Primary Care Perspectives: Podcast for Pediatricians

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 retractile and undescended testes, hydroceles, bedwetting, UTIs, and more.

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.

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 eater as a child grows, and more.

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 collaborative approach to providing care for children and adolescents with stone disease.

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.

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 can help prevent missed appointments and improve access to care. (PATTERNS: Predictive Analytic Technology to Eliminate Repeat No Shows)

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, especially for patients with chronic conditions attributed to inflammation.

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 with autism spectrum disorder.

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 dilemmas.

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.

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.

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.

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.

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.

In this episode, CHOP PolicyLab experts Rhonda Boyd, PhD, Marsha Gerdes, PhD, and James Guevara, MD, MPH, discuss caregiver depression. Mothers of young children and those with fewer economic resources are at particularly high risk for caregiver depression, making young patients in disadvantaged households particularly vulnerable. Learn how pediatricians can more effectively screen for and intervene in caregiver depression.