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Last
updated February 10, 2005
Saturday, MAY 14
8:00am–11:00am
4172—Emergency
Medicine
APA Special Interest Group
Chairs:
Joan Bothner, bothner.joan@tchden.org;
and Michael K. Kim, mkim@mcw.edu
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.
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
4549—Using
High-Fidelity Patient Simulators in Pediatric Training
PAS Educational Workshop
Leader:
Mark D. Adler, Chicago, IL; Co-leaders: Elizabeth (Betsy)
Hunt, Viva Jo Siddall, Jennifer L. Trainor
This workshop will offer three varied approaches to
the use of a high-fidelity human patient simulator (HPS)
in pediatrics. We will briefly introduce the participant
to HPS technology, its costs, and support needs. We will
demonstrate:
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Use of a portable HPS in on-ward surprise mock code
drill at a tertiary care pediatric hospital.
-
Use of a pediatric HPS mannequin for pediatric
resident core competency evaluation.
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Quick-hit scenarios—use of a simulator to instruct
larger groups. We will describe the use of brief
scenarios in which 2–3 trainees participate and a
larger group observe and rate the performance of the
active participants.
Participants will gain an understanding of current
ways pediatric programs are or could use an HPS system.
Objectives:
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Learn what high-fidelity simulators can do from an
educational and evaluation standpoint.
-
Understand the benefits and limitations of pediatric
high-fidelity patient simulation.
Method of Instruction: We plan to bring a pediatric
simulator (PediaSIM ECS, METI, Sarasota, FL) to use as the
focal point of our session. We plan to demonstrate three
examples of teaching or evaluation approaches. Each
example will begin with a group discussion followed by a
demonstration of the method. Participants will have time
to interact with the simulator and will be involved in the
simulation examples.
Target Audience: Trainee, junior faculty, mid-level
faculty
11:45am–2:45pm
4574—Pediatric
Emergency Medicine Program Directors
APA Special Interest Group
Chairs:
Usha M. Sankrithi, sankrithi@comcast.net;
and Mark Hostetler, mhostetler@peds.bsd.uchicago.edu
Just a Job? Cultivating Passion in the
Workplace
An individual's personal and professional
satisfaction is clearly related ultimately to performance.
This year's meeting will focus on restoring and
cultivating passion in the workplace. As leaders, we must
realize that our faculty and staff invariably have
competing interests, priorities and commitments, both
personal and professional. Is a job, just a job? Do we
still remember why we went into medicine, did a fellowship
or decided to continue in academic medicine? How well do
we facilitate or impede individual interest and pursuits
of passion? We may be very good at performance improvement
and corrective reviews, but how good are we at saying
thank you? How innovative can we be in cultivating passion
and spontaneous joy? During our meeting we will explore
ways in which we can improve our ability to make our job
more than a job, reward people in extraordinary ways for
doing the things they do and facilitate rather than impede
our unique pursuit and expressions of interest. All
frustrated, bored and disinterested faculty in search of
restoring or cultivating passion in their workplace are
invited to attend and bring ideas and examples for
discussion.
1:00pm–3:00pm
4600A—Urolithiasis
and Mineral Metabolism
ASPN Symposium
Chairs:
Uri S. Alon, Children's Mercy Hospital, Kansas City, MO;
and Dawn S. Milliner, Mayo Clinic, Rochester, MN
The symposium will address new findings and
developments in our understanding of phosphate homeostasis
in health and disease. Genetic, environmental and idiopathic
etiologies of pediatric urolithiasis will be discussed, as
well as medical means and urological techniques utilized
in the management of kidney stone disease.
Target Audience: Scientists and clinicians involved
with pediatric mineral metabolism and kidney stone
disease.
New Insights into the Regulation of Phosphate
Metabolism
Anthony
A. Portale, University of California, San Francisco, CA
Pediatric Clinical Trials with Intravenous Vitamin D
Analogs
Laurence
Greenbaum, Medical College of Wisconsin, Milwaukee, WI
Genetic Basis of Stone Forming Disease
Dawn
S. Milliner, Mayo Clinic, Rochester, MN
Idiopathic Calcium Stones
Uri
S. Alon, Children's Mercy Hospital, Kansas City, MO
Urologic Intervention in Children with Urolithiasis
Jeffrey
S. Palmer, Rainbow Babies and Children's Hospital,
Cleveland, OH
Discussion
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
4845—Health
Services Research—Improving Care
PAS Original Science Abstracts -
Platform Session
3:15pm–5:15pm
4878—Medical
Simulation Technology—What Is It and What Can It Do for
You?
PAS Educational Workshop
Leader:
Joseph O. Lopreiato, Bethesda, MD; Co-leaders: Michael
Fitzgerald, Hilary M. Haftel, Mary D. Patterson
Medical simulation technology is a rapidly expanding
area of education in medicine. This expansion is due in
part to an expectation that training programs will assess
and document clinical skills over a wide range of
competencies. Many medical schools and some residency
programs are using simulation technologies to assess
clinical skills, professionalism, information gathering,
communication and trauma/resuscitation skills. This
workshop is designed for medical professionals involved in
the education of medical students, residents and fellows.
It is directed to those with an interest in the
educational potential of simulation technology and will
also be useful for those interested in learning about the
practical aspects of simulator program development.
Objectives:
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Be able to describe the capabilities and optimal
applications of the various types of medical
simulation in the pediatric environment.
-
Understand the elements required to develop and
sustain a successful program including issues of
personnel, utilization and financing.
Method of Instruction: Minilectures and
demonstrations will be used to introduce participants to
the full range of simulation technology including
standardized patients, mechanical simulators and
computer-based virtual reality; videos and DVDs, as well
as actual simulation technology, will be used as feasible.
This will serve as a springboard for discussion of the
practical aspects of a patient simulator program. Large
and small group activities will explore how these
technologies may be utilized in assessing clinical skills,
evaluating competencies and evaluating the progress of
trainees. We will also address the elements required to
develop and sustain a successful simulation program
including issues of personnel, utilization and financing.
Hands-on demonstrations of hardware and software elements
used in simulation will allow participants to judge which
simulation technologies would best serve their needs.
Target Audience: Trainee, junior faculty, mid-level
faculty
5:15pm–7:15pm
Poster
Session I
PAS Original Science Abstracts -
Poster Session
Emergency Medicine:
4915—General
Sunday, MAY 15
7:00am–8:00am
5052—Emergency
Medicine
Overlooking Gilead: Pediatric Emergency Medicine (Are We
There Yet?)
PAS Meet the Professor Breakfast
David M. Jaffe, Washington University School of Medicine, St.
Louis Children's Hospital, St. Louis, MO
Information
not yet available.
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
5143—Emergency
Medicine I
PAS Original Science Abstracts -
Platform Session
8:00am–10:00am
5149—Underserved
Populations I
PAS Original Science Abstracts -
Platform Session
8:00am–11:00am
5201—New
Care Models for Inner-City Asthma: How Expanding the
Primary Care Role of the Pediatric Emergency Department
Can Improve Patient Outcomes
PAS Mini Course
Chairs:
Ellen F. Crain, Albert Einstein College of Medicine and
Jacobi Medical Center, Bronx, NY; and Sandra J.
Cunningham, Albert Einstein College of Medicine and Jacobi
Medical Center, Bronx, NY
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
Sandra
J. Cunningham, Albert Einstein College of Medicine, Jacobi
Medical Center, Bronx, NY
Successful Emergency Department Strategies To Improve
Long-Term Care for Children with Asthma
Joseph
J. Zorc, Children's Hospital of Philadelphia,
Philadelphia, PA
The Asthma Coach Program
Sharon
R. Smith, Connecticut Children's Medical Center, Hartford,
CT
The Fast Track Clinic: An Emergency Department
Intervention To Reduce Morbidity Among Children with
Asthma
Stephen
J. Teach, Children's National Medical Center, Washington,
DC
Discussion
2:00pm–4:00pm
5534—Injury
I
PAS Original Science Abstracts -
Poster Symposium
4:15pm–5:45pm
5702—Identification
of Asthma-Susceptibility Genes and Implications for New
Pharmaceutical Development
PAS State of the Art Plenary
Chair:
Clifford W. Bogue, Yale University School of Medicine, New
Haven, CT
Asthma is rapidly emerging as a major public health
disorder in childhood. Innovative strategies combining
genetic mapping and gene expression profiling are
providing the tools to identify genes that underpin asthma
predisposition. This presentation not only has relevance
for an important pediatric medical topic, but also
establishes a paradigm that can be used for other complex
genetic disorders that affect children.
Target Audience: This session will be of interest to
a broad audience including practicing pediatricians,
geneticists, pulmonologists, pharmacologists, critical
care specialists and allergist/immunologists
Marsha Wills-Karp, Children's Hospital Medical
Center, Cincinnati, OH
Monday, MAY 16
8:00am–10:00am
6134—Emergency
Medicine II—Analgesia and Sedation
PAS Original Science Abstracts -
Platform Session
9:00am–12:00pm
6204—Development
and Implementation of Clinical Guidelines in Inpatient,
Outpatient and Emergency Room Settings
PAS Educational Workshop
Leader:
Emanuel O. Doyne, Cincinnati, OH; Co-leaders: Kieran
Phelan, Scott Reeves, Michael Vossmeyer
This workshop will be designed around the essential
elements necessary to develop, adapt and implement
clinical practice guidelines in three types of settings:
(1) inpatient, (2) outpatient and (3) the emergency room.
The program will consist of three segments beginning with
an interactive session on recommendation statement
development and separate sessions on the pitfalls and
obstacles in each of the three above-mentioned settings
centered around specific clinical problems. This will be
followed by small group exercises that will allow the
participants to both develop recommendation statements
based on best evidence and to develop operational
strategies including specific interventions with outcomes
measures. After each of these sessions the small groups
will make a formal presentation of their work product. The
workshop leaders will then present some examples from
their own institution in each of the three targeted
clinical arenas.
Objectives:
-
The development of and integration of evidence-based
guidelines into daily clinical work.
-
Acquisition of tools and skills necessary to
accomplish this integration.
Method of Instruction: Small group problem-solving
discussion, didactic presentations and question-and-answer
sessions.
Target Audience: Trainee, junior faculty, mid-level
faculty, including administrators, full-time clinical
faculty, fellows and health care service researchers.
1:45pm–5:15pm
6550—APA
Presidential Plenary & Awards
APA Presidential Plenary
Chair:
Diane Kittredge, Dartmouth Hitchcock Medical Center,
Lebanon, NH
APA Presidential Address
Daniel
Lee Coury, Professor of Clinical Pediatrics, Chief,
Developmental-Behavioral Pediatrics, Columbus Children’s
Hospital, Columbus, OH
5:15pm–6:45pm
Poster
Session III
PAS Original Science Abstracts -
Poster Session
Emergency Medicine:
6810—Asthma/Respiratory Illness
6811—General
Tuesday, MAY 17
8:00am–10:00am
7153—Emergency
Medicine III
PAS Original Science Abstracts -
Platform Session
10:15am–11:45am
7303—Pediatric
Biopreparedness: Dual-Use Systems for Everyday and Times
of Trouble
PAS State of the Art Plenary
Chairs:
Michael W. Shannon, Children's Hospital Boston, Boston,
MA; and Kenneth D. Mandl, Children's Hospital Boston,
Boston, MA
Addressing the medical and public health consequences
of an emerging infection, a naturally occurring outbreak
or a bioterrorist attack requires well-developed
capabilities for detection, analysis and response. In the
context of national preparedness there has been heavy
investment to develop these capabilities, but only limited
attention has been paid to the unique needs of the
pediatric population. Further, the use of these systems
for every day problems as well as disasters is critical if
the efforts are to be sustainable.
A multidisciplinary faculty from the Center for
Biopreparedness at Children’s Hospital Boston will
present leading-edge research on (1) public health
informatics for the real-time epidemiology of outbreaks of
infectious disease among children, (2) approaches to
development and dissemination of principles of pediatric
bioterrorism response and (3) the dual use of
biopreparedness technology.
Target Audience: Scientists and clinicians involved
in bioterrorism preparedness efforts, emergency medicine,
public health and epidemiology.
Pediatric Biopreparedness
Michael
W. Shannon, Children's Hospital Boston, Boston, MA
Approaches to Development and Dissemination of
Principles of Pediatric Bioterrorism
Michael
W. Shannon, Children's Hospital Boston, Boston, MA
Real Time Epidemiology of Outbreaks of Infectious
Disease Among Children
Ben
Y. Reis, Children's Hospital Boston, Boston, MA
Dual Use of Real-Time Outbreak Detection Technology
Kenneth
D. Mandl, Children's Hospital Boston, Boston, MA
Discussion
12:00pm–1:30pm
Poster
Session IV
PAS Original Science Abstracts -
Poster Session
Emergency Medicine
7490—General
7491—Sedation/Analgesia
7492—Appendicitis/Intussusception
1:45pm–3:45pm
7620—Injury
II—Violent Injury
PAS Original Science Abstracts -
Platform Session
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