Explore every episode of the podcast Charting Pediatrics

Fifteen minutes. That's about all the time most pediatricians have to care for an entire child and family. In that brief visit, they are expected to address preventive care, developmental concerns, chronic conditions, behavioral health, documentation, and countless questions from parents, all while building meaningful relationships. It's a lot to ask of both clinicians and the healthcare system. What if the answer isn't working faster, but working differently? Today, we're talking about how pediatric practices can build systems that support better coordinated, family-centered care while creating more sustainable and fulfilling careers for clinicians. 

Joining us for this important discussion is Tricia Ramos, MD. She is a general pediatrician visiting all the way from Quezon City in the Philippines. 

Some highlights from this episode include:

• How to balance family's needs and pediatricians' priorities in a short visit 
• Biggest pain points in today's pediatric practices 
• Systems and workflows that have made a meaningful difference in improving care 
• High-impact changes smaller or independent clinics can implement 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Iron deficiency anemia is one of the most common nutritional deficiencies in children and adolescents, but it can sometimes be easy to miss. From the toddler who drinks almost exclusively milk to the adolescent athlete struggling to keep up with their peers or the teen with heavy menstrual bleeding and persistent fatigue, these patients may present differently while sharing the same underlying diagnosis. 

In this episode, we explore iron deficiency anemia in pediatric patients, including why it remains so common, which children and adolescents may be at increased risk, and the clinical clues that can help pediatricians recognize iron deficiency before it becomes a missed opportunity. Joining us for this important conversation is Akhila Vadivelan, MD, a pediatric hematologist/oncologist at Children's Hospital Colorado and an assistant professor at the University of Colorado School of Medicine. 

Some highlights from this episode include:

• Evaluation, diagnosis and management of iron deficiency anemia 
• What this diagnosis means for different populations 
• Clinical clues pediatricians should look out for 
• When treatment makes sense 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Tics are common in childhood, but recognizing when they are part of typical development, and when they may indicate Tourette syndrome or another tic disorder, can be challenging for pediatricians. A child repeatedly blinks during a well visit. A parent mentions a new throat-clearing sound that has been happening for weeks. Soon comes the question pediatricians hear often: "Should I be worried?" 

In this episode, we take a closer look at tics and Tourette syndrome, helping pediatricians distinguish common childhood tics from situations that may warrant further evaluation. We'll explore the natural history of tic disorders, common co-occurring conditions, and practical strategies for counseling and supporting families. 

Joining us for this conversation is Chelsey Stillman, PA-C, a physician assistant at Children's Colorado and the creator and director of the Integrative Tic Clinic. She is also an Assistant Professor of Pediatrics. 

Some highlights from this episode include:

• What tics are and how common they are in children 
• The natural history and typical course of tic disorders 
• The differences between transient tics, chronic tic disorders, and Tourette syndrome 
• Common conditions that can co-occur with tic disorders 

For more information on Children's Colorado, visit: childrenscolorado.org. 

When adults look back on school, they often remember more than lessons and worksheets. They remember recess — the playground, movement, friendships, laughter and freedom. Yet in many schools today, recess can be one of the most negotiable parts of the school day. It may be shortened, delayed or withheld in favor of academics, structure or behavior management. But research continues to show that recess is far more than a break. Regular opportunities for play and movement support children's physical health, mental well-being, social development, and ability to learn. Pediatricians are uniquely positioned to keep play, movement and recess part of the conversation about child health. 

We're joined by two experts from Children's Hospital Colorado: Amanda Lopez, a school health nurse, and Eve Kutchman, a prevention education and outreach manager. Together, they share insights into the role of recess in children's health and development and how pediatricians can advocate for making play a priority. 

Some highlights from this episode include:

• The health benefits of recess that go beyond a "break" from learning
• How movement and play support children's physical, emotional and social health
• What children may lose when recess is shortened, delayed or withheld
• How health care professionals can help keep recess visible in conversations about child health

This episode is underwritten by Ovintiv, proud philanthropic supporter of Charting Pediatrics and the Children's Hospital Colorado Foundation. Ovintiv recognizes that their responsibility begins in the communities where they live and work. They are committed to giving back and building safer and more resilient communities. Ovintiv's generous support has made a monumental difference for our patients and families, from enhancing health outcomes to reducing health disparities.

For more information on Children's Colorado, visit: childrenscolorado.org. 

Some of the most serious diagnoses in pediatrics begin with common pediatric symptoms. A child comes in looking pale or with a febrile illness. They've been more tired than usual. Maybe they're bruising easily or complaining their legs hurt. Individually, none of these symptoms are unusual. Together, or with persistence, they can tell a different story. Leukemia is the most common childhood cancer, but it's earliest signs often resemble everyday illnesses.  

The episode introduces Ashley Rogers, MD, a pediatric oncologist at Children's Hospital Colorado and faculty member at the University of Colorado School of Medicine, as the newest host of Charting Pediatrics. As David Brumbaugh concludes his remarkable nine-year tenure as host, he passes the microphone to Dr. Rogers, ushering in the next chapter of the podcast. 

Dr. Rogers joins the conversation to share her expertise on childhood leukemia, including key considerations for diagnosis, treatment and the pediatrician's role in recognizing and managing these patients. This episode offers both valuable clinical insights and a warm welcome to a new voice who will continue bringing evidence-based pediatric education to listeners. 

Some highlights from this episode include:

• Earliest signs of leukemia pediatricians can look out for 
• How to distinguish between viral illnesses or leukemia 
• Red flags that shouldn't be dismissed 
• Role of the pediatrician after a leukemia diagnosis  

For more information on Children's Colorado, visit: childrenscolorado.org. 

Tick bites used to be a seasonal nuisance, something you might mention briefly at a well visit in late spring. But that's no longer the reality. With emergency department visits for tick bites climbing to their highest levels in nearly a decade and tick populations expanding into new regions, pediatricians are now seeing the ripple effects of a changing environment in real time. In this episode, we break down what's driving this surge, how to approach tick bites in clinic, and what's new in our understanding of tick-borne illness — including important updates on alpha-gal syndrome that every clinician should have on their radar.  

In this episode, we are joined by tick expert, Justin Searns, MD. He specializes in pediatric infectious diseases and hospital medicine at Children's Hospital Colorado. He is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Why tick bites are currently at an all-time high 
• Best practices for tick removal and immediate post-removal care 
• When tick-borne illnesses should be a concern for pediatricians 
• Prevention strategies and geographical considerations

For more information on Children's Colorado, visit: childrenscolorado.org. 

Puberty doesn't always follow the expected timeline. What happens when it shows up ahead of schedule? For pediatricians, the early appearance of breast development, pubic hair or accelerated growth can trigger a cascade of questions. Is this a normal variant? Should we investigate further? When is it time to refer? In this episode, we unpack the complexities of precocious puberty and explore how timely identification and thoughtful management can make a lasting difference for kids and their families. 

To create clarity, we are joined by Stephanie Hsu, MD, PhD, and Clare Parker, MD. Dr. Hsu specializes in endocrinology here at Children's Hospital Colorado and is an associate professor at the University of Colorado School of Medicine. Dr. Parker is a pediatric endocrinology fellow.

Some highlights from this episode include:

• The differences in early puberty between boys and girls 
• Environmental impacts that can lead to misleading results 
• Signs and symptoms pediatricians can look out for 
• Treatment options and their severity 

For more information on Children's Colorado, visit: childrenscolorado.org. 

A child's future begins long before the first words, first steps or even the first smile. In the span of just 1,000 days, billions of neural connections are formed, and the foundation for lifelong health, learning, and resilience quietly takes shape. Pediatricians understand the critical nature of early development, and they translate that message to parents, helping guide, nurture, recognize risk and shape outcomes that can last decades.  

To explore this fascinating time in a child's life, we are joined by two experts. Caroline Dias, MD, PhD, and Annie Helms, MD, both specialize in developmental and behavioral pediatrics here at Children's Hospital Colorado and are assistant professors at the University of Colorado School of Medicine. Dr. Helms also leads the BLOSSOM Clinic at Children's Colorado. 

Some highlights from this episode include:

• How small things can have the biggest impact in these 1000 days 
• The importance of supportive caregivers 
• The balance of nature versus nurture 
• Easing parent's minds that they aren't "doing enough" 

For more information on Children's Colorado, visit: childrenscolorado.org.      

The human spine is designed to support, balance and adapt through a lifetime of growth. But what happens when that growth starts to bend in an unexpected direction? Scoliosis often emerges during periods of rapid development, turning what should be a normal growth spurt into a race against progression. The challenge isn't just finding the curve. It's predicting what that curve will do next. 

To explore the latest in scoliosis care, we are joined by Mark Erickson, MD. He specializes in orthopedic surgery and is the Medical Director of the spine center at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine as well as the fellowship director of pediatric orthopedic surgery.

Some highlights from this episode include:

• How and when scoliosis most commonly presents in children
• What pediatricians can look for during a routine exam
• Particular red flags in the history or physical exam that should cause concern
• How pediatricians should determine who needs imaging 

For more information on Children's Colorado, visit: childrenscolorado.org.     

When most people hear the word "discipline", they think consequences, punishments or stopping bad behavior in the moment. But what if we've been thinking about discipline too narrowly? We are reframing discipline in toddlers through a completely different lens. One rooted in connection, development and emotional regulation. Because toddler "misbehavior" isn't usually about manipulation or defiance. More often, it's communication. 

To help us create developmentally appropriate expectations, we are joined by two experts. Julia Palozzi, PsyD, specializes in child psychology here at Children's Hospital Colorado and is an instructor at the University of Colorado School of Medicine. Alyson Hatten, MS, is a Licensed Professional Counselor, specializing in child counseling as well as infant and early childhood mental health. She also is an assistant professor. 

Some highlights from this episode include:

• Reframing what children can't do into what they can do 
• Why allowing emotional dysregulation is critical to a child's development 
• Setting developmentally appropriate expectations
• Discipline strategies and how pediatricians can guide families to utilize them

For more information on Children's Colorado, visit: childrenscolorado.org.    

It's one of the most unsettling calls a pediatrician can get: a baby who turned blue, stopped breathing or suddenly went limp, only to appear completely normal moments later. Welcome to the clinical gray zone of BRUE (Brief Resolved Unexplained Event). It sits at the intersection of alarm and ambiguity, where the history is often dramatic, but your clinical exam is reassuring. We are going to go beyond the definition and into real-life decisions that you have to make on the phone and in the office. From risk stratification to avoiding unnecessary testing, we break down what actually matters in the moment and what doesn't.

This episode was recorded during a live podcast event in Colorado Springs with Michael DiStefano, MD, and Jamie Hug, DO. Dr. DiStefano is the Chief Medical Officer of Children's Hospital Colorado, Colorado Springs, and a pediatric emergency medicine physician. Dr. Hug is a pediatrician in Southern Colorado at the Children's Clinic of Pueblo.

Some highlights from this episode include:

• What is considered a BRUE 
• When to refer to the emergency department 
• How pediatricians can reassure families and validate their experiences 
• Why history is so critical to the exam 

For more information on Children's Colorado, visit: childrenscolorado.org.   

For many families, water represents joy, summer afternoons, swimming lessons, beach vacations, backyard pools and time spent together. But in pediatrics, we also know that water can become dangerous in seconds, often quietly and without warning. Drowning remains one of the leading causes of preventable death in children, and recent updates from the American Academy of Pediatrics reinforce that prevention must be layered, proactive and tailored. In this episode, we explore how pediatricians can support drowning prevention, because some of the most important work in pediatrics happens long before an emergency occurs.  

We are joined by Jason Woods, MD. He specializes in emergency medicine at Children's Hospital Colorado and is the Associate Program Director of the Pediatric Emergency Medicine Fellowship Program at the University of Colorado School of Medicine. He is also an associate professor.

Some highlights from this episode include:

• The AAP guidelines and toolkit details about drowning prevention 
• Why the definition of drowning has changed and why that matters 
• How drowning prevention is layered
• The role of the pediatrician in feeling confident to counsel families on this topic 

For more information on Children's Colorado, visit: childrenscolorado.org.  

What if the patient you're least worried about is the one most at risk? In pediatrics, we're trained to look for red flags such as low weight, failing growth curves and visible signs of malnutrition. But atypical anorexia challenges that instinct. These patients may sit comfortably on the growth chart, or even above it, while experiencing the same dangerous behaviors and medical instability as those with classic anorexia. In this episode, we rethink what we've been taught to look for. We explore how atypical anorexia presents, why it's so often missed and what it takes to recognize the warning signs hiding beneath the surface.  

To discuss this important topic, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the clinical director of PMHI day programs, and the associate training director for psychology training. 

Some highlights from this episode include:

• The differences between atypical anorexia and low weight anorexia
• How pediatricians can make sure these kids are properly identified  
• The impact of behavior on their actions 
• How parents or family members involvement can make a difference

For more information on Children's Colorado, visit: childrenscolorado.org.  

Heart murmurs are one of the most common findings in pediatric practice, but determining which ones warrant further evaluation can be challenging. While many murmurs are innocent, others may signal underlying structural heart disease and require timely referral and management. 

In this episode, we discuss how pediatricians can approach the evaluation of heart murmurs, including key features of the child's history and physical exam that help distinguish benign murmurs from those that may be pathologic. We also explore how factors can influence what you hear through your stethoscope. 

Joining us is Christopher Rausch, MD, pediatric cardiologist and Director of the Cardiac Developmental Outcomes Program at Children's Hospital Colorado. He is also a professor at the University of Colorado School of Medicine. Dr. Rausch shares practical insights to help pediatricians feel more confident in evaluating murmurs, identifying red flags, and knowing when referral is appropriate. 

Some highlights from this episode include:

• How to differentiate the sound of a murmur 
• The biggest differences between a murmur during the first few days of life and as a teenager 
• How common it is for children to experience a murmur during their developmental years 
• Counseling families and deciphering fact versus fear 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Ebola has a way of cutting through the noise of the news cycle. Its name alone can shift conversations in exam rooms and on living room couches. But what's circulating in headlines is not always what's circulating in reality. For pediatricians, that gap matters. In this episode, we break down what's actually happening right now with Ebola, what is known about current risk and how clinicians can respond when families arrive with urgent questions shaped more by media than by medicine. 

To guide us through the science, we are joined by Sam Dominguez, MD, PhD. He is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine. 

Some highlights from this episode include:

• The current status of Ebola in Africa 
• How difficult it is to contract Ebola
• The role of the pediatrician in screening patients who are traveling from other countries 
• How pediatricians can ease minds while also promoting the facts

For more information on Children's Colorado, visit: childrenscolorado.org. 

There's a moment in a pediatrician's day that doesn't show up on the schedule. It's the bruise that doesn't quite match the story, or the awkward pause after a parent answers a question just a little too quickly or the child who won't make eye contact or let go of your sleeve. In these moments, pediatricians become more than clinicians. They become interpreters, advocates and sometimes the only line of protection.

To help us understand the latest on child abuse, we are joined by Denise Abdoo, PhD, CPNP. Dr. Abdoo is a pediatric nurse practitioner who specializes in child abuse and neglect. She is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• What's changed in treating child abuse over the last decade 
• The impact of social media on child abuse 
• The most easily missed signs in a pediatric visit 
• Recent changes in laws, reporting and expectations 

For more information on Children's Colorado, visit: childrenscolorado.org. 

When a rare disease suddenly dominates headlines, questions spread quickly and so does anxiety. Over the past few weeks, hantavirus has re-entered the national conversation, leaving many families wondering how concerned they should be. For pediatricians, moments like this can be challenging as they balance public concern with clinical reality, and help families navigate information that is often incomplete, alarming or misleading. In this episode, we take a closer look at hantavirus through an evidence-based pediatric lens including what it is, how transmission occurs, who is truly at risk and what clinicians should know when these questions inevitably enter the exam room. 

To create clarity, we are joined by Samuel Dominguez, MD, PhD and Justin Searns, MD. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. Dr. Searns specializes in pediatric infectious diseases and hospital medicine. Both of these experts teach at the University of Colorado School of Medicine. 

Some highlights from this episode include:

• Differentiating the types of hantaviruses based on rodent and region 
• Outlining the current status of the cruise ship outbreak 
• Tips and tricks for talking with worried families 
• The potential impact on patients

• Hantavirus Pulmonary Syndrome: CDC
• "Super-Spreaders" and Person-to-Person Transmission on Andes Virus in Argentina: The New England Journal of Medicine

For more information on Children's Colorado, visit: childrenscolorado.org. 

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight.

To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado.

Some highlights from this episode include:

• The challenges of diagnosis and the importance of getting it right 
• How UTIs present differently across ages  
• When to use antibiotics versus when more discovery is needed 
• Approaching recurrent UTIs in children 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Genetic testing is no longer a distant, specialized tool reserved for rare disease clinics or academic centers. It's showing up in pediatric practice. For example, pediatricians are increasingly considering genetic diagnoses in children with developmental delays outside the normal range. A NICU graduate may already carry a genetic diagnosis when they see their pediatrician after discharge. What does the practicing pediatric provider need to understand about ordering and interpreting genetic tests?  In this episode, we unpack how community pediatricians can make sense of the world of genomics.

Joining us for this robust conversation are Austin Larson, MD, and Margarita Saenz, MD. Dr. Larson is a pediatric medical and biochemical geneticist. He is the Medical Director of Precision Medicine Clinical Informatics, as well as the Director of the Mitochondrial Care Network Clinic at Children's Hospital Colorado. Dr. Saenz specializes in clinical genetics and dysmorphology. She is the Medical Director of Precision Medicine Education and Family Engagement. They both are faculty members at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Recent advances making genetic testing more accessible to patients 
• How the rise of exome and genome sequencing has changed the diagnostic approach in pediatrics 
• Secondary findings and how they should be discussed in advanced
• Practical advice for a pediatrician who feels overwhelmed to order and interpret these tests 

For more information on Children's Colorado, visit: childrenscolorado.org. 

It's one of the most common calls you'll get as a pediatrician, and one of the fastest infections to spread through a classroom. A pink eye shows up and suddenly the questions follow: Is it contagious? Do they need drops? Can they go back to school? Pink eye seems like a simple fix until it's not. From bacterial to viral to allergic, knowing what you're looking at can change how it impacts a family. 

Rebecca Edwards Mayhew, MD, PhD, specializes in pediatric ophthalmology and adult strabismus, at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Distinguishing between viral, bacterial and allergic conjunctivitis 
• How to consult families about contagion and school policies 
• Red flags that should immediately raise concerns for more serious pathology 
• When treating with antibiotics makes sense and when to wait and watch  

For more information on Children's Colorado, visit: childrenscolorado.org. 

"Picky eater" is one of the most common labels in pediatrics and one of the easiest to overlook. But when a child's diet is shrinking instead of expanding, when meals are a source of stress instead of routine, or when growth and nutrition start to feel like a question mark, it's worth taking a second look. In this episode, we're discussing ARFID: what it looks like in clinic, how to spot the difference from typical picky eating, and how to approach these patients with a sharper clinical lens.

In this episode, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the Clinical Director of Pediatric Mental Health Institute (PMHI) day programs, and the Associate Training Director for Psychology Training. 

Some highlights from this episode include:

• Specific growth or nutrition patterns that should raise suspicion of ARFID
• Treatment options pediatricians can manage in clinic 
• Overlap between ARFID and neurodiversity  
• Patterns to look for in certain age groups 

This episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent is Colorado's largest credit union serving more than 550,000 members at 60 service centers across the Front Range. Ent generously responded to Children's Colorado's State of Emergency for pediatric mental health in 2021 and is pleased to support this episode. Visit ent.com, insured by NCUA. 

For more information on Children's Colorado, visit: childrenscolorado.org. 

A toddler takes their first bite of peanut butter and breaks out in hives. A parent sits across from you, equal parts frightened and overwhelmed, asking the question you hear every day, "What happens now?" Food allergies have long lived at the intersection of fear and uncertainty, for families and clinicians alike. But that story is changing. A landscape once defined by strict avoidance is rapidly evolving into proactive management, personalized risk assessment, and emerging therapies that are reshaping outcomes. In this episode, we step into that evolving world. From early introduction and updated diagnostic strategies to the expanding role of oral immunotherapy and biologics, we'll unpack what's here, what's coming, and what it means for how you care for patients in real time.  

Two allergy experts, David Fleischer, MD, and Allison Hicks, MD, join us for this episode. Dr. Fleischer is the Section Head of Allergy and Immunology, as well as the Director of the Allergy and Immunology Center at Children's Hospital Colorado. Dr. Hicks is the Director of Food Immunotherapies. They both teach at the University of Colorado School of Medicine.

Some highlights from this episode include:

• How food allergy management has evolved 
• The biggest misconceptions about food allergies 
• The latest guidelines on early, consistent introduction to different foods 
• What the current treatment options look like and the role of the pediatrician 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Inside every one of us is a complex, evolving ecosystem influencing everything from immunity to inflammation to long-term health. This is known as our gut microbiome. The choices made early on, such as how babies are born, fed and treated, can have lasting effects. In this episode, we explore the pediatric gut microbiome: what builds it, what disrupts it and why it matters more than some may think.

We're joined by gastroenterology experts Jaime Belkind-Gerson, MD, and Edwin DeZoeten, MD. Dr. Belkind-Gerson is the Director of the Neurogastroenterology program at Children's Colorado. Dr. DeZoeten is the Director of the Pediatric Inflammatory Bowel Disease Center. They are also professors at the University of Colorado School of Medicine.

Some highlights from this episode include:

• What influences the gut microbiome at an early age
• How diet influences the overall health of the microbiome 
• The connection between the brain and the gut 
• Separating fact versus fiction in probiotics 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Every pediatric visit tells two stories. One is about the child in front of us: their growth, symptoms and milestones. The other belongs to the parent beside them, often unspoken but deeply felt. In this episode, we're talking about parental wellbeing and why it belongs at the center of pediatric care. From chronic stress and mental health challenges to resilience and support systems, a caregiver's experience doesn't stay in the background but rather shapes a child's biology, behavior and long-term health.

To discuss this important topic, we are joined by Mona Amin, DO. She is a board-certified pediatrician, a mom of two and the founder of the incredible podcast PedsDocTalk, a globally recognized platform reaching over 1.5 million people. 

Some highlights from this episode include:

• Why a parent's mental health impacts child health and development 
• The role the pediatrician can play in identifying parental struggles 
• Common misconceptions about parental mental health 
• Healthy boundaries between sharing details and privacy 

For more information on Children's Colorado, visit: childrenscolorado.org. 

A tired teen who struggles to get out of bed or a child whose growth is falling behind expectations, are familiar clinical problems, each with a differential diagnosis. Thyroid disorders are often on the differential for many common symptoms we see, yet thyroid disease rarely walks into the office announcing itself. Instead, thyroid disorders can hide in plain sight, disguised as other diagnoses such as anxiety, depression, ADHD, delayed puberty, constipation or "just teenage hormones." In this episode, we've diving into the physiology, the pitfalls and the practical decisions behind pediatric thyroid care. Because when we understand the thyroid, we can protect long-term health.

Maggie Chan, MD, is an endocrinologist at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Most common thyroid disorders in children 
• How to differentiate between mental health symptoms versus thyroid symptoms 
• When to screen and what labs to test for 
• Three practical takeaways to utilize in clinic 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Anatomy doesn't work in silos. For example, the airway affects feeding. Feeding affects growth. Reflux affects the lungs. Suddenly, one child has three subspecialists and one very full calendar. Aerodigestive medicine lives in that overlap, and while multidisciplinary teams bring powerful expertise, primary care providers are co-managing these patients. They are fielding the "is this normal" calls. They are tracking growth, advocating for these patients and helping families make sense of recommendations.

In this episode, we talked to two experts about what meaningful co-management looks like, Emily DeBoer, MD, and Todd Wine, MD. Dr. DeBoer specializes in pulmonology at Children's Colorado and is a professor at the University of Colorado School of Medicine. Dr. Wine specializes in otolaryngology and is an associate professor. 

Some highlights from this episode include:

• Which patients benefit from multidisciplinary aerodigestive care versus traditional single-specialty referrals 
• How respiratory diagnoses impact patients 
• How primary care clinicians can support patients 
• Overview of aerodigestive programs across the country 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Something is shifting in medicine, and it's hitting pediatrics hard. Fewer students are choosing to become pediatricians. Who will care for the next generation of kids and how will they do it? This episode isn't just another conversation. It's a call to action. From technology shaping tomorrow's doctors to strengthening the pediatric pipeline, we will explore how the next generation is redefining the future of pediatrics.

The journey to becoming a pediatrician is full of discovery, challenge and purpose. In this episode, we are joined by two future pediatricians sharing their own journeys to help us understand the bigger picture. Hannah Bullock, MD, is a resident, and Sarah Martin is a medical student at the University of Colorado School of Medicine.

Some highlights from this episode include:

• The biggest barriers to choosing pediatrics
• Why they picked pediatrics
• How pediatricians can reframe how students see the field
• Hope for the future of pediatrics

For more information on Children's Colorado, visit: childrenscolorado.org. 

A parent walks into the exam room, but they're not alone. They've brought TikTok, Instagram, a comment section, a conspiracy thread and a viral video with 12 million views. Welcome to modern pediatrics. In this live recording, we're diving into the digital ecosystem that's shaping how families think, worry and decide. Social media isn't just background noise anymore — it's co-parenting with us. Sometimes it's loud. Sometimes it's supportive, and other times, it's just plain reckless. We are exploring how misinformation spreads faster than measles, why fear goes viral and how pediatricians can reclaim their role as trusted guides in a scroll-first world. This isn't about fighting the internet. It's about learning how to practice medicine inside it.

Mona Amin, DO, traveled from Florida to be our guest for this live event. She is a board-certified pediatrician, mom of two and founder of the incredible podcast The PedsDocTalk. That podcast is part of her globally recognized platform reaching over 2 million people with evidence-based guidance, actionable tips and relatable insights on child health, development and parenting. 

Some highlights from this episode include:

• The current landscape of parenting with social media
• How social media has influenced how parents understand, and misunderstand, health information 
• Biggest mistakes pediatricians make when responding to parents who bring in a TikTok video or influencer advice to their appointment 
• How pediatricians can better connect with families and validate their concerns, without support misinformation 
• The future of pediatric communication in a digital-first world

For more information on Children's Colorado, visit: childrenscolorado.org. 

Bullying doesn't always look like bruises and broken lunch trays. Sometimes it looks like a kid who suddenly "hates" school or a teen who's glued to their phone but never smiling. Other times, it's a patient who keeps showing up to clinic with vague symptoms like headaches, nausea and no clear diagnosis. In pediatrics, we're trained to look for patterns in data such as growth charts and lab results. But some of the most crucial patterns show up in silence, withdrawal and fear. In this episode about bullying, we are going to examine how it's changed, how it hides and why it's a health issue, not just a school problem.

Lauren Henry, PhD, is a psychologist at Children's Hospital Colorado, as well as an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• How to screen for bullying in your clinic 
• Best ways to talk to parents and patients about bullying 
• The impact of bullying on mental health for children 
• Understanding the signs of bullying  

For more information on Children's Colorado, visit: childrenscolorado.org. 

The first 24 hours of a newborn's life are not just clinical — they are electric. They're where physiology meets fear and policy meets instinct, revealing just how resilient and vulnerable babies can be. In this episode, we're unpacking what happens on that first day from the golden hour and early feeding behaviors to delayed bathing and recommended care.

Anna Ruman, MD, specializes in pediatrics at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine. Christine Gold, MD, specializes in pediatric hospital medicine and is an associate professor.

Some highlights from this episode include:

• Feeding behaviors in the first 24 hours 
• How pediatricians can support families before birth 
• Recommendations for newborn care, including medications 
• Helpful tips for pediatric newborn support 

For more information on Children's Colorado, visit: childrenscolorado.org. 

In pediatrics, we often meet families during their most vulnerable moments such as illness, transition, fear and change. While pediatricians are trained to diagnose and manage disease, some of the most powerful interventions we offer don't come in a prescription bottle. They are found in the relationships we help build, strengthen and protect. In this episode, we're exploring how trauma, attachment and the family system are key to understanding patients.

Benjamin Perks works for the United Nations in New York on human rights and child development and protection. He is a senior fellow at the Jubilee Centre at the University of Birmingham in the UK and an associate member of the department of social policy and innovation at the university of oxford. He is also the author of the book titled "Trauma Proof." Susan Caso is a licensed therapist, speaker and author. She serves as a board member and advisory for The Liv Project. She is the author of the book "The Parent-Teen Connection: How to Build Lifelong Family Relationships." 

Some highlights from this episode include:

• What's driving disconnection between parents and teens  
• How trauma shows up in family relationships 
• How emotional safety in the home acts as a form of prevention 
• Trauma-informed shifts providers can make to improve trust and engagement 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Adolescence is full of firsts. Big questions about bodies, safety and choices rise to the surface. Contraception can feel intimidating for teens and complex for pediatricians. However, it's also a powerful touchpoint to shape safety, confidence and long-term health. In this episode, we're unpacking the role pediatricians play in guiding teens through reproductive care, where pediatricians can transform a potentially awkward moment into an opportunity for empowerment.   

For this discussion, we're joined by Tricia Huguelet, MD. She is the section chief of the Division of Pediatric and Adolescent Gynecology at Children's Hospital Colorado. In addition to being a professor at the University of Colorado School of Medicine, she is the program director for the Pediatric and Adolescent Gynecology Fellowship, and co-director of the Young Women Bleeding Disorders Program. 

Some highlights from this episode include:

• When pediatricians should feel confident to prescribe contraception 
• How to handle consent and confidentiality 
• What methods would be best for each patient 
• Most common barriers to access 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Before the Friday night lights and before the season even begins, there's one appointment that can determine athletic eligibility: the pre-participation sports physical. For pediatricians, it's often treated like a checkbox but in reality, it's a powerful clinical moment. Sometimes it is the one chance to catch something that can change a life. In this episode, we explore how to turn the pre-participation physical from paperwork into prevention. We'll break down what really matters in the sports physical, what red flags to watch for and how to use this visit to protect young athletes and support families.

Kristina Wilson, MD, and Nate Howell, MD, join us for this episode. Dr. Wilson is the Medical Director of the Sports Medicine Center at Children's Hospital Colorado and an Associate Professor at the University of Colorado School of Medicine. Dr. Howell specializes in primary care sports medicine and is also an Assistant Professor. 

Some highlights from this episode include:

• Current guidelines and recommendations for the sports pre-participation physical 
• Why history matters during this exam 
• How to handle the same day "I need this form signed now" visit 
• How to best conduct this during a routine checkup  

 For more information on Children's Colorado, visit: childrenscolorado.org. 

GLP-1 medications have become an important part of adult obesity treatment and are now increasingly relevant in pediatric care. As new approvals emerge and clinical guidance continues to evolve, pediatricians are being asked to consider when, and for whom, these therapies may be appropriate. In this episode, we review the current evidence, discuss clinical considerations and examine the evolving role of GLP-1 medications in child and adolescents.

Megan Kelsey, MD, is the medical director of both lifestyle medicine and adolescent bariatric surgery. Jaime Moore, MD, specializes in pediatric nutrition and obesity medicine. Both Drs. Moore and Kelsey are on the faculty here at the University of Colorado School of Medicine.

Some highlights from this episode include:

• How GLP-1s are changing lives for kids with obesity 
• Learning how they work and are administered 
• The average effect of these medications 
• The future of use as access to these medications becomes easier

Below are some resources mentioned in this episode:

• Institute for Healthy Childhood Weight
• University of Minnesota: Virtual Advanced Therapies for Pediatric Obesity Conference

For more information on Children's Colorado, visit: childrenscolorado.org. 

Circumcision is one of the most common procedures performed in newborns. For such a frequent procedure, it can stir up big conversations in the primary care office. How do you help families make informed decisions? What technique details really matter? What's the role of the pediatrician when something doesn't look quite right in the days that follow? In this episode, we're unpacking the real-world essentials of circumcision in primary care from evidence-based counseling to timing, pain control, and navigating those questionable moments.

Kelly Harris, MD, and Brian Caldwell, MD, both specialize in urology at Children's Hospital Colorado. Dr. Harris is an assistant professor, and Dr. Caldwell is an associate professor at the University of Colorado School of Medicine

Some highlights from this episode include:

• How common circumcision is today
• Why the decision is very individualized to each family
• How pediatricians can support families in this decision-making process 
• Most common side effects 

For more information on Children's Colorado, visit: childrenscolorado.org. 

A growth charts tell a story long before a child can. A sudden dip, a stubborn plateau, a pubertal spurt that arrives too early, or too late, can spark big questions. From short stature to rapid puberty, it's time to unpack the patterns, pitfalls and possibilities behind pediatric growth. We want to help you sort the reassuring from the concerning and recognize when an endocrinology referral can truly change the trajectory. 

Animesh Sharma, MD, specializes in endocrinology at Children's Hospital Colorado, and is an assistant professor at the University of Colorado School of Medicine.  

Some highlights from this episode include:

• The most common growth concerns in primary care 
• How to identify a growth concern when patients are younger  
• What workups should be included when referring a patient to endocrinology 
• Understanding the layers of growth and how to calm parents' nerves 

For more information on Children's Colorado, visit: childrenscolorado.org. 

When addressing obesity in the clinic, it's common to ask patients to focus on food and exercise. But what if we think upstream of the clinical problem and consider the environments, habits and systems that shape health from the very beginning? In this episode, we sit down with an expert whose research has focused on building resilience against obesity starting early in life. From family dynamics to school and community initiatives, the picture of prevention is complex. 

Shari Barkin, MD, is the Pediatrician in Chief at Children's Healthcare of Atlanta. She is also the Chair of the Department of Pediatrics, Executive Director of the Pediatric Institute, and the George W. Brumley Jr. Endowed Professor of Pediatrics at Emory University School of Medicine. 

Some highlights from this episode include:

• How to influence eating behaviors in the first six months of life 
• The role of community involvement and partnerships in preventing childhood obesity 
• Translating research into practical strategies 
• Strong communication methods to engage families successfully 

This episode is underwritten by Ovintiv, a proud philanthropic supporter of Charting Pediatrics and the Children's Hospital Colorado Foundation. Ovintiv recognizes that their responsibility begins in the communities where they live and work. They are committed to giving back and building safer and more resilient communities. Ovintiv's generous support has made a monumental difference for our patients and families, from enhancing health outcomes to reducing health disparities. 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Joint pain is a common concern in pediatric practice. If a child is limping after sports or describes vague aches and pains, it often points to a minor injury or a self-limited condition. But in some cases, joint pain may signal something more serious. The challenge for pediatricians is knowing how to distinguish benign, mechanical causes from symptoms that warrant further evaluation. In this episode, we explain how to identify red herrings versus true red flags in pediatric joint pain. While awaiting a rheumatology referral, we'll talk about what primary care pediatricians can do in the meantime to support children and families facing the possibility of arthritis.   

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Angela Chun, MD, is the associate program director for the Division of Rheumatology at Lurie Children's Hospital of Chicago. She is also an assistant professor at the Northwestern University Feinberg School of Medicine. 

Some highlights from this episode include:

• The most common reasons for joint pain in children
• Understanding juvenile idiopathic arthritis (JIA) and how it presents
• Common pitfalls that may lead to misdiagnosis
• What providers can do in their offices before a referral 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Anxiety in children can serve as a safeguard or become profoundly disruptive. For pediatricians, distinguishing between developmentally appropriate worry, generalized anxiety disorder and clinically significant anxiety is rarely straightforward. In this episode, we explore how anxiety presents across childhood, why it is more than "just nerves" and how pediatricians can play a key role in early identification and support. 

Benjamin Mullin, PhD, is the lead psychologist of the Colorado OCD and Anxiety Program (COAP) at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine. He is also the Leslie and William Vollbracht Family Chair in Stress and Anxiety Disorders. 

Some highlights from this episode include: 

• The realities of anxiety in kids 
• When treatment is appropriate and when to refer  
• Helping families understand anxiety without stigmatizing or minimizing their children's experience 
• Strategies that work for long-term management  

For more information on Children's Colorado, visit: childrenscolorado.org. 

From a newborn's first trip home to the day a teenager buckles into the driver's seat, car rides are milestones throughout childhood. Between those moments lie years of transition: rear-facing to forward-facing seats, boosters to seat belts, and countless opportunities for confusion, error and learning. This episode breaks down the latest recommendations in child passenger safety, addresses common misconceptions, and offers practical guidance pediatricians can use to help families keep children safe at every stage. 

This episode was recorded on the exhibit floor of the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Meghan Beucher, MD, is an assistant professor of emergency medicine and pediatrics, as well as a trained child passenger safety technician instructor, with Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University. Raquel Denis, MD, is an assistant professor of pediatrics at Prisma Health and the University of South Carolina, as well as a child passenger safety technician. 

Some highlights from this episode include:

• When to switch from rear facing to forward facing seats 
• Why medical guidance can differ from local laws
• How to best support families unfamiliar with car seat safety 
• Why recommendations have changed in recent years

For more information on Children's Colorado, visit: childrenscolorado.org. 

In pediatric practice, few topics are as foundational and scientifically grounded as vaccinations. This season, a major shift in federal vaccine advisory guidance has sparked fresh discussion about how we protect infants from hepatitis B. The Center for Disease Control and Prevention's advisory committee on immunization practices voted to revise the more than 30-year guidance around the universal birth-dose of the Hepatitis B vaccine. In this episode, our goal is to provide clarity for clinicians on the best vaccination approach for our youngest patients. 

For this important discussion, we are joined by Sean O'Leary, MD, a pediatric infectious disease specialist at Children's Colorado, as well as a professor at the University of Colorado School of Medicine. He is also chair of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, otherwise known as the Red Book Committee. 

Some highlights from this episode include:

• The history of hepatitis B infection in children in the U.S. 
• Why the birth dose has been such a critical part of prevention 
• Breaking down the recent decision by the CDC advisory committee 
• Recommendations for this vaccine moving forward

For more information on Children's Colorado, visit: childrenscolorado.org. 

Food is more than fuel. Its culture, comfort, connection and, increasingly, a source of confusion for families. Parents ask questions shaped by headlines, influencers and evolving dietary guidelines. Pediatricians aren't simply monitoring growth curves, they are helping families navigate a complex nutrition environment that influences children's health now and long into adulthood. In this episode, we explore how to navigate today's dietary landscape with clarity, compassion and evidence-based tools you can use in everyday practice, highlighting the importance of healthy eating. 

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Praveen Goday, MD, is a gastroenterologist at Nationwide Children's Hospital, as well as the director of their nutrition and feeding programs. He is also a clinical professor at Ohio State University.

Some highlights from this episode include:

• The current dietary landscape and the role of outside influences
• How the idea of health has changed throughout the years
• What best practices parents can use to positively influence their children 
• Hopes for the future of nutrition  

For more information on Children's Colorado, visit: childrenscolorado.org. 

Water is essential to a child's health, making up the majority of their body weight. But when illness or heat disrupts that balance, dehydration can set in quickly and dangerously. Despite being one of the most common pediatric issues, the simplest and most effective solution often goes unnoticed: oral rehydration. In this episode, we'll shine a light on this powerful yet underused therapy. From recognizing early warning signs to selecting the best approach, we'll explore the science and practical tools behind keeping children safely hydrated.

Joining us virtually from Iowa is Aamer Imdad, MD. He is a gastroenterologist at Stead Family Children's Hospital, as well as an assistant professor of pediatrics at the University of Iowa.

Some highlights from this episode include:

• The most common causes for dehydration
• Recognizing the most reliable clinical signs for identifying dehydration
• How oral rehydration solutions work and which ones to recommend for each patient
• When lab tests are helpful

For more information on Children's Colorado, visit: childrenscolorado.org. 

Childhood obesity management has evolved far beyond the traditional advice of "eat healthier and move more." Today's clinical toolbox includes GLP-1 medications, behavioral health interventions, multidisciplinary lifestyle programs and bariatric surgery. These evidence-based tools can be complex, nuanced, and sometimes controversial, but they share a common goal: supporting young people in achieving healthier lives.

In this episode, we explore how modern treatment strategies come together to meet the needs of individual patients and families. Our guests discuss when and how to use these tools, the importance of coordinated care and what pediatricians should consider as this field continues to rapidly expand.

Jonathan Hills-Dunlap, MD, is the Director of Robotics Surgery as well as the Surgical Director of the Bariatric Surgery Program at Children's Colorado. Megan Kelsey is the Medical Director of both Lifestyle Medicine and the Adolescent Bariatric Surgery Program. Both are on faculty at the University of Colorado School of Medicine.

Some highlights from this episode include:

• The steps for being a bariatric surgery candidate
• How to best support obese patients and their journeys 
• Why a multidisciplinary approach is necessary

For more information on Children's Colorado, visit: childrenscolorado.org. 

Smartphones and tablets have become part of daily life for children and families, but their influence on sleep, attention, mood and overall development is increasingly under the microscope. From overstimulation and disrupted sleep patterns to rising concerns about anxiety and attention regulation, the research around screen time is rapidly evolving. In this episode, we take a closer look at the evidence behind how screens are shaping childhood and explore what pediatricians can do to help families find balance in an always-connected world.

Rachel Workman, MD, is a Pediatric Integrative Medicine Specialist at Children's Hospital Colorado and an Assistant Professor of Pediatrics at the University of Colorado.

Some highlights from this episode include: 

• The negative impacts of screen time at a young age 
• How parents can strategically intervene 
• Why screen time is impacting development 
• What the research tells us

For more information on Children's Colorado, visit: childrenscolorado.org. 

Recently, leucovorin and acetaminophen have been at the center of new discussions in pediatric medicine. Could leucovorin really help some children with autism? Does the latest evidence suggest acetaminophen has any impact on neurodevelopment? In today's episode, we'll break down what the science actually tells us, what remains uncertain and how pediatricians can confidently guide families through these complex topics.

Joining us for this important discussion is Abigail Angulo, MD. She is a developmental-behavioral pediatrician at Children's Hospital Colorado. She is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include: 

• The science behind autism 
• The role of Tylenol in pregnancy and newborn development 
• What leucovorin is used for and when it should be prescribed 
• How to navigate difficult conversations with families who expect certain outcomes

For more information on Children's Colorado, visit: childrenscolorado.org. 

Not every episode that looks like a seizure is one, and for pediatricians, distinguishing the difference can be challenging. Few moments in the clinic can feel as urgent, or as uncertain, as evaluating spells. In this episode, we unravel the mysteries of seizures and their mimics to prevent misdiagnosis and avoid unnecessary intervention.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Shavonne Massey, MD. She is a neurologist at Children's Hospital of Philadelphia and an Assistant Professor of Neurology at the University of Pennsylvania School of Medicine.

Some highlights from this episode include: 

• Differentiators between seizures and mimics 
• What pediatricians can do when a child is experiencing a seizure 
• Key factors they can look for during an exam 
• Most common seizure mimics that present in children depending on age 

For more information on Children's Colorado, visit: childrenscolorado.org. 

Behind every medical breakthrough for kids is usually a long history of research advances. Research is incremental, and new therapies exist, thanks to questions that are asked in science laboratories. Those investigators not only asked the hard questions but also found the funding to answer them. What happens when that funding starts to disappear? Research drives progress in pediatric medicine from vaccines to breakthrough treatments for rare diseases. That progress is currently at risk. Cuts and cancellations in key federal research programs, including CDC and NIH funding, threaten to stall discoveries and disproportionately impact pediatric investigators. In this episode, we dig into what's happening with child health research funding, why it matters for every pediatrician, and where the greatest opportunities for advocacy lie.

For this episode, we are joined by two experts at the forefront of this conversation. Joe St. Geme, MD, is the Physician in Chief at the Children's Hospital of Philadelphia, as well as the President of the CHOP Practice Association. He is also a professor at the University of Pennsylvania Perelman School of Medicine. Zach Zaslow is the Vice President of Advocacy and Community Health at Children's Hospital Colorado.

Some highlights from this episode include: 

• The status of pediatric research funding 
• How pediatric research directly impacts community pediatricians 
• What current threats exist 
• How providers can advocate for their patients and families  

For more information on Children's Colorado, visit: childrenscolorado.org. 

From playground falls to sports injuries, oral trauma is part of growing up. But when a tooth gets chipped, knocked out or a lip is cut, it can be stressful for families and challenging for providers. In this episode, we take a closer look at pediatric dental and oral trauma from the primary care perspective. We are focusing on what to look for, when to act and how to guide families through those anxious first moments after an injury.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Erica Brecher, DMD. She is a pediatric dentist with Duke Street Pediatric Dentistry and is on staff at Duke Children's Hospital. She is also an adjunct professor at the University of North Carolina School of Dentistry.

Some highlights from this episode include: 

• Most common oral and dental traumas in kids 
• How outcomes differ from baby teeth to permanent teeth 
• What steps a pediatrician can take to save a tooth 
• Why a strong partnership between the pediatric and dental home can improve outcomes 

To access the dental trauma guide mentioned in this episode, click here. To access the app "Tooth SOS" click here. For more information on Children's Colorado, visit: childrenscolorado.org. 

Groin bulges, scrotal swelling, and nonpalpable testes are findings that often surface during routine well-child exams, and they can raise immediate questions for pediatricians and families alike. Is this normal? Will it resolve on its own? Or does it require surgical referral? In this episode, we take a closer look at three common genitourinary conditions in children: inguinal hernias, hydroceles, and undescended testes. We diagnose the details to help clarify the evaluation process, management strategies, and referral guidelines that every pediatrician should know. 

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Eric Bortnick, MD. He is a Urologist and Assistant Professor of Urology at the Yale School of Medicine.  

Some highlights from this episode include: 

• How common these conditions are in the pediatric population 
• When pediatricians can make a difference in these patients lives, versus when referral is really necessary. 
• Key takeaways to performing a successful physical exam 
• Creating a safe space for proper diagnosis 

For more information on Children's Colorado, visit: childrenscolorado.org.