is “I am bad.” Guilt is “I did something bad.” - Brene Brown 

[16:44 - 27:02]  What Do Pediatricians and Primary Care Practitioners Need to Know?     

• Looking out for signs of self-harm and drug use
• Anne Moss’ Free Ebook resource titles ‘Signs of Drug Use’ (links below)
• Relationship disruptions
• Transitions
• Susceptible to physical illness 
• Identity issues 
• Mental health issues
• Previous attempts 
• Exposure to suicide 
• Pediatricians need to be prepared for their patients’ honesty and answers if they are going to be screening for suicide prevention  

[27:03 - 32:10] Get Comfortable Being Uncomfortable

• Set the expectation that you will be uncomfortable 
• Asking and listening with empathy is the best thing one can do   
• We need to make kids a part of their treatment process  
• Ensure the child to know that somebody is in their corner 

[32:11 - 40:49] Things Pediatricians Can Do If Their Patient Admits to Being Suicidal   

• Brief assessments
• Ask Suicide-Screening Questions (ASQ) Toolkit (link below) 
• The potential that universal suicide screening for every visit has to intervene and save lives   
• Approaching and having the conversation with the patient’s parents 
• Taking a gentle but authoritative approach 
• Recovery is possible and probable. We can offer hope by listening and riding the ride.  

[40:50 - 48:15]  Closing Segment 

• To connect with Anne Moss check out her links and resources below 
• Anne Moss shares her finals thoughts
• My Takeaways: 
• Medical Personal didn’t want to discuss suicide and ignored mental health subjects because they felt frozen 
• Get comfortable with being uncomfortable  
• If someone has disclosed that they have suicidal thoughts, the next strategy and phase...

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This May for Mental Health Month, I have dedicated 4 episodes to suicide prevention. Suicide is the second leading cause of death in youth, and we have to know what to do and how to help. Our kids and families are depending on us!. 

[00:01 - 03:39] An Upcoming Series for Mental Health month

• In the upcoming episodes, you will hear stories of lived experiences, suicide prevention screening, and universal suicide screening.  

[03:40 - 05:40]  Being an Advocate for Our Patient’s Well-Being

• Please send feedback and share this series with others. 
• How we provide mental health care in this country is flawed and fractured.
• We are aiming for change and a better system for all  
• Every patient must have access to mental health care as well as physical health care    

[05:41 - 06:40] Trigger Warning

• A word of caution, some of the topics discussed are going to be very sensitive. If they are a trigger for you or a loved one the Hotline for Suicide Prevention is 1-800-273-8255 or Crisis Text Line: text HOME to 741741 

Tweetable Quotes:

“We have to start looking at children and all of us as whole beings. No matter where you are, your emotional being is with you and it's with our patients too. If we’re not paying attention to that then we're going to miss the boat and we may even make the wrong diagnosis.” - Lia Gaggino   

“My goal is that everyone will take this to heart and be an advocate for our patients’ emotional well-being.” - Lia Gaggino   

Resources Mentioned:

• Youth.Gov: May is National Mental Health Month
• CDC: Underlying Cause of Death in Youth, 1999-2019

If you’d like to connect with me, you can find me at LinkedIn, Facebook, and Twitter or email me at [email protected]. To learn more about me visit https://www.medicalbhs.com/

LOVE WHAT YOU HEARD? Leave us a 5-star review so we can continue to provide you with great content. Share this episode and help people know more about children’s health and well-being.

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In this special episode dedicated to medical students, residents and fellows, Dr. Josh Prudent and Dr. Amrit Misra join me as we talk about mental health training, mental health advocacy, addressing our own biases as practitioners, how ACE impacts the populations we serve, and the stigmatization around practitioners' own mental health struggles.

Mental health concerns affect all areas of medicine and pediatrics is no different. Because pediatrics provides an opportunity for prevention and early identification, it is critical that our trainees receive in-depth mental health training in order to promote emotional well-being.

Josh Prudent is a 2nd-year Pediatric Resident at Nationwide Children's Hospital in Columbus, Ohio, and the District 5 resident representative to the American Academy of Pediatrics. He completed medical school at the John Hopkins School of Medicine. Dr. Prudent is pursuing a fellowship in Pediatric Hematology-Oncology. His advocacy interests include immigrant and refugee rights, vaccine advocacy, youth mental health and behavioral health, and secure patient pediatric research funding. 

Amrit Misra is a 3rd-year Pediatric Cardiology fellow at Children's Hospital of Michigan. He completed medical school at the University of Michigan and completed his Internal Medicine-Pediatrics training at Detroit Medical Center. He served as one of the Pediatric Chief Residents at Children’s Hospital and his clinical interests include adult congenital cardiology, community and global health, and transitional medicine. 

Please join me in welcoming Dr. Prudent and Dr. Misra   

[00:01 - 03:54] Opening Segment

• Dr. Amrit Misra talks about his background and his involvement in the American Academy of Pediatrics.   

[03:55 - 8:54] Advocacy Projects for Mental Health  

• Dr. Misra talks about the AAP’s Section On Pediatric Trainees’ focus on mental health for this year’s annual advocacy campaign 

[08:55 - 15:42] Are Medical Students, Residents, and Fellows Receiving Adequate Mental Health Training?   

• Dr. Misra’s thoughts on how medical school and residency can further bridge the gap of training required to fit the vast needs of mental health.  
• Dr. Josh Prudent joins the interview and gives his thoughts.

[15:43 - 29:41] How Are You Integrating Your Adverse Childhood Experiences Training Into the Work You Are Doing?   

• Dr. Prudent incorporates ACEs into his patient’s medical care and talks about the nuances of approaching these conversations with clients.   
•  Dr. Misra shares where he sees ACEs impact his patients 
• The need to provide more holistic care and for pediatricians to uncover biases within themselves in order to properly diagnose  
• Approaching biases with a level of humility and desire to improve patient care. 

[29:42 - 44:06] Medical Students and Mental Health 

• The stigmatization around mental health and the shame and fear of failure surrounding getting help.  
• Burnout and the shift in perspective of making sure medical students are aware of their wellness 
• Dr. Prudent and Dr. Misra share their appreciation for very good attendings 

[44:07 - 49:37] IWhat Advice Would You Give Your Younger Self?  

• Dr. Misra would tell his younger self to relax and enjoy the process. 
• Dr. Prudent advises to maintain strong relationships with your friends at every stage in your...