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 ...
Jan 22, 2021•14 min•Season 4Ep. 17
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 Pediatri...
Jan 12, 2021•35 min•Season 4Ep. 16
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 eme...
Jan 06, 2021•27 min•Season 4Ep. 15
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...
Jan 05, 2021•29 min•Season 4Ep. 14
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...
Dec 15, 2020•33 min•Season 4Ep. 13
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 ...
Dec 08, 2020•51 min•Season 4Ep. 12
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 discu...
Dec 02, 2020•40 min•Season 4Ep. 12
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...
Dec 01, 2020•26 min•Season 4Ep. 11
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...
Nov 20, 2020•15 min•Season 4Ep. 10
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. P...
Nov 18, 2020•40 min•Season 4Ep. 9
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...
Nov 12, 2020•36 min•Season 4Ep. 8
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 overwhe...
Nov 04, 2020•26 min•Season 4Ep. 7
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...
Nov 03, 2020•23 min•Season 4Ep. 6
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 scali...
Oct 27, 2020•43 min•Season 4Ep. 5
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...
Oct 20, 2020•25 min•Season 4Ep. 4
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 pa...
Oct 07, 2020•24 min•Season 4Ep. 3
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 impact...
Sep 29, 2020•28 min•Season 4Ep. 2
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 substantia...
Sep 22, 2020•22 min•Season 4Ep. 1
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, chartingpediatrics@childrenscolorado.org...
Sep 18, 2020•12 min
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,...
Sep 15, 2020•31 min•Season 3Ep. 69
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 top...
Aug 31, 2020•24 min•Season 3Ep. 68
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 batht...
Aug 27, 2020•27 min•Season 3Ep. 67
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 billio...
Aug 20, 2020•34 min•Season 3Ep. 66
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....
Aug 18, 2020•31 min•Season 3Ep. 65
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 listener...
Aug 11, 2020•21 min•Season 3Ep. 64
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 resour...
Aug 04, 2020•31 min•Season 3Ep. 63
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. ...
Jul 29, 2020•40 min•Season 3Ep. 62
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:...
Jul 23, 2020•45 min•Season 3Ep. 61
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...
Jul 16, 2020•35 min•Season 3Ep. 60
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...
Jul 01, 2020•33 min•Season 3Ep. 59