Primary Care Perspectives

Research shows that about 50 percent of children with a complex congenital heart defect requiring surgical or catheter intervention in the first year of life have some level of neurodevelopmental disability. Alisa Burnham, MD, Lyla Hampton, PhD, and Kate Wallis, MD, MPH, sit down to talk about the importance of routine neurodevelopmental assessments for children born with complex congenital heart disease, deficits to watch for at different ages, follow-ups and support services pediatricians should be aware of and more. Published February 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.

Rachana Shah, MD, attending physician and Director of the Polycystic Ovarian Syndrome (PCOS) Clinic at CHOP, discusses diagnostic criteria and screening for PCOS in adolescents, diseases that mimic PCOS, the first labs that should be considered by primary care providers, appropriate use of ultrasound, and more. Published January 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.

Joanna Parga-Belinkie, MD, a neonatologist at Children’s Hospital of Philadelphia, talks about the potential harmful effects of plastics, in particular BPA, phthalates, PFCs and perchlorates; new recommendations from the AAP in response to emerging child health concerns related to environmental toxins; and reasonable recommendations and substitutes pediatricians can suggest to parents to minimize the effects of plastics and other environmental toxins on children. Published January 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.

What is functional medicine? Pediatrician Ann McCarthy, MD, explains what functional medicine is and is not, how it can complement conventional medicine to help patients find relief from chronic conditions, the focus on addressing underlying causes of symptoms, 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

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 rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

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 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. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

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 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. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

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 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. ©2018 by Children's Hospital of Philadelphia, all rights reserved.

Rebecca Ahrens-Nicklas, a senior research scientist and attending physician at Children’s Hospital of Philadelphia, dives into the transformative history of universal newborn screening. She shares insights on the evolution of screening for metabolic diseases like PKU and cystic fibrosis, emphasizing early detection's life-saving potential. The discussion covers the complexities of navigating state-specific protocols, notifying families about results, and the collaborative efforts needed between specialists and primary care providers to optimize newborn care.

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, study, act) work; how physicians can earn MOC Part 4 credits; resources for getting more involved in QI; and more. Published September 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 rely on their own informed clinical judgment in making recommendations to their patients. ©2018 by Children's Hospital of Philadelphia, all rights reserved.