Pediatrics On Call

Digital Ecosystems for Children and Adolescents, Literacy and Developmental Screening of Preschool-Aged Children During Primary Care – Ep. 277

Jan 27, 2026
Sarah Bodie, a general pediatrician leading school-based literacy work, and Tiffany Munzer, a developmental pediatrician focused on children and technology, discuss digital ecosystems and preschool screening. They explore how digital design, AI, and family media strategies affect kids. They also compare literacy screening with developmental screening in primary care and describe workflows to close literacy gaps.
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ANECDOTE

Hosts Compare Past And Present Parenting Tech

  • David Hill recalls raising children before social media and AI exploded, feeling fortunate that those technologies weren't prominent then.
  • Joanna Parga-Belinkie contrasts that with today's complexity and stress navigating digital technology with kids.
INSIGHT

AI Toys Vary Widely In Safety And Design

  • AI toys can help literacy and science when deliberately designed with child-centered, constrained responses.
  • Munzer cautions that many market AI toys use general LLMs and may produce child-inappropriate outputs.
ADVICE

Create A Family Media Plan

  • Use the AAP Family Media Plan to set age-specific household media goals and routines.
  • Munzer advises families to create rules together and address digital literacy, screen-free spaces, and sleep.
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