2003 PAS Meeting Program by DAY

Saturday, May 3

8:00am – 10:00am
3100 Cellular Basis of Ischemia–Reperfusion Injury in Children
PAS/ASPN Topic Symposium
Chairs: Sharon Andreoli, Indiana University School of Medicine, Indianapolis, IN and Mark Payne, Wake Forest University School of Medicine, Winston-Salem, NC

The focus of this symposia is on ischemia–reperfusion injury in children. There are many settings during infancy and childhood where damage may occur from an ischemic, or hypoxic, event and include birth asphyxia, cardiovascular collapse or even organ transplantation. This multidisciplinary symposium will examine the molecular and cellular events underlying cell injury following such events.

Ischemia–Reperfusion in the Developing Brain—Role of Oxidative Stress
Donna M. Ferriero, University of California, San Francisco, CA

The Cellular Biology of Renal Ischemia–Reperfusion Injury
Bruce Molitoris, Indiana University School of Medicine, Indianapolis, IN

Endogenous Inhibitors and Promoters of Cell Survival in the Ischemic Heart
Michael T. Crow, Johns Hopkins University, Baltimore, MD

Inflammatory Mechanisms of Ischemia–Reperfusion Injury in the Brain
Faye S. Silverstein, University of Michigan, Ann Arbor, MI

8:30am – 11:30am
3150 Handheld Computing for the Pediatrician (Part I) PDA 101: Introduction To Handheld Computing for the Pediatrician
PAS Mini Course
Chairs: K. Johnson, Vanderbilt University, Nashville, TN and A. Meyers, Boston University Medical Center, Boston, MA

The use of handheld computers in medicine has grown dramatically. This session is intended for those who have a handheld computer (Palm or Pocket PC), or are considering purchasing one, but who have not yet learned how to use it. The goal of the session is to help the beginner achieve a working familiarity with handheld computing such that they will leave the session ready, able and eager to use their own device in their daily life and clinical practice. Ideally, all participants should bring their own handheld. The session will include an overview of the devices and their desktop software; mastery of the basic (built-in) functions: datebook/calendar, address book, memo pad, to-do lists; and add-on applications: where to find them, how to install them and what applications are available specific to clinical pediatrics. Participants should be familiar with the use of personal computers and the Internet, but no prior knowledge of handheld computing is assumed.

8:30am – 11:30am
3151 Pediatric Environmental Health (Part I)
PAS Mini Course
Chair: Ruth A. Etzel, George Washington University School of Public Health and Health Services, Washington, DC

This 6-hour mini course is intended for faculty who teach and do research on pediatric environmental health problems. We will use an evidence-based approach and focus on research that is needed to clarify unresolved issues. The challenges and controversies in the field of pediatric environmental health will be presented, and there will be time to discuss prevention strategies for the clinic and the community. The participants will develop and share ideas to use in teaching, research and practice. (There is a separate workshop for Chief Residents on May 4, 2003.)

Why Are Children Uniquely Vulnerable To Environmental Contaminants?
Jerome A. Paulson, Mid-Atlantic Center for Children's Health and the Environment, Washington, DC

Environmental Precipitants of Asthma
Benjamin A. Gitterman, Children's National Medical Center, Washington, DC

Cancer in Children: Possible Links to Environmental Contaminants
Martha Linet, National Cancer Institute, Rockville, MD

Methemoglobinemia
Christine L. Johnson, Uniformed Services University of the Health Sciences, Bethesda, MD

Lead Poisoning
Michael W. Shannon, Harvard Medical School, Children's Hospital, Boston, MA

Mercury Contamination
David W. Reynolds, Private practice, Birmingham, AL
 

8:30am – 11:30am
3199c Applying for NIH Research Grants
Educational Workshop
Pedro A. José, Professor of Pediatrics and Physiology and Biophysics, Georgetown University Medical Center, Washington, DC, Anshumali Chaudhari, Scientific Review Administrator, Experimental Cardiovascular Sciences Study Section, National Institutes of Health, Bethesda, MD, Terry Rogers Bishop, Training and Careers Program Director and Erythroid Lineage Genomics (ELGAP), National Institutes of Health, Bethesda, MD and Linda L. Wright, Deputy Director, Center for Research for Mothers and Children, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

In the current climate of funding opportunities, the ability to successfully obtain extramural support involves applying for grants that are appropriate for an investigator's career stage and drafting a clear and focused application. In this session, we will discuss career-stage-appropriate funding opportunities from the NIH. We will also address how to write a grant application, focusing on strategies with proven success. The working of NIH study sections will be reviewed along with how to best address the concerns of review panels. We will also focus on how to obtain funding for fellowship postdoctoral training and early stages of an academic career.
 

8:30am – 11:30am
3200 Achieving Cultural Competency in Pediatrics
Educational Workshop
G. Flores and G. Askew, Center for the Advancement of Urban Children, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI and Early Childhood Health Consultant, Washington, DC

The U.S. 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 spectrum of the world’s 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.

8:30am – 11:30am
3201 Beyond p Values—Inference in Clinical Research
Educational Workshop
R. Wright and D. Shay, Department of Pediatrics, Children’s Hospital, Boston, MA and Centers for Disease Control

Background: Observational research studies have become increasingly complex. The results of observational research studies can be driven by properties other than chance or causation. While these factors may drive the p values of the results, they also change the appropriate interpretation.

8:30am – 11:30am
3202c Minority Faculty Career Development
Educational Workshop
Danielle Laraque, Debra & Leon Black Professor of Pediatrics, Associate Professor of Pediatrics, Mount Sinai School of Medicine, New York, NY and Phyllis A. Dennery, Associate Professor of Pediatrics, Stanford University School of Medicine, Palo Alto, CA

In this the second year of the Minority Faculty Development seminar/workshop, the leaders will review the probable career paths of clinical and basic research faculty. The session will begin with a detailed description of important considerations for young faculty when choosing their first position after residency/fellowship. The various promotion tracks and sampling of a number of institutions around the country will provide concrete examples. Strategies for time management, negotiating protected research time, special funding opportunities for minority faculty, and innovative funding sources will be discussed using an interactive format to allow interchange of information among junior, mid-career and more senior faculty. A special emphasis on mentoring and career development will be featured. Local and national support networks for faculty will be reviewed. The integration of the issues of race and medicine will be highlighted.
 

8:30am – 11:30am
3203 Partnering with Community: Approaches and Tools for Guiding Residents in Community-Centered Projects
Educational Workshop
L. J. Shipley, Department of Pediatrics, University of Rochester School of Medicine, Rochester, NY, T. R. Schum, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, L. M. Albers, General Pediatrics, Children’s Hospital, Boston, MA and the Dyson Project Group

With an increasing emphasis on the training of pediatric residents within the community, curricular tools and strategies for educating and supporting residents in community-based projects are needed. This workshop will address the stages of project planning and implementation (needs assessment, engaging in true community partnerships and tools for asset mapping) in resident community-based projects. Faculty, community partners and residents from the Anne E. Dyson Community Pediatrics Training Initiative will share lessons learned for implementing community advocacy projects within their residency programs. Case presentations will illustrate a range of models. As a result of this workshop, participants will be able to: describe key elements in planning a resident community-based project, identify methods of needs assessment and asset mapping, understand common pitfalls, describe key components necessary from a resident training perspective, and identify resources available in their community.
 

8:30am – 11:30am
3204 Pediatrics and Public Health—Working at the Local Interface To Improve Child Health Outcomes
Educational Workshop
J. Goldhagen Department of Pediatrics, University of Florida, Jacksonville, FL and M. A. Abrams, Department of Pediatrics, Mercy Medical Center, Des Moines, IA

To improve child health outcomes, pediatricians will need to expand their expertise to include population-based knowledge and skills. Collaboration with local health departments and public health practitioners can provide assets and resources to pediatricians to support them in these efforts. This workshop will: (a) establish a framework for linking pediatrics and public health on the local level; (b) identify and demonstrate the inventory, relevance and use of public health resources to child advocacy, clinical pediatrics and population-based child health; and (c) develop approaches for practitioners and pediatric educators that integrate pediatrics and public health to improve child health. Healthy People 2010 and Community Oriented Primary Care will be used to provide context to the discussion.

8:30am – 11:30am
3205 Teaching vs. the New Competencies—Round 1 to You
Educational Workshop
J. Lopreiato, G. Blaschke, T. Shope and G. Toussaint, Uniformed Services University of the Health Sciences, Bethesda, MD

As medical educators move toward observing and assessing competencies of trainees, many questions still remain. What assumptions can I make when teaching? How do I get faculty to understand and support assessing competencies? Can evidence-based teaching be taught? Our faculty development group has been exploring and experimenting in these areas of teaching and learning for some time. In this workshop, participants will investigate these and other questions through discussion, demonstration, video clips, reflective exercises and observational experiences. We will look at the assumptions teachers make when confronted with learners and how these affect our teaching. We will introduce and discuss a simplified, generalizable scheme of competency assessment called P.R.I.M.E. that will allow your faculty to observe performance and write evaluations in the language of competency. The workshop will also demonstrate some techniques to enhance evidence-based learning and make it fun. Time is reserved to discuss your experiences and anxieties as competency evaluation takes center stage in the assessment of learners from medical students to fellows.
 

8:30am – 11:30am
3250 Emergency Medicine
Special Interest Group
Chair: Halim Hennes, hhennes@post.its.mcw.edu

Three interesting topics will be presented at our meeting this year. As in previous years, we will have two discussion panels. The first panel, lead by Steven Selbst, M.D., will discuss errors in the pediatric emergency department. The second panel, lead by Dale Steele, M.D., will discuss the ever-controversial issue of managing dehydrated children in the ED. Each panel will have 45 minutes for presentation and 15 minutes for discussion. This year we will have a guest speaker, Narendra Kini, M.D., a pediatric emergency medicine specialist and a vice president at GE medical. He will talk about "The ED in 2005, the impact of new technology." Hope to see you all in Seattle.
 

8:30am – 11:30am
3251 Literacy Development Programs in Primary Care
Special Interest Group
Chairs: Robert Needlman, rneedlman@drspock.com and Perri Klass, perri.klass@bmc.org

The Special Interest Group on Literacy Development in Primary Care provides information, support and networking for clinicians interested either in research or implementation projects related to pediatric early literacy interventions. The SIG provides an important ongoing opportunity for reviewing research in progress, coordinating research ideas, enhancing provider training on early literacy guidance and evaluation related to the REACH OUT AND READ (ROR) model of pediatric literacy intervention. This year, in addition to general research update, we will spend some time on the topic of using the book as an assessment tool in the exam room. We invite participants to join that discussion by bringing examples of techniques for including books in developmental assessment or by discussing any research on using books as part of developmental screening. The session will also include a brief presentation on language development in young children.
 

8:30am – 11:30am
3252 Newborn Nursery
Special Interest Group
Chair: Linda D. Meloy, lmeloy@hsc.vcu.edu

Based upon our SIG meeting discussion, a number of newborn nursery topics will be addressed. A response by our group B streptococcous work group, headed by John Olsson, to the CDC guidelines will challenge us to prevention in our nurseries of sepsis and concepts for studies. We will discuss jaundice guidelines, screening, treatment and breastfeeding. Hypoglycemia detection and treatment will be surveyed and presented. Current screening with meconium and treatment of substance-exposed infants will be described. We will explore pain control in nurseries and circumcision.

8:30am – 11:30am
3253 Nutrition
Special Interest Group
Chair: Sandy Hassink, Shassink@nemours.org

The Nutrition Special Interest Group of the Ambulatory Pediatric Association is currently preparing A Teacher’s Guide to Pediatric Clinical Nutrition.

8:30am – 11:30am
3254 Pediatric Tobacco Issues
Special Interest Group
Chairs: Dana Best, dbbest@cnmc.org and Deborah Moss, mossd@pitt.edu

Dear Colleagues,

8:30am – 11:30am
3255 Serving the Underserved
Special Interest Group
Chairs: Peter Sherman, psherman@montefiore.org and Wendy L. Hobson, wendy.hobson@attbi.com

The SIG this year will be covering some old ground as well as new as the torch is passed from Ron Samuels and Jeff Brown to Peter Sherman and Wendy Hobson-Rohrer.

8:30am – 12:00pm
3270A LWPES Plenary Session I
LWPES

Opening Remarks and Awards
Mark A. Sperling, President, LWPES; University of Pittsburgh, Children's Hospital, Pittsburgh, PA

Lawson Wilkins Lecture
Lessons from Tissue-Specific lgfl Knockout Mice
Derek LeRoith, National Institutes of Health, Bethesda, MD

Robert Blizzard Lecture
Autoimmune Polyglandular Syndrome Type I: Clinical Insights from Molecular Discoveries
Diane Mathis, Joslin Diabetes Center, Boston, MA

Esoterix Lecture
Defective Signaling in Endocrine Disorders
Allen Spiegel, National Institutes of Health, Bethesda, MD
 

9:15am – 12:15pm
3300 Cancer in Adolescents and Young Adults: Ultimate Paradigm of Adolescent Medicine?
PAS/ASPHO Mini Course
Chair: Archie Bleyer, The University of Texas M. D. Anderson Cancer Center, Houston, TX

The primary objective of this mini course is to convey the array of issues intrinsic to caring for older adolescents and young adults with chronic, life threatening disease. For several reasons, cancer provides an ideal paradigm for this adolescent/young adult challenge.

Overview
Archie Bleyer, The University of Texas M. D. Anderson Cancer Center, Houston, TX

The Adolescent and Young Adult Gap in Cancer Care and Outcome
Jeffrey Carlton Murray, Cook Children's Medical Center, Fort Worth, TX

Sarcomas in Young Adults: Strategies for Enhanced Accrual to Clinical Trials
Karen Albritton, Primary Children's Medical Center, Huntsman Cancer Center, Salt Lake City, UT

Adolescent and Young Adults with Malignant Disease: What Will It Take To Improve Outcome?
Archie Bleyer, The University of Texas M. D. Anderson Cancer Center, Houston, TX

The Survivor Transition Challenge
Kevin Charles Oeffinger, University of Texas Southwestern Medical School, Dallas, TX

9:15am – 12:15pm
3301 Pediatric Rare Tumors
PAS/ASPHO Mini Course
Chair: Alberto S. Pappo, The Hospital for Sick Children, Toronto, Canada

This session will describe the epidemiology, clinical features and current initiatives for the study and treatment of rare pediatric tumors. Dr. Brad Pollock will discuss the epidemiology of rare tumors in pediatrics and will highlight the current COG initiative to improve reporting of these tumors through the COG Registry. Dr. Michael LaQuaglia will discuss the clinical and biological aspects of pediatric colorectal carcinoma. Dr. Carlos Rodriguez-Galindo will discuss the clinico-pathological features and therapeutic strategies for pediatric adrenocortical carcinoma and pediatric nasopharyngeal carcinoma, and Dr. Alberto Pappo will discuss the clinicopathological features and collaborative treatment initiatives for pediatric melanoma.

Epidemiology of Pediatric Rare Tumors
Brad H. Pollock, University of Texas Health Science Center, San Antonio, TX

Pediatric Adrenocortical Carcinoma and Pediatric Nasopharyngeal Carcinoma
Carlos Rodriguez-Galindo, St. Jude Children's Research Hospital, Memphis, TN

Pediatric Melanoma
Alberto S. Pappo, The Hospital for Sick Children, Toronto, Canada

Pediatric Colorectal Carcinoma
Michael LaQuaglia, Memorial Sloan-Kettering Cancer Center, New York, NY

9:30am – 11:30am
3350c Mentors and Mentees: Finding the Right Match
Educational Workshop
Carol Carraccio, Professor of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, Erin Giudice, Assistant Professor of Pediatrics, University of Maryland, Baltimore, MD and Robert Englander, Assistant Professor of Pediatrics, University of Connecticut, Hartford, CT

Through this interactive session, the participants will 1) identify the factors that influence the mentor/mentee relationship, 2) prioritize which factors are necessary in creating and sustaining a successful relationship, and 3) problem-solve vignettes that illustrate common pitfalls in mentor–mentee relationships. The goal of this workshop is to utilize the collective experience we have all gained as mentors and/or mentees to raise awareness of what makes for a successful and productive mentor–mentee relationship. The intended outcome is the incorporation of new strategies for creating and sustaining these relationships.
 

9:30am – 11:30am
3351c Recognizing Common Biostatistical Errors: A Case-Based Approach
Educational Workshop
Yvonne Wu, Assistant Professor, University of California, San Francisco, CA and Thomas B. Newman, Professor, University of California, San Francisco, CA

Back by popular demand, this seminar uses multiple real examples from the pediatric literature to teach participants how to be more discriminating consumers of statistics. Topics to be covered include standard deviation vs. standard error of the mean, commonly violated assumptions of statistical tests, including normality and independent sampling, between- vs. within-groups comparisons, "type 3" (dumb or careless) errors, odds ratios versus risk ratios, relative versus absolute effect sizes and multiple comparisons. In the last part of the seminar, participants will have the opportunity to test what they’ve learned on a set of "unknown" examples.
 

9:30am – 11:30am
3352c Risk Adjustment in Health Services and Outcomes Research
Educational Workshop
Christopher B Forrest, Associate Professor, Johns Hopkins University, Baltimore, MD and Uma R. Kotagal, Director, Health Policy and Clinical Effectiveness, Cincinnati Children's Hospital, Cincinnati, OH

One of the greatest challenges to researchers who conduct observational studies or quasi-experimental evaluations is controlling for differences in health status between groups. A variety of new methodologies—generally called "risk adjustment" techniques—have been developed to address this problem. Risk adjustment tools provide measures of morbidity burden, medical and social complexity, co-morbidity, disease severity and self-assessed health. They may be based on routinely collected clinical information (e.g., diagnostic data), patient-reported survey results, practitioner completed questionnaires or interviewer assessments. This workshop will provide attendees with an in-depth tour of (1) the conceptual basis of risk adjustment, (2) common tools available to researchers, (3) reliability and validity of measures, (4) application of the measures and (5) an in-depth look at the tools available for neonatal populations.
 

9:30am – 11:30am
3353c Survival Skills for Pediatric Fellows
Educational Workshop
Dimitri A. Christakis, Assistant Professor of Pediatrics, Co-director of Child Health Institute, University of Washington, Seattle, WA and Frederick P. Rivara, George Adkins Professor of Pediatrics, Adjunct Professor of Epidemiology, Head, Division of General Pediatrics, University of Washington, Seattle, WA, Editor, Archives of Pediatrics and Adolescent Medicine

This seminar is intended to help pediatric fellows and young junior faculty with challenges they face at each stage of their training including: how to identify worthwhile research projects, how to apportion time between research and course work, how to choose and work with a mentor, how to complete projects during one's fellowship, when and how to write grants, how to get and negotiate a job, how to balance career and family and how to transition to life as a junior faculty member. This workshop will be of particular interest to current pediatric fellows of any year, but it will also provide useful insights for those who recently completed or are considering a fellowship. The facilitators will include faculty at all stages of their career and will include both clinician-scientists and clinician-educators. There will be ample time for open discussion and question and answer.
 

9:30am – 11:30am
3354c We Are What We Repeatedly Do: Striving for Teaching Excellence
Educational Workshop
Richard Sarkin, Director, Pediatric Medical Student Education, University at Buffalo School of Medicine, Buffalo, NY

The goal of this interactive workshop is for participants to improve their teaching skills as they strive for teaching excellence. The characteristics of outstanding teachers will be defined and applied to a variety of different teaching scenarios. Several teaching methods used by expert instructors will be presented and discussed. Opportunity for practice will be provided. Participants will be challenged to apply what they have learned to their own teaching settings.
 

10:45am – 11:00am
LWPES Coffee Break

12:00pm – 1:30pm
LWPES Lunch Break

12:00pm – 3:00pm
3500 The New Genetics: Impact on the Primary Care Pediatrician and the Ethical, Legal and Psychosocial Issues
PAS Mini Course
Chairs: Benjamin Siegel, Boston University School of Medicine, Boston Medical Center, Boston, MA and Aubrey Milunsky, Boston University School of Medicine, Boston Medical Center, Boston, MA

There are many new technologies to help the primary care pediatrician more accurately diagnose genetic disorders. These newer diagnostic tests and their interpretation require a close working relationship between the pediatrician and the clinical geneticist. 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. 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. Newer diagnostic genetic technologies will be reviewed. Exploration of the history, including the family pedigree, aspects of the physical exam that alert 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 collaborative process between the patient/family, the pediatrician and geneticist will be examined.

The History and Physical Examination: Screening for Genetic Disorders in Primary Care
Benjamin S. Siegel, Boston University School of Medicine, Boston Medical Center, Boston, MA

New Diagnostic Technologies and the Role of the Clinical Geneticist
Aubrey Milunsky, Boston University School of Medicine, Boston Medical Center, Boston, MA

ELSI: The Ethical, Legal and Social Issues from the Perspective of Primary Care and Clinical Genetics
Benjamin S. Siegel, Boston University School of Medicine, Boston Medical Center, Boston, MA
Aubrey Milunsky, Boston University School of Medicine, Boston Medical Center, Boston, MA

12:00pm – 3:00pm
3501 Handheld Computing for the Pediatrician (Part II) PDA 102: Intermediate/Advanced Handheld Computing for the Pediatrician
PAS Mini Course
Chairs: K. Johnson, Vanderbilt University, Nashville, TN and A. Meyers, Boston University Medical Center, Boston, MA

The field of medicine is replete with examples of ways that handheld computers may be used to educate, organize and inform clinicians. There are also examples of how researchers may benefit from this technology. During this more advanced session, we will discuss some of these uses of handheld computers. We will provide examples of software in a variety of domains and discuss their historical, current and future use. We also will demonstrate some future technology and discuss its implications. At the conclusion of this session, participants will have increased familiarity with state-of-the-art applications, techniques to install them and the future of handheld computers and wireless networking.

12:00pm – 3:00pm
3502 Office Management of Spasticity: What Is New?
PAS Mini Course
Chair: Ann Tilton, Louisiana State University Health Science Center, New Orleans, LA

With the recent technologic advances to treat spasticity, the care of children with motor disorders has changed dramatically. The physician now has new choices in oral medications, as well as the ability to offer the patients possibilities such as botulinum toxin, intrathecal baclofen and selective dorsal rhizotomy. This course will offer an overview of the current thought on spasticity and related movement disorders, as well as an update on the new treatment modalities and their efficacy. The pivotal role of the pediatrician in the comprehensive management plan will be discussed. Didactic information, case studies and video presentations will be utilized.

Overview
Ann Henderson Tilton, Louisiana State University Health Science Center, New Orleans, LA

Definition and an Overview of Spasticity and Related Movement Disorders
Terence D. Sanger, Stanford University Medical Center, Stanford, CA

The Role of Oral Medications and Botulinum Toxin in the Care of the Child With Hypertonia
Terence Edgar, St. Vincent Hospital, Green Bay, WI

The Role of Intrathecal Baclofen and Selective Dorsal Rhizotomy in the Care of the Child with Hypertonia
Ann Henderson Tilton, Louisiana State University Health Science Center, New Orleans, LA

Discussion
 

12:00pm – 3:00pm
3503 Science of Gateway Drugs: Tobacco, Marijuana and Alcohol
PAS Mini Course
Chair: Donald E. Greydanus, Michigan State University Kalamazoo Center for Medical Studies, Kalamazoo, MI

Tobacco, marijuana and alcohol have long been recognized as the "gateway drugs" or the drugs adolescents first begin to abuse. Each drug has inherent dangers, one of which is they can serve as stepping stones to abuse of other drugs. This session will review current issues involved with each of these three drugs—issues that involve the pediatric researcher and clinician as well as society itself. The first hour will be devoted to tobacco, the second to marijuana and the final to alcohol. Questions and answers will be encouraged from the audience.

Overview/Introductions
Donald E. Greydanus, Michigan State University Kalamazoo Center for Medical Studies, Kalamazoo, MI

Tobacco
Dilip R. Patel, Michigan State University College of Human Medicine, Kalamazoo Center for Medical Studies, Kalamazoo, MI

Marijuana: An Overview
Richard H. Schwartz, University of Virginia Medical School, Charlottesville, VA

Alcohol
John R. Knight, Children's Hospital, Harvard Medical School, Boston, MA
 

12:00pm – 3:00pm
3551 Are My Learners Really "Competent?" Recognizing Resident Achievement of ACGME Competencies
Educational Workshop
C. Johnson, Columbus Children's Hospital, Columbus, OH, W. Raszka, University of Vermont, Burlington, VT, D. Rauch, Albert Einstein/Jacobi Med Ctr, New York, NY and T. Turner, Baylor Coll of Medicine, Houston, TX

The Accreditation Council for Graduate Medical Education (ACGME) requires that residents achieve competencies in patient care, medical knowledge, communication and interpersonal skills, practice-based improvement, professionalism and systems-based learning. The language of competency-based evaluation is new in graduate medical education. However, faculty must be knowledgeable of these competencies and possess strategies to measure outcomes effectively in order to ensure that pediatricians are qualified upon completion of their training.

12:00pm – 3:00pm
3552 Cultural Competency Curriculum Development: Using Self-Reflection and Interactive Methodologies To Teach Pediatric Residents
Educational Workshop
S. DasGupta, H. Cunningham, D. Meyer, E. Desrosiers and S. Guillen, Columbia University, New York, NY and Best Beginnings, New York, NY

Cultural competence in medical practice implies the effective interaction of the cultures of patients and providers. However, medical training programs often focus solely on the culture of patients, assuming that providers maintain value neutral systems. This cultural competency curriculum is located at two urban hospitals affiliated with Columbia University and is unique in that it incorporates self-reflection regarding personal cultural backgrounds as well as a critical understanding of medical culture. Training spans all three years of residency and focuses on: community asset mapping and language skills development; provider and patient cultures; and cross cultural communication. Rather than utilizing passive didactic methods, this curriculum uses multiple innovative teaching methodologies such as: resident-initiated projects, interactive workshops, discussions of films, reading of narrative texts, service learning and home visits. Learning occurs both in the traditional clinical setting and at community-based organizations. Pediatrics and public health faculty, as well as partners from community-based organizations, are vital in teaching. Residents from various cultural backgrounds and two culturally disparate hospitals participate in the curriculum. Self-reflective exercises allow residents to document, share and learn from these activities. This educational workshop will be a "training of trainers" session on cultural competency that will demonstrate effective training methodologies and allow participants to share strategies to create their own curricula. The session will be led by faculty members, community partners and pediatric residents.
 

12:00pm – 3:00pm
3553 Evidence-Based Health Services for Child Sexual Abuse: Who To See, How To Evaluate, What Are the Outcomes
Educational Workshop
V. J. Palusci, DeVos Children’s Hospital, Michigan State Univ., Grand Rapids, MI

Pediatricians are often asked to evaluate children for sexual abuse, yet deciding when, where, how and by whom the evaluation should be done are problematic given the rapidly changing interpretation of physical findings and testing and the paucity of data regarding the optimal provision of health services for this population.

12:00pm – 3:00pm
3554 Getting Funded the "K-Way": K08 and K23 Mentored Career Development Awards
Educational Workshop
C. Lewis, University of Washington, Seattle, WA; Brian Johnston, Harborview Medical Center, Seattle, WA; and Sherilyn Smith, University of Washington School of Medicine, Seattle, WA

NIH Mentored Career Development Awards are an ideal way for junior faculty to obtain a secure source of funding as they develop the skills and experience needed to become an independent researcher. These awards provide support for 3–5 years of multidisciplinary didactic training and supervised research for clinically trained professionals. In this workshop we will discuss:

12:00pm – 3:00pm
3555 Hospitalization Use of Children and Adolescents in the US: Application of the New AHRQ KID Database
Educational Workshop
J. W. Thompson and J. M. Tilford, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR and A. Elixhauser, Agency for Healthcare Research and Quality, Rockville, MD

This session will provide an overview of the Healthcare Cost and Utilization Project (HCUP)—a family of databases and tools maintained by the Agency for Healthcare Research and Quality (AHRQ)—and will include presentations by child health services researchers of their projects utilizing one of HCUP’s databases, the Kid’s Inpatient Database (KID). The KID is a unique and powerful database of hospital inpatient stays for children age 0–18 years. The KID was specifically designed to permit researchers to study a broad range of conditions and procedures related to child health issues. Researchers and policymakers can use the KID to identify, track and analyze national trends in health care utilization, access, charges, quality and outcomes. The KID contains approximately 1.9 million hospital discharges for children and includes a sample of pediatric discharges from over 2,500 U.S. hospitals. Since the KID has a large sample size it can be used for analyses of both common and rare conditions such as congenital anomalies, uncommon treatments and organ transplantation. Users will receive detailed packets of information about KID products. Research studies on congenital birth defects, hypoplastic left heart syndrome, adolescent depression and others will be used to illustrate application of the KID data and tools.
 

12:00pm – 3:00pm
3556 Introductions to Molecular Techniques in Pediatric Research Training: Basic Principles of Gene Regulation and Expression Analyses
Educational Workshop
P. L. Ramsay, Departments of Perinatal-Neonatal Medicine and Cellular and Molecular Biology and H. Karpen, Departments of Perinatal-Neonatal Medicine, Baylor College of Medicine, Houston, TX

Cell and molecular biology have revolutionized our understanding of the aberrant physiology underlying the mechanisms of human disease. Subspecialty training in pediatrics requires a comprehensive understanding of the molecular methodologies involved in the current diagnosis and treatment of human disease, as well as the future design of therapeutic interventions. This workshop is designed to provide the pediatric physician in training with an overview of some basic molecular principles relevant to understanding normal gene expression, as well as an understanding of the methodologies utilized in current diagnostic and experimental designs. Workshop modules will focus on participant identification of several common laboratory methodologies for DNA sub-cloning, generation of reporter gene constructs and reporter gene system analyses. Upon completion of this workshop, participants will be able to (a) describe two critical components for gene sub-cloning and analysis, (b) design a tissue-specific reporter gene construct for both in vitro and/or in vivo analysis and (c) identify two methods for the analysis of genetically altered gene expression in vitro and/or in vivo.
 

12:00pm – 3:00pm
3557c Manuscript Preparation and the Process of Peer-Reviewed Publication
Educational Workshop
William F. Balistreri, Editor, The Journal of Pediatrics, Dorothy M. M. Kersten, Professor of Pediatrics, Director, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Medical Center, Cincinnati, OH, Thomas R. Welch, Associate Editor, The Journal of Pediatrics, Professor and Chair, Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, Stephen R. Daniels, Professor of Pediatrics and Environmental Health, University of Cincinnati College of Medicine, Cincinnati, OH and Alan H. Jobe, Professor of Pediatrics, Children's Hospital Medical Center, Cincinnati, OH

This workshop will address multiple aspects of publication in scientific journals. Presenters will discuss preparation of materials, including the initial decision that the data are sufficient to justify publication. Issues related to manuscript writing will include length, focus, adherence to journal formats and referencing. The editorial process, from submission to publication, will be described in depth, with particular attention to ways in which authors can interact with journal editors. Another section of the workshop will cover ethical issues in publication including review boards, authorship, duplicate publication, intellectual property rights and conflict of interest. There will be open discussion of sample cases and questions derived from the experiences of the participants.
 

12:00pm – 3:00pm
3558c Nontraditional Approaches to Academic Success
Educational Workshop
Maryellen E. Gusic, Assistant Professor of Pediatrics, Pennsylvania State University College of Medicine, Hershey, PA, Elisa Alter Zenni, Associate Professor of Pediatrics, University of Florida, Jacksonville, FL, Sharon Dabrow, Associate Professor of Pediatrics, University of South Florida, Tampa, FL and Bernard Pollara, J & A Price Professor and Chief, Divison of General Pediatrics, University of South Florida, Tampa, FL

What does success mean to you? Academic success can be difficult in our current society due to multiple, conflicting personal and professional responsibilities that compete for our time. Developing effective techniques to achieve "balance" in our lives can be challenging. Participants in this workshop will define individual success, set personal and professional goals and develop innovative techniques to achieve them. Through round table and small group discussions, individual exercises and role plays, participants will explore successful approaches to working with a reduced FTE ("part-time"), developing an educator’s portfolio, establishing a relationship with a mentor, tackling the promotion and tenure process and negotiating with supervisors. Breakout sessions on individual topics will allow participants ample time to share experiences and problem solve. Creative ways to achieve success and maintain balance in life will be presented, discussed and practiced.
 

12:00pm – 3:00pm
3559 Teaching Residents Community-Based Pediatrics: Lessons Learned from the Anne E. Dyson Community Pediatrics Training Initiative
Educational Workshop
The National Curriculum Committee of the Anne E. Dyson Community Pediatrics Training Initiative and W. Risko, Children's Hospital, Boston, MA

Pediatricians are in a unique position to identify and advocate for children's health care needs. To do so, pediatricians need to understand the psychosocial, economic and cultural forces that affect the health of their patients. Community-based training provides residents with the opportunity to gain firsthand knowledge and experience of these forces and, importantly, gives them the basis from which to identify and mobilize community resources to enhance health outcomes. The goals of this workshop are to 1) improve the participant's knowledge of innovative community-based curricula and 2) discuss strategies for successful implementation of these experiences. Using an interactive format, representatives from The Initiative's programs will discuss components of their advocacy and community-based curricula. Participants will be encouraged to share their experiences of similar efforts. Specific community pediatrics' competencies will be described in conjunction with training efforts designed to achieve them. Workshop participants will divide into small groups to discuss implementation of community pediatrics block rotations, longitudinal residents' projects and cultural competence experiences. At the closing, participants will review and reflect on key issues raised during this session.

12:00pm – 3:00pm
3560c The Art and Science of Negotiating for a Faculty Position: A Practical Guide for Fellows and Junior Faculty
Educational Workshop
Thomas G. DeWitt, Professor and Director, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, Claibourne I. Dungy, Professor and Director, Division of General Pediatrics and Adolescent Medicine, The University of Iowa Health Center, Iowa City, IA and Kathleen G. Nelson, Professor of Pediatrics and Associate Dean for Students, University of Alabama School of Medicine, Birmingham, AL

The process of interviewing and negotiating for a faculty position is a common experience of most fellows and many residents and junior faculty. There is little, if any, training in this process. This seminar will 1) identify key concepts of the interviewing and negotiation process, 2) increase the awareness of residents, fellows and junior faculty of these concepts when applying for positions in academic medicine and 3) develop skills in utilizing them. These concepts include preparation for, and elements of, the first and subsequent interviews, stages and styles of the negotiation process and core issues such as compensation, office space, research resources, promotion guidelines and family considerations. Brief didactic presentations and case-directed discussions will highlight these concepts. Participants will have the opportunity to apply concepts learned to simulated interview situations.
 

12:00pm – 3:00pm
3561c Women in Academic Medicine: Balancing Strategies
Educational Workshop
Phyllis A. Dennery, Associate Professor of Pediatrics, Stanford University School of Medicine, Palo Alto, CA and Ann R. Stark, Associate Clinical Professor of Pediatrics, Harvard Medical School, Boston MA

This seminar will focus on the unique issues related to the challenges of women in academic medicine. The first topic will be the various tracks within the academic community and the expectations related to promotion within these tracks. The second topic to be discussed will be maintaining a balance between professional and personal life, and the presentation will include a discussion of the pros and cons and ups and downs of part-time employment. The last issue to be discussed will be negotiation skills for women in academia. Problematic scenarios will be presented and strategies for solutions will be proposed.
 

 12:00pm – 3:00pm
3600 Community-Based Physicians
Special Interest Group
Chairs: Emanuel Doyne, emanuel.doyne@chmcc.org and David Bromberg, dbromberg@peds.umaryland.edu

The membership of this SIG is open to community-based physicians involved with resident or student teaching, patient care or research and to academicians who are sending residents or medical students to community sites for part of their ambulatory experience. The program emphasis has been on integrating residents and students into community office sites and the problems/benefits inherent within this pursuit. The SIG is co-chaired by two community pediatricians with experience in these areas (David Bromberg of Frederick, MD and Manny Doyne, of Cincinnati, OH). This year’s program will include:

12:00pm – 3:00pm
3601 Pediatrics for Family Practice
Special Interest Group
Chair: David Turkewitz, dturkewitz@wellspan.org

Family physicians provide care for a significant number of infants, children and adolescents. Many pediatricians have chosen faculty positions aligned with Family Practice Residencies, and these pediatricians are responsible for the oversight of pediatric training. Pediatricians thrust into this position find that you can’t follow the same roadmap used for training pediatric residents. If you do, it is likely that you’ll spend too much time talking about too little; the residents might be bored; and the residents might not gain an appreciation of the appropriate scope of pediatric care for a family practitioner. Plus, each program seems to have its own set of roadblocks. This SIG’s goal is to provide mentoring, guidance and feedback to pediatricians who have embarked on this career choice.

12:00pm – 3:00pm
3602 Race in Medicine
Special Interest Group
Chairs: Anne C. Beal, acb@cmwf.org and Ivor Braden Horn, ihorn@cnmc.org

This year the Race in Medicine Special Interest Group will focus on Pediatric Workforce Diversity. The meeting will focus on three areas:

12:00pm – 3:00pm
3603 Pediatric Resident
Special Interest Group
Chairs: Joshua Schiffman, joshua.schiffman@stanford.edu and Rebecca Ryder, rryder@ufl.edu

12:30pm – 3:00pm
3650 Pediatric Environmental Health (Part II)
PAS Mini Course
Chair: Ruth A. Etzel, George Washington University School of Public Health and Health Services, Washington, DC

This 6-hour mini course is intended for faculty who teach and do research on pediatric environmental health problems. We will use an evidence-based approach and focus on research that is needed to clarify unresolved issues. The challenges and controversies in the field of pediatric environmental health will be presented, and there will be time to discuss prevention strategies for the clinic and the community. The participants will develop and share ideas to use in teaching, research and practice. (There is a separate workshop for Chief Residents on May 4, 2003.)

Molds in the Indoor Air
Ruth Etzel, The George Washington University School of Public Health and Health Services, Washington, DC

Outdoor Air Pollution
Janice J. Kim, California Department of Health Services, Oakland, CA

Ultraviolet Light
Sophie Julia Balk, Children's Hospital at Montefiore, Bronx, NY

Controversial Issues in Pesticides
James R. Roberts, Medical University of South Carolina, Charleston, SC

Environmental Tobacco Smoke
Dana Best, Children's National Medical Center, Washington, DC
 

1:00pm – 3:00pm
3675A Hot Topics in Renal Genetic Diseases
ASPN Symposium
Chair: Friedhelm Hildebrandt, University of Michigan, Ann Arbor, MI and Lisa Satlin, Mount Sinai School of Medicine, New York, NY

ARPKD: Identification of the Gene and Analysis of the Protein
Peter C. Harris, Mayo Clinic, Rochester, MN

Discovering Novel Disease Mechanisms by Positional Cloning of Genes Causing Nephronophthisis
Friedhelm Hildebrandt, University of Michigan, Ann Arbor, MI

The Genetics of Primary Hyperoxalurias
Craig B. Langman, Feinberg School of Medicine, Northwestern University, Chicago, IL

Cystinuria
Paul R. Goodyer, McGill University, Montreal, Canada

The Roles of Podocin and Nephrin in Podocyte Biology
William E. Smoyer, University of Michigan, Ann Arbor, MI

1:00pm – 3:00pm
3677 Brain Nutrients in Development and Disease
Original Science Abstracts - Platform Session
Moderators: Jane E. McGowan and Sidhartha Tan

1:00pm – 3:00pm
3678 Cytokines and Signaling Molecules in Immunity and Inflammation
Original Science Abstracts - Platform Session
Moderators: To be determined

1:00pm – 3:00pm
3679 General Pediatrics: Infectious Diseases
Original Science Abstracts - Platform Session
Moderators: Tina S. Haynes and Mary Ottolini

1:00pm – 3:00pm
3680 Hematology/Oncology I
Original Science Abstracts - Platform Session
Moderators: Thomas C. Abshire and Laurence A. Boxer

1:00pm – 3:00pm
3681 Historical Perspectives
Original Science Abstracts - Poster Symposium
Moderators: Stanford T. Shulman and E. Richard Stiehm

1:00pm – 3:00pm
3682 Neonatal Epidemiology and Follow Up I
Original Science Abstracts - Platform Session
Moderators: Virginia Delaney-Black and Susan Hintz

1:00pm – 3:00pm
3700c Abstract Preparation and Presentation
Educational Workshop
Rebecca A. Simmons, Assistant Professor of Pediatrics, University of Pennsylvania, Children's Hospital, Philadelphia, PA and William W. Fox, Professor of Pediatrics, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia PA

The core of the academic meeting is the dissemination of new information through abstracts. This session will provide the young investigator with an approach to the preparation and presentation of abstracts. Innovative science requires crafting an innovative abstract to ensure program selection. Points concerning abstract presentation to enhance acceptance and the dos and don'ts of platform and poster presentations will be presented in depth.

1:00pm – 3:00pm
3701c Adolescent Medicine: What Up? A Primer on the Anticipatory Guidance Interview
Educational Workshop
Cora Collette Breuner, Assistant Professor of Pediatrics, Children's Hospital and Medical Center, Seattle, WA

The period of adolescence encompasses dramatic changes, both physical and emotional. Taking care of these youth requires not only patience, compassion and flexibility but also knowledge of the biologic, psychological and cultural transformations. Adolescents aged 11–21 years made 61.8 million visits to physicians in 1994 and continue to see their primary care providers for continuity health care. There is a terrific opportunity for preventive health interviewing in these visits. In this workshop, the participants will become familiar with GAPS and Bright Future Guidelines for the adolescent visit, as well as effective coding and billing procedures. There will also be a panel of adolescents who will talk about how they want to be interviewed and provide insight into positive and negative experiences that they have had during their health visits.

1:00pm – 3:00pm
3702c Career Paths for Clinician-Educators: Enhancing the Career Development of Clinician-Educators
Educational Workshop
Robert I. Hilliard, Professor of Pediatrics, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada, Karen Leslie, Assistant Professor, Department of Pediatrics, University of Toronto, Toronto, ON, Canada and Ann Jefferies, Assistant Professor, Department of Pediatrics, University of Toronto, Toronto, ON, Canada

Clinician-educators are those physicians whose career activities combine patient care and teaching and whose scholarly activities promote excellence in medical education. With this interactive workshop, it is expected that participants will learn a practical approach to their career development and will:

1:00pm – 3:00pm
3703c Publish/Don't Perish!
Educational Workshop

Norman J. Siegel, Department of Pediatrics, Yale University School of Medicine, Yale-New Haven Children's Hospital, New Haven, CT
The publication and dissemination of new knowledge has long been the gold standard of academic pediatrics. However, inertia remains a substantial barrier to successful publications and presentations for many faculty. A well-organized and systematic approach to the presentation of scientific data can substantially reduce the impediments to success and lead to high-quality and well-received efforts. This seminar will take a practical and focused approach to the conceptualization, derivation and presentation of scientific material to be presented as a manuscript, abstract or oral presentation. Group discussions, critique and analysis will be an inherent component of this seminar.

1:00pm – 3:00pm
3704c So You Want To Be an Author
Educational Workshop
Catherine D. DeAngelis, Editor-in-Chief, JAMA, Chicago, IL

This interactive session will provide the attendee with basic information on publication of a manuscript, as derived from the perspective of an editor. Issues (with data provided when possible) to be discussed are:

1:00pm – 4:00pm
3730c How To Develop and Use Animations and Digital Collaboration as Teaching Tools: New Horizons in Teaching Generation X
Educational Workshop
Roshni Kulkarni, Professor and Division Chief, Pediatric and Adolescent Hematology/Oncology, Michigan State University, East Lansing, MI, Usha M. Reddy, Director, Zenkat Multimedia Graphics & Communications, Practitioner, Community Health Foundation, Man, WV, Bruce L. Evatt, Professor and Chief, Hematologic Disease Branch, Centers for Disease Control, Atlanta, GA and Saveen Reddy, Lead Program Manager, Microsoft Corporation, Redmond, WA

Develop animations with a little imagination and learn about digital collaboration. This interactive workshop will cover an overview of animations as a teaching tool; view an animation entitled "How does blood clot? Hemostasis and pathophysiology of hemostatic disorders"; and then go through the steps involved in developing animations. On what subject do you spend the most time in your practice explaining to students, residents and patients? Can it be animated? Come with your ideas, and we will explore how to develop an animation. Mr. Saveen Reddy, lead program manager from Microsoft Corporation, will discuss digital collaboration. We are surrounded by a powerful fabric of technology that isn't woven together well. We don't necessarily know how to take advantage of it; sometimes we don't know it exists. This presentation will point out the pieces and show how to tie them together so that people can work collaboratively to a common goal. The presentation and demonstration includes: real-time transmission of data, instant review of documents (images, reports, etc.) and using publishing tools to keep a team working together (Blogs, etc.).

1:30pm – 3:30pm
3740A Diabetes Symposium
LWPES
Chair: Nicole Glaser, University of California, Davis, Sacramento, CA

Significant advances in both the understanding of the underlying causes, as well as in pragmatic aspects of clinical management of diabetes, are highlighted. Work at three levels: 1) biology of islet cell function and survival, 2) analysis of informative monogenic forms of diabetes, and 3) new methods of diabetes monitoring, will be discussed.

Common Threads in Types I and II Diabetes
Morris White, Joslin Diabetes Center, Boston, MA

New Monogenic Forms of Diabetes: Insights and Puzzles
Constantine Polychronakos, McGill University, Montreal, Canada

New Monitoring Methods in Diabetes
Denis Daneman, Hospital for Sick Children, Toronto, Canada

3:15pm – 5:15pm
3750 Health Care for Children in Foster Care
PAS Topic Symposium
Chair: Steven Blatt, ENHANCE Services for Children in Foster Care, Upstate Medical University, Syracuse, NY

With their numbers continuing to grow at an alarming rate, health care needs of the more than 500,000 children in foster care often remain unmet. Children in foster care suffer from inordinately high rates of acute and chronic illnesses, lack of preventive health care, mental illness and developmental delays. Inefficient child welfare agencies, inadequate health care funding and a dearth of qualified health care and mental health care professionals willing to treat this population of children compound the problems.

Foster Care: An Overview
Steven D. Blatt, ENHANCE Services for Children in Foster Care, Upstate Medical University, Syracuse, NY

Health Care Standards for Children in Foster Care
Moira Szilagyi, Foster Care Pediatrics, University of Rochester, Rochester, NY

Child Development and Mental Health Needs of Children in Foster Care
Mark Simms, Child Development Center, Children's Hospital of Wisconsin, Milwaukee, WI

Successful Models of Health Care Delivery for Children in Foster Care
Victoria Meguid, ENHANCE Services for Children in Foster Care, Upstate Medical University, Syracuse, NY

Establishing Networks of Health Care Delivery for Children in Foster Care in Large Cities
Heather Campbell Forkey, Safe Place: The Center for Child Protection and Health, Children's Hospital of Philadelphia, Philadelphia, PA

Audience Questions
 

3:15pm – 5:15pm
3751 New Genetics of Childhood Acute Leukemia
PAS/ASPHO Topic Symposium
Chair: Valerie Castle, University of Michigan, Ann Arbor, MI

Exciting new advances in gene expression analysis and animal models of childhood ALL and AML have opened the way for the emerging prospect of new forms of targeted therapy for childhood leukemia.

Introduction
Valerie P. Castle, University of Michigan, Ann Arbor, MI

Genetic Models of AML and New Therapeutic Approaches
D. Gary Gilliland, Harvard Medical School, Boston, MA

Gene Expression Arrays in B-Lineage ALL and AML
James R. Downing, St. Jude Children's Research Hospital, Memphis, TN

New Genetics of T-Cell ALL: A Fish Tale
A. Thomas Look, Dana Farber Cancer Institute, Boston, MA

Discussion

3:15pm – 5:15pm
3801 Developmental/Behavioral Pediatrics
Original Science Abstracts - Platform Session
Moderators: Paul H. Dworkin and Terry Stancin

3:15pm – 5:15pm
3802 General Pediatrics: Obesity
Original Science Abstracts - Platform Session
Moderators: Jan Edwin Drutz and Ivor Braden Horn

3:15pm – 5:15pm
3803 Infectious Diseases
Original Science Abstracts - Platform Session
Moderators: Kenneth A. Alexander and Charles R. Woods

3:15pm – 5:15pm
3804 Neonatal Pulmonary Biology
Original Science Abstracts - Platform Session
Moderators: Candice D. Fike and Sandra E. Juul

3:15pm – 5:15pm
3805 Nephrology I
Original Science Abstracts - Platform Session
Moderators: Samir S. El-Dahr and Kathy L. Jabs

3:15pm – 5:15pm
3806 Neurovascular Injury of the Newborn
Original Science Abstracts - Platform Session
Moderators: Gabrielle deVeber and Sidney M. Gospe

3:15pm – 5:15pm
3807 Pediatric Nutrition and Metabolism
Original Science Abstracts - Platform Session
Moderators: Robert J. Shulman and John N. Udall

3:15pm – 5:15pm
3808 Pharmacology of ADHD
Original Science Abstracts - Poster Symposium
Moderators: Daniel Lee Coury and Marsha D. Rappley

3:15pm – 5:15pm
3809 Public Health and Prevention I
Original Science Abstracts - Platform Session
Moderators: Felix Okah and Tosan Oruwariye

3:15pm – 5:15pm
3810 Pulmonary Vascular Biology
Original Science Abstracts - Platform Session
Moderators: Steven H. Abman and Marlene Rabinovitch

3:15pm – 5:15pm
3811 Unique Perinatal/Neonatal Developments
Original Science Abstracts - Platform Session
Moderators: F. Sessions Cole and Heber C. Nielsen

3:15pm – 5:15pm
3850c An Innovative Approach to Self-Directed Professional Development and Lifelong Learning
Educational Workshop
Henry H. Bernstein, Associate Professor of Pediatrics, Harvard Medical School, Boston, MA and Carol Carraccio, Professor of Pediatrics, University of Maryland School of Medicine, Baltimore, MD

The 21st century heralds a paradigm shift in medical education with a focus turned to competence and outcomes. The Accreditation Council for Graduate Medical Education (ACGME) is spearheading a competency-based system of graduate medical education coincident with the American Board of Pediatrics’ (ABP) initiative to transition from periodic "recertification" to "maintenance of certification." Our greatest challenge as educators lies in developing tools to evaluate competence during training and to equip all trainees with the skills necessary to achieve quality continuous professional development in order to maintain their certification in pediatrics.

3:15pm – 5:15pm
3851c Collaborative and Accountable Teams: Key to Medical Leaders' Maximal Impact
Educational Workshop
David J. Fisher, Vice Chairman, Academic Affairs and Medical Director, The Ohio State University and Children's Hospital, Columbus, OH and Thomas N. Hansen, Chairman and CEO, The Ohio State University and Children's Hospital, Columbus, OH

As healthcare organizations become more complex, quality leadership is an increasingly precious resource. Many health systems are turning to physician leaders because they are uniquely qualified to integrate clinical, educational, research and administrative functions. To be successful, these physician leaders must build and sustain high performance teams.

3:15pm – 5:15pm
3852c Managing the Business of Academic Pediatrics
Educational Workshop
Thomas F. Boat, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH and Lori Mackey, Associate Vice President of the Children's Hospital Research Foundation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Career and program development in pediatric departments is increasingly tied to the generation of resources that support these efforts as well as cost-containment efforts. This seminar will address the application of business principles and approaches that should be useful to current directors of programs, or those who aspire to be directors, as they plan and manage these programs. Concepts to be introduced in a case discussion format include cost analyses, longitudinal budgeting, mission-based budgeting, business plan development and productivity analysis and enhancement.

3:15pm – 5:15pm
3853c Who Decides? Bioethical Dilemmas in Pediatrics
Educational Workshop
Susan Albersheim, Clinical Professor, Department of Pediatrics, British Columbia's Children's Hospital, Vancouver, BC, Canada and Joel E. Frader, Professor of Pediatrics/Medical Ethics and Humanities, Feinberg School of Medicine, Northwestern University, Chicago, IL

What should you do when parents want you to continue burdensome treatments, which you think are futile? What should you do when parents want you to stop intensive care treatment, the continuation of which you think is in the best interests of the child? Who ought to make decisions for the not yet competent? Is it the parents, the doctors, the ethics committee, society or some other disinterested third party? The goal of this seminar is to consider the complexity of these difficult decisions, looking at factual and evaluative considerations. Through interactive case discussion we will identify the problems and potential pitfalls in decision-making for the pediatric population.
 

3:15pm – 5:15pm
3860 APA Education Committee
APA Committee

3:15pm – 5:15pm
3861 APA Health Care Delivery Committee
APA Committee

3:15pm – 5:15pm
3862 APA Public Policy / Advocacy Committee
APA Committee

3:15pm – 5:15pm
3863 APA Research Committee
APA Committee

3:30pm – 3:45pm
LWPES Coffee Break

3:45pm – 5:15pm
Clinical Management Controversies Workshops
LWPES

3:45pm – 5:15pm
3875A Workshop I—Adrenal
LWPES Workshop
Chairs: Walter Miller, University of California at San Francisco, San Francisco, CA and Phyllis Speiser, New York University, Manhasset, NY

~ Surgical Treatment for Ambiguous Genitalia— Who Are We Treating and When?
~ Prenatal Treatment of CAH—Should All Fetuses Be Treated and By Whom?

3:45pm – 5:15pm
3876A Workshop II—Thyroid
LWPES Workshop
Chairs: Thomas Foley, University of Pittsburgh, Pittsburgh, PA and Stephen LaFranchi, Oregon Health & Science University, Portland, OR

~ The Preterm Infant with Hypothyroxinemia
~ Thyroid Nodules—The Initial Approach
~ Thyroid Cancer Treatment of Children: Role and Extent of Surgery, Radioactive Iodine Therapy, Follow up

3:45pm – 5:15pm
3877A Workshop III—Hypoglycemia in Infants and Children (Ketotic and Nonketotic)
LWPES Workshop
Chair: Charles Stanley, Children’s Hospital of Philadelphia, Philadelphia, PA and Joseph Wolfsdorf, Children’s Hospital Boston, Boston, MA

~ Diagnostic Workup, Role of Genetic Testing
~ Medical and Surgical Therapies

3:45pm – 5:15pm
3878A Workshop IV—Private Practice Issues in Pediatric Endocrinology
LWPES Workshop
Chairs: Jay Cohen, The Endocrine Clinic P.C., Memphis, TN, Henry Anhalt, Maimonides Medical Center, Brooklyn, NY and Naomi Neufeld, Neufeld Medical Group, Los Angeles, CA

~ Common Issues in the Private Practice of Pediatric Endocrinology

4:00pm – 7:30pm
Commercial Exhibits Open and Posters Available for Viewing

Available for Viewing: 4:00pm–7:30pm
Author Attendance: 5:15pm–7:15pm

5:15pm – 7:15pm
Poster Session I and Opening Reception

• Cardiology
• Emergency Medicine
• Endocrinology
• Epidemiology
• General Pedaitrics and Preventive Pediatrics
• Hematology and Oncology
• Historical Perspectives
• Infectious Diseases
• Neonatology
• Nephrology
   

7:15pm – 8:30pm
PAS Presidential Reception Honoring New Members
Preliminary Program

7:15pm – 9:15pm
3980A Perinatal Nutrition and Metabolism Club
Club

8:00pm – 10:00pm
ASPN Social Event
Preliminary Program