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PHM from Pittsburgh

Author: Dr. Tony Tarchichi

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Welcome to the first in a series of podcasts on pediatric hospital medicine. This series was created to keep the busy physician of today informed and up to date on some of the most important diagnoses and issues we face every day in the care of hospitalized children.

There is free CME associated with this via the University of Pittsburgh Medical Center (UPMC). After you have listened to the podcast just go to the link below, sign in and follow the directions, take the short quiz and get your free CME credit.
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If you are new to the Internet-based Studies in Education and Research (ISER) website at UPMC, you will first need to create an account:

Step 1. Create an Account
https://www.hsconnect.pitt.edu/HSC/home/create-account.do

If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training:

Step 2. Access the activity:
Course -6352
History of Pediatric Hospitalist Medicine
https://cme.hs.pitt.edu/ISER/servlet/IteachControllerServlet?actiontotake=loadmodule&moduleid=16112

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Title of Course: History of Pediatric Hospital Medicine
Course Director(s):

Tony R Tarchichi M.D. – Assistant Professor at the Paul C. Gaffney Diagnostic Group, Children's Hospital of Pittsburgh of UPMC

Basil Zitelli M.D. Edmund R. McCluskey Professor of Pediatric Medical Education. University of Pittsburgh School of Medicine. Chief, The Paul C. Gaffney Diagnostic Referral Service. Children's Hospital of Pittsburgh

Sara McIntire M.D. Professor at the Paul C. Gaffney Diagnostic Group, Children's Hospital of Pittsburgh of UPMC


Disclosure of Course Director(s): No disclosures

Target Audience: This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards



Objectives: Upon completion of this activity, participants will be able to:

• Review the history of hospitalist medicine.
•Discuss the current state of Pediatric Hospitalist medicine.
•Discuss financial support of Pediatric Hospitalist Programs.
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Released: 10/17/2016, Reviewed 10/17/2016 , Expire: 10/17/2016

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.



The University of Pittsburgh School of Medicine designates this enduring material for a maximum of (1.0) AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
115 Episodes
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https://gofund.me/3e82dcf43   Incomplete Workup for Infants Under 60 days of Life- What to do? Target Audience: This activity is directed to physicians, medical students, nurse practitioners, nurses, and physician assistants. Objectives: Upon completion of this activity, participants should be able to: 1.        Review the paper from 2026 on Management of Young Infants with Incomplete Evaluation for Meningitis. 2.        Review the epidemiology on infantile under 60 days of life who come in with fever. 3.        Discuss management strategy when infants under 60 days of life are admitted but the Lumbar Puncture is unsuccessful.   Faculty Course Directors: 1.     Zachary Willis, MD, MPH- Associate Professor of Pediatrics at UNC School of Medicine. Pediatric Director of Caroina Antimicrobial Stewardship Program. Dr. Willis has disclosed grant support from Pfizer and being a consultant for Scanogen Inc.  2.     Tony R. Tarchichi, MD — Professor of Pediatrics, University of Pittsburgh School of Medicine; UPMC Children's Hospital of Pittsburgh, Paul C. Gaffney Division of Pediatric Hospital Medicine No relationships with industry relevant to the content of this educational activity have been disclosed.   Conflict of Interest Disclosure: No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose. Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Physician (CME) The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. Disclaimer Statement: The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. Released 9/28/2026, Expires 9/28/2029 Below is a link to the course  that is accredited for 1 credits: https://cme.hs.pitt.edu/ISER/app/learner/loadModule?moduleId=26579  
Normal Saline Nebulization - Good idea, Bad idea or Indifferent? Target Audience: This activity is directed to physicians, medical students, nurse practitioners, nurses, and physician assistants. Objectives: Upon completion of this activity, participants should be able to: • Review physiology of how nebulized normal saline affects the airway. 2.        Discuss usage in children who are neurotypical with bronchiolitis or viral pneumonia. 3.        Discuss usage of nebulized normal saline in children with neurological impairment/neuromuscular disorder with and without trachea and artificial ventilation.   Faculty Course Directors: 1.     Jessica Reyes Angel, MD - Assistant Professor of Pediatrics, University of Pittsburgh School of Medicine, Division of Pulmonology No relationships with industry relevant to the content of this educational activity have been disclosed. 2.     Tony R. Tarchichi, MD — Professor of Pediatrics, University of Pittsburgh School of Medicine; UPMC Children's Hospital of Pittsburgh, Paul C. Gaffney Division of Pediatric Hospital Medicine No relationships with industry relevant to the content of this educational activity have been disclosed. 3.    Hiren Muzumdar MD — Professor of Pediatrics, University of Pittsburgh School of Medicine, Division of Pulmonology, Director - Pediatric Pulmonary Fellowship - UPMC Children's Hospital of Pittsburgh; Director, Pediatric Sleep Evaluation Center, UPMC Children's Hospital of Pittsburgh No relationships with industry relevant to the content of this educational activity have been disclosed.   Conflict of Interest Disclosure: No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose. Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Physician (CME) The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. Disclaimer Statement: The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. Released 9/27/2026, Expires 9/27/2029 Below is a link to the course  that is accredited for 1 credits: https://cme.hs.pitt.edu/ISER/app/learner/loadModule?moduleId=26578  
ADHD Series Episode 3 – ADHD and Autism  Target Audience: This activity is directed to physicians, medical students, nurse practitioners, nurses, and physician assistants. Objectives: Upon completion of this activity, participants should be able to: • Differentiate the effects of puberty on individuals with ADHD compared with neurotypical peers, including developmental, behavioral, and emotional considerations. • Identify common co-occurring mental health risks associated with ADHD across adolescence and early adulthood. • Evaluate the concept of hyperfocus and its clinical relevance as a feature of ADHD in affected individuals.   Faculty Course Directors: 1.     Kristen Dalope, MD - Assistant Professor, University of Pittsburgh School of Medicine, Department of Psychiatry and Pediatrics No relationships with industry relevant to the content of this educational activity have been disclosed. 2.     Tony R. Tarchichi, MD — Professor of Pediatrics, University of Pittsburgh School of Medicine; UPMC Children's Hospital of Pittsburgh, Paul C. Gaffney Division of Pediatric Hospital Medicine No relationships with industry relevant to the content of this educational activity have been disclosed. 3.    Kelly Beck, PhD — Assistant Professor of Psychiatry, University of Pittsburgh Medical Center No relationships with industry relevant to the content of this educational activity have been disclosed.   Conflict of Interest Disclosure: No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose. Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Physician (CME) The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. Disclaimer Statement: The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. Released 9/22/2026, Expires 9/22/2029 Below is a link to the course  that is accredited for 1 credits:  https://cme.hs.pitt.edu/ISER/app/learner/loadModule?moduleId=26559
I had some audio trouble at about 7 minutes into the show. Our normal out message from my kids got put in at 7 minutes. My apologies for that, I couldn't get it.    ADHD Series Episode 2 – Puberty, Mental Health and Hyperfocus Target Audience: This activity is directed to physicians, medical students, nurse practitioners, nurses, and physician assistants. Objectives: Upon completion of this activity, participants should be able to: • Differentiate the effects of puberty on individuals with ADHD compared with neurotypical peers, including developmental, behavioral, and emotional considerations. • Identify common co-occurring mental health risks associated with ADHD across adolescence and early adulthood. • Evaluate the concept of hyperfocus and its clinical relevance as a feature of ADHD in affected individuals.   Faculty Course Directors: 1.     Heather Joseph, DO— Assistant Professor of Psychiatry and Pediatrics at University of Pittsburgh Medical Center No relationships with industry relevant to the content of this educational activity have been disclosed. 2.     Tony R. Tarchichi, MD — Professor of Pediatrics, University of Pittsburgh School of Medicine; UPMC Children's Hospital of Pittsburgh, Paul C. Gaffney Division of Pediatric Hospital Medicine No relationships with industry relevant to the content of this educational activity have been disclosed. 3.    Traci Kennedy, PhD — Assistant Professor of Psychiatry, University of Pittsburgh Medical Center No relationships with industry relevant to the content of this educational activity have been disclosed.     Conflict of Interest Disclosure: No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose. Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Physician (CME) The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. Disclaimer Statement: The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. Released 4/09/2026, Expires 4/09/2029 Below is a link to the course  that is accredited for 1 credits:  Pediatric Hospital Medicine: ADHD Series Episode 2 - Day to Day discussion - PHM Journal Club Podcast series​​​​
ADHD Series Episode 1 – Background Target Audience: This activity is directed to physicians, medical students, nurse practitioners, nurses, and physician assistants. Objectives: Upon completion of this activity, participants should be able to: • Differentiate the subtypes of ADHD and identify disparities in diagnosis across patient populations. • Apply established diagnostic criteria to accurately diagnose ADHD in clinical practice. • Select and implement evidence-based treatment strategies for patients diagnosed with ADHD.   Faculty Course Directors: 1.     Heather Joseph, DO— Assistant Professor of Psychiatry and Pediatrics at University of Pittsburgh Medical Center No relationships with industry relevant to the content of this educational activity have been disclosed. 2.     Tony R. Tarchichi, MD — Associate Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C. Gaffney Diagnostic Referral Group No relationships with industry relevant to the content of this educational activity have been disclosed.   Conflict of Interest Disclosure: No planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose. Accreditation Statement: In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.   Physician (CME) The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity. Disclaimer Statement: The information presented at this activity represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses. Released 4/09/2026, Expires 4/09/2029 Below is a link to the course  that is accredited for 1 credits.    EM_188046 - Pediatric Hospital Medicine: ADHD Series Episode 1 - Background - PHM Journal Club Podcast series  
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