Pediatrics On Call Counseling Teens on Contraception, Shifts in Obesity Treatment – Ep. 255
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Jul 29, 2025 In this discussion, Mary Ott, a global health and adolescent medicine expert, shares insights on effectively counseling teens about contraception, emphasizing the need for trust and confidentiality in pediatric care. Similarly, Davene Wright, an associate professor focused on childhood obesity, talks about new treatment guidelines and the shift towards evidence-based approaches. They explore advancements in pediatric genetics and innovative strategies for managing obesity, including the rise of GLP-1 medications, while stressing the importance of ongoing dialogue between healthcare providers and families.
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Long Follow-Up With Little Weight Change
- Joanna followed a boy with obesity every three months during residency but saw little change over three years.
- She used repeated counseling on diet and activity but felt limited by available treatment options at the time.
Guidelines Create Natural Experiments
- The 2023 AAP obesity guidelines marked a turning point warranting real-world evaluation.
- Natural experiment designs can reveal whether guidelines changed practice patterns.
Leverage EHRs For Real-World Trends
- Use large EHR datasets to track measured BMI and prescribing trends rather than claims alone.
- Combine academic and community health systems for more representative results.