Breaking the Script: Guiding Parents Through the No-Antibiotic Talk
At the end of this presentation, participants should be able to:
- Introduce Antimicrobial Stewardship Concept & PCORI Project
- Review research on how parents communicate their expectations for antibiotics during pediatric visits for ARTI and how this can increase unwarranted prescribing
- Gain an understanding of how to best manage parent expectations for antibiotics in order to avoid unwarranted prescribing and maintain satisfaction with care
About the presenters:
Wendy Bernatavicius, MD
Chief of the Division of Primary, Complex Care and Adolescent Medicine
Phoenix Children's
Taking care of children with complex medical needs - including life-limiting illnesses - is a passion for Wendy Bernatavicius, MD. As Chief of the Division of Primary, Complex Care and Adolescent Medicine at Phoenix Children's, she strives to provide holistic care that considers the entire child, their family and their unique circumstances.
"I work to improve care coordination for children with medical complexity so that patients and families experience a less fragmented healthcare experience," says Dr. Bernatavicius, who also is director of the Phoenix Children's Complex Care Clinic. "I focus on the goals of the patient and family so that together we improve quality of life."
Medicine is a second career for Dr. Bernatavicius. After earning her undergraduate degree in business, she worked in advertising for six years. During that time, she volunteered to provide transportation to doctor appointments for an older adult. Realizing that she enjoyed her volunteer work more than her advertising career, Dr. Bernatavicius decided to go to medical school.
"I had a quarter-life crisis and decided to shift my focus to medicine," she says. "I have not looked back since."
Dr. Bernatavicius, who is board certified in general pediatrics and in hospice and palliative care medicine, completed her pediatric training and was a chief resident within Phoenix Children's pediatric residency program. She joined the medical staff in 2008 as an attending physician in the General Pediatric Outpatient Division. PHOENIX magazine has recognized Dr. Bernatavicius several times as a "Top Doc" for general pediatrics and for hospice and palliative care medicine.
As an advocate for children with special healthcare needs, Dr. Bernatavicius improves the quality of care and care coordination delivered to this population. She is also interested in medical education and is a clinical assistant professor for the University of Arizona College of Medicine - Phoenix and an assistant clinical professor at Creighton University School of Medicine in Omaha, Nebraska, as well as volunteer faculty with Mayo Clinic School of Medicine - Phoenix. She works closely with pediatric residents and palliative care fellows from nearby training programs.
Though she enjoys the challenge of her administrative and teaching roles, Dr. Bernatavicius' heart is in clinical medicine. She enjoys the opportunity to develop relationships with her patients and their families.
"Children are so resilient and so genuine," Dr. Bernatavicius says. "They understand what is important in life, and they never sweat the small stuff. Families are so appreciative and so grateful for the care we provide to their child, which is very rewarding for a physician."
Outside of work, Dr. Bernatavicius enjoys spending time with her husband and daughter. She also enjoys cooking, hiking and playing the piano.
Brittany Miller
Executive Director, Epilepsy Foundation Arizona
Patient Family Faculty Member, Phoenix Children's
Brittany Miller started her journey with parent and patient advocacy over 15 years ago when her youngest daughter Brooke was diagnosed with Aicardi Syndrome, Cerebral Palsy, and severe Epilepsy at Phoenix Children’s. After receiving invaluable support and guidance from Phoenix Children’s, Raising Special Kids, and the Epilepsy Foundation, it inspired her to get involved in the Arizona disability community as a parent advocate. Brittany volunteered as a parent leader, mentoring parents whose children had similar medical issues and applied and was accepted onto the Family Advisory Council at Phoenix Children’s where she has served alongside Phoenix Children's physicians, parents, and staff for over 11 years. Brittany was a parent volunteer for Raising Special Kids for several years before coming on as a staff member in 2018. She worked as a Family Support Specialist and served on the Communications team, helping families, presenting to medical and educational professionals and managing RSK’s social media until early 2024. She currently serves on the Phoenix Children’s Patient Safety Committee and Patient Family Faculty. Brittany has participated in several disability councils locally and nationally and has a passion for providing parent perspective to improve programs and systems of care for children and families. Her most valued role is being a wife and a mother to her three amazing daughters. Brittany is currently the Executive Director at Epilepsy Foundation Arizona and is passionate about advocating for families affected by epilepsy.