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COMMUNITY PEDIATRICS

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

4009 Pediatric Telephone Care
Cochairs: Andrew Hertz, hertza@aol.com, and Allison Kempe, Kempe.allison@tchden.org

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 and
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.

12:00pm-3:00pm
Special Interest Group
4111 School and Community Health
The theme of the Baltimore 2002 SIG meeting will be "Keys to Collaboration in School and Community Health." We’re looking forward to presentations and discussions on various topics that fall under this theme. In addition, we would like to devote a portion of the meeting to a "works in progress" session, during which APA members can present educational initiatives, research studies or community projects that are in the early stages of development. It is our hope that SIG participants will help each other with these projects by offering suggestions, providing a sounding board for discussion, or developing collaborative relationships for future work. During this meeting we will also be handing over the reigns to a new co-chair(s).

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

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
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.

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.

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.

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

5115 Practice-Based Research Networks
Chair: Richard Pan, r.pan@ucdmc.ucdavis.edu

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.

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

2:00pm-5:00pm
Special Interest Group
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.

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.

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
Platform Session
5901 Brain Imaging
Chair: William D. Gaillard

4:15pm-6:15pm
Poster Symposium
5906 Neonatal Epidemiology and Follow-Up
Chairs: Mark A. Klebanoff and Saroj Saigal

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
Platform Session
6055 Infectious Diseases: Focus on Future Vaccines
Chairs: W. Paul Glezen and Neal A. Halsey

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.

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.

6105 Early Identification and Assessment of Children with an Autism Spectrum Disorder
Pediatricians play a crucial role in identifying infants and toddlers who may have significant developmental needs. Recently, there has been a growing concern about possible increases in the numbers of children with an autism spectrum disorder (ASD). Early identification and intervention can significantly improve the long-term outcome for these children and their families. Unfortunately, although symptoms of the ASDs are generally present before 3 years of age, the average diagnosis is not made until 4.5 years of age. Given the unusual patterns of development shown by children with autism in communication, social, and behavioral skills, parents often report frustration associated with trying to identify the nature of their child’s needs and with accessing appropriate services. Pediatricians can provide helpful screening and diagnostic referral information. The aim of this workshop is to provide information about the early signs of children with an ASD, to identify screening instruments for the ASDs and to describe the referral process in case further assessment and intervention are warranted. Workshop activities will include presentation and discussion, video observation of children with and without ASDs and small group evaluations of clinical vignettes profiling a child in need of more detailed developmental assessment. The goal is to help pediatricians implement guidelines recently established for identifying children with an ASD by the American Academy of Pediatrics.
C. E. Rice, O. Y. Ousley*, and M. Yeargin-Allsopp, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention and *Emory University Department of Psychiatry, Atlanta, GA

6106 Integrating Genetics Teaching into Daily Pediatric Practice: Do I Really Need To Be Doing That?
Daily headlines flash new genetic discoveries revolutionizing the practice of medicine! What really has changed and what do we need to know? The goals of this workshop are to emphasize the relevancy of integrating genetics into every patient encounter, enthuse participants about the impact of rapidly exploding genetic knowledge/technology on patient care and physician responsibility and discuss the core genetic competencies our students need to acquire.

6107 Medical Homes for Children with Special Health Care Needs: Partnership for Community-Based Care
The AAP and the MCH Bureau advocate that community-based pediatric offices should be designed as Medical Homes for Children with Special Health Care Needs (CSHCN). Primary care physicians should meet the health promotion and standard medical care needs of children with a wide variety of medical and developmental needs (e.g., cerebral palsy, Down syndrome, inborn errors of metabolism, autism, HIV). Our team (of physicians, parent coordinator and project manager) will describe a partnership between the Children’s Hospital, Boston and six pediatric practices, focusing on components that have supported and enhanced Medical Homes in the community. We will discuss the following topics: 1) creating meaningful coordination between primary and tertiary care through electronic linkages, active referral networks, Individualized Health Planning; 2) provision of relevant continuing medical education programming for physicians and nurse practitioners who care for CSHCN; 3) training future physicians to practice using the medical home model; 4) conducting research on epidemiology, systems of care, condition specific issues, etc. that provide necessary data for improving the health and functional status of children with special health care needs; and 5) sponsoring consortia of physicians, parents and others interested in improving services for CSHCN.
T. Silva, E. Davidson, L. Freeman, L. Sofis, and J. Palfrey, Children’s Hospital, Boston and the East Boston Neighborhood Health Center, Boston, MA

6110 Open Access Appointment Scheduling: The Cure for the Ailing Pediatric Practice?
Same day appointment scheduling systems, commonly referred to as Open Access Scheduling (OAS), is offered as the solution to poor pediatric office efficiency. Long waits, poor access to services, malfunctioning telephone systems, disorganized patient flow, miscommunication and strained finances are reported symptoms of some ailing pediatric ambulatory practices. OAS advocates in academic pediatric continuity clinics, public sector neighborhood health centers or in private pediatric practices heartily endorse this novel appointment system as the cure for these chronic problems. OAS purports to optimize access to care while allowing the practitioner/practice to track patients who do not re-appoint in a timely manner. OAS relies on the themes of access, interaction, reliability, and vitality. In its purest form, OAS offers every patient an appointment on the day that an appointment is requested. The motto for OAS is, "Do today’s work today." During this workshop, OAS experts will provide background information and specific OAS examples from different pediatric practice settings. A point–counterpoint debate involving workshop participants will delineate and discuss the pros and cons of this model. Is your ambulatory pediatric practice in need of resuscitation? Come to this workshop to see if OAS is the cure!
J. Brown, D. Laraque, J. Cox and G. Randolph, Department of Pediatrics, Colorado School of Medicine, Denver, CO, Dept. of Pediatrics, Mt. Sinai School of Medicine, New York, NY, Dept. of Pediatrics, Harvard Medical School, Boston, MA and Dept. of Pediatrics, U of N. Carolina School of Medicine, Chapel Hill, NC and the HCD Committee

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

2:45pm-4:45pm
Topic Symposium
6500 Antibiotic Resistance: The Race Is On (PIDS Symposium)
Chairs: Joseph W. St. Geme III, Washington University, St. Louis, MO and Richard F. Jacobs, University of Arkansas, Arkansas Children's Hospital, Little Rock, AR
In recent years there has been an explosion in the prevalence of antibiotic resistance. As a consequence, treatment decisions now are often complicated, and treatment is more and more commonly unsuccessful. In this symposium, speakers will review the epidemiology of antibiotic resistance, the current state in treating resistant Staphylococcus aureus and resistant gram-negative bacteria, and new approaches to antibiotic discovery.

2:45pm-4:45pm
Platform Session
6552 Clinical Bioethics
Chairs: Susan Hintz and Jon E. Tyson

8:00am-10:00am
Topic Symposium
7000 Advances in Autism: Etiology, Imaging and Treatment
Chairs: Daniel Coury, Children's Hospital, Columbus, OH
The autistic spectrum disorders have received increased attention from the public and research communities over the past decade. Theories regarding the possible etiology of the disorder, techniques for better evaluating and diagnosing persons displaying symptoms, and evidence-based treatment options have all received attention. Panel members will present the latest thinking regarding these issues and discuss controversial findings that have confused clinicians and families.

8:00am-10:00am
Platform Session
7054 General Pediatrics III
Chairs: Carol D. Berkowitz and Janet Serwint

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
Mini Course
7090 Controlling Asthma in the New Millennium
Chair: James S. Seidel, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, CA
Although we have an understanding of the pathophysiology and treatment of asthma, the incidence, severity, and mortality from the disease is increasing. Twice in the past 10 years the National Heart Lung and Blood Institute has issued Guidelines for Diagnosis and Management of Asthma. These have not been widely adopted nor used. This mini course will explore the management of asthma in the emergency department and office setting and explore new methods to form care partnerships between practitioners, families and children to improve the care of asthma.

7109 Community-Based Physicians
The following is the agenda for the Community-Based Physicians SIG which will be meeting on Tuesday morning May 6 in the Baltimore Convention Center:

7110 Continuity Clinic
The Continuity Directors SIG was organized by Jan Drutz 12 years ago and continues to be a very active network for preceptors in resident continuity settings. We’re very pleased that over the years, the group has grown and completed projects that none of us individually could have accomplished. The annual SIG meeting, workshops, directories with clearing house information, newsletters and research have blossomed by the involvement of countless individuals committed to enhancing resident education. Our group has remained consistently enthusiastic and highly motivated because of all the Continuity Directors’ and preceptors’ attendance and active participation!

7112 Pediatric Tobacco Issues
This inaugural meeting of the "Cig SIG" will include an introductory session during which members will briefly present their interests and work in pediatric tobacco issues, a presentation by members of the AAP's Center for Child Health Research and presentation of a proposed APA tobacco policy. A presentation by a potential funder is being pursued. Other presentations will be considered. if you are interested in suggesting a topic for discussion or in making a presentation, please contact either Dana Best, MD, MPH (dbbest@cnmc.org) or Deborah Moss, MD, MPH (mossd@pitt.edu).
Cochairs: Dana Best, dbbest@cnmc.org, and Deborah Moss, mossd@chplink.chp.edu

7113 Pediatrics for Family Practice
Iam looking forward to our May meeting. Tentative plans are to discuss:

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; Danelle 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
7802 General Pediatrics IV
Chairs: Jeffrey M. Devries and Susan Feigelman

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