General Pediatrics

How Important is Fasting for Pediatric Routine Cholesterol Screening?
How Important is Fasting for Pediatric Routine Cholesterol Screening? 1024 575 Andrew Tran, MD

A nonfasting lipid panel is a great first-line screening tool to use. While it is ideal to have a fasting lipid panel, this can be difficult to obtain in practice. For the purposes of screening, I think that it is much more important to go ahead and get the nonfasting lipid panel while the patient…

read more
Taking on Bronchiolitis in the Age of COVID-19
Taking on Bronchiolitis in the Age of COVID-19 1024 575 Eric Butterman
small baby with nose canula

In a recent episode of PediaCast CME, Drs. Asuncion Mejias and Gerd McGwire address the diagnosis and management of bronchiolitis – and special considerations during the COVID-19 pandemic. Bronchiolitis is the leading cause of hospitalizations for young infants around the world, and in a year with a respiratory pandemic, everyone is a little uneasy about…

read more
More to Telehealth Than Meets the Screen
More to Telehealth Than Meets the Screen 1024 535 Abbie Roth
Collage of health technology tools

Telehealth has become essential to American health care during the COVID-19 pandemic, but is it really the solution to our biggest access-to-care problems? When COVID-19 ignited stay-at-home orders, public and private insurers quickly relaxed the rules for covering telehealth visits. Health care systems responded in kind by rapidly expanding their telehealth capacity and training. Expanding…

read more
Pediatric Vital Signs: Measuring and Improving the Health of a Population
Pediatric Vital Signs: Measuring and Improving the Health of a Population 150 150 Jeb Phillips

Nationwide Children’s Hospital and its community partners have begun an “audacious” project to help every child in their region. Despite the best efforts of primary care providers and children’s hospitals, some children do not receive the care they need. Patients can only spend a limited amount of time in a medical office; some who would…

read more
Improving Guidelines for Pediatric Hypertension Diagnosis
Improving Guidelines for Pediatric Hypertension Diagnosis 1024 683 Natalie Wilson

It is vital to accurately recognize and diagnose hypertension in children to avoid long term morbidity and allow for appropriate treatment. A recent pilot study highlights additional diagnostic criteria for clinicians to consider. Pediatric hypertension, or high blood pressure (BP), has become increasingly common and now affects over 3% of children and adolescents. Untreated, hypertension…

read more
When Should Breastfed Babies Be Supplemented?
When Should Breastfed Babies Be Supplemented? 1024 575 Vanessa Shanks

This question has received increasing attention in the last several years, especially when considering supplementation for late preterm and early term babies. As more hospitals focus on promoting and supporting breastfeeding, supplementation rates have decreased for infants in the newborn nursery. However, there has been increasing awareness from primary care providers who may see these…

read more
Privacy for the Vulnerable: Confidentiality in Adolescent Care
Privacy for the Vulnerable: Confidentiality in Adolescent Care 1024 683 JoAnna Pendergrass, DVM

Confidentiality plays a critical role in adolescent care, yet can be difficult for providers to implement because of legal complexities and other challenges. Confidentiality is a critical component of adolescent medical care. As adolescents transition into adulthood, the opportunity to spend time alone with a health care provider fosters independence in discussing health issues, making…

read more
The Autism Treatment Network Reflects on a Decade of Work
The Autism Treatment Network Reflects on a Decade of Work 150 150 Mary Bates, PhD

Members point to family involvement as key to the network’s success. The Autism Treatment Network (ATN) started in 2005 as a group of clinical investigators with the goal of improving understanding of the medical aspects of autism spectrum disorders. The network expanded in 2008 to become the Autism Intervention Research Network on Physical Health (AIR-P).…

read more
Using Metrics to Improve the Delivery of Optimal Diabetes Care for Children With Type 1 Diabetes
Using Metrics to Improve the Delivery of Optimal Diabetes Care for Children With Type 1 Diabetes 1024 575 JoAnna Pendergrass, DVM

The Type 1 Diabetes Care Index is a new metric that tracks the delivery of diabetes care, with the goal to reach zero missed opportunities to deliver quality care. The complexity and chronicity of pediatric type 1 diabetes (T1D) necessitate a coordinated, multidisciplinary effort to effectively deliver the optimal standards of diabetes care, as outlined…

read more
Missing Connections: A Reflection on Residency During a Global Pandemic
Missing Connections: A Reflection on Residency During a Global Pandemic 150 150 Nimisha Bajaj, MD

I am a first-year pediatrics resident at Nationwide Children’s Hospital, and SARS-CoV-2 has turned my world upside down. I support social distancing measures, at least until broader public health interventions have been universally implemented. But as a physician in training, the pandemic has affected many aspects of my life, including patient care, residency training and…

read more
How Practical COVID-19 Education for Community Providers Sprang From a Pediatric Behavioral Health Project ECHO
How Practical COVID-19 Education for Community Providers Sprang From a Pediatric Behavioral Health Project ECHO 1024 575 Katie Brind'Amour, PhD, MS, CHES

When Partners For Kids® (PFK) and Nationwide Children’s Hospital launched Project ECHO in 2018, they did it to help community providers cope with common behavioral health conditions in their patient populations. Unexpectedly, it became a tool to supply Ohio physicians with some of the most proactive education in the nation about adapting their business practices to accommodate COVID-19-related…

read more
Fighting Back Against COVID-19 Misinformation on the Web
Fighting Back Against COVID-19 Misinformation on the Web 1024 683 David Stukus, MD

Misinformation on the internet is nothing new, but in the age of COVID-19, it is more important than ever for health care experts to speak up for evidence-based care. Misinformation on the internet has been rampant for years. From antivaxxers and naturopaths to flat earthers and others, misinformation has always infiltrated online searches and only…

read more
The Path to a Long Career in Medicine
The Path to a Long Career in Medicine 150 150 William Long, MD

I want to be a pediatrician forever. But the laws of nature won’t let me. In addition, many of us of all ages, are feeling increased pressure and demands that come with our profession.  From insurance issues, and just about everything with the EMR, to the rise in patient behavioral health complaints — it is…

read more
Oral Food Challenges: The Most Important Test in Diagnosing Food Allergy
Oral Food Challenges: The Most Important Test in Diagnosing Food Allergy 1024 683 David Stukus, MD

I routinely hear the same question from pediatricians, parents, friends, and acquaintances: Why are we seeing so many more kids develop food allergies now compared with 10 or 20 years ago? Unfortunately, there is no single answer as to why the prevalence of food allergies has doubled among children over the past two decades. Food…

read more
Answers to Burning Questions About Pediatric Urinary Tract Infections
Answers to Burning Questions About Pediatric Urinary Tract Infections 1024 683 Abbie Roth

Nationwide Children’s urologists and nephrologists recently co-hosted a Twitter chat for primary care providers, answering common questions about pediatric urinary tract infections (UTIs). Below is a summary of the questions and answers, adapted for brevity and clarity. Q: What causes UTIs in children? A: UTIs are typically caused by uropathogenic E. coli bacteria that invade the urinary…

read more
Reducing Asthma-Related Emergency Department Visits
Reducing Asthma-Related Emergency Department Visits 480 320 Abbie Roth

Through serial interventions and teamwork, the initiative reduced asthma-related ED utilization rates by nearly 4% per year at a time when national rates were rising. Numerous studies have demonstrated that quality improvement (QI) methodologies improve asthma outcomes. However, moving that success from individual patients to a large population is challenging. In a recent study published…

read more
Does Newborn Screening Lead to Life-Span Benefits?
Does Newborn Screening Lead to Life-Span Benefits? 1024 678 Kevin Mayhood

To find the answer, researchers suggest data systems to track long-term care and outcomes are needed. Newborns in the United States are screened for a list of diseases, a practice that saves or improves 13,000 lives annually, the Centers for Disease Control and Prevention estimates. But, a group of health experts who helped build the…

read more
A Deep-Learning Computer Model for Predicting Pediatric Patient Health Care Risks and Costs
A Deep-Learning Computer Model for Predicting Pediatric Patient Health Care Risks and Costs 150 150 Kevin Mayhood

The model, which requires fewer resources and less time to develop, outperformed traditional risk-prediction models in prospective hospitalization prediction. A deep-learning computer model was better at predicting the health care risk of 112,000 children in a Medicaid accountable care organization (ACO) than traditional risk prediction models, researchers at Nationwide Children’s Hospital have shown. “Using this…

read more
Calls to U.S. Poison Control Centers for Natural Psychoactive Substances Increasing, Driven by Rising Marijuana Exposures
Calls to U.S. Poison Control Centers for Natural Psychoactive Substances Increasing, Driven by Rising Marijuana Exposures 150 150 Laura Dattner

Researchers encourage states legalizing marijuana to implement poison prevention strategies Natural substances with psychoactive effects have been used by people for religious, medicinal and recreational purposes for millennia. Lack of regulation has led to an increase in their availability, especially online. Some psychoactive substances may be appealing to recreational users because of the perception they…

read more
Increased Number of Pediatric Eye Injuries From Nonpowder Firearms
Increased Number of Pediatric Eye Injuries From Nonpowder Firearms 150 150 Laura Dattner

BB guns accounted for most of the injuries; Researchers highlight importance of protective eyewear, and call for stricter, more consistent safety legislation. Nonpowder firearms have long been marketed to children and teenagers as toys or “starter” firearms and include BB, pellet, airsoft and paintball guns. A new study conducted by researchers at the Center for Injury…

read more
Health Care Leaders Offer Interim Guidelines on Vaping and EVALI Care
Health Care Leaders Offer Interim Guidelines on Vaping and EVALI Care 150 150 Mary Bates, PhD

While investigations are ongoing, an interim report offers clinical guidance regarding vaping-associated lung injuries. Centers for Disease Control (CDC), the Food and Drug Administration (FDA), state and local health departments, and public health and clinical partners are looking into a multistate outbreak of lung injury associated with the use of electronic cigarette (e-cigarette), or vaping,…

read more
Do Seizure Action Plans Make a Difference for Patients and Families?
Do Seizure Action Plans Make a Difference for Patients and Families? 150 150 Kevin Mayhood

Families given a written plan were more comfortable with seizure care and missed fewer appointments. Caregivers for children with epilepsy were more likely to bring their children to regularly scheduled clinic visits if they had previously been given a printed seizure action plan tailored to help them understand their child’s condition, manage it at home…

read more
Forging the Way Forward on DSD
Forging the Way Forward on DSD 1024 575 Jeb Phillips

Experts are learning how a focus on behavioral health and psychosocial support can lead to better outcomes among youth with disorders/differences of sex development. In some ways, the DSD field began only in 2006. That year, the phrase “disorders of sex development” as coined in a landmark consensus statement, the same publication that called behavioral…

read more
Bias: Do You See What Influences You?
Bias: Do You See What Influences You? 1024 575 Abbie Roth

In the United States, children of color have worse clinical outcomes than white children. Racial disparities have been documented in nearly every pediatric specialty. Among the most studied and most widely perpetuated disparities are those between black and white children. For example: The infant mortality rate, while declining overall, is nearly three times higher for…

read more
How and When Do Children Become Aware of the Construct of “Race”?
How and When Do Children Become Aware of the Construct of “Race”? 1024 737 Abbie Roth

Researchers have shown that babies of color are just as likely to experience bias as adults of color. But very young children don’t interpret that experience in the same way as older children. “Children become aware of differences in physical characteristics of human beings when they are 3 years old. They notice differences in sex…

read more
Finding the Reasons Why: Looking for Answers in Trends of Child and Youth Suicides
Finding the Reasons Why: Looking for Answers in Trends of Child and Youth Suicides 1024 575 Kevin Mayhood

Epidemiological studies are the first step to learn how to prevent suicide attempts and deaths. Suicide is the second-leading cause of death among 10- to 24-year-olds. And even as awareness grows, the suicide rate continues to climb, according to national statistics. But those national statistics don’t tell the whole story. For decades, researchers around the…

read more
Exercise as Medicine: What Does This Really Mean?
Exercise as Medicine: What Does This Really Mean? 1024 575 Alyssa Schafer

A child’s lack of exercise can contribute to numerous health issues. “Currently, physical inactivity is ranked as the number four cause of death. 5.5% of deaths are due to physical inactivity which is totally preventable and treatable,” says James MacDonald, MD, MPH, a physician for Nationwide Children’s Sports Medicine. The question at large is how much do…

read more
Medical Marijuana 101: What Does Increasing Legalization of Medical Marijuana Mean for Pediatrics?
Medical Marijuana 101: What Does Increasing Legalization of Medical Marijuana Mean for Pediatrics? 479 272 Chet Kaczor

The legalization of medical marijuana has been front and center in community conversation over the last several years. As more states turn to legalization under specific conditions, the federal law has not changed. Experts in pediatric health care are carefully considering what legalization of medical marijuana could mean for children and adolescents with chronic or…

read more
What You Need to Know About Tick-Borne Diseases
What You Need to Know About Tick-Borne Diseases 1024 575 Mike Patrick, MD

Ranges of disease-carrying ticks are shifting in the United States. Combined with family travel, this means physicians and families should have a wider lens on what tick-borne diseases they might encounter. Ticks represent a major vector for the transmission of human disease. Their abundance and geographic range have expanded in recent years, largely due to…

read more
Addressing Childhood Obsessive-Compulsive Disorder in Primary Care
Addressing Childhood Obsessive-Compulsive Disorder in Primary Care 150 150 Jeb Phillips

Primary care providers play an important role in recognizing the disorder and in providing a bridge to mental health care providers.

read more
Improving Care for Adolescents and Young Women With Pelvic Pain: Highlights From New ACOG Guidelines
Improving Care for Adolescents and Young Women With Pelvic Pain: Highlights From New ACOG Guidelines 1024 683 Geri Hewitt, MD

Between 50 and 90 percent of adolescents and young women report dysmenorrhea- and endometriosis-related pelvic pain. Pediatricians and primary care doctors have many opportunities to recognize and treat these conditions, leading to enhanced quality of life and better long-term reproductive outcomes for these patients. The recently published guidance from the American College of Obstetrics and…

read more
Should “Non-High Risk Patients” With Uncomplicated Influenza be Given Antivirals?
Should “Non-High Risk Patients” With Uncomplicated Influenza be Given Antivirals? 150 150 Michael T. Brady, MD

This question references a recommendation from the Centers for Disease Control and Prevention that is open to interpretation. For years, the CDC has recommended that all “hospitalized, severely ill and high-risk patients with suspected or confirmed influenza should be treated with antivirals.” Those at high risk include children younger than 2 years of age and…

read more
The Joys and Challenges of Rural Pediatrics
The Joys and Challenges of Rural Pediatrics 1024 575 Jill Neff, DO

I often tell my medical students to choose not just a specialty but, first, a place where they want to live. Being happy with one’s life is more important than just being happy with one’s job. If a person prefers to live in a rural setting, then they probably should not become a neuro- or…

read more
Letting Go of The Screen (My 15-Year Journey With an EMR)
Letting Go of The Screen (My 15-Year Journey With an EMR) 1024 683 William Long, MD

Has the electronic medical record ruined medicine?  For those of us who trained pre-EMR, this conversion was a difficult change.  For ALL of us, regardless of age, the burden of charting and data entry is a significant reason for the alarming numbers of burned out and unhappy physicians.  There are many written opinions on this subject,…

read more
Child Sex Trafficking in the U.S. is Real — and a New Tool can Help Doctors Identify Victims
Child Sex Trafficking in the U.S. is Real — and a New Tool can Help Doctors Identify Victims 150 150 Katie Brind'Amour, PhD, MS, CHES

Researchers exploring the alarmingly high prevalence of child sex trafficking in the United States have validated a practical tool for identifying victims in multiple health care settings. At least one in every 10 minors visiting emergency departments, child advocacy centers and teen clinics for sexual trauma or assault are victims of child sex trafficking, according…

read more
Grandparents Raising Grandchildren: “They Get the Job Done”
Grandparents Raising Grandchildren: “They Get the Job Done” 1024 575 Abbie Roth

Research presented at the American Academy of Pediatrics 2018 National Conference finds that the growing number of grandparents serving as sole caregivers for their grandchildren are coping well. In the United States, millions of children are being raised solely by their grandparents. As the opioid crisis and other factors continue to disrupt families, experts expect the number…

read more
Primary Care for Refugee Children: What Providers Need to Know
Primary Care for Refugee Children: What Providers Need to Know 1024 575 Aimee Swartz, MPH
Toddler playing with toys

The growing number of refugee children across the United States means that more pediatricians need to be aware of the unique health needs of this population. The world’s estimated refugee population has surged to 24.5 million individuals – more than half of whom are children – at United Nations High Commissioner for Refugees (UNHCR) last count. Many…

read more
Primary Care Provider Guide to Neonatal Abstinence Syndrome Follow Up
Primary Care Provider Guide to Neonatal Abstinence Syndrome Follow Up 150 150 Nationwide Children's

Pediatricians have a unique challenge when it comes to caring for the broad spectrum of needs associated with opioid-exposed infants. Some babies who were treated with pharmacological methods in a hospital will be discharged home still on neuro-active medications. Other babies did not receive a neonatal abstinence syndrome (NAS) diagnosis or specific treatment after birth…

read more
QI Project Increases Value of Asthma Care in a Large Primary Care Network
QI Project Increases Value of Asthma Care in a Large Primary Care Network 1024 393 Kevin Mayhood

Multiple steps lead to better control of disease, fewer emergency department visits and $5 million in savings. A quality improvement project helped kids achieve better control of their asthma, reduced emergency room visits and cut costs in a primary care network serving 10,000 children with the disease. Through multiple steps, including standardizing assessments and documentation,…

read more
Opening the Door to Adult Medicine
Opening the Door to Adult Medicine 1024 575 Katie Brind'Amour, PhD, MS, CHES

Care transition plans aren’t just for kids with congenital conditions anymore. Could your practice benefit from a proactive transition plan for all patients? In the shift from pediatric to adult care, young patients have the responsibility to adjust to a new life of self-management. But health care providers also play an important role in this…

read more
Managing Pain in an Era of Opioid Abuse
Managing Pain in an Era of Opioid Abuse 1024 575 Abbie Roth
A black-and-white image of an adolescent White boy, a young Black girl, an adolescent White girl, a Black teen boy, and a young White mom and her infant, all in a row across the screen, all in white shirts, and all with solemn expressions.

Managing pain is complicated. Not that long ago, perhaps 50 years or so, pain was understood to be a multidisciplinary issue requiring many different approaches. Doctors would recommend lifestyle changes, complementary therapies and medications to treat chronic pain. Then something changed. Opioids began being marketed as “nonaddictive.” Pain became the “5th vital sign,” and physicians…

read more
The Opioid Education Toolkit: For Providers and Parents
The Opioid Education Toolkit: For Providers and Parents 1024 575 Nationwide Children's

Do you know all the options for safe medication disposal? What are evidence-based methods for screening and assessing risk of opioid abuse? Find answers and resources in the Opioid Toolkit. Opioid Safety Protocol for the Home Four Points to Remember When Taking Opioids Monitor: Know where the medications are at all times. Keep a count of…

read more
Is Your Patient Really Allergic to Penicillin?
Is Your Patient Really Allergic to Penicillin? 150 150 Abbie Roth
Quality Improvement Study Shifts HPV Vaccine Initiation to Earlier Age
Quality Improvement Study Shifts HPV Vaccine Initiation to Earlier Age 150 150 Aimee Swartz, MPH

A QI project shows that it is feasible, and possibly beneficial, to routinely administer HPV vaccine at age 9. It is feasible, and possibly beneficial, to routinely administer the human papillomavirus (HPV) vaccine beginning at age 9 — two to three years earlier than currently recommended — according to findings from a recent study conducted…

read more
The Pediatrician’s Role in Health and Hope after Trauma
The Pediatrician’s Role in Health and Hope after Trauma 150 150 Anna Kerlek, MD

A primary care provider’s ability to identify and treat symptoms associated with trauma can increase positive outcomes for patients and families. Almost two-thirds of the children and their caretakers in your office have experienced at least one trauma. Many have experienced more. As a primary care provider, you can provide early intervention and support for…

read more
Considerations for Integrating Behavioral Health and Primary Care
Considerations for Integrating Behavioral Health and Primary Care 150 150 Cody Hostutler, PhD

As increasing numbers of pediatric patients require behavioral health care, primary care providers look to integrate behavioral health providers in their practice. You know the story. It’s the middle of a busy Friday afternoon, you just finished up an adolescent well-visit, your hand is on the door and you hear, “Doc, one more question?” The…

read more
8 Ways You Can Support Families in Need of Behavioral Health Services
8 Ways You Can Support Families in Need of Behavioral Health Services 150 150 Nancy Cunningham, PsyD

Long wait times and difficulties accessing behavioral health services cause stress for many patients and families. As awareness grows about the prevalence of behavioral health challenges for children and adolescents, more patients and families are seeking specialized care. However, due to a shortage of behavioral health specialists, wait times can seem daunting. As the pediatrician,…

read more
Managing Depression, Anxiety and Other Behavioral Health Issues in Primary Care
Managing Depression, Anxiety and Other Behavioral Health Issues in Primary Care 1024 575 Rachael Hardison
Teen girl with backpack

An estimated 20 percent of children struggle with mental health illness. As awareness grows, the call for primary care physicians to play a leading role in care grows louder. One in five children will struggle with a mental health illness by the age of 12, but a recent survey by the American Academy of Pediatrics…

read more
Needle-free Immunization Prevents Experimental Otitis Media
Needle-free Immunization Prevents Experimental Otitis Media 1024 575 Tiasha Letostak, PhD
Close up, color image of someone extending a gloved hand with a small patch face up on their pointer finger that resembles a circular adhesive bandage that has a smaller, blue square patch on its center

The first data to demonstrate the efficacy of a simple, needle-free vaccine delivery system for middle ear infections. Otitis media (OM), or middle ear infection, accounts for approximately 30 million doctor visits a year in the U.S. The pathogen nontypeable Haemophilus influenzae (NTHI) causes the majority of cases of ear infection, including chronic OM, recurrent OM, and…

read more
When Talking About Birth Control, Don’t Leave Boys Out of the Conversation
When Talking About Birth Control, Don’t Leave Boys Out of the Conversation 150 150 Sarah Saxbe, MS, MSW, LISW-S

Sex education for boys should include information about all forms of birth control, even those for females. When a child arrives in his or her pediatrician’s office each year for their well visit, the nurse and provider often go over a long list of questions for the parents and child. Many are related to daily…

read more
  • 1
  • 2