47 episodes

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.

The MCG Pediatric Podcast mcgpediatricpodcast

    • Science
    • 5.0 • 22 Ratings

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.

    Childhood Vaccine Hesitancy

    Childhood Vaccine Hesitancy

    Vaccine development is considered one of the greatest achievements of public health and medical science with millions of lives saved worldwide from many once-deadly infectious diseases.  Fortunately, most parents readily accept all vaccines recommended by the American Academy of Pediatrics (AAP).  However, vaccine hesitancy is becoming increasingly prevalent. Pediatric Resident, Dr. Caroline Fu, joins Associate Professor of Pediatrics at MCG, Dr. Donna Moore, to discuss childhood vaccine hesitancy. 

    After listening to this podcast, learners should be able to:

    1. Recognize the public health concerns of childhood vaccination refusal and delays.
    2. Understand common objections and concerns about vaccines and know how to dispel misconceptions.
    3. Utilize communication strategies for counseling vaccine hesitant parents.
    4. Know how to access reputable resources to provide parents who would like additional resources.
    5. Explain the few true medical contraindications to vaccines vs. religious or philosophical objections.
    6. Review tips on how to approach parents who continue to refuse vaccines despite extensive counseling.

    FREE CME Credit (requires free sign-up):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=11406 

    References: 

    Wolfe, RM and Sharp, LK.  Anti-Vaccinationists Past and Present.  BMJ.  2002; 325:430. 
    AAP COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE, AAP COMMITTEE ON INFECTIOUS DISEASE, AAP COMMITTEE ON STATE GOVERNMENT AFFAIRS, AAP COUNCIL ON SCHOOL HEALTH, AAP SECTION ON ADMINISTRATION AND PRACTICE MANAGEMENT.  Medical versus Nonmedical Immunization Exemptions for Child Care and School Attendance.  2016; 138 (3): e20162145 
    Edwards KM, Hackell JM, AAP THE COMMITTEE ON INFECTIOUS DISEASES, THE COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE.  Countering Vaccine Hesitancy.  Pediatrics.  2016; 138(3): e20162146 
    Natbony, J and Genies, M. Vaccine Hesitancy and Refusal in Brief.   Pediatrics in Review.  2016; 40.1(22-3) 
    Smith, M.  Vaccine Safety: Medical Contraindications, Myths, and Risk Communication.  Pediatrics in Review.  2015; 36:6 (227-236). 
    Healy, MC and Pickering, LK.  How to Communicate with Vaccine-Hesitant Parents.  2011; 127:S127-S133. 
    McKee, C and Bohannon, K.  Exploring the Reasons Behind Parental Refusal of Vaccines.  Journal of Pediatric Pharmacology and Therapeutics.  2016; 1:2 (104-9). 
    Wombwell E, Fangman MT, Yoder AK, and Spero DL.  Religious Barriers to Measles Vaccination.  Journal of Community Health.  2015; 40:597-604. 
    Singh, K and Mehta, S.  The clinical development process for a novel preventative vaccine: An overview.  Journal of Postgraduate Medicine. 2016; 62(1): 4-11.   
    Girotto, J.  What does full FDA Approval Mean for a Vaccine already authorized for emergency use?  UConn Today.  August 19, 2021. https://today.uconn.edu/2021/08/what-does-full-fda-approval-mean-for-a-vaccine-already-authorized-for-emergency-use/ 
    Quinn SC, Jamison AM, Freimuth V.  Communicating effectively about emergency use authorization and vaccines in the COVID-19 pandemic.  Am J Public Health.  2021; 111(3):355-358. 
    JD Grabstein. What the World Teaches, Applied to Vaccines and Immunoglobulins. Vaccine.  2013 April 12;31(16):2011-23.doi: 10.1016/j.vaccine.2013.02.026. Epub 2013 Feb 26. 
    World Health Organization. Ten health issues who will tackle this year. 2019.  https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019

    Resources for parents and providers 

    CDC provider resources for conversation with vaccine hesitant parents: https://www.cdc.gov/vaccines/hcp/conversations/index.html
    https://www.cdc.gov/vaccines/parents/index.html (CDC vaccines for parents resource) 
    https://www.cdc.gov/vaccines/pubs/pinkbook/index.html (PinkBook CDC) 
    https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/hepb.html (Advisory Committee on Immunization Practices; contraindications and precautions for vaccines) 
    https://www.fda.gov/vaccines

    • 31 min
    Pediatric Non-Accidental Trauma

    Pediatric Non-Accidental Trauma

    According to the US Department of Health and Human Services, in 2018, there were 7.8 million children evaluated nationally for child abuse. About 1700 of the cases were associated with fatalities. Did you know that the younger the child, the more likely for abuse to result in death?  For this reason, it is the responsibility of the entire healthcare team and anyone who works with children to know what the signs of child abuse are. Dr. Kevin Allen, a Pediatric Emergency Physician and Medical Director of the Child Protection Team, joins Resident Dr. Chaitanya Sambangi and Medical Student Clara Horner to discuss non-accidental trauma, including covering the following:

    Understand the epidemiology surrounding non-accidental trauma.
    Recognize common red flags in the history that would indicate concern for child abuse.
    Identify physical exam features that would raise suspicion for NAT
    Recognize potential mimics of non-accidental trauma in children.
    Select appropriate labs and imaging when NAT is suspected.
    Understand the role and responsibilities of a mandated reporter.
    Understand what happens after suspected NAT is reported.
    Identify how the COVID-19 pandemic may be impacting NAT.
    Recognize methods for pediatricians to help prevent maltreatment.

    FREE CME Credit (requires sign-in):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=11405  

    Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. An additional thanks to Dr. Lorna Bell, Dr. George Hsu, and Dr. Rebecca Yang who provided editing and peer review of today’s discussion.

    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 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. Thank you for your support!

    References:

    1. https://www.acepnow.com/article/spotting-and-reporting-child-neglect-cases/?singlepage=1
    2. Pierce MC, Kaczor K, Lorenz DJ, et al. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Netw Open. 2021;4(4):e215832. doi:10.1001/jamanetworkopen.2021.5832
    3. Letson  MM, Cooper  JN, Deans  KJ,  et al.  Prior opportunities to identify abuse in children with abusive head trauma.   Child Abuse Negl. 2016;60:36-45. doi:10.1016/j.chiabu.2016.09.001
    4. https://www.aap.org/en/patient-care/child-abuse-and-neglect/  (Policy statements/resources)
    5. https://www.ncedsv.org/resources/healthcare-toolkit/pediatric-health-resources/
    6.https://www.aacap.org/aacap/Families_and_Youth/Resource_Centers/Child_Abuse_Resource_Center/Home.aspx
    7. https://www.caresnw.org/national-resources/
    8. Other resources- Rape Crisis- https://www.rainn.org/state-resources

    • 25 min
    Animal and Human Bites

    Animal and Human Bites

    Did you know that there are an estimated 5 million human or animal bite wounds occur annually in the United States? Dog bite wounds are the most common, and infections rates can be as high as 50% for cat bite wounds. Today, pediatric resident, Dr. Jack Noel, joins pediatric emergency medicine physician, Dr. Jim Wilde, and pediatric emergency medicine fellow, Dr. Inna Kaminecki, to explore the common management strategies and potential pitfalls to avoid.

    Specifically, we will be covering the following:
    1. Recognize common history and physical exam findings associated with animal and human bites.
    2. Be able to recognize important pathogenic bacteria associated with animal and human bites. 
    3. Understand the initial diagnostic approach to animal and human bites.
    4. Initiate appropriate prophylaxis in animal and human bites to prevent tetanus, rabies, and wound infection. 
    5. Initiate appropriate management of bite wounds. 
    6. Create an appropriate disposition for patient with bite wounds.

    FREE CME Credit (requires sign-in):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=11167 

    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 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. Thank you for your support!

    References:
    1. Bula-Rudas FJ, Olcott JL. Human and Animal Bites. Pediatr Rev. 2018 Oct;39(10):490-500. 
    2. Edens MA, Michel JA, Jones N. Mammalian Bites In The Emergency Department: Recommendations For Wound Closure, Antibiotics, And Postexposure Prophylaxis. Emerg Med Pract. 2016 Apr;18(4):1-20. 
    3. Centers for Disease Control and Prevention (CDC). Nonfatal dog bite-related injuries treated in hospital emergency departments-United States, 2001. MMWR Morb Mortal Wkly Rep. 2003 Jul 4;52(26):605-610. 
    4. Liang JL, Tiwari T, Moro P, Messonnier NE, Reingold A, Sawyer M, Clark TA. Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2018 Apr 27;67(2):1-44. 
    5. Havers FP, Moro PL, Hunter P, Hariri S, Bernstein H. Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations of the Advisory Committee on Immunization Practices - United States, 2019. MMWR Morb Mortal Wkly Rep. 2020 Jan 24;69(3):77-83.
    6.  American Academy of Pediatrics. Bite wounds. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018-2021 Report of the Committee on Infectious Diseases. 31st ed. Elk Grove Village, IL: American Academy of Pediatrics; 2018:189–195. 
    7. American Academy of Pediatrics. Rabies. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018-2021 Report of the Committee on Infectious Diseases. 31st ed. Elk Grove Village, IL: American Academy of Pediatrics; 2018:673-680.
    8. American Academy of Pediatrics. Tetanus. In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2018-2021 Report of the Committee on Infectious Diseases. 31st ed. Elk Grove Village, IL: American Academy of Pediatrics; 2018:793-798.
    9. S. Ramgopal, M.L. Macy, US estimates for dog bite injuries presenting to emergency departments, Public Health, Volume 196, 2021,Pages 1-3, ISSN 0033-3506 https://doi.org/10.1016/j.puhe.2021.04.028.

    • 25 min
    Failure to Thrive in Childhood

    Failure to Thrive in Childhood

    The commonly seen diagnosis of Failure to Thrive is an easily preventable disease state but when ignored, it can lead to serious complications. Dr. Rebecca Yang and Dr. Kathryn McLeod joins medical student Sheenu Chirackel to discuss the evaluation and management for failure to thrive in childhood. Listen to this week’s podcast to:

    Recognize common history and physical exam findings associated with Failure to Thrive
    Formulate a differential diagnosis for FTT
    Identify potential risk factors and causes for FTT
    Initiate appropriate therapy for FTT
    Special thanks to Dr. Rebecca Pierce for peer reviewing this episode

    FREE CME Credit (requires sign-in):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=10784  

    Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. 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. Thank you for your support!

    References:

    Berwick DM, Levy JC, Kleinerman R. Failure to thrive: diagnostic yield of hospitalisation. Arch Dis Child. 1982;57(5):347-351. doi:10.1136/adc.57.5.347
    Bithoney WG, Van Sciver MM, Foster S, Corso S, Tentindo C. Parental stress and growth outcome in growth-deficient children. Pediatrics. 1995 Oct;96(4 Pt 1):707-11. PMID: 7567335.
    O'Brien LM, Heycock EG, Hanna M, Jones PW, Cox JL. Postnatal depression and faltering growth: a community study. Pediatrics. 2004 May;113(5):1242-7. doi: 10.1542/peds.113.5.1242. PMID: 15121936.
    Danner E, Joeckel R, Michalak S, Phillips S, Goday PS. Weight velocity in infants and children. Nutr Clin Pract. 2009 Feb-Mar;24(1):76-9. doi: 10.1177/0884533608329663. PMID: 19244151.
    Homan GJ. Failure to Thrive: A Practical Guide. Am Fam Physician. 2016 Aug 15;94(4):295-9. PMID: 27548594.
    Estrem HH, Pados BF, Park J, Knafl KA, Thoyre SM. Feeding problems in infancy and early childhood: evolutionary concept analysis. J Adv Nurs. 2017 Jan;73(1):56-70. doi: 10.1111/jan.13140. Epub 2016 Sep 23. PMID: 27601073.
    Larson-Nath, C., & Biank, V. F. (2016). Clinical review of failure to thrive in pediatric patients.Pediatric Annals, 45(2), e46-49. doi:http://dx.doi.org/10.3928/00904481-20160114-01
    Cole, S. Z., & Lanham, J. S. (2011). Failure to thrive: An update. American Family Physician, 83(7), 829-834. Retrieved from https://www.proquest.com/scholarly-journals/failure-thrive-update/docview/2454417000/se-2?accountid=12365

    • 30 min
    The Limping Child

    The Limping Child

    Children frequently are brought to the emergency room for difficulty walking. In some cases, the cause is easily identified, but in others, the cause can be a sign of a more serious condition.  Dr. George Hsu, a Pediatric Emergency Physician, joins Dr. Ohmed Khilji and Pediatric Resident Kristen Schmidbauer to discuss the evaluation and management of children presenting with a limp. Specifically, they will:

    Review common history and physical exam findings associated with conditions causing children to limp
    Discuss initial diagnostic approach, as well as selecting appropriate labs, imaging, and treatment options
    Diagnoses discussed: septic arthritis, toddler’s fracture, osteomyelitis, Perthes disease, malignancy, non-accidental trauma, slipped capital femoral epiphysis, transient synovitis and more

    Special thanks to Dr. Rebecca Yang and Dr. Melissa Allen for peer reviewing this episode.

    FREE CME Credit (requires sign-in):  https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=10783

    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 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. Thank you for your support!

    References:

    Flynn JM, Widmann RF. The limping child: evaluation and diagnosis. J Am Acad Orthop Surg. 2001; 9(2): 89-98
    The Limping Child. Martin J. Herman, Melissa Martinek. Pediatrics in Review May 2015, 36 (5) 184-197; DOI:1542/pir.36-5-184
    Herring  J, Birch  J. The limping child. In: Herring J, ed. Pediatric Orthopaedics. 5th ed. Philadelphia, PA: Saunders; 2014:79–89

    • 28 min
    Autism Spectrum Disorder

    Autism Spectrum Disorder

    Welcome to the MCG Pediatric Podcast! Dr. April Hartman, an associate professor of Pediatrics and the Division Chief of General Pediatric and Adolescent Medicine at the Children’s Hospital of Georgia, is joined by Medical Student, Kayla Cooper to discuss pertinent topics surrounding individuals living with Autism with a pediatric lens. Specifically, they will:

    Define, Explain the prevalence of, and discuss clinical symptoms of autism spectrum disorder
    Explain the diagnostic evaluation of autism spectrum disorder
    Discuss the screening and surveillance of autism spectrum disorder
    Evaluate the management of co-occurring conditions with autism spectrum disorder
    Define Current Interventions for patients within this community
    Explain advocacy and partnership with families of patients

    FREE CME Credit (requires sign-in): 

    https://mcg.cloud-cme.com/course/courseoverview?P=0&EID=9857

    Thank you for listening to this episode from the Department of Pediatrics at the Medical College of Georgia. 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. Thank you for your support!

    References:

    Evans B. How autism became autism: The radical transformation of a central concept of child development in Britain. Hist Human Sci. 2013;26(3):3-31. doi:10.1177/0952695113484320
    Identification, Evaluation, and Management of Children with Autism Spectrum Disorder. Susan L. Hyman, Susan E. Levy, Scott M. Myers, COUNCIL ON CHILDREN WITH DISABILITIES, SECTION ON DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS. Pediatrics Jan 2020, 145 (1) e20193447; DOI: 10.1542/peds.2019-3447
    https://www.cdc.gov/ncbddd/autism/data.html. Accessed on 12/23/20
    The American Academy of Pediatrics (AAP). Identifying and Caring for Children with Autism Spectrum Disorder A course for Pediatric Clinicians. [Online Course]. Pedialink. http://asd.pedialink.courses.aap.org/course/
    https://www.cdc.gov/ncbddd/autism/addm-community-report/documents/addm-community-report-2020-h.pdf
    Timing of the Diagnosis of Autism in African American Children. John N. Constantino, Anna M. Abbacchi, Celine Saulnier, Cheryl Klaiman, David S. Mandell, Yi Zhang, Zoe Hawks, Julianna Bates, Ami Klin, Paul Shattuck, Sophie Molholm, Robert Fitzgerald, Anne Roux, Jennifer K. Lowe, Daniel H. Geschwind. Pediatrics Sep 2020, 146 (3) e20193629; DOI: 10.1542/peds.2019-3629

    • 30 min

Customer Reviews

5.0 out of 5
22 Ratings

22 Ratings

stjohnston ,

Even more informative than Scrubs!

Just found this podcast, huge fan! Can’t wait to hear more from Dr. Smith!!!

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