Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

Does this Patient Really Need an Antibiotic? Eustachian Tube Dysfunction and More

Link for CME Credit Coming Soon
Join host Holly Wayment on Pediatrics Now as she discusses eustachian tube dysfunction with Dr. Marisa Earley from University Health and UT Health San Antonio. Discover why this condition is so prevalent in children and learn about common symptoms, diagnosis, and treatment options from a leading pediatric ENT specialist.
Explore how eustachian tube dysfunction can affect a child's daily life, from hearing issues to sleeping and traveling difficulties. Dr. Earley offers advice on managing symptoms, and shares insights on when surgical interventions may be necessary.
Additionally, delve into guidelines for tonsillectomy in children, learn about the innovative intracapsular tonsillectomy technique, and get practical tips on ear health management, such as the use of otoscopes, earplugs, and nasal sprays.
This episode is a must-listen for pediatric practitioners seeking to improve their understanding of ENT disorders.

Do You See What I See? Identifying and Treating Otitis Media, Otitis Externa and Eustachian Tube Dysfunction

Do You See What I See?  Identifying and Treating Otitis Media, Otitis Externa and Eustachian Tube Dysfunction
Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098127
In this episode, host Holly Wayment talks to Dr. Marisa Earley, division chief and associate professor at UT Health San Antonio's division of pediatric Otolaryngology, and Pediatric ENT and University Health, as she shares valuable insights for pediatricians on the front lines helping children with ear infections. Dr. Earley draws on her rich background and experience to discuss the complex interplay between gastrointestinal and airway systems in children, and her pioneering efforts in establishing San Antonio's first aerodigestive clinic. This clinic offers comprehensive care for children with complex swallowing and breathing disorders.
The conversation delves into ear infections and management strategies, particularly for pediatric practitioners. Dr. Earley offers practical advice on antibiotic stewardship, emphasizing watchful waiting over immediate prescriptions for children older than two, and the importance of managing eustachian tube dysfunction.
Listeners will hear  tips on differentiating between Otitis Externa and Media, the significance of pneumatic otoscopy, and advice to give parents managing their child's symptoms.  This is part one in our two part ENT Update series.

Migraine Headache and Advances in Management

 Migraine Headache and Advances in Management
Link for MOC credit:
CME Link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098103
Pediatric and Adolescent Migraine Headache and Advances in Management
FACULTY:Asra Akbar, MD is an Assistant Professor, Pediatric Neurologist and Epileptologist, Pediatric Headache Management Specialist, Division of Neurology, Department of Pediatrics, UT Health San Antonio
 
OVERVIEW:
Welcome to Pediatrics Now, where host Holly Wayment talks with Dr. Azra Akbar, a specialist in pediatric neurology, epileptology, and headache management.  Dr. Akbar shares her expertise on common headache disorders in children, with a special focus on migraines. Discover the intricate history of migraines, ranging from its ancient descriptions to groundbreaking modern research involving calcitonin gene-related peptides (CGRPs).
The episode dives into the prevalence of migraines in young patients, exploring various types such as migraine with and without aura, and other headache disorders like chronic daily headaches and medication overuse headaches. Dr. Akbar emphasizes the importance of a multifaceted approach to treatment, discussing both conventional medications and innovative neuromodulation therapies like Botox and CGRP inhibitors.
In addition to medical treatments, the conversation also highlights the significance of lifestyle modifications, including diet, exercise, and the use of supplements such as Coenzyme Q10 and magnesium. Learn how pediatric practitioners can effectively manage migraines with a thorough understanding of their complex nature and multifactorial triggers.
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
DISCLOSURE TO LEARNERS:Asra Akbar, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability.

The GLP-1 Era in Pediatric Obesity Management

The GLP-1 Era in Pediatric Obesity Management
Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098095
Join host Holly Waymentin this informative episode of Pediatrics Now, as we dive into the latest updates from the Pediatric Grand Rounds. Pediatric Endocrinologist Elia Escaname, MD shares invaluable insights into obesity management and prevention strategies, highlighting the groundbreaking advancements in endocrinology for treating type 2 diabetes and obesity.
Explore the era of GLP-1 receptor agonists, a promising option for managing childhood obesity and type 2 diabetes. Learn about the intricate considerations in diagnosing childhood obesity, how BMI is utilized, and the importance of comprehensive evaluations including annual health checks.
Gain a deeper understanding of the challenges in treating obesity, from medication approvals to the significance of lifestyle interventions. Discover the pivotal studies on FDA-approved medications for obesity in children and the potential side effects to watch out for.
Dr. Escanme also emphasizes the importance of community resources and the need for a multidisciplinary approach in providing comprehensive care. Hear about Project Power, an inspiring initiative aimed at preventing type 2 diabetes in high-risk youth through lifestyle and nutritional education.
Stay informed with the latest research, challenges, and best practices in pediatric obesity management.

Depression: Insights and Strategies

Depression: Insights and Strategies
Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098093
Join us for an enlightening conversation with Dr. Jessica Sandoval, UT Health San Antonio child psychiatrist, as she discusses the pressing issue of childhood depression. In this episode of Pediatrics Now, we delve into the essentials of identifying and managing depression, especially through the perspective of frontline pediatricians.
Dr. Sandoval emphasizes the importance of listening to children's experiences and understanding the difference between typical adolescent anxiety and more serious mental health concerns. Learn about effective screening tools and crucial steps to take when dealing with cases of depression and suicidal ideation.
Gain valuable insights into the impact of isolation during the pandemic and other structural factors on children's mental health. Discover how pediatricians can effectively continue treatment initiated in hospitals and the role of medication and counseling in addressing mental health challenges.

Addressing Pain in Children: Strategies for Effective Management

Episode 11: Addressing Pain in Children
CME Link:           https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098069
 
FACULTY:Melissa Frei-Jones, MD is a Professor of Pediatrics, Division of Pediatric Hematology/Oncology, Medical Director, South Texas Sickle and Thalassemia Program, UT Health San Antonio, Texas.
 
OVERVIEW:
In this episode of Pediatrics Now, host Holly Wayment brings a Grand Rounds presentation by Dr. Melissa Frei-Jones about the treatment and special challenges of treating pain in children.
Dr. Jones discusses understanding the complexities of pain and pain assessments in infant, children, and adolescents, explores pharmacologic and non-pharmacologic methods of pain management, and prescribing opioids in the modern era – navigating pain contracts and the prescription monitoring database.
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
 
DISCLOSURE TO LEARNERS:
Melissa Frei-Jones, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.
The presentation, Addressing Pain in Children, has been designated by UT Health Science Center San Antonio for 1 credit of education in pain management and the prescription of opioids.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.Credit may be obtained upon successful completion of the activity’s evaluation.RELEASE DATE:11/15/2024 
EXPIRATION DATE:8/31/2027
 

Atypical Pneumonia: the Mycoplasma Wave

In this episode of Pediatrics Now, host Holly Wayment welcomes Dr. Tess Barton, an infectious disease expert at the University of Texas Health Science Center and University Health. Together, they explore the rising trend of atypical pneumonia, caused by mycoplasma, commonly known as "walking pneumonia."
Dr. Barton shares insights into the clinical presentation of mycoplasma infections, emphasizing the importance of awareness among pediatricians. She discusses diagnostic challenges, testing options, and treatment considerations for atypical pneumonia, highlighting the current surge in cases. The conversation also addresses common questions from both practitioners and parents, including the contagious nature of walking pneumonia and strategies for managing symptoms.
Additionally, the episode touches on the broader landscape of respiratory illnesses, the role of vaccines, and practical advice for managing fever and respiratory distress in children. This informative discussion is essential for pediatric practitioners navigating the complexities of respiratory infections this season.
Don't miss the upcoming episode on managing pain in children, featuring expert advice from recent grand rounds. Stay tuned for more insights on Pediatrics Now.

Talking to Adolescents About Nutrition and Social Media

 Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097992
 
Host Holly Wayment welcomes back UT Austin Developmental Psychologist David Yeager, author of 10 to 25: The Science of Motivating Young People. Together, they delve into the complexities of guiding teenagers and young adults through the challenges of modern life, from screen time and social media to body piercings and nutrition.
Dr. Yeager shares groundbreaking insights on how the brain's motivation drivers remain similar from ages 10 to 25, emphasizing the importance of social status, respect, and acceptance. He discusses effective communication strategies for tackling issues like excessive screen use, encouraging parents and clinicians to collaborate with young people to achieve shared goals such as nutrition.
The conversation also explores innovative approaches to nutrition, highlighting a fascinating collaboration with Disney's Epcot to reshape perceptions of healthy eating. By framing healthy habits as a rebellious act against manipulative food companies, Dr. Yeager demonstrates how adolescents can be inspired to make better dietary choices.
 

Factors Behind Rising Anxiety in Young People: What Parents and Educators Can Do

Factors Behind Rising Anxiety in Young People: What Parents and Educators Can Do
Link for CME Credit
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097986
FACULTY:
David Yeager, MD is professor at the University of Texas at Austin and author of the book 10 to 25, The Science of Motivating Young People.
 
OVERVIEW:In this episode of Pediatrics Now, Dr. Yeager shares his expertise on the rising anxiety levels among young people, attributing it to economic and social factors rather than solely to technology use. He offers a fresh perspective on engaging with adolescents, emphasizing the importance of a mentor mindset that combines high standards with supportive guidance. He delves into practical strategies for addressing challenging behaviors in adolescents, such as substance use and dishonesty, by encouraging honest communication and empowering young people to take responsibility for their actions. Dr. Yeager's insights aim to transform interactions with adolescents by fostering respect and understanding.
 
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
 
DISCLOSURE TO LEARNERS:David Yeager, MD has no financial relationships with ineligible companies to disclose.
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.Credit may be obtained upon successful completion of the activity’s evaluation.RELEASE DATE:10/25/2024 
EXPIRATION DATE:8/31/2027
 
 

Social Determinants of Health Through a Trauma Informed Care Lens/Grand Rounds Episode for free MOC Credit!

Social Determinants of Health Through a Trauma Informed Care Lens
Link for Free MOC Credit: 
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097971
 
Welcome to Pediatrics Now, where we provide updates, cases, and discussions tailored for the busy practitioner. In this enlightening grand rounds episode, host Holly Wayment welcomes retired Colonel Mary Garr, President and CEO of Family Service, a San Antonio nonprofit dedicated to addressing social determinants of health through a trauma-informed care approach.
Mary Garr delves into the intricate web of social determinants affecting health, particularly for children, and highlights the need for upstream interventions to prevent downstream health issues. She shares insights on the disparities in healthcare spending in the U.S. and the importance of addressing these issues through community collaboration and policy changes.
Mary also discusses the impact of adverse childhood experiences (ACEs) and how they are intertwined with social determinants of health, affecting individuals across their lifespan. She emphasizes the need for coding and screening for social determinants in healthcare settings to improve patient outcomes and foster better community connections.
Join us for this comprehensive exploration of how we can improve health outcomes by focusing on the broader social context in which our patients live. Don't forget to click the link for free credit, including CME, MOC, or ethics credit, depending on the topic. For more questions or episode ideas, email PediatricsNow@uthscsa.edu.