Primary Care Perspectives

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.

Alisa Baer, known as the Car Seat Lady, is a nationally-certified child passenger safety instructor. In this conversation, she reveals that 95% of parents misuse car seats and shares common installation mistakes to avoid. She emphasizes the importance of proper harnessing and tether straps to prevent injuries. The talk also covers car seat safety for preterm infants and the critical test they must pass. Plus, Alisa provides essential travel tips for flying with car seats and highlights resources for parents to enhance their car seat knowledge.

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 unconscious biases, and more. Published August 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.

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 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.

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 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.

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 in infants, and what’s new in IBD treatment. 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 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.

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. Published June 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.

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 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.