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Pediatric
Academic Societies' |
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2005 PAS Annual Meeting s May 14 –17 s Washington, DC |
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Last Updated: April 10, 2005 7:00am–8:00am Most pediatric hematology/oncology programs in the
U.S. face ongoing economic pressures. In order to survive,
program directors must be creative in developing sources
of revenue outside of traditional reimbursement
structures. This workshop will provide an opportunity to
learn more about two potential approaches to develop new
sources of revenue. One program director’s recent
experiences with an expanded philanthropic development
effort will be discussed, and participants will gain
insights into the role of hematologist/oncologists in an
institution’s philanthropic development team. William G. Woods 7:00am–8:00am This workshop will begin with an overview of the
diagnostic workup for pediatric marrow failure in the
context of recent molecular studies regarding tumor
suppressor pathways. The second half of the program will
focus on the predisposition of patients with inherited
bone marrow failure syndromes to leukemia and solid
tumors. There will be a discussion of the incidence and
types of these malignancies in the various syndromes. Evaluation of Marrow Failure in Children Etiologic Investigation of Cancer Susceptibility in
Inherited Bone Marrow Failure Syndromes: The NCI IBMFS
Study 8:00am–9:45am The optimal management of children with chronic
kidney disease (CKD) requires attention to a multitude of
clinical issues. However, information on the
manifestations of CKD in children and their evolution with
the progression of renal insufficiency is, in large part,
anecdotal in nature. This session will be dedicated to a
review of important aspects of the recently initiated
Chronic Kidney Disease in Children (CKiD) study designed
to provide long awaited data on pediatric CKD. The session
will begin with an overview of the entire study and the
progress that has been made in patient enrollment and data
collection. This will be followed by presentations on
approaches to the measurement of glomerular filtration
rate (GFR), new and old, and the health-related quality of
life (HRQOL) assessment in children with chronic illness.
The final presentation will review the growing body of
data on cardiovascular disease in children with CKD and
the importance of cardiac-related investigations in this
N.I.H. supported endeavor. Target Audience: Pediatric nephrologists CKiD: State of the Study CKiD: State of the Study Measurement of Glomerular Filtration Rate in
Children: Historical and New Approaches Health-Related Quality of Life in Children with
Chronic Conditions Cardiovascular Disease in Children with Chronic
Kidney Disease: Hidden Reality Supported by the North American Pediatric
Renal Transplant Cooperative Study (NAPRTCS) 8:00am–11:00am Pollution knows no borders, and efforts to protect
children from hazards in the environment have increasingly
recognized that some of the highest exposures to children
occur in the developing world. This 6-hour mini course
will provide pediatricians with information about
exposures, treatments and prevention of diseases linked to
environmental contamination. Target Audience: Scientists and clinicians who are
interested in the problems facing children in the low- and
middle-income countries will learn about selected
environmental health issues from experts who have worked
in international settings. Environmental Threats to Children's Health Children's Health and the Environment: A Global
Perspective Arsenic in Drinking Water and Implications for Global
Child Health Break Radiation Effects on the Pediatric Thyroid: What Have
We Learned from the Chernobyl Accident? Environmental Pediatrics in the Developing World: The
Need for Prospective Studies 8:00am–11:00am Rapid advances in developmental genetics over the
past decade have led to the generation of myriad animal
models of abnormal development and the elucidation of many
genes involved in development. Phenotypic analysis has
traditionally been limited to histological or in vitro
techniques. Innovations in sophisticated imaging
modalities now allow investigators to see the results of
genetic manipulation in striking detail, including in vivo
imaging of the embryo, three-dimensional reconstruction of
embryonic structures and functional analysis of the
cardiovascular system. Such imaging tools will prove
invaluable in linking genomic processes with their
phenotypic manifestations. Multi-modality, non-redundant
imaging can help investigators answer key biological
questions. This state of the art mini course is designed
to provide investigators specializing in developmental
processes with an overview of several current innovative
imaging approaches for the study of the embryonic and
early postnatal organism and to stimulate collaboration as
well as advances in phenotypic analyses. Target Audience: Scientists involved in basic
developmental biology research from various fields,
including cardiology, neurology, cell biology,
developmental biology (patterning, etc.) and genetics. Introduction: What Can Advanced Imaging Do for the
Developmental Biologist? In Vivo Ultrasound and MR Microimaging of Mouse Brain
Development Optical Projection Tomography: A New Approach for 3D
Microscopy and Gene Expression Quantifying Developmental Dynamics Using DPIV Break Dynamic Imaging of Fluid Forces and Heart Motions in
Developing Embryos Mapping Cardiac Excitation in Embryonic and Adult
Hearts Panel Discussion and Question & Answer 8:00am–11:00am Developmental immunology, immunotherapy for the
neonate with infection, diagnosis of immunodeficiency and
relevance to the development of allergy will be discussed. Target Audience: Pediatricians who care for newborns,
including neonatologists dealing with premature, high-risk
newborns. Overview Transient and Congenital Immunodeficiencies of the
Newborn: Recognition and Management Newborn Immunity as a Predictor for the Development
of Wheezing and Allergy Immunologic Intervention in the Newborn: Relevance to
Newborn Infections 8:00am–11:00am Oral health is an integral part of overall health. In
spite of improvements in the oral health of U.S. children
over the past 25 years, significant and consequential
disparities in oral health exist. Dental caries, a
preventable, infectious disease process that begins in
early childhood, disproportionately affects poor and
minority children. Proven prevention strategies, changes
in organizational policy and the challenge of providing a
true medical home present pediatricians with an
opportunity to play a role in improving child oral health.
This session will begin with an overview of the
epidemiology of childhood oral disease, the science of
dental caries and the knowledge base of physicians. Next,
educational efforts and practical intervention strategies
will be discussed. Finally, child oral health policy and
advocacy issues will be presented. After each
presentation, an audience discussion will take place to
strategize how best to approach the inclusion of oral
health and improve the communication of oral health issues
within the pediatric profession, between the medical and
dental worlds and among policymakers. Target Audience: Appeal will be to pediatricians in
practice, policy, advocacy and education interested in
expanding the knowledge of themselves, their students,
policymakers and professional organizations on the
importance of child oral health and the policy, practice
and educational issues surrounding the role of
pediatricians in its improvement. Why Put Teeth in the PAS Meeting? The Epidemiology, Science and Pediatric Professional
Knowledge of Childhood Oral Disease The Possible, Practical and Sometimes Controversial
Education and Clinical Practice of Pediatric Professionals
In Child Oral Health Federal, State and Local Policy and Advocacy Issues
Surrounding Child Oral Health 8:00am–11:00am The goal of this workshop is to share strategies for
teaching and evaluating the Practice-Based Learning and
Improvement (PBLI) competency in the continuity setting.
Following a brief review of the APA Educational
Guidelines, competency-based evaluation and basic quality
improvement (QI) principles, QI projects successfully
implemented in continuity settings will be presented by
workshop participants. Small group format will be used to
critique projects and discuss evaluation tools, with
particular attention to the PBLI competency. The AAP's
Education in Quality Improvement for Pediatric Practice (eQIPP)
will be introduced with a focus on making this program
affordable and accessible to residents practicing in the
continuity clinic setting. Objectives:
Method of Instruction: (1) Presentations by
Continuity SIG Steering Committee members and 2005
workshop attendees (to be solicited in advance from SIG
members and attendees from a 2004 workshop with similar
content); (2) brief didactic presentations; (3) small
group discussions Target Audience: Trainee, junior faculty, mid-level
faculty, senior faculty. 8:00am–11:00am The process of applying for and negotiating a faculty
position is often a new experience for fellows, residents
and, sometimes, junior faculty. This interactive workshop
explores the practical and strategic aspects of this
process. Participants will learn the functional stages,
how to prepare for the process, what is negotiable and the
elements of successful negotiation. The workshop is
structured to allow discussion of pragmatic issues
relevant to the participants' experiences.
Handouts—including model offer letters—and role
play—both demonstration and direct involvement—will be
used to illustrate key concepts. Objectives:
Method of Instruction: Interactive didactic
presentation, case vignettes with group participation,
group discussion and role play. Target Audience: Trainee, junior faculty, mid-level
faculty. 8:00am–11:00am This workshop will cover principles of clinical
trials including defining the questions, assessing
outcomes, defining the study and control treatments,
single- versus multi-center trials, reasons for and
methods of randomization, eligibility and exclusions,
blinding, analysis strategies and early stopping. The
format will be didactic with extensive open discussion. Objectives:
Method of Instruction: Interactive discussion with
didactic material and case-based learning. Target Audience: Trainee, junior faculty, mid-level
faculty, senior faculty 8:00am–11:00am Understand what developmental care (DC) really is,
why it is beneficial for preterm infants and how to
practically implement it in your nursery. This is an
interactive workshop that will answer the frequently asked
question, "Exactly what should we do DIFFERENTLY if
we use DC to care for preterm infants?" The workshop
will include a quiz (informal and entertaining), video
demonstrations of DC at the bedside compared with
traditional (non-developmental) care, a slide show/video
showing how a routine NICU procedure (extubation) can be
made family-centered, behaviourally guided and
developmentally friendly. Participants will be actively
involved and will take home at least three practical
points that will help them implement DC in their
nurseries. Objectives:
Method of Instruction: (1) Introduction; (2) quiz
(informal, interactive and entertaining): the scientific
background, and current evidence for DC (Powerpoint
presentation); (3) "hands-on" practice with
behavioural observation, as a framework for implementing
DC; (4) video demonstrations of DC at tbe bedside compared
with traditional (non-developmental) care, and of infant
behavioural responses; (5) Slide show/video, "Family
centered, behaviourally guided and developmentally
friendly extubation": How to make the change from
traditional, procedure-based care to developmental,
family-centered care using a practical example—the
extubation of a preterm infant; (6) Participant input: How
can we really become "Family Centered" in the
NICU?; (7) Roundtable discussion: Overcoming the obstacles
to implementing DC in the nursery; (8) Summing up.
Handouts, summarizing the workshop, with reference list
will be provided. A "Developmental Survival
Card" will be given to all participants. Target Audience: Trainee, junior faculty, mid-level
faculty, all disciplines that work in neonatal nurseries 8:00am–11:00am Are you making the most out of your time spent
searching the medical literature? Are your literature
searches returning the results you were looking for? Are
you harnessing the full power of the latest search
technologies? Many literature searches start and end with PubMed.
And while PubMed is an excellent search tool, this
workshop will demonstrate other searching possibilities,
such as cross-journal and journal-specific searches with
HighWire. We will demonstrate how to perform sophisticated
searches, how to automate your searches and store them and
how to receive e-mail alerts when search results are
matched. A section of the workshop will also discuss
downloading search results to reference management
software. 8:00am–11:00am The Institute of Medicine (IOM) Committee on
Prevention of Obesity in Children and Youth is charged
with assessing the nature of obesity in children and youth
in the United States and developing a prevention-oriented
action plan to reduce its prevalence. A summary of the
report's findings and recommendations will be presented
with a focus on public health approaches that promote
energy balance by integrating diet and physical activity
interventions at home, schools, medical care settings and
in communities. Discussion and question-and-answer
sessions with members of the Committee will address
responses to the recommendations and public and policy
reactions after the initial release. Participants will
then create an individual action plan to advocate for
their choices of specific recommendations. Objectives:
Method of Instruction: Brief presentation of
highlighted IOM Committee results followed by (a)
question-and-answer, (b) group discussion, and (c)
development of action plans. Target Audience: Trainee, junior faculty, mid-level
faculty, senior faculty 8:00am–11:00am The purpose of this workshop is to expand the
participants' skills in advocating for high-risk,
underserved communities through local involvement.
Concentration on reviewing and analyzing data to target
problems in a community, assessing the needs of the
community members, obtaining community support and
utilizing existing resources will be addressed. How to
utilize this model to prevent injuries will be the example
given, yet this model could work to employ any community
intervention. Experiences from the staff and participants
along with evidence of best techniques will be discussed. Objectives:
Method of Instruction: Powerpoint presentation, amall
work group break-out sessions, problem solving and sharing
of experiences. Target Audience: Trainee, junior faculty, mid-level faculty 8:00am–11:00am The thrust of this workshop on educational
scholarship, facilitated by four well-published medical
educators, will be to identify the Carnegie Foundation's
definition of scholarship, how that should be evaluated
and for participants to develop their own approach to an
educational problem. Participants will identify barriers
to performing scholarship and will have the opportunity to
apply Glassick's criteria to two published papers on
medical education. Participants will work in groups, each of which will
include one of the facilitators as a resource. The groups,
using a preselected educational problem, will generate a
hypothesis and develop a methodology and an appropriate
evaluation. It is expected that the groups will continue
to see their projects through to completion after the
workshop, i.e., developing a product, with the assistance
of each of the workshop facilitators. Objectives:
Method of Instruction: This workshop will utilize the
mini-lecture, group interaction, group problem solving,
and mentoring as methods to attain the objectives. Target Audience: Trainee, junior faculty, mid-level
faculty 8:00am–11:00am Many physicians use case-based teaching in the
clinical setting, yet few have had formal training in how
to perform such teaching. Lectures are filled with
learning facts while case discussions promote critical
thinking and analysis. This workshop will provide a brief
overview of the application of case-based teaching
strategies and techniques to the teaching of clinical
ethics. The workshop leaders have lead a series of
case-based seminars for the pediatric residents in their
institution and hope that this session will allow the
participants to (1) learn from their experience (the cases
used will be handed out to all participants in the
workshop), (2) begin to practice some of the techniques
and strategies of case-based learning, especially for this
unique topic and (3) to ask questions to the workshop
leaders regarding "troubleshooting" problems
that the participants have encountered in the teaching of
clinical ethics. Participants are encouraged to bring
concrete examples of their experience to share. Objectives:
Method of Instruction: panel presentations,
question-and-answer and case discussion role playing. Target Audience: junior faculty, mid-level faculty,
senior faculty 8:00am–11:00am Recent studies, including research by the workshop
presenters, have identified wide variation in otoscopic
diagnostic skills in both pediatricians and pediatric
residents. Traditionally, teaching of otoscopic skills has
relied primarily on repetitive examinations accompanied by
didactic sessions, with limited supervision of learners'
assessment of the contents of the "Black Box" at
the end of the ear canal. This workshop will present and
allow participants an opportunity to operate new
technologies (e.g., video otoscope systems) that enhance
both teaching and assessment of otoscopic skills.
Participants will also learn about other resources
(videos/CDs, web-based tools, diagnostic adjuncts,
tympanograms, etc.) for teaching and assessment of
otoscopic skills and how each may be integrated into
medical training. Objectives:
Method of Instruction: Several teaching strategies,
to include didactics, hands-on experience with equipment
(e.g., video otoscopic systems, tympanograms) and
roundtable discussions. Target Audience: Junior faculty, mid-level faculty,
senior faculty 8:00am–11:00am At the University of Iowa, we have developed a
two-career couples program of discussions for post
doctoral fellows and junior faculty in both basic science
and clinical departments that address career development
and leadership issues faced by all physicians and
scientists in an academic environment. We will highlight some challenges and rewards facing
two-career families. The discussion will be led by
two-career couples, including women and men who are
department chairs and national leaders in pediatric
research. The discussion should be applicable to
physicians and scientists from a wide variety of
traditional and nontraditional lifestyles. The variations
upon this theme multiply with the number of careers (e.g.,
two biomedical partners vs. one biomedical combined with
one nonmedical partner). The complexity heightens with
children, their legal and biological relationship to the
parent(s) and whether or not the couple shares a single
domicile or commute on weekends. Setting ideals and goals
as a couple and family plus being willing to sacrifice
both at work and at home to realize these ideals is
fundamental. This requires successful collaboration for a
two-career couple and teamwork for a family that is more
intense than the teamwork that builds successful research
or clinical programs. Thus, the teamwork and networking
discussions are seen and experienced in a new context. We
will also highlight the challenges that department
chairpersons and deans encounter in hiring two-career
faculty members simultaneously at an academic institution.
8:00am–11:00am Welcome all division directors and other interested
attendees! The program will start with presentations on:
The session will end with a business meeting of the
SIG to report on APA Board and SIG activities and open up
to issues of divisions across the country. Some updates include:
8:00am–11:00am The Emergency Medicine SIG meeting will again this
year have two topics of discussion, one administrative and
one clinical, which will appeal to physicians who are
interested in as well as to those who provide pediatric
emergency care. The administrative topic, which will be
presented by Drs. Evie Alessandrini and David Brousseau,
will promote a debate on the methods of classifying
emergency department visits as urgent/appropriate versus
non-urgent/inappropriate. The strengths and weaknesses of
various methods will be explored and highlighted. Our goal
is to develop an expert consensus on best classification
schemes for both administrators and clinical researchers. The clinical topic will be a presentation on the
current state of and future developments in rapid testing
and the resultant potential implications for the emergency
department. The discussants will be Drs. Chris Nyquist and
Vidya Sharma. Information presented will be the currently
available point of care and standard laboratory testing ,
what new testing is on the horizon, accuracy and validity
of those tests , as well as how that information can be
applied toward the provision of high-quality, efficient
and cost-effective clinical care. The goal will be to help
providers arrive at an approach to rapid care testing that
makes sense from an epidemiologic as well as clinical
perspective. There will be ample time for discussion and debate on both topics, and we look forward to a lively and interactive session.
8:00am–11:00am Information not yet available.
8:00am–11:00am The Hospital Medicine SIG provides an opportunity for
providers dedicated to the care of hospitalized patients
to discuss the latest updates in research, education and
program development. Now in our fourth year, this year’s
meeting promises to be another exciting and interactive
session. Our agenda will include:
We are also excited to have the Pediatric Resident
SIG join us for a joint discussion on the role of
Pediatric Hospitalists in residency education and career
planning for those interested in Pediatric Hospital
Medicine.
8:00am–11:00am Information not yet available. 8:00am–11:00am At this year’s PAS meeting, we are using the
setting of Washington, DC, to focus on advocating for the
health care of underserved children. Taryn Houghton
Rosenkranz from the AAP legislative office will give an
overview of priorities for the 109th congress and will
discuss how we can be effective advocates at the federal
level. Abraham Bergman, from Harborview Medical Center in
Seattle, will talk about his crusade to advocate for
improved health care for children in foster care at the
state level. One of our important sister organizations,
The Association of Clinician’s for the Underserved, will
discuss two of the initiatives they are engaged in: oral
health and identifying environmental triggers for asthma.
We anticipate a lively discussion with all these exciting
presentations. Please bring all your ideas and comments
for improving the SIG and particularly how we can best use
the Serving the Underserved SIG list serve that was
recently set up. 8:15am–10:15am New technological advances have expanded the role of
radiotherapy and choices available for treating pediatric
tumors. The promise of safer and more effective therapy is
being realized through the use of such techniques as
intensity-modulated radiotherapy and proton beams.
Appropriate scenarios for these different modalities are
not well understood by most pediatric oncologists. This
symposium will review recent advances in radiotherapy,
provide insight into their use and describe up-to-date
clinical trial data. After attending this session,
attendees will be better prepared to discuss radiotherapy
options with patients and make appropriate referrals. Advances in Radiotherapy for Pediatric CNS Tumors IMRT for Pediatric Solid/Musculoskeletal Tumors The Use of Proton Beam Therapy in Pediatric Cancer 9:00am–11:00am 10:00am–12:00pm Hypertension is found in up to 2% of term or preterm
neonates. The prevalence is difficult to ascertain
precisely since the definition of hypertension in this age
group has not been completely standardized. However,
recent studies have provided normative data that may be
useful in identifying these infants. This symposium will
examine key aspects of the diagnosis of hypertension in
the neonate including measurement and instrumentation
issues and normal values. Pre- and post-natal risk factors
for the development of neonatal hypertension will be
addressed along with treatment options. Perinatal
programming for future cardiovascular disease will also be
addressed. Target Audience: Neonatologists, pediatric
nephrologists, pediatric cardiologists, general
pediatricians How Do We Measure BP in the Neonate and What Is
Normal? How Does “Perinatal Programming” Contribute to
the Development of Subsequent Vascular Disease? Perinatal Influences on Blood Pressure In the Newborn What Non-pharmacologic and Drug Treatment Options Are
Available for the Management of Neonatal Hypertension Sponsored jointly by the International
Pediatric Hypertension Association, the American Society
of Pediatric Nephrology and the Pediatric Academic
Societies 10:30am–12:30pm 10:30am–12:30pm 10:30am–12:30pm 10:30am–12:30pm New this year—the Practice Manager’s Forum is for
pediatric hematology/oncology practice managers. This
two-hour session presented by the ASPHO Practice Committee
will focus on issues of common interest, including
billing, coding and reimbursement; and contracting with
payers. Physician leaders and their practice managers are
encouraged to attend this session together to partner in
developing and implementing practice management policies,
procedures and strategic planning. Specific topics to be
discussed will include the adoption of new technologies
such as EMR, 340b hemophilia factor programs, coding of
complex encounters and procedures, the economics of
mid-level providers, and a primer on legislative advocacy. Derek Robertson 11:45am–2:45pm This mini course will focus on the problem of
domestic violence as a pediatric issue, its direct and
indirect effects on children and their caregivers and the
specific challenges facing pediatricians in screening,
preventing and intervening. The initial part of this mini course will focus on
the extent of the problem of domestic violence, its
overlap with child abuse, the health consequences for both
children and families and strategies for identification in
both primary care and emergency settings. The second part
will focus on approaches to intervention, legal aspects of
domestic violence specific to mandated reporters and how
to create interdisciplinary collaborations across the many
agencies that may serve as resources for pediatricians.
Finally, we will address training tools that have been
developed for physicians in the areas of both prevention
and intervention of domestic violence and child abuse.
Discussion following each of the sections will offer the
opportunity for group input. Target Audience: General pediatricians, pediatric
emergency medicine specialists and providers working in
child protection and advocacy. Introductions and Overview Epidemiology of Domestic Violence and Issues Related
to Screening, Prevention, Intervention and Teaching Domestic Violence and the Pediatric Emergency
Setting: Strategies for Identification and Legal Aspects
of Mandated Reporting Sponsored jointly by the Society for
Adolescent Medicine and the Pediatric Academic Societies 11:45am–2:45pm One of the most important lessons of the Human Genome
Project is how similar we are to the organisms that
surround us. The similarities between our biology and
theirs means that they truly are models from which we
learn more about ourselves and our diseases. In this mini
course, we will see how the fruit fly, Drosophila
melanogaster, can be used to identify drugs for human
diseases. We will learn how the nematode worm,
Caenorhabditis elegans, can be used to investigate
signaling pathways that are preserved from worms to humans
and are critical to committing undifferentiated cells to
differentiate correctly. The zebrafish, Danio rerio,
provides us with a vertebrate model for studying organ
systems similar to our own. The presenters will provide a
general overview of their organism and then an in-depth
description of their research. Target Audience: Investigators involved with or
interested in learning about research involving model
organisms. Appeal will be the strengths of these
non-mammalian models for investigations ranging from
developmental biology to high-throughput drug screens. Overview of Non-mammalian Model Organisms Flies: Identifying New Drugs for Human Diseases | ||||||
