Pediatric AnnalsPub Date : 2025-01-01DOI: 10.3928/19382359-20241007-06
Courtney Romba, Jasleen Singh
{"title":"Stimulant Management of Attention-Deficit/Hyperactivity Disorder for the Pediatric Prescriber: A Review of Stimulant-Dosing Strategies and An Overview of New Stimulants.","authors":"Courtney Romba, Jasleen Singh","doi":"10.3928/19382359-20241007-06","DOIUrl":"https://doi.org/10.3928/19382359-20241007-06","url":null,"abstract":"<p><p>Pediatricians are often the first providers to assess and treat attention-deficit/hyper-activity disorder (ADHD) in youth. While a variety of pharmacological and psychosocial interventions exist for ADHD, stimulants remain the first-line medication treatment. Many stimulant formulations now exist, providing the pediatric prescriber with a diverse repertoire of treatment options. This article is tailored to the pediatric prescriber in the primary care setting and discusses stimulant management, with emphasis on dosing equivalencies, common stimulant-dosing strategies, and newer stimulants. <b>[<i>Pediatr Ann</i>. 2025;54(1):e22-e26.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"54 1","pages":"e22-e26"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241022-01
Lolita Alcocer Alkureishi, Joseph R Hageman, Vince Biank
{"title":"Diagnosing and Managing Inflammatory Bowel Disease in Young Children.","authors":"Lolita Alcocer Alkureishi, Joseph R Hageman, Vince Biank","doi":"10.3928/19382359-20241022-01","DOIUrl":"https://doi.org/10.3928/19382359-20241022-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e433-e434"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241003-04
Richard M Frankel
{"title":"The Primacy of Professionalism: A Selective Review of Medical Education, Practice, and Research.","authors":"Richard M Frankel","doi":"10.3928/19382359-20241003-04","DOIUrl":"https://doi.org/10.3928/19382359-20241003-04","url":null,"abstract":"<p><p>From the 12th Century, when the word referred to taking religious vows, to its present meaning as a constellation of organized practices requiring special training, legal liability, and covenants with individual patients and society, professionalism has played an important role in the practice of medicine. Until relatively recently, the concepts of professionalism and professional behavior were rooted in timeless ideals that individual physicians were expected to achieve in training and practice. As an ideal type, professionalism was seen as a quality or characteristic residing in the individual physician. By the same measure, the period of rapid technological and social change that marked the early to mid-20th Century made clear that timelessness, as it applied to professionalism, had its limitations. Where once sharing bad or sad news with patients was viewed as harmful, the right to know one's diagnosis is now enshrined in law and taken for granted in education and practice. Moreover, research shows that knowing one's diagnosis is often beneficial, not harmful, to individuals and families. In response to changing norms and technological advances, medical educators have introduced new models of professionalism that stress the role of social context and relationships in training and practice. One innovative approach is based on the concept of professional identity formation, the moment-by-moment process of becoming and being a physician. Identity formation occurs primarily through story-telling and other forms of self-expression in the context of a community of peers who learn to practice medicine with technical proficiency, kindness, and self-awareness together. <b>[<i>Pediatr Ann</i>. 2024;53(12):e440-e445.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e440-e445"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241003-05
Jimin Kim, Julia M Morales, Ellen M Friedman, Stacey R Rose
{"title":"Inspiring Professionalism in Medicine: A Review of Incentives to Promote Positive Behaviors in Training and Practice.","authors":"Jimin Kim, Julia M Morales, Ellen M Friedman, Stacey R Rose","doi":"10.3928/19382359-20241003-05","DOIUrl":"https://doi.org/10.3928/19382359-20241003-05","url":null,"abstract":"<p><p>While the importance of medical professionalism is widely recognized, strategies for incentivizing positive professionalism have not been formally reviewed. We reviewed available literature on interventions to promote professionalism in training and practice to identify common themes and differentiate extrinsic vs intrinsic motivators. Among 24 relevant articles identified for review, 4 programmatic themes emerged: recognition and rewards (extrinsic motivators), and review of performance and reflection (intrinsic motivators). Most incentive programs were geared toward medical students or faculty, and few studies included outcomes data, although the reported findings suggested a positive impact. Incentive programs, such as awards programs, recognition of role models, feedback, coaching, and reflection, appear to promote positive professional behaviors, though further study is needed to facilitate optimal integration of best practices across training and practice. <b>[<i>Pediatr Ann</i>. 2024;53(12):e446-e451.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e446-e451"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241003-06
Sanghamitra M Misra, Lindy U McGee
{"title":"Advocacy for Children: A Pediatrician's Core Professionalism Responsibility.","authors":"Sanghamitra M Misra, Lindy U McGee","doi":"10.3928/19382359-20241003-06","DOIUrl":"https://doi.org/10.3928/19382359-20241003-06","url":null,"abstract":"<p><p>Pediatric advocacy is an effort to champion the well-being of children and adolescents, ensuring access to quality health care and addressing socioeconomic issues linked to adverse health. This article explores pediatricians' responsibilities in advocating for their patients within the health care system and in broader societal contexts. Models of physician advocacy and the concept of advocacy as a fundamental professionalism responsibility, grounded in ethical principles and societal obligations, are introduced. As providers for patients who lack the capacity to advocate for themselves, the unique role of the pediatrician is examined. The improving landscape of advocacy education in undergraduate and graduate medical training programs is presented, and the concept that engaging in advocacy can help physicians battle burnout is raised. Barriers to advocacy for pediatricians are addressed. Pediatricians should leverage their expertise and influence to advance the health and rights of patients and their families. <b>[<i>Pediatr Ann</i>. 2024;53(12):e452-e457.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e452-e457"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Triad of COVID-19 in Children: Acute COVID-19, Multisystem Inflammatory Syndrome, and Long COVID-Part I.","authors":"Avanti Gupte, Swetha Sriram, Vignesh Gunasekaran, Kushagra Chaudhari, Deepak Kamat","doi":"10.3928/19382359-20241003-03","DOIUrl":"https://doi.org/10.3928/19382359-20241003-03","url":null,"abstract":"<p><p>The coronavirus disease 2019 (COVID-19) originated in Wuhan, China, in late 2019. Within a span of a few months, it was deemed a global pandemic by the World Health Organization. It was first thought to affect the adult population, but soon after, cases of COVID-19 in children started emerging. As more and more pediatric cases started unveiling, an entity called multisystem inflammatory syndrome in children (MIS-C) that replicated Kawasaki disease was established. More recently, it has been noted that children have persistent symptoms for weeks or months after acute COVID-19 infection, and the term coined for these symptoms is \"long COVID.\" This section of the review will summarize the respiratory, cardiovascular, dermatological, and gastroenterological manifestations noted in infants in three broad categories: acute COVID, MIS-C, and long COVID. <b>[<i>Pediatr Ann</i>. 2024;53(12):e473-e477.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e473-e477"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241023-01
Michael Harries
{"title":"School-Based Health Care: An Overview.","authors":"Michael Harries","doi":"10.3928/19382359-20241023-01","DOIUrl":"https://doi.org/10.3928/19382359-20241023-01","url":null,"abstract":"<p><p>The school building provides a unique opportunity to prevent, identify, and treat illness in children. School staff must be prepared to care for children with acute and chronic health care needs and pediatricians should be aware of the health resources available in local schools for their patients. This article provides an overview of multiple school-based health topics including the roles of various school health professionals, medication administration in the school setting, the legal protections around health information, school-based health centers, and the rise of telehealth. Most importantly, this article reminds providers that school-based health resources are all unique to each school and school district; all parents of children with health needs should meet with their school's administration to understand what resources are available. <b>[<i>Pediatr Ann</i>. 2024;53(12):e435-e437.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e435-e437"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professionalism and the Electronic Health Record.","authors":"Kimberly Ho, Ali Rahman, Marissa Dulas, Zi-Yi Choo, Wei Wei Lee, Lolita Alcocer Alkureishi","doi":"10.3928/19382359-20241003-07","DOIUrl":"https://doi.org/10.3928/19382359-20241003-07","url":null,"abstract":"<p><p>Electronic health records (EHRs) have become integral to modern health care, facilitating documentation, billing, and care coordination. However, their increasing use introduces potential challenges to professionalism in the patient-physician relationship. This article explores both the positive and negative impacts of EHRs on professional behaviors, including empathy, communication, and efficiency. We discuss strategies to enhance professionalism in EHR use, with a focus on training and education for medical professionals. We also highlight the importance of patient engagement and shared decision-making in navigating the evolving digital landscape of health care. <b>[<i>Pediatr Ann</i>. 2024;53(12):e458-e464.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e458-e464"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241003-08
Teresa Lin, Jaimie C Grams, Rachel M Cunningham, Leila C Sahni, Julie A Boom
{"title":"Embracing Professionalism to Cultivate Vaccine Positivity and Reduce Vaccine Hesitancy.","authors":"Teresa Lin, Jaimie C Grams, Rachel M Cunningham, Leila C Sahni, Julie A Boom","doi":"10.3928/19382359-20241003-08","DOIUrl":"https://doi.org/10.3928/19382359-20241003-08","url":null,"abstract":"<p><p>Fueled by the coronavirus disease 2019 pandemic, vaccine hesitancy has become more pronounced and challenging given the increased distrust of science, pervasiveness of misinformation, and polarization of ideas. As such, pediatric providers are increasingly on the frontline of vaccine conversations with their patients, families, colleagues, and communities. To respond effectively to vaccine hesitancy, providers should employ professionalism in all aspects of their practice, including commitment to learning and growth, cultural awareness and humility, ethical responsibility to self and others, oral communication, reliability and dependability, teamwork, critical thinking and quantitative reasoning, and the engagement in public discourse around vaccines. By ensuring excellence in each professionalism domain, pediatric providers will have the best chance of enhancing vaccine positivity and minimizing vaccine hesitancy. <b>[<i>Pediatr Ann</i>. 2024;53(12):e465-e472.]</b>.</p>","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e465-e472"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pediatric AnnalsPub Date : 2024-12-01DOI: 10.3928/19382359-20241003-01
Ellen M Friedman, Stacey R Rose
{"title":"The Role of Professionalism.","authors":"Ellen M Friedman, Stacey R Rose","doi":"10.3928/19382359-20241003-01","DOIUrl":"https://doi.org/10.3928/19382359-20241003-01","url":null,"abstract":"","PeriodicalId":54633,"journal":{"name":"Pediatric Annals","volume":"53 12","pages":"e438-e439"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}