The Peds NP: Pearls of Pediatric Evidence-Based Practice

Trouble 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). Crucial Conversations: Tools for talking when stakes are high (2nd ed.). McGraw Hill Professional.

Maaks, D., Starr, N.B., Brady, M.A., Gaylord, N.M., Driessnack, M., & Duderstadt, K.G. (2020). Burn’s Pediatric Primary Care (7th ed.). Elsevier.

ThriveAP. (2018). How do you deal with a bad clinical placement. Retrieved from https://thriveap.com/blog/how-do-you-deal-bad-clinical-placement.

The 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.

Now 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.

Making 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 seizure in the context of fever: a systematic review and meta-analysis. PloS one, 8(1), 55270. doi:10.1371/journal.pone.0055270

Natsume, J., Hamano, S.-I., Iyoda, K., Kanemura, H., Kubota, M., Mimaki, M., . . . Sugie, H. (2017). New guidelines for management of febrile seizures in Japan. Brain & development, 39(1), 2-9. doi:https://dx.doi.org/10.1016/j.braindev.2016.06.003

Seattle Children’s Hospital. (2019). Febrile seizure: Acute presentation v2.0. Retrieved online from https://www.seattlechildrens.org/pdf/febrile-seizures-pathway.pdf.

How 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 https://clerkship.medicine.ufl.edu/clerkship-requirements/write-ups/instructions-for-write-ups/

Primary 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.

Is 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.

The 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.

Decision 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.

Illness 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.