Addressing Racism and Health Inequities with Ndidi Unaka, MD and David Turner, MD
Entrustable Professional Activities, or EPAs, are a concept that was developed by Olle ten Cate in 2005 as a way to operationalize and assess competency-based medical education. EPAs are observable, routine activities that a general pediatrician or subspecialist should be able to perform safely and effectively to meet the needs of their patients. The American Board of Pediatrics, or ABP, collaborated with the education community several years ago to develop 17 core EPAs that are essential activities needed for practice in general pediatrics and that can be used as a framework for curriculum and assessment. The ABP also worked with the subspecialty community to develop EPAs that define what patients need from our subspecialty physicians. However, the original pediatric EPA framework developed by the ABP in conjunction with the general pediatrics and subspecialty communities did not adequately address structural racism, discrimination, and social determinants of health and their contribution to inequities. Today, we are going to hear about the development and content of a revised EPA entitled: Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination, and Other Contributors to Inequities Among Pediatric Populations. Today, I am happy to be speaking with Dr. Ndidi Unaka and Dr. David Turner. Ndidi is a pediatric hospitalist who is involved in Cincinnati Children’s Community Health initiatives, medical director of QI and data analytics for Cincinnati Children’s ACO called HealthVine and until recently was the associate program director of the pediatric residency program at Cincinnati Children’s. David is the Vice President of Competency-Based Medical Education at the American Board of Pediatrics.
12 Juli 202225min
The Practice of a Non-Anxious Presence with Sylvia Klauser, PhD (Rebroadcast S5:E2)
It is impossible to ignore the deep, and ongoing impact the COVID-19 pandemic has on every aspect of our lives. As providers who have uniquely felt these changes because of our profession, it is imperative to take time to consider our own resiliency. On today’s episode we are joined by Sylvia Klauser, PhD to talk through the practice of bringing a non-anxious presence as an avenue towards resilience and healing. Dr. Klauser is the Manager of Spiritual Care and Bereavement Services at Children’s Hospital Colorado. References: “What is happening to our nervous system” and interview of Dr. Christine Runyan, PhD, with Krista Tippett at On Being Wintering: The Power of Rest and Retreat in Difficult Times by Katherine May. This is a book, but also in interview with Krista Tippett and the author Katherine May For the more spiritual, or theological minded folks: Serene Jones, PhD, Trauma and Grace: Theology in a Ruptured world. Serene Jones is the President of Union Theological Seminary. And one for all healthcare providers who would like to learn to be more mindful and present a more contemplative approach: Roshi Joan Halifax, PhD: Standing at the Edge: Finding Freedom where Fear and Courage meet. And here the link to her book
5 Juli 202232min
Suicide Screening and The Blueprint for Youth Suicide Prevention with Alex Kemper, MD, Kristen Beck, MD, and Lisa Horowitz, PHD
Suicide rates continue to increase across the United States and around the world at an alarming rate. In fact, suicide is now the second leading cause of death for youth age 10-24 years. While suicide is complex, it is often preventable. Suicide risk screening has been identified as a direct method to detect youths at risk for suicide. Today, the medical home as well as many other settings are perfectly positioned to screen adolescents at risk. In this episode, we are going to unpack the use of evidence-based screening and how primary care providers play a critical role in the identification and prevention of youth suicide. This episode was recorded at the 2022 PAS Conference in Denver, Colorado. Today I am joined by Alex Kemper, Kristen Beck, and Lisa Horowitz. Alex Kemper is joining us from Nationwide Children’s Hospital where he serves as the Division Chief in Ambulatory Pediatrics and is a professor at the Ohio State University college of Medicine. Kristen Beck is also joining us from Nationwide Children’s where she works in the department of pediatrics in the primary care setting. Lisa Horowitz is joining us from the National Institute of Mental Health where she is a pediatric Psychologist and Senior Associate Scientist.
28 Juni 202234min
COVID-19 Vaccines for Kids Ages 6mo-4yr with Sean O' Leary, MD
Note: This was recorded on June 22, 2022. After reviewing the data submitted by both Pfizer and Moderna, the FDA authorized the COVID-19 vaccines under emergency use authorization (EUA) for children ages 6 months to 4 years.
24 Juni 202217min
Finding Culturally Sensitive Interventions in Primary Care with Maya Ragavan, MD, and John Cowden, MD
The American Academy of Pediatrics defines culturally sensitive care as “the delivery of care within the context of appropriate physician knowledge, understanding, and appreciation of all cultural distinctions leading to optimal health outcomes.” In addition, providing culturally safe and sensitive care enhances patient-centered care which is one of the 6 aims of quality as defined by the Institute of Medicine and a part of the Triple Aim for populations as defined by the Institute for Health Improvement. Today, we are going to hear from the authors of a review article that identified culturally sensitive interventions in pediatric primary care settings. It was published in the February 2022 issue of Pediatrics. Today, I am happy to be speaking with Dr. Maya Ragavan and Dr. John, JC, Cowden. Maya is an Assistant Professor of Pediatrics at the University of Pittsburgh and UPMC Children's Hospital of Pittsburgh. Maya is also a Community Partnered Researcher, and a general Pediatrician. JC is Professor of Pediatrics, a qualified bilingual primary care pediatrician, the Culture and Language Coaching Program Director and the Health Equity Integration Project Leader at Children’s Mercy Kansas City.
21 Juni 202228min
The Recent Hepatitis Wave with Amy Feldman, MD
Providers and health systems around the world are seeing mysterious Hepatitis outbreaks in pediatric patients. Worldwide, there have been hundreds of cases linked to an “unknown origin.” Although medical professionals are scrambling to find answers, there seems to be a link between Adenoviral viruses. In today’s episode, we are going to talk about this hepatitis outbreak, possible causes, and what our Primary Care Providers need to know. Today, I am excited to be speaking with my colleague Dr. Amy Feldman. Dr. Feldman is a pediatric Gastroenterologist and is the Director of the Liver Transplant program here at Children’s Hospital Colorado.
14 Juni 202216min
Baby Formula Shortage: Resources for Primary Care Providers With Liliane Diab, MD
As the shortage of baby formula continues, it is important that primary care providers are giving timely and helpful information to their patient families. Today, we are going to hear from Dr. Liliane Diab who works in the Department of Pediatric Nutrition at Children's Hospital Colorado. If you and your practice would like some additional resource and guidance on this topic, please click HERE.
9 Juni 202210min
Patients In It For the Long Haul After COVID-19 with Ben Katz, MD
Medical experts are racing to unravel one of COVID'S greatest mysteries -- the lingering effects of the COVID in children, when symptoms last months or longer. Patients who contract COVID-19 can experience a wide range of symptoms that span from mild to severe. For most children, mild COVID-19 symptoms include a fever, cough, and body fatigue which often lasts around two to three weeks. However, it is becoming increasingly apparent that large number of children with symptomatic and asymptomatic COVID-19 are experience long term effects months after the initial infection. This episode was recorded at the 2022 PAS Conference in Denver, Colorado. We are honored to be speaking with Dr. Ben Katz. Ben is joining us from Lurie Children’s Hospital where he is a professor of Pediatrics specializing in infectious diseases.
7 Juni 202234min
