Return to Track Selection

GENERAL PEDIATRICS

4000 Giving Bad News: How Do We Teach It?
The ability to share bad news effectively is an essential skill for pediatricians. The Accreditation Council for Graduate Medical Education has recently endorsed six competencies for resident education, one of which involves the development of interpersonal and communication skills. Bad news spans a variety of circumstances, from discussing an abnormal laboratory test, a physical examination finding with uncertain prognosis, the disclosure of a life-threatening diagnosis or a child's death. During this interactive skills-based workshop, participants will identify important components of giving bad news by review of videotapes. The perspectives and reactions of parents, patients, and health care professionals in receiving and giving bad news will be explored. Useful techniques will be identified and practiced during role-plays with participants and standardized patients. Participants will develop ideas of implementation of teaching techniques and evaluation of this competency for their own institutions.
J. R. Serwint, The Johns Hopkins Children’s Center, Baltimore, MD, L. Greenberg, Internal Consultant, Faculty Development, George Washington University School of Medicine, Washington, DC and B. S. Siegel, Boston University School of Medicine, Boston Medical Center, Boston, MA

4001 Pediatricians Summoning Action for Children
Pediatricians have traditionally been natural and effective advocates for children and youth. Increasingly, pediatricians find themselves in advocacy roles, such as helping families navigate managed care systems, persuading administrators to increase funding for pediatric health care and research, or advising community programs on how best to meet the needs of youth. However, there is a lack of consensus on what is (and is not) advocacy, and how pediatricians can be effective advocates for their patients, families, and communities. This workshop is designed to create a forum to discuss these issues. Advocacy will be defined in the context of pediatric and community health. A framework for "the doing" of advocacy will be examined through case examples of advocacy projects designed and carried out by residents from six pediatric programs funded by The Anne E. Dyson Community Pediatrics Training Initiative. Sample projects will include advocacy at the individual, local community, and state and national government levels, and will focus on projects that take an idea and create a plan of action after a thorough assessment of the perceived problem and the target community. These cases highlight the importance of community partnership and evaluation. Through this process, participants will gain a broadened understanding of the pediatrician’s role as advocate and skills that serve this role.
J. Pletcher, A. Amzel, S. Cohen, C. Derauf, J. Goepp, P. Hametz, K. Hendricks, W. Kessel, F. LeFlore, D. Schwarz, J. Skelton, H. Taras, and K. Zieselman, The Anne E. Dyson Community Pediatrics Training Initiative Advocacy Group

4002 The Brief Structured Observation : A Tool for Focused Feedback
The Brief Structured Observation (BSO) method can be an effective way to observe, assess and help learners. It allows for structured observation and specific feedback in inpatient and outpatient settings. It is efficient, fast and patient friendly. The technique applies principles of adult learning, since we collect information that is learner-centered and provide immediate, specific feedback to the learner.

4004 Child Abuse
Chair: John M. Levanthal, john.leventhal@yale.edu

4005 Directors of Divisions of General Pediatrics
The Directors of Divisions of General Pediatrics SIG will present the "Ideal Academic Out-Patient Office." We will start with a 1-hour presentation of "Same Day Scheduling" by Bernard P. Dreyer and follow with "Teaching residents while being economically efficient" whose presenter is under discussion. We will also have a 45-minute open forum on common problems interfering with effective teaching and economic success.
Cochairs: Gary A. Emmett, Gemmett@nemours.org, and John N. Walburn, jwalburn@unmc.edu

4006 Managed Care
~ ~ ~ ~ ~ CANCELLED ~ ~ ~ ~ ~
Chair: Alan Bernstein, Ab-bernstein@compuserve.com

4007 Newborn Nursery
The newborn nursery SIG will discuss Group B Streptococcus prevention and evaluation for newborn sepsis with the goal of developing a multicentered study of asymptomatic babies at risk. Current practice and protocols for the SIG study will be discussed and a plan established to answer the questions. Teaching our students and residents in the nursery a competency based curriculum presents a challenge. Each participant will bring their program’s needs, challenges and curriculum to discuss in small groups for "hands- on" experience in critiquing the existing curricula, developing a model curriculum and generating creative ideas for implementation. An update on screening for hyperbilirubinemia and treatment will be discussed in light of the JACO Kernicterus alert. Other topics will include circumcision, breastfeeding solutions and pain management.
Chair: Linda Meloy, Lmeloy@hsc.vcu.edu

4008 Nutrition
We are developing a "Teacher's Guide to Clinical Pediatric Nutrition". Our objectives are to:

4009 Pediatric Telephone Care
Chair: Allison Kempe, Kempe.allison@tchden.org

9:15am-12:00pm
Mini Course
4010 Long-Term Effects of Childhood Cancer
Chair: Smita Bhatia, City of Hope National Medical Center, Duarte, CA
This mini-course will address several of the major topics of interest relating to the long-term health status and psychosocial functioning of individuals diagnosed and treated for cancer during childhood and adolescence. Topics to be presented include endocrinologic sequelae, risk of subsequent malignancies, psychosocial late-effects, and educational/intervention strategies.

9:15am-12:00pm
Mini Course
4011 Stem Cell Transplantation
Chair: Nancy Bunin, Children's Hospital of Philadelphia, Philadelphia, PA
This mini course will provide participants with an update on both the current status and future of stem cell transplant in pediatrics. Both malignant and non-malignant diseases will be addressed. Advances in graft engineering have made many of these advances possible, and this will be discussed in an overview of autologous stem cell transplant for solid tumors. Allogeneic stem cell transplant may be curative for some patients with hemoglobinopathies and metabolic diseases. Non-myeloablative approaches to hemoglobinopathies are a relatively novel approach, which may be curative without some of the short and long-term toxicities of a myeloablative regimen. Disease-specific characteristics that impact upon transplant outcome of patients with inherited metabolic storage disorders will be identified and discussed. Finally, the concepts of mesenchymal cell transplant and the future of mesenchymal cell transplant therapy will be summarized and discussed.

10:00am-12:00pm
Educational Seminar
ES02 Bioethical Dilemmas: Making Decisions for the Not Yet Competent
This seminar will be a provocative interactive session on Bioethics. Through the use of cases and excerpts from literary works, participants will be encouraged to view decision-making from the perspective of parents and health care providers. The Principles of Bioethics will be presented, as well as the contextual considerations that force us all to wrestle with principles and theory, if we choose to do so. The goal is to raise the consciousness about the range of issues involved in making the best decision for the pediatric patient. In the end, choices must be made, and all those involved must live with these choices.
Susan Albersheim, British Columbia's Children's Hospital, Vancouver, BC, Canada; and John D. Lantos, University of Chicago, Chicago, IL

12:00pm-3:00pm
Mini Course
4100 Adolescent Medicine - Part I—Current Research Issues
Chair: Donald E. Greydanus, Michigan State University, Kalamazoo, MI
An update of various issues in adolescent health care will be presented. Dr. Charles Irwin Jr. will present current research on Preventive Health Services in Adolescents. Dr. Anna-Barbara Moscicki will discuss the changing Pap Smear guidelines for adolescents, which are being developed by the American Cancer Society. Finally, Dr. Renee Jenkins and Dr. Tina Raine will review current research issues in emergency contraception for adolescents. Questions will be encouraged from the audience.

12:00pm-3:00pm
Mini Course
4101 Genetics for the Pediatrician: The Intersection of General Pediatrics and Genetics
Chairs: Benjamin Siegel, Boston University School of Medicine, Boston Medical Center, Boston, MA and Jeff Milunsky, Boston University School of Medicine, Boston Medical Center, Boston, MA
Approaches to the diagnosis, management, and discussion of the psychosocial, legal and ethical issues of genetics, from screening, to giving bad news, to helping families understand and cope with the impact of genetic diseases within a family context, have always been challenges for the general pediatrician. There are new technologies in the genetic testing of children and family members that expand our ability to accurately diagnose, provide anticipatory guidance and genetic counseling to individuals and parents, so that they may make more informed reproductive choices. It is clear that pediatricians and clinical geneticists need to work collaboratively as a team to provide the most comprehensive care possible. This session will examine the information needed from the clinical assessment of the child, in relationship to the family context that increases the likelihood that the pediatrician is dealing with a possible genetic issue. Exploration of the history, including the family pedigree, aspects of the physical exam that alerts the pediatrician to a possible genetic problem, the referral process to a clinical geneticist, and the legal, ethical, and psychosocial issues that should be addressed with the individual or family member before the referral to the geneticist will be presented. The process of the clinical genetic evaluation will be explored, highlighting the ethical, legal and psychosocial issues. Current and newer genetic technologies will be reviewed. The collaborative process between the patient/family, the pediatrician, and geneticist will be examined.

12:00pm-3:00pm
Mini Course
4103 Sports Participation by Chronically Ill Children and Adolescents: Let the Games Begin!
Chairs: Dilip Patel, Michigan State University, Kalamazoo Center for Medical Studies, Kalamazoo, MI
This mini course will focus on helping children and adolescents with chronic illness take full part in sports play (competitive and non-competitive). The role of sports in the lives of our children has become increasingly important in the enhancement of their development. A variety of illnesses will be reviewed in this perspective, with emphasis on diabetes mellitus, asthma and developmental disabilities. Questions from the audience will be sought. The course will be taught by a sports medicine pediatrician, a pediatric endocrinologist and a neurodevelopmental specialist.

12:00pm-3:00pm
Mini Course
4105 Update on Injury Control
Chair: Gary A. Smith, Children's Hospital, Columbus, OH
The field of injury control continues to evolve. Over the past decade new sources of injuries have arisen, new information on old or overlooked causes has been obtained, and new techniques for preventing and minimizing the impact of certain injuries have been developed and evaluated. This session will review these advances and outline pertinent next steps for health policy, research and clinical care.

1:00pm-3:00pm
Poster Symposium
4182 Historical Perspectives
Chairs: Thor Willy Hansen and James Kendig

3:15pm-5:15pm
Topic Symposium
4200 Cloning and Embryonic Stem Cells
Chair: Judith Hall, University of British Columbia, Vancouver, Canada
There is enormous public interest in cloning and embryonic stem cells. This symposium will update the pediatric community on recent developments and raises a variety of policy and ethical issues.

3:15pm-5:15pm
Topic Symposium
4202 Stroke in Childhood
Chair: Donna Ferriero, University of California, San Francisco, CA

3:15pm-5:15pm
Platform Session
4251 Behavioral Pediatrics I
Chairs: Daniel Lee Coury and Ronald V. Marino

3:15pm-5:15pm
APA Committee
4303 APA Research Committee
5:15pm-7:15pm
Poster Session I (Author Attended)
and Opening Reception
– Adolescent Medicine
– Emergency Medicine
– General Pediatrics and Preventive Pediatrics

8:00am-10:00am
Topic Symposium
5001 Measuring and Improving Quality in Academic Medical Centers
Chair: Michael Apkon, Yale University School of Medicine, New Haven, CT
Applying scientific approaches to quality management presents an important leadership challenge for Academic Medical Centers to enhance health care delivery. This symposium will review new paradigms with which to examine opportunities for measuring and improving the process of care delivery. The symposium will also consider areas of congruence as well as areas of opposition between the educational and care-delivery missions of Academic Medical Centers where often-competing interests of research, clinical care, and education create a particularly challenging environment for quality management.

8:00am-10:00am
Platform Session
5050 Behavioral Pediatrics II
Chairs: Robin L. Hansen and Marsha D. Rappley

8:00am-10:00am
Platform Session
5051 General Pediatrics I
Chairs: Benjamin Gitterman and Linda Diane Meloy

8:00am-10:00am
Poster Symposium
5055 New Topics in Childhood Immunization Delivery
Chairs: Lance Rodewald and Judith S. Shaw

8:00am-11:00am
Mini Course
5090 Adolescent Medicine - Part II—Eating Disorders
Chair: Donald E. Greydanus, Michigan State University, Kalamazoo, MI
This presentation will present an overview of the research on the diagnosis, assessment, and treatment (therapy: including psychological and pharmacological; settings: inpatient, day treatment, and outpatient) of adolescents with eating disorders. A brief comparison of the diagnostic criteria used by the American Psychiatric Association and the World Health Organization will be presented and discussed regarding the relevance to research design and diagnosis. Special issues (such as research design, subject selection, research settings, geographical location, definitions, terminology, race and culture, managed care, and reimbursement) and their impact on our current knowledge base and on treatment choices will be addressed. Recommendations for future directions in assessment, treatment, and research will be offered.

8:00am-11:00am
Workshops

5101 Beyond Smoking Outside: The Pediatrician’s Role in Helping Families To Stop Smoking
The effects of parental smoking on children’s health are well known, yet pediatricians are often hesitant to actively assist parents to quit smoking. Recent research has identified methods and windows of opportunity that can be most effectively utilized by pediatricians. Brief interventions in the context of pediatric primary care have been shown to produce parental quit rates of 5–8%. Pediatricians cite lack of confidence in their ability to advise parents about how to stop, lack of true physician–patient relationship with the parent, concern that parents will receive the suggestions negatively, and lack of time as reasons to not intervene with parents who smoke.

5102 Choosing and Using Health Status Instruments
The development of measurement tools that obtain the perspectives of children and parents about child health is the most concrete example of the recent progress of pediatric outcomes research. Although several generic and disease-specific health status tools for children and adolescents are now available for use in clinical and outcomes research, it is not always obvious which measurement tool to use in a given research project. Moreover, there are important methodologic considerations inherent in obtaining children’s and adolescents’ self-reports on their health.

5104 Developmental and Cultural Concepts: Children's and Parents' Understanding of Illness
Numerous studies document systematic developmental stages and cultural differences in how children and adults understand physical and psychological conditions. These developmental and cultural differences are related to families’ health seeking behaviors and coping strategies. They are important to the recognition of symptoms, the understanding of diagnoses, and compliance with appropriate treatments.

5105 Portfolios for Residency Education: Fostering Self-Directed Learning and Evaluating Competencies
This workshop is designed for Pediatric Faculty to explore the usefulness of Resident portfolios. Learning portfolios keep in step with two increasingly prominent trends in medical education: fostering self-directed learning and evaluating competencies. We will demonstrate ways our programs are using portfolios: for a PL1 Health & Development curriculum, a PL2 Behavioral-Developmental rotation, a Neonatal Intensive care rotation and a Medical Informatics rotation. Participants using this methodology are invited to bring samples of their own institution's efforts.

5106 Reducing Medication Errors – Time To Take Action
Each year there are thousands of injuries and deaths in U.S. hospitals from medication errors. These blunders cost millions of dollars and result in loss of public confidence in our health care system. Medication errors are the second most frequent and the second most expensive event causing liability claims. Errant orders on the inpatient unit and incorrect prescriptions in the ED and clinics are common. Physicians, nurses, pharmacists, students, manufacturers and even caregivers all share responsibility. Many errors are preventable.

5109 AIDS/HIV
Chair: Nancy Hutton, nhutton@welchlink.welch.jhu.edu

5110 Complementary and Alternative Pediatrics
The Complementary and Alternative Pediatrics SIG will present two speakers, followed by planning for the creation of a web-based pediatric database / curriculum in Integrative Pediatrics. Sharon McDonough-Means, M.D., one of the first two graduates of the Integrative Pediatrics Fellowship of the University of Arizona, will speak on “An Integrative Approach to Attention Deficit Hyperactivity Disorder Treatment: Evidence – Based Strategies.” The next speaker will be the SIG’s co-leader, Sharon Riesen, M.D., Associate Professor of Pediatrics at Loma Linda University. She will speak about “Glyconutrients in the Treatment of Asthma: A Spoonful of Sugar is the Medicine Going Down.” The third hour of the SIG will be used to consider the creation of an Integrative Pediatric Database and Curriculum accessible via the Internet. Please join us for this exploration of alternative approaches to some common pediatric problems and the ensuing discussion and planning period.
Cochairs: Scott Faber, sfaber@mercy.pmhs.org, and Sharon Riesen, sriesen@ahs.llumc.edu

5114 Pain
The Special Interest Group on Pain in Children focuses each year on an emerging area in the management of children's pain. Topics at previous meetings have included long-term consequences of inadequately treated pain and development of institutional approaches to promote pain management. The focus this year will be on minimizing injection pain. It is particularly relevant given immunization schedules which cluster multiple injections at the same visit. The session will attempt to address behavioral and pharmacological approaches that decrease injection pain as well as strategies for implementing such approaches in busy ambulatory settings.
Chair: Neil Schechter, nschecht@stfranciscare.org

11:45am-1:45pm
Poster Session II (Author Attended)
– General Pediatrics and Preventive Pediatrics
– HRSA Poster Session
– Infectious Diseases

1:45pm-2:30pm
State of the Art Plenary
5590 Children as Victims of Bioterrorism: Protecting the Fragile Host
Chairs: Phyllis Dennery, Stanford University School of Medicine, Palo Alto, CA and Tina Lee Cheng, Johns Hopkins University School of Medicine, Baltimore, MD
With the recent world events and new threats of biowarfare, what should pediatricians know? Due to their size and physiology, children are at higher risk of injury from bioterrorism. This session will address the biology, clinical manifestations, and possible preventive strategies for likely biowarfare agents. The unique vulnerability of the child will be addressed.

2:00pm-4:00pm
State of the Art Plenary
5701 Children as Research Subjects: Ethical and Regulatory Issues
Chair: Myron Genel, Yale University School of Medicine, New Haven, CT
A number of highly publicized adverse events, including the death of two volunteers participating in non-therapeutic research, and the federal shutdown of research at many well-recognized academic institutions because of inadequate compliance with regulatory requirements have intensified scrutiny of the protection afforded to human subjects participating in research, including children. Furthermore a Maryland court has recently decreed that children cannot participate in research without the potential for direct benefit. As a consequence there has been increasing media attention and Congressional concern regarding the adequacy of institutional oversight and investigator attentiveness to established standards and regulations. In addition, new regulations issued under the Health Insurance Portability and Accountability Act of l996(HIPAA) threaten the capacity to conduct health services and outcomes research. These issues will be addressed in the 9th annual Public Policy Plenary Symposium in an interactive format intended to stimulate dialogue among the members of the panel and with the audience.

5600 A Curriculum for Disclosing Medical Errors: Responding to the Joint Commission Imperative
Release of the Institute of Medicine Report (1999) has increased public awareness of the existence of errors in the practice of medicine. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has issued a directive that medical errors be disclosed to patients and families. Healthcare organizations need strategies to ensure compliance, yet many questions remain: What represents a disclosable medical error? Is there a means of reaching consensus among professionals and how does one share with families in the most constructive ways possible?

5603 Developing Faculty To Teach Child Advocacy
The Pediatric RRC now requires that residents be prepared "for the role of advocate for the health of children within the community." Programs have addressed this requirement through community block rotations, longitudinal experiences, lectures, workshops and service-learning experiences. A common problem, voiced in the APA Advocacy Training SIG meetings, is lack of preceptors to teach and model child advocacy within their programs to reinforce the message that child advocacy is part of good pediatric practice.

5605 Handheld Computers in Clinical Pediatric Practice
Handheld computers are rapidly evolving into an indispensable tool for the clinician. Though handheld computers have been limited in the past to scheduling, to-do lists, brief notes, and phone lists, progressive application development is providing reference tools, medical calculators, charge capture programs, electronic prescription writing software, procedure logs, web browsers, EMR integration, research databases, evidence-based medicine tools, and multimedia applications permitting access to telemedicine.

5608 Pediatric Obesity: Practical Evaluation and Treatment Strategies for Primary Care Providers
The United States is experiencing an epidemic of pediatric obesity. However, many primary care providers report that obesity is one of the most frustrating and difficult problems in their practices. In this workshop, we will provide practical strategies for evaluating and treating obese children in primary care. To maximize learning and relevance the session will be split. Approximately one-third of the session will focus on expert committee recommendations for evaluation and behavioral treatment strategies. We will address skills for identification of obesity, screening for both rare endogenous causes of obesity and more common obesity-associated conditions or risk factors, assessment of emotional and psychosocial states, eating and activity assessment, and indications for consultation with an obesity specialist. For treatment, we will address the most successful strategies for diet and physical activity counseling, changing the household environment, self-monitoring, goal setting and contracting, parenting skills training, maintenance and relapse prevention, and the potential role of drug therapies. The other two-thirds of the session will consist of case discussions and group problem solving. Cases will address practical evaluation and management challenges facing primary care providers.
T. N. Robinson and S. E. Barlow, Dept. of Pediatrics, Stanford University, Palo Alto, CA, and Dept. of Pediatrics, St. Louis University School of Medicine, St. Louis, MO

5611 Culture, Ethnicity and Health Care
Welcome to current and new members. The SIG is planning an informative and cohesive discussion for the 2002 Annual Meeting in Baltimore. We plan to invite speakers to address one or more of the following critical issues: discrimination and hate crimes: impact on health status and the role of health care providers; Culturally and Linguistically Appropriate Services, National Standards (DHHS Office of Minority Health); and the 2000 Census (US Census Bureau). We will also address models of incorporating cultural diversity in education, research and health care. We expect to share abstract presentations and discuss strategies to develop APA policy statements on culture, ethnicity and health care. If anyone is interested ahead of time, please don't hesitate to reach one of us.
Cochairs: Glenn Flores, Glenn.Flores@bmc.org, Lee Pachter, LPachter@stfranciscare.org, and John I. Takayama, jtaka@itsa.ucsf.eu

5613 Injury Control
The SIG on Injury Control plans to have an update on the national Longitudinal Cohort Study designed by Dr. Peter Scheidt. This study will enroll more than 100,000 children and their families and follow their progress for a number of years, correlating their exposure status with certain health outcomes. Dr. Scheidt has been instrumental in bringing this massive research effort through its current planning stage, and he will describe its potential impact vis-a-vis research questions in childhood injury control.

5614 Women in Medicine
KNOW WHAT YOU ARE BEST AT AND JUST DO IT!! Defining one's talents and skills is not always straightforward. It is easy to get sidetracked with tasks that need to be done. Additionally, styles for doing things vary, but shoes don't fit all feet comfortably. The Women in Medicine SIG will focus on assessing one's assets and analyzing one's shortcomings. The SIG will engage in an appreciative exercise as a means of networking and then use the small networks to build skill sets.
Chair: Carol Berkowitz, carolb@pol.net

2:30pm-4:00pm
State of the Art Plenary
5703 Insulin Resistance Syndromes
Chairs: Alan Rogol, Insmed Pharmaceuticals, Inc., Glen Allen, VA and Charlotte Boney, Rhode Island Hospital, Providence, RI
Insulin resistance is the underlying factor in many of the consequences of obesity in childhood and adolescence, including ovarian hyperandrogenism, hypertension, hyperlipidemia, and Type 2 diabetes. Obesity, dyslipidemia, and Type 2 diabetes are components of SyndromeX in adults, a serious public health issue. In addition, insulin has a role in the regulation of leptin, the major signal of adiposity to the brain. Dr. Arslanian will discuss insulin resistance in polycystic ovary disease and Type 2 diabetes. Dr. Freedman will review the cardiac risk factors related to insulin resistance, and Dr. Roemmich will discuss the insulin-leptin axis in obesity and puberty.

2:30pm-4:00pm
State of the Art Plenary
5704 Pediatric Research and the Human DNA Sequence: Approaching Defects of Host Defenses in the Genomic Era
Chairs: Jennifer M. Puck, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD and Stephen J. Chanock, National Cancer Institute, National Institutes of Health, Bethesda, MD
This session will provide a framework for understanding how genetics and genomics can accelerate progress in understanding defects in immunity and host defenses. Host defenses are used to demonstrate the general power of these technologies to elucidate pathogenetic mechanisms and predict disease susceptibility. This program will address classical and novel approaches to discovering genes underlying primary immunodeficiencies as well as characterization of modifier genes. A brief overview of the human genome, its structure, contents and relationship to genomes of other species will be presented in order to discuss current and future potential for understanding pediatric diseases and treatments. Emphasis will be placed on the continued prime importance of careful clinical observation, as well as the ethical and practical issues that genome science presents to society.

4:15pm-6:15pm
Topic Symposium
5800 End-of-Life Palliative Care
Chair: Marcia Levetown, Independent Pain and Palliative Care Consultant, Houston, TX
53,000 children die annually in the United States and many more live with chronic, life-threatening conditions. Yet, pediatric education and subspecialty training do not currently prepare practitioners to care for these needy children, their parents, community and survivors. This symposium, presented by a pediatric hematologist/oncologist, pediatric palliative care physician and a bereaved parent, will discuss how to incorporate palliative care into pediatric care. Specific highlights are the presentation of an integrated model of care, beginning at the time of diagnosis of a potentially life-threatening condition, parental and patient perspectives on the fight against disabling symptoms and death, and the ethics behind the decision-making process that confronts the family and medical care team.

4:15pm-6:15pm
Topic Symposium
5802 The Molecular Basis of Clinical Manifestations of Infection
Chair: Philip Brunell, NIAID, National Institutes of Health, Bethesda, MD
This symposium will explore the molecular basis of the clinical expression of infectious diseases. The effect of a variety of different agents on the different organ systems of the human body will be presented by experts in their fields.

4:15pm-6:15pm
Platform Session
5901 Brain Imaging
Chair: William D. Gaillard

4:15pm-6:15pm
Platform Session
5910 Pain: Opportunities and Outcomes
Chair: Robert M. Kennedy
FEATURED SPEAKER: Pharmacologic Management of Pain in the Pediatric ICU
Jeffrey L. Blumer

4:15pm-6:15pm
Platform Session
5911 Pediatric Nutrition and Metabolism
Chair: Michael R. Narkewicz

8:00am-10:00am
Topic Symposium
6000 Human Brain Imaging: Insights into Development and Plasticity
Chairs: Sherin U. Devaskar, University of California, Los Angeles, CA and Joseph J. Volpe, Boston Children's Hospital, Harvard Medical School, Boston, MA
State-of-the-art imaging of the human brain has been achieved by advances in magnetic resonance imaging (MRI) and positron emission tomography (PET). Recent work with MRI and PET has provided remarkable insights into the structure and the function of the brain of infants and children during normal development and with plasticity. In this session, reviews of the insights obtained with such techniques as 3D-volumetric and diffusion tensor MRI, functional MRI, and PET-based studies of brain receptors and metabolism will be presented by leaders in the field. Emphasis will be on the most recent findings, including considerable unpublished work.

8:00am-10:00am
Topic Symposium
6002 The Scholarship of Teaching: How Can Excellence Be Judged?
Chair: Kenneth Roberts, Moses Cone Health System, Greensboro, NC
It has been argued that the education of future physicians is the only unique task of an academic medical center, given that both clinical care and research can be and are done in other settings and institutions. Achieving this task requires excellent clinical teachers, and such individuals constitute an essential resource in a department of pediatrics. Protecting and nurturing this resource by providing appropriate recognition, promotion and compensation for individuals who have achieved excellence as teachers is therefore essential, but what criteria should be used to determine excellence in teaching?

8:00am-10:00am
Poster Symposium
6050 Advances in Clinical Nutrition
Chairs: Michael R. Narkewicz and David K. Rassin

8:00am-10:00am
Platform Session
6055 Infectious Diseases: Focus on Future Vaccines
Chairs: W. Paul Glezen and Neal A. Halsey

8:00am-10:00am
Platform Session
6056 Injury
Chairs: Katherine Kaufer Christoffel and Alan D. Woolf

8:00am-10:00am
Platform Session
6059 Underserved Populations I
Chairs: Carrie L. Byington and Charles Feild

6100 Achieving Cultural Competency in Pediatrics
The United States rapidly is growing more culturally diverse. In several cities, whites already are in the minority. Culture has a profound impact on pediatrics, affecting multiple aspects of clinical care, including outcomes, processes, quality, satisfaction, obtaining an accurate history, and adherence. Cultural competency is the ability to recognize and appropriately respond to key cultural characteristics that affect clinical care in the major cultural groups seen in your practice. In this workshop, participants will learn about a model of cultural competency that can be applied to any cultural group that might be encountered by the pediatrician. This model is based on five aspects of culture that affect clinical care: 1) normative cultural values; 2) language issues; 3) folk illnesses; 4) parent beliefs; and 5) provider practices. The Latino and African-American cultures will be used to illustrate the most important ways that culture impacts pediatric care, drawing on the rich available literature and the personal experience of the workshop leaders.

6101 Caring for Gay and Lesbian Youth in Pediatric Practice
Adolescents who are gay or lesbian, or are questioning their sexual identity, may look to health care providers for assistance with both medical and psychosocial issues. Yet many practicing pediatricians are uncomfortable with their skills in caring for gay and lesbian adolescents. At the University of Massachusetts Medical School, we have developed a series of workshops for university and community clinicians that provide knowledge of health care needs of gay and lesbian youth and model supportive interviewing techniques. Methods include slide presentations, interactive discussion, videotapes of interviews with gay and lesbian youth and their parents, modeling of "live" interviews, and a "Teaching Kit" for helping faculty to teach students and residents about sexuality. Preceptor support for this curriculum has led us to pilot the workshop in community pediatric offices, training all office staff, including providers, social workers, managerial and clerical staff.

6102 Clinical Forensic Medicine: Bridging the Gap Between Medicine and Law
Medical practitioners who work in acute care settings are likely to encounter forensic issues, such as child abuse, assault or unexpected death. However, few training programs prepare physicians to adequately manage these issues.

6103 Culture, Spirituality, and Complementary and Alternative Pediatrics: An Applied Integrative Model
Growing attention in medical literature has been dedicated to an increasingly multicultural patient population, to intersections between spirituality and medicine, and to the wide use of complementary and alternative therapies in the United States. Frequently, however, these three topics are presented as unrelated to one another. Yet in practice, they often represent intersecting fields of experience. This workshop will introduce a model that integrates the three topics and will present illustrative examples from different areas of the United States.