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The focus of the MCG Pediatric Podcast is to produce educational material on pediatric general and subspecialty topics that will be helpful in everyday clinical practice. These discussions will be led by our pediatric residents with a general or subspecialty faculty member who is an expert in the field.
Episodes
Monday Nov 15, 2021
Online Technology Use for Children
Monday Nov 15, 2021
Monday Nov 15, 2021
We are living in a technology saturated world as we rely on smart devices for virtual learning, entertainment, completing work, and connecting with others. But how much is too much for our children? What are risks and benefits of technology use for children? And what is the pediatrician’s role in helping to educate their patients and parents?
Join Dr. Jacob Eichenberger and Dr. Kathryn Peralta as they discuss the impact of technology use on children and how pediatricians can counsel families on appropriate use to ensure healthy development and wellbeing.
Learning Objectives:
- Review the epidemiology of screen media use in children and adolescents
- Identify age-appropriate types and duration of use for various technology
- Discuss risk factors for excessive or problematic use in children and what physical and emotional outcomes may be associated with excessive media use.
- Discuss impact of social media, cyberbullying, and risks of exploitation of children from technology use.
- Identify benefits of screen media as well as tips to help parents navigate this complex topic
Peer Reviewers: Dr. Rebecca Yang, Dr. Zachary Hodges
Free CME Credit: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8632
References:
- Rideout, V., & Robb, M. B. (2020). The Common Sense census: Media use by kids age zero to eight, 2020. San Francisco, CA: Common Sense Media.
- Rideout, V., and Robb, M. B. (2019). The Common Sense census: Media use by tweens and teens, 2019. San Francisco, CA: Common Sense Media.
- Rideout, V., Foehr, U., Roberts, D., GENERATION M2 Media in the Lives of 8- to 18-Year-Olds. A Kaiser Family Foundation Study JANUARY 2010.
- Reid Chassiakos Y, Radesky J, Christakis D, et , AAP COUNCIL ON COMMUNICATIONS AND MEDIA. Children and Adolescents and Digital Media. Pediatrics. 2016;138(5):e20162593
- Hoge, E., Bickham, D., Cantor, J. Digital Media, Anxiety, and Depression in Children. Pediatrics Volume 140, number s2, November 2017:e20161758
- AAP COUNCIL ON COMMUNICATIONS AND MEDIA. Media and Young Minds. Pediatrics. 2016;138(5):e20162591
- Radesky J, Chassiakos Y, LR, Ameenuddin N, et al. AAP COUNCIL ON COMMUNICATION AND Digital Advertising to Children. Pediatrics. 2020;146(1):e20201681
- Technology and Interactive Media as Tools in Early Childhood Programs Serving Children from Birth through Age 8. (2012, January). Retrieved from https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/resources/topics/PS_technology_WEB.pdf
- Jennifer S. Saul, Rachel F. Rodgers, Adolescent Eating Disorder Risk and the Online World, Child and Adolescent Psychiatric Clinics of North America, Volume 27, Issue 2, 2018, Pages 221-228,
- Jasmine Fardouly, Lenny R. Vartanian, Social Media and Body Image Concerns: Current Research and Future Directions, Current Opinion in Psychology, Volume 9, 2016, Pages 1-5
- Saunders, J., and Eaton, A. Snaps, Selfies, and Shares: How Three Popular Social Media Platforms Contribute to the Sociocultural Model of Disordered Eating Among Young Women. CYBERPSYCHOLOGY, BEHAVIOR, AND SOCIAL NETWORKING Volume 21, Number 6, 2018
- Hill, D. Social Media: Anticipatory Guidance. Pediatrics In Review Volume 41, Number 3. March 2020 Pages 112-117.
- D’Angelo, J; Moreno, M. Screening for Problematic Internet Use. PEDIATRICS Volume 145, number s2, May 2020:e20192056F
- Steinberg, S. Sharenting: Children’s Privacy in the Age of Social Media. University of Florida Levin College of Law Legal Studies Research Paper Series Paper No. 16-41
- Richdel, M. (2021, January 16). Children’s Screen Time Has Soared in the Pandemic, Alarming Parents and Researchers. The New York Times.
- Haelle, T. (2016, October 28). Do Parents Invade Children's Privacy When They Post Photos Online? NPR
- Maheshwari, S. (2017, November 4). On YouTube Kids, Startling Videos Slip Past Filters. The New York Times
- The Impact of Social Media on Children, Adolescents, and Families. Gwenn Schurgin O'Keeffe, Kathleen Clarke-Pearson, Council on Communications and Media. Pediatrics Apr 2011, 127 (4) 800-804; DOI:1542/peds.2011-0054
- https://www.stopbullying.gov/. Accessed 6/19/21. Google
Resources For Providers
- Clinic for Interactive Media and Internet Disorders (CIMAID)at Boston Children’s Hospital
- Digital Wellness Lab (Contains Screening Tools and Anticipatory Guidance)
- https://digitalwellnesslab.org/cimaid/clinician-toolkit/
- Internet Addiction Assessment
- https://psychology-tools.com/test/internet-addiction-assessment
- Problematic and Risky Internet Use Screening Scale (PRIUSS) accessed from https://doi.org/10.1016/j.acap.2015.07.001
Resources for Parents
- Reviews of Digital Media. org
- Creating a Digital Media Plan: https://www.healthychildren.org/English/news/Pages/Managing-Media-We-Need-a-Plan.aspx
Monday Nov 01, 2021
Palliative Care with Dr. Sharon Beall (Part 2)
Monday Nov 01, 2021
Monday Nov 01, 2021
Palliative Care with Dr. Sharon Beall
Free CME Credit: Click Here
Participants:
- Rachel Vaizer, MD
- Sharon Beall, MD
- Zachary Hodges, MD
Peer review by the MCG Pediatric Podcast Committee
About our guest:
Dr. Sharon Beall is an Associate Professor of Pediatrics at the Medical College of Georgia and the medical director for the Children’s Hospital of Georgia palliative care and hospice program.
Learning Objectives:
After listening to this podcast, learners should be able to:
- Understand the value of palliative care as well as an overview of palliative care principles and practices.
- Recognize the need for expertise in the assessment and treatment of patient symptom burden, functional status and quality of life.
- Recognize the burden of serious illness and the role of palliative care in screening, assessing and treating psychological and psychiatric illnesses.
- Recognize the social limitations in caring for the seriously ill and have a guide for screening for access to social support, food, housing, transportation and adaptive equipment.
- Recognize the importance of spiritual and cultural beliefs in patient and family decision making.
- Understand the importance of screening and assessment of patients and their family’s spiritual needs.
- Recognize when a referral to hospice is indicated.
- Manage the physical symptoms nearing the end of life (pain dyspnea, nausea, agitation, delirium, terminal secretions).
- Recognize palliative care’s role the family and caregivers in post-death bereavement care.
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios.We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
References:
- Bergstraesser, E. (2013). Pediatric palliative care—when quality of life becomes the main focus of treatment. European journal of pediatrics, 172(2), 139-150.
- Ferrell BR, Twaddle ML, Melnick A, Meier DE. National Consensus Project Clinical Practice Guidelines for Quality Palliative Care Guidelines, 4th Edition. J Palliat Med. 2018 Dec;21(12):1684-1689. doi: 10.1089/jpm.2018.0431. Epub 2018 Sep 4. PMID: 30179523.
- Hsiao, J. L., Evan, E. E., & Zeltzer, L. K. (2007). Parent and child perspectives on physician communication in pediatric palliative care. Palliative & Supportive Care, 5(4), 355.
- Jones, B. L., Contro, N., & Koch, K. D. (2014). The duty of the physician to care for the family in pediatric palliative care: context, communication, and caring. Pediatrics, 133(Supplement 1), S8-S15.
- Linebarger, J., & Moreno, M. A. (2019). Pediatric palliative care. JAMA pediatrics, 173(11), 1115-1115.
Friday Oct 15, 2021
Palliative Care with Dr. Sharon Beall (Part 1)
Friday Oct 15, 2021
Friday Oct 15, 2021
Palliative Care with Dr. Sharon Beall
Participants:
- Rachel Vaizer, MD
- Sharon Beall, MD
- Zachary Hodges, MD
Peer review by the MCG Pediatric Podcast Committee
Free CME Credit: Click Here
About our guest:
Dr. Sharon Beall is an Associate Professor of Pediatrics at the Medical College of Georgia and the medical director for the Children’s Hospital of Georgia palliative care and hospice program.
Learning Objectives:
After listening to this podcast, learners should be able to:
- Understand the value of palliative care as well as an overview of palliative care principles and practices.
- Recognize the need for expertise in the assessment and treatment of patient symptom burden, functional status and quality of life.
- Recognize the burden of serious illness and the role of palliative care in screening, assessing and treating psychological and psychiatric illnesses.
- Recognize the social limitations in caring for the seriously ill and have a guide for screening for access to social support, food, housing, transportation and adaptive equipment.
- Recognize the importance of spiritual and cultural beliefs in patient and family decision making.
- Understand the importance of screening and assessment of patients and their family’s spiritual needs.
- Recognize when a referral to hospice is indicated.
- Manage the physical symptoms nearing the end of life (pain dyspnea, nausea, agitation, delirium, terminal secretions).
- Recognize palliative care’s role the family and caregivers in post-death bereavement care.
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios.We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
References:
- Bergstraesser, E. (2013). Pediatric palliative care—when quality of life becomes the main focus of treatment. European journal of pediatrics, 172(2), 139-150.
- Ferrell BR, Twaddle ML, Melnick A, Meier DE. National Consensus Project Clinical Practice Guidelines for Quality Palliative Care Guidelines, 4th Edition. J Palliat Med. 2018 Dec;21(12):1684-1689. doi: 10.1089/jpm.2018.0431. Epub 2018 Sep 4. PMID: 30179523.
- Hsiao, J. L., Evan, E. E., & Zeltzer, L. K. (2007). Parent and child perspectives on physician communication in pediatric palliative care. Palliative & Supportive Care, 5(4), 355.
- Jones, B. L., Contro, N., & Koch, K. D. (2014). The duty of the physician to care for the family in pediatric palliative care: context, communication, and caring. Pediatrics, 133(Supplement 1), S8-S15.
- Linebarger, J., & Moreno, M. A. (2019). Pediatric palliative care. JAMA pediatrics, 173(11), 1115-1115.
Tuesday Sep 28, 2021
Cystic Fibrosis- Nutrition and Exercise Considerations
Tuesday Sep 28, 2021
Tuesday Sep 28, 2021
Hosts:
- Medical Student: Brooke Pace Quertermous
- Faculty: Katie McKie, MD
- Faculty: Ryan Harris, Ph.D
Peer Review: Rebecca Yang, MD; Janelle McGill, MD
During this episode, you will learn that Cystic Fibrosis is more than just a lung disease. Individuals with CF are also at risk for malabsorption, maldigestion, intestinal obstruction, exercise intolerance, and other systemic abnormalities.
Dr. Katie McKie, Director of Pediatric Pulmonology at Augusta University, joins Dr. Ryan Harris, Founder and Director of the LIVEP and CF researcher, and Medical Student Brooke Quertermous to discuss the impact of nutrition and exercise on children with CF.
Specifically, they will:
- Explain the mechanism by which CF affects digestion and absorption of nutrients
- Acknowledge the importance of frequent growth monitoring for children with CF.
- Understand the role of nutrient supplementation for children with CF, and when enteral nutrition is required.
- Describe why exercise intolerance occurs in CF and the necessity of regular exercise for these patients.
FREE CME Credit (requires sign-in): https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8631
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenariosWe look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
References:
- Gajbhiye, R., et al., Cystic fibrosis transmembrane conductance regulator (CFTR) gene abnormalities in Indian males with congenital bilateral absence of vas deferens & renal anomalies. Indian J Med Res, 2016. 143(5): p. 616-23. AND Elborn, J.S., Cystic fibrosis. Lancet, 2016. 388(10059): p. 2519-2531.)
- (Kuk, K. and J.L. Taylor-Cousar, Lumacaftor and ivacaftor in the management of patients with cystic fibrosis: current evidence and future prospects. Ther Adv Respir Dis, 2015. 9(6): p. 313-26.)
- (Farrell et al, Siret el al, Sims et al).
- Sullivan, J. S., & Mascarenhas, M. R. (2017). Nutrition: Prevention and management of nutritional failure in cystic fibrosis. Journal of Cystic Fibrosis, 16. doi:10.1016/j.jcf.2017.07.010
- Committee On Practice And Ambulatory Medicine, & Workgroup, B. (2020, March 01). 2020 recommendations for Preventive Pediatric health care. Retrieved March 22, 2021, from https://pediatrics.aappublications.org/content/145/3/e20200013
- Cystic Fibrosis Foundation, et al. Cystic Fibrosis Foundation evidence-based guidelines for management of infants with cystic fibrosis, J Pediatr 2009; 155(6 Suppl):S73-93.)
- (Nutrition Prevention and Management Article)
- (Mattar AC, Leone C, Rodrigues JC, Adde FV. Sweat conductivity: an accurate diagnostic test for cystic fibrosis? J Cyst Fibros. 2014 Sep;13(5):528-33. doi: 10.1016/j.jcf.2014.01.002. Epub 2014 Jan 31. PMID: 24485874.)
- Ameet Daftary, James Acton, James Heubi, Raouf Amin, Fecal elastase-1: Utility in pancreatic function in cystic fibrosis, Journal of Cystic Fibrosis, Volume 5, Issue 2, 2006, Pages 71-76,ISSN 1569-1993,
- Walkowiak, D. Sands, A. Nowakowska, R. Piotrowski, K. Zybert, K.H. Herzig, et al. Early decline of pancreatic function in cystic fibrosis patients with class 1 or 2 CFTR mutations J Pediatr Gastroenterol Nutr, 40 (2) (2005), pp. 199-201
- Witt, H. (2003). Chronic pancreatitis and cystic fibrosis. Gut, 52(90002), 31ii-41. doi:10.1136/gut.52.suppl_2.ii31
- Fielding, J., Brantley, L., Seigler, N., McKie, K. T., Davison, G. W., & Harris, R. A. (2015). Oxygen uptake kinetics and exercise capacity in children with cystic fibrosis. Pediatric Pulmonology, 50(7), 647-654. doi:10.1002/ppul.23189
- Orenstein, D. (2018). The Relationship between CFTR Genotype and Exercise Tolerance in Cystic Fibrosis.. AnnalsATS, 15(2), 166.
- Marcotte JE, Canny GJ, Grisdale R, Desmond K, Corey M, Zinman R, Levison H, Coates AL. Effects of nutritional status on exercise performance in advanced cystic fibrosis. Chest. 1986 Sep;90(3):375-9. doi: 10.1378/chest.90.3.375. PMID: 3743150.
- Pastré, J., Prévotat, A., Tardif, C., Langlois, C., Duhamel, A., & Wallaert, B. (2014). Determinants of exercise capacity in cystic fibrosis patients with mild-to-moderate lung disease. BMC pulmonary medicine, 14(1), 1-8.
- Hulzebos, Erik H. J.1; Bomhof-Roordink, Hanna1,3; van de Weert-van Leeuwen, Pauline B.2; Twisk, Jos W. R.3; Arets, H. G. M.2; van der Ent, Cornelis K.2; Takken, Tim1 Prediction of Mortality in Adolescents with Cystic Fibrosis, Medicine & Science in Sports & Exercise: November 2014 - Volume 46 - Issue 11 - p 2047-2052 doi: 10.1249/MSS.0000000000000344
- Ding S., Zhong C. (2020) Exercise and Cystic Fibrosis. In: Xiao J. (eds) Physical Exercise for Human Health. Advances in Experimental Medicine and Biology, vol 1228. Springer, Singapore. https://doi.org/10.1007/978-981-15-1792-1_26
- Moorcroft AJ, Dodd ME, Morris J, Webb AK. Individualised unsupervised exercise training in adults with cystic fibrosis: a 1 year randomised controlled trial. Thorax. 2004 Dec;59(12):1074-80. doi: 10.1136/thx.2003.015313. PMID: 15563708; PMCID: PMC1746905.
- Pianosi P, Leblanc J, Almudevar A. Peak oxygen uptake and mortality in children with cystic fibrosis. Thorax. Jan 2005;60(1):50-54.
LIVEP Contact: Reva Crandall at 706-721-5483.
Wednesday Sep 15, 2021
Neonatal Opioid Withdrawal Syndrome
Wednesday Sep 15, 2021
Wednesday Sep 15, 2021
Join medical student Rilee Racine and Dr. Brian Stansfield, a neonatologist at the Children's Hospital of Georgia discuss Neonatal Opioid Withdrawal Syndrome, also known as NOWS.
After listening to this podcast, learners should be able to:
- Define neonatal opioid withdrawal syndrome
- Apply knowledge of signs and symptoms of NOWS to recognize these infants early
- Demonstrate general understanding of non-pharmacologic vs. pharmacologic management indications
- Recall the long term effects of NOWS and utilize this information to care for these infants long-term
- Educate families on clinical symptoms, management, and potential complications of NOWS
Peer Review by Dr. Rebecca Yang and Dr. Amy Thompson
Free CME Credit (requires sign-in): https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8575
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu. Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios.
References:
- Anbalagan S, Mendez MD. Neonatal Abstinence Syndrome. 2020 Oct 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 31855342.
- Armbruster, Debra PhD, APRN-CNP, NNP-BC, CPNP-PC, C-ELBW; Schwirian, Caitlyn PharmD; Mosier, Ashley MS, RN, CNL; Tam, Wai-Yin Mandy PharmD, BCPS, BCCCP; Prusakov, Pavel PharmD, BCPS, BCPPS Neonatal Abstinence Syndrome and Preterm Infants, Advances in Neonatal Care: March 05, 2021 - Volume Publish Ahead of Print - Issue - doi: 10.1097/ANC.0000000000000858
- Finnegan LP. Neonatal abstinence syndrome: assessment and pharmacotherapy. In: Nelson N, editor. Current therapy in neonatal-perinatal medicine. 2 ed. Ontario: BC Decker; 1990.
- Jansson, Lauren M. MD. Neonatal abstinence syndrome. Uptodate. (2020).
- Johnson MR, Nash DR, Laird MR, Kiley RC, Martinez MA. Development and implementation of a pharmacist-managed, neonatal and pediatric, opioid-weaning protocol. J Pediatr Pharmacol Ther. 2014 Jul;19(3):165-73. doi: 10.5863/1551-6776-19.3.165. PMID: 25309146; PMCID: PMC4187529.
- Maguire, Denise J, PhD,R.N., C.N.L., Taylor, Susan, MSW,L.C.S.W.-C., C.M.A., Armstrong, K., PhD., Shaffer-Hudkins, E., Germain, A. M., M.D., Brooks, Sandra S,M.D., M.P.H., . . . Clark, L. (2016). Long-term outcomes of infants with neonatal abstinence syndrome: NN. Neonatal Network, 35(5), 277-286. doi:http://dx.doi.org/10.1891/0730-0832.35.5.277
- Mangat, A. K., Schmölzer, G. M., & Kraft, W. K. (2019). Pharmacological and non-pharmacological treatments for the Neonatal Abstinence Syndrome (NAS). Seminars in fetal & neonatal medicine, 24(2), 133–141. https://doi.org/10.1016/j.siny.2019.01.009
- Merhar SL, Ounpraseuth S, Devlin LA, Poindexter BB, Young LW, Berkey SD, Crowley M, Czynski AJ, Kiefer AS, Whalen BL, Das A, Fuller JF, Higgins RD, Thombre V, Lester BM, Smith PB, Newman S, Sánchez PJ, Smith MC, Simon AE; EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT NEONATAL RESEARCH NETWORK AND THE NIH ENVIRONMENTAL INFLUENCES ON CHILD HEALTH OUTCOMES (ECHO) PROGRAM INSTITUTIONAL DEVELOPMENT AWARDS STATES PEDIATRIC CLINICAL TRIALS NETWORK. Phenobarbital and Clonidine as Secondary Medications for Neonatal Opioid Withdrawal Syndrome. Pediatrics. 2021 Mar;147(3):e2020017830. doi: 10.1542/peds.2020-017830. PMID: 33632932; PMCID: PMC7919109.
- Protecting Our Infants Act of 2015, H.R, 1462, 114th Cong. (2015-2016).
- Sarka Lisonkova, Lindsay L. Richter, Joseph Ting, Giulia M. Muraca, Qi Wen, Azar Mehrabadi, Sheona Mitchell-Foster, Eugenia Oviedo-Joekes and Janet Lyons. Pediatrics August 2019, 144 (2) e20183664; DOI: https://doi.org/10.1542/peds.2018-3664
- Siegler R., Saffran J., Eisenberg N., Deloache, J., & Gershoff, E. (2017). How Children Develop (5th ed.). NY, NY, USA: Macmillan Learning.
- Stephen W. Patrick, Wanda D. Barfield, Brenda B. Poindexter and COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION. Neonatal Abstinence Withdrawal Syndrome. Pediatrics November 2020, 146 (5) e2020029074; DOI: https://doi.org/10.1542/peds.2020-029074
- Patrick SW, Barfield WD, Poindexter BB; COMMITTEE ON FETUS AND NEWBORN, COMMITTEE ON SUBSTANCE USE AND PREVENTION. Neonatal Opioid Withdrawal Syndrome. Pediatrics. 2020 Nov;146(5):e2020029074. doi: 10.1542/peds.2020-029074. PMID: 33106341.
- Zimmermann, U., Rudin, C., Duò, A. et al. Treatment of opioid withdrawal in neonates with morphine, phenobarbital, or chlorpromazine: a randomized double-blind trial. Eur J Pediatr 179, 141–149 (2020). https://doi.org/10.1007/s00431-019-03486-6
Wednesday Sep 01, 2021
Feedback with Dr. Lisa Leggio
Wednesday Sep 01, 2021
Wednesday Sep 01, 2021
Feedback with Dr. Lisa Leggio
Participants
- Jameson Kenerly (MS4)
- Jessica Davis, DO
- Lisa Leggio, MD
- Zachary Hodges, MD
Peer review by Dr. Andy Albritton and the MCG Pediatric Podcast Committee
About our guest:
Dr. Lisa Leggio is a professor of pediatrics here at the Medical College of Georgia and a practicing general pediatrician at the Children’s Hospital of Georgia. She is the director of the pediatric clerkship which is commonly voted as a favorite rotation by our medical students. Individually, she is a very successful medical educator and has been recognized as the educator of the year multiple times here at our institution.
Learning Objectives:
After listening to this podcast, learners should be able to:
- Recognize and overcome barriers to giving feedback
- Recognize and overcome barriers to receiving feedback
- Describe and use 4 techniques for giving feedback
FREE CME Credit (requires sign-in): https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8420
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenariosWe look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
References:
- Armson H, Lockyer JM, Zetkulic M, Könings KD, Sargeant J. Identifying coaching skills to improve feedback use in postgraduate medical education. Med Educ. 2019 May;53(5):477-493. doi: 10.1111/medu.13818. Epub 2019 Feb 18. PMID: 30779210.
- Baldie D et al. Exploring the impact and use of patients’ feedback about their care experiences in general practice settings – a realist synthesis. Family Practice, 2018; 35(1):13-21.
- Boehler ML, Rogers DA, Schwind CJ, Mayforth R, Quin J, Williams RG, Dunnington G. An investigation of medical student reactions to feedback: a randomised controlled trial. Med Educ. 2006 Aug;40(8):746-9. doi: 10.1111/j.1365-2929.2006.02503.x. PMID: 16869919.
- Brown, B. (2018). Dare to lead: Brave work. Tough conversations. Whole hearts.New York: Random House.
- Dweck, C.S. (2008). Mindset: the New Psychology of Success. New York: Random House.
- Ende J. Feedback in clinical medical education. JAMA. 1983 Aug 12;250(6):777-81. PMID: 6876333.
- Fainstad T, Mcclintock A A, Van Der Ridder M J, et al. (December 11, 2018) Feedback Can Be Less Stressful: Medical Trainee Perceptions of Using the Prepare to ADAPT (Ask-Discuss-Ask-Plan Together) Framework . Cureus 10(12): e3718. doi:10.7759/cureus.3718
- Gigante, J., Dell, M., & Sharkey, A. (2011). Getting beyond "Good job": how to give effective feedback. Pediatrics, 127(2), 205–207. https://doi.org/10.1542/peds.2010-3351
- Sargeant J. Future Research in Feedback: How to Use Feedback and Coaching Conversations in a Way That Supports Development of the Individual as a Self-Directed Learner and Resilient Professional. Acad Med. 2019 Nov;94(11S Association of American Medical Colleges Learn Serve Lead: Proceedings of the 58th Annual Research in Medical Education Sessions):S9-S10. doi: 10.1097/ACM.0000000000002911. PMID: 31365395.
- Stone, D. and Heen, S. (2014). Thanks for the Feedback: the Science and Art of Receiving Feedback Well* even when it is off base, unfair, poorly delivered, and, frankly, you’re not in the mood. New York: Penguin Books.
Sunday Aug 15, 2021
Juvenile Idiopathic Arthritis (JIA) with Dr. Julisa Patel
Sunday Aug 15, 2021
Sunday Aug 15, 2021
Juvenile Idiopathic Arthritis (JIA)
Participants
- Christina Cho (MS3)
- Julisa Patel, MD
- Zachary Hodges, MD
Peer review by pediatric rheumatologist Dr. Rita Jerath and the MCG Pediatric Podcast committee.
About our guest:
Dr. Julisa Patel is an Associate Professor of Pediatrics and practicing pediatric rheumatologist here at MCG.
Learning Objectives:
By the end of listening to this episode, learners should be able to:
- Recognize the common signs and symptoms associated with juvenile idiopathic arthritis (JIA).
- Formulate a differential diagnosis for a child with arthritis.
- Understand the general diagnostic approach for a patient with likely JIA.
- Recognize the role but limitations of the laboratory evaluation for JIA.
- Initiate appropriate first-line therapy for JIA.
- Recall both the short- and long-term complications of JIA.
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
Free CME Credit: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8419
References
- Shenoi S. Juvenile Idiopathic Arthritis - Changing Times, Changing Terms, Changing Treatments. Pediatr Rev. 2017 May;38(5):221-232. doi: 10.1542/pir.2016-0148. PMID: 28461613.
- Ringold S, Angeles-Han ST, Beukelman T, Lovell D, Cuello CA, Becker ML, Colbert RA, Feldman BM, Ferguson PJ, Gewanter H, Guzman J, Horonjeff J, Nigrovic PA, Ombrello MJ, Passo MH, Stoll ML, Rabinovich CE, Schneider R, Halyabar O, Hays K, Shah AA, Sullivan N, Szymanski AM, Turgunbaev M, Turner A, Reston J. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Treatment of Juvenile Idiopathic Arthritis: Therapeutic Approaches for Non-Systemic Polyarthritis, Sacroiliitis, and Enthesitis. Arthritis Care Res (Hoboken). 2019 Jun;71(6):717-734. doi: 10.1002/acr.23870. Epub 2019 Apr 25. PMID: 31021516; PMCID: PMC6561125.
Sunday Aug 01, 2021
Trisomy 13 & 18 Family Perspective with Wiley and Jenny Purcell (Part 2)
Sunday Aug 01, 2021
Sunday Aug 01, 2021
Trisomy 13 & 18—Family Perspective Wiley and Jenny Purcell
Participants
- Wiley and Jenny Purcell
- Zachary Hodges
All participants have no financial conflicts of interest to disclose.
Peer review by Dr. Paul Mann and the MCG Pediatric Podcast Committee
About our guests:
Wiley and Jenny Purcell have been gracious to share their story of their son Samul and their family’s experience with his diagnosis of trisomy 13. We are very excited to share their story!
Learning Objectives:
After listening to this podcast, learners should be able to better understand a family’s experience with:
- A prenatal diagnosis of a life-limiting genetic disease
- A newborn baby requiring neonatal intensive care.
- Bringing a baby with complex medical needs home from the NICU.
- Daily life with an infant with special needs.
Links mentioned:
SOFT—Support Organization for Trisomy; www.trisomy.org
String of Pearls: http://www.stringofpearlsonline.org/
Cuddle Cot: https://www.cuddlingangels.com/
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
Thursday Jul 15, 2021
Trisomy 13 & 18 Family Perspective with Wiley and Jenny Purcell (Part 1)
Thursday Jul 15, 2021
Thursday Jul 15, 2021
Trisomy 13 & 18—Family Perspective Wiley and Jenny Purcell
Participants
- Wiley and Jenny Purcell
- Zachary Hodges
All participants have no financial conflicts of interest to disclose.
Peer review by Dr. Paul Mann and the MCG Pediatric Podcast Committee
About our guests:
Wiley and Jenny Purcell have been gracious to share their story of their son Samul and their family’s experience with his diagnosis of trisomy 13. We are very excited to share their story!
Learning Objectives:
After listening to this podcast, learners should be able to better understand a family’s experience with:
- A prenatal diagnosis of a life-limiting genetic disease
- A newborn baby requiring neonatal intensive care.
- Bringing a baby with complex medical needs home from the NICU.
- Daily life with an infant with special needs.
Links mentioned:
SOFT—Support Organization for Trisomy; www.trisomy.org
String of Pearls: http://www.stringofpearlsonline.org/
Cuddle Cot: https://www.cuddlingangels.com/
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
Thursday Jul 01, 2021
Trisomy 13 & 18 Cardiac Surgery with Dr. James St. Louis
Thursday Jul 01, 2021
Thursday Jul 01, 2021
Trisomy 13 & 18 Cardiac Surgery with Dr. James St. Louis
Participants:
- James St. Louis, MD
- Zachary Hodges, MD
Peer review by Dr. Pushpa Shivaram and the MCG Pediatric Podcast Committee
About our Guest:
Dr. James St. Louis is the J. Harold Harrison, MD Distinguished Chair in Pediatrics, Surgery and Cardiothroacic Surgery at the Medical College of Georgia. He is the Chief of Pediatric Cardiothoracic and Congenital Cardiac Surgery at the Children’s Hospital of Georgia.
Learning Objectives:
After listening to this podcast, learners should be able to:
- Recognize the prevalence of congenital heart disease in children with Trisomy 13 & 18.
- Recall the limited access to cardiac surgery historically offered to children with Trisomy 13 & 18.
- Describe the general recent trends in pediatric cardiothoracic surgery for children with Trisomy 13 & 18, specifically increased access to surgical repair of relative low complexity lesions.
- Describe which cardiac abnormalities are increasingly being offered surgical repair by some centers.
- Recognize key factors or comorbidities that might guide the decision to offer or withhold corrective surgery for children with Trisomy 13 & 18.
- Generally, recognize which complex and multi-stage procedures are currently not being offered to children with Trisomy 13 & 18.
- Recognize the current variability of surgical options being offered between different centers.
- Describe what types of cardiac surgery are being offered to children with Trisomy 13 & 18 here at the Medical College of Georgia.
Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. If you have any comments, suggestions, or feedback- you can email us at mcgpediatricpodcast@augusta.edu
Remember that all content during this episode is intended for informational and educational purposes only. It should not be used as medical advice to diagnose or treat any particular patient. Clinical vignette cases presented are based on hypothetical patient scenarios. We look forward to speaking to you on our next episode of the MCG Pediatric Podcast.
Free CME Credit: https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=8278
References:
- McCaffrey MJ. Trisomy 13 and 18: Selecting the road previously not taken. Am J Med Genet C Semin Med Genet. 2016;172(3):251-256. doi:10.1002/ajmg.c.31512
- Bajinting A, Munoz-Abraham AS, Osei H, Kirby AJ, Greenspon J, Villalona GA. To operate or not to operate? Assessing NSQIP surgical outcomes in trisomy 18 patients [published online ahead of print, 2020 Jun 5]. J Pediatr Surg. 2020;S0022-3468(20)30369-9. doi:10.1016/j.jpedsurg.2020.05.037
- Neubauer K, Boss RD. Ethical considerations for cardiac surgical interventions in children with trisomy 13 and trisomy 18. Am J Med Genet C Semin Med Genet. 2020;184(1):187-191. doi:10.1002/ajmg.c.31767
- Nelson KE, Rosella LC, Mahant S, Guttmann A. Survival and Surgical Interventions for Children With Trisomy 13 and 18 [published correction appears in JAMA. 2017 May 2;317(17 ):1803]. JAMA. 2016;316(4):420-428. doi:10.1001/jama.2016.9819