Charting Pediatrics

In pediatric practice, few topics are as foundational and scientifically grounded as vaccinations. This season, a major shift in federal vaccine advisory guidance has sparked fresh discussion about how we protect infants from hepatitis B. The Center for Disease Control and Prevention's advisory committee on immunization practices voted to revise the more than 30-year guidance around the universal birth-dose of the Hepatitis B vaccine. In this episode, our goal is to provide clarity for clinicians on the best vaccination approach for our youngest patients.  For this important discussion, we are joined by Sean O'Leary, MD, a pediatric infectious disease specialist at Children's Colorado, as well as a professor at the University of Colorado School of Medicine. He is also chair of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, otherwise known as the Red Book Committee.  Some highlights from this episode include: The history of hepatitis B infection in children in the U.S.  Why the birth dose has been such a critical part of prevention  Breaking down the recent decision by the CDC advisory committee  Recommendations for this vaccine moving forward For more information on Children's Colorado, visit: childrenscolorado.org. 

Food is more than fuel. Its culture, comfort, connection and, increasingly, a source of confusion for families. Parents ask questions shaped by headlines, influencers and evolving dietary guidelines. Pediatricians aren't simply monitoring growth curves, they are helping families navigate a complex nutrition environment that influences children's health now and long into adulthood. In this episode, we explore how to navigate today's dietary landscape with clarity, compassion and evidence-based tools you can use in everyday practice, highlighting the importance of healthy eating.  This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Praveen Goday, MD, is a gastroenterologist at Nationwide Children's Hospital, as well as the director of their nutrition and feeding programs. He is also a clinical professor at Ohio State University. Some highlights from this episode include: The current dietary landscape and the role of outside influences How the idea of health has changed throughout the years What best practices parents can use to positively influence their children  Hopes for the future of nutrition   For more information on Children's Colorado, visit: childrenscolorado.org. 

Water is essential to a child's health, making up the majority of their body weight. But when illness or heat disrupts that balance, dehydration can set in quickly and dangerously. Despite being one of the most common pediatric issues, the simplest and most effective solution often goes unnoticed: oral rehydration. In this episode, we'll shine a light on this powerful yet underused therapy. From recognizing early warning signs to selecting the best approach, we'll explore the science and practical tools behind keeping children safely hydrated. Joining us virtually from Iowa is Aamer Imdad, MD. He is a gastroenterologist at Stead Family Children's Hospital, as well as an assistant professor of pediatrics at the University of Iowa. Some highlights from this episode include: The most common causes for dehydration Recognizing the most reliable clinical signs for identifying dehydration How oral rehydration solutions work and which ones to recommend for each patient When lab tests are helpful For more information on Children's Colorado, visit: childrenscolorado.org. 

Childhood obesity management has evolved far beyond the traditional advice of "eat healthier and move more." Today's clinical toolbox includes GLP-1 medications, behavioral health interventions, multidisciplinary lifestyle programs and bariatric surgery. These evidence-based tools can be complex, nuanced, and sometimes controversial, but they share a common goal: supporting young people in achieving healthier lives. In this episode, we explore how modern treatment strategies come together to meet the needs of individual patients and families. Our guests discuss when and how to use these tools, the importance of coordinated care and what pediatricians should consider as this field continues to rapidly expand. Jonathan Hills-Dunlap, MD, is the Director of Robotics Surgery as well as the Surgical Director of the Bariatric Surgery Program at Children's Colorado. Megan Kelsey is the Medical Director of both Lifestyle Medicine and the Adolescent Bariatric Surgery Program. Both are on faculty at the University of Colorado School of Medicine. Some highlights from this episode include: The steps for being a bariatric surgery candidate How to best support obese patients and their journeys  Why a multidisciplinary approach is necessary For more information on Children's Colorado, visit: childrenscolorado.org. 

Smartphones and tablets have become part of daily life for children and families, but their influence on sleep, attention, mood and overall development is increasingly under the microscope. From overstimulation and disrupted sleep patterns to rising concerns about anxiety and attention regulation, the research around screen time is rapidly evolving. In this episode, we take a closer look at the evidence behind how screens are shaping childhood and explore what pediatricians can do to help families find balance in an always-connected world. Rachel Workman, MD, is a Pediatric Integrative Medicine Specialist at Children's Hospital Colorado and an Assistant Professor of Pediatrics at the University of Colorado. Some highlights from this episode include:  The negative impacts of screen time at a young age  How parents can strategically intervene  Why screen time is impacting development  What the research tells us For more information on Children's Colorado, visit: childrenscolorado.org.