2006 PAS Annual Meeting

April 29–May 2 
San Francisco, California

Daily Schedule (as of April 21, 2006) 

Friday, April 28

Saturday, April 29

Sunday, April 30

Monday, May 1

Tuesday, May 2

Monday, May 1       

6:00am–8:00am
Respiratory Viruses in the Development and Exacerbation of Asthma: Re-examining the Impact of Influenza and the Benefits of Immunization
PAS Industry Sponsored Symposium
Yerba Buena Gardens Salon 7, SF Marriott

Target Audience: Infectious diseases.

Asthma is the most common chronic pediatric disorder affecting nearly 6 million U.S. children under age 18. It accounts for over 640,000 annual emergency room visits and is the third leading cause of hospitalization in children.

The Centers for Disease Control and Prevention and other major medical and public health groups recommend influenza vaccination for all children with asthma. Yet, studies show even in the best years, only one-third are vaccinated.

Annual influenza vaccination is vital for all children with asthma, regardless of severity, to protect them from influenza and its complications.

The symposium will highlight the need for routine influenza vaccination for children with asthma, examine how to define the asthmatic child and review the importance of increasing recognition of the impact of influenza in this high-risk population.

For registration information please contact:

Dimara Almeida
Phone: (212) 886-2250
E-mail: rsvp@asthmaflu.com

A CME Satellite Symposium sponsored by the National Foundation for Infectious Diseases

Supported by a grant from Sanofi Pasteur

7:00am–8:00am
4020—Public Policy Council 20th Annual Legislative Breakfast Symposium
PPC Breakfast
Room 2002, Moscone West
Chair: Myron Genel, Yale University School of Medicine, New Haven, CT

Can Medicaid be "reformed" without adversely impacting access to care for children and adolescents? As a member of the Secretary of Health and Human Services' Medicaid Commission, Carol Berkowitz will provide an overview of the Commission's activities, the outcome of the ongoing deliberations of the Medicaid Commission, a preview of the next steps for the Commission and an outline of the role of the pediatric community in advocating for the critically important EPSDT program and opposing cost sharing.

• Introduction
  Myron Genel, Yale University School of Medicine, New Haven, CT

• Medicaid "Reform": Can We Preserve Our Children's Safety Net?
  Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen School of Medicine at UCLA, Torrance, CA

• Discussion

7:00am–8:00am
4040A—ASPN Stone and Bone Club
ASPN Committee
Sierra Suite B, SF Marriott

7:00am–8:00am
4050A—Congenital Thrombotic Thrombocytopenic Purpura (TTP) Registry
ASPHO Workshop
Golden Gate Hall A1, SF Marriott
Chair: David G. Motto, University of Michigan, Ann Arbor, MI

Last year we established that there was interest in the pediatric hematology community to establish a registry for patients with congenital TTP. This year we will describe the formation of the registry and how individual physicians can access it and contribute patient information. This registry will contain descriptive information regarding the presentation, diagnosis, treatment and outcome of patients with congenital TTP, along with a database of ADAMTS13 mutations. Information will also be provided regarding where physicians can obtain clinical and research laboratory testing for ADAMTS13 activity and mutation analysis.

7:00am–8:00am
4060A—Pediatric Cancer—Pharmacogenetics and Pharmacogenomics: Do They Have Practical Applications?
ASPHO Workshop
Golden Gate Hall A2-3, SF Marriott
Chairs: Brigitta U. Mueller, Baylor College of Medicine, Houston, TX; and Craig A. Mullen, University of Rochester Medical Center, Rochester, NY

This session will review genetic polymorphisms related to drug metabolism and their relationship to toxicity. Available pediatric data will be reviewed specifically related to current recommendations for genetic testing in relationship to specific agents, as well as dose modifications. This program will also contain a case review to highlight potential clinical scenarios in relationship to pharmacogenetic testing.

• Pharmacogenetics in Clinical Trials
  Lisa Bomgaars, Texas Children's Cancer Center, Houston, TX

• Pharmacogenetics and Toxicity Secondary to Cancer Therapy
  Fatih Okcu, Texas Children's Cancer Center, Baylor College of Medicine, Houston, TX

• Case Discussion

7:00am–8:00am
4070—APA Regional Breakfasts
APA Breakfast
SF Marriott

Region I . . . . . . Golden Gate Hall B1
Region II . . . . . . Golden Gate Hall B2
Region III . . . . . Golden Gate Hall B3
Region IV . . . . . Golden Gate Hall C1
Region V . . . . . . Golden Gate Hall C2
Region VI. . . . . . Golden Gate Hall C3
Region VII . . . . . Laurel
Region VIII. . . . . Yerba Buena Gardens Salon I
Region IX & X . . Willow

8:00am–9:45am
4134—Neonatal Pharmacology
PAS Platform Session
Room 3014, Moscone West
Chairs: Joyce M. Koenig and Augusto Sola

8:00am–10:00am
4100—Making Pediatrics Family Friendly
PAS/APPD Topic Symposium
Room 2003-2007, Moscone West
Chairs: Carol D. Berkowitz, Harbor-UCLA Medical Center, Torrance, CA; and Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo Park, CA

Target Audience: Pediatric clerkship directors, residency program directors, fellowship directors and division chiefs and department chairs, as well as those in training or faculty interested in a family-friendly environment.

The Federation of Pediatric Organizations (FOPO) released its Report of the Task Force on Women in Pediatrics in April 2005. The report recommends structural and functional changes in academic pediatrics so that family balance is possible during all stages of training. Specific steps to achieve this goal were outlined from medical student training up through senior pediatric faculty. It has been proposed that information should be collected from medical schools and training programs so that they can be rated as “family-friendly” in a manner analogous to Fortune 500 companies. Issues related to a family-friendly environment include flexible training and work schedules; provision of sufficient leave for maternity/paternity and eldercare; resources for childcare, after-school and lactation facilities; and extension of timelines for tenure and extramural funding.

• Overview
  Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen School of Medicine at UCLA, Torrance, CA
  Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo Park, CA

• The FOPO Report and the View of a Chair
  Bonita F. Stanton, Wayne State University School of Medicine, Children’s Hospital of Michigan, Detroit, MI

• Part-Time Pediatrics: Faculty and Residents
  Rebecca R. S. Socolar, UNC - Chapel Hill, Chapel Hill, NC

• Parenting During Medical School, Residency and Fellowship: Pregnancy, Parental Leave and Lactation
  Alison Volpe Holmes, Dartmouth-New Hampshire Family Practice Program, Concord, NH

• The FOPO Task Force on Women Report and Program Director Perspectives
  Ann Burke, Wright State University, Dayton, OH

• Creating a Great Place to Work™- Lessons from the 100 Best Companies to Work for in America
  Hal Adler, Great Place to Work Institute™, Inc., San Francisco, CA

• Discussion

Sponsored jointly by the Association of Medical School Pediatric Department Chairs, the Association of Pediatric Program Directors and the Pediatric Academic Societies

Supported in part by an unrestricted educational grant from GATE Pharmaceuticals

8:00am–10:00am
4105—MRI of the Brain in Neonates
PAS Topic Symposium
Room 3022-3024, Moscone West
Chairs: Terrie E. Inder and Jeff J. Neil, St. Louis Children's Hospital, St. Louis, MO

Target Audience: Neonatologists, neurologists, radiologists and trainees.

Magnetic resonance (MR) imaging remains a rapidly evolving field, particularly in its application to newborn infants. This symposium will first review the basics of MR imaging methods (including conventional and diffusion MR imaging) and then highlight clinical applications of these methods to common neonatal clinical conditions in the term and premature infant. The talks will be targeted to clinicians and aimed to address key clinical questions such as:

– In which infants should I undertake an MR scan in my NICU? 
– What are the strengths and weakness of MRI/CT/cranial ultrasound? 
– How can I undertake MR imaging in my institution—safety, image sequences and interpretation? 
– When should I undertake an MR scan in the term or premature infant? 
– What do the abnormalities in the MR scan mean for long-term neurological outcome? 
– How should I use this information in my clinical practice in the NICU? 
– Where is MR imaging taking us in the next 10 years in newborn medicine?

• A-B-C of M-R-I
  Jeffrey J. Neil, Washington University and St. Louis Children's Hospital, St. Louis, MO

• Application of MR Imaging to the Term Infant
  Mary Rutherford, Hammersmith Hospital, London, UK

• Application of MR Imaging to the Preterm Infant
  Terrie E. Inder, Washington University and St. Louis Children's Hospital, St. Louis, MO

• X-Y-Z- of M-R-I—The Future with Advanced MR Methods
  Petra S. Huppi, Children's Hospital, University of Geneva, Geneva, Switzerland

8:00am–10:00am
4110—Pediatric Fluids and Hyponatremia: Are We Giving Too Much Water?
PAS/ASPN/LWPES Topic Symposium
Room 3007-3011, Moscone West
Chairs: John W. Foreman, Duke University Medical Center, Durham, NC; and D. Michael Foulds, University of Texas Health Science Center at San Antonio, San Antonio, TX

Target Audience: Nephrologists, general pediatricians, emergency room doctors, intensivists, hospitalists, endocrinologists and anyone who administers IV maintenance fluids.

In the 1950s, Holiday and Segar devised formulae for calculating intravenous maintenance fluids for infants and children who were unable to drink. These formulae have been taught and used now for over 40 years and have generally stood the test of time. However, several recent investigators have challenged these formulae and argued that they put children at risk of hyponatremia. Since Holiday and Segar devised these formulae, new information has arisen, such as the concept of non-osmotic stimulation of ADH release in sick children and our ability to measure ADH levels in plasma on a routine basis. Arieff and Ayus were the first to point out that children and women are at particular risk for developing hyponatremic encephalopathy. Moritz and Ayus have subsequently argued that hypotonic parenteral fluid should not be used unless there are ongoing free water losses or hypernatremia. In addition to this new clinical data, Verkman’s group has exciting data identifying molecular mechanisms of cerebral edema, including after water intoxication. Dr. Arieff will review who is at risk and why. Dr. Verkman’s group has developed data regarding mechanisms of cerebral edema in experimental animals. Dr. Moritz will describe the new concepts of maintenance fluids. Dr. Friedman will defend the current practice. At the end there will be time for an exchange between the speakers and the audience on the right fluid to use in today’s children.

• Hyponatremic Encephalopathy: Special Risk Factors for Children and Women
  Allen I. Arieff, University of California San Francisco, San Francisco, CA

• Aquaporin 4 and Cerebral Edema
  Alan S. Verkman, University of California San Francisco, San Francisco, CA

• 0.9% Sodium Chloride: The New Approach to Maintenance Fluids in Pediatrics
  Michael L. Moritz, Children's Hospital of Pittsburgh, Pittsburgh, PA

• Maintenance Therapy: Tried and True
  Aaron L. Friedman, Brown Medical School, Hasbro Children's Hospital, Providence, RI

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

8:00am–10:00am
4120—Cardiology—Translation Research and Clinical Studies
PAS Platform Session
Room 3020, Moscone West
Chairs: Daniel Bernstein and Bruce Gelb

8:00am–10:00am
4122—Children with Special Health Care Needs
PAS Platform Session
Room 2008, Moscone West
Chairs: Ardis L. Olson and Ruth E.K. Stein

8:00am–10:00am
4124—Genetics and Dysmorphology
PAS Platform Session
Room 2006, Moscone West
Chairs: Suzanne B. Cassidy and Mira Irons

8:00am–10:00am
4126—Health Services II
PAS Platform Session
Room 2004, Moscone West
Chairs: Kevin J. Dombkowski and Stephen M. Downs

8:00am–10:00am
4128—Hospital Medicine
PAS Platform Session
Room 2009-2011, Moscone West
Chairs: Daniel Rauch and John D. Tobin

8:00am–10:00am
4130—Infectious Diseases II
PAS/PIDS Platform Session
Room 3001, Moscone West
Chairs: Kathryn M. Edwards and Michael A. Gerber

8:00am–10:00am
4132—Mechanisms of Neonatal Lung Injury
PAS Platform Session
Room 3003-3005, Moscone West
Chairs: Vineet Bhandari and Vasanth H.S. Kumar

8:00am–10:00am
4136—Nutritional Disorders—Mechanisms
PAS Platform Session
Room 3000, Moscone West
Chairs: Conrad R. Cole and B U.K. Li

8:00am–10:00am
4138—Public Health and Prevention III
PAS Platform Session
Room 2002, Moscone West
Chairs: Chris Feudtner and Rita Mangione-Smith

8:00am–11:00am
4150—The Skinny on the Adipocyte
PAS/LWPES Mini Course
Room 3010-3012, Moscone West
Chairs: Silva A. Arslanian, University of Pittsburgh, Pittsburgh, PA; and Robert H. Lustig, University of California, San Francisco, CA

Target Audience: General pediatricians, gastroenterologists, endocrinologists, cardiologists, pulmonologists and adolescent medicine specialists.

Over the past five years much has been learned about the adipocyte. The ability of the adipocyte to function as an endocrine gland, elaborating inflammatory cytokines that result in free radical formation and premature apoptosis of the beta cell, is a relatively new concept. This mini course will comprehensively address many of the newest concepts in adipocyte function and their impact on health and disease. Further discussion will include new concepts on the interactions of IGF-II and other peptides' interactions with the adipocyte. Lastly, there will be a call for new approaches to the pediatric obesity epidemic.

• Adipose Tissue as an Endocrine Organ
  Susan Fried, University of Maryland School of Medicine, Baltimore VA Medical Center, Baltimore, MD

• Obesity and Inflammation
  Christopher Hug, Whitehead Institute and Children's Hospital, Cambridge, MA

• Effects of GH, IGF-I and Insulin Therapies on Adiposity
  Zvi Laron, Schneider Children's Medical Center of Israel, Petah Tikva, Isreal

• Pathology and Sequelae of Childhood Obesity in Adult Life
  Dennis M. Styne, University of California, Davis Medical Center, Sacramento, CA

Sponsored jointly by the Lawson Wilkins Pediatric Endocrine Society and the Pediatric Academic Societies

8:15am–10:15am
4180A—Chronic Organ Damage in Sickle Cell Disease: Diagnosis, Prevention and Treatment
ASPHO Symposium
Room 3016-3018, Moscone West
Chair: Russell E. Ware, St. Jude Children’s Hospital, Memphis, TN

Chronic organ damage is increasingly recognized as an important source of morbidity and mortality for young persons with sickle cell disease. This symposium will include descriptions of several prospective multicenter clinical trials that focus on the diagnosis, treatment and prevention of organ damage in this common hematological disorder.

After attending this session, it is expected that the learner will be able to:

1. Discuss ongoing prospective multicenter randomized clinical trials that focus on brain damage in pediatric patients with sickle cell anemia.
2. Describe prospective clinical trials that focus on spleen and kidney damage in very young patients with sickle cell anemia.
3. Describe new imaging modalities for transfusional iron overload in the liver and heart, as well as studies using new oral iron chelating agents for its therapeutic management.

• Introduction and Overview
  Russell E. Ware, St. Jude Children's Research Hospital, Memphis, TN

• Brain

  • Silent Infarct Transfusion (SIT) Trial
    Michael R. DeBaun, Washington University School of Medicine, St. Louis, MO

  • Stroke with Transfusions Changing to Hydroxyurea (SWiTCH) Trial
    Russell E. Ware, St. Jude Children's Research Hospital, Memphis, TN

• Spleen and Kidney

  • Splenic Function in Young Children: Lessons from BABY HUG
    Zora R. Rogers, The University of Texas Southwestern Medical Center, Dallas, TX

  • Renal Function in Young Children: BABY HUG, Toddler HUG
    Sherri A. Zimmerman, Duke University Medical Center, Durham, NC

• Liver and Heart

  • New Imaging Techniques for Transfusional Iron Overload
    Thomas D. Coates, Children's Hospital of Los Angeles, Los Angeles, CA

  • Oral Iron Chelators for the Management of Transfusional Iron Overload
    Alan R. Cohen, Children's Hospital of Philadelphia, Philadelphia, PA

• Questions and Panel Discussion

9:00am–12:00pm
4220—Competency-Based Evaluation of EBM Skills in Pediatric Residency and Fellowship Programs
PAS Educational Workshop
Yerba Buena Gardens Salon 6, SF Marriott
Leader: Hans Kersten, Philadelphia, PA; Co-leaders: E. Douglas Thompson, John Frohna, Robert McGregor, Tahniat Syed, Erin Giudice, Susan Guralnick, Nancy Spector

Target Audience: Trainees, fellows, junior faculty, mid-level faculty, and senior faculty.

This interactive workshop will provide a framework for evaluation of EBM skills throughout pediatric educational programs and three different residency programs' approach to the development of an evaluation system for their EBM curricula. Participants will use three validated tools that measure EBM knowledge and EBM skills (e.g., formulating a question and searching and critiquing an article) by rotating through 30-minute small group sessions.

Objectives:

– Participants will learn an EBM evaluation framework.
– Participants will use validated EBM evaluation tools.
– Participants will develop EBM evaluation implementation strategy for their EBM curricula.

Format: Small group discussion, videotape, problem solving, and hands-on experience with tools.

Designed to meet elements of the core curriculum for pediatric fellowship subspecialty training.

9:00am–12:00pm
4222—Continuity Curriculum in the Age of Competencies: Yes We Can!
PAS Educational Workshop
Yerba Buena Gardens Salon 1, SF Marriott
Leader: Wendy Davis, Burlington, VT; Co-leaders: Rebecca Collins, Paula Algranati, Paul Darden, Jan Drutz, Marilyn Dumont-Driscoll, Susan Feigelman, Diane Kittredge, John Olsson, Sharon Riesen, Janet Serwint

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

Attendees will acquire skills needed to design a curriculum for use in the continuity setting, based on the APA Educational Guidelines and the ACGME Competencies. Workshop leaders will present a brief review of the Guidelines and Competencies. Attendees will rotate through small group discussions on curriculum topic selection, module development, competency-based evaluation, and overcoming barriers. Leaders will provide a framework and model tools for each discussion group.

Objectives:

– Acquire skills needed to develop a continuity curriculum using APA Educational Guidelines.
– Gain experience in designing brief, competency-based evaluation tools.
– Identify solutions to challenges of curriculum planning (e.g., 80-hour work week).

Format: Brief didactic introduction, followed by rotation of attendees through up to four stations for small group discussions.

9:00am–12:00pm
4223—Design and Conduct of Randomized Clinical Trials
PAS Educational Workshop
Pacific Suite B, SF Marriott
Leader: Mark Klebanoff, Bethesda, MD

Target Audience: Fellows, junior faculty, mid-level faculty, and senior faculty.

It is now almost universally required that randomized trials show new treatments to be superior to current therapy (or no therapy) before the new treatments are adopted. In this workshop we will go through the design and conduct of several clinical trials, from defining the question to conducting the final analysis. The format is didactic with extensive discussion, and we will base as much of the workshop as possible on real-world trials provided by the participants themselves.

Objectives:

– To understand the principles of trial design, conduct and analysis.
– To improve skills in reading publications of clinical trial results.

Format: Didactic sessions with discussion. Real-world examples will be provided by the participants themselves.

Designed to meet elements of the core curriculum for pediatric fellowship subspecialty training.

9:00am–12:00pm
4224—Getting Your Article Published: The Mysteries of Peer Review and the Decisions of Journals
PAS Educational Workshop
Yerba Buena Gardens Salon 10, SF Marriott
Leader: Howard Bauchner, Boston, MA

Target Audience: Fellows, junior faculty, and mid-level faculty.

Understanding the peer-review process is important for investigators. This workshop will review the peer-review process and help investigators prepare manuscripts for publication.

Objectives:

– To understand the peer-review process
– To improve submissions to peer-review journals

Format: Didactic presentation, discussion, and vignettes.

Designed to meet elements of the core curriculum for pediatric fellowship subspecialty training.

9:00am–12:00pm
4226—Leadership in the Workplace: A Neglected Competency in Faculty Development Training
PAS Educational Workshop
Yerba Buena Gardens Salon 2, SF Marriott
Leader: Christiane Corriveau, Washington, DC; Co-leaders: Ira Cohen, Karen Smith

Target Audience: Junior and mid-level faculty.

Effective leadership is essential to facilitating the transformation of the health care team in the U.S. Physicians have multiple opportunities to function as leaders in today's health care environment yet many physicians have not taken on these leadership roles, often citing lack of formal training in leadership and management skills. Drawing on their own personal experiences and leadership theories, participants will identify effective leadership behaviors, qualities, and skills. Through interactive exercises and reflective inquiry, participants will explore personal leadership qualities and skills needed for professional development and growth.

Objectives:

– To better understand the complex nature of leadership and its importance in the delivery of health care today
– To define leadership as a process
– To familiarize the learner with common leadership theories
– To better understand and reflect on one's personal leadership behaviors through a series of interactive exercises

Format: Participants will explore leadership theories and practices through interactive small group processes, video clip case-based discussions, and reflective inquiry.

9:00am–12:00pm
4228—New Resources for Teaching Developmental and Behavioral Pediatrics
PAS Educational Workshop
Yerba Buena Gardens Salon 11, SF Marriott
Leader: Steven Parker, Boston, MA

Target Audience: Fellows, junior faculty, mid-level faculty, senior faculty, and community practitioners.

The Division of Developmental and Behavioral Pediatrics at Boston Medical Center has created two DVDs entitled: "Developmental and Behavioral Pediatrics: Training Modules for Clinical Issues in Primary Care."

These DVDs are intended to enhance the teacher's ability to provide trainees with engaging and stimulating DBP training experiences and focus on 24 DBP issues during the first 5 years, including: language delays, social-emotional issues, temperament, developmental surveillance in primary care, developmental delays, active children, giving bad news, toilet training, enuresis, and encopresis, discipline, drugs/alcohol, cigarettes.

In this interactive workshop, we will introduce these unique training tools, and model how they can be used to teach DBP. At the conclusion of the workshop, each participant will receive a free set of the DVDs to use in their teaching.

Objective:

– Become familiarized with the use of new DVD training modules in Developmental and Behavioral Pediatrics.

Format: Interactive presentation. Will discuss the intent and format of the DVDs, and then model their use as a training resource.

9:00am–12:00pm
4230—Recognizing Common Biostatistical Errors: A Case-Based Approach
PAS Educational Workshop
Yerba Buena Gardens Salon 12, SF Marriott
Leader: Thomas Newman, San Francisco, CA; Co-leader: Susan Fisher-Owens

Target Audience: Trainees, fellows, junior faculty, mid-level faculty, and community practitioners.

This workshop uses multiple real examples from the pediatric literature to teach participants how to be more discriminating consumers of statistics. Topics to be covered include standard deviation vs. standard error of the mean, commonly violated assumptions of statistical tests including normality and independent sampling, between- vs. within-groups comparisons, "type 3" (dumb or careless) errors, odds ratios vs. relative risks, relative vs. absolute effect sizes, effect size exaggeration, and multiple comparisons. In the last part of the seminar, participants will have the opportunity to test what they have learned on a set of "unknown" examples.

Objectives:

– Choose the correct statistical test.
– Recognize common errors in biostatistics.
– Avoid common errors in biostatistics.

Format: Case-based question-and-answer period.

Designed to meet elements of the core curriculum for pediatric fellowship subspecialty training.

9:00am–12:00pm
4232—Resident Teachers: Preparing Residents To Be Effective Facilitators of Learning in the Outpatient Setting
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Nathaniel Beers, Washington, DC; Co-leaders: Dale Coddington, Linda Fu, Patience White

Target Audience: Trainees, fellows, junior faculty, and mid-level faculty.

Residents have been educators in the inpatient setting. As the role of residents is expanded in the outpatient, there are new skills required to be effective and efficient facilitators of learning in the outpatient setting. The workshop will offer an experience of a curriculum and its evaluation developed by three graduates of the Master Teacher Program at DC Children's. The curriculum includes modules on case-based teaching, precepting, and evaluation/feedback. There will be a discussion of the theory behind and descriptions of each of the modules and their evaluation, a chance to experience the modules and to problem solve around individual institutional barriers to implementation.

Objectives:

– To know the skills necessary for residents to be effective educators in the outpatient setting
– To discuss the lessons learned in developing and implementing a similar curriculum
– To understand how outpatient teaching can be utilized to meet ACGME competencies

Format: Opening presentation with majority of the time spent in small groups discussions on tools and implementation/barriers.

9:00am–12:00pm
4234—So You Are an Educator and Want To Be Promoted?: Academic Success for the Clinician–Educator
PAS Educational Workshop
Yerba Buena Gardens Salon 3, SF Marriott
Leader: Latha Chandran, Stony Brook, NY; Co-leaders: Lucy Osborn, Virginia Moyer

Target Audience: Fellows, junior faculty, and mid-level faculty.

This workshop takes the participants through a promotions committee decision-making process using real life examples to increase their understanding of the process as well as factors that facilitate and impede chances of promotion. The need for structured documentation using an educator portfolio, in addition to a standard C.V., will be evidenced and participants will create an initial version of their individual portfolios. Workshop leaders will share their own promotion experiences and institutional experiences in promotions committees.

Objectives:

– Enhance participant understanding of the variations in promotion processes at institutions.
– Demonstrate the usefulness of an educator portfolio for promotion of clinical educators.

Format: Interactive seminar, small group problem solving, case based learning, role-playing and large group discussions.

9:00am–12:00pm

4236—Teach to Your Strengths and Adapt to Your Learners! Understanding Individual Teaching and Learning Styles To Maximize Your Teaching Potential
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Heather McPhillips, Seattle, WA; Co-leaders: Richard Shugerman, Sherilyn Smith and Jordan Symons

Target Audience: Trainees, fellows, junior faculty, mid-level faculty, senior faculty, and community practitioners.

Participants in this highly interactive workshop will work to recognize their individual teaching strengths and learn to adapt their teaching style to individual learners' preferences. Participants will work together to develop a toolbox of learner-centered strategies for teaching in challenging situations.

Objectives:

– Participants will define their individual teaching style.
– Participants will better understand differences in learning styles.
– Participants will develop strategies to teach to their individual strengths.
– Participants will develop strategies to teach to learners with different learning needs.

Format: This session will be highly interactive with small-group and larger group discussion, shared problem solving and a small amount of videotaped examples.

9:00am–12:00pm
4238—Teaching Decision-Making and Proper Documentation in the Era of Electronic Medical Records
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: John Schmidt, Ann Arbor, MI; Co-leaders: Jocelyn Schiller, Amy Fleming

Target Audience: fellows, junior faculty, mid-level faculty, and senior faculty.

Use of electronic medical records (EMR) promises greater efficiency and improved communication health-system wide. Workshop participants will discuss methods for teaching house staff and students how to take advantage of the efficiency of an EMR while also writing quality notes. Pediatric hospitalists from the University of Michigan will discuss the improvements seen in clarity and thoroughness of notes after the implementation of a variety of tools. We will demonstrate templates for medical documentation, including admission notes, daily progress notes, transfer notes and discharge summaries. We will discuss other interventions, including the development of educational sessions for trainees which focus on proper documenting techniques created with the input of clinicians, billing, and coding.

Objectives:

– Learn about attributes of an electronic medical record (EMR) which impact the quality of documentation.
– Develop strategies to educate trainees on proper documentation habits within an EMR system.
– Develop strategies to balance the efficiency of the EMR with billing, coding, and regulatory requirements for students and residents.

Format: The workshop will have a brief introduction in a question-answer format which will identify problems in EMR documentation. This will be followed by small-groups which will discuss solutions to these problems.

9:00am–12:00pm
4240—Utilization of Instructional Alignment for Resident Community-Based Projects
PAS Educational Workshop
Yerba Buena Gardens Salon 5, SF Marriott
Leader: Quimby McCaskill, Jacksonville, FL; Co-leaders: Colleen Kalynych, Elisa Zenni, Jeff Goldhagen, David Wood

Target Audience: Trainees, fellows, junior faculty, mid-level faculty, senior faculty, and community practitioners.

The Pediatric RRC requires "structured educational experiences that prepare residents for the role of advocate for the health of children within the community." Many programs are utilizing community-based projects to promote resident competence in this area. This workshop will introduce instructional alignment (i.e. aligning objectives with teaching and evaluation), as it applies to developing a sound curriculum towards residents achieving competence in community pediatrics through community-based projects. A videotape review and analysis will allow participants to become familiar with the benefits of and the essential components to instructional alignment. Small work groups will also be used to apply these concepts.

Objectives:

– Participants will be able to describe instructional alignment.
– Participants will begin to develop an instructional alignment protocol in community pediatrics utilizing community-based projects.
– Participants will describe ways in which to evaluate residents in national community pediatrics competencies correlated with ACGME competencies, and explore the value of electronic portfolios.

Format: Videotape, roundtable discussions, and small work groups.

9:00am–12:00pm
4242—Well Child Care for the Premature Infant
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Ricki Goldstein, Durham, NC; Co-leader: William Malcolm

Target Audience: Trainees, fellows, junior faculty, mid-level faculty, senior faculty, and community practitioners

After a brief overview of the common problems encountered by premature infants after discharge, this interactive workshop will engage the audience in the utilization of a new premature infant well-child check list being developed for office or clinic visits during the first 2 years of life. Several videos of pediatric well-child visits will be viewed which demonstrate common scenarios involving abnormal motor development and feeding patterns. After viewing each video, the workshop participants will complete either a standard checklist used in a pediatric practice or the one specifically designed for former premature infants. The key questions or observations used to detect various problems will be identified and indications for early intervention will be discussed.

Objectives:

– To become familiar with the common medical problems encountered by premature infants after discharge
– To recognize the red flags for early motor and feeding problems in premature infants after discharge
– To recognize indications for referring a premature infant for early intervention services

Format: (1) Video presentation of well child visit demonstrating various problems in premature infants; (2) participants to complete a new check list designed to detect various problems encountered in the premature infant; and (3) roundtable discussion of advantages and problems with new check list.

9:00am–12:00pm
4244—Education in the Digital Age: Designing and Developing Online Teaching Modules for Medical Learners
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: Kadriye Lewis, Cincinnati, OH; Co-leaders: Michael FitzGerald

Target Audience: Fellows, junior faculty, mid-level faculty, senior faculty, community practitioners, and all medical educators.

Computer technology is becoming increasingly central to the area of teaching in most disciplines, and transformation to online instructional delivery method represents an exciting new way to structure teaching and learning. However, many educators, unfamiliar with the online pedagogy and instructional design process, simply transfer their courses directly from their lectures to an online text format. This satisfies the need to put a course online, but is not the most efficient or effective way to deliver instructional materials to residents and medical students. This workshop will provide an essential grounding for building effective online instructional modules while preparing medical educators for the digital age educational approaches.

Objectives:

– Identify the components of pedagogically effective module design and development.
– Learn to construct a learning module including assignments and activities.
– Use templates to guide the development process and rubrics to assess the strengths and weaknesses of developed modules.

Format: Showcase demonstration, discussion, and hands-on activities.

9:00am–12:00pm
4250—Emergency Medicine
APA Special Interest Group
Golden Gate Hall A2, SF Marriott
Chairs: Joan Bothner, bothner.joan@tchden.org; and Michael Kim, mkim@mcw.edu.

There has been a significant nationwide increase in the volume of pediatric patients presenting to emergency departments with psychiatric and behavioral issues due to a variety of reasons, which has resulted in a significant challenge to both the providers of pediatric emergency care and the facilities in which they work. The emergency medicine SIG meeting during 2006 PAS Annual Meeting will discuss this "psychiatric crisis in the emergency department." This topic will be presented in three parts; challenges in clinical evaluation and interventions, research opportunities and administrative challenges.

9:00am–12:00pm
4252—Injury Control
APA Special Interest Group
Pacific Suite A, SF Marriott
Chairs: Shari Barkin, sbarkin@wfubmc.edu; and Brian Johnston, bdj@u.washington.edu.

The Injury Control SIG convenes those individuals interested in the area of injury control at all stages of idea development and project implementation. During this session you will hear reports about what your colleagues are doing around the country in injury control. There will be time for constructive discussion after each of these brief presentations. We will also discuss ways to create an active network to stay informed about our colleagues areas of injury expertise and develop working collaborations beyond the annual meeting.

9:00am–12:00pm
4254—Integrative Pediatrics
APA Special Interest Group
Nob Hill A, SF Marriott
Chairs: Sharon Riesen, sriesen@ahs.llumc.edu; and David Steinhorn, d-steinhorn@northwestern.edu.

The Integrative Medicine SIG will meet together with the new AAP provisional Section for Complementary, Holistic and Integrative Medicine. We will provide a 3-hour multimedia, experiential presentation for all PAS visitors interested in finding out more about Complementary and Integrative Medicine and an opportunity to meet and network with other clinicians, educators and researchers interested in this topic. Our goal is to provide a forum to see the current state of complementary and alternative medicine (CAM) research, an opportunity to experience a complementary therapy (if they wish) and to ask about many of the CAM modalities most commonly used by our patients. Local practitioners from the San Francisco area will give hands-on demonstrations and explanations of their specific modality and will answer your questions, as time permits. Please take advantage of this unique opportunity to satisfy your curiosity or whet your appetite to find out about a field which many of our patients are already exploring.

9:00am–12:00pm
4256—Nutrition
APA Special Interest Group
Pacific Suite H, SF Marriott
Chairs: Sandy Hassink, shassink@nemours.org; and Robert Karp, robert.karp@downstate.edu.

The Nutrition SIG will continue with its emphasis on nutrition education in residency. Our project, "A Teacher's Guide to Pediatric Nutrition," is readily available at http://downstate.edu/peds/pednutrition. The model of "stepping stone education" is used with a primer, "Pediatric Nutrition Notes," as its foundation. A set of five introductions, Part 2, provide the tools for usage. Part 3 is a set of eight modules on pathophysiology, prevention evaluation and treatment of obesity through childhood. Part 4 contains more than 25 case-based teaching modules on disease processes affected by nutrition. The Teacher's Guide concludes with a module on evaluation of teaching applicable to any subject. This includes use of structured clinical observation for resident evaluation of taking a diet history and providing guidance.

Faculty and residents are invited to a 2-hour program with continental breakfast to explore use of the Teacher's Guide. We will provide model programs evaluating use of the Teacher's Guide for achieving basic skills of taking histories and providing guidance. Participants will join us for presentations, discussion and continental breakfast. Registration is not necessary. Queries are welcome by robert.karp@downstate.edu.

9:00am–12:00pm
4258—Practice-Based Research Networks
APA Special Interest Group
Pacific Suite C, SF Marriott
Chair: Robert Siegel, robertsiegel56@pol.net.