Primary Care Perspectives

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.

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. Published May 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.

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. Published May 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 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 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, 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) Published April 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.

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. Published March 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.

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. Published March 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.