Virtual Curbside

PODCAST · health

Virtual Curbside

For Pediatricians. By Pediatricians. Available Anywhere. Curbside consults in podcast form.

  1. 385

    Episode 383: #89-2 Infant Formula: Regulatory Changes

    In Episode 2 of our infant formula and nutrition series, host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD explore the question many families ask: how closely should infant formula resemble breast milk, and does it matter? Our guests discuss the science behind common formula ingredients, including oligosaccharides, prebiotics, postbiotics, and lactose, and review what evidence currently tells us about their role in infant nutrition and gut health.The conversation also compares different protein sources - including cow’s milk, goat’s milk, and plant-based formulas - and addresses common parent questions about specialty, premium, and organic products. We examine whether higher-cost formulas offer meaningful advantages and how pediatricians can help families make informed, practical decisions without unnecessary pressure or confusion. Throughout the episode, the emphasis remains on evidence-based guidance and supporting families in choosing safe, nutritionally appropriate options for their infants.Have a question? Email [email protected]. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  2. 384

    Episode 382: #89-1 Infant Formula: Regulations & Safety

    This month we turn our focus to infant formula and nutrition, beginning with a discussion of formula safety and supply. In this episode, our host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD revisit Operation Fly Formula and the broader challenges of maintaining a safe and reliable formula supply in the U.S. We review safety concerns related to contamination - including bacteria, viruses, and rare but serious risks such as botulism - and discuss why recalls, while essential, can be complex for both families and providers to navigate.The conversation also explores differences between liquid and powdered formulas, with an emphasis on preparation practices and how improper bottle hygiene can increase contamination risk. We highlight current FDA guidance on boiling and cooling water for formula preparation and provide practical tips for counseling families. Importantly, our guests strongly caution against homemade formula and offer strategies for pediatricians to have clear, supportive conversations with caregivers.Finally, we touch on concerns about heavy metals in infant nutrition, including ongoing efforts such as the Closer to Zero initiative, and what clinicians should know when addressing parent questions about safety and quality.Have a question? Email [email protected]. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  3. 383

    Episode 381: #88-4 Psychiatric Grab Bag: Q&A

    In this Q&A episode of our psychiatric “grab bag” series, host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD tackle common and challenging scenarios related to panic and anxiety in pediatric patients. The discussion clarifies how panic disorders differ from OCD, helping clinicians distinguish overlapping symptoms and guide appropriate treatment.We also address school refusal, exploring how anxiety and panic can manifest in avoidance behaviors and how to support families in getting children back to school. The panel shares practical, real-time strategies for managing panic in the clinic setting - including in the office, hallway, or waiting room - so providers can respond effectively in the moment.Additional topics include medication selection based on specific clinical presentations and when to consider higher levels of care, including the role and value of inpatient services. This episode offers actionable insights to help clinicians confidently assess and manage complex anxiety-related concerns.Utah Psychiatric Consultation Line (801-587-3636) for real-time guidance.Have a question? Email [email protected] more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  4. 382

    Episode 380: #88-3 Psychiatric Grab Bag: Angry Adolescents

    In the third episode of our psychiatric “grab bag” series, we focus on the “angry adolescent” and the complex factors that can drive irritability and behavioral outbursts. Host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD discuss Disruptive Mood Dysregulation Disorder (DMDD) and how it differs from other mood and behavioral conditions. We explore how coexisting factors—such as substance use, trauma, and ADHD—can influence presentation, severity, and treatment outcomes.The conversation emphasizes the importance of identifying the underlying cause of a teen’s anger to guide appropriate, individualized treatment. Evidence-based approaches, including cognitive behavioral therapy (CBT), are reviewed alongside practical considerations for management in primary care. We also discuss when it’s appropriate to refer to a specialist or seek additional support, including use of the Utah Psychiatric Consultation Line (801-587-3636) for real-time guidance.Have a question? Email [email protected]. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  5. 381

    Episode 379: #88-2 Psychiatric Grab Bag: Panic Disorder

    In this episode of our psychiatric “grab bag” series, we focus on panic disorders and how they present in pediatric patients. Host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD discuss the differences between panic and general anxiety, helping clinicians recognize key features that distinguish acute panic episodes from broader anxiety conditions.The conversation also explores the role of family dynamics in both the development and management of symptoms, along with evidence-based treatment approaches. These include cognitive behavioral therapy (CBT), the use of rescue and maintenance medications, and practical strategies such as deep breathing exercises to help patients manage symptoms in real time.We also highlight an important local resource for clinicians: the Utah Psychiatric Consultation Line at 801-587-3636, which provides support for managing pediatric mental health concerns in practice.Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  6. 380

    Episode 378: #88-1 Psychiatric Grab Bag: Risk Assessment

    This month we shift to a psychiatric “grab bag” series, beginning with a focused discussion on suicide risk assessment in pediatric practice. Host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD review how to ask about suicide in a direct, developmentally appropriate way and explore the differences between passive thoughts and active risk. The conversation also addresses the limits of risk prediction, emphasizing the importance of ongoing assessment rather than relying on a single point in time.We conclude with practical guidance on creating safety action plans, including how to engage patients and families, reduce immediate risk, and connect to appropriate resources. This episode equips clinicians with clear, compassionate strategies to navigate one of the most critical aspects of pediatric mental health care.Utah Psychiatric Call Up Line: 801.587.3636Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  7. 379

    Episode 377: #87 Angelo's Book Club

    In months with five weeks, The Virtual Curbside steps away from clinical topics for a pediatric book club discussion. In this month’s book club episode, we explore Humbitious: The Power of Low-Ego, High-Drive Leadership by Amer Kaissi. Our hosts Paul Wirkus, MD, FAAP and Angelo Giardino, MD, FAAP reflect on the concept of “humbition” - balancing humility with ambition - and discuss how these leadership principles apply to pediatric practice. The conversation highlights how low-ego, high-drive leadership can strengthen team dynamics, improve patient care, and support more collaborative, compassionate healthcare environments. No credit available for this episode. See vcurb.com for additional episodes.

  8. 378

    Episode 376: #87-4 Poison Control: Q & A

    In this Q&A episode of our Poison Control series, Host Paul Wirkus, MD, FAAP and guest Michael Moss, MD address emerging trends and high-risk behaviors contributing to pediatric and adolescent poison exposures. Our experts discuss substances sometimes used in social media challenges - including diphenhydramine, combination cold medications like NyQuil, and household items such as salt, nutmeg, cinnamon, and detergent pods - and the real dangers associated with these ingestions.The conversation also highlights serious risks tied to everyday household products, including tiki torch fuel and inhalant (“huffing”) exposures. Throughout the episode, we emphasize early recognition of concerning symptoms, proactive counseling for families and adolescents, and the importance of open, nonjudgmental conversations about risk-taking behaviors.If there is ever a concern about a possible poisoning, contact Poison Control at 1-800-222-1222 for immediate guidance anywhere in the United States.Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  9. 377

    Episode 375: #87-3 Poison Control: Prevention

    In recognition of Poison Prevention Week, this episode of our Poison Control series focuses on practical strategies to prevent pediatric poison exposures. Host Paul Wirkus, MD, FAAP and guest Michael Moss, MD, discuss the importance of safe medication and household product storage, correct medication dosing, and how tools such as pill imprint codes can help identify unknown medications. The conversation also highlights common pitfalls, including the risks of relying on internet searches or AI tools for guidance during a potential poisoning event. Instead, clinicians and families are encouraged to use trusted, expert resources when questions arise.If there is ever a concern about a possible poisoning, contact Poison Control at 1-800-222-1222 for immediate guidance anywhere in the United States.Have a question? Email [email protected]. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  10. 376

    Episode 374: #87-2 Poison Control: High Risk Substances

    In this episode of our Poison Control series, host, Paul Wirkus, MD, FAAP and guest Michael Moss, MD, focus on several high-risk exposures commonly encountered in pediatrics. Our guests review toxic thresholds for medications such as acetaminophen, discuss the dangers of prescription medication ingestions, and highlight particularly hazardous household items, including button batteries, magnets, hydrocarbons, and cleaning agents. The conversation emphasizes early recognition, appropriate initial management, and when to seek expert guidance. Listeners will gain practical insights to help prevent serious injury and respond effectively when exposures occur.If there is ever a concern about a possible poisoning, contact Poison Control at 1-800-222-1222 for immediate guidance anywhere in the United States.Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  11. 375

    Episode 373: #87-1 Poison Control: How it Works

    This month we turn our attention to Poison Control, beginning with an overview of why children are uniquely vulnerable to toxic exposures. In this episode, our host, Paul Wirkus, MD, FAAP and guest Michael Moss, MD review common pediatric ingestions, household risks, and explain factors that increase children's vulnerabilities.We also take a behind-the-scenes look at how the nation’s poison control system works - how calls are triaged, who provides guidance, and how centers collaborate across the country to deliver real-time, evidence-based recommendations. Most importantly, we emphasize when and how to use this invaluable resource.If you have a concern about a possible poisoning, call 1-800-222-1222 to reach your local poison control center anywhere in the United States.Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  12. 374

    Episode 372: #86-4 NOWS: Q & A

    In this Q&A episode of our neonatal opioid withdrawal syndrome (NOWS) series, we address challenging and nuanced clinical questions surrounding withdrawal, toxicology testing, and newborn exposures. Our host, Paul Wirkus, MD, FAAP, and guest Camille Fung, MD, review the early signs of withdrawal and discuss the process of obtaining consent for neonatal toxicology screening, clarifying when testing is considered diagnostic and how results may have reporting implications.We also explore common clinical scenarios, including the impact of maternal fentanyl administered via epidural on newborn toxicology results, and how in utero SSRI exposure may present with symptoms such as apnea, posturing, or seizure-like activity. The conversation further examines the effects of prenatal THC exposure, addressing common misconceptions, potential neonatal impacts, and the persistence of THC in breastmilk.Throughout the discussion, the emphasis remains on careful clinical assessment, clear communication with families, and a nonjudgmental, evidence-based approach to care.Have a question? Email [email protected] more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  13. 373

    Episode 371: #86-3 NOWS: Management and Discharge Protocols

    In this episode, we continue our series on neonatal opioid withdrawal syndrome (NOWS) with a discussion of substance exposure in the perinatal period and the practical considerations surrounding testing and discharge planning. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the fundamentals of prenatal substance exposure and the rationale for testing, including what different methods - such as urine, meconium, and umbilical cord testing - can and cannot tell us. The conversation explores the limitations of testing and how results should be interpreted in the clinical and social context of each family.We also discuss discharge planning, including referrals to primary care pediatricians and child welfare agencies when appropriate, and what clinicians and families can expect regarding developmental follow-up. Throughout the episode, Dr. Fung emphasizes the importance of a nonjudgmental, supportive approach that fosters trust and promotes the best outcomes for infants and their caregivers.Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  14. 372

    Episode 371: #86-2 NOWS: Management and Discharge Protocols

    In this episode, we continue our series on neonatal opioid withdrawal syndrome (NOWS) with a discussion of substance exposure in the perinatal period and the practical considerations surrounding testing and discharge planning. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the fundamentals of prenatal substance exposure and the rationale for testing, including what different methods - such as urine, meconium, and umbilical cord testing - can and cannot tell us. The conversation explores the limitations of testing and how results should be interpreted in the clinical and social context of each family.We also discuss discharge planning, including referrals to primary care pediatricians and child welfare agencies when appropriate, and what clinicians and families can expect regarding developmental follow-up. Throughout the episode, Dr. Fung emphasizes the importance of a nonjudgmental, supportive approach that fosters trust and promotes the best outcomes for infants and their caregivers.Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  15. 371

    Episode 370: #86-2 NOWS: Clinical Features of NOWS

    In this episode, we continue our discussion of neonatal opioid withdrawal syndrome (NOWS), focusing on clinical features, treatment, and care after discharge. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the signs and symptoms clinicians use to recognize and assess withdrawal, along with current approaches to medication management and supportive care in the hospital setting. The conversation also addresses discharge planning, including criteria for safe transition home and coordination with caregivers. Finally, we explore the important role of the primary care pediatrician in follow-up—monitoring growth and development, supporting families, and coordinating ongoing services to promote the best possible outcomes for these infants. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  16. 370

    Episode 369: #86-1 NOWS: Scope, Features and Clinical Presentation

    This month we are focusing on neonatal opioid withdrawal syndrome (NOWS), with an emphasis on the underlying physiology and clinical presentation. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the mechanisms of opioid exposure and withdrawal, including neuroexcitability and the gastrointestinal and autonomic manifestations commonly seen in affected newborns. The discussion also highlights the role of specialized clinics and coordinated care models that support mothers during pregnancy and the postpartum period. Together, this episode provides a foundational understanding of NOWS to help clinicians recognize symptoms early and deliver informed, compassionate care to both infants and their families. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  17. 369

    Episode 368: #85-4 Common Eye Issues: Q & A

    In this Q&A episode, Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD address common clinical questions related to pediatric red eye presentations. The discussion covers key elements of the differential diagnosis, including how to approach cloudy corneas and other concerning findings. We also review practical questions pediatricians frequently encounter, such as whether massage is effective for clearing duct obstruction and important considerations for contact lens use in children and adolescents. This episode offers clear, practical guidance to support safe evaluation, counseling, and management of pediatric eye concerns. Have a question? Email [email protected]. We will have a new topic next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  18. 368

    Episode 367: #85-3 Common Eye Issues: Allergic Conjunctivitis

    In this episode, we turn our focus to allergic conjunctivitis. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD guests review the clinical features of ocular allergy and discuss how characteristics such as discharge and symptom patterns can help distinguish allergic conjunctivitis from viral, bacterial, and other etiologies. The conversation also covers important mimics and red flags, including chemical conjunctivitis, corneal abrasions, and foreign bodies, with guidance on evaluation and management. This episode equips pediatricians with practical tools to accurately assess red eye complaints and determine when further intervention is needed. Have a question? Email [email protected]. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  19. 367

    Episode 366: #85-2 Common Eye Issues: Bacterial Conjunctivitis

    This week’s episode focuses on bacterial conjunctivitis and practical considerations for pediatric care. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD discuss key principles of infection control, how to recognize concerning findings and distinguish uncomplicated conjunctivitis from more serious conditions such as orbital cellulitis, and when escalation of care is necessary. We also review the appropriate use of antibiotics, including selection, administration, and common pitfalls—highlighting how improper dosing or technique can limit effectiveness. This discussion is designed to support evidence-based decision-making and safe, effective management of bacterial conjunctivitis in children. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  20. 366

    Episode 365: #85-1 Common Eye Issues: Viral Conjunctivitis

    This month we begin a new series on common pediatric eye issues, starting with viral conjunctivitis. In this episode, host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD review the clinical features that help distinguish viral conjunctivitis from other causes of red and pink eye, discuss typical disease course, and address common misconceptions around treatment and contagion. They also explore practical counseling points for families, including symptom management, infection control, and guidance on school and daycare attendance. This discussion is designed to help pediatricians confidently diagnose viral conjunctivitis and provide clear, evidence-based reassurance to families. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  21. 365

    Episode 363: #84 Angelo's Book Club

    In months with five weeks, The Virtual Curbside steps away from clinical topics for a pediatric book club discussion. This month, we explore The Self-Driven Child: The Science and Sense of Giving Your Kids More Control Over Their Lives by Ned Johnson and William Stixrud.Our hosts Paul Wirkus, MD, FAAP and Angelo Giardino, MD, FAAP, reflect on the science behind autonomy, stress, and motivation, and discuss how the book’s core themes intersect with pediatric care, parenting, and adolescent development. The conversation examines how well-intentioned adult control can sometimes undermine resilience, and how supporting a child’s sense of agency can improve mental health, learning, and long-term well-being. Listeners will gain practical insights into how pediatricians can reinforce these principles in conversations with families—and how clinicians themselves can think differently about success, pressure, and development in children and teens.No credit available for this episode. See vcurb.com for additional episodes.

  22. 364

    Episode 364: #84-4 Hemolytic Disease of the Fetus and Newborn: Q & A

    In this Q&A episode, host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP address important clinical questions surrounding hyperbilirubinemia, with a focus on longer-term complications and complex presentations. The discussion explores outcomes associated with severe or prolonged hyperbilirubinemia, including cases with late presentation or persistent jaundice, and how these scenarios may differ from typical newborn courses. We also review key considerations for escalation of care, including when transfer to a higher level of care is warranted and how to make those decisions in real-world practice. This episode offers practical guidance to support timely recognition, appropriate management, and improved outcomes for infants at risk. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  23. 363

    Episode 362: #84-3 Hemolytic Disease of the Fetus and Newborn: Management

    In Episode 3 of our hemolytic disease of the fetus and newborn (HDFN) series, host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP focus on clinical management and emerging consensus around care. Our discussion reviews key elements of the recently published consensus paper, including proposed guidelines for evaluation, monitoring, and treatment across the perinatal and neonatal periods. They address management of hyperbilirubinemia and anemia, escalation of care when disease severity increases, and the critical role of early recognition.We also explore high-risk presentations, including hydrops fetalis, and discuss delivery room considerations and coordination with Neonatal Resuscitation Program (NRP) protocols. Emphasis is placed on interdisciplinary collaboration between obstetrics, neonatology, hematology, and pediatrics to ensure timely intervention and continuity of care for affected infants.Have a question? Email [email protected]. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  24. 362

    Episode 361: #84-2 Hemolytic Disease of the Fetus and Newborn: Testing

    This week’s episode host Paul Wirkus, MD, FAAP and guest Tim Bahr, MD, FAAP take a deep dive into evaluating newborn jaundice and identifying early signs of hemolysis. We walk through the key elements of maternal testing that set the stage for newborn risk assessment, then explore how to interpret bilirubin trajectories to distinguish normal patterns from concerning trends. Our guests also review the role of the reticulocyte count, what a peripheral smear can reveal, and how these tools come together to guide clinical decision-making. The discussion closes with practical guidance on when pediatricians should involve hematology or neonatology to ensure timely, coordinated care for infants at risk of significant disease. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  25. 361

    Episode 360: #84-1 Hemolytic Disease of the Fetus and Newborn: Alloimmunization

    This week’s episode focuses on alloimmunization the prevention of hemolytic disease of the fetus and newborn (HDFN). Our host Paul Wirkus, MD, FAAP and Tim Bahr, MD break down the immunologic mechanisms behind HDFN, discuss how maternal sensitization occurs, and explain why timely screening and prophylaxis are essential. We review current recommendations, practical considerations for pediatric and perinatal providers, and the role of coordinated care across obstetrics and pediatrics to reduce the risk of this preventable condition. Have a question? Email [email protected]. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  26. 360

    Episode 359: #83-4 Upper Extremity Spasticity: Q & A

    In this Q&A episode, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD address common clinical questions related to managing upper extremity spasticity in children. The conversation explores how to balance orthopedic readiness and bone maturity with developmental readiness and family goals - highlighting the importance of individualized timing and shared decision-making. They also discuss the collaborative relationship between general pediatricians and subspecialists, particularly when families live far from surgical centers and rely on their primary care provider to coordinate ongoing care. Listeners will gain practical insights into communication, expectation-setting, and supporting families throughout the treatment journey. Have a question? Email [email protected] more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  27. 359

    Episode 358: #83-3 Upper Extremity Spasticity: Measuring Success & Looking to the Future

    In the third episode of our upper extremity spasticity series, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD focus on what success truly looks like - both in the short term and long term. Our guests discuss how to measure meaningful outcomes for children, from functional gains to improved comfort and participation in daily activities. We also look ahead to the future of spasticity care, exploring emerging approaches, evolving surgical techniques, and innovations that may improve assessment and treatment. Together, the conversation highlights the importance of individualized goals, interdisciplinary follow-through, and continuous reevaluation to ensure each child progresses toward their highest potential. Have a question? Email [email protected]. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  28. 358

    Episode 357: #83-2 Upper Extremity Spasticity: Individualized Surgical Planning

    In this episode, host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD continue our discussion on upper extremity spasticity—focusing on individualized surgical planning. Our guests explore the range of surgical options available, emphasizing how treatment decisions should be tailored to each child’s functional goals, pattern of spasticity, and overall care plan. The conversation highlights the importance of interdisciplinary collaboration and setting realistic expectations to achieve meaningful improvements in movement and quality of life. Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  29. 357

    Episode 356: #83-1 Upper Extremity Spasticity

    This week’s episode with host Paul Wirkus, MD, FAAP and Shawn Mendenhall, MD focuses on recognizing and correctly identifying upper extremity spasticity in pediatric patients. Our discussion covers key clinical features, surgical updates, common causes, and practical assessment techniques to distinguish spasticity. Understanding these nuances is essential for accurate diagnosis and timely intervention to improve function and quality of life. Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  30. 356

    Episode 355: #82-4 Foster Care: Foster Youth Experiences

    In this week’s episode, host Paul Wirkus, MD, FAAP, is joined by Arianna Nunez and Faith Smart. In this episode, youth with lived experience in foster care share their perspectives on medical care - what worked, what didn’t, and what they wish healthcare providers understood. They reflect on the importance of being spoken to directly, knowing what to expect during exams, and feeling respected as active participants in their own care. Their insights offer valuable guidance for pediatricians seeking to provide trauma-informed, patient-centered care to children and adolescents in foster care. Book: Fostering Health: Health Care for Children and Adolescents in Foster CareWebsite: https://www.aap.org/en/patient-care/national-center-for-relational-health-and-trauma-informed-care/?srsltid=AfmBOoq4VarhOPz_mPemtMkydrWGDgwNj6JGH-RdqPp98oyzzccmnRAYDr. Mary Crane Fund for Lived Experience: https://aapnational.donorsupport.co/page/COFCAKC1999 CollectiveFirst Star AcademyHave a question? Email [email protected]. For more information about available credit, visit vCurb.com.Acknowledgment:  Grant Funding provided by American Academy of Pediatrics Zero to Three Grant ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  31. 355

    Episode 354: #82-3 Foster Care: Optimizing Care

    In this week’s episode, host Paul Wirkus, MD, FAAP, is joined by Kristine Fortin, MD. They will focus on what it takes to optimize care for children and youth in foster care. Our guest discusses how pediatricians can apply trauma-informed practices to foster trust, enhance communication, and address the distinct healthcare needs of this population. The conversation also explores common barriers foster youth face in accessing consistent, coordinated care - and highlights resources available to support pediatricians in providing compassionate, comprehensive care. Book: Fostering Health: Health Care for Children and Adolescents in Foster CareWebsite: https://www.aap.org/en/patient-care/national-center-for-relational-health-and-trauma-informed-care/?srsltid=AfmBOoq4VarhOPz_mPemtMkydrWGDgwNj6JGH-RdqPp98oyzzccmnRAYDr. Mary Crane Fund for Lived Experience: https://aapnational.donorsupport.co/page/COFCAKCHave a question? Email [email protected]. For more information about available credit, visit vCurb.com.Acknowledgment:  Grant Funding provided by American Academy of Pediatrics Zero to Three Grant ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  32. 354

    Episode 353: #82-2 Foster Care: Recommended Visits for Children in Foster Care

    In this episode of The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Kristine Fortin, MD. Listen in to the discussion on what is best when providing care for children in foster care with unique challenges. This week, we discuss how often these children should be seen and how to tailor visits using a trauma-informed approach. We explore when it’s appropriate to involve children in their treatment planning, and when their age or developmental stage may limit participation. Many foster youth are meeting a new healthcare provider for the first time and may have limited understanding of their own health - making trust and thoughtful communication essential. Book: Fostering Health: Health Care for Children and Adolescents in Foster CareHave a question? Email [email protected]. For more information about available credit, visit vCurb.com.Acknowledgment:  Grant Funding provided by American Academy of Pediatrics Zero to Three Grant ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  33. 353

    Episode 352: #82-1 Foster Care: DCFS

    In this episode of The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Kyla Clark, Strengthening Families Program Administrator, provides an inside look at how the Division of Child and Family Services (DCFS) works to protect children and support families. She explains the different types of foster care placements, the circumstances under which children may be removed from their homes, and the efforts made to reunify families whenever possible. This conversation helps listeners understand the purpose of child welfare, the goals of DCFS, and how the system strives to balance child safety with family preservation. Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.Acknowledgment:  Grant Funding provided by American Academy of Pediatrics Zero to Three Grant ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  34. 352

    Episode 351: #81 Angelo's Book Club

    Bonus Episode: Book Club with Paul Wirkus, MD, FAAP and Angelo Giardino, MD, FAAP In months with five weeks, The Virtual Curbside pauses clinical discussions for something a little different - a pediatric book club. This month, host Paul Wirkus, MD, FAAP, sits down with Angelo Giardino, MD, FAAP, to explore Everything is Tuberculosis by John Green. Together, they reflect on the global impact of tuberculosis, its toll on developing nations, and the challenges and opportunities physicians face in responding to this enduring public health crisis. No credit available for this episode. See vcurb.com for additional episodes.

  35. 351

    Episode 350: #81-4 Neurodevelopment & CHD: Q & A

     In the final episode of our congenital heart disease and neurodevelopment series, host Paul Wirkus, MD, FAAP, is joined by experts Kristi Glotzbach, MD, Sarah Winter, MD, and Laura Wood, PhD. Together, they answer listener questions and share practical resources to help providers support children with CHD and related developmental challenges. Have a question? Email [email protected] more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  36. 350

    Episode 349: #81-3 Neurodevelopment & CHD: Role of PCP in Comprehensive Neurodevelopmental Care

    In this episode of The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by experts Sarah Winter, MD, and Laura Wood,  PhD, who explore the connection between congenital heart disease (CHD) and neurodevelopmental challenges. The conversation highlights the outpatient resources available to help children thrive - speech, developmental, occupational, and physical therapies - as well as the role of schools and IEPs in supporting growth and learning.Listeners will also hear about the importance of early intervention programs, available in every state, and how families can be supported through the emotional and developmental challenges that often follow a traumatic birth or early months in the NICU.Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  37. 349

    Episode 348: #81-2 Neurodevelopment & CHD: Understanding Common Developmental Challenges

    This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by experts Sarah Winter, MD, and Jori Harris, MS, to discuss the neurodevelopmental challenges frequently seen in children with congenital heart disease (CHD). Together, they outline the common phenotypes associated with CHD, why these patterns matter for long-term outcomes, and how pediatricians can recognize and address concerns early. The conversation also highlights practical approaches for supporting families and connecting children with the right interventions and resources at the right time. Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  38. 348

    Episode 347: #81-1: Neurodevelopment & CHD: Risk Stratification and Challenges

    In this week's episode, host Paul Wirkus, MD, FAAP, and guests Kristi Glotzbach, MD, and Laura Wood, PhD discuss recommendations for recognizing and addressing neurodevelopmental risks in infants and children with congenital heart disease (CHD). Listen in as they review strategies for risk identification, protection, screening, and evaluation, and focus on how clinicians can stratify risk for neurodevelopmental challenges in this vulnerable population. Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  39. 347

    Episode 346: #80-4 Pediatric Hearing Health: Q & A

    This week, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to answer listener questions, including how the language pediatric providers use can shape families’ understanding and follow-through with additional testing, as well as how advances in technology are transforming implants and hearing aids. Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  40. 346

    Episode 345: #80-3 Pediatric Hearing Health: Implants

    In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  41. 345

    Episode 344: #80-2 Pediatric Hearing Health: Importance of Failed Newborn Screens

    In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  42. 344

    Episode 343: #80-1 Pediatric Hearing Health: What PCPs Need to Know

    In this episode, host Paul Wirkus, MD, FAAP, is joined by Albert Park, MD, and Adrienne Johnson, AuD, for an important discussion on hearing evaluations for infants and children. They explore how hearing can be assessed at any age, the basics of diagnostic testing, and why early identification is crucial for a child’s development. Whether you’re a pediatrician, audiologist, or simply want to understand the process better, this episode offers valuable insights into supporting children with potential hearing concerns. Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  43. 343

    Episode 342: #79-4 Nutrition: Q&A

    This week, we’re answering your questions about eating disorders in adolescents. From recognizing early warning signs to understanding when to seek help, host Dr. Paul Wirkus, talks with Megan Jensen, CEDS, MPH, RDN, CD, and Nicole Holland, RD Intern, to address common concerns submitted by our listeners. Tune in for practical insights to help you better support teens who may be struggling with disordered eating. Have a question? Email [email protected]. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  44. 342

    Episode 341: #79-3 Nutrition: Talking with Kids and Families about Resources

    This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Megan Jensen, CEDS, MPH, RDN, CD, and Nicole Holland, RD Intern, for a thoughtful conversation on how to talk with children and families about eating disorders. Together, they discuss how pediatricians can recognize early warning signs, approach sensitive conversations with empathy, and connect families with the right resources. From disordered eating patterns to body image concerns, this episode provides valuable tools to support both prevention and treatment—while keeping relationships and trust at the center of care. Have a question? Email [email protected]. Your questions will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  45. 341

    Episode 340: #79-2 Nutrition: Healthy Eating Patterns

    This week, host Paul Wirkus, MD, FAAP, sits down with experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to explore how pediatricians can support healthy eating patterns in children and families. From addressing common nutritional pitfalls to offering practical guidance on balanced diets, the conversation covers what works—and how to talk about food in a way that empowers rather than shames. Whether it’s food insecurity or building lifelong habits, this episode offers real-world insights for every pediatric practice.Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  46. 340

    Episode 339: #79-1 Nutrition: Recognize Eating Disorders in Adolescents

    This month, host Dr. Paul Wirkus is joined by experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to discuss how pediatric providers can better recognize the early signs and symptoms of eating disorders. They’ll cover red flags to watch for in clinical settings, subtle behavioral cues, and how early identification can lead to timely, life-saving intervention.Tune in for a practical, evidence-based conversation to help you spot disordered eating early and support adolescent patients with compassion and confidence.Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  47. 339

    Episode 337: #78 Angelo's Book Club

    Bonus Episode: Book Club with Dr. Paul Wirkus and Dr. Angelo Giardino In months with five weeks, The Virtual Curbside takes a break from clinical topics for something a little different—a pediatrician book club. This month, host Paul Wirkus, MD, FAAP, is joined by Angelo Giardino, MD, FAAP, to discuss The Nature Fix by Florence Williams, an exploration of how nature impacts our brains, bodies, and overall well-being. No credit available for this episode. See vcurb.com for additional episodes.

  48. 338

    Episode 338: #78-4 Measles: Q&A

    This Week on The Virtual Curbside: Measles Q&A  In this final episode of the measles series, host Paul Wirkus, MD, FAAP, is joined by experts Andy Pavia, MD, and TW Jones, MD, to answer listener questions. The conversation covers practical clinical concerns around measles, including diagnosis, outbreak response, and prevention strategies. The group also dives into broader vaccine topics—discussing the MMR vaccine, mRNA vaccines, and lessons learned from COVID-19. Have a question? Email [email protected] more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  49. 337

    Episode 336: #78-3 Measles: Controlling the Spread

    This Week on The Virtual Curbside: Containing Measles – What Works and What Doesn’t In this episode, we focus on containing the spread of measles—what pediatricians need to know about effective infection control, public health coordination, and common missteps. Host Dr. Paul Wirkus and Andy Pavia, MD along with TW Jones, MD, and Mary Fortini, DO also tackle the misunderstood role of Vitamin A in measles treatment, dispelling myths and clarifying where it fits (and doesn’t) in clinical practice.Have a question? Email [email protected]. Your questions will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  50. 336

    Episode 335: #78-2 Measles: Management

    In this episode, we go beyond the clinical basics to explore the history of measles, common complications, and current approaches to diagnosis and management. Our guests also tackle the rise in misinformation and share strategies for having effective, empathetic conversations with families about measles and the MMR vaccine. Listen to the fascinating discussion with host Dr. Paul Wirkus, who is joined by TW Jones, MD, Andy Pavia, MD, and Mary Fortini, DO.Have a question? Email [email protected]. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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ABOUT THIS SHOW

For Pediatricians. By Pediatricians. Available Anywhere. Curbside consults in podcast form.

HOSTED BY

American Academy of Pediatrics, Utah Chapter

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