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The Peds NP provides a practical approach to the application of evidence-based practice in pediatrics using a conversational commentary to help you apply the most current literature to your practice with children. The host is Becky Carson, DNP, APRN, CPNP-PC/AC. She is a dual-certified pediatric nurse practitioner in acute and primary care and faculty member at the Duke University School of Nursing in Durham, North Carolina. Through an approachable review of the literature, you can easily apply knowledge to clinical practice to improve outcomes in pediatric care. Disclaimers & Show Notes: www.thepedsnp.com
Episodes
Monday Jun 30, 2025
Monday Jun 30, 2025
Welcome to the Choosing Wisely Campaign series! This is the third episode of a 6-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 the coming episodes, we’ll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics.
Series Learning Objectives:
- Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign.
- Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship.
- Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed.
Modified rMETRIQ Score: 15/15
AACN Essentials:
- 1: 1.1 g, 1.2f, 1.3de
- 2: 2.1 de, 2.2g, 2.4fg, 2.5 hijk
- 7: 7.2 ghk
- 9: 9.1ij, 9.2ij, 9.3ik
NONPF NP Core Competencies:
- 1: NP1.1h, NP 1.2km, NP 1.3fjh
- 2: NP2.1jg, NP2.2kn, NP 2.4hi, NP2.5 klmno
- 7: NP7.2m
- 9: NP9.1mn, NP9.2n, NP9.3p
References
ABIM Foundation. (2019). Communicating about overuse with vulnerable populations. Retrieved from https://www.choosingwisely.org/files/Communicating-About-Overuse-to-Vulnerable-Population_Final2.pdf
AAP Section on Dermatology. (2021). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWDermatology.pdf
AAP Section on Gastroenterology, Hepatology, and Nutrition. (2023). Five things physicians and patients should question. https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWGastroenterology.pdf
Harriet Lane Service (Johns Hopkins Hospital), Anderson, C. C., Kapoor, S., & Mark, T. E. (2024). The Harriet Lane handbook: a manual for pediatric house officers (23rd ed.). Elsevier.
Jauregui, J., Nelson, D., Choo, E., Stearns, B., Levine, A. C., Liebmann, O., & Shah, S. P. (2014). External validation and comparison of three pediatric clinical dehydration scales. PloS one, 9(5), e95739. https://doi.org/10.1371/journal.pone.0095739
Johnson, H., & Yu, J. (2022). Current and Emerging Therapies in Pediatric Atopic Dermatitis. Dermatology and therapy, 12(12), 2691–2703. https://doi.org/10.1007/s13555-022-00829-4
Semon, A. K., Keenan, O., & Zackular, J. P. (2021). Clostridioides difficile and the Microbiota Early in Life. Journal of the Pediatric Infectious Diseases Society, 10(Supplement_3), S3–S7. https://doi.org/10.1093/jpids/piab063
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