OPENPediatrics

In this World Shared Practice Forum Podcast, co-authors Dr. Barry Markovitz and Ms. Ann Schrooten discuss their book, Shared Struggles: Stories from Parents and Pediatricians Caring for Children with Serious Illness. They share personal experiences and narratives from families and clinicians to explore the unique partnership between families and healthcare providers caring for children with serious illness and medical complexity. Lastly, they highlight the importance of communication, empathy, trust, and humility in building meaningful relationships that support children and their families throughout their care journey.

LEARNING OBJECTIVES
- Describe the role of parent-physician partnerships in caring for children with serious illness and medical complexity
- Recognize strategies for effective communication with children who are nonverbal and the importance of incorporating parents' expertise in clinical decision-making
- Discuss how empathy, compassion, and active listening contribute to trust and help build therapeutic relationships between healthcare providers and families
- Examine the value of shared decision-making in delivering family-centered pediatric and palliative care

AUTHORS
Barry Markovitz, MD, MPH
Professor of Pediatrics
University of Utah Spencer Fox Eccles School of Medicine
Intermountain Primary Children's Hospital

Ann F. Schrooten, JD
Attorney
Fitzgibbons Law Offices, P.L.C

Jeffrey Burns, MD, MPH
Emeritus Chief
Division of Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: September 22, 2026.

REFERENCES
- Schrooten A, Markovitz BP. Just Because I Can't Talk Doesn't Mean I Have Nothing to Say. Pediatr Crit Care Med. 2025;26(6):e860-e861.
- Schrooten AF, Markovitz BP, eds. Shared Struggles: Stories from Parents and Pediatricians Caring for Children with Serious Illnesses. Copernicus Books; 2021.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/8w9gnk94ctgww7bq3b3qszs7/20260917_WSP_Markovitz_and_Schrooten_transcript

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

CITATION
Markovitz BP, Schrooten A, O’Hara J, Burns JP. Pediatric Medical Complexity: Shared Insights. 09/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-medical-complexity-shared-insights-by-b-markovitz-and-a-schrooten-openpediatrics

This podcast provides viewers with an overview of pediatric cough including how to conduct a thorough patient history, identify significant physical exam findings, and generate a differential diagnosis emphasizing the difference between acute and chronic cough causes.

LEARNING OBJECTIVES
- Conduct a thorough history for pediatric patients presenting with a cough.
- Explain the significance of key physical exam findings in evaluating pediatric cough.
- Discuss a broad differential diagnosis for cough in pediatric patients.

AUTHORS
Christina Callas, MD
Pediatrician
University of California, Davis Children's Hospital

Eli C. Freiman, MD
Pediatric Emergency Medicine Physician
Mass General Brigham/Newton Wellesley Hospital

DATES
Initial Publication: September 17, 2026.

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user.

For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

CITATION
Callas C, Freiman E, Fantasia K, McFee AM, Wolbrink TA, Wills K. Approach to Cough. 09/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/approach-to-cough-by-c-callas.

In this Complex Care Journal Club podcast episode, Dr. Jason Zamkoff discusses a quality-improvement cohort study of a surgical hospitalist co-management program (Surgical Hospitalist Assisted Recovery/SHARe Team, or “Pink Team”) for children with medical complexity at Children’s Hospital Colorado. They describe how patients are selected using an internal complexity score and the institutional trust-building needed to launch the program, resulting in fewer post-operative emergency transfers to intensive care. Next steps include developing an externally validated complexity scoring tool and extending hospitalist involvement into the pre-operative period.‌

SPEAKER
Jason Zamkoff, MD
Professor of Pediatrics
University of Colorado School of Medicine
Pediatric Hospitalist
Children's Hospital Colorado

HOST
Kilby Mann, MD
Associate Professor,
Director of Pediatric Rehabilitation
University of North Carolina School of Medicine

DATE
Initial publication date: September 8, 2026.

JOURNAL CLUB ARTICLE
Zamkoff J, Acker SN, Martin A, Anderson L, Bennett H, Thysens J, Thomas JJ, Conant M, Kurtz M, Gupta R, Scarberry J, Burke M, Koehler R, Rolison E, Whitney G, Ziniel SI, Carney KP, Wilcox D, Lockwood JM. Surgical Hospitalist Assisted REcovery (SHARe): Preventing Post-Operative Emergency Transfers. Hosp Pediatr. 2026 Jul 21:e2025008778. doi: 10.1542/hpeds.2025-008778. Epub ahead of print. PMID: 42476571.

OTHER ARTICLES REFERENCED
Martin A, Acker S, Hankinson TC, Zamkoff J. Perspectives on Interdisciplinary Perioperative Care for Children with Medical Complexity. Pediatr Clin North Am. 2026 Apr;73(2):513-524. doi: 10.1016/j.pcl.2025.12.003. Epub 2026 Feb 26. PMID: 42020046.‌

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/9c5mmqqq86knpmsgss5xrm8/Zamkoff_transcript_9-1-26‌

Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

CITATION
Zamkoff J, Mann K. The Pink Team Effect: Reducing Postoperative Emergency Transfers in Complex Care. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/the-pink-team-effect-reducing-postoperative-emergency-transfers-in-complex-care

This video provides an overview of pediatric septic shock, including definitions, pathophysiology, management, and the use of the sepsis bundle to guide timely management.‌

LEARNING OBJECTIVES
• Describe patients who present with signs and symptoms of septic shock, including exam features that support early recognition and assessment.
‌‌• Review the arterial oxygen content formula and strategies to optimize oxygen delivery to the tissues.
• Apply current sepsis definitions to clinical care to identify, evaluate, and guide the management of patients with suspected sepsis or septic shock.‌
• ‌‌Explain the role of the sepsis bundle in optimizing timely management, improving adherence to evidence-based interventions, and supporting better patient outcomes.‌

AUTHORS
Jill O'Hara, MD, MPH
Assistant in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine‌
Boston Children's Hospital

Kate Madden, MD, MMSc‌
Assistant in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine‌
Boston Children's Hospital

DATES
Initial Publication: September 4, 2026.

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user.

For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

CITATION
O'Hara JE, Brodie K, Madden K. Pediatric Septic Shock. 09/2026. OPENPediatrics. Online Video. https://on.soundcloud.com/xB071iR4TUcWNxUBIj.

In this World Shared Practice Forum Podcast, Drs. Danielle DeCourcey and Sabrina Derrington provide their insight on the methodology and development of the 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End-of-Life, sharing actionable guidance for clinicians at the bedside. The authors review GRADE methodology and provide context behind the conditional recommendations. The speakers reflect on next steps including implementation, research, and addressing disparities in end-of-life care.

LEARNING OBJECTIVES
- Understand the design and methodology for the 2026 pediatric and neonatal end-of-life guidelines
- Describe GRADE methodology and its impact on the guideline’s recommendations
- Discuss practical applications of the guidelines for clinicians

AUTHORS
Danielle D'Emilia DeCourcey, MD, MPH
Associate Chief, Division of Medical Critical Care
Boston Children's Hospital
Associate Professor of Pediatrics
Harvard Medical School

Sabrina Derrington, MD, MA, HEC-C, FAAP
Director of the Center for Bioethics
Children's Hospital Los Angeles
Associate Professor of Clinical Pediatrics
Keck School of Medicine,
University of Southern California (USC)

Jeffrey Burns, MD, MPH
Emeritus Chief
Division of Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: August 25, 2026.

ARTICLES REFERENCED & ADDITIONAL REFERENCES
- Derrington S, Broden Arciprete EG, Lin MC, et al. Executive Summary of Society of Critical Care Medicine 2026 Guidelines on the Care and Management of Pediatric and Neonatal Intensive Care Patients at the End of Life. Pediatr Crit Care Med. 2026;27(4):487-493.
- The Correspondent by Virginia Evans
- Pilgrim at Tinker Creek by Annie Dillard

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/v66vz9xj5t6qtmjwjkcrmr7/202608_WSP_Derrington_and_DeCourcey_Transcript

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

CITATION
DeCourcey DD, Derrington S, O’Hara JE, Burns JP. Pediatric End-of-Life Guidelines & Insights. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-end-of-life-guidelines-and-insights-by-d-decourcey-and-s-derrington-openpediatrics.