General Pediatrics and Preventive Pediatrics

Last updated February 10, 2005

8:00am–11:00am
4103—Neonatal Immunology—Relevance to the Clinician
PAS Mini Course
Chair: E. Richard Stiehm, Mattel Children's Hospital at UCLA, Los Angeles, CA

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
E. Richard Stiehm, Mattel Children's Hospital at UCLA, Los Angeles, CA

Transient and Congenital Immunodeficiencies of the Newborn: Recognition and Management
David B. Lewis, Stanford University Medical Center, Stanford, CA

Newborn Immunity as a Predictor for the Development of Wheezing and Allergy
James E. Gern, University of Wisconsin, Madison, WI

Immunologic Intervention in the Newborn: Relevance to Newborn Infections
Harry R. Hill, University of Utah School of Medicine, Salt Lake City, UT
 

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
4153—Developmental Care (DC) in the Newborn Nursery—An Interactive Workshop
PAS Educational Workshop
Leader: Juzer M. Tyebkhan, Edmonton, AB, Canada; Co-leader: Leonora Hendson

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:

1. Participants will know the scientific basis for developmental care and the evidence supporting its use.

2. Participants will take back at least three practical points that will allow them to implement developmental care in their nurseries.

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
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:

1. 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.

2. 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
4159—Teaching Otoscopy Skills: New Technologies To Bring Otoscopy Out of the "Black Box"
PAS Educational Workshop
Leader: Woodson S. Jones, Bethesda, MD; Co-leaders: Christine L. Johnson, Phillip H. Kaleida, Jeffrey L. Longacre

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:

1. Participants will acquire knowledge and skills to utilize new teaching technologies, including a video otoscopic system.

2. Participants will acquire knowledge necessary to develop and incorporate new otoscopic teaching approaches in their respective training programs.

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
4171—Division Directors of General Pediatrics
APA Special Interest Group
Chairs: Gary A. Emmett, gemmett@nemours.org; Panelists: Danielle Laraque, Christian Derauf, Tina Cheng

Welcome all division directors and other interested attendees! The program will start with presentations on:

• How Do We Keep the (Three-Legged) Stool Standing? Balancing our missions of clinical care, education, and research.

• Perspectives from Three Divisions

• Strengthening General Academic Pediatrics: A Proposal to have APA Accreditation of Academic General Pediatric Fellowship Programs

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:

• Revision of program requirements for residency education in pediatrics by the Pediatric Residency Review Committee.

• Compilation of a list of division directors in pediatrics and plan for a survey.
   

8:00am–11:00am
4175—Hospital Medicine
APA Special Interest Group
Chair: Daniel Rauch, rauch@aecom.yu.edu

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:

• Updates from the previous year in Pediatric Hospital Medicine

• Presentation/discussion on Disaster Preparedness by our colleagues from Florida

• Poster session

• Small group discussion groups that will focus on research (including an update on the PRIS network) and education.

• Latest updates on the Pediatric Hospital Medicine 2005 Conference in Denver this summer

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
4177—Serving the Underserved
APA Special Interest Group
Chairs: Peter Sherman, psherman@montefiore.org; and Wendy L. Hobson, wendy.hobson@comcast.net

Information not yet available.
 

9:00am–11:00am
4250—Historical Perspectives
PAS Original Science Abstracts - Poster Symposium

10:00am–12:00pm
4300—Development of Hypertension in the Newborn: Translating Theory into Practical Application
PAS/IPHA Topic Symposium
Chairs: Elaine Urbina, Children's Hospital Medical Center, Cincinnati, OH; and Luc Brion, Montefiore Medical Center, Bronx, NY

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?
Alan Zubrow, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, PA

How Does “Perinatal Programming” Contribute to the Development of Subsequent Vascular Disease?
Julie R. Ingelfinger, Massachusetts General Hospital, Boston, MA

Perinatal Influences on Blood Pressure In the Newborn
Matthew W. Gillman, Harvard Medical School/Harvard Pilgrim Health Care, Boston, MA

What Non-pharmacologic and Drug Treatment Options Are Available for the Management of Neonatal Hypertension
Douglas L. Blowey, Children's Mercy Hospitals and Clinics, Kansas City, MO

Sponsored jointly by the International Pediatric Hypertension Association and the Pediatric Academic Societies
 

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.

Introductions and Overview
Sheryl A. Ryan, University of Rochester School of Medicine, Rochester General Hospital, Rochester, NY

Epidemiology of Domestic Violence and Issues Related to Screening, Prevention, Intervention and Teaching
Danielle Thomas-Taylor, Center for Child Health Research, 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
4506—Update in Neonatal/Pediatric Nutrition Support
PAS Mini Course
Chair: Michael Narkewicz, Children's Hospital, Denver, CO; and Mark Corkins, Riley Hospital for Children and Indiana University, Indianapolis, IN

Nutrition is critical to the normal growth and development of children. Our ability to supply nutrition to ill infants has increased dramatically in the last half of the twentieth century with the development of parenteral nutrition (TPN) and commercially prepared formulas. This advanced technology has also presented us with new knowledge as new nutritional deficiencies were discovered in patients on long-term TPN. The new technology has also created new risks associated with the supply of this nutrition. This session will explore some of the micronutrients necessary in infant TPN and some of the potential toxicities. The potential risks and new information concerning enteral formulas for use in infants will be presented.

Target Audience: Clinicians involved in the care of ill infants that require nutrition support beyond standard feedings.

Introduction
Michael R. Narkewicz, University of Colorado Health Sciences Center, Denver, CO

Cysteine, Choline and Carnitine: Are These Cs Important to the Neonate?
Sandeep K. Gupta, Riley Hospital for Children and Indiana University, Indianapolis, IN

Aluminum Toxicity in TPN
Gordon L. Klein, University of Texas Medical Branch, Galveston, TX

TPN-Associated Liver Disease in the Neonate
Beth Anne Carter, Baylor College of Medicine, Houston, TX

Fat Soluble Vitamin Requirements in the Neonate
Frank R. Greer, University of Wisconsin and Meriter Hospital, Madison, WI

Enteral Formula Safety
Mark R. Corkins, Riley Hospital for Children, Indiana University, Indianapolis, IN

Recent Advances in Neonatal Formulas
Jane D. Carver, University of South Florida College of Medicine, Tampa, FL

Discussion
 

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:

1. The participant will gain knowledge of strategies to effectively deliver family-centered health care to adolescent parents and their children.

2. 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
4541—Clinician-Educators: Roles, Rewards and Strategies for Career Development
PAS Educational Workshop
Leader: Robert Hilliard, Toronto, Ontario, Canada; Co-leaders: Ann Jefferies, Karen Leslie

Clinician-educators combine patient care, teaching and scholarly activities that promote excellence in medical education. This interactive workshop will include small group discussions and case problem solving. It is expected that participants will learn a practical approach to their career development and will:

1. have a better understanding of the motivation, roles and challenges of clinician-educators, including recruitment and advancement;

2. be able to develop a career 'map' for clinician-educators;

3. learn how a mentoring program can help the clinician-educator;

4. be able to identify useful and effective faculty development activities;

5. have a better understanding of the scholarly activities in education;

6. learn guidelines for developing an effective teaching dossier.

Objectives:

1. Have a better understanding of the motivations, roles, rewards and challenges of clinician-educators.

2. Be able to plan their careers as clinician-educators through mentorship, effective faculty development activities and effective teaching dossiers.

Method of Instruction: large group question and answer, small group discussions, and small group case problem solving.

Target Audience: Junior faculty with an interest in developing their academic careers as clinician-educators and senior faculty/administrators responsible for supporting junior faculty in the areas of teaching and education.
  

11:45am–2:45pm
4570—Continuity
APA Special Interest Group
Chair: John Olsson, olssonj@mail.ecu.edu

Cherry blossoms and the Continuity SIG meeting—two great happenings in Washington, DC, this spring! Come to the Continuity SIG meeting: It’s a great chance to meet colleagues, old and new, who provide residents with a continuity experience in their residency programs. The business portion of our meeting will include a report from the APA Board and an update on our listserv and website. Janet Serwint will provide a report on CORNET (Continuity Research Network)—a wonderful opportunity for SIG members to get involved in clinical research, and CORNET continues to thrive and grow. The new RRC requirements will be in place by the time of our meeting, and we will spend time discussing how the new guidelines will affect education in the continuity setting. Finally, we will break into small groups to address the use of competency-based tools to evaluate our residents in the continuity setting. Be sure to mark your calendar now for this meeting on the first day of the PAS meeting.
 

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

Information not yet available.
 

1:00pm–3:00pm
4650—ADHD: Issues In Management
PAS Original Science Abstracts - Platform Session

1:00pm–3:00pm
4653—Public Health Topics
PAS Original Science Abstracts - Platform Session

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
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
4874—Family-Centered Rounds: Overcoming Barriers To Get Back to the Bedside
PAS Educational Workshop
Leader: Stephen Muething, Cincinnati, OH; Co-leaders: William Brinkman, Jeffrey Simmons

At academic medical centers, it is common for attending physician rounds (patient presentations and rounds discussions) to occur in a conference room far removed from the patient and family. A recent AAP policy statement entitled, "Family-Centered Care and the Pediatrician's Role," calls for rounds of all hospitalized patients to occur at the bedside in the presence of the patient and family. 'Family-Centered Rounds' are meant to facilitate information sharing and encourage active family involvement in decision-making. Drawing on their own experience as well as on the Cincinnati Children's Hospital experience during the Robert Wood Johnson Pursuing Perfection Initiative, workshop participants will become familiar with the basic principles of family-centered care and will develop practical strategies for overcoming barriers to return rounds to the bedside.

Objectives:

1. Participants will understand the basic principles of family-centered care in the inpatient setting.

2. Participants will develop practical strategies to overcome barriers to delivering family-centered care at the bedside of the hospitalized patient.

Method of Instruction: small group discussion, didactic presentation, videotaped rounding vignettes, question and answer, and small group problem solving sessions.

Target Audience: Trainee, junior faculty, mid-level faculty
 

3:15pm–5:15pm
4877—Management Skills You Need When Asked To Be the Medical Director
PAS Educational Workshop
Leader: Angelo P. Giardino, Philadelphia, PA

Using an interactive format, the workshop will begin with a general approach to administration looking at fiscal, personnel and quality improvement issues.

Objectives:

1. Participants will gain experience with the technical skills necessary to review a budget.

2. Participants will become aware of the management skills necessary to be a Medical Director.

Method of Instruction: (1) Interactive format, Q & A, brainstorming; (2) small group work.

Target Audience: junior faculty, mid-level faculty
 

3:15pm–5:15pm
4880—Teaching and Evaluating an Innovative Competency-Based Health Promotion Curriculum for Maternal and Child Health Educators
PAS Educational Workshop
Leader: Henry H. Bernstein, Boston, MA; Co-leader: Gregory S. Blaschke

Pediatrics in Practice, a Bright Futures-based health promotion curriculum designed for pediatric training programs to support educators and clinicians to communicate health-promoting messages to families and children, was created by the Bright Futures Health Promotion Workgroup. Dramatic changes are taking place in today's health care environment, and this curriculum provides an opportunity to advance and foster ACGME-recommended competencies for future health professionals. www.PediatricsinPractice.org helps residents gain knowledge and skills teaching health content (partnership, communication, health promotion, time management, education and advocacy) to their learners to facilitate effective patient interaction and care. Child health educators new to or developing skills in teaching health promotion content will learn to effectively convey this content utilizing proven teaching strategies (brainstorming, reflective exercise, buzz group, case discussion, mini-presentation, role play).

Objectives:

1. Familiarize participants with an innovative paper- and web-based ( www.pediatricsinpractice.org) health promotion curriculum for maternal and child health training.

2. Identify how to effectively facilitate the implementation and evaluation of this curriculum in participants' clinical and teaching settings.

Method of Instruction: Presentation, participation in a representative module, small and large group discussion and videotape.

Target Audience: Trainee, junior faculty, mid-level faculty
 

3:15pm–5:15pm
4882—Using the APA Educational Guidelines for Pediatric Residency To Plan Effective Evaluation Systems
PAS Educational Workshop
Leader: Diane Kittredge, Lebanon, NH; Co-leaders: Constance D. Baldwin, Miriam Bar-on, Patricia S. Beach, R. Franklin Trimm

This workshop will help pediatric educators use the APA Educational Guidelines website to create resident evaluation systems that are consistent with anticipated new RRC requirements. The workshop will first address evaluation systems planning: selection of appropriate methods and processes across a residency program. Small groups will adapt evaluation planning documents from the Guidelines. Next the team will discuss the key features of sound evaluation forms, and small groups will review and adapt selected evaluation forms to meet the needs of a typical program. Finally, participants will brainstorm about implementation challenges, and the presenters will discuss process issues in evaluation, including teaching residents and faculty to use a program's evaluation system and conducting quality improvement studies of one's system. A summary of recommendations will be shared.

Objectives:

1. Describe the qualities of a well-balanced evaluation system for a residency program, including use of methods suitable for a learning setting, multiple evaluators, recurrent feedback processes and sound evaluation forms.

2. Discuss the challenges of implementing such a system, including the need for methods development, orientation of residents and development of faculty and continuous quality improvement of the evaluation system.

Method of Instruction: Computer demonstration, presentations by workshop faculty, large group discussions, brainstorming, review of models of forms, small group activities and handouts.

Target Audience: junior faculty, mid-level faculty, senior faculty
 

3:15pm–5:15pm
4890—AIDS/HIV
APA Special Interest Group
Chairs: Nancy Hutton, nhutton@jhmi.edu; and Lois Chandler Howland, lois.howland@umassmed.edu

HIV/AIDS is becoming increasingly prevalent among the U.S. adolescent population due to “aging up” of perinatally infected children and to adolescents becoming infected through high-risk behaviors. Providing effective health education to reduce HIV transmission risk, offering accessible and confidential HIV counseling and screening and identifying effective strategies to improve HIV treatment adherence among adolescents are the key issues to be addressed in the AIDS/HIV Special Interest Group meeting this year. An interactive format will bring clinicians and researchers together to provide the most recent information and to discuss the most effective approaches to these issues.
 

5:15pm–7:15pm
Poster Session I
PAS Original Science Abstracts - Poster Session

General Pediatrics and Preventive Pediatrics:
4900—Adolescent Health
4901—Asthma
4902—Obesity
4903—Screening
4904—Hospitalist
4905—Injury/Injury Prevention
4906—Telemedicine

Nephrology:
4941—Hypertension
 

Sunday, MAY 15

7:00am–8:00am
5050—Academic General Pediatrics
PAS Meet the Professor Breakfast

Kenneth B. Roberts, Director, Pediatric Teaching Program, Moses Cone Health System, Greensboro, NC; Professor of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC

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.
 

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
5103—Gastroesophageal Reflux Disease in Infants and Children
PAS/NASPGHAN Topic Symposium
Chairs: Benny Kerzner, Children's National Medical Center, Washington, DC; and Eric Hassall, British Columbia Children’s Hospital, University of British Columbia, Vancouver, Canada

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
Eric Hassall, British Columbia Children’s Hospital, University of British Columbia, Vancouver, Canada

Born To Reflux: The Epidemiology, Pathophysiology and Genetic Features of GERD in Infants
Benny Kerzner, Children's National Medical Center, Washington, DC

EERD (Extraesophageal Reflux Disease): Reflux Beyond the Esophageal Box
Victor M. Pineiro, Nemours Children's Clinic-Orlando, FL

Too Many Operations, Too Few Reasons: Why it’s Time to Change Course
Eric Hassall, British Columbia Children’s Hospital, University of British Columbia, Vancouver, Canada

Sponsored jointly by the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition 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
5200—ADHD and Other Disruptive Behaviors in Preschool Children: Challenges in Diagnosis and Treatment
PAS Mini Course
Chair: Martin T. Stein, University of California San Diego, San Diego, CA

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
Martin T. Stein, University of California San Diego, San Diego, CA

Developmental–Biopsychosocial Model for Early Identification and Comprehensive Treatment of Attentional and Disruptive Disorders in Young Children
Stanley I. Greenspan, George Washington University School of Medicine, Washington, DC

Diagnostic Strategies for ADHD in Preschool Children
Helen Link Egger, Duke University Medical Center, Durham, NC

Treatment of Disruptive Behaviors in Preschool Children
Chris K. Varley, University of Washington Medical Center, Children's Hospital and Regional Medical Center, Seattle, WA

The Preschool ADHD Treatment Study (PATS Study)
Larry L. Greenhill, New York State Psychiatric Institute, New York, NY

Managing Disruptive Preschool Children with ADHD in a Pediatric Office
Suzanne Dixon, University of Washington, University of California San Diego, Emeritus

Discussion
  

8:00am–11:00am
5232—Design and Analysis of Childhood Cohort Studies
PAS Educational Workshop
Leader: Cynthia Minkovitz, Baltimore, MD; Co-leaders: Jennifer Hawes-Dawson, Kamila Mistry, Amy Rathbun, Mark Schuster, Jerry West

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:

1. Knowledge of three childhood cohort studies and their public use data sets.

2. Skills related to strategic issues with cohort studies (e.g., sampling, variable specification, tracking, cohort maintenance).

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
5235—How To Do Research in Pediatric Education and Get It Published
PAS Educational Workshop
Leader: James M. Perrin, Boston, MA; Co-leaders: John P Co, Benjamin Siegel

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:

1. To describe ways of defining interesting questions in research in pediatric education and clarify strategies for the presentation of research methods and findings for journal publication.

2. To compare and contrast qualitative and quantitative research in pediatric education.

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.
 

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
5251—Faculty Development
APA Special Interest Group
Chairs: Virginia Niebuhr, vniebuhr@utmb.edu; and Latha Chandran, latha.chandran@stonybrook.edu

Snapshots of Faculty Development Activities from Around the Country

If you are beginning your efforts in faculty development and want consultation from experts, the Faculty Development SIG workshop is for you. If you completed the APA Faculty Development Scholars Program and want to visit with old friends, this SIG is for you.

• Former members of the APA Faculty Development Scholars Program will give snapshot presentations of some of the exciting projects at their institutions.

• Group discussions will address three key questions:

1. What are the most exciting faculty development activities happening at your institution?

2. What are the creative ways that faculty development activities have been funded and supported at your institution?"

3. What creative ideas can we think of for collaborative work between institutions?

• Faculty Development Scholars will be available for consultation on faculty development ideas and dilemmas.

• An overview will be given of the APA Faculty Development Program activities.
   

8:00am–11:00am
5252—Fellowship Program Directors
APA Special Interest Group
Chair: Matthew M. Davis, mattdav@umich.edu

Our chief endeavor will be to identify opportunities for information sharing about program features (e.g., curricula), past trainees, current trainees and prospective trainees. What would you like to know about other programs? What would you like to share of your program with others? How can the APA serve to facilitate information gathering and sharing among fellowship programs? Likely SIG attendees are welcome to contact the SIG chair with other suggestions for agenda items.

Target Audience: Program Directors or their representatives from general academic pediatric fellowship programs are welcome to attend this SIG.
 

8:00am–11:00am
5254—Quality Improvement
APA Special Interest Group
Chairs: Jean Ogborn, jogborn@jhmi.edu; David Link, david_link@hms.harvard.edu; and Dan Neuspiel

Information not yet available.
 

10:15am–11:45am
5350—APS Presidential Plenary and Awards
APS Presidential Plenary

2005 APS Presidential Address
Elizabeth R. McAnarney, University of Rochester Medical Center, Rochester, NY

53rd Annual John Howland Award*
Mary Ellen Avery, Thomas Morgan Rotch Distinguished Professor of Pediatrics, Harvard Medical School; Physician-in-Chief, Emerita, Children's Hospital, Boston, MA

Introduction
Margaret K. Hostetter, Jean McLean Wallace Professor and Chair, Department of Pediatrics, Yale University School of Medicine, New Haven, CT

*Presented by the Federation of Pediatric Organizations on behalf of the Ambulatory Pediatric Association, American Academy of Pediatrics, American Board of Pediatrics, American Pediatric Society, Association of Medical School Pediatric Department Chairmen, Association of Pediatric Program Directors and the Society for Pediatric Research
 

11:45am–1:45pm
5393—APA Research Committee
APA Committee

11:45am–1:45pm
Poster Session II
PAS Original Science Abstracts - Poster Session

General Pediatrics and Preventive Pediatrics:
5400—Immunizations
5401—Practice-Based Networks
5402—Disadvantaged Children
5403—Dental Health
5404—Outcomes Research
5405—Bone/Metabolic Disease
 

12:00pm–1:30pm
5490A—Bioethics Interest Group
 Club

How Cozy Is Too Cozy? Pharmaceutical Companies and the Pediatrician
Norman C. Fost, University of Wisconsin Medical School, Madison, WI
Joel E. Frader, Children's Memorial Hospital, Chicago, IL
Douglas Scott Diekema, Children's Hospital and Medical Center, Seattle, WA

Contact:
Susan Albersheim, M.D.
British Columbia's Children's Hospital
Phone: 604-875-2135
Email: salbersheim@cw.bc.ca

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
 Sunday, MAY 15

2:00pm–4:00pm
5520—Consequences of Metabolic Syndrome in Children: Hypertension, Diabetes and Renal Disease
PAS/ASPN/IPHA/LWPES Topic Symposium
Chairs: Joseph Flynn, Montefiore Medical Center, Bronx, NY; and Henry Anhalt, Saint Barnabas Medical Center, Livingston, NJ

The incidence of the metabolic syndrome and of type 2 diabetes mellitus (T2DM) is now exploding in children as a consequence of the obesity epidemic. These children may be at significant risk of target-organ damage, including hypertension, atherosclerosis and diabetic nephropathy. This symposium will examine key aspects of this epidemic, with special focus on the pathogenesis of the target-organ effects of the metabolic syndrome in the young.

Target Audience: Any physician who cares for children with obesity, diabetes or their consequences—pediatricians, pediatric cardiologists, pediatric endocrinologists, pediatric nephrologists.

Can We Agree on a Definition of the Metabolic Syndrome in Children?
Sonia K. Caprio, Yale University School of Medicine, New Haven, CT

Pathogenesis of Structural Vascular Changes in Patients with Hypertension and the Metabolic Syndrome
Albert P. Rocchini, University of Michigan Health Center, Ann Arbor, MI

Diabetic Nephropathy in Patients with Type 1 and Type 2 Diabetes
Kumar Sharma, Jefferson Medical College, Philadelphia, PA

Mechanisms of Diabetic Nephropathy: Insights from Genomics/Proteomics
Erwin Bottinger, Mount Sinai School of Medicine, New York, NY

Sponsored jointly by the American Society of Pediatric Nephrology, International Pediatric Hypertension Association, Lawson Wilkins Pediatric Endocrine Society and the Pediatric Academic Societies
 

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–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:

1. Understand the supports needed to do school-based obesity surveillance activities.

2. 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
5572—Developing a Competent Pediatrician: A Continuum Approach to Pediatric Education from Clerkship and Residency Through Faculty Development
PAS Educational Workshop
Leader: Constance D. Baldwin, Galveston , TX; Co-leaders: Michelle Barratt, Emanuel Doyne, Lynn C. Garfunkel, Virginia N. Niebuhr, Daniel Rauch

Too often pediatric education programs develop independent rather than coordinated curricula for students, residents, community practitioners and faculty, yet all these programs share the goal of developing competent pediatricians. This workshop, sponsored by the APA Education Committee, will engage educators in exploration of a continuum approach to pediatric education, with coordination of goals and/or teaching methods from clerkship through residency and into faculty development. Participants will consider what educational topics are well suited to a continuum approach. The presenters will describe models of coordination, and small groups will develop practical strategies for building linkages across educational levels within pediatric departments. The workshop faculty, who belong to the APA, COMSEP, APPD and AAP will discuss opportunities for organizational support across the traditional levels of pediatric education.

Objectives:

1. Describe a continuum approach to the education of competent pediatricians and list educational topics best suited for coordination across learner levels.

2. Describe strategies that institutions and organizations might use to support a continuum approach to pediatric education.

Method of Instruction: Brief faculty presentations, whole group discussions and brainstorming, nominal group process decision making, small group planning sessions with debriefing, panel discussion.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty
 

2:00pm–5:00pm
5577—Medical Home: Moving from a Concept to a Program to a National Initiative
PAS Educational Workshop
Leader: Merle McPherson, Rockville, MD; Co-leaders: Jennifer Cernoch, Judith S. Palfrey, Calvin Sia, Tom F. Tonniges

This workshop will create a dialogue regarding how a healthcare initiative transcends from a grass-root concept to a federal government agenda. Each of the presenters became involved with medical home at different points in its development. These various perspectives will create a didactic experience for participants as they are charged to decipher successful strategies to launch and sustain such an initiative.

Objectives:

1. Understand the pervasiveness of the medical home, from its grass-root level to its current integration into federal policies.

2. Identify critical strategies to further approaches to quality healthcare.

Method of Instruction: While there will need to be a brief overview of the medical home initiative to establish baseline awareness in the audience, a more didactive approach will then commence. Case studies using specific barriers for launching and sustaining the initiative will be highlighted, followed by dialogue with the audience to propose strategies for overcoming them. Similarly, the same approach of presenting an issue/problem with the intent to have audience navigate through it will also be used to establish necessary means to collaborate with partners.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty.
 

2:00pm–5:00pm
5581—Truth or Consequences: Defining, Identifying and Remediating the Problem Medical Teacher
PAS Educational Workshop
Leader: William V. Raszka, Burlington, VT; Co-leader: Lewis R. First

In many academic health centers, little time has been devoted to identifying and improving the teaching skills of physicians who are not good teachers—the "problem teachers." This workshop will define a problem teacher from different viewpoints within the academic health center, explore methods of identifying exemplary or poor teachers and review resources and strategies available to improve teaching quality. The workshop will be interactive. Trigger tapes will be used to initiate discussion, provide examples and test developed tools. Participants will break into small groups to develop and assess evaluation tools and devise or refine remediation strategies. By the conclusion of the workshop, the participant should be able to design appropriate faculty evaluation tools, identify teaching deficiencies, provide specific feedback to faculty members and design systems to improve faculty performance.

Objectives:

1. Describe the characteristics of a teacher who is not meeting proscribed educational objectives.

2. Describe ways to remediate or help teachers who are not meeting educational goals.

Method of Instruction: round table discussion, small group problem solving, videotape and piloting tools

Target Audience: Trainee, junior faculty, mid-level faculty.
 

2:00pm–5:00pm
5584—Evidence-Based Medicine
APA Special Interest Group
Chairs: John G. Frohna, jfrohna@med.umich.edu; and Nader Shaikh, nader.shaikh@chp.edu

The SIG on Evidence-Based Pediatrics (EBP) will hold its inaugural meeting. EBP is increasingly important as we strive to provide high-quality care to our patients and as we help students, residents and faculty integrate the latest evidence into their clinical care. After further developing the goals for our SIG, we will highlight ways that EBP can be taught and evaluated. We will feature presentations from several residency programs who have been working in this area, but we will also consider the full spectrum of potential learners. This dynamic and interactive session will allow for lots of networking and brainstorming. We will conclude by developing an educational and research agenda for the coming year.
 

2:00pm–5:00pm
5585—Child Abuse
APA Special Interest Group
Chair: Cindy Christian, christian@email.chop.edu

This year, the Child Abuse SIG will be jointly sponsored by the APA and the American Academy of Pediatrics Section on Child Abuse and Neglect. The child abuse SIG is opened to everyone who has an interest in the care of maltreated children. We are busy planning an interesting and educational session. Please join us!
 

2:00pm–5:00pm
5586—Developmental–Behavioral Pediatrics
APA Special Interest Group
Chair: Daniel Lee Coury, dcoury@chi.osu.edu

For several years there has been an effort nationally to upgrade the scope and orientation of such visits. The Developmental–Behavioral Pediatrics SIG will continue along this theme next year in Washington, DC, with a program coordinated by Lane Tanner, M.D. and Marty Stein, M.D. on Rethinking Child Health Supervision. As they point out, well child care is a core service of pediatrics, but existing recommendations for its content and timing are outdated. The schedule of preventive care has been driven by concerns about preventing infectious disease and ensuring adequate nutrition. Yet, today, concerns of children's development and behavior are foremost in the minds of parents. Because the long-term healthy development of children remains the primary goal of parents, clinicians and society, they are interested in promoting a process of rethinking both the timing and content of child health supervision. The goal of this rethinking would be to ensure that preventive pediatric care in the future will be optimally responsive to the developmental needs and challenges faced by children and families. They will introduce the rationale for such a revision and will facilitate participant discussion and ideas regarding the priorities and potential within a more developmentally oriented system of child health supervision
 

2:00pm–5:00pm
5587—Integrative Pediatrics
APA Special Interest Group
Chairs: David M. Steinhorn, d-steinhorn@northwestern.edu; and Sharon Riesen, srieson@ahs.llumc.edu

Information not yet available.
 

2:00pm–5:00pm
5589—Newborn Nursery
APA Special Interest Group
Chair: Linda Meloy, lmeloy@mail2.vcu.edu

Information not yet available
 

2:00pm–5:00pm
5590—Practice-Based Research Networks
APA Special Interest Group
Chair: Robert M. Siegel, robertsiegel56@pol.net

Information not yet available.
 

Monday, MAY 16

8:00am–10:00am
6101—Understanding the New Pediatric Morbidities: Evidence from the Centers for Children’s Environmental Health and Disease Prevention Research
PAS Topic Symposium
Chair: Ruth A. Etzel, George Washington University School of Public Health and Human Services, Washington, DC

Learning disorders, ADHD, developmental delay, asthma and depression are among the chronic conditions referred to as the “new pediatric morbidities.” There is growing evidence that environmental disruption and chronic exposure to synthetic chemicals contribute to these new morbidities. The 12 Centers for Children’s Environmental Health and Disease Prevention Research funded by the National Institute of Environmental Health Sciences and the U.S. EPA are contributing to our understanding of the effects of environmental exposures on children’s health. Participants in this session will learn about findings related to asthma and neurobehavioral impairment and gain new understanding of conditions that affect growing numbers of U.S. children.

Target Audience: Pediatricians, academic generalists, health services researchers, environmental health scientists, developmental–behavioral pediatricians and pediatric pulmonologists.

Centers for Children's Environmental Health and Disease Prevention Research: Progress Since 1998
Ruth A. Etzel, George Washington University School of Public Health and Health Services, Washington, DC

Prenatal Exposure to Pesticides, Maternal Paraoxonase Levels and Small Heads at Birth: A Possible Gene–Environment Interaction
Trudy Berkowitz, Mount Sinai School of Medicine, New York, NY

PCBs, Mercury and Neurobehavioral Impairment
Susan Schantz, University of Illinois at Urbana-Champaign, Urbana, IL

Air Pollution, Smoking and Asthma in Southern California Children
Frank Gilliland, University of Southern California, Los Angeles, CA

Discussion
 

8:00am–10:00am
6137—Infectious Diseases
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
6138—Medical Education: From Work Duty Hours to Assessing the Impact of Medical Education
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
6142—Obesity and Metabolism I
PAS Original Science Abstracts - Platform Session

9:00am–12:00pm
6200—Being Good Medicine: Tools from Therapeutic and Healing Touch
PAS Educational Workshop
Leader: Kathi J. Kemper, Winston-Salem, NC; Co-leader: Deborah Larrimore

When it comes to being good medicine, pediatricians are among the most naturally talented physicians. Yet, clinical curriculum often focuses almost exclusively on cognitive skills. After we recruit service-oriented trainees, how do we enhance their compassion skills? How can we help them embody their highest intentions? During this workshop, we will reflect on how we (our emotional–spiritual state) affect patients, and we will practice skills related to centering (two different types of meditation techniques) and experiment with different ways of using light touch to offer comfort, reassurance and caring during clinical encounters. Participants will receive worksheets and references to use as teaching tools and gain experience that will enhance confidence in teaching these skills to residents and students. Some may find that participation may renew their own commitment to and enthusiasm for the medical profession, and others may develop innovative ideas for research projects on the art of medicine.

Objectives:

1. Knowledge of how to teach about being peaceful, clear and centered in clinical care.

2. Skills for teaching how to comfort and caring through light touch.

Method of Instruction: Question and answer, Role playing and exercises.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

9:00am–12:00pm
6202—Child and Adolescent Bariatrics: Merging Policy, Scholarship, Research and Advocacy
PAS Educational Workshop
Leader: Karen L. Young, Little Rock, AR; Co-leaders: Margaret Harris, Alba Morales, J. Darrell Nesmith, Pippa Simpson, Joseph W. Thompson, Wendy L. Ward-Begnoche, Judith L. Weber, J. Gary Wheeler

Child and adolescent bariatrics (the study of obesity) is a new area in pediatric medicine. The Arkansas experience with the BMI (Body Mass Index) Health Initiative will be presented to show how a statewide initiative can be a collaborative effort, coordinated with research and educational activities. This will serve to jumpstart discussions among the registrants and faculty:

1. Attendees will be given an opportunity to present experiences from their own community involvement and partnership development, specifically discussing how to effect translation of obesity research into policy, clinical care, education or advocacy.

2. Registrant groups will discuss research problems in childhood obesity including

a) how to create and manage databases for clinics or larger populations

b) ethical and psychological issues

c) starting an academic child and adolescent bariatrics center

d) research collaborations

e) policy and politics of obesity

Objectives:

1. Learn how to effect translation of obesity research into policy, clinical care, education and advocacy.

2. The learner will be able to discuss childhood obesity research problems, including creating a database, ethical issues, starting a new obesity center, collaboration, policy and politics.

Method of Instruction: Presentations by faculty, followed by short presentations by selected registrants, then roundtable discussions.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty.
 

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:

1. The development of and integration of evidence-based guidelines into daily clinical work.

2. 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.
 

9:00am–12:00pm
6206—Medical–Legal Collaboration: A New Era in Promoting Child Health
PAS Educational Workshop
Leader: Lauren Smith, Boston, MA; Co-leaders: Tina L. Cheng, Mallory Curran, Eric W. Fleegler, Megan Sandel, Pamela C. Tames

Families and children face social and economic challenges that can adversely affect child health, development and long-term potential. Pediatricians are a natural front-line defense for screening and referral for housing issues, education needs, disability, hunger and other problems, yet they often lack the training and resources to advocate for families basic needs. Developing effective medical–legal collaboration in clinical settings is a potent strategy to promote child health through ensuring that these basic needs are met.

Experienced pediatric and legal advocates will facilitate discussion of concrete advocacy strategies including programs such as the Family Advocacy Program at Boston Medical Center. The workshop will utilize case examples, curriculum, advocacy tools and advocacy action plans to bring to life the integration of legal advocacy in the clinical setting.

Objectives:

1. Learn how to incorporate advocacy in the clinical setting to confront the spectrum of social issues vulnerable children and families experience.

2. Learn how the medical–legal collaborative model supports a culture of practical advocacy at both the individual and systemic levels.

Method of Instruction: The workshop methodology will utilize case-based presentations, interactive discussions and hands-on demonstration with advocacy and training tools.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

9:00am–12:00pm
6252—Injury Control
APA Special Interest Group
Chairs: Robert D. Sege, rsege@tufts-nemc.org; and Seth Jerome Scholer, seth.scholer@mcmail.vanderbilt.edu

Injuries place a heavy burden on the health of young children. The Injury Control Special Interest Group provides an opportunity for section members to review current topics in the area of pediatric injury control. A few of the presentations from last year focused on research related to the use of car seats, novel approaches to addressing domestic violence, and how SIG members might become involved in future studies related to injury prevention, including the National Children's Study. In 2005, we plan to have another exciting series of presentations. We encourage you to attend the Injury Prevention SIG in Washington, DC.
 

9:00am–12:00pm
6254—Nutrition
APA Special Interest Group
Chairs: Elizabeth Shepard, elizabeth.shepard@stanford.edu; and Robert J. Karp, robert.karp@downstate.edu

The Nutrition SIG is pleased to announce completion of its “Teacher’s Guide to Pediatric Clinical Nutrition.” It is easy to find at http://downstate.edu/peds/pednutrition. Or just go to the search bar at Google and type “pediatric nutrition and foliate” (or any other nutrient). Pediatric Nutrition Notes, the initial section of the Teacher’s Guide, comes up as the top entry.

The Teacher’s Guide uses the model of “stepping stone education.” The first section is a 44-page primer, Pediatric Nutrition Notes, providing the language of nutrition. The second is a set of introductions to assessing diet and behavior, assessing nutritional status, impact of food cost and culture and an overview of nutrition through the life cycle. The third section includes more than 25 case-based teaching modules on disease processes affected by nutrition.

Residents are invited to a two-hour program with continental breakfast to explore the Teacher’s Guide’s use in fulfilling two objectives of the Residency Review Committee: (1) teaching and (2) community outreach.

1. Training Teachers of Pediatrics: Residents will provide data illustrating use of the Teacher’s Guide in case conferences aids to improve learning and gain confidence and competence.

2. Reaching out to the Community: Residents will demonstrate use of four Teacher’s Guide modules adapted for community use enabling them to fulfill RRC requirement for community outreach.

Faculty and residents are invited to join us for presentations, discussion and continental breakfast. Registration is necessary. Email either robert.karp@downstate.edu or elizabeth.shepard@stanford.edu.
 

9:00am–12:00pm
6255—Race in Medicine
APA Special Interest Group
Chairs: Anne Beal, acb@cmwf.org; and Ivor Braden Horn, ihorn@cnmc.org

Information not yet available.
 

9:00am–12:00pm
6256—Women in Medicine
APA Special Interest Group
Chair: Carol Berkowitz, carolb@pol.net

This year the APA, SPR and APS will be meeting conjointly with the American Academy of Pediatrics (AAP). The AAP has defined women in pediatrics as a “mega” issue for discussion at the meeting of the AAP Board of Directors in May 2005, the week before PAS. A “mega” issue is one to which the Board devotes 2 hours of time to hear expert presentations. In the past, the AAP had a subcommittee on Women in Pediatrics, but this committee of three was sunset in an effort to explore the issues on a broader base. The thinking was that some of the issues identified as “women issues” were more aptly called “young physician” or “generational” issues. The Federation of Pediatric Organizations (FOPO) is also addressing the topic of women in pediatrics. FOPO has focused more on women in academia and the question of the impact of increasing numbers of women in pediatrics on the subspecialty workforce.
 

9:00am–12:00pm
6257—Literacy Development Programs in Primary Care
APA Special Interest Group
Chairs: Robert Needlman, robert.needlman@case.edu; and Perri Klass, perri.klass@bmc.org

The Special Interest Group on Literacy Development in Primary Care provides information, support, and networking for clinicians interested either in research or implementation of projects related to pediatric early literacy interventions. The SIG provides an opportunity for reviewing research in progress, coordinating research ideas, enhancing provider training on early literacy guidance and evaluation related to the REACH OUT AND READ (ROR) model of pediatric literacy intervention. This year, in addition to a general research update, we will discuss various aspects of training: of clinicians, readers, and support staff, as well as parents. We invite participants to join the discussion by bringing examples of their training methods. The session will also include a brief presentation on digital videotaping techniques
 

9:00am–12:00pm
6258—Pediatric Telephone Care
APA Special Interest Group
Chair: Allison Kempe, Kempe.Allison@tchden.org

Information not yet available.
 

10:15am–12:00pm
6300—SPR Presidential Plenary and Awards
SPR Presidential Plenary

Introduction
Lisa M. Guay-Woodford, University of Alabama at Birmingham, Birmingham, AL

Maureen Andrew Mentor Awardee
Edward R.B. McCabe, Mattel Children's Hospital at UCLA, Los Angeles, CA

David G. Nathan Awardee
Mwe Mwe Chao,

Douglas K. Richardson Awardee
Maureen Hack, Case Western Reserve University, Cleveland, OH

Richard D. Rowe Awardee
Vidu Garg, University of Texas Southwestern Medical School, Dallas, TX

Richard D. Rowe Award Honorable Mention
Conrad L. Epting, University of California, San Francisco
Stephanie Marie Ware, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Young Investigator Awardee
Anne Marguerite Moon, University of Utah Health Sciences Center

SPR Distinguished Service Award
Samuel Hawgood, University of California Medical Center, San Francisco, CA

E. Mead Johnson Awardees

Elizabeth C. Engle, Children's Hospital, Boston, MA

Gene Therapy for Inherited Lung Disease
Terence R. Flotte, University of Florida, Gainesville, FL

SPR Presidential Address
Lisa M. Guay-Woodford, University of Alabama at Birmingham, Birmingham, AL

*The E. Mead Johnson Awards are supported by an educational grant from Mead Johnson Nutritionals
 

10:15am–12:15pm
6352—General Pediatrics II
PAS Original Science Abstracts - Platform Session

10:15am–12:15pm
6353—Health Services Research—New Morbidity
PAS Original Science Abstracts - Platform Session

10:15am–12:15pm
6354—Hospitalist
PAS Original Science Abstracts - Platform Session

10:15am–12:15pm
6355—Immunizations Delivery
PAS Original Science Abstracts - Poster Symposium

10:15am–12:15pm
6356—Medical Education: Innovations in Medical Education
PAS Original Science Abstracts - Platform Session

10:15am–12:15pm
6357—Mental Health and Parenting
PAS Original Science Abstracts - Platform Session

10:15am–12:15pm
6358—Underserved Populations II
PAS Original Science Abstracts - Platform Session

1:45pm–5:15pm
6550—APA Presidential Plenary & Awards
APA Presidential Plenary
Chair: Diane Kittredge, Dartmouth Hitchcock Medical Center, Lebanon, NH

Includes selected original science abstract presentations, the Presidential Address, and the Research and Teaching Awards

APA Presidential Address
Daniel Lee Coury, Professor of Clinical Pediatrics, Chief, Developmental-Behavioral Pediatrics, Columbus Children’s Hospital, Columbus, OH
 

2:00pm–4:00pm
6600—Virus–Host Interactions: Mechanisms Underlying Persistent Viral Infections
PAS/PIDS Topic Symposium
Chairs: Kenneth A. Alexander, Duke University Medical Center, Durham, NC; and John Vanchiere, Baylor College of Medicine, Houston, TX

In recent years it has become clear that traditional concepts about immune response to and clearance of pathogenic viruses are only part of the whole story. Increasing numbers of viruses are now recognized to cause persistent, low-level replication in the host, with long-term adverse health consequences in both normal and immune compromised hosts. These include viruses known to establish latency, such as the herpes viruses, and viruses that can cause persistent infection without a latent state, such as hepatitis C virus and polyomaviruses. This symposium will focus on virus–host interactions that allow for establishment of latent or persistent infection and the opportunities to exploit these interactions to facilitate gene therapy.

Target Audience: Scientists and clinicians from the following disciplines: pediatric infectious diseases, general pediatricians, pediatric gastroenterologists, pediatric hematology/oncology physicians.

Viral Persistence: Surveillance of the Iceberg from Its Surface
John A. Vanchiere, Baylor College of Medicine, Houston, TX

Unraveling the Molecular Mechanisms of Herpes Simplex Virus Latency and Reactivation in the Nervous System
Nancy M. Sawtell, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Hepatitis C: Mechanisms Contributing to Chronic Infection and Immune Evasion
Stanley Lemon, University of Texas Medical Branch, Galveston, TX

Adenovirus Based Vectors as Tools to Understand Viral Persistence
Andrea Amalfitano, Duke University Medical Center, Durham, NC

Sponsored jointly by the Pediatric Infectious Diseases Society and the Pediatric Academic Societies
 

3:00pm–5:00pm
6734—Obesity and Metabolism II
PAS Original Science Abstracts - Poster Symposium

3:00pm–5:00pm
6760—Functional Genomics
PAS Educational Workshop
Leader: Clifford W. Bogue, New Haven, CT; Co-leaders: James D. Bristow and Cecilia Lo

Understanding the function of genes and other parts of the genome is known as functional genomics. The Human Genome Project is just the first step in understanding humans at the molecular level. Now that the sequencing phase of the human and mouse genomes is complete, many questions remain unanswered, including the function and regulation of most of the estimated 30,000-35,000 mouse and human genes. The mouse has a long and rich history in biological research and many consider it a model organism for the study of human development and disease. Over the past few years, exciting progress has been made in developing techniques for chromosome engineering, mutagenesis, mapping and maintenance of mutations and identification of mutant genes in the mouse. Additionally, whole genome sequence analysis of many different species is proving to be incredibly fruitful in identifying critical gene regulatory motifs. In this workshop, we will present some of the techniques that are being applied to the daunting yet exciting task of functional genomic analysis in the mouse.

Objectives:

1. To learn about contemporary scientific techniques currently in use to determine the function of the genome.

2. To learn how the genomic sequence of various organisms can be used to determine gene function.

Method of Instruction: Three lectures with question-and-answer sessions.

Target Audience: Trainee, junior faculty, mid-level faculty, senior faculty.
 

3:00pm–5:00pm
6771—Pediatric Tobacco Issues
APA Special Interest Group
Chairs: Dana Best, dbbest@cnmc.org; and Deborah Moss, mossdr@chp.edu

Information not yet available.

5:15pm–6:45pm
6820—Poster Session III: General Pediatrics and Preventive Pediatrics: Ethics
PAS Original Science Abstracts - Poster Session

General Pediatrics and Preventive Pediatrics:
6820—Ethics
6821—Environmental Health
6822—Poverty
6823—Infectious Disease
6824—Developmental Issues
6825—Malpractice
6826—Communication
6827—Well Baby Nursery
 

Tuesday, MAY 17

8:00am–10:00am
7101—Inner-City Asthma Intervention Program: Research to Practice
PAS Topic Symposium
Chair: Pamela R. Wood, University of Texas Health Sciences Center at San Antonio, San Antonio, TX

The National Cooperative Inner City Asthma Intervention (NCICAIS) is an asthma counselor (AC), social-worker-driven intervention for inner-city children with persistent asthma. Although the AC intervention was shown to decrease symptom days in a randomized, controlled trial, there were no data on implementation of this intervention outside the research setting. In 2001, the Centers for Disease Control and Prevention funded a 4-year program to implement the asthma counselor model in 22 sites. This “research to practice” session will explore lessons learned through the implementation process and the implications for researchers, clinicians and policy makers.

Target Audience: General pediatricians, pulmonologists, allergists and other health professionals who care for children with asthma; health services researchers; and program planners.

Introduction
Pamela R. Wood, University of Texas Health Sciences Center at San Antonio, San Antonio, TX

NCICAIS Intervention: Differences Between Research and Clinical Settings
Meyer Kattan, Mount Sinai School of Medicine, New York, NY

Asthma Risk Factor Assessment: What Are the Needs of Inner-City Families?
Karen Warman, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, NY

The Asthma Counselor Speaks: Barriers and Successes
Laudy Rodriguez, Mount Sinai Medical Center, New York, NY

Aligning Incentives For Optimal Asthma Care
Cathy Carroll, Children's Mercy Hospitals and Clinics, Kansas City, MO

Discussion
 

8:00am–10:00am
7102—Transitioning Complex Pediatric Patients to Adult Care
PAS/ASPN/LWPES Hot Topic
Chair: Sandra L. Watkins, University of Washington, Seattle, WA

Transitions are a part of everyone's life experience. Most young people with special health care needs and disabilities (SHCN/D) become independent members of adult society, but some need deliberate guidance and support. With increasing success in reducing the mortality of once devastating pediatric diseases, the latter group is growing in number. A new consensus statement from the American Academy of Pediatrics and the U.S. Federal Government (Healthy People 2010) has focused attention on the need to assist young people with SHCN/D in attaining their potential in adulthood. This symposium will discuss the growing number of young people with SHCN/D and present approaches for effecting these transitions.  Specific disease-related examples will be used to highlight the issues, the barriers and the key elements of successful programs that transition patients from pediatric care to the adult system.

All Grown Up and Wondering What To Do: Transitioning Complex Pediatric Patients to Adult Care
Patience H. White, George Washington University School of Medicine, Washington, DC

Transition Best Practices
Cecily L. Betz, University Center For Excellence in Development Disabilities, Children's Hospital Los Angeles, CA

Transition to Adult Care in the Nephrology Population–Renal Failure or Success
Maria Ferris, University of North Carolina-Chapel Hill, NC

Training and Workforce Issues for Successful Transition
Roberta G. Williams, University of Southern California, Los Angeles, CA

Discussion

Sponsored jointly by the American Society of Pediatric Nephrology, Lawson Wilkins Pediatric Endocrine Society and the Pediatric Academic Societies
 

8:00am–10:00am
7152—Clinical Trials in Perinatal and Neonatal Medicine II
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
7154—Exposures to Tobacco
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
7155—General Pediatrics III
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
7160—Variations on the Theme of Violence
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
7180A—Global Perspectives on Birth Asphyxia, Part I

Birth Asphyxia: A Review of the Clinical Problem
Programme for Global Paediatric Research Symposium
Chair: Zulfiqar Bhutta, The Husein Laljee Dewraj Professor of Paediatrics, The Aga Khan University, Karachi, Pakistan

The Programme for Global Paediatric Research (“PGPR”) is an international union of paediatric scientists and societies. It has been formed to address the disparity between the scientific resources available in high-income countries and the quantity of scientific research aimed at child health problems in mid- and low-income countries. PGPR brings together scientists from throughout the world for the purposes of education, collaborative research, and ultimately the maintenance of child health and the cure of childhood diseases. This three-part symposium will focus on the serious problem of birth asphyxia in developing countries. Part 1 will provide a review of the clinical problem. Part 2 will feature platform presentations from selected abstracts on issues surrounding birth asphyxia. Part 3 will be comprised of region-specific presentations. At the follow up workshop on May 18 colleagues from high-, mid- and low-income regions, who are working in fields related to birth asphyxia, will meet in order to examine the issues surrounding birth asphyxia and establish clear plans for collaborative study and other action. One of the expected outcomes of the workshop will be the development of a preliminary statement and plan for action concerning birth asphyxia in developing countries.

Target Audience: Researchers and clinicians interested and/or involved in all aspects of the study of birth asphyxia, in any setting.

Introduction and Overview
Anthony Costello, Professor of International Child Health, Centre for International Child Health, Institute of Child Health, and Director of International Perinatal Care Unit Great Ormond St. Hospital, London, U.K.

Pathophysiology of Birth Asphyxia
Joseph J. Volpe, Bronson Crothers Professor of Neurology, Department of Pediatrics, Harvard University

Prevention and Treatment of Birth Asphyxia
Ola Didrik Saugstad, Professor, Department of Pediatric Research, Rikshospitalet University Hospital, Oslo, Norway

Outcome Studies on Birth Asphyxia
Saroj Saigal, McMaster University, Hamilton, Ontario, Canada

Break
 

8:45am–11:45am
7205—Measurement and Feedback Strategies for Quality Improvement Initiatives in Ambulatory Settings
PAS Educational Workshop
Leader: Greg D. Randolph, Chapel Hill, NC; Co-leader: Peter A Margolis

Measurement and feedback are critical components of quality improvement (QI) initiatives. This workshop will provide participants with proven methods for creating measurement and feedback strategies that support QI initiatives in ambulatory settings (primary and specialty care).

Objectives:

1. Understand key principles for creating a QI measurement strategy that is feasible and effective in busy ambulatory settings.

2. List the key steps in a robust QI measurement development process.

3. Create a balanced set of measures for an ambulatory QI initiative.

This workshop will include brief presentations based on recent research findings as well as lessons learned from several groups involved in national QI initiatives in ambulatory settings. Using tools presented during the workshop, participants will work independently and in small groups to create a balanced set of measures and an overall measurement strategy for a potential or existing QI initiative in their own setting.

Method of Instruction: Brief presentations, question and answer, and small groups.

Target Audience: Junior faculty, mid-level faculty, senior faculty.
 

8:45am–11:45am
7206—The Medical Home: Chronic Condition Management in Pediatric Primary Care
PAS Educational Workshop
Leader: W. Carl Cooley, Greenfield, NH; Co-leaders: Alan Kohrt, Jeanne McAllister

Using collaborative learning methods and brief didactic presentations, this workshop defines chronic condition management as the "third leg" of the primary care stool (with health promotion and acute illness management). Participants will see the medical home concept in the context of a chronic care model through which to target specific practice improvements. Small audience groupings will identify simple improvement projects, and participants will commit to implementing two simple improvement projects in their practice settings. Using an email address list, participants and faculty will maintain follow-up conversations and collaborative support for on-going improvement.

Objectives:

1. Describe explicit chronic condition management roles for a primary care medical home.

2. Implement two specific primary care chronic condition management improvements.

Method of Instruction: Problem solving using collaborative learning and quality improvement methods with brief didactic presentations targeting audience interests.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

8:45am–11:45am
7207—National Efforts on Pediatric Patient Safety
PAS Educational Workshop
Leader: Marlene R. Miller, Baltimore, MD

With the growth of attention on patient safety and the expansion of baseline knowledge about patient safety via research, multiple national level efforts have been started to focus on pediatric patient safety. This workshop will have brief presentations from several of these groups to describe their efforts to date and plans for the future. Workshop participants will gain knowledge, attitudes and skills to help them bring patient safety and quality to real-time implementation in their daily practice by learning about these efforts and how they can join. The workshop will include 1 hour of presentations from the workshop leaders and then rotating 30-minute roundtables with individual leaders for workshop participants to share ideas and inputs on national efforts.

Objectives:

1. Knowledge of different national initiatives to improve pediatric patient safety.

2. Skills to know how to tap into these efforts.

Method of Instruction: Presentation and roundtable discussions.

Target Audience: Trainee, junior faculty, mid-level faculty.

8:45am–11:45am
7210—Teaching the ACGME Competencies Through the Consultation Model
PAS Educational Workshop
Leader: Craig C. DeWolfe, Washington, DC; Co-leaders: A. Alfred Chahine, Yolanda C. Haywood, Christina Johns, Patience H. White

Appropriate medical consultations are critical to effective patient care. Perhaps outwardly straightforward, the process leaves physicians and patients often feeling frustrated and confused. Physicians in training are also caught in the consultation crossfire. They generally receive little guidance or feedback about communicating with colleagues and caring for patients as a team. These skills are essential to each of the ACGME competencies. The faculty presenters will enact a role play, briefly summarize the literature on consultations and facilitate small group sessions where learners will be able to critique and adapt methods to improve and teach consultation practices in their own institutions. Learners will be provided a sample consultation behavioral checklist based on the ACGME competencies and materials for teaching residents consultations at their institution.

Objectives:

1. Identify five common problem areas in the consultation process and generate two ways to improve them.

2. Analyze and critique two methods designed to teach residents consultation skills based on the ACGME competencies.

Method of Instruction: Large group facilitation based on a role play and medical, educational, and business literature; roundtable discussion aimed at helping learners solve real problems; and networking.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

8:45am–11:45am
7211—Treating Childhood Obesity in Primary Care
PAS Educational Workshop
Leader: Ellen R. Wald, Pittsburgh, PA; Co-leader: Linda J. Ewing

To overcome barriers to the identification and treatment of obesity in children, we have developed a program directed at primary care providers and families of overweight 8–12 year olds. This program, successful in a research setting, was adapted and applied in the primary care setting. The program consists of a module for primary care providers and a module to train health educators from among the office staff to deliver a behaviorally based group intervention focusing on a modification of dietary and physical activity habits. This interactive workshop will demonstrate all the components of the program through role play.

Objectives:

1. Participants will gain knowledge about obesity and behaviorally based interventions.

2. Participants will acquire skills in reflective listening.

Method of Instruction: Brief didactic session followed by interactive demonstrations of provider and parent modules.

Target Audience: Trainee, junior faculty, mid-level faculty.
 

8:45am–11:45am
7212—Turning the "Clinic" into Your "Practice": Tools for Creating a Successful Academic Practice Site
PAS Educational Workshop
Leader: Elaine E. Schulte, Albany, NY; Co-leaders: Linda Domovich, Maryellen E. Gusic, Barbara Leckerling

Many pediatric residency training programs offer an experience in a hospital-based setting or satellite office. Often times, resident clinics are operated conjointly with a faculty pediatric practice. This can lead to confusion for staff and families, poor productivity and difficulty marketing the practice.

During this workshop, two models of successful, combined resident and faculty practices will be presented by physician, administrator and nurse leaders. Both models originated as typical hospital-based resident clinics that emerged into productive academic general practices. Participants will use case studies, large and small group discussion and problem-solving activities to explore issues including: (1) understanding productivity standards and financial reports; (2) teaching billing and compliance to learners; (3) managing staffing needs, determining the appropriate provider-to-nurse ratio, optimizing room utilization, maintaining morale and addressing reporting structure; (4) providing continuity of care in an academic practice, including managing schedules of 30+ providers; (5) educating learners in this environment; and (6) ensuring quality improvement and marketing efforts. Workshop participants will be asked to share and learn from each other by presenting challenges encountered in their own practices.

Objectives:

1. Participants will better understand the business aspect of operating an outpatient general academic pediatric office.

2. Participants will develop skills to address many problems encountered in an outpatient general academic practice.

Method of Instruction: Large and small group discussions and problem solving.

Target Audience: Mid-level faculty, senior faculty.
 

8:45am–11:45am
7250—Advocacy Training
APA Special Interest Group
Chairs: Alice A. Kuo, akuo@medstar.ucla.edu; Benjamin Hoffman, bhoffman@salud.unm.edu; and Lisa Chamberlain, lisa.chamberlain@medcenter.Stanford.edu

From past experience, we realize that our SIG is well-attended by both residents and faculty. Therefore, we are striving to put together a SIG meeting that will meet the needs of both groups.

We will continue our well-received Resident Advocacy Poster Session and give residents the opportunity to present their work. A new activity this year will be the opportunity for several residents to give an oral presentation about their projects. News will be forthcoming about how and when to submit abstracts from your housestaff. We are planning an interactive session with small groups focusing on certain themes, such as “how to evaluate your advocacy curriculum,” “how to develop advocacy curricular experiences with no money” or “what innovative curricular experiences are out there.” These small groups will allow more faculty and residents to participate and share their experiences with others who are facing similar challenges or opportunities at their institutions. Finally, we plan to end the SIG meeting with a moderated Open Forum for both residents and faculty to address issues raised in the small groups and next steps for the SIG for the following year.

We look forward to working together, as always, to improve the training of our housestaff and consequently the lives of the children in our communities.
 

8:45am–11:45am
7252—School and Community Health
APA Special Interest Group
Chairs: Linda Grant, lmgrant@bu.edu; Mona Mansour, mona.mansour@chmcc.org; and Nazrat Mirza, nmirza@cnmc.org

The School and Community Health SIG is planning an exciting workshop for the May meeting in Washington, DC. Last year the SIG focused on the topic of obesity, and we had several speakers that discussed research as well as service-oriented programs in school and community settings. Attendees last year enjoyed the topical focus, so this coming year we will be focusing on innovative mental health programs being implemented in community- and school-based settings. In addition, we will be bringing back abstract and poster presentations of fellows, residents and students on this topical area to support and promote the work of this critical group of meeting attendees. As usual, our workshop is interactive and allows for networking and discussion, so please join us for a great session.
 

10:15am–11:45am
7300—Children's Health and the Federal Government: Research and Public Health Policy
PAS State of the Art Plenary
Chairs: Lisa Guay-Woodford, President, Society for Pediatric Research; and Paul Young, Chair, PAS Program Committee

Elias A. Zerhouni, the Director of the NIH and Vice Admiral Richard H. Carmona, the Surgeon General of the United States, will provide PAS attendees with their views of the critical issues related to pediatric research and the health of our nation's children.

Target Audience: All attendees
 

Introduction
Paul C. Young, University of Utah School of Medicine, Salt Lake City, UT
Lisa M. Guay-Woodford, University of Alabama at Birmingham, Birmingham, AL

The NIH Roadmap for Medical Research
Elias A. Zerhouni, Director, National Institutes of Health, Bethesda, MD

Promoting Health for U.S. Children and Their Families
Vice Admiral Richard H. Carmona, Surgeon General of the United States, Washington, DC

Discussion
 

10:15am–11:45am
7302—Influences on the Health and Development of Minority Children: An Integrative, Ecological Approach
PAS State of the Art Plenary
Chair: Lee M. Pachter, Saint Francis Hospital and Medical Center and University of Connecticut School of Medicine, Hartford, CT

There is growing recognition that developmental outcomes in minority children are influenced by factors that are either unique to minority children or that have differing effects among minority and nonminority children. This topic symposium will consist of presentations on the effects of different contextual variables on minority child behavioral and developmental competencies. A conceptual model describing the inter-relationship among these factors and minority child developmental competencies will be presented, followed by research that explores the differing effects of individual, family and community level contexts on the health and development of minority children.

Target Audience: Researchers, clinicians and educators involved with primary care and behavioral/developmental services to minority families.

Introduction
Lee M. Pachter, Saint Francis Hospital and Medical Center and University of Connecticut School of Medicine, Hartford, CT

Minority Child Development: An Integrative Model
Cynthia García Coll, Brown University, Providence, RI

The Six Primary Tasks of Parenting
Robert H. Bradley, University of Arkansas at Little Rock, Little Rock, AR

Ethnic Gaps in Early Health and Development: Causes, Consequences and Prevention
Jeanne Brooks-Gunn, Columbia University, New York, NY

Closing Remarks
Lee M. Pachter, Saint Francis Hospital and Medical Center and University of Connecticut School of Medicine, Hartford, CT
 

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

General Pediatrics and Preventive Pediatrics:
7470—Medical Home
7471—Mental Illness
7472—Continuity Clinic
7473—Well Child Care
7474—Chronic Illness
7475—Family Education
7476—Violence
7477—Tobacco
7478—SIDS
7479—Child Abuse
 

1:30pm–3:30pm
7500A—Global Perspectives on Birth Asphyxia, Part III

A Global View on Birth Asphyxia
Programme for Global Paediatric Research Symposium
Chairs: Stephen Wall, Senior Research Manager, Saving Newborn Lives, Washington D.C., U.S.A.; and Linda Wright, Deputy Director, Center for Research for Mothers and Children, National Institute for Child Health and Human Development, National Institutes of Health, Rockville, U.S.A. and Scientific Director, Global Network for Maternal and Child Health Research

The Programme for Global Paediatric Research (“PGPR”) is an international union of paediatric scientists and societies. It has been formed to address the disparity between the scientific resources available in high-income countries and the quantity of scientific research aimed at child health problems in mid- and low-income countries. PGPR brings together scientists from throughout the world for the purposes of education, collaborative research, and ultimately the maintenance of child health and the cure of childhood diseases. This three-part symposium will focus on the serious problem of birth asphyxia in developing countries. Part 1 (“Birth Asphyxia: A Review of the Clinical Problem”) will provide a review of the clinical problem. Part 2 will feature platform presentations from selected abstracts on issues surrounding birth asphyxia. Part 3 (“A Global View on Birth Asphyxia”) will be comprised of region-specific presentations. At the follow up workshop on May 18 colleagues from high-, mid- and low-income regions, who are working in fields related to birth asphyxia, will meet in order to examine the issues surrounding birth asphyxia and establish clear plans for collaborative study and other action. One of the expected outcomes of the workshop will be the development of a preliminary statement and plan for action concerning birth asphyxia in developing countries.

Target Audience: Target Audience: Researchers and clinicians interested and/or involved in all aspects of the study of birth asphyxia, in any setting.

Introduction and Overview

Africa
Elwyn Chomba, Chief of Neonatology, University of Zambia, Lusaka, Zambia

China
Lizhong Du, Director of Neonatal Intensive Care Unit, Hangzho Children's Hospital, Zhejang University School of Medicine, Zhejang Province, China

Central and South America
Waldemar A. Carlo, Director of Neonatology, University of Alabama Hospital, Birmingham, U.S.A

India
Vinod K. Paul, Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India

Concluding Comments
  

1:45pm–3:45pm
7600—The Future of Primary Care Pediatrics
PAS Hot Topic
Chair: Tina L. Cheng, Johns Hopkins University, Baltimore, MD

Changes in medicine domestically and globally are transforming primary care in the United States. Many have suggested that primary care is in crisis or at least at a crossroads in the United States. Primary care pediatrics has been grappling with its identity and responding to significant changes in medical systems (e.g., managed care, nonphysician providers, specialization), science (e.g., genomics) and family needs (e.g., coordinated care, cultural competence). The pace and scope of these changes are such that primary care pediatricians of the future will not be performing the same role as today. This session will focus on the future of pediatric primary care and identifies potential roles and new models for primary care pediatrics.

Target Audience: Academicians and practitioners of primary or specialty care.

Introduction—Primary Care: Steering the Future
Tina L. Cheng, Johns Hopkins University, Baltimore, MD

Patients and Populations: The Challenge to Pediatric Practice
Barbara Starfield, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

Pediatric Primary Care and Informatics
Kevin B. Johnson, Vanderbilt University Medical Center, Nashville, TN

Pediatric Primary Care and Genetics
Marilyn C. Dumont-Driscoll, University of Florida College of Medicine, Gainesville, FL

New and Emerging Models for Pediatric Primary Care
Neal Halfon, University of California, Los Angeles, CA

Primary Care Pediatrics Summary
Tina L. Cheng, Johns Hopkins University, Baltimore, MD

Discussion
 

1:45pm–3:45pm
7620—Injury II—Violent Injury
PAS Original Science Abstracts - Platform Session

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