Advocacy and Public Policy

Last updated February 10, 2005

Saturday, MAY 14

8:00am–11:00am
4104—Pediatricians and Oral Health: Science, Education, Practice and Policy
PAS Mini Course
Chair: David M. Krol, The Children's Health Fund, New York, NY

Oral health is an integral part of overall health. In spite of improvements in the oral health of U.S. children over the past 25 years, significant and consequential disparities in oral health exist. Dental caries, a preventable, infectious disease process that begins in early childhood, disproportionately affects poor and minority children. Proven prevention strategies, changes in organizational policy and the challenge of providing a true medical home present pediatricians with an opportunity to play a role in improving child oral health. This session will begin with an overview of the epidemiology of childhood oral disease, the science of dental caries and the knowledge base of physicians. Next, educational efforts and practical intervention strategies will be discussed. Finally, child oral health policy and advocacy issues will be presented. After each presentation, an audience discussion will take place to strategize how best to approach the inclusion of oral health and improve the communication of oral health issues within the pediatric profession, between the medical and dental worlds and among policymakers.

Target Audience: Appeal will be to pediatricians in practice, policy, advocacy and education interested in expanding the knowledge of themselves, their students, policymakers and professional organizations on the importance of child oral health and the policy, practice and educational issues surrounding the role of pediatricians in its improvement.

Why Put Teeth in the PAS Meeting?
David M. Krol, The Children's Health Fund, New York, NY

The Epidemiology, Science and Pediatric Professional Knowledge of Childhood Oral Disease
David M. Krol, The Children's Health Fund, New York, NY

The Possible, Practical and Sometimes Controversial Education and Clinical Practice of Pediatric Professionals In Child Oral Health
Suzanne C. Boulter, New Hampshire Dartmouth Family Practice Residency Program, Concord, NH

Federal, State and Local Policy and Advocacy Issues Surrounding Child Oral Health
Anne De Biasi, Children's Dental Health Project, Washington, DC
 

8:00am–11:00am
4156—Mobilizing High-Risk Communities To Prevent Injuries to Youth
PAS Educational Workshop
Leader: Michael A. Gittelman, Cincinnati, OH; Co-leaders: Andrea Gielen, Wendy J. Pomerantz, Mahseeyahu B. Selassie

The purpose of this workshop is to expand the participants' skills in advocating for high-risk, underserved communities through local involvement. Concentration on reviewing and analyzing data to target problems in a community, assessing the needs of the community members, obtaining community support and utilizing existing resources will be addressed. How to utilize this model to prevent injuries will be the example given, yet this model could work to employ any community intervention. Experiences from the staff and participants along with evidence of best techniques will be discussed.

Objectives:

1. Review and analyze data to target problems within a high-risk community.

2. Mobilize and empower a high-risk community to prevent injuries among their youth.

Method of Instruction: Powerpoint presentation, amall work group break-out sessions, problem solving and sharing of experiences.

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

11:45am–2:45pm
4571—International Health
APA Special Interest Group
Chairs: Anna Mandalakas, amm13@po.cwru.edu; and Joseph Sherman, joe.sherman@multicare.org

The International Health SIG provides programs appealing to both members and non-members who are interested in international child health. This year’s program will begin with a presentation by the 2005 APA International Health Award winner discussing the health needs of children in the investigator’s home country. This will be followed by an introduction of all attendees and opportunity to learn about their professional activities and interests. Finally, we will conduct an open forum addressing the topic: The Effect of Armed Conflict on the Health and Well-being of Children. Invited speakers will address the issue from the perspective of international public policy as well as clinical experience from the field. There will be a chance for all attendees to participate in the discussion. We will also hold an informal meeting for SIG members and anyone interested in becoming involved with SIG activities. The approximate schedule will be as follows:

2:00–3:00pm: Presentation by award winner and introduction of attendees

3:00–3:30pm: Informal interaction

3:30–5:00pm: The Effect of Armed Conflict in the Health and Well-being of Children

5:00–5:30pm: Informal meeting concerning SIG activities
 

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

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
4876—Innovation in Community Pediatrics—Motivating Residents Through Community Advocacy Projects
PAS Educational Workshop
Leader: Katharine Smart, Chicago, IL; Co-leaders: Nadia Bajwa, Kristi Canty, Dana Hargunani

Child advocacy is a core competency of pediatric resident training. Many advocacy curriculums utilize the creation of resident community-based projects as an innovative way to develop resident advocacy skills.The Community Access To Child Health (CATCH) Program provides grants to pediatric residents to develop community-based initiatives that increase children's access to medical homes or to specific health services not otherwise available. Through lessons learned from the CATCH experience, our workshop, led by the Resident CATCH facilitators, will provide program directors, community preceptors and residents with creative ideas on how to develop and implement successful resident child advocacy projects.

The objectives of our session are to:

1. Identify the steps necessary in preparing the components of a successful resident community-based project;

2. Describe unique approaches to encouraging resident participation;

3. Describe methods for developing faculty and community mentors;

4. Describe common barriers encountered by residents;

5. Provide real examples of residents whose community-based advocacy projects led to full-time child advocacy work;

6. Provide real examples of how resident projects impacted health care in communities and within their training programs.

Target Audience: Trainee, junior faculty, mid-level faculty, resident project preceptors
   

Sunday, MAY 15

8:00am–10:00am
5145—Health Care Coverage/Access to Care
PAS Original Science Abstracts - Platform Session

8:00am–10:00am
5149—Underserved Populations I
PAS Original Science Abstracts - Platform Session

8:00am–11:00am
5230—Advocacy Training Sweepstakes
PAS Educational Workshop
Leader: Abraham B. Bergman, Seattle, WA; Co-leader: Barry S. Zuckerman

There is wide variation in the structure and content of advocacy training for pediatric residents. In this workshop we will attempt to achieve consensus on the elements likely to make a project more or less successful. Possible examples are: a definable endpoint, finishing the project within the available time, sufficient faculty supervision, frustration potential, social value, funding potential, academic advancement potential and learning value for the resident. Participants will be asked to enter a sweepstakes by presenting brief descriptions of actual or proposed advocacy projects to be graded in each category by fellow attendees. Prizes will be awarded. It is hoped that by selecting and critiquing essential elements, participants will come away with ideas for improving the effectiveness of their own advocacy training programs.

Objectives:

1. Identify the elements necessary to make an advocacy project successful.

2. Think small; the more circumscribed the goal, the greater the chances of success.

Method of Instruction: Group discussion, problem solving, grading presentations of other attendees, and awarding of prizes

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

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
5392—APA Public Policy / Advocacy Committee
APA Committee

12:00pm–1:30pm
5491A—Directors of Research in Pediatrics
 Club

Developmental and Pediatric Initiatives at NIH Institutes Other than NICHD

Charles Peterson, National Institutes of Health, National Heart, Lung and Blood Institute, Bethesda, MD
Carl E. Hunt
Story Landis

Leaders from several other NIH Institutes will speak and lead a discussion on this topic. A box lunch will be provided. No reservation is necessary.

Contact:
Nina F. Schor, M.D., Ph.D.
Children's Hospital of Pittsburgh
Phone: 412-692-6182
Email: nfschor@pitt.edu
 

2:00pm–4:00pm
5534—Injury I
PAS Original Science Abstracts - Poster Symposium

2:00pm–4:00pm
5535—Neonatal Epidemiology and Follow-up
PAS Original Science Abstracts - Platform Session

2:00pm–5:00pm
5576—How To Obtain Funding for Pediatrics Research from Federal Agencies
PAS Educational Workshop
Leader: Sue Swedo, Bethesda, MD; Co-leaders: Regina S. James and Lynne Haverkos

The National Institutes of Health (NIH) is the steward of medical and behavioral research for the nation. The Report of the Surgeon Generals Conference on Children's Mental Health and the Federal Government's initiative, Healthy People 2010, underscored the need to train frontline providers to recognize and manage health issues and continue to develop, disseminate and implement scientifically proven prevention and treatment services in the field of children's mental and physical health. This workshop will provide information regarding funding priorities for pediatricians at NIH and outline the process by which one can consult and receive guidance about submitting a grant proposal.

Objectives:

1. Describe funding priorities of the federal agency.

2. Outline funding opportunities for pediatric research.

Method of Instruction: Brief presentation followed by a question-and-answer session.

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.
 

4:15pm–6:15pm
5700—Clinical Trial Registries: Challenges and Opportunities
PAS/PPC State of the Art Plenary
Chair: Myron Genel, Chair, Public Policy Council and Professor Emeritus of Pediatrics, Yale University School of Medicine, New Haven, CT

Over the past year there has been a great deal of attention in the medical literature and lay press to the availability of data conducted by pharmaceutical firms, particularly when that data reveals potential side effects or fails to demonstrate significant benefit. The American Medical Association's Council on Scientific Affairs has recommended that the Department of Health and Human Services establish a comprehensive registry for all clinical trials and that results from these trials be publicly available. The Council as well as the International Committee of Medical Journal Editors (ICMJE) has also recommended that institutional review boards require registration of clinical trials and the ICMJE will soon require registration as a precondition for publication. Finally legislation has been introduced—The Fair Access to Clinical Trials (FACT) Act—that would codify these recommendations for all clinical trials irrespective of sponsorship, perhaps through expansion on the National Library of Medicine's ClinicalTrials.gov website. This symposium, the 12th Annual Public Policy Plenary organized by the Public Policy Council and the Public Policy and Advocacy Committee of the Ambulatory Pediatric Association, will explore the implications of these proposals, particularly for pediatric investigation and clinical practice, with a panel of international authorities. Time has been set aside to allow meaningful discussion involving the panel and audience.

Target Audience: Pediatric clinicians and clinical investigators.

Sponsored jointly by the Public Policy Council, the Public Policy Advocacy Committee of the Ambulatory Pediatric Association and the Pediatric Academic Societies

Overview
Myron Genel, Chair, Public Policy Council and Professor Emeritus of Pediatrics, Yale University School of Medicine, New Haven, CT

Why We Need a Global, Unified System for Clinical Trial Registration
Kay Dickersin, Director, U.S. Cochrane Center and Professor Community Health, Brown University, Providence, RI

Registering Clinical Trials—The Response from Medical Journals
Christine Laine, Deputy Editor, Annals of Internal Medicine and Executive Secretary, International Committee of Medical Journal Editors, Philadelphia, PA

ClinicalTrials.gov–For All and Open To All
Donald Lindberg, Director, National Library of Medicine, NIH, Bethesda, MD

Implications for Pediatric Research
David J. Schonfeld, Chair, American Academy of Pediatrics Committee on Research, Yale University School of Medicine, New Haven, CT

Discussion. Panel & Audience

Sponsored jointly by the Public Policy Council, the Public Policy Advocacy Committee of the Ambulatory Pediatric Association and the Pediatric Academic Societies
 

4:15pm–5:45pm
5701—Crossing the Pediatric Quality Chasm
PAS State of the Art Plenary
Chair: Thomas F. Boat, University of Cincinnati College of Medicine, Cincinnati, OH

This state of the art plenary addresses the pediatric dimension of the national movement in quality improvement accelerated by the 2001 Institute of Medicine report, "Crossing the Quality Chasm, A New Health System for the 21st Century." The ability to understand, adopt and determine the impact of quality improvement processes is critical to academic pediatric health centers. To sustain viability in the coming health care crisis, they will have to demonstrate that their care is of the highest quality, safety and reliability. The Plenary addresses quality improvement: (1) as it relates to academic pediatrics; (2) its current state of science and practice in pediatrics; (3) how it is practically being applied in an academic setting in the context of the missions of patient care, research and education; and (4) training implications. Presenters are recognized leaders in the field.

Target Audience: Anyone involved in patient care in an academic setting, particularly individuals with administrative responsibilities (clinic/service heads, division chiefs, chairs, etc.) or with research/teaching interest in the area of quality improvement.

The Important Role of Quality Improvement in Academic Pediatrics
Thomas F. Boat, University of Cincinnati College of Medicine, Cincinnati, OH

What Is the State of Quality Improvement in Pediatrics?
Carole M. Lannon, North Carolina Center for Children's Health Care Improvement, Chapel Hill, NC

How To Integrate Research, Teaching and Quality of Care Missions
Uma R. Kotagal, University of Cincinnati College of Medicine, Cincinnati, OH

Training and Maintaining the Pediatricians of the 21st Century—The Role of Quality Improvement
Paul Miles, American Board of Pediatrics, Chapel Hill, NC

Discussion
 

Monday, MAY 16

7:00am–8:00am
6030A—Public Policy 19th Annual Legislative Breakfast Symposium
Politics of Stem Cell Research
PPC Breakfast Symposium

This session will provide an overview of the current status of the stem cell debate in the 109th Congress, review the impact of the re-election of President Bush on this debate, consider the effect of the increased majority in the House of Representatives and the Senate and explore the impact of the passage of Proposition 71—the California stem cell research measure—and the potential for other state initiatives.

Target Audience: Pediatric clinicians and clinical investigators.

The Politics of Stem Cell Research
Anthony J. Mazzaschi, Senior Assoc. Vice President for Biomedical and Health Sciences Research, Association of American Medical Colleges, Washington, DC
 

8:00am–10:00am
6139—Neonatal Outcomes: Impact of Health Services Utilization and Socioeconomics
PAS Original Science Abstracts - Platform Session

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
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.
 

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

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

David G. Nathan Awardee
Mwe Mwe Chao,

Douglas K. Richardson Awardee
Maureen Hack, Case Western Reserve University, Cleveland, 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
6353—Health Services Research—New Morbidity
PAS Original Science Abstracts - Platform Session

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

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

12:00pm–12:45pm
6385—The National Children's Study: A Progress Report
PAS Special Symposium
Chair: Elena Fuentes-Afflick, University of California, San Francisco, CA

National Children's Study Moves To Implementation

The National Children’s Study, a longitudinal study of the impact of environmental exposures on the health, growth and well being of children, has moved into the implementation phase with the public release of the Study Plan and the 96 locations throughout the United States where the study will be conducted. Two national competitive Requests for Proposals were announced in November 2004 for the initial “Vanguard” centers and the Coordinating Center. This process creates the basic structure to develop the final protocol and initiate recruitment of subjects in 2006. The Study Plan calls for 30-50 additional centers to be selected in 2006-2007 to enable the study to be fully operational. 

This special symposium will outline the study plan and describe the current strategy to move forward with the implementation of the National Children’s Study.

Target Audience: Policymakers, Researchers, Clinicians

Introduction to Session
Elena Fuentes-Afflick, University of California, San Francisco, CA

The National Children's Study—An Overview
Duane Alexander, Director, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

The Study Plan and Implementation Strategy
Peter C. Scheidt, Director, National Children's Study, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

Questions and Answers
Peter C. Scheidt, Director, National Children's Study, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
Ruth A. Brenner, Senior Epidemiologist, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
Alan R. Fleischman, Ethics Advisor, National Children's Study, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

Sponsored jointly by the Public Policy Council and the Pediatric Academic Societies
 

Tuesday, MAY 17

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
7203—How Competent Should They Be?: Matching Curricula to Competencies in Advocacy Training
PAS Educational Workshop
Leader: David M. Keller, Webster, MA; Co-leaders: Alice A. Kuo, Emily Roth

In order to "prepare residents for the role of advocate for children," as required by the RRC, program directors must break advocacy in a set of competencies and establish appropriate degrees of mastery for trainees at different levels of residency training. In this workshop, participants will:

• Develop a set of competencies appropriate to their own residency training program, using a variety of sources (APA, Dyson Initiative, Advocacy Training SIG).

• Review the evidence for different advocacy curricula, including didactic sessions, block rotations, longitudinal experiences and service-learning projects.

• Match teaching modalities with chosen competencies and evaluative methods.

Participants will experience and review a variety of teaching methodologies and will receive sample curricula, which may be modified for use at their home institutions.

Objectives:

1. Develop a set of competencies for advocacy training that is appropriate to their own residency training program, using a variety of sources (APA, Dyson Initiative, Advocacy Training SIG).

2. Use an evidence-based approach to match teaching modalities with chosen competencies and evaluative methods.

Method of Instruction: Interactive didactic lecture, small group discussion and guided synthesis.

Target Audience: Junior faculty, 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.
 

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
 

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 Chomb