FACULTY:
Ian Mitchell, MD, MBA, is an Associate Professor/Clinical and Pediatric Surgeon in Chief at University Health San Antonio.
OVERVIEW:
Dr. Ian Mitchell joins Pediatrics Now host Holly Wayment to review pectus excavatum and carinatum: how they present, typical ages of detection, and practical screening tips for pediatricians.
The episode summarizes evaluation steps including when to order CT with Haller index, echocardiography, and pulmonary testing, and compares treatment options—bracing and vacuum bell therapy, Nuss and Ravitch procedures—plus timing (ideal repair ~14–15 years) and perioperative care.
Listeners also hear about pain management advances (erector spinae blocks, cryoanalgesia), outcomes, psychosocial effects, adult considerations, and the Fresh Start program offering free reconstructive surgeries for eligible families.
OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers
DISCLOSURE TO LEARNERS:
Speaker: Ian Mitchell, MD, MBA, has no financial relationships with ineligible companies to disclose.
The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.
The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:
The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CERTIFICATE OF ATTENDANCE:
Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.
Credit may be obtained upon successful completion of the activity’s evaluation.
RELEASE DATE:
12/5/2025
EXPIRATION DATE:
8/31/2028