Advancing Ethical Care for Pediatric Feeding Disorders with William Sharp, PhD
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In this episode of the Becker's Healthcare Podcast, host Chris Sosa interviews Dr. William Sharp, director of the Children's Multidisciplinary Feeding Program at Children's Healthcare of Atlanta, about the newly launched National Center for Feeding Ethics. Dr. Sharp shares his journey as a pediatric psychologist specializing in feeding disorders, particularly Avoidant/Restrictive Food Intake Disorder (ARFID), and describes the intensive, multidisciplinary model of care that supports children from nine months to 21 years old who struggle with feeding due to medical, developmental, or psychological challenges. He highlights the emotional and physical toll of ARFID, where eating becomes a painful or feared experience, often leading to malnutrition and the need for feeding tubes. The National Center for Feeding Ethics—formed in collaboration with Feeding Matters and Emory University’s Center for Ethics—aims to address systemic gaps in care, including inconsistent treatment quality, lack of standardized training, and absence of ethical guidelines. The center’s mission is to elevate patient and family voices, promote trauma-informed, evidence-based care, and develop national ethical standards to transform the healthcare ecosystem for children with feeding disorders. Dr. Sharp emphasizes that success will be measured by a more navigable, compassionate, and effective system where families can access the right care at the right time. He offers leadership advice rooted in building strong teams, embracing bold change, and practicing empathetic, curious leadership. The episode underscores the urgent need for systemic reform in pediatric feeding care, with over a million children in the U.S. estimated to need treatment but fewer than 1,000 receiving evidence-based, intensive multidisciplinary care. The conversation is both deeply human and strategically forward-looking, calling for a paradigm shift in how healthcare systems approach complex pediatric conditions.
ARFID affects approximately 5% of children—about one in every 30 kids—yet fewer than 1,000 receive intensive, evidence-based care in the U.S.
The National Center for Feeding Ethics aims to standardize ethical care, reduce variability in treatment, and integrate patient and family voices into research and practice.
Intensive multidisciplinary programs, where children receive four therapeutic meals a day for up to three months, are highly effective due to consistent, systematic exposure therapy.
Leadership in systemic change requires boldness, team-building, and a willingness to listen and learn from diverse stakeholders.
Ethical care must be trauma-informed, patient-centered, and grounded in evidence to transform the current fragmented healthcare landscape.
Introduction to Dr. William Sharp and the Children's Multidisciplinary Feeding Program
Chris Sosa introduces Dr. William Sharp, director of the Children's Multidisciplinary Feeding Program at Children's Healthcare of Atlanta, and sets the stage for a discussion on pediatric feeding disorders and the new National Center for Feeding Ethics.
Understanding ARFID and the Scope of Pediatric Feeding Disorders
Dr. Sharp explains ARFID as a psychiatric condition where food becomes feared or avoided, affecting children from 9 months to 21 years old. He details the medical, developmental, and psychological complexities that make feeding painful or impossible.
The Birth of the National Center for Feeding Ethics
“We're not just treating a symptom—we're transforming a system that has failed families for decades.”
Pathways to Ethical, Compassionate, and Effective Care
“Success will be measured when families no longer feel lost in the system—they know where to go and who to trust.”
“Success will be measured when families no longer feel lost in the system—they know where to go and who to trust.”
“We're not just treating a symptom—we're transforming a system that has failed families for decades.”
“Be bold. You know, paradigm shifts require shaking up complacency and at times making people uncomfortable.”
Host
Guest
William Sharp
person
Children's Healthcare of Atlanta
organization
ARFID
other
National Center for Feeding Ethics
organization
Intensive Day Program
other
Exposure Therapy
other
Feeding Matters
organization
Center for Ethics at Emory University
organization
Emory University
organization
John Lysacker
person
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