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Pediatric
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2005 PAS Annual Meeting s May 14 –17 s Washington, DC |
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Last Updated: April 11, 2005 7:00am–8:00am This session is designed for residents, fellows and
junior faculty in academic general pediatrics and
practitioners who play a teaching and/or research role in
an academic department of pediatrics. Topics to be
addressed include the nature of academic general
pediatrics and its role(s) in academic departments. Both
traditional and non-traditional paths to careers in
academic general pediatrics will be considered. The format
will be an interactive discussion. Target Audience: Trainee, fellow, junior faculty. Kenneth B. Roberts 7:00am–8:00am This session should provide trainees and junior
faculty with insight into the pediatrics and inborn errors
of metabolism communities. Topics will include
establishing genetics training programs, choosing an area
of clinical or basic research and the future of genetics
as a specialty. Target Audience: Trainee, junior faculty William A. Gahl 7:00am–8:00am Emergency Medicine is one of the youngest
subspecialties in pediatrics. The performance requirements
for success in academic pediatric emergency medicine vary
widely among institutions. How should we choose the right
mix of clinical service, education, research,
administration, and community service (broadly defined) to
achieve personal success and academic recognition?
Academic productivity in PEM is growing, but there are
opportunities for improvement. How do we help the scholars
of the next generation to make breakthrough achievements?
How do we maintain balance between personal and
professional life goals? How do we select work
environments that provide the resources, including
role-models and mentors, which help us to achieve these
goals? This session will provide an informal and
interactive approach to answering these questions and any
others that might be of interest to trainees and junior
faculty in pediatric emergency medicine. David M. Jaffe 7:00am–8:00am This interactive session is designed to provide
trainees and junior faculty with insight and advice
concerning the pursuit of an academic career in pediatric
infectious diseases. Infectious diseases includes a wide
variety of career goals. Specific attention will be given
to describing approaches to obtaining the best possible
training to match individual goals—in clinical
infectious diseases, epidemiology, as well as in basic and
applied research. The discussion also will include
perspectives especially useful for junior faculty on
getting known, getting published and getting promoted. Target Audience: Trainee, junior faculty. Sarah S. Long 7:00am–8:00am This session is designed to provide trainees and
junior faculty with insights into two different academic
career paths in neonatology—the Clinician-Scientist and
Clinician-Educator faculty tracks. Training requirements
and ongoing educational needs, academic job descriptions
and job searches and new fundable areas of scholarship in
neonatal-perinatal medicine will be addressed. Special
emphasis will be given to seeking and obtaining
appropriate career development mentoring and to issues of
academic career and personal balance, particularly given
the intense clinical demands of our field. Target Audience: Trainee, junior faculty. Christine A. Gleason 7:00am–8:00am This session is designed to provide trainees and
junior faculty insight and advice concerning the pursuit
of an academic career in neonatal-perinatal medicine.
Emphasis will be placed on the steps to achieve the best
possible training in clinical neonatology as well as in
research in newborn medicine and in developmental biology.
The main hurdles and opportunities for advancement in
academic neonatology will be analyzed. Past and present
trends in newborn medicine and their impact on career
opportunities in this exciting field of pediatrics will be
discussed. Target Audience: Trainee, junior faculty. Eduardo Bancalari 7:00am–8:00am This session is intended to provide trainees and
junior faculty with optimistic, yet realistic, insights
about career opportunities in pediatric nephrology and
appropriate preparation for these careers. Career
opportunities, both within and outside of academic
departments, will be discussed. Faculty tracks and the
perspective of department chairs about these tracks also
will be addressed. Topics will include how to choose the
appropriate academic position for one’s interests and
talents as well as balancing career objectives with
personal and family goals. Target Audience: Trainee, junior faculty. F. Bruder Stapleton 7:00am–8:00am This session will discuss issues in career
development for trainees and junior faculty who are
interested in pediatric pulmonary and critical care
medicine. Discussion will focus on issues regarding
training in clinical research, expanding laboratory
research skills, meeting clinical and research committees,
balancing career with life style, developing
collaborations, mentorship and related questions. Target Audience: Trainee, junior faculty. Steven H. Abman 7:00am–8:00am 7:00am–8:00am Children are surviving cancer due to improved
diagnostic, treatment and follow-up regimens.
Unfortunately, thrombosis continues to impact the
morbidity and mortality of pediatric cancer. This session
will highlight the developmental hemostatic differences
between children and adults and review the known
mechanisms of thrombosis in malignancy. A discussion about
the diagnosis and management of thrombosis in malignanancy
in adults and children will conclude the session. Thrombosis in Children with Malignancy: Is it the
Disease or the Cure? Diagnosis of Thrombosis: The PAARKA Study Treatment and Prophylaxis of Thrombosis in Adults
with Malignancy The Real Story: Case Presentation 7:00am–8:00am Iron overload is an important problem that occurs
commonly in both sickle cell disease and thalassemia, but
the patterns and sequelae of iron overload may differ in
these two clinical syndromes. In this program, we will
discuss the mechanisms and outcomes of iron overload in
sickle cell disease and thalassemia, describe standard and
novel diagnostic measures of iron overload and organ
damage, and provide an update on chelation therapy
including new oral agents. Pathophysiology of Iron Overload Diagnostic Assessment of Iron Overload Chelation Therapy for Iron Overload Discussion 7:00am–8:00am This workshop will provide an opportunity for
hematology/oncology fellows and junior faculty to learn
about the: (1) NIH grant review and submission process;
(2) preparation and submission of manuscripts to
scientific journals; and (3) important factors in making
career decisions. There will be time for informal
discussion related to issues of mutual interest. NIH Grant Review and Submission Process Preparation and Submission of Manuscripts to
Scientific Journals Important Factors in Making Career Decisions 8:00am–10:00am This topic symposium is directed toward educating
interested members about the state of the art in
electrophysiological disorders of the heart, with a focus
on the channelopathies (long QT syndrome including SIDS,
Brugada syndrome). The discussion will range from insights
gained from animal models of these disorders to the impact
of gene discovery on clinical practice today. Target Audience: Physicians, scientists and trainees
with interest in pediatric cardiology, ion channels and/or
the epidemiology of sudden death in infants and children. Introduction Animal Models of Electrophysiologic Disease Channelopathies and Sudden Death Genetic Testing for Cardiac Channelopathies Discussion 8:00am–10:00am Acute respiratory distress syndrome (ARDS) remains a
leading cause of morbidity and death in critically ill
neonates, infants and children. ARDS is associated with
diverse clinical disorders, including sepsis, trauma,
aspiration and infection and is characterized by lung
inflammation, non-hydrostatic pulmonary edema and poor
lung compliance. Recent advances in the basic pathobiology
of lung injury have led to new insights into the etiology
and potential therapeutic approaches toward ARDS. In
addition, recent clinical studies have examined
differences between adult and pediatric ARDS, genetic
susceptibility factors that may increase the risk for ARDS,
interactive cellular and physiologic mechanisms that cause
progressive lung injury and the role of different
strategies of mechanical ventilation that can adversely or
favorably determine the clinical outcomes of patients with
ARDS. This symposium includes leading experts in the field
of lung biology and critical care who will present state
of the art information on basic pathophysiologic
mechanisms of ARDS and new therapeutic approaches. These
integrated topics are of marked interest to intensivists,
neonatologists, pulmonologists, infectious disease and
basic scientists in the field of lung biology. Target Audience: Scientists and clinicians interested
in basic mechanisms underlying the pathophysiology of
acute lung injury and clinical strategies in the
management of acute hypoxemic respiratory failure in
neonates, infants and children. New Insights into ARDS Mechanisms of Tissue Injury in Sepsis/ARDS Role of Permissive Hypercapnea in Acute Lung Injury Novel Ventilator Strategies in ARDS 8:00am–10:00am Community-acquired, methicillin-resistant
Staphylococcal disease has been reported with increasing
frequency from multiple geographic locations in the United
States over the past several years. This symposium will
present current data on the epidemiology, molecular
genetics and clinical aspects of these evolving pathogens,
as well as on infection control practices that may be
useful for prevention. Target Audience: Scientists and clinicians from the
following disciplines: pediatric infectious disease,
community pediatricians, pediatric ER and public health. Community-Acquired Staphylococcal Disease: New Twists
for a Traditional Pediatric Pathogen Epidemiology of Community-Acquired, Methicillin-Resistant
Staphylococcus aureus The Molecular Basis For Epidemic Community-Onset MRSA Clinical Implications of Community-Acquired,
Methicillin-Resistant Staphylocccus aureus Prevention and Control of Methicillin-Resistant
Staphylococcus aureus Sponsored jointly by the Pediatric
Infectious Diseases Society and the Pediatric Academic
Societies 8:00am–10:00am Moderate-to-severe GERD in the premature infant,
newborn and child presents challenging diagnostic and
therapeutic issues to a neonatologist, pediatrician,
gastroenterologist and surgeon. First, new information on
the epidemiology, pathophysiology and genetics will be
presented. Second, new modes of diagnostic testing (e.g.,
impedance monitoring) will be reviewed along with
extra-esophageal manifestations of GERD. Third, the pros
and cons of medical, endoscopic (e.g., radiofrequency,
ablation suturing) and surgical therapy will be discussed. Target Audience: Scientists and clinicians involved
with premature newborns, infants and children with
difficult to manage moderate-to-severe reflux, suffering
from extra-esophageal complications. Overview Born To Reflux: The Epidemiology, Pathophysiology and
Genetic Features of GERD in Infants EERD (Extraesophageal Reflux Disease): Reflux Beyond
the Esophageal Box Too Many Operations, Too Few Reasons: Why it’s Time
to Change Course Sponsored jointly by the North American
Society of Pediatric Gastroenterology, Hepatology, and
Nutrition and the Pediatric Academic Societies 8:00am–10:00am With the completion of the human genome, new tools
are now available to identify the genetic determinants for
complex pediatric disorders. This symposium will introduce
these new tools and discuss how they are being applied to
three critically important clinical issues in pediatrics.
First, the use of the HapMap and other recent advances in
whole genome association studies will be reviewed. Second,
the pursuit of susceptibility genes relevant to drug
responsiveness will be presented in the realm of pediatric
organ transplantation. Third, the identification of
susceptibility genes for reading disability will be
discussed. Finally, the genetics of neurodevelopmental disorders
will be highlighted. The next layer of fundamental
understanding of complex disorders in pediatrics will
depend heavily on such strategies, and this symposium will
relay the matching high levels of excitement and rigor
with which these pursuits should go forth. Target Audience: Scientists and clinicians involved
in investigations of the genetic basis of pediatric
diseases. Whole Genome Association Studies for Complex Traits
and Diseases: Role of the HapMap and Other Recent Advances Genetic Contribution to Graft and Patient Outcomes
After Solid Organ Transplantation Identifying Susceptibility Genes for Reading
Disability The Genetics of Neurodevelopmental Disorders 8:00am–10:00am Glomerulonephritis encompasses a multitude of
inflammatory diseases that threaten to impair glomerular
filtration. This symposium will review our current
understanding of the pathogenetic mechanisms involved,
emphasizing etiologic events and the role of individual
cells types in determining the clinical and morphologic
consequences of immune injury to the glomerulus. New
concepts in vasculitis, especially that associated with
antineutrophil cytoplasmic antibodies and IgA nephropathy,
will be discussed with regard to how these concepts are
leading to new therapies. Finally, a number of novel
therapies to retard progressive loss of renal function are
under intensive investigation. These will be related to
both animal models and the results of human trials. Target Audience: Nephrologists, rheumatologists, and
others interested in the care of patients with
glomerulonephritis and autoimmune disorders. Cellular and Molecular Pathology of
Glomerulonephritis IgA Nephrology New Therapies in Vasculitic Glomerulonephritis Anti-fibrotic Therapies in the Prevention of
Progression of Chronic Glomerulonephritis Supported by the Kidney and Urology
Foundation of America (KUFA) and the NephCure Foundation 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–10:00am 8:00am–11:00am Pediatricians typically think about ADHD as a
neurobehavioral condition in school-age children and
adolescents. In preschool children, evidenced-based
studies on diagnosis and treatment of ADHD are limited. In
young children, it is especially difficult to distinguish
hyperactivity, impulsive behaviors and inattention from
developmentally normal behavior in this age group. The
session will begin with a discussion about a
developmental–biopsychosocial model for early
identification and treatment of attentional and disruptive
disorders in young children. Recent studies designed to
define an evidenced-based structure for the diagnosis and
treatment of ADHD in young children will be reviewed.
Current knowledge about the effectiveness of behavior
management, parent training and psychopharmacological
treatments in preschool children with ADHD will be
emphasized. The symposium will target the clinical
challenges of working with preschool children who present
with ADHD-like behaviors in pediatric practice. Target Audience: Clinicians who see preschool
children and teachers of pediatric residents and medical
students; those who do research in developmental and
behavioral pediatrics and pediatric neurology; clinicians
who want to find direction in evaluating and managing
hyperactive, disruptive and impulsive preschool children;
and to clinicians and those who study disruptive behaviors
in preschool children. ADHD in Preschool Children: Challenges in Definition,
Diagnosis and Treatment Developmental–Biopsychosocial Model for Early
Identification and Comprehensive Treatment of Attentional
and Disruptive Disorders in Young Children Epidemiology and Nosology of ADHD in Preschool
Children Treatment of Disruptive Behaviors in Preschool
Children The Preschool ADHD Treatment Study (PATS Study) Managing Disruptive Preschool Children with ADHD in a
Pediatric Office Discussion 8:00am–11:00am The prevalence of and morbidity from asthma is
especially high among inner-city children, and these
children disproportionately use the emergency department
(ED) for care. While EDs provide excellent acute care,
they are not equipped to provide the preventive care that
these children need. There is a debate in the pediatric ED
community about how much primary care is appropriate for
the ED to take on, but most efforts in primary care
settings to reduce ED use by inner-city children with
asthma have not worked. In this session, participants will
learn about several successful pediatric ED interventions
to reduce ED use by inner-city children, which have
required the addition of relatively modest primary care
activities. The interventions, as well as their human,
financial and implementation costs, and likely success in
other settings will be described. Target Audience: Pediatric emergency medicine
physicians, pulmonologists, epidemiologists, health
service researchers. Incorporating Primary Care into Emergency Department
Treatment of Children with Asthma Successful Emergency Department Strategies To Improve
Long-Term Care for Children with Asthma The Asthma Coach Program The Fast Track Clinic: An Emergency Department
Intervention To Reduce Morbidity Among Children with
Asthma Discussion 8:00am–11:00am This mini course will review basic concepts of
adolescent gynecology, including contraception, emergency
contraception and menstrual disorders. The presentation on
general contraception will focus on new oral
contraceptives (including those that extend menstrual-free
cycles) and new methods of steroid delivery (including the
patch and vaginal ring). The menstrual disorders
presentation will cover current issues in the management
of adolescents with amenorrhea, dysfunctional uterine
bleeding and dysmenorrhea. Questions from the audience
will be encouraged. Target Audience: General pediatricians and adolescent
medicine specialists Introduction Adolescents, Sex and the Media Update on Menstrual Disorders in Adolescents Emergency Contraceptives: The Controversy and the
Benefits Contraception in Adolescents: New Pills, the Patch,
the Ring Sponsored jointly by the Society for
Adolescent Medicine and the Pediatric Academic Societies 8:00am–11:00am There is wide variation in the structure and content
of advocacy training for pediatric residents. In this
workshop we will attempt to achieve consensus on the
elements likely to make a project more or less successful.
Possible examples are: a definable endpoint, finishing the
project within the available time, sufficient faculty
supervision, frustration potential, social value, funding
potential, academic advancement potential and learning
value for the resident. Participants will be asked to
enter a sweepstakes by presenting brief descriptions of
actual or proposed advocacy projects to be graded in each
category by fellow attendees. Prizes will be awarded. It
is hoped that by selecting and critiquing essential
elements, participants will come away with ideas for
improving the effectiveness of their own advocacy training
programs. Objectives:
Method of Instruction: Group discussion, problem
solving, grading presentations of other attendees, and
awarding of prizes Target Audience: Trainee, junior faculty, mid-level
faculty, senior faculty 8:00am–11:00am Co-led by a pediatrician daughter and her child
psychiatrist mother, this workshop will focus on a variety
of ways to effectively balance a medical career with a
family over the course of one's life. Vignettes and brief
video clips will be presented to stimulate an interactive
discussion on individual, practice and institutional
changes that better enable life balancing, the impact of
physician lifestyle and personality traits on family life,
the range of career choices, child care and timing of
children and generational and gender differences in
attitudes and behavior that impact on finding useful role
models, mentors and peer support. Resource materials and a
summary of specific recommendations will be provided. Objectives:
Method of Instruction: Vignettes (by presentation and
videotape), question-and-answer and problem solving. Target Audience: Trainee, junior faculty, mid-level
faculty, senior faculty 8:00am–11:00am Childhood longitudinal cohort studies provide
opportunities to examine environmental influences on
children's health over time. They also inform
understanding of developmental trajectories and design of
sound policies and programs. This workshop introduces three prospective cohort
studies with public use data. The Healthy Steps for Young
Children evaluation follows 5,565 families whose young
children received enhanced developmental services. The
Early Childhood Longitudinal Studies follows 10,600
newborns and 22,000 kindergarteners to study development,
health, child care and education. Healthy Passages follows
5,250 10-year olds and describes evolving adolescent
behaviors. Participants will review methodological
considerations related to sampling design, variable
specification, data collection timing and cohort
maintenance. Using interactive breakout groups,
participants will propose strategies and challenges for
using cohort studies to address new research questions. Objectives:
Method of Instruction: (1) Interactive discussion of
three childhood cohort studies with question-and-answer
period incorporated, (2) facilitated breakout groups to
apply principles of cohort design to address new research
questions Target Audience: Trainee, junior faculty. 8:00am–11:00am Direct observation of residents in the clinical
setting is now mandated by the RRC and AAMC as a method to
document competence in patient care, communication skills
and professionalism. Who has the time? How many
observations are needed? How can we standardize our
observations to make them valid and reliable? This
workshop will address those questions and more as we
review potential uses for and pitfalls in direct
observation. Using videos of resident encounters,
participants will practice using two tools, one of which
has been adapted for ACGME competency documentation. We
will discuss the practicalities of implementation,
including faculty development. Participants will head back
to their programs armed with tools to implement a
feasible, systematic approach to resident observation and
its documentation. Objectives:
Method of Instruction: We will begin the session with
a survey of workshop participants: their experience with
observation, documentation and feedback in the clinical
setting. After a review of existing clinical observation
tools and their strengths and weaknesses, we will
introduce two tools for documentation of clinical
observation as an example for discussion of implementation
of systematic observation in a given program. We will show
videotapes of resident clinical encounters to allow the
group to practice use of the tools, after which we will
break into "implementation groups" to discuss:
1. methods of implementation, 2. practical methods of
evaluating and documenting competencies, 3. faculty
development for use of such a tool. Final discussion will
incorporate feedback from groups and focus on steps for
successful implementation of systematic direct observation
of and feedback to residents in a residency program. Target Audience: Trainee, junior faculty, mid-level
faculty 8:00am–11:00am With increased pressures to treat patients as
efficiently as possible, teaching of medical students and
residents has become more of a burden or even an
afterthought and less of a major priority in the clinical
setting. Effective, efficient and innovative teaching
strategies are needed. This workshop will provide
participants with such strategies that will in turn aid in
the recruitment, faculty development and retention of
preceptors. Content areas will focus on the importance of
a good orientation, feedback, evaluation and creative
teaching techniques that will resolve conflicts with time
constraints and make teaching fun and a true learning
experience for all involved. Objectives:
Method of Instruction: Mock codes, videotapes, live
demonstration, audience participation and discussion. Target Audience: Beginner, intermediate, advanced 8:00am–11:00am Increasing numbers of pediatric faculty have taken on
studies of pediatric education, and new and promising
techniques can help pediatric educators in these
investigations. Many academic centers have a wealth of
researchers who can collaborate with pediatric educators
in their efforts. This workshop provides guidance in
choosing a research question, determining how to study it
using both qualitative and quantitative methods and
writing up the study for publication. Based on the
experience of Ambulatory Pediatrics, the leaders will
share reasons for success and failure in publishing
research in pediatric education. Participants will work on
their own research questions as well as studies that the
journal has evaluated. Objectives:
Method of Instruction: (1) case examples of research
papers sent to "Ambulatory Pediatrics" for
review; (2) characterization of reasons for rejecting
papers; (3) brief, didactic presentations on qualitative
and quantitative methods and on guides to publication; and
(4) research problems for participants to work on in small
groups. Target Audience: Trainee, junior faculty, mid-level
faculty. | ||||||
