Virtual Curbside

American Academy of Pediatrics, Utah Chapter

For Pediatricians. By Pediatricians. Available Anywhere. Curbside consults in podcast form.

  1. 3 days ago

    #94-4 Vitamin K Deficiency: Q & A

    In this Q&A episode, we wrap up our series on vitamin K deficiency bleeding by answering common questions about newborn prophylaxis and ongoing protection. Our host Paul Wirkus, MD, FAAP, and Sarah Coggins, MD, MSCE discuss whether infants ever need additional supplementation or a second dose after the initial birth dose, how long protection lasts, and whether there is a point at which it is too late to administer intramuscular (IM) vitamin K. The conversation also explores whether early antibiotic exposure can affect an infant’s risk of bleeding complications and why standardized, FDA-approved alternatives to the IM injection are not available in the United States. These questions provide an opportunity to examine the evidence behind current recommendations and the challenges of ensuring reliable vitamin K protection for newborns. This episode concludes our series with practical insights to help pediatricians answer families’ questions, address concerns about vitamin K prophylaxis, and explain the importance of protecting infants from potentially serious bleeding complications. The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #94-4 Vitamin K Deficiency: Q & A
  2. 20 Oct

    #94-3 Vitamin K Deficiency: Talking with Parents

    In Episode 3 of our series on vitamin K deficiency bleeding, we focus on one of the most challenging aspects of newborn care: talking with parents who are hesitant about vitamin K prophylaxis. Our host Paul Wirkus, MD, FAAP, and two experts, Kristan Scott, MD, MSHP, and Sarah Coggins, MD, MSCE, explore three key factors that shape parental decisions: personal beliefs, concerns about infant welfare, and outside influences. Throughout the conversation, they emphasize that parents genuinely want what is best for their babies and that listening with empathy is essential to building trust. The discussion addresses common concerns, including whether vitamin K is synthetic, the ingredients in available formulations, the use of small amounts of alcohol as a stabilizing agent, and fears about a possible link to leukemia. Our guests review the limitations of earlier studies suggesting a link and the lack of consistent findings in subsequent research. They also discuss how concerns about infant pain can be acknowledged and addressed, and why misconceptions about the need for vitamin K based on whether a procedure such as circumcision is planned can leave infants—including girls—unprotected. With parents having access to more health information online than ever before, pediatricians have an important role in helping families evaluate what they find and make informed decisions. This episode offers practical guidance for approaching difficult conversations with empathy, addressing misinformation, and reinforcing the pediatrician as a trusted resource throughout a child’s care.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #94-3 Vitamin K Deficiency: Talking with Parents
  3. 13 Oct

    #94-2 Vitamin K Deficiency: Guidance & Supplementation

    In Episode 2 of our series on vitamin K deficiency bleeding (VKDB), our host Paul Wirkus, MD, FAAP and two experts, Kristan Scott, MD, MSHP and Sarah Coggins, MD, MSCE explore why intramuscular (IM) vitamin K is recommended for newborns, how current supplementation guidelines were established, and what the evidence tells us about its effectiveness. We compare oral and IM administration, discuss why recommendations vary between countries, and review findings from studies in Denmark, Sweden, and Australia. The conversation also addresses common questions and misinformation families may encounter online, including the risks of unregulated products and the importance of understanding that there is no FDA-approved over-the-counter vitamin K product for newborn prophylaxis. We discuss why some breastfed infants may remain vulnerable to vitamin K deficiency even after receiving the IM injection and why increasing maternal supplementation to boost vitamin K levels in breast milk is not a reliable substitute for newborn prophylaxis. This episode provides pediatricians with evidence-based context for discussing vitamin K recommendations with families, addressing common concerns, and explaining why the route of administration matters in protecting newborns from potentially serious complications.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #94-2 Vitamin K Deficiency: Guidance & Supplementation
  4. 6 Oct

    #94-1 Vitamin K Deficiency: Newborn Recommendations

    This month, we begin a new series on Vitamin K Deficiency with host Paul Wirkus, MD, FAAP and two experts,  Kristan Scott, MD, MSHP and Sarah Coggins, MD, MSCE joining us to explore why newborns are particularly vulnerable to vitamin K deficiency and how our approach to prevention has evolved over time. In this first episode, we discuss the history and progression of vitamin K use in newborns and why breast milk alone does not provide enough vitamin K to meet an infant’s needs. We also explore the unique physiology of the newborn period, including the limited vitamin K stores babies are born with and the challenges of establishing adequate levels after birth. The conversation touches on the complications that can result from vitamin K deficiency and why the birth process itself can create additional vulnerability. This episode provides important background for understanding why vitamin K prophylaxis has become a standard part of newborn care and sets the stage for the rest of the series.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #94-1 Vitamin K Deficiency: Newborn Recommendations
  5. 29 Sept

    #93-4 Psychosis: Q & A

    In this Q&A episode, we wrap up our series on psychosis by exploring the important role of family, relationships, and support systems in caring for children and adolescents experiencing psychosis. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how household dynamics can influence recovery, including the importance of predictability, stability, and a supportive home environment. They also revisit the concept of low expressed emotion and whether it remains a recommended approach for families. The conversation addresses support following a first episode of psychosis, including the importance of recognizing and treating symptoms early. We discuss how to approach medication when a patient has limited awareness of their illness and may not recognize the need for treatment. Building trust and identifying people the patient trusts to help them recognize and describe changes in their thoughts, behaviors, or experiences can be an important part of this process. We also highlight NAMI as a resource for education, family support, and support specifically for siblings. For Utah pediatricians and primary care clinicians, the Utah Psychiatric Call-Up Line remains an additional resource for consultation and guidance when navigating psychiatric concerns. The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #93-4 Psychosis: Q & A
  6. 15 Sept

    #93-3 Psychosis: Hallucinations& Delusions

    This week on The Virtual Curbside, we take a closer look at hallucinations and delusions in children and adolescents. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how to approach the diagnosis while keeping safety at the forefront. A thorough history is essential, including the patient’s family history, recent illnesses or infections, travel, changes in function, confusion, and the nature and timing of delusions or hallucinations. The conversation emphasizes the importance of considering both psychiatric and medical causes when a child presents with new or concerning symptoms. We also discuss the role of lab tests and imaging in the evaluation, including when additional medical workup is warranted and when symptoms require evaluation in the emergency department. The episode highlights the PREP program, a resource for young people experiencing a first episode of psychosis, and the Utah Psychiatric Call-Up Line, a publicly funded consultation resource available to primary care clinicians and pediatricians. This episode provides a practical framework for recognizing concerning symptoms, evaluating possible causes, assessing safety, and knowing when to seek additional support or urgent care.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #93-3 Psychosis: Hallucinations& Delusions
  7. 8 Sept

    #93-2 Psychosis: Schizophrenia

    In Episode 2 of our series on psychosis, we take a closer look at schizophrenia in children and adolescents, including the typical onset of symptoms, the role of genetics, and the relationship between cannabis use and psychosis. Our host Paul Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD review the disorders and conditions that commonly overlap with schizophrenia or occur at higher rates, including autism, major depressive disorder, bipolar disorder, schizoaffective disorder, anxiety, and substance use disorders. The conversation also explores how schizophrenia can progress over time and what clinicians can expect as the illness unfolds. We discuss the role of psychotherapy alongside other treatments and the important role pediatricians can play in supporting patients and families throughout the course of illness. Finally, we highlight the Utah Psychiatric Call-Up Line, a publicly funded resource available to Utah primary care and pediatricians for consultation and support when navigating psychiatric concerns. The episode also addresses the pediatrician's role in helping adolescents and young adults transition from pediatric to adult mental health care.Utah Call-Up Line: 801.587.3636 or https://healthcare.utah.edu/hmhi/programs/call-up. Have a question for our hosts or guests? Email questions@vcurb.com. For more information, additional episodes, and available CME/MOC credit, visit vcurb.com. The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at aaputah.org. ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    #93-2 Psychosis: Schizophrenia

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For Pediatricians. By Pediatricians. Available Anywhere. Curbside consults in podcast form.

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