Staying Ahead of Headaches Link for CME Credit Coming Monday! Sorry for the delay! In an enlightening episode of 'Pediatrics Now', we welcome Dr. Azra Akbar, a brand-new member of our pediatric neurology team, as our guest. Our insightful discussion covers the much-encountered issue of headaches in children, giving a detailed overview of triggers, treatments and preventative methods for migraines. Dr. Akbar's personal experiences with migraines and her passion for the subject benefits us greatly in this discussion. We delve into different migraine triggers and how they manifest in various symptoms. As a pediatric neurologist, Dr. Akbar also advises on when certain warning signs could indicate serious conditions like brain tumors, seizures, or meningitis, and the importance of immediate medical attention and imaging. Furthermore, we look into successful treatments and medications such as beta blockers, Topamax, and Botox, alongside alternative methods like acupuncture and lifestyle modifications. Join us as we explore the complexities of modern lifestyle, particularly the impacts of social media on children's mental health and how it relates to pediatric migraines. In this episode, you will gain a wealth of information on identifying and managing pediatric headaches, thereby improving your child's quality of life. Dr. Akbar shares her empathetic approach to patient care and self-care, derived from her personal migraine experiences and her journey in the medical field. We also touch on the significance of balancing a healthy diet, the risk of medication overuse, the importance of good sleep patterns, and the crucial role of parental collaboration in managing children's health. The episode becomes even more captivating as Dr. Akbar opens up on her life as a medical practitioner, her global travels, and her passion for cooking fresh and nutritious meals. Turn in for an honest and informative discussion on pediatric migraines and a rare peek into the life and wisdom of a dedicated pediatric neurologist.

Episode 31: Trauma-Informed Care in a Practice Setting Link for MOC or Ethics Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095774 Welcome to an enlightening episode of Pediatrics Now, hosted by Holly Wayment, a pediatric health professional at UT Health San Antonio's Department of Pediatrics. This episode deep dives into the critical topic of trauma-informed care in pediatric practice, a revolutionary approach that has been endorsed by the American Academy of Pediatrics. Navigate your way through the toxic stress responses caused by various traumatic experiences in children and learn how to effectively recognize and respond to trauma in your pediatric healthcare settings. Host and Executive Producer Holly Wayment brings us this fascinating grand rounds talk by Dr. Nancy  Kellogg, who has more than thirty years of experience fighting child abuse and helping children.  A faculty member at UTHealth San Antonio since 1988 and Professor and Division Chief of Child Abuse in the Department of Pediatrics, she was the first Medical Director of the Christus Santa Rosa Center for Miracles which opened in May 2006, and was the former Medical Director for ChildSafe and CHRISTUS Childrens Sexual Assault Nurse Examiner Program. Dr. Kellogg was the first Program Director for the Child Abuse fellowship, which was one of the first programs to become accredited in the country. Dr. Kellogg has published over 135 articles and book chapters and has been an invited speaker at numerous local, regional, national, and international conferences. She was the Chair of the Texas Pediatric Society Committee on Child Abuse for 10 years and served on the American Academy of Pediatrics Committee on Child Abuse and Neglect for 6 years. In September 2006, the American Board of Pediatrics approved Child Abuse as a new subspecialty in pediatrics, and Dr. Kellogg was appointed as the Medical Editor for the sub-board; she served 17 years in this role and continues to write board questions as a volunteer. Dr. Kellogg has received several honors and awards for teaching, clinical excellence, social work, leadership, and humanism. Financial Disclosures: Nancy Kellogg, MD has no financial relationships with ineligible companies to disclose. The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator. Credits: AMA PRA Category 1 Credits™ (1.00 hour) Non-Physician Participation Credit (1.00 hour) MOC-2 credit (1.00 hour) Target Audience: Pediatric Doctors and Providers Faculty, residents, health care providers; medical students and trainees. Accreditation: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation: The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

Updates on Allergy Prevention, Immunotherapy and Immune Deficiency CME link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095739 Welcome to Pediatrics Now, your premier podcast for pioneering insights into child health care. In this episode, our host Holly Wayment taps into the wealth of knowledge belonging to Dr. Ed Brooks, an allergy expert with decades of experience. They delve deep into the world of allergies in children, focusing on prevention and management strategies and highlighting the influences of environmental factors and genetic predispositions. Discussing our societal transition from rural to urban settings, the growing obsession with cleanliness, and our minimal exposure to environmental microorganisms, Dr. Brooks relates all these aspects with the abnormal immune responses noticed today. Interestingly, he also acquaints us with how owning pets at home and spending more time outdoors can lead children to develop superior immunity. We also delve into dangerous chemicals present in our daily lives, with Dr. Brooks advising the reduction of potent cleaning agents and pesticides. Meanwhile, he signifies the need for exposure to natural environments and warns against the potential hazards of harmful external contaminants entering our homes. As the episode continues, we discuss practical challenges connected to immunotherapy. Dr. Brooks talks about his son's success story in treating severe cat allergies with sublingual drops while emphasizing the risk of non-standardized extracts leading to inconsistency in allergy shots or drops' potency levels. We also discover some intriguing research findings tied to the immune-boosting benefits for individuals frequently exposed to their allergens. In the final segment, we venture into the realm of immune deficiencies, with Dr. Brooks explaining the severity of immune deficiencies and their potential treatments. We wrap the episode with a review of the progress in identifying and managing immune deficiencies with the help of genetic testing advancements. This episode provides an abundance of essential information and expert insights on allergies and immunology that would benefit healthcare professionals and general listeners seeking awareness. In this episode, we dive into an engaging conversation with Dr. Ed Brooks, a leading authority in Allergy, Immunology, and Infective Disease from the University of Texas Health Science Center. We explore rising pollen allergies, the impact of our surroundings on our immune responses, and the crucial role of early intervention in managing allergies. Dr. Brooks highlights climate change's onset on worsening spring allergy seasons and the significant role our homes, lifestyles, and cleanliness habits play in shaping our immunological responses. Discussing our societal transition from rural to urban settings, the growing obsession with cleanliness, and our minimal exposure to environmental microorganisms, Dr. Brooks relates all these aspects with the abnormal immune responses noticed today. Interestingly, he also acquaints us with how owning pets at home and spending more time outdoors can lead children to develop superior immunity. We also delve into dangerous chemicals present in our daily lives, with Dr. Brooks advising the reduction of potent cleaning agents and pesticides. Meanwhile, he signifies the need for exposure to natural environments and warns against the potential hazards of harmful external contaminants entering our homes. As the episode continues, we discuss practical challenges connected to immunotherapy. Dr. Brooks talks about his son's success story in treating severe cat allergies with sublingual drops while emphasizing the risk of non-standardized extracts leading to inconsistency in allergy shots or drops' potency levels. We also discover some intriguing research findings tied to the immune-boosting benefits for individuals frequently exposed to their allergens. In the final segment, we venture into the realm of immune deficiencies, with Dr. Brooks explaining the severity of immune deficiencies and their potential treatments. We wrap the episode with a review of the progress in identifying and managing immune deficiencies with the help of genetic testing advancements. This episode provides an abundance of essential information and expert insights on allergies and immunology for pediatric practitioners.     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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Bone Health, Fractures, and Updates on Treatments for Bone Disorders   CME Link:           https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095736   In this episode of "Pediatrics Now", expert pediatric endocrinologist, Dr. Nadia Merchant from Children's Health UT Southwestern, embarks on an enlightening journey into the fascinating world of bone health in children. She delves into significant bone diseases like rickets, calcium disorders, osteoporosis, and skeletal dysplasia. The episode features a balanced mix of medical insights and practical tips on maintaining bone health, specifically for children with disabilities and other chronic issues. Incorporating themes of nutrition, physical activity, and optimized genetics, the podcast also tackles the sensitive issue of child physical abuse, emphasizing the implications of bone fractures. We also explore therapeutic interventions for inherited bone disorders such as X-linked hypophosphatemia, and the role of physical activity in building stronger bones. This episode further discusses management approaches for bone health and takes a deeper dive into skeletal disorders and the world of treatments for metabolic bone disorders. Dr. Merchant concludes the episode with a Q&A session answering listener queries about premature births, DEXA scans, toddler fractures, and much more. Join host Holly Wayment for an enlightening discussion that intertwines medical knowledge with practical advice to increase awareness and improve bone health in children.   Bone Health, Fractures, and Updates on Treatments for Bone Disorders   FACULTY: Nadia Merchant, MD is a pediatric endocrinologist and geneticist at Children’s Heath/UT Southwestern Medical Center.   OVERVIEW: In this podcast episode, Host Holly Wayment brings a talk from Dr. Nadia Merchant about bone health, fractures, and updates on treatments for bone disorders.   DISCLOSURES: Nadia Merchant, MD has disclosed she was a consultant/advisor for Pfizer, BioMarin, and Ascendis. The relevant financial relationships noted for Dr. Merchant have been mitigated.   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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00) MOC 2 credit (1.00)

Episode 27: The New Asthma Guidelines: What Were They Thinking?   https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095727 The New Asthma Guidelines: What Were They Thinking?   FACULTY: Edward G. Brooks, MD serves on the National Asthma Education and Prevention Program, Expert Panel 4. He's the chief of UT Health San Antonio's Pediatric Immunology and Infectious Disease Division, and he sees patients at UT Health San Antonio's Adult and Pediatric Allergy Clinic on Medical Drive and at University Hospital.    OVERVIEW: On this episode of Pediatrics Now, host Holly Wayment interviews Dr. Ed Brooks, a pediatrician and allergist at UT Health San Antonio with 30 years of experience, who was on the national panel that set these guidelines.  Dr. Brooks is also division chief for allergy, immunology and infectious disease at the University of Texas Health Science Center.   DISCLOSURES: Ed Brooks, 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 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)   In this insightful episode, Dr. Brooks shares advanced insights into the effective use of inhaled corticosteroids for intermittent yet severe symptoms, particularly during viral infections. He also introduces SMART therapy (Single Maintenance and Reliever Therapy) - a new approach to managing moderate persistent asthma. Understand the practical implications of these changes and expert tips on how to communicate them effectively to parents and children. Gain a deeper understanding of the long-term side effects of corticosteroids and how these innovative guidelines could simplify care and reduce caregivers' stress. Don't miss out on the opportunity to earn free credits, including CME, MOC, or ethics credits, as you dive into this enlightening conversation.

Fighting Burnout (For MOC Credit!) CME Link:         https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095681 In this enlightening episode, we delve deep into the pressing issue of physician burnout with expert Dr. Will Border, Chief Physician Wellness Officer at Children's Healthcare of Atlanta and Professor of Pediatrics at Emory University School of Medicine. Highlighting the pervasive prevalence and potential perils of burnout in healthcare, Dr. Border considers it as a potential upcoming healthcare crisis. Dr. Border and Host Holly Wayment provide an informed and compassionate discourse on the contributing factors to physician burnout like administrative burdens and high stress levels. He views it as a 'dynamic', rather than static state and proposes solutions that include open conversations, emotional support, and eradicating stigmatization to alleviate the problem. Additionally, this episode exposes alarming disparities in burnout rates, particularly higher prevalence among women physicians and more pronounced instances after about a decade in the profession. Steering away from the debilitating pursuit for perfection, the healthcare industry's transformation and adoption of more accommodative work environments and self-compassionate approaches are underscored as potential remedies. Preserving Self-compassion in Healthcare Service Delivery In the midst of stress and burnout accompanying healthcare services, this episode emphasizes the necessity of self-compassion by practicing mindfulness, extending self-kindness and promoting common humanity. Drawing upon the teachings of self-compassion expert, Kristin  Neff from the University of Texas, this episode offers insightful inputs and tools for navigating the intricate emotional facades in healthcare delivery. https://drlornabreen.org/     FACULTY: William Border, MD, is a pediatric cardiologist, the Director of Noninvasive Cardiac Imaging at Children's Healthcare of Atlanta, and a professor of pediatrics in the Emory University school of medicine.   OVERVIEW: On this episode of Pediatrics Now, host Holly Wayment talks with  William Border, MD, MPH about  physician burnout and wellbeing – lessons learned and new horizons. To view his grand rounds talk, click here.   DISCLOSURES: William Border, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00) MOC 2 credit (1.00)

**Link for MOC Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095649 In this enlightening episode of Pediatrics Now, Host Holly Wayment introduces us to a founder of pediatric palliative care.  This talk, by renowned Harvard pediatrician, Dr. Julie Hauer, highlights the complex world of managing chronic pain in children with severe neurological impairment. Featuring real-life case studies, Dr. Hauer guides us through the intricacies of identifying and treating chronic pain in these specific pediatric cases and attempts to shed more light on the often underrepresented field of pediatric palliative care. A substantial portion of the conversation revolves around the significance and interpretation of behavioral changes, and the importance of observations in diagnosing pain in neurologically impaired children. We delve into comprehensive screening methods and effective interventions that can contribute to helping the child attain a calmer state. Steering the conversation beyond known problems, this episode introduces the concept of neuropain, a type of affliction where inflammation and injury of tissues can lead to pain, and discusses how to tackle associated chronic issues via a combination of pharmacological and complementary methods such as music and massage therapy. Additionally, Dr. Hauer discusses the various tried and tested drugs and their uses for managing neuropathic pain in children, emphasizing the necessity of expertise in handling such medications. She also sheds light on indicators of escalation despite treatment, and shares possible countermeasures. With a strong commitment to improving the lives of neurologically impaired children, this discussion emphasizes the dire need for an integrated, multipronged approach, taking into account all possible sources of pain, the role of various drugs, constant monitoring, communication with the family, and adjustment of treatments as necessary. This comprehensive episode serves as a much-needed guide to healthcare professionals who strive to provide the best care to this special pediatric population. Presenter: Julie Hauer, MD, FAAP, FAAHPM Overview: Chronic Pain in Children with Neurological Impairment: A Multisource Framework Objectives: To increase awareness and education for pediatric providers Julie Hauer, MD, FAAP, FAAHPM is faculty at Boston Children’s Hospital. Her clinical expertise is focused on the rare population of children with severe neurological impairment (SNI) who have multiple co-morbidities that impact health and quality of life, resulting in complex medical care and decision-making. Her expertise includes symptom treatment, including pain, feeding intolerance, and dyspnea during acute on chronic respiratory illness. Her work has included innovative symptom treatment protocols targeting the mechanisms of pain generation specific to this population. She has written a book on the medical and palliative care needs of such individuals, with a second book to be published by Oxford University Press. Financial Disclosures: Julie Hauer, MD, FAAP, FAAHPM has no financial relationships with ineligible companies to disclosure. The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator.

Episode 24: Measles Madness – A Discussion with Dr. JB Cantey Links for CME credit: https://uthscsa.edu/medicine/education/cme/unpacking-the-measles-outbreak-and-the-urgency-of-vaccinations https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095590 FACULTY: JB Cantey, MD, MPH is an Assistant Professor in Pediatrics at UT Health San Antonio. Dr. Cantey’s bio   OVERVIEW: This episode of Pediatrics Now with host Holly Wayment brings on renowned neonatologist and infectious disease expert, Dr. J.B. Cantey. The focus of this gripping discussion is the recent measles outbreak in 15 U.S. states, with specific attention on Florida. The conversation illuminates the dire outcomes resulting from insufficient vaccination rates across multiple communities. Dr. Cantey provides expert insights into the highly contagious nature of the measles virus. He warns about the grave implications of low vaccination rates and emphasizes the immediate need for increased education on the effectiveness and safety of vaccines.   In an effort to arm all listening pediatricians tackling anti-vaccination, Dr. Cantey offers practical advice whilst highlighting the essential role vaccines play in child health and what to say to patients. He outlines the importance of calm, consistent, and positive communication while providing fact-based, impartial information about the advantages and secure safety records of vaccines. Further expanding the conversation, Dr. Cantey and Wayment discuss the long-term benefits of vaccines, including the prevention of both liver and cervical cancers. The episode concludes with an impassioned plea to all pediatric practitioners to champion the crucial importance of vaccinations in ensuring a healthier future for children globally.   Culled from a deep-dive discussion with Dr. J.B. Cantey from the University of Texas Health Science Center, this informative podcast episode offers profound insights into the world of vaccinations. It covers everything from the journey of vaccine trials to the threats posed by declining MMR vaccination rates. The show also highlights the urgent need for post-market surveillance for maintaining vaccine safety, coupled with the responsibility of pediatricians in identifying measles cases amid decreasing vaccination rates. The gravity of measles implications and its rapid contagion are also examined.   With Florida being described as the 'tipping point,' this podcast is a wake-up call about the very real threat of measles becoming endemic, potentially negating decades of diligent public health efforts. The episode sends a resounding message- unless vaccination rates improve, measles could be everywhere. This episode is an indispensable listen for pediatricians and health-conscious listeners.  Dr. Cantey and Wayment also discuss protection for you, your clinic, and your patients.   DISCLOSURES: JB Cantey, 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 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)

Below is the CME link along with the info for the podcast from Friday, 2/23. Due to technical difficulties, we are posting this episode again!     https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095533   How to Identify Sexual Abuse   FACULTY: Dr. Nancy Kellogg, is the Division Chief for Child Abuse Pediatrics at the University of Texas Health Science Center.   OVERVIEW: In this enlightening episode of "Pediatrics Now," host Holly Wayment welcomes Dr. Nancy Kellogg, a respected authority in detecting and reporting child abuse. Dr. Kellogg shares invaluable insights on recognizing abuse signs, the role of Child Protective Services, and the struggles children face when disclosing abuse.   Dr. Kellogg talks about sentinel injuries and their relation to young infants who are at the highest risk of life-threatening abuse. This discussion dives into the importance of thorough medical examinations, empathy, and the power of collaboration with CPS. We conclude the episode by highlighting that despite declines in child sexual abuse cases, it remains a silent form of abuse that largely relies on children's disclosures for detection.   This thought-provoking episode shifts the conversation towards understanding trauma-informed care, high-risk situations like sleepovers and summer camps, and addressing parents' denial. Dr. Kellogg also provides an inside look into her work at the Center for Miracles, which supports CPS and aids in the fight against child abuse. This episode is a deep dive into the complexities of child sexual abuse and the effective ways to address and prevent it.   In an inspiring segment, we share the story of a brave sexual abuse survivor who fought not only for her justice but also sparked a global change in addressing and recognizing sexual violence. This tale of resilience is a beacon of hope for other victims facing similar situations and an illustration of how adversity can be a catalyst for societal change.   We wrap up this episode with a focus on children's right to autonomy during checkups, the crucial role of a pediatrician in identifying and responding to sexual abuse, and the rising rates of online-enabled abuse threats. We offer advice on preventive measures, emphasizing the importance of a strong parent-child relationship as a protective tool. Tune in to this enriching episode as we navigate the complexities of child sexual abuse, promote understanding, and advocate for preventive measures.   The Center for Miracles: 210-704-3800   DISCLOSURES: Nancy Kellogg, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00)

A Focused Look at Cancer in Hispanic Children link for free credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095733 From the Conference: Advancing the Science of Cancer in Latinos Feb. 21-23, 2024     In this podcast episode, Host Holly Wayment from UT Health San Antonio's Department of Pediatrics delves into the critical disparity in healthcare for Hispanic children, particularly in cancer diagnosis and treatment. Recorded at the enlightening conference 'Advancing the Science of Cancer in Latinos' in San Antonio, Texas, this insightful discussion presents hard-hitting research and findings in this crucial area. This episode sheds light on the troubling survival differences among children and young adults diagnosed with cancer, revealing how the five-year survival rate among Hispanic patients lags compared to their non-Hispanic peers. It emphasizes the high prevalence of cancers like Acute Lymphoblastic Leukemia (ALL) and testicular cancer in Hispanic communities, exploring interconnected factors such as ethnicity, geographic origin, and genetic predispositions in tackling this complex issue. The episode brings us a conference talk by Dr. Allison Grimes, where she delves into the harsh realities of treatment-related toxicities in pediatric cancer, uncovering their root causes, immediate impacts and lasting effects. Highlighting the urgent need for systematic and accurate capture of both short-term and late-term therapy toxicities, the discussion also scrutinizes the preferences for devising treatment plans for improved survival rates. Focusing on the toxicity effects among pediatric patients, Wayment breaks down the data demonstrating how organ toxicity varies based on age, primary cancer types, and ethnicity. She brings attention to the higher rates of advanced-grade toxicities in Hispanic children and delves into determinants such as pubertal status, socioeconomic status, and specific conditions like Ewing sarcoma and acute lymphoblastic leukemia (ALL). The episode also outlines various strategies to reduce toxicity, advocating for a more individualized approach to survivorship care services. Emphasizing the need for supportive care interventions that target treatment toxicities, it unveils a path forward for treating Hispanic children with cancer. The episode winds up with a Q&A segment highlighting the importance of involving survivors in designing survivorship care services, to give a more personalized approach to care.

The Significance of Early Relational Health Credit Link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095525   FACULTY:   Alice Gong, MD is passionate about early relational health.  A practicing pediatrician for 40 years, and President of the Texas Pediatric Society, Dr. Gong is with the University of Texas Health Science Center and sees patients and University Health Women’s and Children’s Hospital.    OVERVIEW: In this episode, our host and executive editor Holly Wayment discusses mental health, the significance of early relationships, and the pressing pediatric issues impacting us today with Dr. Alice Gong – President of the Texas Pediatric Society and a neonatology expert. Dr. Gong delves into her wealth of knowledge from over 40 years of practice, emphasizing the value of compassion and strong emotional bonds during infancy for optimal mental health outcomes in life. Dr. Gong highlights the challenging issue of psychiatric treatment shortages and the ensuing cost implications. She offers insights into her role as co-chair for the Texas Collaborative for Healthy Mothers and Babies, shedding light on important initiatives to improve maternal and newborn health. One such focus is combating the congenital syphilis epidemic in Texas. Listen in for a rich discussion on the understandings of child behavior and the importance of emotional connections including research into prenatal hormonal impacts on mother-child bonding and the detrimental effects of early development isolation. Gain practical strategies to manage child tantrums and foster healthier relationships with patience-driven approaches and alternatives to traditional disciplinary methods. In this episode, we look at the Nurture Science Program at Columbia's promising research initiatives, where Dr. Gong actively contributes. This conversation covers the importance of early relationships, emotional resilience, and its role in shaping a healthy future for children. Dive in and join us in exploring parenthood, pediatrics, and the neuroscience behind these crucial relationships. Here is a link for the WECS:  https://nurturescienceprogram.org/wecs/ Link to Promoting first relations program:  https://pfrprogram.org/ 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Link:         https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095466   Prescribing Balance: Time Management Strategies for 2024 FACULTY: Dina Tom, MD, is a pediatric hospitalist at University Hospital.  She’s passionate about finding balance and time management strategies and teaches a course on this at the University of Texas Health Science Center.   OVERVIEW: Pediatrics Now Host and Executive Producer Holly Wayment talks with Dina Tom, MD, on how to manage our time effectively while maintaining a healthy work-life balance. Reflecting on concepts from James Clear's highly acclaimed book "Atomic Habits", the conversation underscores the importance of developing habits.   Challenging aspects of the medical profession, such as demanding schedules, the expectations of constant availability, and burnout are candidly discussed. Simultaneously, we explore methods to address these challenges by seizing control of your time to accomplish tasks that you truly find meaningful.   The episode further chronicles the personal journey of Dr. Tom, a Lozano-Long Presidential Scholar, in juggling her roles as a medical student then, and now, a teaching physician, hospitalist, wife, daughter and mother. We delve into her struggle and success with time management, making this episode a beacon of hope for harmonious personal and professional life.   DISCLOSURES: Dina Tom, 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.   CREDITS: AMA PRA Category 1 Credits™ (0.75) Non-Physician Participation Credit (0.75) Texas Medical Board of Ethics (0.75)

Fentanyl Facts (Check back soon for CME link. Sorry for the delay!) FACULTY: Glen Medellin, MD, is double boarded in pediatrics and palliative medicine.  He sees patients at University Hospital     OVERVIEW: Pediatrics Now Podcast host Holly Wayment talks with Glen Medillin,  a fentanyl expert at the University of Texas Health Science Center at San Antonio.  Wayment and Medillin delve into the alarming fentanyl crisis,  with a special focus on its devastating effects on children Medellin shares staggering information about the spike in fentanyl-related deaths among children and young adults and offers important insights on how to confront this critical issue. He stresses the essential role of education about the perils of fentanyl and encourages pediatric practitioners to use specific screening tools to assess teenagers for potential risk of substance abuse disorders. The podcast emphasizes the role of mental health professionals and substance abuse therapy programs in supporting at-risk individuals. It also provides valuable information about resources available for affected families, including public helplines, crisis centers, and government programs. The episode further investigates the causes of substance use disorders, particularly opioid usage, in teenagers. It highlights the potentially fatal nature of fentanyl, a synthetic opioid, due to its potency and undetectable presence. The dangers of over-the-counter medications and the importance of proper medication practices are discussed, with an emphasis on the risk of unintentional overdosing. The conversation concludes with Dr. Medellin sharing his passion for palliative care and the importance of self-care for healthcare practitioners. His uplifting message underscores the need for a balanced life, emphasizing that despite the challenges professionals face, commitment and enthusiasm, paired with good self-care, can help them overcome any hurdles.

How to Work Through a Clinical Ethics Problem: One Ethicist's Approach (Grand Rounds Talk for MOC or Ethics Credit!) https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095284 In this new episode of the Ethics Credit Podcast, Host Holly Wayment brings us neonatology veteran Dr. Brian S. Carter.  In this grand rounds talk, he leads a captivating discussion on the nuanced aspects of pediatric bioethics. He explores the challenging scenarios in neonatology, the complex interaction between pediatric autonomy, parental authority, and virtues, and the dynamic role parents play in the decision-making process. Dr. Carter shares practical examples underlining the importance of empathy, shared decision-making, and understanding patients' narratives in ethical healthcare. In addition, he delves into critical challenges in perinatal health care ethics, particularly the debated concept of periviability. The episode highlights the significance of an ethically sound approach in pediatric practice, enlightening listeners about myriad ethical considerations in child health care. FACULTY: Brian S. Carter, MD, Interim Director, Children’s Mercy Bioethics Center and Division of Neonatology, Children’s Mercy Hospital. He is an academic neonatologist who has been in practice for 40 years.   OVERVIEW: Pediatrics Now Podcast host Holly Wayment presents Brian S. Carter, MD talk regarding how to work through a clinical ethics problem.   DISCLOSURES: Brian S. Carter, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00) Texas Medical Board of Ethics (1.00) MOC 2 credit (1.00)

CME link:          https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095275 ADHD Update: When Will the Drug Shortage End? What to Do FACULTY: Giancarlo Ferruzzi, MD, Associate Clinical Professor of Psychiatry and Behavioral Sciences at the University of Texas Health Science Center. He’s been a child psychiatrist for 30 years.    OVERVIEW: Pediatrics Now Podcast host Holly Wayment interviews Giancarlo Ferruzzi, MD about the ADHD drug shortage and solutions for pediatric practitioners and their patients. Dr. Ferrruzzi and Wayment also talk about CPAN, plus the reason for an uptick in adolescents with facial tics. Don't forget to tell your patients about our new podcast for parents! Pediatrics Now for Parents: Health News in Small Bites for the Busy Parent.  One less topic you have to cover in the exam room! www.pediatricsnowforparents.com     DISCLOSURES: Giancarlo Ferruzzi, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00)

MOC link coming soon! 40 Years in Childhood Tuberculosis: My How Things Have Changed! FACULTY: Jeffrey R. Starke, MD, is a Professor of Pediatrics at Baylor College of Medicine in Houston, Texas.   OVERVIEW: Pediatrics Now Podcast host Holly Wayment brings us a talk with Jeffrey R. Starke, MD about 40 years in childhood tuberculosis and how things have changed.  Dr. Starke’s major area of study has been tuberculosis in children, having cared for over 1,100 children with TB disease. He has also authored over 170 papers and given over 100 national and international presentations on childhood tuberculosis,   DISCLOSURES: Jeffrey R. Starke, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CME Link:        https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095236 Weight Loss Drugs for Kids: Our Wellness Doctor Weighs In  FACULTY: Luisa Rodriguez, MD, is a Professor of Endocrinology at UT Health San Antonio and University Health.   OVERVIEW: Pediatrics Now Podcast host Holly Wayment talks with Luisa Rodriguez, MD about the new weight loss drugs for kids. Dr. Rodriguez sees patients at University Health’s Texas Diabetes Institute.   DISCLOSURES: Luisa Rodriguez, 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00)

CME Link:        https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095153 When to Worry: Perspective from a Pediatric Cardiologist FACULTY: Ginnie Abarbanell, MD, is a Professor of Cardiology at UT Health San Antonio and University Health.   OVERVIEW: Pediatrics Now Podcast host Holly Wayment talks with Ginnie Abarbanell, MD about syncopy and chest pain. Dr. Abarbanell sees patients at UT Health San Antonio's clinic in the medical center and in Stone Oak at the Baptist Hospital atrium in San Antonio, : 210-450-7334, fax 210-450-2124.  She also sees patients at University Hospital. Practitioners with cardiology questions or needing help getting a patient in, call 210-436-9933.   DISCLOSURES: Ginnie Abarbanell, 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 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (0.50) Non-Physician Participation Credit (0.50)

Antibiotics and Babies: Groundbreaking New Research CME Link coming on Monday! Please check back. Cases updates and discussions for the busy pediatric practitioner for Free Credit! Dr. JB Cantey's Website and contact info: Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field. Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content. Email us with questions and suggested episode ideas: wayment@uthscsa.edu FACULTY: JB Cantey, MD, MPH is an Assistant Professor in Pediatrics at UT Health San Antonio. Dr. Cantey’s bio  OVERVIEW: Pediatrics Now Host and Executive Producer Holly Wayment interterviews JB Cantey, MD, MPH about his groundbreaking research regarding antibiotics and babies. Dr. Cantey is double boarded in neonatology and infectious disease.  He has a Master’s in public health and is a contributing writer for Redbook.  DISCLOSURES: JB Cantey, MD, MPH 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. CREDITS: AMA PRA Category 1 Credits™ (0.75) Non-Physician Participation Credit (0.75)

Practitioners click here for free credit: CME Link:        https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095128   Surgery for Underfunded Children? Yes, It Really Is Free! FACULTY: Ian Mitchell, MD is Pediatric Surgeon in Chief at University Hospital and the University of Texas Health Science Center at San Antonio.  Utica Gray, PhD, MSHSA, National Director for Fresh Start was also interviewed for this program.    OVERVIEW: Pediatrics Now Host and Executive Producer Holly Wayment talks with Dr. Mitchell and Ms. Gray about Fresh Start, free surgeries for children.   DISCLOSURES: Ian Mitchell, MD and Utica Gray, PhD have 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™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   CREDITS: AMA PRA Category 1 Credits™ (1.00) Non-Physician Participation Credit (1.00)