Sentinel Articles

Compiled by Molly Rideout, MD

NNT AOM

Baker MD et al. Unpredictability of serious bacterial illness in febrile infants from birth to 1 month of age. Arch Pediatr Adolesc Med. 1999;153:508-511.

Bhutani VK, Johnson L, Sivieri EM. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near-erm newborns. Pediatrics. 1999;103(1):6-14.

Bjornson et al. A randomized trial of a single dose of oral dexamethasone for mild croup. NEJM. 2004;351(13):1306-1313.

Conner EM, et al. (pediatric AIDS Clinical Trials Group Protocol 076 Study Group) Reduction of maternal –infant transmission of human immunodeficiency virus by zidovudine. NEJM. 1994;331(18):1173-1180.

Farrell PM, Kosorok MR, Rock MJ. Early diagnosis of cystic fibrosis through neonatal screening prevents severe malnutrition and improves long-term growth. Pediatrics. 2001;107(1):1-13.

Fleming PJ, Gilbert R, Azaz Y, et al. Interaction between bedding and sleeping position in the sudden infant death syndrome: a population based case-control study. BMJ. 1990;301:85

Freedman DS, Dietz WH. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics. 1999;103(6): 1175-1182.

Gaston et al. Prophylaxis with oral penicillin in children with sickle cell anemia. NEJM. 1986;314:1593-1599.

Glaser et al. Risk factors for cerebral edema in children with diabetic ketoacidosis. NEJM. 2001;344(4):264-269.

Grant EK, Gray MP, Morrison AK, et al. Dexamethasone for acute asthma exacerbations in children: a meta- analysis. Pediatrics. 2014;133(3):493-499.

Han YY, Carcillo JA, Dragotta MA, et al. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics. 2003;112(4):793-799.

Hoberman A et al. Treatment of acute otitis media in children under 2 years of age. NEJM.2011;364(2):105-115.

Hoberman A, Wald ER, Hickey RW, et al. Oral versus initial intravenous therapy for urinary tract infections in young febrile children. Pediatrics.1999;104(1 pt 1):79-86.

Kimberlin DW, Lin CY, Sanchez PJ et al. Effect of ganciclovir therapy on hearing in symptomatic congenital cytomegalovirus disease involving the central nervous system: a randomized, controlled trial. Journal of Pediatrics.. 2003;143(1):16-25.

Kobayashi T, Saji T, Otani T, et al. Efficacay of immunoglobulin plus prednisolone for prevention of coronary artery abnormalities in severe Kawasaki disease (RAISE study): a randomized, open-label, blinded-enpoints trial. Lancet. 2012;379(9826):1613-1620.

Kocher MS, Mandiga R, Zurakowski D, et al. Validation of a clinical prediction rule for the differentiation between septic arthritis and transient synovitis of the hip in children. J Bone Joint Surg Am. 2004;86-A(8):1629-1635.

Kupperman et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009;374:1160-1170.

Levine DA, Platt SL, Dayan PS, et al. Risk of serious bacterial infection in young febrile infants with Respiratory Syncytial Virus infections. Pediatrics. 2004;113(6):1728-1734.

Madsen et al. A population-based study of measles, mumps, and rubella vaccination and autism. NEJM. 2002;347(19):1477-1482.

Maisels MJ, Kring E. Transcutaneous bilirubinometry decreases the need for serum bilirubin measurements and saves money. Pediatrics. 1997;99(4):599-600.

Maitland K, Kiguli S, Opoka R, et al. FEAST trial group: mortality after fluid bolus in African children with shock. NEJM. 2011;364:2483-2495.

Needleman et al. The long-term effects of exposure to low doses of lead in childhood. NEJM. 1990;322:83-88.

Nelson KB, Ellenberg JH. Predictors of epilepsy in children who have experienced febrile seizures. NEJM. 1976;295:1029-1033.

Nigrovic LE, Kupperman N. Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis. JAMA. 2007;297(1):52-60.

Pearce MS, Salotti JA, Little MP, et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. The Lancet. 2012;380(9840):499-505.

Roussey-Kesler G, Gadjos V, Idres N, et al. Antibiotic prophylaxis for the prevention of recurrent urinary tract infection in children with low grade vesicoureteral reflux: results from a prospective randomized study. The Journal of Urology. 2008;179(2):674-679.

RSV positivity associated with reduced serious bacterial infection. Pediatrics. 2004.

Schrag SJ, Zywicki S, Farley MM, et al. Group B streptococcal disease in the era of intrapartum antibiotic prophylaxis. NEJM.2000;342(1):15-20.

Strengell T, Uhari M, Tarkka R, et al. Antipyretic agents for preventing recurrences of febrile seizures: a randomized controlled trial. Arch Pediatr Adolesc Med. 2009;163(9):799-804.

Welcome!

Welcome to Peds Boot Camp!

We are excited to meet you all, learn where you will be heading for residency and share with you some of our experiences.

The boot camp will start on February 28th at 09:00 in person in the GME conference room on Ocean 7 at Seattle Children’s Hospital.

We hope you are as excited as we are to start this course.  We have an amazing group of instructors who are excited to teach and be a resource for you.  We want to reiterate, that the course is intended to be as interactive and hand-on as possible with the aim of exposing you to high yield situations that you will experience in residency.  We will be asking for your enthusiasm and participation in the sessions and will welcome your feedback throughout the course.

The schedule is included below. While the days will be packed with material, there is a good chance that we will be ending early on some days.  A few tips below:

  • Simulation session will be at UW WISH (Monday 3/07)
  • We have set the schedule so that you may (remotely) attend noon conference each day.12:30-1:30P Resident and Student Conference (Monday through Friday):

    https://us02web.zoom.us/j/2069871834?pwd=YS9adERYcnYvZFVyYjJFR3Vsb2dOUT09

    Meeting ID: 206 987 1834

    Password: uwpeds

    SCH Grand Rounds (Thursday ONLY)

    Webex meeting info is here.

  • You can find the Seattle Children’s Survival Guides at  here.

We look forward to meeting you all soon.

 

Bekah & Jesse

 

28-Feb 09:00-10:00 Check in/Orientation
10:00-11:15 Ear exam
11:15-12:30 Lung exam
1:30-3:00 Newborn exam
3:00-4:30 Neuro exam
01-Mar 9:00-9:45 Self reflection
9:45-12:30 Mock Rounds
1:30-3:00 Answering Pages
3:00-4:30 Handoffs
02-Mar 9:00-9:30 Self reflection
9:30-11:30 IZ Spiel
1:30-4:30 Parental Questions 101
03-Mar 9:00-9:30 Self reflection
9:30-12:00 Bugs and Drugs
1:30-4:30 Conversation with teens
04-Mar 9:00-9:30 Self-Reflection
9:30-11:00 LP/Informed Consent
11:00–12:30 Trauma
1:30-4:30 POCUS/Splinting/UAC/UVC
07-Mar 9:00-12:00 Airway Simulations
01:00-4:00 Resuscitation Simulations
08-Mar 9:00-10:00 Resiliency
10:00-11:00 Prescription Writing
11:00-12:30 Pain Management
1:30-4:30 Palliative Care
09-Mar 9:00-09:30 Self-Reflection
09:30-11:30 Calling Consultants
11:30-12:30 Nutrition
1:30-3:30 Difficult Conversations
3:30-4:30 Ortho/Derm Jeopardy
10-Mar 9:00-9:30 Self reflection
9:30-10:30 Simulation
10:30-12:30 Case discussion
12:30-1:30 Lunch
1:30-3:00 Residents as teachers
3:00-4:30 Environmental pediatrics
11-Mar 9:00-9:30 Self reflection
9:30-10:30 Simulation
10:30-12:30 Case discussion
1:30-2:30 Lecture
2:30-3:30 Case discussion
3:30-4:00 Wrap up

 

 

Day 1

Today we will be getting to know one another and learning tips for different pieces of the pediatric physical exam.

Schedule:

28-Feb 09:00-10:00 Check in with Sara Fear/Orientation
10:00-10:30 General Approach to the Physical Exam
10:30-11:30

11:30-12:30

Lung exam

Ear Exam

1:30-3:00 Newborn exam
3:00-4:30 Neuro exam

Pre-reading: None

Resources:

  1. AAP otitis media guidelines
  2. SNAPSHOTS_Developmental_Milestones_Chart_UPDATED_Aug_2014

Day 2

Internship (and the rest of life) is stressful. We will start the morning with some time exploring reflection as one tool for wellness and learning.

For the remainder of the day we will be focusing on clinical reasoning, organization and communication skills necessary for life on the wards: developing assessments and plans, figuring out how to create and prioritize a to-do list, answering pages and giving handoffs. It will be a packed day, just like a day in the life of an intern!

We will be meeting at the Sand Point Learning Center- Magnolia Room

Schedule:

01-Mar 9:00-9:45 Self reflection
9:45-12:30 Mock rounds
1:30-3:00 Answering pages
3:00-4:30 Handoffs

Pre-reading:

  1. Collaboration between hospital physicians and nurses: An integrated literature review” by Tang C
  2. Why doesn’t medical care get better when doctors rest more?” by Lisa Rosenbaum from the New Yorker
  3. When patient handoffs go terribly wrong” by Pauline Chen from the New York Times
  4. Patient handoffs: Pediatric resident experiences and lessons learned” by McSweeney M

Watch the brief videos below and reflect on the where communication went well and where there was opportunity for improvement. (Yes, the acting is Oscar worthy.)

  1. Admission- Poor
  2. Admission- Better
  3. Page- Poor
  4. Page- Better
  5. Transfer- Poor
  6. Transfer- Better

Handouts:

  1. Cases for class
  2. 2022 Pediatric Boot Camp poems prompts
  3. PediatricBootCampHandout2022
  4. Reflection Handout2021

 

Day 3

The morning will be spent talking about the “controversies” around vaccines and discussing how to talk about them with skeptical and concerned  parents. 

In the afternoon you will get the chance to hear the experts talk about all the advice you will soon be expected to share with parents.  Get ready to answer questions such as, “Should I sleep train my baby?”, “When and how do I toilet train?”, “Should I give my baby peanut butter?” and “What should I do about discipline?”  You will have the chance to discuss resources and recommendations that you have found…from Professional Society Guidelines to random weird websites.

We will be meeting at the Sand Point Learning Center- Magnolia Room

Schedule:

18-Mar 9:00-9:30 Self reflection
9:30-11:30 IZ Spiel
1:30-4:30 Parent questions 101

Handouts for class:

Immunization cases

Guide to contraindications and precautions for immunizations

Responding to VHPs

Opel article

Assignments

Immunizations

Pre-Reading: 

  1. Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children” by Andrew Wakefield, the now retracted article that started a campaign of misinformation.
  2. The very brief retraction published 12 years later by the Lancet.

In preparation for tomorrow’s immunization session, please research your assigned topic and prepare to share what you found with everyone.  Everyone will have about 7 minutes to share.  Also, come with the craziest thing you read on the internet about vaccines.  🙂

John and Tilden: Canadian vaccine schedule

Pearl and Taryn: European vaccine schedule

Madelyn and Hannah: Dr. Bob Sears Schedule

Lorin and Karina: Dr. Paul Thomas Schedule

Anika and Samuel: Stefan Lanka theories

Sairan and Garett: Natural or homeopathic vaccine alternatives

For the Parent Questions 101 session:

  1. Students will pair up to research a common pediatric question. Please evaluate at least 3 sources for advice. At least one should be a reputable source. 🙂
  2. Review normal pediatric milestones on the CDC site.
  • Breast Feeding/Feeding (starting solids, transitioning, introduction of different foods, allergies): Garrett, Pearl, Lorin
  • Sleep (co-sleeping, sleep training, night terrors): Taryn, Hank, Maddie
  • Discipline/Behavioral Concerns (when to start, time outs, spanking, positive parenting): Karina, Anika, Sam
  • Toilet Training (expectations, signs of readiness, different approaches): Sairan, Hannah, Tilden

Vaccine resources:

  1. Opal article
  2. Immunization Case and Handout for class
  3. Resources for responding to IZ questions
  4. Guide to Contraindications and Precautions

Resources:

  1. Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases” by S Omer.
  2. Addressing Parents’ Concerns: Do Vaccines Cause Allergic or Autoimmune Diseases?” by P Offit.
  3. Addressing Parents’ Concerns: Do Vaccines Contain Harmful Preservatives, Adjuvants, Additives, or Residuals?” by P Offit.

Day 4

We will spend the morning thinking about bugs and the drugs that kill them. 

In the afternoon, we will hear about talking with teenagers and practice some of the questions and conversations that will be important in their care.

We will be meeting at the SPLC-Fremont Room for the day.

Schedule:

9:00-9:30 SPLC Self reflection
9:30-12:30  SPLC Bugs and Drugs/Labs
1:30-4:30 SPLC Conversations with Teens

Handouts:

Bugs and Drugs:

  1. Cases handout- for class
  2. Cases with answer

Resources:

Consent laws be state– sexual and mental health

Consent laws by state– consent to sex

Handouts for class:

Adolescent Patient 1

Adolescent Patient 2

Day 5

Today, we will spend the morning discussing the elements of informed consent in the context of practicing lumbar punctures and discussing trauma.

In afternoon, we will rotate between 3 stations practicing point of care ultrasound (POCUS), splinting, and umbilical arterial and venous catheter placement.

We will be meeting at the Sand Point Learning Center- Magnolia Room

04-Mar SPLC-Magnolia 09:00-09:30 Self Reflection
SPLC-Magnolia 09:30-11:00 LP/Informed Consent
SPLC-Magnolia 11:00-12:30 Trauma
SPLC-Magnolia 1:30-4:30 POCUS/Splinting/UAC-UVC

Pre-work:

Lumbar puncture: Indications, contraindications, technique, and complications in children, UpToDate. http://www.uptodate.com/contents/lumbar-puncture-indications-contraindications-technique-and-complications-in-children

Fitch MT, Nicks BA, Pariyadath M, McGinnis HD, Manthey DE. Videos in Clinical Medicine: Basic Splinting Techniques N Engl J Med 2008; 359:e32
Thomsen TW, Barclay DA, Setnik GS. Videos in Clinical Medicine: Basic Laceration Repair. N Engl J Med 2006; 355:e18.

Use your SonoSim login to complete the following modules: 1) Core Clinical: Fundamentals of Ultrasound 2) Procedures- Peripheral Venous Access

Link

Today is all about pediatric resuscitation including what you as an intern can do in the first few minutes of a code to save a life!

We will be meeting at the UW WISH Center.

Schedule:

9:00-12:00 UW WISH Airway Simulations
1:00-4:00 UW WISH Resuscitation Simulations

Pre-Work:

  1. Go to https://sites.google.com/view/1-day-airway-learners/home .  Under the Pediatric Airway tab there are 3 open resource educational modules from CHOP on the following topics:
        1. – Basic Airway Anatomy and Assessment- feel free to skip Objective 4
        2. – Manual (Bag-Mask) Ventilation
        3. – Endotracheal Intubation- Feel free to skip Objectives 7-10

2. Go to https://www.youtube.com/watch?v=7SXa1Hc3OSE.  Watch until minute 15:40

Resources:

  1. Pediatric airway management” by Santillanes G.
  2.  http://blogs.uw.edu/pedsbc/files/2018/01/O2-chart.docx

Day 7

The morning will be spent learning about how to develop resiliency to buoy you through the harder times of residency. We will take a slight detour to practice prescription writing and discuss options for pain management. In the afternoon we will be honing our communication skills to think about palliative care discussions.

We will be meeting at the Sand Point Learning Center- Magnolia Room

Schedule:

23-Mar 9:00-10:00 Resilience
10:00-11:00 Prescription Writing
11:00-12:30 Pain
1:30-4:30 Palliative Care

Pre-Reading:

  1. The darkening veil of ‘do everything’” by Fuedtner C.
  2. Responding to Emotion” tool kit from vitalTALK

Handouts:

Blank Prescriptions

Pain cases and problems

Palliative Care Cases

NURSE_TalkingMap_VitalTalk

The 7 Questions-Peds