UT San Antonio
Long School of Medicine

Cranes and Cryo, Braces and Blocks: Pectus Care in 2026

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

When Neurology & Psychiatry Overlap, More on Tics and Tourette’s, Plus PANDAS/PANS

FACULTY:
Sheldon Gross, MD, is an Associate Professor and Specialist with the Department of Pediatrics at UT Health San Antonio. He is board certified in both pediatrics as well as neurology with special competence in child neurology with over 40-years experience in private practice.

OVERVIEW:
Pediatrics Now host Holly Wayment talks more with Dr. Sheldon Gross about evaluation and management of tics and Tourette's syndrome, plus when psychiatry and neurology in general overlap.

This episode also covers related conditions—PANDAS/PANS, autoimmune encephalitis, functional neurological disorders, and seizures—highlighting collaboration between specialties and offering reassurance about prognosis for most children.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Sheldon Gross, MD 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 0.50 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:
11/21/2025

EXPIRATION DATE:
8/31/2028

Tics, Twitches, and Tourette's: When to Worry and What to Do

FACULTY:
Sheldon Gross, MD, is an Associate Professor and Specialist with the Department of Pediatrics at UT Health San Antonio. He is board certified in both pediatrics as well as neurology with special competence in child neurology with over 40-years experience in private practice.

OVERVIEW:
Pediatrics Now host Holly Wayment talks with Dr. Sheldon Gross about common tics and twitches, causes and triggers (stress, stimulants, sleep), and simple first steps families and pediatricians can take to reduce symptoms without medication.

They review Tourette’s criteria, behavioral approaches like CBIT, medication options (guanfacine, clonidine, antipsychotics, topiramate), red flags for seizures or other neurological causes, and the overlap between neurological and psychiatric conditions.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Sheldon Gross, MD 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 0.50 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:
11/21/2025

EXPIRATION DATE:
8/31/2028

Goat Milk Formula: New U.S. Approval – What Pediatricians Need to Know

FACULTY:
Cynthia Blanco, MD, is a Professor of Pediatrics with Tenure and Division Director of Neonatal-Perinatal Medicine at UT Health San Antonio. She is the holder of the Greehey Family Foundation Chair in Neonatology Research and the Co-Director for the Clinical Research Center for Neonatal and Childhood Research. She also is an active Member of the Committee of Nutrition for the American Academy of Pediatrics.

OVERVIEW:
In this episode of Pediatrics Now with Host Holly Wayment, Dr. Cynthia Blanco discusses the recent FDA approval of goat milk–based infant formula in the U.S., how it compares to cow’s milk formula, and what pediatricians should know about nutrient composition, allergy management, and clinical scenarios. She reviews evidence on tolerability, digestibility, and common misconceptions, emphasizes the importance of breastfeeding, and offers practical counseling strategies for families considering goat milk formula.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Speaker: Cynthia Blanco, MD 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 0.50 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:
11/14/2025

EXPIRATION DATE:
8/31/2028

Autism: What We “Know”

FACULTY:
Mario Fierro, MD, is a developmental and behavioral pediatrician and is Assistant Professor in the Department of Pediatrics at UT Health San Antonio.

OVERVIEW:
Pediatrics Now host Holly Wayment and the Department of Pediatrics bring us a recent grand rounds talk by Dr. Mario Fierro where he reviews how autism is defined under DSM‑5, explains core diagnostic areas (social/communication deficits and restricted/repetitive behaviors), and emphasizes age‑based interpretation and the spectrum of severity.

He covers screening (M‑CHAT), standardized assessments (ADOS, CARS), common comorbidities, and risk factors (genetics, prematurity, congenital conditions), and practical considerations for clinicians and families.

He also discusses treatment options—speech/OT, ABA, FDA‑approved medications for symptoms—reviews alternative therapies and controversies (including leucovorin research and vaccine myths), and offers pragmatic advice on when to refer and focus on functional communication.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Mario Fierro, MD 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.

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:
10/22/2025

EXPIRATION DATE:
8/31/2028

Can Watching a Porcupine Chomp on a Pumpkin Help My Anxious and Stressed-Out Patient? YES!

FACULTY:
Jacklynn Ware, MPH, is project coordinator for UT Teen Health at UT Health San Antonio.

OVERVIEW:
Pediatrics Now host and Executive Producer Holly Wayment interviews Jacklynn Ware , MPH, CHES, about Project YES, a free anonymous online mental health program that’s back, redesigned and improved for 13 to 17-year-olds  to offer short, teen-focused modules to boost mood, reframe negative thoughts, and provide safety resources. And, yes, that includes an adorable video of a porcupine chomping on a pumpkin. 

The episode explains who can benefit, how the program is youth-informed and evidence-based, and how it can be used immediately as a low-pressure, much needed resource.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Jacklynn Ware, MPH 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 0.50 AMA PRA Category 1 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:
10/20/2025

EXPIRATION DATE:
8/31/2028

Lupus Nephritis: Diagnosis, Classification, Treatment, and the Role of the Pediatrician

FACULTY:
Ruby Patel, MD, is a clinical assistant professor in the division of pediatric nephrology at Stanford University.

Rajdeep Pooni, MD, is a clinical assistant professor in the division of pediatric allergy, immunology and rheumatology at Stanford University.

OVERVIEW:
Drs. Ruby Patel and Rajdeep Pooni present Grand Rounds using a 12-year-old’s case to illustrate pediatric systemic lupus erythematosus and class IV lupus nephritis, covering presentation, biopsy findings, and pathology. The talk explains diagnostic criteria and typical lab features.

They summarize current management including 2024 ACR guidance on induction therapies (steroids, mycophenolate, cyclophosphamide, and biologics), monitoring for complications and medication side effects, vaccination precautions for immunocompromised patients, and the pediatrician’s role in long-term coordination of care. 

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speakers: Ruby Patel, MD and Rajdeep Pooni, MD have 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 1.00 AMA PRA Category 1 Credit.

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:
10/17/2025

EXPIRATION DATE:
8/31/2028

Seizures in Kids - Practical Diagnosis, Treatments, and When to Refer

FACULTY:
Natasha Varughese, MD, is board certified in Neurology with a specialization in Child Neurology and Epilepsy.

OVERVIEW:
Pediatrics Now host Holly Wayment brings us this grand rounds talk for the general pediatrician by pediatric neurologist Dr. Natasha Varughese, where she reviews childhood epilepsy syndromes (ages ~3–15), covering self-limited epilepsies, focal and generalized epilepsies, and developmental epileptic encephalopathies. Key diagnostic tools include EEG, MRI, and genetic testing; prognosis varies widely by syndrome.

The talk highlights practical management: appropriate antiseizure medications (and which to avoid), indications for ketogenic diet, when to consider surgery or neuromodulation (VNS, RNS), and warning signs for referral to neurology or epilepsy specialists.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Natasha Varughese, MD 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 1.00 AMA PRA Category 1 Credit.

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:
9/22/2025

EXPIRATION DATE:
8/31/2028

Toxicology Pearls

FACULTY:
Robert S. Miller, PharmD, is an Intermediate Specialist in Poison Information with the South Texas Poison Center with Department of Emergency Medicine at UT Health San Antonio.

OVERVIEW:
Pediatrics Now host Holly Wayment talks to the Poison Center's Robert S. Miller about common pediatric toxic exposures — acetaminophen, ibuprofen, THC edibles, nicotine pouches (Zyn), and kratom — and offers practical advice for clinicians and parents. Learn why calling the Poison Center (1-800-222-1222) helps with case documentation, reassurance, disposition planning, and when to use antidotes like acetylcysteine. Emphasis on prevention (lockboxes, safe storage), recognizing occult acetaminophen ingestions, symptomatic management, and differences between children and adults.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Robert S. Miller, PharmD 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 0.50 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:
9/15/2025

EXPIRATION DATE:
8/31/2028

Mosquitoes, Fleas & Outbreak: ID Update with Deena Sutter, MD

FACULTY:
Deena Sutter, MD, is a pediatric infectious disease specialist with UT Health San Antonio.

OVERVIEW:
Pediatrics Now, host Holly Wayment interviews pediatric infectious disease specialist Dr. Deena Sutter about the chikungunya surge in China, flea‑borne typhus in South Texas, and a rise in hand‑foot‑and‑mouth cases.

The episode covers transmission, clinical signs, prevention tips (mosquito control, repellents, pet flea prevention), travel vaccine guidance, and practical advice for pediatric practitioners on diagnosis and management. 

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Deena Sutter, MD, 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:
9/12/2025

EXPIRATION DATE:
8/31/2028

Subscribe to Pediatrics Now Podcast