Shows
Dead LanguagesEpisode 123: Literally All About Literary AgentsToday Goblin PLM interviews literary agent Becky LeJeune about literary agents. Where authors should start, what to expect, and staying positive in the face of rejection!Find Becky here: https://bondliteraryagency.com/about-us
2025-08-2758 min
The Peds NP: Pearls of Pediatric Evidence-Based PracticeChoosing Wisely Case 3: Child with fever and cough (S12 Ep. 82)Welcome to the Choosing Wisely Campaign series! This is the fourth episode of a 5-part series exploring the ABIM Foundation’s Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures.
Our third case-based episode presents a child with fever and cough. After a clear discussion of the case and thoughtful consideration of the etiology and treatment strategies, we use the AAP’s Choosing Wisely Hospital Medicine and Infectious Diseases lists to create a resource-conscious care plan that is safe and patient-centered.
In the comi...
2025-08-1119 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeChoosing Wisely Case 2: Infant with diarrhea and dermatitis (S12 Ep. 81)Welcome to the Choosing Wisely Campaign series! This is the third episode of a 5-part series exploring the ABIM Foundation’s Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures.
Our second case-based episode presents an infant with diarrhea and diaper dermatitis. After a clear discussion of the case and thoughtful consideration of the etiology and treatment strategies, we use the AAP’s Choosing Wisely dermatology and gastroenterology, hepatology, and nutrition lists to create a resource-conscious care plan that is safe and patient-centered.
In t...
2025-06-3026 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeChoosing Wisely Case 1: Syncope (S12 Ep. 80)Welcome to the Choosing Wisely Campaign series! This is the second episode of a 5-part series exploring the ABIM Foundation’s Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures.
The first of our case-based episodes presents a school age child with syncope. After a clear discussion of the case and thoughtful consideration of an acute care differential, we use the AAP’s Choosing Wisely cardiac list to create a resource-conscious care plan that is safe and patient-centered.
In the coming episodes, we’ll exp...
2025-05-0514 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeThe Choosing Wisely Campaign (S12 Ep. 79)Welcome to the Choosing Wisely Campaign series! This 5-part series will explore the ABIM Foundation’s Choosing Wisely Campaign, its historical precedent, and its goals. We will discuss how this initiative aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures.
The introduction episode dives into the historic 2010 editorial in the New England Journal of Medicine that inspired over 80 professional societies to write their “Top 5 Lists” of tests and procedures that could be avoided in evidence-based care. To better understand the problem, we then pick apart the survey that provided insight into w...
2025-04-2214 min
Medicare For The Lazy Man PodcastEp. 784 - Dental benefits are rotten in more than 90% of Medicare Advantage plans!In the "Medicare Advantage Minute" an investigation concluded that the vast majority of dental plans attached to MA plans do not meet the standards generally available from employer group insurance.
The "Your Medicare Benefits 2024" segment revealed that Medicare will pay 100% of the charges for testing and treatment of Covid-19 (Wuhan Flu).
Ransom letters threatening data breaches have been received by several hospitals according to the AHA. In this podcaster's opinion, repeal of HIPPA would remove the incentive and free the medical industry of a great deal of costly burden.
Valued client Dean, fresh f...
2025-03-2432 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: A Graduation Speech: Onward (S11 Ep. 78)This is the final episode of The Peds NP Acute Care PNP Faculty series. The series was created and peer-reviewed by national leaders in acute care PNP education in collaboration to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
As I come to an end of my...
2024-12-1109 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: How to Deliver a Patient Presentation in the PICU (S11 Ep. 77)Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode reviews the features of a patient presentation in th...
2024-12-0327 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: How to Select an Enteral Formula and Start Feeds (S11 Ep. 76)Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-edited by national leaders in acute care PNP education collaborating with one another to meet the needs of our future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
*This is the second episode in a 2 part series on enteral feeding. Li...
2024-09-1612 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Malnutrition and Feeding Tube Selection (S11 Ep. 75)Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode begins with a brief review of malnutrition an...
2024-09-1118 minThe Peds NP: Pearls of Pediatric Evidence-Based Practice5 Minute Meditation for Pediatric Providers (S11 Ep. 74)Meditation begins at 2:00.
This 5-minute meditation for pediatric providers is designed to help you center your day before your work to boost your wellness, improve resilience, and connect better with yourself, your patients, and your colleagues.
First we’ll create a peaceful environment and establish the ground rules of meditation, then get your body into position. The guided meditation takes you through 5 minutes of breath to help you calm your mind and body while making room for empathy and patience. No judgment, but lots of kindness and compassion for your thoughts and feelings. The session end...
2024-08-1207 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Well-Being and Resilience (S11 Ep. 73)Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode explores wellness for the pediatric nurse practitioner. We first d...
2024-08-1226 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Case Study on Delivering Bad News (S11 Ep. 72)Welcome to The Peds NP Acute Care Faculty series! This collaborative series was created and peer-reviewed by national experts and leaders in acute care PNP education to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode applies the concepts from the prior episode on “Delivering Bad...
2024-07-1526 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Delivering Bad News (S11 Ep. 71)Welcome back to The Peds NP Acute Care Faculty series! This collaborative series was created and peer-reviewed by national experts and leaders in acute care PNP education. In the push for competency-based education where faculty verify the skills of what a learner can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach in a conversational way so that you can learn the nuances of clinical skills before you reach the bedside.
This episode discusses a standardized approach to delivering bad news, founded in the literature. The SPIKES protocol i...
2024-07-1520 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: How to create your first poster and abstract (S11 Ep. 70)Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
For many scholars, the poster and its prerequisite abstract ar...
2024-07-0821 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Developing the Acute Care Differential (S11 Ep. 69)Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-edited by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode guides the novice pediatric provider on creations of...
2024-07-0323 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAcute Care Faculty Series: Your first day of acute care clinical (S11 Ep. 68)Welcome to The Peds NP Acute Care Faculty series! This collaborative series was created and peer-reviewed by national experts and leaders in acute care PNP education to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a conversational approach so that you can learn nuances of clinical skills before you reach the bedside.
This episode welcomes the acute care PNP student to clinical, where you’ll lea...
2024-07-0125 min
Your Bookstore BestiesEp. 73 | Underrated BooksWe chat about some of our favorite underrated books.
All the books we mentioned:
Dolls of our Lives: Why We Can’t Quit American Girl |Mary Mahoney and Allison Horrocks
Tidesong | Wendy Xu
The Tea Dragon Society | Kay O'Neill
The Blonde Identity | Aly Carter
Finlay Donovan Is Killing It: A Novel | Elle Cosimano
Into the Raging Sea | Rachel Slade
Dead Wake | Erik Larson
This Woven Kingdom | Tahereh Mafi
Shatter Me | Tahereh Mafi
Ember in the Ashes | Sabaa Ta...
2024-05-1733 min
Let Me Tell You a Story with Steve and Becky LylesLet Me Tell You a Story Podcast #152 with Steve and Becky LylesWarhawk Air Museum
Carson Spear, executive director of the Warhawk Air Museum in Nampa, Idaho, talked with us about the museum's 35-year history and all the amazing activities and opportunities available there today. We also asked about his combat experience as a platoon leader in Southern Baghdad, where he was deployed in support of Operation Iraqi Freedom II and awarded a Bronze Star and a Purple Heart.
https://warhawkairmuseum.org/
(Podcast sound effects source: http://www.freesfx.co.uk)
2024-05-0754 min
REV Your AgencyCore Values or Bust with Becky Wilson | REV Your Agency Podcast | Episode 17At 69 years old Becky Wilson is full of more energy and excitement than most 20-year-olds. in this episode she shares how finding and sticking to her values have helped her find momentum and productivity in her business and in her life.
2024-03-2325 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeDischarge Education for Bronchiolitis (S10 Ep. 67)At the peak of respiratory virus season, bronchiolitis is one of the most common presentations in infants and young toddlers. The characteristic wheeze and prolonged duration of illness can be distressing for parents, who may lack the practical knowledge of how to effectively implement supportive care. When the mainstay of treatment is supportive care without any single curative intervention, you need to be able to discuss the etiology, management, and anticipatory guidance on a level that the parents can understand. This episode introduces the idea of capacity-building family-centered care and takes a granular, detailed approach to improving family understanding...
2024-02-1917 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Epilogue and Results (S9 Ep. 66)In the eighth and final episode of the Health Equity in Pediatrics podcast series, the epilogue begins with my inspiration for the series, shares some parting sentiments, and discusses the results and conclusions of the cross-sectional study published in the special DEIB edition of Journal of Pediatric Health Care (March/April 2024). I’ll rewind to my childhood and walk you down the cobblestone brick paths of my hometown, the book that changed my perspective, and the words that helped a podcast create allies. I’ll share the results of the international series and post-survey cross-sectional study. The conclusions will fuel...
2024-02-0516 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeRSV Vaccine for the Prevention of Severe Bronchiolitis in Infants (S10 Ep. 65)Nirsevimab is the new FDA-approved monoclonal antibody RSV vaccine for the prevention of severe lower respiratory illness in infants. In this episode, we discuss the current recommendations on who gets the vaccine and when, how to use a lens of health equity to approach the current vaccine shortages, and how to discuss safety and efficacy with vaccine hesitant parents. Now that nirsevimab is on the routine infant immunization schedule, it’s extremely important and pediatric providers understand the recommendations and science behind the monoclonal antibody to help vaccine acceptance that will undoubtedly reduce bronchiolitis hospitalization.
Instagram: @thepedsnppodcast...
2024-01-1015 min
Mike and SteveEpisode #48: Becky Coughlin (Pecic)
Classmate Becky Coughlin (Pecic) chats with Mike and Steve about becoming a single mom at age 20, bodybuidling, and working to find her own identity in middle age. (recorded June 22 2023).
Here is Becky now:
2023-08-281h 03The Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Mental Health Stigma (S9 Ep. 64)Mental health is one of the greatest health risks encountered by children and adolescents in today’s world. Stigma can be one of the biggest barriers to children being evaluated and treated for mental health problems, particularly in communities that are marginalized. In the final episode of the miniseries on Health Equity in Children, we bring mental health into your everyday conversations to diminish stigma and give mental health the time it deserves to help your patients grow up happy and healthy.
Want to make a bigger difference in health equity? Complete an anonymous survey here after you...
2023-06-1314 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Misgendering and Heteronormative Assumptions (S9 Ep. 63)It’s good advice for any pediatric provider to never assume anything. In the sixth episode of the series on Health Equity in Children, we understand how not making assumptions is a best practice for pediatric providers from the evaluation and management of LGBTQ patients, to communicating with diverse families, and serving as an ally in health promotion.
Want to make a bigger difference in health equity? Complete an anonymous survey here after you listen to the episode or visit www.thepedsnp.com and click the “Complete a Survey” button at the top of the page. The responses...
2023-06-0520 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Weight Bias and the AAP Guideline on Children with Obesity (S9 Ep. 62)The seminal publication of the AAP’s Guideline on the Evaluation and Treatment of Children and Adolescents with Obesity serves as the source of our fifth episode in the series on Health Equity in Children. The best practices for managing obesity go beyond discussions of beauty and body image to include systemic racism, obesity as a chronic disease, and the reckoning that children and adolescents with obesity are people first.
Want to make a bigger difference in health equity? Complete an anonymous survey here after you listen to the episode or visit www.thepedsnp.com and click the...
2023-06-0218 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Say My Name Correctly (S9 Ep. 61)The fourth episode in our Health Equity in Pediatrics series highlights one of the simplest individual actions a provider can take to be an ally in health equity: Say your patients’ names correctly. Saying a person’s name correctly validates their identity, family, culture, and heritage. Whether the name is difficult to pronounce or varies from the name given at birth, providers can use simple tools to correctly pronounce names and address their patients in a way that honors both the patient and their caregivers. Together we can answer William Shakespeare’s question, “What’s in a name?” with a lens of healt...
2023-05-2212 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Interrupting Microaggressions (S9 Ep. 60)The third episode in the Health Equity in Pediatrics series focuses on microaggressions, which are subtle slights, snubs, and digs that are seemingly innocent, innocuous, and naïve at first glance. But their roots in harmful stereotypes and assumptions are psychologically disparaging and invalidating to the people from marginalized groups they offend. They reflect implicit bias that is unconsciously embedded into language and behavior. As an ally, interrupting microaggressions can be a challenge that requires curiosity to confront. The decision to interrupt is individual and complex, but this episode will provide allies with the skills to intervene through role play...
2023-05-1521 min
Teachers Talk TeachersGifted HandsTeachers Talk Teachers gets another special guest! Join Aimee and her dad Mike as they discuss good, bad, and ugly teachers in the life of Ben Carson and his story in the movie, Gifted Hands. Hear which teachers help Bennie succeed and which teachers Aimee and Mike want to punch in the face... there's surprisingly more than one. Also! Spoilers for the announcement at the end of the episode, but we will be taking a short break from the podcast. Consider this the end of semester 1 and we will see you all sometime soon. In the meantime, m...
2023-05-1546 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Identifying Your Implicit Bias (S9 Ep. 59)In the second episode of the Health Equity in Pediatrics series, we explore implicit bias as unconscious attitudes and stereotypes held against a group that may even be contrary to one’s stated beliefs. Identifying your implicit bias is a best practice that can enable you to limit its impact on your behavior and prevent harm from altered clinical decision making that is based on preconceived notions. In this episode, we discuss examples of how implicit bias can impact health care in children and the skills that provider’s can hone to combat its influence.
Want to make...
2023-05-0815 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHealth Equity in Pediatrics: Health Equity in Kids (S9 Ep. 58)Welcome to the Health Equity in Pediatrics series! In the first installment of our series, we define health equity and review some communities often affected by health disparities that limit a person’s opportunity to be as healthy as possible. While health equity can seem like a seismic public health crisis that is too big for one person to tackle, each episode in this series will give listeners tangible best practices that can be implemented immediately to provide more equitable care in your workplace. As you learn to view every patient encounter through a lens of health equity, you’ll be a...
2023-05-0315 minYour Bookstore BestiesEp. 19 | The AdaptationsLet’s talk all about adaptations. What were are favorites? What was a better movie than book? We also bring back the Reading Challenge. Rachele and Becky challenge each other to pick one of the three choices presented to read in a month.
All the books we mentioned
Because of Winn-Dixie | Kate DiCamillo
Bridge to Terabithia | Katherine Paterson
Matilda | Roald Dahl
James and the Giant Peach | Roald Dahl
The Witches | Roald Dahl
Charlie and the Chocolate Factory | Roald Dahl
Princess Diaries | Meg Cabot
Holes | Louis Sachar
Lord of th...
2023-03-0339 minYour Bookstore BestiesEp. 19 | The AdaptationsLet’s talk all about adaptations. What were are favorites? What was a better movie than book? We also bring back the Reading Challenge. Rachele and Becky challenge each other to pick one of the three choices presented to read in a month.
All the books we mentioned:
Because of Winn-Dixie | Kate DiCamillo
Bridge to Terabithia | Katherine Paterson
Matilda | Roald Dahl
James and the Giant Peach | Roald Dahl
The Witches | Roald Dahl
Charlie and the Chocolate Factory | Roald Dahl
Princess Diaries | Meg Cabot...
2023-03-0303 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticePlant-based Milks (S8 Ep. 57)Got milk? The answer is complicated. While plant-based beverages are accused of posing as animal by-product imposters, the FDA claims that consumers know the difference. But most parents don't recognize that plant-based milks lack the same micro and macronutrient profile as cow's milk or soy milk. This leaves pediatric providers with the very important job of assessing nutrition and guiding parents on what beverages their infants and toddlers should be drinking.
2023-03-0110 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeRespiratory Virus Testing (S8 Ep. 56)Just because you can, doesn't mean you should. In the depths of respiratory virus season, providers often order unnecessary tests that won't alter the course of treatment for the child presenting with upper respiratory symptoms. This episode covers 5 common pathogens, the indications to test a child presenting with symptoms, and how to talk to families requesting tests.
References:
Centers for Disease Control and Prevention (2022). Influenza antiviral medications: Summary for clinicians. Retrieved from https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm#Table1
Frost, H. M., & Hersh, A. L. (2022). Rethinking Our Approach to Management of A...
2023-02-1320 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAOM Microbiology Update (S8 Ep. 55)Not all bacterial infections need an antibiotic. It may sound hard to believe, but if we all followed the AAP guidelines on the management of otitis media in children and actually used a watch-and-wait approach in appropriate patients, upwards of 75% of the antibiotics prescribed for otitis media could be avoided. Why? Because the microbiology of AOM has changed, but our prescribing practices haven't. This episode is a great guideline refresher and microbiology update while learning how to talk parents into partnership on watchful waiting.
References:
American Academy of Pediatrics. (2019). Chapter quality network improving antibiotic prescribing for c...
2023-01-3112 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeStop prescribing Benadryl™ (S8 Ep. 54)If you've been looking for a New Year's Resolution to make a real difference in your practice, stop prescribing diphenhydramine. Despite being a common over-the-counter medication, its potent anticholinergic side effects and sedation make it a poor choice for children. Review the common misuses for the drug and practical, evidence-based alternatives to help get diphenhydramine out of your prescribing practice in 2023.
References:
Bachur RG, Monuteaux MC, Neuman MI. A comparison of acute treatment regimens for migraine in the emergency department. Pediatrics 2015;135:232-238.
Brady, K.B. (2020). 'Benadryl challenge": What pediatricians need to know. AAP News...
2023-01-1816 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCase study: Adolescent female with foot burning (S7 Ep. 53)In the last case study in our series on Cognitive Bias in Healthcare, attribution error (among others) of an adolescent female with foot burning reveals how two more best practices for avoiding cognitive bias can help providers think metacognitively. Review all 8 best practices and start to implement them to reduce diagnostic error.
References:
Marshall, T.L., Rinke, M.L., Olson, A.P.J., Brady, P.W. (2022). Diagnostic error in pediatrics: A narrative review. Pediatrics, 149 (Supplement 3): e2020045948D. 10.1542/peds.2020-045948D
The Canadian Medical Protection Authority. Common cognitive biases: Influences on decision making. Good P...
2022-12-1912 min
Your Bookstore BestiesEp. 6 | Middle Grade MadnessRachele and Becky talk all things Middle Grade! Middle Grade books are for ages 9-12. They talk about the books they remember as kids, the books they’ve most recently read, and the middle grade they want to read.
All the Books we discussed:
Castle in the Attic | Elizabeth Winthrop
Howl’s Moving Castle | Diana Wynne Jones
Indian in the Cupboard | Lynne Reid Banks
The Secret of the Attic | S. Sinykin
Ella Enchanted | Gail Carson Levine
Meet Molly | Valerie Tripp
Meet Felicity | Valerie Tripp...
2022-12-0236 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCase study: Adolescent female with arm pain (S7 Ep. 52)The next case study in our series on cognitive bias in healthcare follows an obese adolescent female with arm and neck pain who felt unheard during the 4 prior emergency room visits that week. Listen as the differential diagnosis takes on a completely different angle and the pressure of making the diagnosis goes sky high! We will unpack additional forms of cognitive bias and 2 more best practices for avoiding diagnostic error in the clinical setting.
References:
Hulens, M., Rasschaert, R., Vansant, G., Stalmans, I., Bruyninckx, F., & Dankaerts, W. (2018). The link between idiopathic intracranial hypertension, fibromyalgia, and chro...
2022-11-3020 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCase study: 4 month old with constipation (S7 Ep. 51)In the first case study of our mini-series on Cognitive Bias in Health Care, we meet a 4 month old female referred to the emergency department for constipation. Spoiler alert: We know it's not constipation... so we explore how her presentation and physical exam clash with the initial medical decision making. Try to spot the cognitive bias and test yourself on building a differential diagnosis. Lastly, we explore 4 best practice techniques to help you avoid bias in the first place.
References
Abimanyi-Ochom, J., Bohingamu Mudiyanselage, S., Catchpool, M., Firipis, M., Wanni Arachchige Dona, S., & Watts, J. J. (2...
2022-10-2721 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeThe context of bias (S7 Ep. 50)There are many factors that contribute to the way we perceive and interpret information... and lots of ways that our brains skew our perspectives that can lead to cognitive bias. The second episode in our Cognitive Bias in Healthcare mini-series discusses the features of information delivery that impact our decision-making and how our brains distort them to cause diagnostic error.
References:
Arokszallasi, T., Balogh, E., Csiba, L., Fekete, I., Fekete, K., & Olah, L.. (2019). Acute alcohol intoxication may cause delay in stroke treatment – case reports. BMC Neurology, 19, 14. https://doi.org/10.1186/s12883-019-1241-6
Berkw...
2022-09-2914 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCognitive Bias in Healthcare (S7 Ep. 49)This episode is the first installment on a new mini series on cognitive bias in pediatric healthcare. We begin by discussing what cognitive bias is, how it becomes diagnostic error, and the impact on healthcare in America. Begin to think about how you think and explore the interesting ways our brains use mental shortcuts to arrive at an answer.
References:
Balogh, E. P., Miller, B. T., Ball, J. R., Committee on Diagnostic Error in Health Care, Board on Health Care Services, Institute of Medicine, & The National Academies of Sciences, Engineering, and Medicine (Eds.). (2015). Improving Diagnosis in...
2022-09-0116 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeReview of the CDC’s Developmental Surveillance Checklist (S6 Ep. 48)Developmental surveillance and screening work best to identify delays when used together. The AAP and CDC teamed up to create a standardized developmental milestone checklist in order to improve the longitudinal monitoring of pediatric milestones at home by caregivers. This episode reviews their publication and discusses what went into the checklist, its strengths, and areas for further research. View the CDC's website for the full checklist and read the article here.
References:
CDC. (2022). Developmental surveillance resources for healthcare providers. Retrieved from https://www.cdc.gov/ncbddd/actearly/hcp/index.html.
Zubler JM, Wiggins LD...
2022-07-2111 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeUndiagnosed Congenital Heart Disease in Primary Care (S6 Ep. 47)When accelerated BSN student Sam Mahaney wanted more practical bedside application of his knowledge of pediatric cardiology, we sat down to discuss the approach to assessment and management of undiagnosed and undifferentiated congenital heart disease from a primary care perspective. The primary care clinician should be on the lookout for red flags in the history and physical exam that might suggest critical congenital heart disease and screen appropriately. This episode has helpful perspectives for both the nurse and advanced practice provider.
References:
Abdurrahman, L., Bockoven, J. R., Pickoff, A. S., Ralston, M. A., & Ross, J. E...
2022-07-1223 min
The Seed PodBasics of EcologyToday we take a step out of the garden and into the classroom with a little lesson in Ecology. We discuss some aspects that are important for gardening and just plain interesting!The books we spoke about today were:Thinking in Systems by Donella MeadowsSong of the Dodo by David QuammenSilent Spring by Rachel CarsonSilent Earth by Dave GoulsonWilding by Isabella Tree
2022-07-0823 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeInfant dyschezia (S6 Ep. 46)Infant dyschezia refers to the discomfort an infant experiences when bearing down against a closed anal sphincter, and is often misidentified as constipation by parents. As long as red flags are absent, this functional, self-limited condition is easily diagnosed using the Rome IV Criteria. In this episode, you will learn how to reassure parents and what contraindicated treatments should be discussed.
References:
Children’s Wisconsin. (2020). Infants straining to move bowels. https://childrenswi.org/-/media/chwlibrary/publication-media-library/2020/03/30/20/48/2144en.pdf
LeLeiko, N. S., Mayer-Brown, S., Cerezo, C., & Plante, W. (2020). Constipation. Pediatrics in review, 41(8), 379–392. https://doi.org...
2022-06-1510 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeInfant Vision Screening (S6 Ep. 45)Vision screening is one of the most important preventative health screenings that a primary care provider does at well visits. But the infant eye exam can feel obtuse and complicated if you don't understand vision development, physical exam maneuvers, and red flags for referral. Because of the risk of significant amblyopia if ocular pathology is left untreated, every pediatric provider should know how to complete an age-appropriate vision screening in an infant.
References:
American Academy of Ophthalmology Pediatric Ophthalmology/Strabismus Panel. (2012). Preferred practice pattern guidelines. Pediatric eye evaluations. American Academy of Ophthalmology.
Bell, A...
2022-05-2710 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeBreastfeeding Tips for Struggling Moms (S6 Ep. 44)With national formula shortages over 40% and growing, the pediatric provider can encourage the establishment and maintenance of breastfeeding in moms who have chosen this path. Breastfeeding isn't without struggles and woes, so providers can help support mothers by understanding these tips based on breastfeeding physiology and advising the pair when the process isn't as easy as it seems.
References:
American Academy of Pediatrics. (2021). Breastfeeding overview. Retrieved from https://www.aap.org/en/patient-care/breastfeeding/breastfeeding-overview/
La Lache League. (2022). Breastfeeding info A to Z. Retrieved from https://www.llli.org/breastfeeding-info/
Laura R...
2022-05-1816 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticePractical Prescribing for Acetaminophen and Ibuprofen (S5 Ep. 43)Two of the most common over-the-counter medications in pediatrics are not as simple and benign as you might think. This episode uncovers the dark past of acetaminophen, the pearls and pitfalls of prescribing them, and how to talk to families about giving the medications safely.
References:
Clark, E., Plint, A.C., Correll, R., Gaboury, I., & Passi, B. (2007). A randomized, controlled trial of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma. Pediatrics , 119 (3): 460–467. doi: 10.1542/peds.2006-1347
Jones, K., Engler, L., Fonte, E., et al. (2021). Opioid reduction through postoperative pain management in...
2022-04-0818 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeDischarge Education for Acute Gastroenteritis (S5 Ep. 42)Children with acute gastroenteritis and mild or moderate dehydration can be managed at home with oral rehydration. Learn how to partner with families and take an extra five minutes in your visit to explain the reasoning, detailed instructions, and expectations of home care as we discuss the evidence behind the rationale.
References:
Carson, R.A., Mudd, S.S., & Madati, P.J. (2016). Clinical practice guideline for the treatment of pediatric acute gastroenteritis in the outpatient setting. Journal of Pediatric Health Care, 30(6), p. 610-616. http://dx.doi.org/10.1016/j.pedhc.2016.04.012
Carson, R.A., Mudd, S.S...
2022-03-0416 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticePicky Eating in Primary Care (S5 Ep. 41)The well visit is time to screen for issues in primary care, which includes diet and nutrition. Picky eating is a common problem that often plagues parents, especially when parenting styles or child development clashes with recommended feeding practices. Dr. John Lyles joins The Peds NP to discuss evaluation and recommendations for feeding difficulties in primary care.
References:
Boruta, M.K.R., Lyles, J., Mavis, A.M., & Morgan, S. (in press). Pediatric gastrointestinal and liver disorders. In Encyclopedia of Child and Adolescent Health.
Kerzner, B., Milano, K., MacLean, W.C., Berall, G., Stuart, S...
2022-02-2119 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeWhen Derm Met Allergy (S5 Ep. 40)Dr. Mansi Kotwal, Allergy and Immunology fellow at Johns Hopkins, joins The Peds NP podcast again to talk about a few dermatologic manifestations of allergy. She discusses how history is an essential component of diagnosis and goes on to discuss management of these common and benign conditions in pediatrics.
2022-01-1913 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeThe Newborn Exam (S5 Ep. 39)Season 5 of The Peds NP returns with an introduction to the first exam a person will ever get: The newborn exam. This episode focuses on that first encounter from the prenatal and birth history to the exam and screenings. Learn to concentrate on the unique features of a newborn and consider how to document the findings on this ever-changing patient.
References:
Chiocca, E. (2019). Advanced pediatric assessment (3rd ed.). Springer Publishing Company.
Hagan, J.F., Shaw, J.S., & Duncan, P. (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Ac...
2022-01-1317 minThe Peds NP: Pearls of Pediatric Evidence-Based Practice2021 AAP Guidelines on Febrile Infants (S4 Ep. 38)Provider variation has plagued the management of febrile neonates for decades, but the wait for standardization is over! The AAP published its long-awaited recommendations on the evaluation and management of well-appearing febrile infants 8 to 60 days old in August 2021. This episode picks apart the nuances and key features to help pediatric providers provide fast, safe, and effective care to this population. Follow along with full guideline available at https://doi.org/10.1542/peds.2021-052228
References:
Pantell, R.H., Roberts, K.B., Adams, W.G., Dreyer, B.P., Kupperman, N., O’Leary, S.T., … & Subcommittee on Febrile...
2021-11-2218 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHuman Trafficking (S4 Ep. 37)Human trafficking, specifically sex trafficking, is a worrisome reality that pediatric providers need to recognize and manage with speed and grace. With tools to better understand the at risk populations that may present as hidden victims of this terrible human rights violation, we can better protect our vulnerable child and youth populations.
References:
Greenbaum, J., & Bodrick, N. (2017). Global human trafficking and child victimization. Policy statement. American Academy of Pediatrics, 140, e20173138.
National Association of Pediatric Nurse Practitioners (Executive Producer). (2021). Child trafficking: Case studies and tools on identifying warning signs [Audio podcast]. TeamPeds Talks. https://a...
2021-11-1613 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAnaphylaxis with Mansi Kotwal, MD (S4 Ep. 36)Recognition of anaphylaxis can be difficult for some providers, and the courage to give epinephrine for treatment can be even more so. Johns Hopkins Allergy & Immunology fellow, Dr. Mansi Kotwal, discusses the anaphylaxis presentation and diagnosis in ways you may not have considered. And she reviews adjunct drugs for management in a way that might just change your practice.
References:
Sampson, H.A., Muñoz-Furlong, A., Campbell, R.L., Adkinson, N.F., Bock, S.A., Branum, A., et al. (2006). Second symposium on the definition and management of anaphylaxis: Summary report—Second National Institute of Allergy and Inf...
2021-10-2711 min
The Discomfort Practice49: Becky Burchell on Inspiring Imagination and Change Through the ArtsIn this episode, I chat with Becky Burchell, a talented and inspiring Arts Producer and Curator who specializes in “Hopeism” - the idea that sharing stories of hope through the arts can help us to imagine and create a better future. Becky is the founder of CHANGE Festival, a new arts festival in the UK which she created as a platform for inspirational performance, music, discussion, and workshops that invited audiences to consider their own role in manifesting positive change. Becky has previously curated big-name festivals as an Arts Producer (like the UK’s Bestival and Camp Bestiva...
2021-10-2453 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCNS Infections (S4 Ep. 35)Infections in the central nervous system can be very dangerous in children, so prompt recognition and treatment is important to avoid morbidity and mortality. A review of various etiologies of CNS infections and their workup yields a valuable discussion on a pearl of wisdom that any provider needs to understand.
References
American Academy of Pediatrics. (2018). Meningococcal infections. In Kimberlin, D.W., Brady, M.T., Jackson, M.A., & Long, S.S. Red Book (31st ed., pp. 550-561). American Academy of Pediatrics.
Centers for Disease Control and Prevention. (2021). Immunization schedules. Retrieved online from https://www.c...
2021-10-0921 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticePediatric GI with John Lyles, MD (S4 Ep. 34)In the first ever guest interview on The Peds NP, pediatric gastroenterologist John Lyles talks with us about pathologic hyperbilirubinemia and inflammatory bowel disease.
2021-09-2922 min
Autism in ColorThe day the music stopped... Will I ever hear my son's voice again...Autism in Color interviews Gia Evan's who is the mother of a son with Autism. The Autism Moment this week is by Carson Evans.
2021-09-2751 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeVasoactive agents in cardiogenic shock (S4 Ep. 33)Cardiogenic shock occurs in children for a variety of reasons, and there are a variety of vasoactive drugs available to treat the critical condition. But first we need to understand the pathophysiology and pharmacology to best select the drug for the job, which is no easy task.
References
Bolick, B.N., Reuter-Rice, K., Madden, M.A., Severin, P.N. (2020). Pediatric Acute Care: A guide for Interprofessional Practice (2nd ed.). Jones & Barlett Learning. Burlington, MA.
CDC. (2020). Data and statistics on congenital heart defects. Retrieved online from https://www.cdc.gov/ncbddd/heartdefects/data.html
2021-09-2022 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeBronchiolitis in the Hospitalized Patient (S4 Ep. 32)The 2014 AAP guidelines on the treatment of bronchiolitis are a provider's medical decision-making compass, but how can we interpret the vague or absent recommendations involving advanced care of patients requiring hospitalization? This episode covers the recent evidence published since the 2014 guidelines and helps to provide some direction on key issues for patients in need of greater respiratory support.
References:
Coletti, KD, Bagdure DN, Walker LK, Remy KE, Custer JW. High flow nasal cannula utilization in pediatric critical care: an observational study. Respir Care 2017;62(8):1023-1029.
Elliott, S.A., Gaudet, L.A., Fernandes, R.M., Va...
2021-09-1513 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeNutrition in Critical Care (S4 Ep. 31)Nutrition is arguably the most important component of care in children with critical illness, yet its importance often falls down the list of priorities. Many questions remain on how best to manage nutrition in pediatric critical care, but this episode addresses many best practices from the SCCM and ASPEN's Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient.
References
Mehta NM, Bechard LJ, Zurakowski D et al. Adequate enteral protein intake is inversely associated with 60-d mortality in critically ill children: a multicenter, prospective, cohort study. Am J...
2021-09-0711 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to give a scholarly presentation (S4 Ep. 30)Whether you're presenting in class, for colleagues, or on a national stage, it's important to have the tools and skills to disseminate your work in a scholarly way. This week's show focuses on helping you with presentation format, PowerPoint visuals, and presentation skills to help you stand out and confidently demonstrate your expertise.
References:
Cuddy, A. (2012). Your body language may shape who you are. Retrieved online from https://www.ted.com/talks/amy_cuddy_your_body_language_may_shape_who_you_are?language=en#t-603306
Morgan, N. (2011). Why we fear public speaking and h...
2021-09-0119 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeCommon Limb Deformities in Children (S3 Ep. 29)"What's wrong with your legs?' 'Nothin' at all, thank you. My legs are just fine and dandy.'" This episode takes a line from Forrest Gump and RUNS with it. It's important for providers to know normal MSK development from an intrauterine fetus to the running child so that you can give parents reassurance for normal, expected defects while referring true deformities.
References:
Espandar, R., Mortazavi, S.M.J., & Baghdadi, T. (2010). Angular deformities of the lower limb in children. Asian Journal of Sports Medicine, 1(1), p. 46-53. doi: 10.5812/asjsm.34871
Gupta, P., Gupta, V., Pat...
2021-07-2219 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeAmoxicillin Allergy (S3 Ep. 28)Ten percent of Americans report an allergy to amoxicillin, yet most of these don't represent a true allergy. Today we discuss the types of drug allergies, how to determine if the allergy can be removed, and second line drugs for true PCN allergy with the goal of being outstanding stewards of antimicrobial stewardship.
References
American Academy of Pediatrics. (2013). The diagnosis and management of acute otitis media. Pediatrics, 131(3), p. e964-e999. doi:10.1542/peds.2012-3488
Chaudry, S.B., Veve, M.P., & Wagner, J.L. (2019). Cephalosporins: A focus on side chains and beta-lactam cross reactivity. Pharmacy, 7(3...
2021-07-1517 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to ace the test and eat a burrito (S3 Ep. 27)I've got incredible burrito-eating skills like you've never seen. These epic Tex-Mex talents translate to test-taking strategies that are a sure-fire way to effectively implement critical thinking.
References:
Fernandez-Plaza, A., Saiz-Mendiguren, R., Garcia-Lallana, A., Viteri-Ramirez, G., Etxano, J., & Bondia Garcia, J.M. (2012). Ileo-ileal intussusceptions in a child complainting of abdomnial pain. Eurorad, Case 10092. doi: 10.1594/EURORAD/CASE.10092
Maaks, D.L.G., Starr, N.B., Brady, M.A., Gaylord, N.M., Driessnack, M., & Duderstadt, K.G. (2019). Pediatric Primary Care (7th ed). St Louis: Saunders Elsevier.
PNCB. (2019). PNCB announces unprecedented action for CPNP-AC exam inte...
2021-07-0817 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeKids say the darndest things! (S3 Ep. 26)When patients (or parents!) use unique phrasing of a phenomenon, we must interpret their description of the experience in laymen's terms using clarifying questions while being attentive to inaccurate use of medical terms. Let a kid tell you their story and you'll learn everything you need to know. Hear what I mean with a couple of real GI examples from my week.
References
Tate, J.E., & Bresee, J.S. (2012). Principles and Practice of Pediatric Infectious Diseases (Fourth ed.). Elsevier: China.
2021-06-2407 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeWhat are you wearing?: Navigating guidelines in bronchiolitis (S3 Ep. 25)Having a sense of fashion and listening to what the style gurus tell us "what not to wear" is similar to provider practice and the clinical practice guidelines published by our national authorities. Yet, somehow jorts came back into fashion and albuterol trials remain common practice for bronchiolitis. What will you wear and do?
References
Condella, A., Mansbach, J.M., Hasegawa, K., Dayan, P.S., Sullivan, A.F., Espinola, J.A., & Camargo, C.A. (2018). Multicenter study of albuterol use among infants hospitalized with bronchiolitis. Western Journal of Emergency Medicine, 19(3), 475-483. doi: 10.5811/westjem.2018.3.35837
Ralston, S...
2021-06-1710 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHeat and Sun Issues in Summer (S3 Ep. 24)As the hottest part of summer approaches and kids spend more time playing outside, pediatric providers need to be ready to recognize heat-related illness and offer savvy perspectives on how to protect kids from the sun's harmful rays.
References:
American Academy of Pediatrics. (2011). Ultraviolet radiation: A hazard to children and adolescents. Pediatrics, 127(3), 588-597. doi:10.1542/peds.2010-3501
Center for Biological Diversity. (2021, March 9). Hawai’I senate bill bans harmful sunscreen chemicals. https://biologicaldiversity.org/w/news/press-releases/hawaii-senate-bill-bans-harmful-sunscreen-chemicals-2021-03-09/
Mangus, C.W., & Canares, T.L. (2019). Heat-related illness in children in an era of e...
2021-06-0213 min
The Don's Hit List on FAB Radio InternationalEp 261: Becky Priest of The Nashville Keys on The Don's Hit ListThe show starts with Becky Priest and The Don talking about the song “I Swear”. We listen to the story told by Frank Myers about writing the song “I Swear”. We get into more of the story of the song and the performance of The Nashville Keys on this song. We talk about the Bee Gees Documentary “How Can You Mend A Broken Heart”. We played a clip from an awards show where John Michael Montgomery and All 4 One did I Swear together. 15:27 - “How Do I Live?” made famous by LeeAnn Rhimes and Trisha Yearwood written by Diane Warren. Be...
2021-05-191h 37The Peds NP: Pearls of Pediatric Evidence-Based PracticeTrouble in clinical paradise (S3 Ep. 23)Thank you preceptors for your tireless support of students who cannot learn the art of pediatric healthcare without your bedside teaching. This relationship born out of duty, generosity, and mutual respect can create lifelong collegial friendships. But what should students do if they notice problems in clinical? Today we explore how you should think, do, and say when evidence-based practice gets put in a corner.
References:
American Academy of Pediatrics. (2020). Tips for successful clerkships. Retrieved online from https://services.aap.org/en/career-resources/medical-students/tips-for-successful-clerkships/
Grenny, J., Patterson, K., Switzler, A., & McMillan, R. (2011). Cruci...
2021-05-1811 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeThe Peds NP’s Baby Registry (S3 Ep. 22)On this Mother's Day edition of The Peds NP podcast, we consider the perfect baby shower gift for an expecting mother. By using your knowledge of pediatric physiology, growth, and development, you can turn that baby registry into an educational opportunity to promote health and wellness for a new family.
2021-05-1312 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeNow what? Post-graduation tips for the new PNP (S2 Ep. 21)Once the exams are all taken, the papers submitted, and the grades are in... you've still got work to do. Healthcare professions require career-long learning, so join me as I discuss some options for staying current and engaged in pediatric learning after you walk off the stage and into clinical practice.
2021-05-0408 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeMaking febrile seizures simple (S2 Ep. 20)Whatever your social life looks like when you go home, I want you to know how important your work in pediatrics is to so many children! Fever is common, the presentation is simple, and this episode reinforces the management of simple febrile seizures according to the 2011 AAP guidelines.
References:
(AAP), Subcommittee on Febrile Seizures, American Academy of Pediatrics. (2011). Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics, 127(2), 389-394.
Abolfazl, N.-Z., Francois, D., Valerie, H., Pruvost, I., Bennour, A., & Martinot, A. (2013). Risk of bacterial meningitis in young children with a first se...
2021-04-2113 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to write a summary statement (S2 Ep. 19)A novel is to the clinical note what a summary statement is to Cliff's Notes. A summary statement is a concise phrase of synthesized patient information that transforms your assessment, and formulating one is a critical skill for any provider to learn. Understand the essential components of a summary statement and hear a few good and bad examples on this episode.
References:
Siegel, M. (2017). Concise summaries only, please. Yale School of Medicine News. Retrieved online at https://medicine.yale.edu/news-article/15646/
University of Florida Department of Medicine. (2021). Instructions for write-ups. Retrieved online at h...
2021-04-1414 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticePrimary care implications of cardiac disease in children (S2 Ep. 18)Patients with acute diagnoses often start, and always end, in primary care. Today we discuss primary care implications of cardiac disease in children.
References:
AAP. (2017). Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics, 140(3), e20171904.
McCrindle, B.W., Rowley, A.H., Newburger, J.W., Burns, J.C., Bolger, A.F., Gewitz, M., … & Pahl, E. (2017). Diagnosis, treatment, and long-term management of Kawasaki Disease: A scientific statement for health professionals from the American Heart Association. Circulation, 135, e927-e999.
2021-03-3112 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeIs this kid sick? (S2 Ep. 17)What's the difference between a pediatric patient who needs an LP and one that goes home? Find out on today's episode as we pick apart the presentation of fever without source.
2021-03-2315 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeThe Sixth Vital Sign (S2 Ep. 16)What is one of the unique features of pediatric health care? Monitoring their growth! Join us today as we discuss important primary and acute care issues surrounding pediatric growth.
2021-03-0309 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeDecision making in respiratory diseases (S2 Ep. 15)Diagnosis is the easy part. Deciding whether to send the comfortably tachypneic bronchiolitic is the hard part. Join us today as we unpack how to make that very decision and hear some pearls on supportive care.
2021-02-2411 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeIllness scripts (S2 Ep. 14)Join us today as we discuss how to identify acute disease by recognizing illness scripts written in test questions or in the medical record, then apply these concepts beyond the classroom.
2021-02-1608 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeLend me your ears! (S2 Ep. 13)Prick up your ears for this week's discussion on some favorite principles at The Peds NP. We use acute otitis media as an example of taking it back to the patho and spending an extra 5 minutes teaching the parents.
2021-02-1011 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeUnpacking the ddx (S2 Ep. 12)Join us as we unpack the ddx and discuss common and severe problems of the eye in pediatric patients. Later, we talk about journal club reviews of the literature and note one of my favorite ways to appraise an article.
2021-02-0315 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHead to toe (S2 Ep. 11)Join us as we pick apart the pieces of a well child check and discuss the ideal head-to-toe exam.
2021-01-2810 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeFeedback is a gift (S2 Ep. 10)As my primary care pediatrics students finish their first week of class, we review some questions on the newborn and discuss some key principles of clinical notes to get ready for next week.
2021-01-1916 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to call a consult (S1 Ep. 9)In this episode of The Peds NP we use a bad example of calling a consult to demonstrate "what not to do" before discussing some good examples and help to develop the critical skill of asking a clinical question.
2021-01-1909 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to write a clinical note (S1 Ep. 8)Get started on documentation with pearls of wisdom on the different pieces of an outpatient note.
2020-12-1521 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeHow to read an article and write a literature review (S1 Ep. 7)Practical tips for the APRN student on selecting the article, reading it, then writing a literature review for discussion with classmates or colleagues.
2020-12-1310 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeIntro to a podcast in a pandemic (S1 Ep. 1)When a global pandemic threatens my NP students' ability to complete clinical hours in person, faculty all over the country scrambled to figure out how to reach the academic goals for their students. Join me as I journey through an attempt at conveying my finest clinical pearls using a novel medium. A podcast!
2020-12-1311 min
The School of TravelsLesson 47: Diving Deep into the Creative Process and Making Time to Write with David Nash CarsonDo you love writing but find yourself never actually being able to sit down and actually write? Or if you do manage to sit down, you only write for 10 minutes? If so, this is The School of Travels podcast episode for you! David Nash Carson started traveling in 2016 without a clear idea of where it would take him, but there was one thing he made sure to do no matter where he found himself on the road—write as much as he possibly could. In fact, one of his stories actually led him to creating an Etsy business that no...
2020-11-301h 06The Peds NP: Pearls of Pediatric Evidence-Based PracticeShots! Shots! Shots! Shots! (S1 Ep. 6)Vaccine hesitancy has become a controversial and highly politicized topic in healthcare today. Join us as we discuss the history on how we got here, the current literature and obstacles facing the perpetuation of the issue, and how to talk with vaccine hesitant parents.
References:
AAP Committee on Community Health Services. (2006). Periodic survey #6: Pediatricians’ attitudes and practices surrounding the delivery of immunizations. Retrieved online from https://www.aap.org/en-us/professional-resources/Research/Pages/PS66_Executive_Summary_PediatriciansAttitudesandPracticesSurroundingtheDeliveryofImmunizationsPart2.aspx?nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR:+No+local+token.
AAP Committee on Practice and...
2020-09-2521 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeMightier than the sword (S1 Ep. 5)When a marital argument seeks to justify the use of a seemingly antiquated healthcare learning exercise, we find ourselves at the center of an existential question: Is the keyboard mightier than the mouse click?
2020-09-2515 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeRabies Post-Exposure Prophylaxis (S1 Ep. 4)Rabies is one of those scary words associated with animal bites. But not every situation requires post-exposure prophylaxis. Join us today as we talk about rabies exposure, risk, and post-exposure management in the pediatric patient.
References:
American Academy of Pediatrics. (2018). Red Book: 31st Ed. American Academy of Pediatrics: Itasca, IL.
Bula-Rusas, F.J., & Olcott, J.L. (2018). Human and animal bites. Pediatrics in Review, 39(10), p. 490-500.
Centers for Disease Control and Prevention. (2019). Wildlife reservoirs for rabies. Retrieved online at https://www.cdc.gov/rabies/exposure/animals/wildlife_reservoirs.html
Mani, C.S...
2020-09-2514 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeFriday fever at 5 (S1 Ep. 3)Today we talk through the tough decision on what to do when a patient presents at the most inconvenient time with Fever Without Source. Why is this a hard decision? What are the things that you should be thinking about? We review the literature, the rationale, and the options of how to manage these patients using evidence-based practice to guide us.
References:
AAP. (2011). Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics, 128(3), 595-610.
Baraff, L.J. (2000). Management of fever with...
2020-09-2312 minThe Peds NP: Pearls of Pediatric Evidence-Based PracticeWhat to do with the poo (S1 Ep. 2)When constipation enters the acute care setting or is difficult to manage in primary care, use this podcast to consider the evidence-based practice guidelines and a few pearls of wisdom to assess a child’s presentation, diagnose constipation, and manage the cleanout at home with two essential medications.
References:
Chumpitazi, C.E., Rees, C.A., Camp, E.A., Henkel, E.B, Valdez, K.L., & Chumpitazi, B.P. (2017). Diagnostic approach to constipation impacts pediatric emergency department disposition. American Journal of Emergency Medicine, 35(10), 1490-1493.
Drossman, D.A., Hasler, W.L. (2016) Rome IV-functional GI disorders: disorders of...
2020-09-2318 min
Teaching Your Brain to KnitPerformance Art Meets Brain Science; Discovering the simple pleasures of the humble washcloth; Exploring the Mysteries of the Carson Mansion and Ingomar ClubBrainy thing: 16:26 Behind the Redwood Curtain: 28:03 What We’re Learning from Our Knitting Catherine finishes her quadrant dishcloths (https://www.ravelry.com/patterns/library/quadrant-dishcloth)for her dishcloth exchange and even adds a fancy tag. By Jenny Konopinski quadrant is free at knitpicks For little or no discernible reason, except a whim, Margaret makes Nai Nai’s Favorite Dishcloth (https://www.ravelry.com/patterns/library/nai-nais-favorite) by Ali Crockett and discovers the bias or corner-to-corner structure for the first time — after all these years. Both of these are on Becky Stewart’s lis of 12 dishcloth knitting patterns. https://knitom.com/2016/02/28/dishcloth-knitting-patt...
2018-10-0144 min
Access Essential Full Audiobooks in Non-Fiction, Computers & TechnologyThe Human Side of Agile: How to Help Your Team Deliver by Gil BrozaPlease visit https://thebookvoice.com/podcasts/1/audiobook/323943 to listen full audiobooks. Title: The Human Side of Agile: How to Help Your Team Deliver Author: Gil Broza Narrator: Jim Edgar, Daniel Barrington Rubio, Becky Parker Format: Unabridged Audiobook Length: 9 hours 51 minutes Release date: January 5, 2018 Ratings: Ratings of Book: 4.5 of Total 2 Genres: Computers & Technology Publisher's Summary: Does your Agile team experience the following common problems? Members use established Agile practices and tools, yet with little motivation or buy-in. Even though the team is cross-functional, members don’t collaborate effectively or leverage everyone’s abilities. Rather than act empowered, they wait for permission and...
2018-01-0505 min
Creative Training Techniques - The Bob Pike GroupHow You Can Be The Best Presenter EverBecky says Bette Midler and Johnny Carson can teach you a lot about being a presenter.
2015-09-0404 min