Category Archives: Uncategorized

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!

Congratulations on your recent Match!!  We are excited to meet you all, hear where you are going for residency and share with you some of our experiences.

The boot camp will start on March 16th at 10:00 with Sara Fear in the GME office.  After getting signed in with Sara and obtaining your badges, we will meet you in the GME office.

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:

  • Parking is available off site at the Magnuson lot with shuttle service to and from SCH.
  • We have set the schedule so that you may attend noon conference each day. Lunch is provided. Please be aware that there is not noon conference on Thursdays so please plan accordingly. There are several Starbucks in the hospital and a cafeteria if you want to pick something up here.
  • We would ask that you bring your computers so that you can look stuff up while in your small groups.
  • You can find the Seattle Children’s Survival Guides at  here.

We look forward to meeting you all soon.

 

Bekah & Jesse

16-Mar 10:00-10:30 GME Check in/Orientation
10:30-11:30 OC.7.830 Ear exam
11:30-12:30 OC.7.830 Lung exam
1:30-2:30 OC.7.830 Newborn exam
2:30-3:30 OC.7.830 Neuro exam
3:30-4:30 OC.7.830 Ortho/Derm Jeopardy
17-Mar 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 Alternate schedules
18-Mar 9:00-9:30 RB.6.637 Self reflection
9:30-12:30 RB.6.637 Mock rounds
1:30-3:00 OC.7.830 Answering pages
3:00-4:30 OC.7.830 Handoffs
19-Mar 9:00-9:30 OC.7.830 Self reflection
9:30-11:00 OC.7.830 Conversation with teens
11:00-12:30 OC.7.830 Tech in learning and medicine
1:30-4:30 OC.7.830 Parent questions 101
20-Mar HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
HAPPY MATCH DAY
23-Mar 9:00-10:00 UW WISH Airway support
10:00-12:00 UW WISH Resuscitation cases
1:00-4:00 UW WISH Resuscitation cases
24-Mar 9:00-9:30 OC.7.830 Self reflection
9:30-11:30 OC.7.830 Calling consultants
11:30-12:30 OC.7.830 Nutrition
1:30-3:30 OC.7.830 Difficult conversations
3:30-4:30 OC.7.830 Environmental exposures
25-Mar 9:00-10:00 OA.5.340 Resilience
10:00-11:00 OA.5.340 US
11:00-12:30 OA.5.340 Pain
1:30-4:30 OA.5.340 Palliative Care
26-Mar 9:00-9:30 ED Self reflection
9:30-10:30 ED Simulation
10:30-12:30 RC.3.905 Case discussion
12:30-1:30 RC.3.905 Lunch
1:30-3:00 OA.5.340 Residents as teachers
3:00-4:30 OA.5.340 Global health/Health disparities
27-Mar 9:00-9:30 OA.5.340 Self reflection
9:30-10:30 ED Simulation
10:30-12:30 OA.9.340 Case discussion
1:30-2:30 OC.7.830 Lecture
2:30-3:30 OC.7.830 Case discussion
3:30-4:00 OC.7.830 Wrap up

 

 

Day 1

Today we will be getting to know another and practicing pieces of the pediatric physical exam.

Schedule:

10:00-10:30 GME Check in/Orientation
10:30-11:30 OC.7.830 Ear exam
11:30-12:30 OC.7.830 Lung exam
1:30-2:30 OC.7.830 Newborn exam
2:30-4:30 OC.7.830 Neuro exam
3:30-4:30 OC.7.830 Ortho/Derm Jeopardy

Pre-reading: None

Resources:

  1. If you want to win jeopardy. review some basic orthopedics and dermatology.

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.

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

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.  🙂

Alle Canadian vaccine schedule

Janelle European vaccine schedule

Eva Dr. Bob Sears Schedule

Kristen Dr. Paul Thomas Schedule

Alexandra Stefan Lanka theories

Cassie 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:

Reflection:

  1. Helpful guide

2. Poems and prompts

Bugs and Drugs:

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

Vaccine talks:

  1. Opal article
  2. Immunization cases– 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 3

Today 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:

9:00-9:30 RB.6.637 Self reflection
9:30-12:30 RB.6.637 Mock rounds
1:30-3:00 GME Answering pages
3:00-4:30 GME Handoffs

Pre-reading:

  1. Collaboration between hospital pysicians 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

Handouts:

  1. Cases for class

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

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. Next you will learn about some tips and tricks for incorporating technology into your continued education and practice.

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:

9:00-9:30 OC.7.830 Self reflection
9:30-11:00 OC.7.830 Conversations with teens
11:00-12:30 OC.7.830 Tech in learning and medicine
1:30-4:30 OC.7.830 Parent questions 101

Asignments:

  • Breast Feeding/Feeding (starting solids, transitioning, introduction of different foods, allergies): Alexandra and Cassie
  • Sleep (co-sleeping, sleep training, night terrors): Alle
  • Discipline/Behavioral Concerns (when to start, time outs, spanking, positive parenting): Janelle and Kristen
  • Toilet Training (expectations, signs of readiness, different approaches): Eva
  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.

Handouts for class:

A Cases– Janelle, Alexandra, Alle

B Cases– Cassie, Eva, Kristen

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:

9:00-12:00 UW WISH Everything Airway
1:00-4:00 UW WISH CPR and More

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.

Day 7

Today’s focus will once again be communication skills that will help you care for children and families as a resident. We will practice calling consultants and discussing difficult news with families…with a little nutrition thrown in.

Schedule:

9:00-9:30 OC.7.830 Self reflection
9:30-11:30 OC.7.830 Calling consultants
11:30-12:30 OC.7.830 Nutrition
1:30-3:30 OC.7.830 Difficult conversations
3:30-4:30 OC.7.830 Environmental exposures

Pre-reading:

  1. Enhancing medical student consultation request skills in an academic emergency department” by S Go.
  2. The courteous consult: A consult card and training to improve resident consults” by A Podolsky A.
  3. “Delivering Bad or Life-Altering News” by Berkey F.

Handouts:

  1. Calling consult cases
  2. Difficult conversation cases

Resources:

  1. A pocket resource for the GUIDE tool, another method for delivering difficult news.
  2. SPIKES- A six step protocol for delivering bad news: Application to the patient with cancer” by W Baile.