Primary Care Perspectives

Maria G. Vogiatzi, MD, an attending physician in the Division of Endocrinology at Children's Hospital of Philadelphia, discusses how precocious puberty is defined, what causes it, how it is diagnosed and more. Published December 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rel...

Sarah Dziedzic, MSW, a social worker at Children’s Hospital of Philadelphia, offers advice for primary care pediatricians when discussing options counseling with a newly pregnant teenager, including how to talk to the teen, identifying a trusted adult, and assessing coping ability and safety, as well as planning for next steps. Published November 2018. This podcast is for general informational and...

Jessica Lilley, MD, Division Chief of Endocrinology at the Mississippi Center for Advanced Medicine, talks about how a new-onset diabetic might present in a pediatrician’s office, the variety of presentations and symptoms to watch for at different ages, risk factors for type 1 diabetes, what tests primary care providers should start with and more. Published November 2018. This podcast is for gener...

Motor vehicle crashes are the leading cause of death for U.S. teens. Flaura K. Winston, MD, PhD, founder of the Center for Injury Research and Prevention at Children’s Hospital of Philadelphia, talks about teen driving safety and how pediatricians play an important role in preventing teen crashes through counseling and education. Published October 2018. This podcast is for general informational an...

In this episode, Rebecca Ahrens-Nicklas, MD, PhD, a senior research scientist and attending physician with the Metabolic Disease Program and Division of Human Genetics at Children’s Hospital of Philadelphia (CHOP), talks about the evolution of universal newborn screening and resources for providers. She discusses how families and providers are notified of results and how CHOP specialists partner w...

Quality improvement in healthcare is typically defined as a framework to systematically improve the way we deliver care to patients. Elena Huang, MD, Director of Quality for the CHOP Care Network talks about what QI means in a pediatric healthcare setting; what it takes to start a QI project and key stakeholders to engage; how to identify opportunities for improvement; how PDSA cycles (plan, do, s...

Research shows that nearly 95 percent of parents are not using car seats properly. Alisa Baer, MD, a nationally-certified child passenger safety instructor, sits down to talk about all things car seat safety, including common installation mistakes, tips for installing car seats correctly, how pediatricians can play a role in improving usage, car seats for children at different ages, and more. Publ...

Tiffani Johnson, MD, an expert in pediatric emergency care and ethnic health disparities, discusses subconscious racial bias and what impact it has in a healthcare setting. She talks about the difference between stereotypes and implicit bias, how subconscious bias can impact patient-provider communication as well as treatment decisions and disparities, ways to examine and explore your own unconsci...

In this episode, Christina L. Master, MD, FAAP, CAQSM, Co-Director of the Concussion Care for Kids: Minds Matter program at Children’s Hospital of Philadelphia, talks about all things concussion — symptoms, when to seek medical care after head injury, common myths and misconceptions about concussions, current research, and more. Published August 2018. This podcast is for general informational and...

Billie Schwartz, PhD, discusses the ways that anxiety presents in pediatric primary care patients, when and how to refer to Behavioral Health, and strategies primary care providers can use with patients in their offices to manage anxiety. Published July 2018. This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular pat...

The incidence of inflammatory bowel disease (IBD) seems to be increasing in children. Pediatric gastroenterologist Betsy Maxwell, MD, MS, talks about the theories as to why that might be happening, including an overlap between genetic factors, the immune system, the microbiome, and environmental triggers. She discusses the evaluation of suspected IBD in primary care, the unique way IBD can present...

Christopher Long, MD, an attending pediatric urologist at Children’s Hospital of Philadelphia, discusses common urology topics that come up in a primary care setting. The episode includes advice for counseling families on both the risks and benefits of circumcision, when retraction of foreskin is recommended, and when to refer to a pediatric urologist for other common urologic conditions such as r...

In this episode about transitioning to adult care, Dava Szalda, MD, an Attending Physician in the Division of Oncology at Children's Hospital of Philadelphia, talks about guidelines for transitioning patients to adult care, assessing the “readiness” of a patient to transition to adult care, how providers can help prepare patients for the transition, and more. Published June 2018. This podcast is f...

In this episode about preemie nutrition, Margaret (Mimi) Girten, RD, CSP, LDN, a clinical dietitian at Children's Hospital of Philadelphia, talks about the unique nutrition needs of premature infants, including: special formulas for preemies; when to supplement with a multivitamin; clinical nutrition, feeding and breastfeeding resources; when to introduce solids; tips for dealing with a picky eate...

Over the past 20 years, the probability of having a kidney stone before the age of 18 has approximately doubled. In this episode, Gregory Tasian, MD, attending urologist at Children’s Hospital of Philadelphia, explores why, including factors like temperatures and medication, which have emerged in recent studies as contributing factors. He also discusses signs and symptoms, recurrence risks, and a...

Maria Mascarenhas, MBBS, a pediatric gastroenterologist and nutrition pediatrician at Children’s Hospital of Philadelphia, defines the role of probiotics and prebiotics, how to increase them in your diet or through supplements, and the conditions for which they have been most studied. Published April 2018. This podcast is for general informational and educational purposes only and is not to be con...

In this episode, Robert Grundmeier, MD, attending physician and Director of Clinical Informatics at Children’s Hospital of Philadelphia, discusses the multiple factors that contribute to missed patient appointments, the impact of this issue, and both current and future solutions to this problem. Using data from a recent pilot study, Dr. Grundmeier offers ideas for how our electronic health records...

This episode explores the origins, health benefits, and uses of the anti-inflammatory diet with Maria Mascarenhas, MBBS, an attending physician and Medical Director of the Integrative Health Program at Children's Hospital of Philadelphia. She discusses the data-based origins of the diet; foods to focus on, including a sample menu for kids; and how the diet can help improve outcomes and health, esp...

Kate Wallis, MD, a fellow with the Division of Developmental and Behavioral Pediatrics at Children's Hospital of Philadelphia, talks about autism screening using the M-CHAT, signs of autism spectrum disorder, cultural and language considerations, management of common comorbidities like food selectivity, and more. She also discusses how pediatricians can support parents and siblings of children wit...

Julie Stern, MD, attending physician with the Division of Oncology at Children's Hospital of Philadelphia, talks about the examination and evaluation of lymph nodes, and the diagnostic work-up for abnormal nodes. Also, how to approach difficult conversations with patients and families, when to refer to oncology services, and what resources are available to primary care physicians with diagnostic d...

Ian Jacobs, MD, Medical Director of the Center for Pediatric Airway Disorders at Children's Hospital of Philadelphia, discusses common causes of stridor, including croup, foreign body aspiration, and laryngomalacia. He also talks about the most dangerous foreign body ingestions in young children and the latest clinical advances and research underway in the airway clinic at CHOP. Published February...

In this episode, Jennifer Webster, MD, a pediatric gastroenterology fellow at Children’s Hospital of Philadelphia, discusses childhood constipation. She covers things like diagnostic criteria, signs of constipation, treatment, tips for increasing dietary fiber intake in toddlers, related diagnoses, and more. Published January 2018. This podcast is for general informational and educational purposes...

In this episode, pediatric dermatologist James Treat, MD, from Children’s Hospital of Philadelphia, talks about a variety of dermatology issues commonly seen in primary care. Topics discussed include eczema treatment, congenital skin lesions and hemangiomas, evaluating irregular moles, acne, molluscum, contact dermatitis, and when to refer to dermatology. Published December 2017.

In this episode, David Hill, MD, PhD, a fellow in the Division of Allergy at Children’s Hospital of Philadelphia, discusses the prevalence and incidence of peanut allergies, how to safely introduce peanuts to infants, and how to evaluate children for peanut allergy in context of new guidelines and recent research. Published November 2017.

In this episode, Adva Buzi, MD, an attending physician in the Division of Otolaryngology at Children's Hospital of Philadelphia, discusses a variety of common ear, nose and throat issues encountered in primary care settings, including strep throat, chronic otitis, sinusitis and more. Published October 2017.