UT San Antonio
Long School of Medicine

Bipolar Disorder: Update on Diagnosis and Treatment 

FACULTY:
Melissa Delbello, MD, MS is a Professor of Psychiatry and Pediatrics and Dr. Stanley and Mickey Kaplan Chair of Psychiatry and Behavioral Neurosciences at the University of Cincinnati College of Medicine (UCCOM).

OVERVIEW:
Pediatrics Now, hosted by Holly Wayment and the Department of Pediatrics, brings you this grand rounds talk by Melissa Delbello, MD, MS, a Professor of Psychiatry and Pediatrics. Dr. Delbello delves into the complex topic of bipolar disorder in children. The presentation covers critical aspects of the disorder, including diagnostic criteria, neurobiological insights, and treatment strategies. Listeners will gain an understanding of the phenomenology of bipolar disorder, how to differentiate between manic, hypomanic, and depressive episodes, and the significance of early intervention.

The episode also explores the impact of bipolar disorder on children, emphasizing the importance of accurate diagnosis and the challenges posed by the DSM-5 criteria. Discussion highlights include the role of family history, the high rates of comorbidity with ADHD, and the specific challenges in treating pediatric patients. Treatment options are outlined, with a focus on FDA-approved medications for different phases of bipolar disorder and non-pharmacological interventions. The conversation extends to the adverse effects of antipsychotics and the use of metformin for weight management in children on medication. Throughout the episode, the critical importance of family involvement and therapy is emphasized, providing a holistic view of managing this complex condition in young patients.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Melissa Delbello, MD, MS has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.00 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit

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:
8/12/2025

EXPIRATION DATE:
8/31/2027

Navigating Pediatric Concussions with Dr. Mayer Patel 

FACULTY:
Mayur Patel, MD is a board-certified Neurologist and Brain Injury Medicine Physician who is currently a professor of Neurology at the University of Texas Health Science Center at San Antonio (UTHSCSA). 

OVERVIEW:
Welcome to another insightful episode of Grand Rounds, brought to you by the Department of Pediatrics at UT Health San Antonio, University Health's Women's and Children's Hospital and host Holly Wayment.  In today's episode, we delve into pediatric concussions with Dr. Mayur Patel, a seasoned neurologist with a specialty in brain injury medicine. Dr. Patel shares his expertise on the diagnosis and management of mild traumatic brain injuries (TBI) in children, often synonymous with concussions. He discusses the differentiation between mild, moderate, and severe TBIs, highlighting that children generally recover faster than adults. Dr. Patel emphasizes recognizing symptoms like persistent headaches, sleep disturbances, and cognitive impairments, as well as the role pre-existing conditions play in recovery duration.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Mayur Patel, MD, has no financial relationships with ineligible companies to disclose. 

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn .75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit

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:
8/5/2025

EXPIRATION DATE:
8/31/2027

The Power of Teaching Self-Compassion to Teens

FACULTY:
Karen Bluth, PhD is an associate professor emerita from the University of North Carolina and a pioneering author on self-compassion for teens.

OVERVIEW:
This enlightening episode of Pediatrics Now, host Holly Wayment explores with Dr. Karen Bluth the transformative power of self-compassion in helping teens cope with anxiety, depression, and stress.

Dr. Bluth shares her insights and decades of experience in the field, emphasizing the critical importance of teaching teens resilience and self-kindness. The discussion delves into the challenges faced by today's youth and practical strategies for clinicians and parents to support adolescents in becoming their own advocates for well-being. Additionally, the conversation covers the utility of Dr. Bluth's books and courses designed to instill mindfulness and self-compassion skills for teens facing everyday stressors and emotional struggles.

Clinicians will gain valuable understanding of how cultivating self-compassion can lead to improved mental health and academic outcomes for teenagers. Tune in to discover how both teens and adults can benefit from embracing these principles to enhance their quality of life.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Karen Bluth, PhD, has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits.

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:
8/4/2025

EXPIRATION DATE:
8/31/2027

How to Teach Self-Compassion to Teenagers

Join Holly Wayment on Pediatrics Now as she delves into the transformative power of self-compassion with expert Dr. Karen Bluth. Discover how self-compassion can help teens combat anxiety, depression, and stress, fostering resilience and emotional well-being. Dr. Bluth shares insights from her extensive experience, and practical tools for parents and educators to support teens, emphasizing the importance of mindfulness, common humanity, and self-kindness. This episode highlights resources available for those looking to explore self-compassion further, making it a vital listen for anyone involved in teen development.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW

 

 

Revolutionizing Pediatric Care with AI-Grand Rounds Talk

FACULTY:
Dhiressha Kudithipudi, MS, PhD is Robert F. McDermott Endowed Chair in Engineering, Professor in Electrical and Computer Engineering /Computer Science and founding director of the MATRIX AI Consortium at the University of Texas San Antonio.

OVERVIEW:
In this episode of "Pediatrics Now," host Holly Wayment brings us this Grands Rounds talk episode with Dr. Dhireesha Kudithipudi as she delves into the transformative role of AI in healthcare, with a specific focus on pediatric care. Discover how advanced algorithms and AI models are making significant strides in reducing treatment costs, enhancing diagnostic accuracy, and improving overall patient care. Through various projects, such as trauma data analysis and AI-driven dashboards for COVID-19 mobility patterns, we explore the cutting-edge developments that are reshaping the healthcare landscape.

The discussion also highlights the challenges and opportunities in integrating AI within clinical workflows, the importance of data reliability, and the potential of AI to learn continually for better adaptability in unforeseen medical scenarios.

Furthermore, the episode touches on innovative tools like MedGamma for medical diagnosis and highlights ongoing research projects aimed at secure data handling and real-time patient monitoring, all while emphasizing the collaborative role of human expertise in refining AI technologies for optimal healthcare outcomes.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Dhireesha Kudithipudi, MS, PhD, has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit

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:
7/22/2025

EXPIRATION DATE:
8/31/2027

When your child just seems off-how to spot sepsis early

Join Holly Wayment and Dr. Ted Wu on Pediatrics Now for Parents as they delve into the critical topic of sepsis, a potential risk for children following viral infections. Dr. Wu, a seasoned pediatrician and father, who works in the pediatric ICU, discusses the progression of this serious condition and its symptoms, often resembling the flu or a cold. He emphasizes the importance of early detection, citing signs like altered mental status, decreased urine output, and prolonged fever.

The episode highlights the balance between appropriate antibiotic use and prevention strategies, advocating for vaccinations to significantly reduce bacterial infections that may lead to sepsis. Dr. Wu also bridges personal experiences, stressing the crucial role of parents in recognizing their child’s unwellness and communicating effectively with healthcare providers. Tune in for insights that could help save young lives.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW

 

 

Identifying Sepsis in the General Pediatric Setting

FACULTY:
Ted Wu, MD is one of the pediatric cardiac intensivists and the medical director of the PICU at University Hospital.  His research interest include pediatric resuscitation medicine and the use of simulation for pediatric procedures.

OVERVIEW:
In this episode of Pediatrics Now, host and executive producer Holly Wayment welcomes back Dr. Ted Wu to explore the critical topic of sepsis in children. Dr. Wu, with 19 years of experience in pediatric critical care, discusses the intricacies of diagnosing and managing sepsis in neonates and infants, emphasizing the importance of early recognition and tailored treatment strategies.

The episode delves into the latest research coming out of Cincinnati Children's Hospital, revealing groundbreaking techniques such as JEDI, which helps categorize sepsis patients based on genetic markers for more individualized care. Holly and Dr. Wu also touch upon real-life implications in pediatric practice, sharing essential warning signs of sepsis, particularly in viral seasons, and how general pediatricians can make critical interventions in the first hour of diagnosis. 

Listeners will gain valuable insights into the evolving landscape of sepsis treatment, including the role of antibiotics, fluid management, and the complex decisions pediatric practitioners face in urgent care settings. Tune in for a comprehensive discussion that balances medical knowledge with practical, on-the-ground advice for those encountering this life-threatening condition.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Ted, Wu, MD has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits.

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:
7/16/2025

EXPIRATION DATE:
8/31/2027

Preventing Drowning and Advancements in Reducing Brain Damage: A Conversation with Dr. Ted Wu

FACULTY:
Ted Wu, MD is one of the pediatric cardiac intensivists and the medical director of the PICU at University Hospital.  His research interest include pediatric resuscitation medicine and the use of simulation for pediatric procedures.

OVERVIEW:
In this episode of "Pediatrics Now," host Holly Wayment returns with Dr. Ted Wu to discuss the critical issue of unintentional injuries in children, focusing on drowning prevention. Dr. Wu emphasizes the importance of assigning a designated observer for children playing in water during summer to prevent drowning accidents, sharing insights from his extensive experience in pediatric critical care.

Listeners will also learn about advancements in treating post-cardiac arrest in children, exploring the therapeutic use of hypothermia to improve neurological outcomes and the ongoing research in targeted temperature management.

Additionally, this episode highlights the significant impact pediatric practitioners have in preventing such tragedies by offering anticipatory guidance to families. Tune in for essential tips on keeping kids safe and how pediatric practitioners are playing a crucial role in that.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Ted, Wu, MD has no financial relationships with ineligible companies to disclose. 

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 Credits.

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:
7/8/2025

EXPIRATION DATE:
8/31/2027

Preventing drowning and advancements in reducing brain damage with Dr. Ted Wu

In this episode of Pediatrics Now for Parents, host Holly Wayment is joined by Dr. Ted Wu, a seasoned pediatric critical care physician, to discuss crucial topics surrounding child safety and health. With nearly two decades of experience, Dr. Wu shares insights on the importance of prevention, particularly in avoiding accidental injuries in children.

The conversation delves into water safety, highlighting the significant risks associated with drowning, and emphasizes the need for vigilant supervision around pools and bodies of water. Dr. Wu underscores the role of preventive measures, like wearing life jackets, in safeguarding children.

Furthermore, Dr. Wu provides an overview of innovative treatments for children who have experienced near-drowning incidents, explaining how therapeutic hypothermia can aid in reducing brain injury following a lack of oxygen. The episode also touches on the humanistic side of pediatric healthcare, emphasizing the resilience of children and the collective efforts of medical professionals and families in achieving positive outcomes.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW

 

 

COVID Update Review of Scientific Studies

FACULTY:
J.B. Cantey, MD, MPH is an Assistant Professor in Pediatrics at UT Health San Antonio and double-boarded expert in neonatology and infectious diseases. 

OVERVIEW:
Join host Holly Wayment on "Pediatrics Now" as she delves into the latest COVID-19 vaccination recommendations for children with Dr. J.B. Cantey, an expert in neonatology and infectious disease. Discover the importance of complete immunization using mRNA vaccines, the science behind crossover doses, and seasonal expectations for COVID and flu. In this insightful episode, Dr. Cantey addresses common parental concerns, emphasizing the necessity of childhood vaccines and the evolving landscape of COVID and flu risks. Practical advice and scientific recommendations make this episode a must-listen for pediatric practitioners navigating vaccine discussions with patients’ families.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
JB Cantey, MD, MPH has no financial relationships with ineligible companies to disclose. 

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 Credits.

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:
6/23/2025

EXPIRATION DATE:
8/31/2027

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