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Last
updated February 16, 2005
Saturday, MAY 14
8:00am–11:00am
4104—Pediatricians
and Oral Health: Science, Education, Practice and Policy
PAS Mini Course
Chair:
David M. Krol, The Children's Health Fund, New York, NY
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?
David
M. Krol, The Children's Health Fund, New York, NY
The Epidemiology, Science and Pediatric Professional
Knowledge of Childhood Oral Disease
David
M. Krol, The Children's Health Fund, New York, NY
The Possible, Practical and Sometimes Controversial
Education and Clinical Practice of Pediatric Professionals
In Child Oral Health
Suzanne
C. Boulter, New Hampshire Dartmouth Family Practice
Residency Program, Concord, NH
Federal, State and Local Policy and Advocacy Issues
Surrounding Child Oral Health
Anne
De Biasi, Children's Dental Health Project, Washington, DC
8:00am–11:00am
4150—Addressing
and Measuring the Practice-Based Learning and Improvement
Competency in the Continuity Setting
PAS Educational Workshop
Leader:
Wendy Davis, Burlington, VT; Co-leaders: Paula Algranati,
Rebecca Collins, Paul Darden, Jan Drutz, Marilyn
Dumont-Driscoll, Susan Feigelman, Diane Kittredge, Carole
Lannon, John Olsson, Sharon Riesen, Janet Serwint
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:
-
Provide small group experience in developing
improvement projects to meet the PBLI competency.
-
Expose participants to successful QI projects
conducted in the continuity setting.
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
4155—Institute
of Medicine (IOM) Committee on Prevention of Obesity in
Children and Youth: Recommendations and Assessment
PAS Educational Workshop
Leader:
Thomas N. Robinson, Stanford, CA; Co-leaders: Dennis M.
Bier, Vivica I. Kraak
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:
-
Participants will become familiar with the concept of
energy balance and be able to identify factors that
contribute to obesogenic environments and promising
public health approaches that support obesity
prevention in children and youth.
-
Participants will develop a personal plan of action
for implementing specific IOM recommendations when
they return home from the meeting.
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
4156—Mobilizing
High-Risk Communities To Prevent Injuries to Youth
PAS Educational Workshop
Leader:
Michael A. Gittelman, Cincinnati, OH; Co-leaders: Andrea
Gielen, Wendy J. Pomerantz, Mahseeyahu B. Selassie
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:
-
Review and analyze data to target problems within a
high-risk community.
-
Mobilize and empower a high-risk community to prevent
injuries among their youth.
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
4176—Managed
Care
APA Special Interest Group
Chair:
Alan B. Bernstein, abernstein@royalhc.com
Information not yet available.
10:30am–12:30pm
4400—Epidemiology
Research I
PAS Original Science Abstracts -
Platform Session
11:45am–2:45pm
4500—Domestic
Violence: The Role of the Pediatric Provider
PAS/SAM Mini Course
Chair:
Sheryl Ryan, University of Rochester School of Medicine,
Rochester General Hospital, Rochester, NY
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.
Epidemiology of Domestic Violence and Issues Related
to Screening, Prevention, Intervention and Teaching
Danielle
Thomas-Taylor, Center for Child Health Research,
Rochester, NY
Introductions and Overview
Sheryl
A. Ryan, University of Rochester School of Medicine,
Rochester General Hospital, Rochester, NY
Domestic Violence and the Pediatric Emergency
Setting: Strategies for Identification and Legal Aspects
of Mandated Reporting
Megan
H. Bair-Merritt, Children's Hospital of Philadelphia,
Philadelphia, PA
Sponsored jointly by the Society for
Adolescent Medicine and the Pediatric Academic Societies
11:45am–2:45pm
4504—Nonendocrine
Causes of Short Stature and Their Management
PAS/LWPES Mini Course
Chairs:
Craig A. Alter, Children's Hospital of Philadelphia,
Philadelphia, PA; and Alan Rogol, University of Virginia,
Charlottesville, VA
Short stature is the most common cause of referral to
the pediatric endocrinologist. This symposium will draw on
the expertise of geneticists, orthopedic surgeons and
radiologists and promises to be instructive to all
attendees regardless of their background. It will also
help generalists identify clinically those patients in
their practice who may benefit from further evaluation for
growth and adolescent development.
Target Audience: Any clinician who encounters short
stature in his practice will benefit from this mini
course. Imparted by nationally recognized leaders in
genetics/dysmorphology, radiology and orthopedics, this
mini course will help generalists, geneticists and
endocrinologists identify which patients may benefit from
further evaluation and work up.
The Clinical Approach to Nonendocrine Short
Stature—The Pediatrician's Nightmare
Judith
G. Hall, The University of British Columbia, British
Columbia's Children's Hospital, Vancouver, Canada
The Radiographic Approach to Short Stature
Bruce
R. Parker, Texas Children's Hospital, Houston, TX
The Orthopedic Approach to the Child with Congenital
Deformity and Short Stature
David
Feldman, Hospital for Joint Diseases, NYU Medical Center,
New York, NY
Discussion
Sponsored jointly by the Lawson Wilkins
Pediatric Endocrine Society and the Pediatric Academic
Societies
11:45am–2:45pm
4540—Adolescent
Parents and Parenting: Care of the Young Family
PAS Educational Workshop
Leader:
Victoria Garriett, Washington, DC; Co-leaders: Lee S.
Beers, Tininka Rahman
This workshop will address strategies for caring for
adolescent parents and their children in pediatric
practice. Pediatricians are commonly faced with the
question of how best to provide care to these young
families.
During the first half of the workshop, the
participants will discuss strategies and barriers to
providing health care to adolescent parents and their
children. Adolescent parents and/or former adolescent
parents from the community will be invited to participate
in this discussion. Current literature and policy
statements as well as established models for teen-tot care
will be briefly reviewed.
During the second half of the workshop, case-based
discussion and role play will be used to illustrate the
unique circumstances and challenges encountered when
caring for these young families.
Objectives:
-
The participant will gain knowledge of strategies to
effectively deliver family-centered health care to
adolescent parents and their children.
-
The participant will use case-based studies and role
play to improve their skills as providers to
adolescent parents and their children.
Method of Instruction: Roundtable discussion,
case-based discussion and role play.
Target Audience: Trainee, junior faculty, mid-level
faculty
11:45am–2:45pm
4544—I
Can Do That! Preparing Residents To Perform Minor
Procedures
PAS Educational Workshop
Leader:
Steven M. Selbst, Wilmington, DE; Co-leader: Joel Fein
This is an interactive workshop. Workshop leaders
will underscore the importance of learning technical
skills in pediatrics and will demonstrate many common
procedures that can easily be performed in an office
setting. Participants will then have opportunities to
practice many procedures using models. Participants should
become adept at several procedures and will be able to
teach them to others.
Objective:
-
Participants should improve their own technical skills
during the workshop.
-
Participants will become aware of teaching modalities
and be able to conduct similar teaching sessions at
their own institutions.
Method of Instruction: Mini-stations to practice
procedures, conferencing.
Target Audience: Trainee, junior faculty, mid-level
faculty
11:45am–2:45pm
4572—Obesity
APA Special Interest Group
Chairs:
Jennifer Bass, yenbass@aol.com;
and Sandy Hassink, shassink@nemours.org
Implementing Obesity Prevention and Treatment—How
To Translate What We Know into What Works
A panel discussion will lead off with short
presentations of up and running obesity programs.
Discussions will include clinic set up and structure,
practical patient and family interventions, reimbursement
issues and working in hospital and community settings.
Attendees will be encouraged to share their own
experiences and participate in discussion. The AHRQ video
for pediatricians on obesity management will also be
previewed and available to the audience.
11:45am–2:45pm
4573—Pain
APA Special Interest Group
Chair:
Neil L. Schechter, nschecht@stfranciscare.org
This year’s meeting of special interest group on
Pain in Children will focus on complementary medical
approaches to pain management. These techniques are used
frequently by children and their families and there is
emerging literature supporting their efficacy. An expert
panel has been assembled to discuss and demonstrate these
techniques. Speakers will include:
-
Heidi Feldman, MD, Children’s Hospital of
Pittsburgh - yoga
-
Kathi Kemper, MD, Wake Forest University School of
Medicine – therapeutic touch
-
Maureen Strafford, MD, Tufts University School of
Medicine – mindfulness meditation
-
William Zempsky, MD, CT Children’s Medical Center
– acupuncture.
We welcome your participation in what will be an
enjoyable and informative session. For further
information, contact Bruce Bernstein at bbernste@stfrancicsare.org
3:15pm–5:15pm
4801—The
Pediatric Generalist and Pediatric Subspecialists in the
21st Century: Who Will Take Care of Children with
Subspecialty Disorders?
PAS Topic Symposium
Chair:
Robert P. Schwartz, Wake Forest University School of
Medicine, Winston-Salem, NC
The demand for pediatric subspecialty service is
increasing, and waiting times for appointments get longer.
Workforce and reimbursement issues contribute to the
problem. In this symposium we will discuss the
relationship of the pediatric generalist and subspecialist
in the care of the children with common uncomplicated, as
well as complex, subspecialty disorders in the 21st
century.
Target Audience: Pediatric medical and surgical
subspecialists, academic and private practice
pediatricians.
Introduction and Opening Remarks
Robert
P. Schwartz, Wake Forest University School of Medicine,
Winston-Salem, NC
Role of the Pediatric Generalist in Management of
Diabetes in the 21st Century
Francine
R. Kaufman, University of Southern California Keck School
of Medicine, Children's Hospital of Los Angeles, Los
Angeles, CA
Role of the General Pediatrician in Management of
Neurodevelopmental Disorders
Fan
Tait, Utah Department of Health, Salt Lake City, UT
Role of the General Pediatrician in Management of
Chronic Subspecialty Disorders
Gordon
B. Glade, Utah Valley Pediatrics, American Fork, UT
Creating a Generalist-Specialist Team
Christopher
J. Stille, University of Massachusetts Medical School,
Worcester, MA
Discussion
Summary
Robert
P. Schwartz, Wake Forest University School of Medicine,
Winston-Salem, NC
Sponsored jointly by the American Academy
of Pediatrics: Pediatrics for the 21st Century Symposium
Series and the Pediatric Academic Societies
3:15pm–5:15pm
4802—Traumatic
Brain Injury in Infants and Children
PAS Topic Symposium
Chair:
Patrick M. Kochanek, University of Pittsburgh School of
Medicine and Children's Hospital of Pittsburgh,
Pittsburgh, PA
This program will address state of the art
investigation in the area of traumatic brain injury in
infants and children. Novel studies of the molecular
biology and biochemistry of pediatric traumatic brain
injury will be presented including work studying human
samples (CSF, brain tissue) using molecular tools, such as
proteomics and state of the art magnetic resonance
spectroscopy. Novel therapies will also be addressed,
including an RCT of the application of mild or moderate
therapeutic hypothermia in severe pediatric traumatic
brain injury. Finally, studies addressing the use of serum
biomarkers in the assessment of infants presenting to
emergency departments and outpatient clinics with silent
brain injury from inflicted childhood neurotrauma (child
abuse) will also be presented.
Target Audience: Pediatric practitioners treating
patients with traumatic brain injury; pediatric scientists
carrying out research on patients with traumatic brain
injury or working with models of developmental brain
injury; general practitioners and other clinicians and
investigators who interface on any level with infants who
are victims of inflicted childhood neurotrauma (child
abuse).
Cellular and Molecular Mechanisms of Secondary Injury
in Pediatric Traumatic Brain Injury
Patrick
M. Kochanek, Safar Center for Resuscitation Research,
University of Pittsburgh School of Medicine, Pittsburgh,
PA
Randomized Controlled Trial of Hypothermia in
Pediatric Traumatic Brain Injury
P.
David Adelson, Children's Hospital of Pittsburgh,
Pittsburgh, PA
Spectroscope Applications in Pediatric Traumatic
Brain Injury
Stephen
Ashwal, Loma Linda University School of Medicine, Loma
Linda, CA
A New Approach to the Detection of Inflicted
Childhood Neurotrauma
Rachel
P. Berger, Children's Hospital of Pittsburgh, Pittsburgh,
PA
3:15pm–5:15pm
4841—Disparities
in Health Care
PAS Original Science Abstracts -
Platform Session
3:15pm–5:15pm
4845—Health
Services Research—Improving Care
PAS Original Science Abstracts -
Platform Session
3:15pm–5:15pm
4846—Hot
Topics in Environmental Health
PAS Original Science Abstracts -
Platform Session
3:15pm–5:15pm
4876—Innovation
in Community Pediatrics—Motivating Residents Through
Community Advocacy Projects
PAS Educational Workshop
Leader:
Katharine Smart, Chicago, IL; Co-leaders: Nadia Bajwa,
Kristi Canty, Dana Hargunani
Child advocacy is a core competency of pediatric
resident training. Many advocacy curriculums utilize the
creation of resident community-based projects as an
innovative way to develop resident advocacy skills.The
Community Access To Child Health (CATCH) Program provides
grants to pediatric residents to develop community-based
initiatives that increase children's access to medical
homes or to specific health services not otherwise
available. Through lessons learned from the CATCH
experience, our workshop, led by the Resident CATCH
facilitators, will provide program directors, community
preceptors and residents with creative ideas on how to
develop and implement successful resident child advocacy
projects.
The objectives of our session are to:
-
Identify the steps necessary in preparing the
components of a successful resident community-based
project;
-
Describe unique approaches to encouraging resident
participation;
-
Describe methods for developing faculty and community
mentors;
-
Describe common barriers encountered by residents;
-
Provide real examples of residents whose
community-based advocacy projects led to full-time
child advocacy work;
-
Provide real examples of how resident projects
impacted health care in communities and within their
training programs.
Target Audience: Trainee, junior faculty, mid-level
faculty, resident project preceptors
Sunday, MAY 15
8:00am–10:00am
5102—Community-Acquired
Staphylococcal Disease: New Twists for a Traditional
Pediatric Pathogen
PAS/PIDS Hot Topic
Chairs:
Stephen I. Pelton, Boston University School of Medicine,
Boston, MA; and Sheldon L. Kaplan, Baylor College of
Medicine, Houston, TX
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
Stephen
I. Pelton, Boston University School of Medicine, Boston,
MA
Epidemiology of Community-Acquired, Methicillin-Resistant
Staphylococcus aureus
Daniel
B. Jernigan, Centers for Disease Control and Prevention,
Atlanta, GA
The Molecular Basis For Epidemic Community-Onset MRSA
Robert
S. Daum, The University of Chicago, Chicago, IL
Clinical Implications of Community-Acquired,
Methicillin-Resistant Staphylocccus aureus
Sheldon
L. Kaplan, Baylor College of Medicine, Houston, TX
Prevention and Control of Methicillin-Resistant Staphylococcus
aureus
Donald
A. Goldmann, Children's Hospital Boston, Boston, MA
Sponsored jointly
by the Pediatric Infectious Diseases Society and the
Pediatric Academic Societies
8:00am–10:00am
5140—Childhood
Asthma
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
5141—Children
with Special Health Care Needs
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
5145—Health
Care Coverage/Access to Care
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
5148—Prevention
in Practice
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
5149—Underserved
Populations I
PAS Original Science Abstracts -
Platform Session
8:00am–11:00am
5202—Update
on Adolescent Gynecology
PAS/SAM Mini Course
Chair:
Donald E. Greydanus, Michigan State University College of
Human Medicine, Kalamazoo, MI
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
Donald
E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
Adolescents, Sex and the Media
Victor
C. Strasburger, University of New Mexico School of
Medicine, Albuquerque, NM
Update on Menstrual Disorders in Adolescents
Lyubov
Matytsina, Donetsk Medical University, Donetsk, Ukraine
Emergency Contraceptives: The Controversy and the
Benefits
Dilip
R. Patel, Michigan State University College of Human
Medicine, Kalamazoo Center for Medical Studies, Kalamazoo,
MI
Contraception in Adolescents: New Pills, the Patch,
the Ring
Renee
R. Jenkins, Howard University College of Medicine,
Washington, DC
Sponsored jointly by the Society for
Adolescent Medicine and the Pediatric Academic Societies
8:00am–11:00am
5249—Culture,
Ethnicity and Health Care
APA Special Interest Group
Chairs:
Louis Hampers, hampers.lou@tchden.org;
and Elsie Taveras, Elsie_taveras@hphc.org
Do you provide healthcare for limited English
proficiency families? Does your practice include immigrant
populations? Due to recent demographic changes, U.S.
providers are more frequently encountering language and
cultural barriers. Government and other regulatory agents
are now developing requirements, guidelines and
suggestions for the provision of culturally competent
care. Many providers, administrators and managers remain
uncertain of their obligations regarding such regulations.
This year's SIG will present a workshop to help
providers understand and anticipate these requirements.
Panelists will include representatives from the federal
government, JCAHO and advocacy groups as well as other
experts in the field of cross-cultural care.
Among the many questions:
-
What does the law require?
-
What does JCAHO require?
-
What are the most effective means to meeting these
requirements?
-
When must an interpreter be provided?
-
What types of interpretation are acceptable?
-
Are there malpractice implications to not providing
culturally appropriate services?
Target Audience: This session is directly relevant to
all out-patient, in-patient or ambulatory providers who
serve multi-cultural communities.
8:00am–11:00am
5250—Community-Based
Physicians
APA Special Interest Group
Chairs:
Emanuel Doyne, emanuel.doyne@cchmc.org;
and David Bromberg, dbronberg@peds.umaryland.edu
Information not yet available.
2:00pm–4:00pm
5510—AAP
Presidential Plenary
AAP Presidential Plenary
Chair:
Errol R. Alden, American Academy of Pediatrics, Elk Grove
Village, IL
Target Audience: Scientists and clinicians interested
in the translation of research and evidence-based
principles into health policy and practice.
Introduction
Errol
R. Alden, American Academy of Pediatrics, Elk Grove
Village, IL
The AAP and You
Carol
D. Berkowitz, Harbor-UCLA Medical Center, Torrance, CA
David J. Brailer,
Bright Futures and the Evidence for Prevention
Modena
E.H. Wilson, American Medical Association, Chicago, IL
Mental Health (Evidence-Based Medicine)
Kelly
J. Kelleher, Columbus Children's Research Institute,
Columbus, OH
Electronic Health Record—An Essential Tool for
Quality?
Joseph
H. Schneider, Children's Medical Center, Dallas, TX
Panel Discussion and Questions
2:00pm–4:00pm
5522—Update
on Human Milk Immunobiology and Infectious Disease: New
Insights and Current Controversies
PAS/PIDS/Milk Club Topic
Symposium
Chairs:
Mark R. Schleiss, University of Minnesota Medical School,
Minneapolis, MN; and Lawrence M. Gartner, Professor
Emeritus, University of Chicago, Chicago, IL
The importance of human milk feeding to reduce risk
of infectious disease in infants is undisputed among
pediatricians. Nevertheless, more data are needed about
the basic biology of human milk, particularly in relation
to specific health and developmental effects on term and
premature infants. There have recently been significant
advances in the understanding of the immunobiology of
breast milk, particularly with respect to the role of
oligosaccharides in protection against diarrheal disease,
and new insights into interrelationships between breast
milk and gut immune responses. In addition to presenting
these new research data, this session will also review
clinical controversies in breast feeding practice,
including issues of milk storage and the potential for
transmission of infectious pathogens, in particular
cytomegalovirus, via human milk. Areas of need for future
clinical and basic research will be emphasized.
Target Audience: Clinicians responsible for the care
of newborn infants, particularly premature infants;
neonatologists, gastroenterologists, infectious diseases
physicians and general pediatricians; and basic scientists
conducting research on human milk, secretory immunity or
gut immunity.
The Future of Breast Milk Research: What Do We Need
To Learn?
Lawrence
M. Gartner, Professor Emeritus, University of Chicago,
Chicago, IL
Human Milk Oligosaccharides and Their Role in
Protection Against Gastroenteritis
Ardythe
L. Morrow, Cincinnati Children's Hospital Medical Center,
Cincinnati, OH
Infectious Diseases and Human Milk: Does
Cytomegalovirus Pose a Risk to the Breast-fed Infant?
Mark
R. Schleiss, University of Minnesota Medical School,
Minneapolis, MN
Human Milk as a Carrier of Biochemical Responses to
the Newborn
W.
Allan Walker, Harvard Medical School, Boston, MA
Mother's Milk, Milk Banks and Preemies: Effects of
Pasteurization and Storage on Milk Nutrition and Biology
Richard
J. Schanler, Schneider Children's Hospital at North Shore,
North Shore University Hospital, Manhasset, NY
Human Milk Immunology: The Whole Is Greater Than the
Sum of Its Parts
Charles
Isaacs, New York State Institute for Basic Research,
Staten Island, NY
Discussion
Sponsored jointly by the Pediatric
Infectious Diseases Society, the Milk Club and the
Pediatric Academic Societies
2:00pm–4:00pm
5532—Epidemiology
Research II
PAS Original Science Abstracts -
Platform Session
2:00pm–4:00pm
5533—General
Pediatrics I
PAS Original Science Abstracts -
Platform Session
2:00pm–4:00pm
5534—Injury
I
PAS Original Science Abstracts -
Poster Symposium
2:00pm–4:00pm
5535—Neonatal
Epidemiology and Follow-up
PAS Original Science Abstracts -
Platform Session
2:00pm–5:00pm
5561—Pediatric
Neuropharmacology—Current Controversies
PAS Mini Course
Chair:
Faye Silverstein, University of Michigan, Ann Arbor, MI
This mini course will highlight issues of interest to
many pediatricians. Neuroactive drugs are used to treat a
wide range of neurological and behavioral disorders in
children and adolescents. Often, these drugs have not been
systematically evaluated in this age group, and the issue
of “off-label” use of neuroactive drugs has recently
received considerable national attention.
We have recruited five experts in pediatric
therapeutics for this mini course. Four will discuss
treatment issues, and the fifth will discuss ethical
issues that must be considered in pediatric drug testing.
Graham Emslie will discuss the safety and efficacy of
selective serotonin release inhibitors (SSRIs) in children
and adolescents with depression and related disorders. The
controversies regarding the use of these agents in the
pediatric age group have raised important questions for
all pediatricians. He will also highlight important
questions for future research to improve clinical outcomes
of children with psychological disorders.
James McCracken will provide his perspective on the
use of second generation antipsychotics in children and
adolescents. These drugs are widely used to treat a broad
range of behavioral disorders. He will review current
information about the efficacy and tolerability of these
drugs and suggest guidelines for clinical monitoring.
Carter Snead will provide his perspective on the
roles of the new generation of anti-convulsant drugs
(introduced over the past 10 years) in the treatment of
childhood epilepsy. He will discuss some of the drugs that
have already gained widespread usage in children and
discuss their potential risks and benefits.
Judith Owens will discuss current approaches to drug
therapy of pediatric sleep disorders. As new drug
therapies are introduced, both to induce sleep and to
sustain wakefulness, it is likely that their use will
extend to children and adolescents. The diagnosis of sleep
disorders is rapidly increasing in children, and Dr. Owens
will discuss major diagnostic and therapeutic issues.
Joel Frader will discuss ethical issues in pediatric
drug testing. His topics will include: who should give
“consent” for study participation, the circumstances
permitting placebo controls, implications of FDA and/or
NIH incentives/mandates for pediatric testing, conflicts
between care giving and researcher roles, obligations to
provide study results to participants and special
considerations for phase I testing.
Target Audience: Broad range of clinicians who treat
children with neurological and psychological disorders.
Introduction
Faye
S. Silverstein, University of Michigan, Ann Arbor, MI
SSRIs in Pediatrics: What Do We Really Know?
Graham
Emslie, University of Texas–Southwestern Medical Center,
Dallas, TX
Promises and Pitfalls of Newer Antipsychotics in
Children and Adolescents
James
McCracken, UCLA Neuropsychiatric Institute, Los Angeles,
CA
New Anticonvulsants—Roles in Treatment of Childhood
Epilepsy
O.
Carter Snead, The Hospital for Sick Children, University
of Toronto, Toronto, Canada
Drug Therapy of Pediatric Sleep Disorders
Judith
A. Owens, Brown University, Providence, RI
Pediatric Drug Testing: Ethical Considerations
Joel
E. Frader, Children's Memorial Hospital, Chicago, IL
Discussion
2:00pm–5:00pm
5571—Childhood
Obesity—Assessment, Surveillance and Intervention Within
the School Setting
PAS Educational Workshop
Leader:
Linda M. Grant, Boston, MA; Co-leaders: Anne McHugh,
Sylvia Stevens-Edouard
This workshop will explore various strategies to
address obesity in a school setting without competing with
the prime educational mandate of teaching and learning.
The pros and cons of conducting school-based obesity
surveillance activities will be debated in a
point–counterpoint forum that will highlight the
challenges and offer solutions. Creative community
partnerships to address school-based nutrition and fitness
will be presented from several viewpoints, including that
of a health insurance company and a school administrator.
Objectives:
-
Understand the supports needed to do school-based
obesity surveillance activities.
-
Identify evidence-supported, school-based nutrition
and fitness interventions and recognize collaborative
partnership opportunities and the strategies to
achieve them.
Method of Instruction: There will be
point–counterpoint presentations by community partners
to highlight issues from different vantage points followed
by didactic that illustrates solutions.
Target Audience: Trainee, junior faculty, mid-level
faculty, affiliate members.
2:00pm–5:00pm
5574—Evaluating
Residents' Competence in Community Pediatrics
PAS Educational Workshop
Leader:
Dean E. Sidelinger, La Jolla, CA; Co-leaders: Gregory S.
Blaschke, Stephen M. Downs, Beth Rezet, Lee Sanders
A set of competencies for community pediatrics
residency training were developed with input of
representatives from several national organizations.
Workshop participants will discuss the range of methods
available to assess residents. Participants will start by
exploring real-world examples of community pediatrics
training from their own sites. Practical curricular and
evaluation strategies will be shared through facilitated
discussions with fellow participants. These discussions
will build on a framework of specific evaluation methods
and tools that the facilitators will bring to share at the
workshop. Among other important topics, participants will
discuss: (1) linking rotation objectives to specific
skills from the competency subsets, (2) setting benchmarks
in each of the competency areas, and (3) determining
thresholds for meeting these competencies at each level of
residency training.
Objectives:
-
Become familiar with a set of competencies in
community pediatrics.
-
Develop systems to assess resident competency in
community pediatrics
Method of Instruction: (1) Didactic review of
competencies in community pediatrics, (2) small group
discussion of community pediatrics training at
participants' sites, (3) resource sharing and problem
solving of community pediatrics competency-based
evaluation, and (4) large group debrief of
solutions/strategies from small group discussions.
Target Audience: Trainee, junior faculty, mid-level
faculty.
2:00pm–5:00pm
5585—Child
Abuse
APA Special Interest Group
Chair:
Cindy Christian, christian@email.chop.edu
To highlight Washington, DC as our host city, the
Child Abuse SIG will focus some of our time on important
legal issues that we face as child abuse physicians:
Namely, Daubert challe | 
