Sentinel Articles

Compiled by Molly Rideout, MD

 

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 March 15th at 10:00 on Zoom.  This year will be a hybrid on remote and in-person learning opportunities.

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:

  • The Zoom link for all sessions is https://washington.zoom.us/j/97551087367.
  • All session, including the Zoom session require active participation. Please have your cameras on (as much as possible) and be prepared to unmute and engage.
  • In person sessions will be at UW WISH (Monday 3/23) and the Sand Point Learning Center (3/25 and 3/26). There is free parking at the Sand Point Learning Center.
  • We have set the schedule so that you may (remotely) attend noon conference each day.  Zoom | UWPeds
  • You can find the Seattle Children’s Survival Guides at  here.

We look forward to meeting you all soon.

 

Bekah & Jesse

15-Mar 10:00-10:30 Check in/Orientation
10:30-11:30 Ear exam
11:30-12:30 Lung exam
1:30-3:00 Newborn exam
3:00-4:30 Neuro exam
3:30-4:30 Ortho/Derm Jeopardy
16-Mar 9:00-9:45 Self reflection
9:45-12:30 Bugs and drugs/Labs
1:30-3:30 Immunization spiel
3:30-4:30 Alternate schedules
17-Mar 9:00-9:30 Self reflection
9:30-12:30 Mock rounds
1:30-3:00 Answering pages
3:00-4:30 Handoffs
18-Mar 9:00-9:30 Self reflection
9:30-11:00 Conversation with teens
11:00-12:30 Tech in learning and medicine
1:30-4:30 Parent questions 101
19-Mar HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
22-Mar 9:00-11:30 Airway Simulations
12:30-3:00 Resuscitation Simulations
3:00-4:00 Introduction to POCUS
23-Mar 9:00-9:30 Self reflection
9:30-11:30 Calling consultants
11:30-12:30 Nutrition
1:30-3:30 Difficult conversations
3:30-4:30 Environmental exposures
24-Mar 9:00-10:00 Resilience
10:00-11:00 US
11:00-12:30 Pain
1:30-4:30 Palliative Care
25-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 Global health/Health disparities
26-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 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!

Schedule:

16-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. 2021 Pediatric Boot Camp poems prompts PediatricBootCampHandout2021
  3. Reflection Handout2021

Day 3

We will spend the morning thinking about bugs and the drugs that kill them. The afternoon will be spend talking about the “controversies” around vaccines and discussing how to talk about them with skeptical and concerned  parents. 

Schedule:

9:00-9:45 OC.7.830 Self reflection
9:45-12:30 OC.7.830 Bugs and Drugs/Labs
1:30-3:30 OC.7.830 Immunization spiel
3:30-4:30 OC.7.830 Alternative schedules

Assignments:

Hi all. In preparation for tomorrow’s 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.  🙂

Kaiser: Canadian vaccine schedule

Kilia: European vaccine schedule

Paula: Dr. Bob Sears Schedule

Rachel: Dr. Paul Thomas Schedule

Nicole: Stefan Lanka theories

Phanith: Natural or homeopathic vaccine alternatives

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.

Handouts:

Bugs and Drugs:

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

Vaccine talks:

  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. Helpful flyer with resources to help you respond to vaccine-hesitant parents.
  2. Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases” by S Omer.
  3. Addressing Parents’ Concerns: Do Vaccines Cause Allergic or Autoimmune Diseases?” by P Offit.
  4. Addressing Parents’ Concerns: Do Vaccines Contain Harmful Preservatives, Adjuvants, Additives, or Residuals?” by P Offit.

Day 4

This morning we will hear about talking with teenagers and practice some of the questions and conversations that will be important in their care. Then we will play Jeopardy! to review how to describe rashes and fractures.

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.

Schedule:

18-Mar 9:00-9:30 Self reflection
9:30-11:30 Conversation with teens
11:30-12:30 Ortho/Derm Jeopardy
1:30-4:30 Parent questions 101

Pre-Reading:

  1. If you want to win Jeopardy!, review how to describe fractures and derm findings.

Assignments:

  • Breast Feeding/Feeding (starting solids, transitioning, introduction of different foods, allergies): Paula and Kilia
  • Sleep (co-sleeping, sleep training, night terrors): Rachel
  • Discipline/Behavioral Concerns (when to start, time outs, spanking, positive parenting): Kaiser and Nicole
  • Toilet Training (expectations, signs of readiness, different approaches): Phanith
  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.

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

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!

Schedule:

9:00-11:30 UW WISH Airway Simulations
12:30-3:00 UW WISH Resuscitation Simulations
3:00-4:00 UW WISH Introduction to POCUS

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

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

Resources:

  1. Pediatric airway management” by Santillanes G.

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.

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