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VULNERABLE AND UNDERSERVED POPULATIONS

8:30am – 11:30am
Special Interest Group
4004 Child Abuse
Chair: John M. Levanthal, john.leventhal@yale.edu

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
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.

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

3:15pm – 5:15pm
Platform Session
4252 Health Services Research: Quality of Care
Chairs: Glenn Flores and Richard C. "Mort" Wasserman

5:15pm – 7:15pm
Poster Session I (Author Attended)
and Opening Reception
– Behavioral 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.

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

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.

2:00pm – 5:00pm
Special Interest Group
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.edu

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.

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

9:00am – 12:00pm
Workshops
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.

10:15am – 12:15pm
Platform Session
6202 General Pediatrics II
Chairs: Thomas M. Ball and Mary Ottolini

10:15am – 12:15pm
Platform Session
6204 Underserved Populations II
Chairs: Paul L. McCarthy and Ronald C. Samuels

8:00am – 10:00am
Platform Session
7055 Health Services Research: The Practice and the Patient
Chairs: Paul M. Darden II and Modena Wilson

8:00am – 10:00am
Platform Session
7061 Underserved Populations III
Chairs: Jay H. Mayefsky and John I. Takayama

8:45am – 11:45am
Special Interest Group
7115 Serving the Underserved
We have invited local health department experts to describe the innovative data collection system used in Baltimore across several different city departments. This should be a fascinating discussion about the capacity of local government to provide comprehensive population-based data that would be important for health monitoring, tracking, etc. Next, we have invited faculty from the Dyson Initiatives funded sites to discuss their successes and failures in getting residents involved in community based projects. We will spend time during the SIG meeting to update members about innovative approaches, lessons learned, etc. that have come about as a result of the APA National Pediatric Faculty Development Scholars Program. Finally, we will present for the first time some of the data from the curriculum development project.
Cochairs: Jeff Brown, jbrown@dhha.org, and Ron Samuels, samuels@tch.harvard.edu

1:45pm – 3:45pm
Hot Topic
7700 Models for Building Mental Health Capacity in Pediatric Primary Care
Chair: Anne M. Gadomski, The Mary Imogene Bassett Research Institute, Cooperstown, NY
This session will describe three models presently under study for building the capacity of pediatric primary care sites to manage children’s mental health problems. Two models are based on enhancements or extra resources for primary care providers, and the third is based on primary providers' skills.

1:45pm – 3:45pm
Hot Topic
7702 Disaster Preparedness: Beyond 9/11
Chairs: Tina L. Cheng, Johns Hopkins University School of Medicine, Baltimore, MD; Danielle Laraque, Mount Sinai School of Medicine, New York, NY; and Benard Dreyer, New York, NY
The impact of 9/11 and the public health aftermath have affected us personally and professionally. This session will address what the child health professional needs to know regarding disaster planning and preparedness. Speakers will review and provide updates on national and regional systems for emergency management and how those systems interact with local public health agencies, the pediatrician's role in the community's preparedness including what the school system, the pediatric office and the patient should be doing to prepare and respond, recognition and management of chemical and biologic agents of terrorism, and the psychological reactions to disaster and stress.

1:45pm – 3:45pm
Platform Session
7803 Health Services Research
Chairs: Denise M. Dougherty and Thomas B. Newman

1:45pm – 3:45pm
Platform Session
7805 Underserved Populations IV
Chairs: Thomas G. DeWitt and Victoria Meguid