Primary Care Perspectives

The most common sexually transmitted infection in the United States, HPV (and HPV vaccinations) is a hot topic for primary care providers. Aletha Akers, MD, MPH, FACOG, an attending physician in the Division of Adolescent Medicine at Children’s Hospital of Philadelphia, discusses HPV symptoms, screening recommendations, transmission and prevention, long-term implications, the latest studies looking at the impact of the HPV vaccine, and more. Published September 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Between 400,000 – 500,000 children are in foster care in the U.S. on any given day. Because children in foster care have a higher prevalence of physical, developmental, dental, and behavioral health conditions than any other group of children, the AAP has identified them as a population with special healthcare needs. Pediatric residents Drs. Zoe Bouchelle, Shari Gitlin, and Josh Sperling discuss the unique healthcare needs of children in foster care with Dr. Kristin Fortin, attending physician with Safe Place and the Center for Child Protection and Health at Children's Hospital of Philadelphia. Published August 2019 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Ian Lahey, PT, DPT, OCS, SCS, CSCS, FAAOMPT, a Physical Therapist with the Sports Medicine and Performance Center at CHOP, discusses the latest non-surgical treatments for scoliosis in children, including guidelines for wearing braces and the benefits of scoliosis rehab, plus the importance and challenges of furthering research in this field. Published August 2019 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Clinical Director of Endocrinology at CHOP, Andrew Calabria, MD, talks about forms and sources of vitamin D, the role it plays, targets for vitamin D intake for infants and children, when vitamin D supplements are called for, preventing vitamin D deficiency and rickets, and more. Published July 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

E-cigarette Use in Adolescents Based on recent data, up to 20% of high school students regularly use e-cigarettes. 1 in 5 high school students and 1 in 20 middle school students are regularly using these products. Brian Jenssen, MD, MSHP, talks about concerning trends in adolescent e-cigarette use, different vaping devices, exposure risks related to harmful chemicals in these products, the latest regulations, and what pediatric healthcare providers need to know about the effects e-cigarettes can have, specifically on adolescents and teens. Published July 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Teens who identify as transgender have high rates of depression, anxiety, eating disorders, substance abuse, self-harm and suicide. Primary care providers are in a unique position to inquire about gender development as part of routine well-child care and be a trusted source of support and information for patients and families. Sarah Hart-Unger, MD, endocrinologist at Joe DiMaggio Children’s dives into the endocrine issues and how pediatricians can provide gender-affirmative medical care for transgender and gender-diverse youth. Published June 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

Gil Binenbaum, MD, MSCE, reviews Children’s Hospital of Philadelphia’s new clinical pathway on the management of patients with suspected preseptal or orbital cellulitis, including the differential diagnosis, physical exam for orbital signs, reasons for admission, and outpatient management of preseptal cellulitis. Published May 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.

In this engaging discussion, Paul Offit, the Director of the Vaccine Education Center and an expert in infectious diseases, delves into the significance of fever in children. He highlights how fever aids in immune function and cautions against the prevalent use of antipyretic drugs, arguing they may hinder immune response and vaccine efficacy. Offit also clarifies misconceptions about fever's role and emphasizes supportive care over aggressive treatment. His insights encourage a reevaluation of pediatric fever management, advocating for a cultural shift in handling childhood illnesses.

Ashley Binkowski, an occupational therapist with a focus on pediatric care, shares valuable insights on supporting children's development. She discusses the importance of occupational therapy in addressing sensory sensitivities and developmental delays. Listeners learn practical strategies for managing sensory challenges, especially at home. Binkowski also highlights the benefits of early intervention and the diverse roles of occupational therapists in various settings, emphasizing the significant impact on children's success in daily activities.

Licensed social worker Sara Kurlansik, MSW, LSW, discusses how primary care providers can help children and families deal with divorce and separation. The episode covers custody issues that frequently come up in primary care and offers tips for physicians to share with parents to ease the transition for children when parents are separating. She also discusses the importance of keeping the focus on the child when issues arise in the office. Published April 2019. 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2019 by Children's Hospital of Philadelphia, all rights reserved.