{"title":"Small effect sizes matter: social media and the population burden of internalizing symptoms in Canadian youth.","authors":"Tracy Vaillancourt, Heather Brittain","doi":"10.1093/pch/pxag076","DOIUrl":"https://doi.org/10.1093/pch/pxag076","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"573-574"},"PeriodicalIF":2.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hannah Lee, Theresa Wu, Chris Andrews, Irene W Y Ma, Kevin Weinberger, Andrea Matho, Chris Novak
{"title":"Point-of-care ultrasound (POCUS) use in paediatric hospital medicine: a national needs assessment survey.","authors":"Hannah Lee, Theresa Wu, Chris Andrews, Irene W Y Ma, Kevin Weinberger, Andrea Matho, Chris Novak","doi":"10.1093/pch/pxag035","DOIUrl":"https://doi.org/10.1093/pch/pxag035","url":null,"abstract":"<p><strong>Background: </strong>Point-of-care ultrasound (POCUS) is increasingly used in many disciplines, but its role in paediatric hospital medicine (PHM) remains less well defined. There is growing interest in POCUS integration into PHM practice; however, there are limited data on current practices in Canada. This study aimed to assess the current landscape of POCUS use in PHM across Canada and inform curriculum development by identifying clinical applications of interest, barriers to implementation and training needs.</p><p><strong>Methods: </strong>We conducted a cross-sectional national survey of Canadian paediatricians practicing in inpatient settings. The survey was adapted from existing needs assessments and distributed electronically via the Canadian Paediatric Society Section on Hospital Paediatrics and through section chiefs of PHM at Canadian children's hospitals. Descriptive statistics were used to analyze responses.</p><p><strong>Results: </strong>A total of 59 responses were received. Only 19% of respondents reported prior POCUS training, and 8% reported using POCUS in their current clinical practice, with 44% expressing interest in additional POCUS training. The applications of POCUS perceived as most useful in PHM included lumbar puncture guidance (63%), pleural effusion assessment (49%) and peripheral IV insertion (41%). Key reported barriers included limited training opportunities (49%), lack of equipment (42%) and absence of quality assurance processes (34%).</p><p><strong>Conclusions: </strong>Canadian PHM physicians report limited current use of POCUS but demonstrate interest in training, particularly with procedural guidance. Addressing educational and system-level barriers may support broader POCUS integration into inpatient paediatric care.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"632-638"},"PeriodicalIF":2.5,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Streptococcal pharyngitis, infectious mononucleosis, or both? A diagnostic dilemma in pediatric pharyngitis.","authors":"Kazuki Iio, Horton James Lee, Evridiki Fera","doi":"10.1093/pch/pxag080","DOIUrl":"https://doi.org/10.1093/pch/pxag080","url":null,"abstract":"<p><p>Infectious mononucleosis (IM) is a common cause of pharyngitis in children, particularly among adolescents. IM is a self-limiting condition, and differentiating it from other causes of pharyngitis that require treatment is key to its management. One such condition is group A streptococcal (GAS) pharyngitis, which can be complicated by acute rheumatic fever if left untreated. In this report, we present a case of suspected IM with a positive GAS rapid antigen detection test, highlight the evidence surrounding these two conditions, and discuss the clinical dilemma of performing GAS testing in patients with an IM-like presentation.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"620-623"},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valérie Bourque-Riel, Bruce Crooks, David M Conrad
{"title":"Education as advocacy: bringing pathology into the care of children with leukemia.","authors":"Valérie Bourque-Riel, Bruce Crooks, David M Conrad","doi":"10.1093/pch/pxag058","DOIUrl":"https://doi.org/10.1093/pch/pxag058","url":null,"abstract":"<p><p>A diagnosis of childhood leukemia is frequently accompanied by fear, confusion, and a loss of agency for children and families navigating an unfamiliar health care system. While advances in paediatric oncology have dramatically improved survival, little attention has been paid to how young patients understand their illness or how diagnostic medicine is communicated with them. Patient-centred pathology offers a novel, advocacy-oriented approach by bringing diagnostic expertise out of the laboratory and into direct conversation with patients and families. This Critical Lens describes The Cellfie Project, a Canadian, first-of-its-kind patient-centred pathology education initiative for children with leukemia. By enabling young patients to visualize and understand their own disease through guided interactions with hematopathologists, the program reframes education as an essential component of care. We argue that patient-centred pathology represents an underutilized opportunity to improve health literacy, reduce anxiety, and promote equity in paediatric care. We call on clinicians, educators, and policymakers to recognize diagnostic transparency as a core element of child- and family-centred health care.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"615-619"},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Astha Chandra, Kayla Esser, David D'Arienzo, Julia Orkin, Eyal Cohen
{"title":"Canadian paediatric tertiary care hospitals' response to the needs of children with medical complexity during acute visits and hospitalizations: a landscape study.","authors":"Astha Chandra, Kayla Esser, David D'Arienzo, Julia Orkin, Eyal Cohen","doi":"10.1093/pch/pxag044","DOIUrl":"10.1093/pch/pxag044","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 5","pages":"434-435"},"PeriodicalIF":2.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authors' response: \"Recognition and management of acute kidney injury in children\".","authors":"Cal H Robinson, Rahul Chanchlani","doi":"10.1093/pch/pxag043","DOIUrl":"10.1093/pch/pxag043","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 5","pages":"432-433"},"PeriodicalIF":2.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Closing the gap between recognition and implementation in paediatric acute kidney injury.","authors":"Ruhaan Bajpai, Madison Vink","doi":"10.1093/pch/pxag042","DOIUrl":"10.1093/pch/pxag042","url":null,"abstract":"","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 5","pages":"431"},"PeriodicalIF":2.5,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Home alone: aligning childhood supervision guidelines with child neurodevelopment.","authors":"Codie C Lavoie","doi":"10.1093/pch/pxag059","DOIUrl":"https://doi.org/10.1093/pch/pxag059","url":null,"abstract":"<p><p>In Canada, decisions about when a child can be left home alone are guided more by legal ambiguity and social norms than by developmental evidence. Most provinces rely on the concept of 'reasonable supervision', leaving families to navigate this question with limited guidance. However, the neurocognitive abilities required for safe independence-executive function, emotional regulation, and risk assessment-continue to mature through late childhood into adolescence and are not yet fully reliable in younger children, particularly under stress or in emergency situations. This article examines the paediatric neuroscience of leaving a child home alone, highlighting gaps between legal requirements, societal expectations, and what we know about brain development.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"570-572"},"PeriodicalIF":2.5,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keegan D'Mello, Herman Dayal Singh, Andrea Ens, Marta Wilejto, Tamara Van Hooren, Robin Mackin
{"title":"Re-centering education on the learner: insights from a Pediatric Residency Coaching Program.","authors":"Keegan D'Mello, Herman Dayal Singh, Andrea Ens, Marta Wilejto, Tamara Van Hooren, Robin Mackin","doi":"10.1093/pch/pxag075","DOIUrl":"https://doi.org/10.1093/pch/pxag075","url":null,"abstract":"<p><strong>Objectives: </strong>Coaching has emerged as a key educational strategy to promote learner success in competency-based medical education (CBME). Effectively operationalizing coaching requires ongoing exploration, with particular attention to its perceived benefits within the context of existing supports in residency training.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted using semi-structured interviews with pediatric residents and faculty coaches enrolled in a longitudinal coaching program. Eleven interviews explored participants' experiences, perceived benefits, and challenges of coaching. A thematic analysis included open coding followed by more focused coding, which informed the generation of themes.</p><p><strong>Results: </strong>Four themes were identified. Overall, participants emphasized the value of coaching as an opportunity to refocus the education journey on the learner and foster individualized goal setting. Faculty shared the importance of a community of practice to provide space for reflection and to help mitigate doubt about their coaching effectiveness. Participants distinguished coaching and mentorship based on their structure and process rather than content covered, reinforcing the need for both supports. While benefits of coaching programs were recognized, words of caution were also shared.</p><p><strong>Conclusion: </strong>Longitudinal coaching offers a means of re-centering the education journey on the learner. For programs seeking to adopt or refine coaching models in CBME, success will depend on fostering flexibility, supporting faculty through communities of practice, and maintaining learner-centered relationships grounded in reflection and growth.</p>","PeriodicalId":19730,"journal":{"name":"Paediatrics & child health","volume":"31 6","pages":"610-614"},"PeriodicalIF":2.5,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}