In this thoughtful segment, Dr. Michael Nance, Division Chief of Pediatric General Surgery at CHOP, challenges us to reflect on the role of dogma in pediatric care. While dogma can offer structure in high-pressure moments, it can also limit innovation—especially in a field where pediatric-specific evidence is still catching up.
Key Highlights:
Dogma offers guidance in urgent situations but isn’t always evidence-based
Pediatric care often relies on tradition due to a lack of strong data
There’s a complex relationship between established practices and evolving literature
Clinicians are encouraged to ask critical questions and remain open to change
The “half-life” of medical facts is shortening, driven by improved research and data sharing
Dr. Nance reminds us that questioning norms is not only appropriate—it’s essential to progress.
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