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.

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.

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.

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.

Teams are successful when the right people are working together to do the right job with the right outcomes. Leaders must: (1) create the vision and scope, (2) determine what and to whom to delegate, (3) remove the barriers by dealing with the difficult people and situations and (4) specify the metrics and hold the team accountable. Building upon the 2002 Physician Leadership PAS education seminar, the focus for this workshop will be on delegation and dealing with difficult people and situations.

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.

~ Common Issues in the Private Practice of Pediatric Endocrinology

Since 1989 New York State has had regulations that specifically prescribe resident work hours. Now, legislation that restricts resident work hours is being considered in many states and on the national level. In addition, the ACGME has instituted new regulations to take effect in July 2003. Clearly such regulations will have an impact on the structure of most residency training programs. The goals of this workshop are to explain the regulations and learn ways to accommodate to the regulations—not only meeting the work hour limits but how to continue to incorporate teaching in the lives of the residents. The presenters are all experienced New York residency directors who have taken different approaches to meeting the 405 regulations. After an introduction reviewing the regulations the presenters will explain some specific methods that have been successfully used, including creative scheduling, night float systems, and the incorporation of additional providers. The attendees will then break into small groups to work on the challenge of meeting the regulations in their own programs, facilitated by the presenters. The session will end with each small-group sharing their ideas. This workshop is intended for anyone involved in residency training. The presenters have no conflicts of interest to declare.

The Institute of Medicine has challenged health care leaders to redesign health care systems to achieve care that is more patient centered, timely, efficient, effective, equitable and safe (in "Crossing the Quality Chasm: A New Health System for the 21st Century"). Dramatic improvements in patient care, in alignment with the IOM challenge can be made with innovative clinical models. At the Open Access Workshop at the 2002 PAS meeting, the basics of the Open Access concept were presented. Improvements include increased access to care and productivity, optimal utilization, decreased urgent care visits and improved preventative health care outcomes. At this session, participants will understand the Open/Advanced Access model applications. Lessons learned from the Institute for Healthcare Improvement (IHI) National Initiatives, along with Mayo Clinic experience in primary care and specialty care areas, will be shared. Implementation in primary care and specialty clinics, as well as academic settings, will be reviewed. The format for the session will be highly interactive with the understanding that many pediatricians already have substantial understanding and experience with the Open/Advanced Access model of care.

Participants at this workshop will learn about several models of Faculty Development (FD) appropriate for pediatric educators and will engage in discussion of perceived needs and challenges related to FD.

Several invited presenters, representing different models, will share FD successes through platform presentations or through interactive poster presentations. The presenters have been competitively selected by workshop leaders after review of invited submissions. They have been asked to address challenges and solutions, design of curricular materials and evaluation methods. Workshop leaders will facilitate an interactive review of each model and will present a summary of basic principles for successful FD implementation.

This combination of platform presentations, posters and interactive discussions will allow participants to pool creative ideas and curricular materials, to network with FD experts and to consider ways to implement FD at their own institutions.

This workshop will discuss academic leadership. There will be three distinct perspectives presented: (1) leadership at an institutional level—climbing the academic ladder; (2) leadership at an organizational level—opportunities to become involved with national organizations such as the American Academy of Pediatrics, the Ambulatory Pediatric Association, American Pediatric Society; and (3) networking: differences in gender styles and opportunities. There will be a panel discussion following individual presentations and an opportunity for workshop participants to discuss their personal experiences. The discussion will also include differentiating leadership from positions of leadership.

Physicians are frequently asked to shoulder administrative responsibilities in addition to their more traditional clinical and teaching duties. Balancing these new responsibilities can be a challenge. Often, time does not permit formal preparation and training for these duties. This workshop provides a formal preparation and training for these duties. This workshop provides a "hands-on" practical overview of basic skills needed for effective administrative leadership.

Using an interactive format, the workshop will begin with a general approach to administration looking at fiscal, personnel and quality improvement issues. Participants will review standard financial reports such as program profit/loss (P&Ls) and budget vs. actual variance reports. Participants will discuss how to use the information from these basic reports to manage a budget or cost center. After developing familiarity with fiscal issues, participants will discuss human resource issues such as job descriptions and evaluations. Finally the value of a quality improvement (QI) process will be discussed. At the conclusion of the workshop, participants will have used real-life examples to gain experience that is applicable to their own program and that will help them review standard reports and manage a budget, recruit and retain staff and participate in QI efforts.

Facility Billing, Composite Rate
Mark W. Joseph, Phoenix Children's Hospital, Phoenix, AZ

Documentation
Jordan Matthew Symons, University of Washington/Children's Hospital, Seattle, WA

Exception for Dialysis Facility
Stuart Goldstein, Baylor College of Medicine/Texas Children's Hospital, Houston, TX

Outcome measures are a vital part of research design. Many studies continue to use morbidity and mortality, admission to the hospital, cost of care and other gross measures that do not define true outcomes for patients. A model for outcome determination using disease specific outcomes that define long-term outcomes, proximate outcomes, global long term outcomes and global proximate outcomes can serve as the conceptual framework for decisions about assigning specific outcome measures for a study. A conceptual framework using disease-specific and global outcomes based on diversity and severity of the process to be studied will be discussed. Quality of Care Measures will be differentiated from true outcome measures.

Applying the methods and tools of outcomes research and the evaluation of the impact of health care on the health outcomes or "end result" of patients and populations to various clinical domains are critical to research design. They are an integral part of translational research.

Translating, disseminating and implementing research results and applying them to clinical care and policies affecting clinical care are critical to improving patient outcomes. A hierarchy of research impact and an approach to translational/implementation research will be discussed. Implementation research examines the science of translating clinical and organizational research into practice and policy. Evidence-based implementation strategies are in turn based on the findings of implementation research. Results of implementation research, including research in children’s health care, will be discussed. Models will be given that can be applied to research protocols.

Selecting Outcome Measures for Research
Roger J. Lewis, Harbor-UCLA Medical Center, Torrance, CA; and UCLA School of Medicine, Los Angeles, CA