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6:00am–8:00am
Diagnosis, Treatment and Cost Analysis of
Growth Hormone Deficiency
Industry Sponsored Symposium
Yerba Buena Gardens Salon 8, SF Marriott
Target Audience:
Endocrinologists.
The guidelines from the American
Association of Clinical Endocrinologists advocate early
initiation of growth-hormone replacement therapy in
appropriate patients. Accurate diagnosis of growth-hormone
deficiency is complicated by other potential causes of
idiopathic short stature, including growth-hormone resistance,
hypothyroidism, chronic systemic disease, Turner syndrome, or
skeletal disorder, which must be eliminated before
growth-hormone replacement therapy commences. Topics to be
covered in this symposium include differential diagnosis in
patients with growth-hormone deficiency, recognizing and
overcoming difficulties in achieving an accurate diagnosis,
differentiation between IGF resistance and IGF deficiency, and
practical and clinical guidelines in developing and
maintaining an appropriate therapeutic growth-hormone
management strategy.
For registration information
please contact:
Shannon Monteith
Phone: (800) 960-0256
Email: smonteith@vindicomeded.com
Supported by a grant
from Gate Pharmaceuticals (a Division of Teva)
7:00am–8:00am
2050A—Hemorrhagic Disorders
ASPHO Workshop
Golden Gate Hall A2-3, SF Marriott
Chairs: Pedro A. de Alarcon, St. Jude Research Hospital,
Memphis, TN; and Marilyn Manco-Johnson, Mountain States
Hemophilia Treatment Center, Aurora, CO
This workshop will present
current information about hemophilia A and B inhibitors and
therapy with immune tolerance, including a discussion of
Factor VIII inhibitors and the International ITI Study, Factor
IX inhibitors and anaphylaxis syndrome.
-
Introduction
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Factor VIII Inhibitors and
International ITI Study
Donna D. DiMichele, New York Presbyterian Hospital, New York, NY
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Factor IX Inhibitors and
Anaphylasis Syndrome
Amy D. Shapiro, Indiana Hemophilia and Thrombosis Center, Indianapolis,
IN
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Discussion and Concluding Remarks
7:00am–8:00am
2055A—Histiocytosis
ASPHO Workshop
Golden Gate Hall C2-3, SF Marriott
Chairs: James Whitlock,Vanderbilt Children's Hospital,
Nashville, TN; and Alexandra Filipovich, Children’s Hospital
Medical Center, Cincinnati, OH
This workshop will present recent
developments in the biology, diagnosis, evaluation and
management of children with Langerhans cell histiocytosis and
hemophagocytic lymphohistiocytosis, including updates from
recently completed and ongoing international clinical trials
for these disorders. The availability of new internet-based
patient registries will also be discussed.
-
Update on Hemophagocytic
Lymphohistiocytosis
Alexandra H. Filipovich, Children's Hospital Medical Center,
Cincinnati, OH
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Update on Langerhans Cell
Histiocytosis
James A. Whitlock, Vanderbilt Children's Hospital, Nashville, TN
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Update on Rare Histiocytosis
Registries
James A. Whitlock, Vanderbilt Children's Hospital, Nashville, TN
8:00am–11:00am
2100—Adult Stem Cells—A Primer for the
Clinician
PAS/ASPHO Mini Course
Room 3014, Moscone West
Chairs: Jakub Tolar, University of Minnesota, Minneapolis,
MN; and Mervin C. Yoder, Jr., Indiana University School of
Medicine, Indianapolis, IN
Target Audience:
Hematologists/oncologists, endocrinologists, basic scientists
and neurologists.
Adult stem cells represent a
technology that is being intensively investigated currently,
and this research may have wide implications for human health.
This mini course will focus on recent research and potential
applications in human health.
-
Introduction
Jakub Tolar, University of Minnesota, Minneapolis, MN
Mervin C. Yoder, Indiana
University School of Medicine, Indianapolis, IN
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Multipotent Adult Progenitor
Cell: Hype or Reality?
Catherine M. Verfaillie, University of Minnesota, Minneapolis, MN
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Mesenchymal Stem Cell: Harnessing
the Power of Adult Stem Cells To Repair Tissues
Darwin Prockop, Tulane University Health Science Center, New Orleans,
LA
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Hierarchy of Endothelial
Progenitors in Human Blood and Blood Vessels
David A. Ingram, Indiana University School of Medicine, Indianapolis,
IN
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Cancer Stem Cell: Concept of
Human Leukemic Development
Craig T. Jordan, James P. Wilmot Cancer Center, University of Rochester
School of Medicine, Rochester, NY
Sponsored jointly by
the American Society of Pediatric Hematology/Oncology and the
Pediatric Academic Societies
8:00am–11:00am
2105—Advocacy Training Initiative—Part I
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles,
Los Angeles, CA; and Philip R. Nader, University of California
San Diego, La Jolla, CA
Target Audience: Pediatric
program directors and attendees interested in advocacy.
Development of advocacy training
experiences is evolving, and there is a national need for
opportunities to bring together residents, faculty, program
directors and community partners to facilitate the development
of this nascent field. After last year’s PAS meeting, the
leadership of the APA Advocacy Training SIG and the AAP
Community Pediatrics Training Initiative agreed to collaborate
to provide a more cohesive conference experience for
participants interested in advocacy training. However, before
training experiences can be developed into residency
curricula, the variety of advocacy skills that can be used to
promote child health should be appreciated. In this part of
the first-ever ATI Conference, we will focus on skill-building
in child advocacy. Through a panel discussion, guest lecturers
and resident presentations on child advocacy projects,
participants will gain skills in various aspects of child
advocacy.
-
Welcome
Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
Philip R. Nader, University of
California San Diego, La Jolla, CA
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Advocacy Skills Panel Discussion
— 1–2 residents
— 1–2 community partners
Anda Kuo, University of California San Francisco, San Francisco, CA
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State Legislative Advocacy on
Behalf of Children and Pediatricians–How to be Effective
in Difficult Budget Times
Kris Calvin, American Academy of Pediatrics, California District IX
-
Resident Presentations (3
Resident Presentations TBD)
Sponsored jointly by
the APA Advocacy Training SIG, the AAP Community Pediatrics
Training Initiative and the Pediatric Academic Societies
8:00am–11:00am
2115—Genetics and the Pediatric Medical
Educator: What We Need To Know and How Can We Teach It
PAS Mini Course
Room 2006, Moscone West
Chairs: Joseph Gigante, Vanderbilt Children's Hospital,
Nashville, TN; and Marilyn C. Dumont-Driscoll, University of
Florida College of Medicine, Gainesville, FL
Target Audience: Medical
educators, general pediatricians and anyone who would like to
learn more about how genetics affects primary care.
There have been rapid advances in
knowledge and technology in the field of genetics. General
pediatricians have become the first line of information and
counseling for patients and families seeking to understand the
unique role of genetics in their overall medical care. Yet
genetics has played a relatively small part in the medical
school curriculum, and the emerging gap in physician knowledge
has created an enormous need for education in a previously
underemphasized area of medical education. Genetic medicine
also raises some of the most subtle medical, psychosocial,
cultural and bioethical dilemmas faced by primary care
pediatricians and their patients.
This mini course is designed to
help participants understand and incorporate genetics in their
patient encounters, as well as enhance their comfort in
teaching genetics. Using a collaborative faculty presentation,
basic genetic concepts, core competencies and new paradigms
will be discussed. Strategies for incorporating genetics into
primary care practice and teaching genetics will include case
presentations; “missed opportunities,” where genetics
impacts a patient and pediatrician; and interactive
educational games that can be used at the participant’s own
site. Resources, such as internet sites that contain current
genetic information, will be distributed and discussed.
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Ethical, Legal, Social and
Cultural Issues and Genetics
Joseph Gigante, Vanderbilt Children's Hospital, Nashville, TN
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Using the Family History To Focus
Anticipatory Guidelines and Screening at Health
Maintenance Visits
Marilyn C. Dumont-Driscoll, University of Florida College of Medicine,
Gainesville, FL
-
Genetic Tests for the
Pediatrician: What, When, How and Why
Daniel J. Driscoll, University of Florida College of Medicine,
Gainesville, FL
-
Hearing Loss: Resources for
Genetic Information
Teri Lee Turner, Baylor College of Medicine, Houston, TX
8:00am–11:00am
2120—Management of Childhood Hypertension:
Guidelines and Controversies
PAS/ASPN/IPHA Mini Course
Room 2003-2005, Moscone West
Chairs: Steven R. Daniels, University of Colorado, Denver,
CO; and Ronald J. Portman, University of Texas Medical School,
Houston, TX
Target Audience: General
pediatricians, emergency medicine physicians, hospitalists,
intensivists, nephrologists and cardiologists.
The 2004 NHLBI guidelines for the
evaluation and management of childhood hypertension answered
many questions about how to approach hypertensive children,
but left others unanswered. This mini course is designed to
address some of the more controversial aspects of managing
hypertensive children, with the hope of stimulating further
discussion about the optimal approach to these patients.
Practical approaches to clinical management will be
emphasized.
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Overview
Stephen R. Daniels, The Children's Hospital/University of Colorado,
Denver, CO
-
Overview of Treatment Guidelines
from the 4th Report
Bonita E. Falkner, Thomas Jefferson University, Philadelphia, PA
-
Management of Pre-hypertension:
Lifestyle Changes or Pharmacologic Treatment?
Shawna D. Nesbitt, University of Texas Southwestern Medical Center,
Dallas, TX
-
Choice of Agent for Children with
Primary Hypertension
Joseph T. Flynn, Children's Hospital at Montefiore, Bronx, NY
-
Treatment of Severe Hypertension
in Ambulatory and Inpatient Settings
Joshua Samuels, University of Texas, Houston, TX
-
Treatment of Hypertension in
Special Populations
Donald L. Batisky, Columbus Children's Hospital/The Ohio State
University College of Medicine, Columbus, OH
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Discussion
Sponsored jointly by
the American Society of Pediatric Nephrology, the
International Pediatric Hypertension Association and the
Pediatric Academic Societies
8:00am–11:00am
2125—New Considerations for the Growth Rate
of the Preterm Infant: Too Fast or Not Fast Enough?—A Review
of the Evidence
PAS Mini Course
Room 3002-3008, Moscone West
Chairs: Frank R. Greer, University of Wisconsin, Madison,
WI; and William W. Hay, Jr., University of Colorado, Aurora,
CO
Target Audience: Neonatologists,
hospitalists who take care of preterm infants, nutritionists
and general pediatricians.
Recent nutritional emphasis in
the NICU has been to achieve the normal intrauterine growth
rate with more aggressive nutritional support for the low
birth weight infant. In general, this has been difficult to
achieve, and new evidence from long-term follow up studies
shows that preterm infants are at an increased risk of
developing the metabolic syndrome including obesity, type 2
diabetes and cardiovascular disease. This implies that the
organs in the early life of the preterm infant may be
programmed adversely by nutritional therapy. This raises the
questions of how fast these infants should grow (including
catch up growth), the importance of the composition of this
growth and the urgency for defining the necessary balance
between growth of the brain and the rest of the body.
Ultimately, providers may want to revise the long-term and
short-term goals for feeding very low birth weight or
extremely low birth weight infants. This mini course will
present evidence to help answer these questions and provide
discussion about related practice recommendations.
-
Overview
Frank R. Greer, University of Wisconsin, Madison, WI
William W. Hay, University of
Colorado Health Sciences Center, Aurora, CO
-
Macronutrient Requirements for
Growth of Preterm Infants—Upper and Lower Limits
(Energy, Fat, CHO, Protein)
Scott C. Denne, Indiana University School of Medicine, James Whitcomb
Riley Hospital, Indianapolis, IN
-
Aggressive Nutritional Support of
the Preterm Infant Revisited—Evidence for Efficacy and
Safety
Patti J. Thureen, University of Colorado Health Sciences Center,
Denver, CO
-
Adverse Outcomes of Rapid Somatic
Growth and Alterations of Body Composition in the Low
Birth Weight Infant
Frank R. Greer, University of Wisconsin, Madison, WI
-
Fatty Acids and Neuronal
Development
Susan E. Carlson, University of Kansas Medical Center, Kansas City, KS
-
Iron and Development of the Brain
Michael K. Georgieff, University of Minnesota School of Medicine,
Minneapolis, MN
-
Nutritional Influences on
Structural and Functional Maturation of the Developing
Brain During Extended Postnatal Period
Steve H. Zeisel, The University of North Carolina, Chapel Hill, NC
8:00am–11:00am
2130—Newborn Hearing Screening: From the
Bedside to Beyond
PAS/PIDS Mini Course
Room 3010, Moscone West
Chairs: Mark R. Schleiss and Lisa Ann Schimmenti,
University of Minnesota Medical School, Minneapolis, MN
Target Audience: General
pediatricians, geneticists and infectious disease specialists.
Sensorineural hearing loss (SNHL)
in infants is the most common birth defect, and early
detection improves outcome. Evidence from the CDC reveals that
less than one half of screened babies are followed up. One
possible reason is the low positive predictive value of
bedside screening. There is a critical need to augment current
strategies to prevent late diagnosis of SNHL. One solution is
to propose second-tier testing for the most common causes of
SNHL, as the most common causes of newborn hearing loss are
infectious and genetic. Of infectious causes, cytomegalovirus
(CMV) is the most common. Evidence of CMV infection can be
found in 1% of newborns, with 10–15% developing hearing loss
or other CNS abnormalities. Of the genetic causes, mutations
in GJB2/GJB6 are the most common and are identified in up to
one half of individuals with SNHL. The goal of this program
will be to examine evidence for inclusion of infectious and
genetic screening to augment current newborn screening
protocols.
-
Diagnostic Evaluation and
Management of Childhood Hearing Loss
Margaret Alene Kenna, Children's Hospital Boston, Boston, MA
-
Range of Mutations in
GJB2-Associated Hearing Loss
Lisa Ann Schimmenti, University of Minnesota Medical School,
Minneapolis, MN
-
Congenital Cytomegalovirus
Infection and Hearing Loss
Karen B. Fowler, University of Alabama at Birmingham, Birmingham, AL
-
Newborn Hearing Screening:
Audiologic Assessment
Yvonne Sininger, University of California Los Angeles, Los Angeles, CA
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
8:00am–11:00am
2135—Suicide in Children and Adolescents
PAS/SAM Mini Course
Room 2004, Moscone West
Chair: Sheryl A. Ryan, Yale University School of Medicine,
New Haven, CT
Target Audience: General
pediatricians, behavioral pediatricians and clinicians
interested in behavioral/mental health issues in children and
adolescents.
This mini course is designed to
provide an update on the topic of suicide among children and
adolescents, what new is known about the epidemiology and
etiology of suicidal behaviors (including ideation, threats,
attempts and completed suicides), the connection between
depression and suicide, genetics/familial associations,
screening techniques and treatment for those at risk for
completed suicide. This mini course will also address the
increasing phenomenon of self-injurious behaviors, such as
cutting, and explore how this is related/not related to
suicidal behaviors and depression. Brief mention will be made
about complexity of treatment for depression using
pharmacologic agents that may increase the risk of suicide.
-
Overview
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
-
Epidemiology and Assessment of
Suicidal Behaviors and Depression
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
-
Cutting and Other Self-Injurious
Behaviors
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
-
Questions and Break
-
Management and Prevention of
Suicide, Depression and Self-Injurious Behaviors
Joseph L. Calles, Michigan State University, Kalamazoo Center for
Medical Studies, Kalamazoo, MI
-
Discussion
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
8:00am–11:00am
2150—Basic Tools and Techniques of
Evidence-Based Medicine
PAS Educational Workshop
Room Pacific Suite F, SF Marriott
Leader: Kathleen Meert, Detroit, MI; Co-leaders: Barry
Markovitz, Mona McPherson
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
Evidence-based medicine (EBM)
aims to judiciously apply best research evidence to the
prevention, detection and treatment of health disorders.
Workshop participants will learn to: (1) generate focused
clinical questions from case scenarios, (2) find the best
research evidence to answer clinical questions through
literature and database searching, (3) critically appraise
evidence for validity, effect size and applicability, and (4)
integrate critical appraisal with clinical expertise and
individual patient preferences. Methods will include case
discussions, demonstrations of electronic research databases
and pre-appraised evidence sources, small group critical
appraisals of recent articles, practice with EBM calculators,
and pre- and post-tests assessments.
Objectives:
– Participants will be able to
generate focused clinical questions from case scenarios.
– Participants will be able to find the best research
evidence to answer clinical questions through literature and
database searching.
– Participants will be able to critically appraise original
evidence for validity, effect size and applicability.
– Participants will be able to integrate critical appraisal
with clinical expertise and individual patient preferences.
Format: Formats/strategies that
will be used to accomplish the objectives include small group
discussions, question-and-answer period, examples, problem
solving, pre- and post-tests.
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
8:00am–11:00am
2151—Can You Hear Me? Do You Understand?
Issues in Organizational Transformation to Meet the Needs of
Limited English Proficiency (LEP) Patients and Families
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Noel Rosales, Philadelphia, PA; Co-leader: William
Tietjen
Target Audience: Junior faculty,
mid-level faculty, senior faculty, and community
practitioners.
This workshop will provide the
participant the knowledge and tools to effectively establish
and further develop a language access services program in
their institutions, discussing both translation and
interpretation. Using the experience of the Children's
Hospital of Philadelphia, the workshop will review the
legislative and regulatory mandates that make establishing and
maintaining language access services programs necessary. Using
an interactive discussion format, the participants will
explore the needs of their home institutions and determine
whether outsourcing or growing their own internal program is
most appropriate. Effective use of medically trained
interpreters will be reviewed and a model program for teaching
effective use of interpreters will be presented.
Objectives:
– To review the national
regulatory and legislative mandates for comprehensive programs
for the Limited English Proficient.
– To explore pertinent issues in the planning,
implementation and development of an effective language
service program.
– To understand the use of trained medical interpreters for
effective and safe patient care.
– To identify challenges and solutions among participants in
the establishment of language access programs.
Format: Brief lecture,
interactive discussion, short video vignettes, and group
problem solving.
8:00am–11:00am
2153—Developing, Sustaining and Surviving
Mentoring Relationships: An Interactive Workshop for Mentees
and Mentors
PAS Educational Workshop
Willow, SF Marriott
Leader: Ivor Horn, Washington, DC; Co-leaders: Robert
Freishtat, Jill Joseph, Naomi Luban
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, and senior
faculty.
This interactive workshop will
use a case-based format to discuss mentoring as a tool for
achieving scientific and professional independence from the
mentee and mentor perspectives. Participants will be divided
into trainees/junior faculty and mid-level/senior faculty to
discuss the following three topics:
1. Establishing achievable goals
for mentoring relationships, choosing mentors and accepting
mentees.
2. Working effectively with mentors/mentees in light of the
'natural progression' of mentoring in a trainee/junior faculty
member's career.
3. Identifying and responding appropriately to challenges and
difficulties in the mentoring relationship.
This workshop will be lead by K
award-funded junior investigators and senior investigators
with extensive mentoring experience.
Objectives:
– To provide participants with
strategies they can use to develop and sustain successful
mentoring relationships
– To provide participants with tools to achieve productive
mentoring relationships that lead to scientific and
professional independence for the mentee
Format: Small group discussion
using a case based format.
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
8:00am–11:00am
2154—Effective Management of Chronic
Disease in Schools
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: Linda Grant, Boston, MA; Co-leaders: Barbara
Frankowski, Rani Gereige
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The goals of this workshop are to
provide clinicians with the skills to more effectively manage
their patients with chronic disease within the school setting.
These skills include: (1) more effective communication between
the family, the office and the school, (2) understanding the
complexity of HIPAA and FERPA, (3) developing clinical
management strategies that support rather than burden school
systems and (4) applying these concepts to residency advocacy
programs.
The workshop will utilize case
histories and will rotate participants through three modules
reflecting the skill areas. Each module will be facilitated by
physician school consultants who are responsible for policy in
their districts and who also have residency training
responsibilities.
Objectives:
– Understand the differences
between HIPAA and FERPA as regards confidentiality and sharing
information between primary care and schools.
– Develop guidelines for appropriate and effective
school-linked case management of diabetes, asthma and other
chronic illnesses.
– Develop communication strategies connecting home, school
and office.
– Understand role of schools in advocacy in training
programs.
Format: Workshop will be divided
into three modules and participants will rotate through all
three. The three modules are: Legal and communication issues (FERPA/HIPAA),
Clinical Management and Advocacy in Training Programs. The
modules will be chaired by three school physician consultants
(and include a pediatric residency director who has
incorporated these objectives into the residency).
8:00am–11:00am
2155—Gender-Variant Youth: The Role of the
Pediatrician
PAS Educational Workshop
Laurel, SF Marriott
Leader: Irene Sills, Albany, NY; Co-leader: Arlene Lev
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop is an overview of
sexual and gender identity development in children and youth
focusing on understanding the needs of transgender and
transsexual youth. By review of case presentations, attendees
will gain skills and knowledge in how to assist parents of
children with gender variant behavior, children with gender
identity confusion, and adolescents who exhibit cross-gender
behaviors. Ethical considerations in the care of this
population will be presented and discussed. Current standards
for hormonal therapy will be reviewed.
Objectives:
– The participant will
demonstrate an understanding of the developmental
appropriateness of youth with gender variant behavior.
– The participant will prepare to assist children and
adolescents with gender variant behavior and their families.
– The participant will demonstrate an understanding of the
ethical issues in the medical care of transgendered
adolescents.
Format: a) Short didactic
presentation; b) discussions of scenarios that might present
to the pediatrician; c) viewing of a short videotape; and d)
roundtable discussion of ethical issues.
8:00am–11:00am
2156—The Healthcare Cost and Utilization
Project (HCUP): Data and Tools for Pediatric Research and
Policy Analysis
PAS Educational Workshop
Golden Gate Hall A1, SF Marriott
Leader: Pamela Owens, Rockville, MD; Co-leaders: Darryl
Gray, Anne Elixhauser, Lisa Simpson, Patrick Romano
Target Audience: Trainees,
fellows, junior faculty, and mid-level faculty.
AHRQ's Healthcare Cost and
Utilization Project (HCUP) is a unique and powerful data
resource that captures information on 90 percent of all U.S.
hospital stays. It is a family of databases and software tools
that enable research and policy analysis focusing on hospital,
ambulatory surgery, and emergency department encounters. This
session will provide an introduction to HCUP data and tools
and will demonstrate the potential uses of HCUP to inform
children's healthcare research, practice, and policy. Course
participants will receive a CD containing valuable resources
that expand on HCUP topics covered in the session - data file
descriptions, examples of statistical programs, and
information on accessing HCUP data, tools, and documentation.
Objectives:
– Participants will learn about
HCUP data products and tools.
– Participants will gain an understanding of potential uses
of HCUP.
Format: Question-and-answer
period, on-line query, take-home examples, individual and
group discussion.
8:00am–11:00am
2157—I Can Do That! Preparing Residents To
Perform Minor Procedures
PAS Educational Workshop
Yerba Buena Gardens Salon 12, SF Marriott
Leader: Steve Selbst, Wilmington, DE; Co-leader: Joel Fein
and Jonathan Bennett
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
Minor procedures are important in
pediatric residency and office practice. Training and
performing certain procedures varies between residency
programs. With limited exposure, peds residents and
practitioners may avoid procedures or call consultants when
uncomfortable. The goal of this hands-on workshop is to teach
techniques and instructional methods for minor office
procedures. Workshop leaders will demonstrate skills and allow
practice of: 1) Wound repair- use glue, fast absorbing
sutures, staples 2) Remove foreign bodies from ears, nose,
eyes; reimplant avulsed teeth 3) Troubleshoot G- tube and
trach-tube complications 4) Extricate embedded fishhooks,
subungual hematomas, hair tourniquets 5) Master intraosseous
infusion, new needleless systems and IV safety devices 6)
Manage paraphimosis, zipper entrapment, rectal prolapse.
Participants will become adept at several procedures and be
able to teach them to others.
Objectives:
– Participants should improve
their own technical skills during the workshop.
– Participants will become aware of teaching modalities and
be able to conduct similar teaching sessions at their own
institutions.
Format: Lecture, demonstration,
hands-on practicing, and question-and-answer period.
8:00am–11:00am
2158—The National Survey of Children's
Health: Resources and Tips for Using New National and State
Data on Child and Adolescent Health
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: Christina Bethell, Portland, OR; Co-leaders:
Stephen Blumberg, Debra Read
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The National Survey of Children's
Health (NSCH) is the largest, nationally representative survey
conducted with families to assess the health, well-being and
health care of children and youth (n = 102,000). Publicly
released in 2005, NSCH provides a wide range of national and
state-level data on the health of children, youth and
families. Participants will: 1) identify research topics that
can be addressed using the NSCH; 2) Obtain hands-on experience
using the Data Resource Center—a new resource to easily
obtain and download findings from the NSCH; 3) gt ideas on
using findings to stimulate efforts to improve care for
children, inform research and grant development and advance
evidence-based policy, program development, and advocacy.
Objectives:
– Identify the range of
research topics that can be addressed using these data.
– Obtain hands-on experience using the Data Resource Center
on Child and Adolescent Health (DRC)—a new resource for
pediatric clinicians, researchers, and families to easily
obtain and download findings from the NSCH (www.childhealthdata.org).
– Get ideas on presenting findings to enhance state and
local efforts to improve the health and health care of
children, youth, and families.
Format: Presentations, question
and answer, hands-on practice using an online data resource
center, case examples, real time technical assistance and
problem solving.
8:00am–11:00am
2159—Pediatric Medical-legal Documentation:
The Pen Is Mightier Than the Word
PAS Educational Workshop
Golden Gate Hall B3, SF Marriott
Leader: Allison Jackson, Washington, DC; Co-leader:
Elizabeth Jacobs
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, and community
practitioners.
This workshop is planned with the
goal of developing physicians in the knowledge of, skills and
attitudes for the medical evaluation, assessment and
documentation of patients who are alleged victims of child
abuse using an interactive case-based approach. Course content
will address the program purpose and learning objectives and
will include: 1) elements of the history and physical that may
raise suspicion for child abuse; 2) the role of physicians in
the evaluation, management, and documentation for alleged
child abuse victims; 3) how the content and quality of the
medical documentation can benefit or impede the civil and
criminal outcomes.
Objectives:
– List elements of the history
that aid in making a diagnosis of child maltreatment.
– Describe physical findings consistent with or suspicious
for child maltreatment.
– Apply forensic terminology for documentation purposes.
– Understand the pediatrician's role as a medical advocate.
Format: This workshop will be
held in a small group setting in a classroom. This program
will begin with a welcome and introduction by the workshop
leaders. Following the introduction three completed
medicolegal documentation forms will be distributed to the
participants. Each case will either be one of physical abuse,
sexual abuse or neglect. The participants will break into
three groups based on the case they have received. Each group
will review the medicolegal form and prepare a mock trial for
which the characters will be an expert witness, a prosecutor,
and a defense attorney. Thirty minutes will then be devoted to
each case to include the role-play and discussion. After the
role-play, each group will be given the full case to review
and complete and medicolegal documentation form which will be
submitted to and analyzed by the facilitators. A summary of
the results will be shared with the participants after the
workshop.
8:00am–11:00am
2160—Striving for Excellence: Using the
Model for Improvement To Transform Pediatric Practice
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Lloyd Werk, Orlando, FL; Co-leader: Lynn Woods
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This session will demonstrate the
role of quality improvement interventions in transforming
pediatric practice. Recent reports from the Institute of
Medicine and guidance from professional societies recommend
adoption of systematic quality improvement interventions in
health care in order to promote best practices. This workshop
will review the context and evidence behind quality
improvement activities, introduce the Model for Improvement
(Nolan), and provide examples of tests of change. Through the
use of vignettes and their own clinical dilemmas, participants
will generative their own tests of change. Upon completion of
the workshop, participants will be able to apply lessons
learned within their own practice settings.
Objectives:
– Identify at least one
opportunity in their setting for which they can apply the
Model for Improvement to effect advancement of a best
practice.
– Use three questions to generate the aims, measures, and
change concepts needed to drive PDSA cycles.
– Generate a plan to test a change concept and describe how
they would use the result.
Format: The Striving for
Excellence workshop employs a balanced format rotating among
didactic instruction, illustrative games, and practical
exercises. The workshop starts with an introduction and needs
assessment and proceeds through some basic concepts to set the
stage. Participants are asked to generate some suggestions in
response to a video vignette. The Model for Improvement
(Nolan) is introduced and game played to draw out ways quality
improvement can be applied. The Model for Improvement is then
reviewed in detail and applied to the initial video vignette.
Aims, Measures, Change concepts are created as well as
illustrative PDSA cycles, both demonstrated and elicited from
participants. Change concepts from the needs assessment,
parking lot, and exercises are gathered together and developed
into tailored Aims, Measures, Change concepts and PDSA cycles
through an interactive tool.
8:00am–11:00am
2161—Teaching Oral Presentation Skills to
Medical Students and Residents in Pediatrics
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Anand Sekaran, Hartford, CT; Co-leaders: Mary
Ottolini, Craig DeWolfe
Target Audience: Trainees, junior
faculty, mid-level faculty, and senior faculty.
Teaching trainees how to present
patients efficiently is an ongoing challenge. The goal of this
workshop is to introduce a format to teach effective
presentation in a "rounds" setting and in one-to-one
sign out. We will portray Bordage's use of semantic dissonance
as a means for trainees to address differential diagnosis. We
will demonstrate an assessment tool to provide feedback to
trainees using video-clips of varied presentations. An
instructional CD-ROM demonstrating an ideal oral presentation
by medical students will highlight many of the points
reviewed. Small group participation will be used to focus on
feedback, efficiency measures and adapting to family-centered
rounds. At the conclusion of the session participants will be
provided with the tools to implement the teaching workshop at
their own institutions.
Objectives:
– To present a module for
teaching oral presentation in pediatrics
– To provide participants with the teaching tools developed
at two institutions
Format: (1.) Collaborative use of
teaching tools, (2.) small group interaction, (3.) CD-ROM of
oral presentations depicting varied quality, (4.) assessment
sheet to critique presentations, and (5.) instructional CD-ROM
of an ideal presentation.
8:00am–11:00am
2162—Transition to Adulthood: The Role of
Pediatricians
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Eric Levey, Baltimore, MD; Co-leaders: Patti
Hackett, Suzanne McLaughlin, Robert Blum
Target Audience: Fellows, junior
faculty, mid-level faculty, community practitioners.
This workshop will provide an
overview of health care transition concepts and tools for
primary care providers and specialists. The goal of transition
in health care for all youth with/without special health care
needs is to maximize lifelong functioning and potential
through the provision of high-quality, developmentally
appropriate health care services that continue uninterrupted
as one moves from childhood to adulthood, and from pediatric
to adult-oriented health care. We see an important role for
pediatricians in fostering health care decision-making,
self-determination and advocacy, as well as promoting health
and preventing secondary conditions and disability.
Participants will be divided into small, facilitated groups to
assess their current transition practices and strategize
regarding improvement within their own institutions and
communities.
Objectives:
– Discuss and evaluate the role
of the Medical Home and Specialists in preparing youth and
families for adulthood.
– Review and develop strategies and tools, useful to their
individual practice setting, to assist youth and family with
transition to adulthood including skill building in the areas
of health care decision-making, self-determination and
advocacy.
– Explore the importance of collaboration between pediatric
and adult-oriented health care providers, both in medical
education and clinical practice.
– Strategize about the next steps for putting national
policy into practice at the community level.
Format: Presentations by
pediatrician for children with disabilities, med/peds
physician, and parent advocate followed by question-and-answer
session. Facilitated group discussions and role-play followed
by reports back to the large group.
8:00am–11:00am
2170—Continuity
APA Special Interest Group
Pacific Suite A, SF Marriott
Chair: John Olsson, olssonj@mail.ecu.edu.
We look forward to meeting and
greeting new members as we facilitate mentoring among our
membership. During our business meeting, we will update the
membership on our listserv and website. CORNET continues to
offer fantastic opportunities for participating in multi-site
research. The impact on new requirements of the RRC will be an
important agenda item with time for open discussion about
preparing for an RRC site visit. Our primary faculty
development activity at the meeting will be, “CC Education
in the 21st Century: Curriculum Implementation.” We are
encouraging our membership to send in lists of curriculum
resources and brief descriptions of existing curricula being
used at member institutions to the chair’s email address, olssonj@ecu.edu.
These resources will be compiled into lists that will be
shared at the meeting. We will break into small groups, on the
basis of type of teaching site, to talk more about
implementing curriculum. Finally, we will come back to the
large group to have each group share key take-home points. As
certain as you hear trolley bells near Union Square, you will
come away with a lot of new information and ideas at the
Continuity SIG meeting.
8:00am–11:00am
2171—Environmental Health
APA Special Interest Group
Pacific Suite B, SF Marriott
Chairs: Christine Johnson, cjohnson@nmcsd.med.navy.mil;
Robert Wright, robert.wright@channing.harvard.edu;
and Jerome Paulson, jpaulson@cnmc.org.
This year’s Environmental
Health SIG is being held jointly with the National Institute
of Environmental Health Sciences/Environmental Protection
Agency Centers for Children’s Environmental Health. These 11
centers conduct research on pediatric environmental health (PEH)
and include many scientists who are members of APA. To take
advantage of this joint meeting, this year’s SIG will
include a workshop/discussion panel on translating
environmental health research into clinical practice. This
workshop will consist of case presentations of research topics
relevant to PEH by center scientist and Pediatric
Environmental Health Subspecialty Unit (PEHSU) directors with
a discussion of their implications for physicians and their
patients. Topics will include issues relevant to lead
poisoning and its treatment, methyl mercury related fish
advisories, results of studies on air pollution and asthma and
exposure to pesticides. The workshop/discussion format will
allow attendees to bring their own “translational”
research questions for discussion as well. We hope you can
attend!
8:00am–11:00am
2172—Medical Student Education
APA Special Interest Group
Pacific Suite I, SF Marriott
Chairs: Bill Raszka, william.raszka@uvm.edu;
and Lindsey Lane, jllane@nemours.org.
This year the Medical Student
Education SIG will focus on two topics:
1. How pediatric clerkships are
currently evaluating the core competencies and what future
evaluation goals should be.
2. How different medical schools/clerkships are addressing the
LCME ED2 requirements.
Members of the SIG will present
their experiences in each of these two challenging curricular
areas, and as always, there will be lively discussion and
exchange of ideas.
8:00am–11:00am
2173—Faculty Development
APA Special Interest Group
Pacific Suite C, SF Marriott
Chairs: Virginia Niebuhr, vniebuhr@utmb.edu;
and Lyuba Konopasek, lyk2003@med.cornell.edu.
Target Audience: Anyone who
claims to be or wants to be a faculty developer.
Who are we? The Faculty
Development SIG is a group of educators committed to learning
more about the field of faculty development and helping each
other succeed. Attendance is open to anyone who claims to be
or wants to be a faculty developer.
8:00 Business meeting
We will review our mission statement, summarize our SIG
activities, especially co-sponsorship of the APA Faculty
Development Program’s Educational Scholars Program (ESP) and
e-Connections. Danielle Laraque, Mount Sinai School of
Medicine, will present AAMC data on faculty demographic trends
and issues of diversity in faculty recruitment and retention.
We will honor outgoing co-chair, Latha Chandran, and select a
new co-chair.
9:00 Workshop on Program
Evaluation
In response to our membership’s request for more guidance on
program evaluation, Dr. Patricia O’Sullivan, Associate
Director for Educational Research at the University of
California-San Francisco School of Medicine, will facilitate
this workshop on principles and strategies to use when
evaluating your faculty development efforts.
8:00am–11:00am
2174—Serving the Underserved
APA Special Interest Group
Pacific Suite H, SF Marriott
Chairs: Peter Sherman, pshermanny@hotmail.com;
and Wendy Hobson-Rohrer, wendy.hobson@hsc.utah.edu.
Please join us in San Francisco!
We anticipate a lively and interactive session centering on
poverty issues in the United States. Incorporating arts in our
session, we will listen to music about living in poverty and
we will watch excerpts from a film about low-income working
families. We are arranging for the filmmaker to join us for a
discussion. We will discuss the implications of poverty in
children’s lives and novel methods to teach these issues and
their importance to pediatric residents.
8:00am–12:00pm
2180A—LWPES Plenary Session I
LWPES Plenary Session
Room 3007-3009, Moscone West
Chairs: Lynne Levitsky, Massachusetts General Hospital,
Boston, MA; Henry Anhalt, Saint Barnabas Medical Center,
Livingston, NJ; and Alan D. Rogol, University of Virginia,
Charlottesville, VA
Target Audience:
Endocrinologists, nephrologists, cardiologists, general
pediatricians, immunologists, geneticists and molecular
biologists.
-
Opening Remarks
Lynne L. Levitsky, Massachusetts General Hospital, Boston, MA
-
Lawson Wilkins Lecture:
Recent years have witnessed a
significant revision of the traditional view of fat cells
as simple stores of excess energy. Studies in the
speaker's lab as well as many others have clearly
demonstrated that adipocytes produce and regulate many
metabolic and hormonal signals, which generate profound
effects on systemic endocrine equilibrium. In his earlier
studies, he also demonstrated that these cells exhibit an
inflammatory capacity that is abnormal in obesity and key
to the pathogenesis of insulin resistance and diabetes.
Recently, he identified a key molecular mechanism
underlying the link between inflammatory responses and
insulin action. This pathway involves obesity-related
activation of the serine, threonine kinase, JNK, and the
consequent inhibition of insulin receptor signaling via
phosphorylation of a substrate of insulin receptor, IRS-1.
-
Integration of Metabolic and
Inflammatory Pathways in Metabolic Disease
Gokhan S. Hotamisligil, Harvard School of Public Health, Boston, MA
-
Robert Blizzard Lecture:
One of the greatest questions
asked of physicians caring for children with autoimmune
diabetes is "why did this happen?" This session
will unravel some of the mysteries surrounding the
etiology and pathogenesis of autoimmune diabetes from an
investigator who has dedicated his life to this issue.
-
On the Unravelling of the
Etiopathogenesis of Type 1 Diabetes: Are We Stuck or
Are We Winning?
Gian Franco Bottazzo, Ospedale Pediatrico Bambino Gesú, Scientific
Institute, Rome, Italy
-
Break
-
Esoterix Lecture:
The attendee will familiarize
him/herself with newer molecular mechanisms of growth
failure that are due to abnormalities in receptor and
post-receptor translation of GH signaling.
-
Molecular Mechanisms and Defects
in Growth Hormone Receptor Signaling
Peter Rotwein, Oregon Health and Science University, Portland, OR
8:15am–10:15am
2190A—Difficult Coagulation Consults
ASPHO Symposium
Room 3016-3018, Moscone West
Chairs: Guy Young, Children’s Hospital of Orange County,
Mattel Children's Hospital at UCLA, Orange, CA; and Prasad
Mathew, University of New Mexico, Albuquerque, NM
Pediatric
hematologist/oncologists are frequently asked to consult on
patients with a variety of coagulation problems. While some of
these are fairly straightforward, there are some that create
significant diagnostic and therapeutic dilemmas. This session
will focus on three such areas. The first lecture will discuss
the pre-operative assessment for coagulation disorders in both
asymptomatic and symptomatic children. This lecture will focus
on what if any evaluation is needed and how to proceed if
screening tests are abnormal. The second talk will discuss the
difficulties in diagnosing and treating rare bleeding
disorders, including rare factor deficiencies and rare
platelet function disorders. The last presentation will focus
on the management of patients who wish to avoid blood products
(for religious beliefs, for example). This lecture will
discuss the available strategies for the avoidance of blood
products both in the surgical and non-surgical setting. After
attending this session, it is expected that the learner will
be able to: 1) describe the approach to the pre-operative
evaluation of children undergoing surgery from the standpoint
of potential bleeding complications; 2) discuss the diagnosis
and treatment of rare bleeding disorders; 3) identify
strategies for the avoidance of blood products for
patients/families wishing to avoid the use of such products.
-
Introduction
-
Pre-operative Evaluation for
Coagulation Disorders
Marilyn J. Manco-Johnson, University of Colorado Denver, The Health
Sciences Center, Aurora, CO
-
Rare Bleeding Disorders
Diane J. Nugent, Children's Hospital of Orange County, Orange, CA
-
Bloodless Medicine: Strategies To
Avoid/Minimize Transfusion of Blood Products
Aryeh Shander, Englewood Hospital and Medical Center, Englewood, NJ
-
Discussion
9:00am–11:00am
2195—Historical Perspectives
PAS Poster Symposium
Room 2008, Moscone West
Chairs: Thor Willy Hansen and John V. Hartline
9:00am–11:00am
2196—Modulators of Bronchopulmonary
Dysplasia
PAS Platform Session
Room 3003-3005, Moscone West
Chairs: Suhas G. Kallapur and Lawrence M. Nogee
Supported by an unrestricted educational grant
from Dey, L.P.
9:45am–11:45am
2200A—Clinical Trials and Observational
Studies
ASPN Workshop
Room 2007, Moscone West
Chairs: Susan L. Furth, Johns Hopkins University,
Baltimore, MD; and Craig Wong, Children's Hospital of New
Mexico, Albuquerque, NM
Target Audience: Clinical
investigators and pediatric nephrologists.
This workshop will address
statistical, measurement, ethical and regulatory issues in
clinical research. We will discuss methodological issues in
randomized clinical trials when the sample size is limited, as
often occurs in pediatric studies. We will also address the
measurement of kidney function in large cohort studies.
Finally, we will have an extended discussion on the evolution
of the current regulatory system of clinical research in the
United States. This has evolved from concerns about ethical
issues and protection of subjects to concerns about protection
of the institution through compliance with inflexible
requirements. The session will end with suggestions on what
changes are needed and how to achieve them in the current
regulatory environment.
-
Introduction
Catherine Stehman-Breen, Amgen, Thousand Oaks, CA
-
Methodologic Issues in Clinical
Trials When Sample Size Is Limited
Tom Greene, The Cleveland Clinic, Cleveland, OH
-
Measurement of Glomerular
Filtration Rate in Large Cohort Studies: Design, Conduct
and Analysis
Alvaro Munoz, Bloomberg School of Public Health, Johns Hopkins
University, Baltimore, MD
-
The Dysregulation of Research
Norman Fost, University of Wisconsin Medical School, Madison, WI
Supported by an
unrestricted educational grant from the Kidney and Urology
Foundation of America, Inc. (KUFA)
10:30am–11:15am
2300A—Best of SIOP (International Society
of Paediatric Oncology)
ASPHO Platform Session
Room 3020, Moscone West
Chairs: To be announced
-
Updated Therapeutic Results of
286 Burkitt's Lymphoma in French African Pediatric
Oncology Group (FAPOG)
Mhamed Harif
-
Ommission of Required
Radiotherapy in Group III Rhabdomyosarcoma Patients
Ori Shokek, Johns Hopkins Oncology Center, Baltimore, MD
10:30am–12:30pm
2310—Allergy, Immunology and Rheumatology
PAS Platform Session
Room 3000, Moscone West
Chairs: Mark Ballow and Diane Wara
10:30am–12:30pm
2315—Brain Metabolism and Injury:
Mechanisms of Neuronal Injury and Neuroprotection
PAS Poster Symposium
Room 3024, Moscone West
Chairs: John D.E. Barks and Jeremy D. Marks
10:30am–12:30pm
2320—Emergency Medicine I
PAS Platform Session
Room 3001, Moscone West
Chairs: Christopher S. Kennedy and Jan D. Luhmann
10:30am–12:30pm
2325—General Pediatrics I
PAS Platform Session
Room 2009, Moscone West
Chairs: Howard Bauchner and Cynthia Christy
10:30am–12:30pm
2330—Hematology/Oncology I
PAS/ASPHO Platform Session
Room 3016-3018, Moscone West
Chairs: Scott Cameron and Jorge DiPaola
10:30am–12:30pm
2335—Medical Education—Duty Hours and
Competencies
PAS Platform Session
Room 2002, Moscone West
Chairs: Miriam Bar-on and Cynthia L. Ferrell
10:30am–12:30pm
2340—Necrotizing Enterocolitis
PAS Platform Session
Room 3022, Moscone West
Chairs: Cheryl E. Gariepy and B U.K. Li
11:45am–2:45pm
2402—Dollars and Sense: How To Understand
(or Undertake) Cost-Effectiveness Analysis in Pediatrics
PAS Educational Workshop
Golden Gate Hall B3, SF Marriott
Leader: John Zupancic, Boston, MA; Co-leaders: Jochen
Profit, Scott Lorch
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The stunning medical progress of
the past three decades has been accompanied by even more rapid
growth in the costs of care. It is essential to understand the
value for money of new technologies, so that limited resources
yield the greatest possible improvements in child health. The
tools of economic evaluation allow us to measure this value
for money, and provide decision support to clinicians and
policy makers. Participants in this workshop will gain an
understanding of the components of a valid economic evaluation
and the critical appraisal skills to determine whether
economic information is reliable.
Objectives:
– Participants will gain an
understanding of the fundamental concepts of economic
evaluation.
– Participants will acquire the skills to critically
appraise published cost-effectiveness studies.
Format: Initial presentation of
fundamental concepts, followed by small group discussion of
published analyses, then large-group planning of a
hypothetical study.
11:45am–2:45pm
2406—Enhancing Efficiency and Productivity
in the Patient Care Environment with the Use of Personal
Digital Assistants (PDAs)
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: Srinivasan Suresh, Detroit, MI; Co-leaders: Anne
Mortensen, Kate Sheppard
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, and senior
faculty.
A potentially compelling
environment for the use of Personal Digital Assistants (PDA)
exists in most hospitals. This workshop will demonstrate
effectively using the Pocket PC PDA in facilitating resident
education, bedside clinical teaching, and patient care,
sign-out and communication in the aftermath of the 80-hour
week, and improving the cost effectiveness of wireless
networks in the patient care setting.
A hands-on workshop component
will demonstrate how these handheld computers are a valuable
tool for physicians by allowing them to have immediate access
to relevant clinical information such as drug interactions,
calculating important parameters, or expanding the
differential diagnosis, providing a readily accessible and
permanent means of recording and tracking patient procedures,
enabling fluid transfer of vital patient information to other
health care providers, and managing and accessing patient
data.
Objectives:
– Familiarity with common
medical applications using Pocket PCs
– Ability to integrate effective usage of PDAs in clinical
decision-making
– Understand the importance of creating and/or sustaining a
robust wireless network in a patient care facility
– Keep abreast of the technological advances in medical
education and patient care in the 21st century
Format: (1) Hands-on, real-time
demonstration of applications using Pocket PCs, (2)
interactive discussion and (3) problem solving with examples.
11:45am–2:45pm
2408—Ethics in Research
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Douglas Diekema, Seattle, WA; Co-leader: Susan
Albersheim
Target Audience: Trainees,
fellows, junior faculty.
Through presentations, small
group case discussion, and video, participants will explore:
1) the values that guide the ethical conduct of research; 2)
issues related to human subject research; 3) authorship and
publication practices; 4) conflict of interest; 5) scientific
misconduct. This course, designed for trainees and junior
researchers, will fulfill Public Health Service training grant
requirements in research ethics and the American Board of
Pediatrics subspecialty training requirements in clinical
research ethics. In addition, it will partially fulfill the
training requirements in ethics of the Resident Review
Committee of the Accreditation Council for Graduate Medical
Education.
Objectives:
– Discuss the values that guide
ethical research.
– Develop a system to protect human subjects during clinical
trials.
– Assess authorship criteria.
– Determine if a conflict of interest exists and propose a
resolution.
Format: Lecture with question and
answer, small group and large group case discussion and
videotape.
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
11:45am–2:45pm
2410—Like Water from Stone: Time Management
Essentials for Academic Pediatricians
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Hema Patel, Montreal, PQ, Canada; Co-leader: Saleem
Razack
Target Audience: Trainees,
fellows, and junior faculty.
Who needs more time? In this
workshop, you will see that time management is a behavior
issue, not actually a time issue. Improving the efficiency of
your available time will improve your productivity. Practical
tips on time management will be discussed in this workshop.
Using interactive techniques, participants will learn about
the theories of time management and develop specific tools to:
organize the day (calendar/agenda basics), run a meeting
effectively, organize the office (including tips on email
overload and frequent interruptions). Strategies to minimize
procrastination will be discussed. We will borrow tried and
true principles from the business world and demonstrate some
everyday applications for busy academic pediatricians.
Objectives:
– To provide the organizational
knowledge needed to manage time effectively
– To describe specific strategies (tools) for optimal time
utilization
Format: Participant interaction
will be essential in this workshop. Participants will do
self-assessment quizzes, small group problem-solving and have
a chance to try out suggested strategies (e.g., prioritizing)
for time management. Multiple interactive techniques will be
used including: roundtable discussion, break-out groups,
problem-solving and buzz groups.
11:45am–2:45pm
2412—Mobilizing High-Risk Communities To
Prevent Injuries to Youth
PAS Educational Workshop
Willow, SF Marriott
Leader: Michael Gittelman, Cincinnati, OH; Co-leaders:
Wendy Pomerantz, Andrea Gielen, and Mahseeyahu Selassie
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty and community
practitioners.
The purpose of this workshop is
to expand the participants' skills in advocating for
high-risk, underserved communities through local involvement.
The first portion of this workshop will concentrate on how to
obtain and utilize data to identify high-risk communities and
their needs. How to prevent injuries will be the example
given; yet this model could work for any community
intervention. The second portion of the workshop will be
interactive with breakouts into small groups. Skill building
groups will address: 1) the use of focus groups for strategic
thinking/planning; 2) obtaining community buy-in; 3) and
identifying and enhancing existing resources to approach a
common goal. Areas of success and pitfalls in local efforts
will be shared.
Objectives:
– Assessing a communities needs
– Community mobilization/interaction
– Obtaining funding support for community programs
Format: Roundtable discussion,
question-and-answer session, problem solving skills.
11:45am–2:45pm
2414—Opportunities for Leadership
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Carol Berkowitz, Torrance, CA; Co-Leader, Surendra
Varma
Target Audience: Fellows, junior
faculty, mid-level faculty, senior faculty, and community
practitioners.
This workshop will discuss the
multiple paths to academic leadership. There will be three
distinct perspectives presents: (1) leadership at an
institutional level - climbing the academic ladder; (2)
leadership at an organizational level - opportunities to
become involved with national organizations such as the
American Academy of Pediatrics, the Ambulatory Pediatric
Association, American Pediatric Society; and (3) networking:
differences in gender styles and opportunities. There will be
a panel discussion following individual presentations and an
opportunity for workshop participants to discuss their
personal experiences.
Objectives:
– To learn from different
Roadmaps available for achievements in academic media
– Learn from the experiences of national pediatric leaders
– Diversity of skills of presenting speakers
Format: Presentations by four
speakers followed by a questions-and-answers period with
active participation from the audience.
11:45am–2:45pm
2416—Publishing Research in Pediatric
Education: The Devil Is in the Methods
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: James Perrin, Boston, MA; Co-leaders: John Co and
Benjamin Siegel
Target Audience: Junior,
mid-level and senior faculty.
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:
– To describe ways of defining
interesting questions in research in pediatric education
– To clarify strategies for the presentation of research
methods and findings for journal publication
– To compare and contrast qualitative and quantitative
research in pediatric education
Format: Case examples of research
papers sent to Ambulatory Pediatrics for review;
characterization of reasons for rejecting papers; brief,
didactic presentations on qualitative and quantitative methods
and on guides to publication and research problems for
participants to work on in small groups.
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
11:45am–2:45pm
2418—The Richard Sarkin Legacy: Using
Hollywood Movies To Teach Communication Skills and Adult
Learning Theory
PAS Educational Workshop
Golden Gate Hall A2, SF Marriott
Leader: Larrie Greenberg, Washington, DC; Co-leaders:
Patience White, Christopher White
Target Audience: Fellows, junior
faculty, mid-level faculty, and senior faculty.
Richard Sarkin was a pioneer in
using Hollywood movie clips as a way to enhance teaching and
learning. In this workshop we will explore how Rich used
movies to teach and apply adult learning theory and to improve
doctor-patient communication. Participants will view and
analyze snippets from movies and discuss their observations in
small groups. Discussions will focus around the
teaching/learning points the movies illustrate and how/when to
best use these snippets. What will also evolve is how learners
collaboratively and proactively can generate, through previous
experiences and some knowledge, information that teachers in a
traditional teacher-centered model would give them in a
passive learning mode.
Objectives:
– To recognize how movies can
help to teach communication skills and adult learning theory
– To practice using movie clips to recognize how they can be
used in teaching and learning
– To analyze the strengths/weaknesses of movies as a
teaching tool
Format: We will use a very brief
interactive discussion followed by small group assessments of
movie clips as they pertain to doctor-patient communication
and adult learning theory.
11:45am–2:45pm
2420—Running an Academic Practice Wearing a
Private Practice Hat
PAS Educational Workshop
Golden Gate Hall A3, SF Marriott
Leader: Elaine Schulte, Albany, NY; Co-leaders: Linda
Domovich, Maryellen Gusic
Target Audience: Mid-level
faculty and senior faculty.
Unfortunately, most academic
providers have little or no training in the business of
medicine, nor do their institutions offer professional
development in this realm.
During this workshop we will put
on our private practice hats, and study two models of
successful, combined resident and faculty pediatric practices.
Through case-based, large group discussion, participants will
learn how to: 1) understand productivity standards and
financial reports, 2) teach billing and compliance to
learners, 3) manage staffing needs; determine the appropriate
provider-to-nurse ratio, optimize room utilization, maintain
morale, address reporting structure, 4) provide continuity of
care in an academic practice, including managing schedules of
30+ providers, and 5) successfully market their practice.
Workshop leaders will share information as well as tools
participants can use in their home institutions.
Objectives:
– Participants will better
understand the business aspect of operating an outpatient
general academic pediatric office.
– Participants will develop skills to address many
challenges in office practice.
Format: Large and small group
discussions, case-based problem solving.
11:45am–2:45pm
2422—Sex Ed: Learning To Teach Sexual
Education Across the Pediatric Age Spectrum
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Michelle Barratt, Houston, TX; Co-leaders: Andrea
Bortot
Target Audience: Fellows, junior
faculty, and mid-level faculty
The workshop goal is to provide
resources for training residents and students in a stepwise
manner regarding sexuality and sex education for adolescents
and all age groups. Anticipatory Guidance regarding sex must
provide for the needs of a new mom (anatomic nomenclature,
etc.) through parent of an elementary aged child (upcoming
bodily changes, etc.) through parent and their adolescent
(direct conversation about healthy choices, etc.). Examples of
training by standardized patients, viewing video clips, role
modeling, and web-based resources will be presented.
Objectives:
– Participants will have two
new techniques to use when training students and residents on
age appropriate sexual education.
– Participants will have age specific sexual education
anticipatory guidance knowledge.
– Participants will increase their personal comfort
discussing sexual topics with parents and patients.
– Participants will be familiar with the use of brief
motivational interviewing with adolescents.
Format: The workshop will include
group discussion, videotape critiquing and small group
exercises.
11:45am–2:45pm
2424—Treatment of the Metabolic Syndrome in
Children and Adolescents
PAS Educational Workshop
Golden Gate Hall A1, SF Marriott
Leader: J. Darrell Nesmith, Little Rock, AR; Co-leaders:
Alba Morales, Mohammad Ilyas, Lisa Lubsch
Target Audience:
Endocrinologists, trainees, fellows, junior faculty, mid-level
faculty, senior faculty, and community practitioners.
The rise in pediatric obesity and
metabolic syndrome is well established. Less understood for
the pediatrician is the treatment of the metabolic syndrome.
In this workshop, we aim to: 1) briefly discuss the
epidemiology of the metabolic syndrome in children and
adolescents, 2) discuss non-pharmacologic and pharmacologic
treatment of the metabolic syndrome, and 3) review a stepped
approach in treating adolescents with the metabolic syndrome.
This workshop will be largely
case-based. Come prepared to devise treatment plans in a small
group setting. Participants are invited to bring their own
cases for discussion.
Objectives:
Participants will:
– Learn the epidemiology of the
metabolic syndrome in children and adolescents.
– Become familiar with existing treatment guidelines for
components of the metabolic syndrome in children and
adolescents.
– Identify gaps in the literature regarding treatment
guidelines of the metabolic syndrome in children and
adolescents.
– Consider pharmacologic treatment options of metabolic
syndrome treatment based on the available evidence.
Format: A short didactic
presentation will be given on diabetes, hypertension, and
dyslipidemia treatments from a diabetologist, nephrologist,
and endocrinologist respectively. Existing published
guidelines will be presented while gaps in the literature
regarding treatment will be discussed. Following these short
didactic presentations, small groups (at tables) will work on
cases which will be presented, and a treatment plan will be
derived by each group. At the end of these roundtable work
group discussions, the group as a whole will discuss the
treatment plans. Actual cases will be used when possible (with
appropriate de-identifiers) and their treatment plans
discussed.
11:45am–2:45pm
2426—When the Honeymoon Ends: Strategies
for Junior Faculty
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Shari Barkin, Winston-Salem, NC; Co-leader: Elena
Fuentes-Afflick
Target Audience: Junior and
mid-level faculty.
What happens after a junior
faculty member's start-up package has been exhausted? This
workshop will explore common challenges and generate potential
strategies for junior to mid-level faculty. The first half of
the session will focus on basic elements of successful
academic careers: 1) assembling a productive team; 2)
responding to changes and transitions; 3) identifying
meaningful mentors; and 4) establishing a manageable timeframe
for academic life. During the second half of the session, we
will form small groups who will be given common dilemmas and
work together to develop potential solutions.
Objectives:
– To identify common challenges
that arise when start-up funds have been exhausted
– To generate strategies to address these common challenges
Format: Question and answer and
problem solving formats will be used.
11:45am–2:45pm
2430—Hospital Medicine
APA Special Interest Group
Room Pacific Suite A, SF Marriott
Chairs: Dan Rauch, daniel.rauch@med.nyu.edu;
and Jeffrey Sperring, jsperrin@iupui.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. This year's
meeting promises to be another exciting and interactive
session. We will start as usual with updates from the previous
year in pediatric hospital medicine, including the Pediatric
Hospital Medicine 2005 Meeting in Denver and experiences from
New Orleans and Houston. Small group discussion groups will
focus on research (PRIS and how to develop research skills)
and education (follow-up from last year's meeting). We will be
joined by an APA Board member to discuss the role of
hospitalists in the APA. We will talk about future Pediatric
Hospital Medicine meetings and also have a poster session.
Tables will be available to share information about programs.
11:45am–2:45pm
2432—International Health
APA Special Interest Group
Pacific Suite I, SF Marriott
Chairs: Yvonne Vaucher, yvaucher@ucsd.edu;
and Cindy Howard, drcindy@umn.edu.
Jennifer Kasper, MD, MPH, the
current president of Doctors for Global Health, will be our
keynote speaker. Dr. Kasper has also been extensively involved
with Physicians for Human Rights. Her interests, as reflected
in her publications and speaking engagements, center around
health, human rights and how larger social, economic and
political change affects child health and well being both
domestically and worldwide.
This year the recipient of the
International Research Award is from Kenya. The award winner
will present an overview of child health in Kenya.
Following each presentation there
will be time for discussion. The meeting will conclude with an
opportunity for each participant to introduce him/herself and
describe their interest/work in international health.
11:45am–2:45pm
2434—Pain
APA Special Interest Group
Pacific Suite H, SF Marriott
Chair: Bruce Bernstein, BBernste@StFrancisCare.org.
The APA Pain SIG provides a venue
for discourse and research on the unique issues associated
with the recognition, assessment and management of pain
problems in childhood. Last year, an expert panel provided a
set of discussions on complementary/alternative techniques for
reducing pain, including hypnotism, acupuncture, yoga and
therapeutic touch.
This year's SIG meeting will
focus on palliative and end-of-life care in children. Members
of the Pediatric Palliative Care Program at the Lucile Packard
Children's Hospital, Stanford University School of Medicine
will lead the session. It will focus on basic clinical
concepts and dilemmas in this newly emerging discipline.
Presenters and topics currently
scheduled include:
-
Palliative Care in Children:
An Overview
Barbara Sourkes, PhD
-
End-of-Life Issues in the
Intensive Care Unit
Lorry Frankel MD, MBA
-
Pain and Symptom Management in
Pediatric Palliative Care
Sandy Sentivani-Collins MSN
Past meetings have been attended
by attendees with general interest in children’s pain, as
well as those with interest in the session’s specific focus.
We continue to encourage participation for either of these
reasons. In addition to the presentations, this year’s
meeting will provide an opportunity for discussion of future
directions of the SIG, in keeping with our goal of developing
a core group of practitioners interested in pain as a
discipline and not solely as it applies to a specific subgroup
or problem.
We have constructed an email list
of individuals interested in receiving periodic communications
from the Pain SIG concerning key developments in the field,
articles, upcoming meetings, etc. Individuals who wish to be
added to this list or who desire further information on this
year’s SIG should email the session chair.
11:45am–2:45pm
2436—Pediatric Emergency Medicine Program
Directors
APA Special Interest Group
Pacific Suite C, SF Marriott
Chairs: Mark Hostetler, mhostetler@peds.bsd.uchigago.edu;
and Usha Sankrithi, sankrithi@comcast.net.
Recruiting & Staffing
Pediatric Emergency Departments in 2006
This session will explore the very timely issues related
to recruiting and staffing a pediatric emergency department (PED)
in 2006. Using a diversified panel of experts this two-part
discussion will explore first the issues related to recruiting
PEM faculty and then the complex interplay of financial,
governmental, teaching and institutional demands that must be
considered when formulating a comprehensive staffing pattern
for the PED. Issues include the 80-hour work week,
“graduated” resident responsibility, mid-level providers,
private versus teaching institutions, financial expectations
and the current state of the job market. Panelists include
graduating fellows, mid-level providers, fellowship program
directors, PEM division chiefs and directors of academic,
private and community programs. Come one, come all, as this
will be a very lively and informative group discussion of all
facets related to recruiting and staffing in the PED in 2006.
We will also be selecting the new chair(s) for the SIG for the
upcoming 3-year term
11:45am–2:45pm
2438—Pediatric Tobacco Issues
APA Special Interest Group
Pacific Suite B, SF Marriott
Chairs: Sophie Balk, sbalk@montefiore.org;
Susanne Tanski, susanne.e.tanski@hitchcock.org;
and Tahniat Syed, tss28@drexel.edu.
The 2006 Pediatric Tobacco Issues
Special Interest Group welcomes all those who are interested
an all aspects of tobacco as it impacts children: tobacco
cessation, parental tobacco cessation, second-hand smoke
exposure prevention, education and advocacy efforts. The
“CigSIG” provides an excellent opportunity for networking,
a platform for discussing hot topics and valuable resources
for policy/advocacy awareness and skill building.
This year, planned presentations
will include several approaches to pediatric tobacco issues,
including office efforts to promote smoking cessation and
second-hand smoke exposure reduction, tobacco-related
curricula in pediatric training programs and national efforts
in training Smoke Free Homes Champions. We will also have a
presentation from the Smoke Free Movies Campaign, as well as
new information from the domestic and international arenas
regarding media effects on teen smoking.
The meeting will also include
reports from SIG members regarding their research and advocacy
projects. New and old members, faculty and trainees are
welcome and encouraged to participate and share. Bring your
lunch for an early afternoon of presentations, lively
discussion and networking. See you in San Francisco.
12:00pm–1:00pm
2450A—Renal Pathology—Battle of the
Brains
ASPN Luncheon
Room 2007, Moscone West
Chairs: Patrick D. Walker, Nephropathology Associates,
Little Rock, AR; and Victoria F. Norwood, University of
Virginia Children's Medical Center, Charlottesville, VA
Target Audience: American Society
of Pediatric Nephrology members and trainees.
Interactive clinical renal
pathology conference for fellows and selected pediatric
nephrology and pathology faculty during which cases will be
presented for evaluation and spirited discussion. The
objectives are to stimulate interactions between fellows and
members of the society; encourage broad discussions of renal
pathology, pathophysiology and treatment conundrums; and
stimulate the development of potential research questions.
Space is limited.
-
Welcome on Behalf of ASPN
Victoria F. Norwood, University of Virginia Children's Medical Center,
Charlottesville, VA
-
Overview and Keys to the Game
Patrick D. Walker, Nephropathology Associates, Little Rock, AR
Sponsored jointly by
The NephCure Foundation and the American Society of Pediatric
Nephrology
12:00pm–3:00pm
2500—Advocacy Training Initiative—Part II
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles,
Los Angeles, CA; and Philip R. Nader, University of California
San Diego, La Jolla, CA
Target Audience: Pediatric
program directors and attendees interested in advocacy.
Building upon the Child Advocacy
Skills in Part I of the ATI Conference, Part II will now focus
on how to incorporate these skills into meaningful residency
curricular experiences. Pediatric residents are increasingly
committed to promoting child health in arenas other than the
pediatric exam room. Programs are being called upon to provide
structured curricular experiences for residents in child
advocacy, and these experiences may build upon existing
curricula in community pediatrics or be completely separate.
New avenues for partnerships between pediatric residency
programs and community agencies can occur as a result of child
advocacy rotations or projects. This part of the conference
will give participants new ideas for child advocacy training
experiences, address the how-tos on a shoestring budget, and
present ideas for evaluating your community/advocacy
curriculum.
Please join us for the Advocacy
Training SIG from 3:15-5:15pm immediately following the
Advocacy Training Initiative.
-
Welcome
Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
Philip R. Nader, University of
California San Diego, La Jolla, CA
-
Different Forms of Advocacy
Training Curricular Experiences
David M. Keller, University of Massachusetts Medical School, Worcester,
MA
-
Implementing a Required Child
Advocacy Rotation with No Budget
Sanjeev Kumar Sriram, University of California Los Angeles, Los
Angeles, CA
-
Evaluating Community/Advocacy
Educational Experiences
Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial
Hospital, Rochester, NY
-
Resident Poster Session
Sponsored jointly by
the APA Advocacy Training SIG, the AAP Community Pediatrics
Training Initiative and the Pediatric Academic Societies
12:00pm–3:00pm
2505—Embryonic Stem Cells: A Primer for
Clinicians
PAS Mini Course
Room 3014, Moscone West
Chair: Michael T. Longaker, Stanford University, Stanford,
CA
Embryonic stem cells offer
incredible promise for treating diseases affecting both
children and adults. This mini course will provide an overview
of stem cells and a basic understanding of how to derive human
embryonic stem cells, recent research and ethical
considerations. After attending this session, attendee will
have a better understanding of: 1) what are embryonic stem
cells; 2) how human embryonic stem cells are derived; 3)
recent progress in human embryonic stem cell research; 4)
ethical considerations in human embryonic stem cells.
-
Stem Cells: Embryonic, Adult and
Cancer
Michael T. Longaker, Stanford University, Stanford, CA
-
What It Takes Clinically To Get
an Embryonic Stem Cell
Linda C. Giudice, University of California, San Francisco, San
Francisco, CA
-
What Can You Do with an Embryonic
Stem Cell in Research
Renee Reijo Pera, University of California, San Francisco, San
Francisco, CA
-
Ethical and Oversight
Considerations in Human Embryonic Stem Cell Research
Hank Greely, Stanford University, Stanford, CA
-
Panel Discussion
Supported in part by
an unrestricted educational grant from Treuman Katz Center for
Pediatric Bioethics - Seattle Children's Hospital
12:00pm–3:00pm
2510—Inherited Disorders Caused by
Inappropriate Apoptosis
PAS Mini Course
Room 3010, Moscone West
Chairs: Cynthia J. Tifft, Children's National Medical
Center, Washington, DC; and Hans Andersson, Tulane University
Medical Center, New Orleans, LA
Target Audience: Pediatric
researchers interested in genetic basis of disease and
apoptosis.
This session will describe the
recent findings of the role of apoptosis in the pathogenesis
of genetic diseases. Inappropriate apoptosis and acquired
resistance to apoptosis are important mechanisms in some
genetic disorders and a better understanding of this role is
expected to lead to potential therapies.
Inappropriate apoptosis has been
implicated in the causation of several inherited disorders
with specific interest for pediatricians. The pathophysiology
of inherited neurodegenerative disorders have long eluded
explanation and recent studies suggest that storage of
abnormal compounds in lysosomes act as a trigger for
apoptosis. Additionally, nephropathic cystinosis has recently
been shown to be caused by inappropriate onset of apoptosis
caused by abnormal cystinylation. This session will provide a
clinical perspective on the role of apoptosis in genetic
disorders affecting the pediatric population.
-
Overview
Hans
C. Andersson, Tulane University Medical School, New
Orleans, LA
-
Microglial
Activation and Inflammation Precedes Apoptosis in Tay-Sachs
Disease
Cynthia
J. Tifft, Children's National Medical Center, Washington,
DC
-
Lysosomal
Cystine Enhances Apoptosis and Yields the Nephropathic
Cystinotic Phenotype
Jess
G. Thoene, Tulane University School of Medicine, New
Orleans, LA
-
Niemann
Pick Disease, Type C: Glycolipid Gridlock and Apoptosis
Marc
C. Patterson, Columbia University Medical Center, New
York, NY
- Role of GM1-Ganglioside
in ER-and Mitochondrial-Mediated Neuronal Apoptosis
Alessandra
D'Azzo, St. Jude Children’s Research Hospital, Memphis,
TN
-
Discussion
12:00pm–3:00pm
2515—New Insights into the Pathogenesis and
Treatment of Asthma
PAS Mini Course
Room 3012, Moscone West
Chair: Ellen F. Crain, Albert Einstein College of Medicine,
Jacobi Medical Center, Bronx, NY
Target Audience: General
pediatricians, pulmonary medicine, genetics and allergists.
This mini course will highlight
new advances and developments in our understanding of
pediatric asthma and its treatment. Leading investigators will
present new information on the pharmacogenomics of asthma, the
roles of early environmental factors in the development of
asthma, advances in drug therapy, understanding of mechanisms
underlying the pathophysiology of asthma and insights into the
application of these advances to the care of children with
asthma.
-
Role of Pharmacogenomics in
Asthma Management
Michael Ephraim Wechsler, Harvard Medical School, Brigham and Women's
Hospital, Boston, MA
-
Early Environmental Factors in
the Development of Asthma
Fernando D. Martinez, Arizona Respiratory Center, The University of
Arizona, Tucson, AZ
-
Advances in Drug Treatment of
Asthma
Stanley J. Szefler, National Jewish Medical and Research Center,
University of Colorado Health Sciences Center, Denver, CO
-
Pathophysiology of Childhood
Asthma: Search for Mechanisms
Giuseppe N. Colasurdo, University of Texas-Houston Medical School,
Houston, TX
-
Epidemiology and Outcomes in
Asthma
Peter J. Gergen, National Institute of Allergy and Infectious Diseases
(NIAID), Bethesda, MD
12:00pm–3:00pm
2520—Pediatric Assessment of Sexual Abuse:
State of the Science 2006
PAS Mini Course
Room 3011, Moscone West
Chair: Vince Palusci, Wayne State University School of
Medicine, Hospital of Michigan, Detroit, MI
This three-hour mini course will
address the medical evaluation of child sexual abuse in the
pediatric setting. The topics that will be addressed are:
– Physical sequelae of sexual
abuse: What’s new and how has the literature of the past 10
years shaped this field.
– Medical conditions that mimic sexual abuse: What a
clinician must know about anogenital medical conditions and
congenital findings.
– Sexually transmitted diseases in children: Beyond
cultures, DNA amplification techniques in children and the
newest recommendations for HIV post assault prophylaxis will
be presented.
-
Overview
Vincent J. Palusci, Wayne State University School of Medicine, Hospital
of Michigan, Detroit, MI
-
Interpretation of Medical
Findings in Suspected Child Sexual Abuse: Update 2006
Joyce Adams, University of California San Diego Medical Center, San
Diego, CA
-
Mimics of Sexual Abuse
Lori Frasier, University of Utah School of Medicine, Salt Lake City UT
-
Sexually Transmitted Diseases in
Children: Beyond Cultures, DNA Amplification Technology
Nancy Denny Kellogg, University of Texas San Antonio, San Antonio, TX
12:00pm–3:00pm
2525—Psychopharmacology for the Young
Adolescent
PAS/SAM Mini Course
Room 2004, Moscone West
Chair: Donald E. Greydanus, Michigan State University
College of Human Medicine, Kalamazoo, MI
Target Audience: General
pediatricians in practice, clinical adolescent medicine
specialists and researchers in adolescent medicine.
This 3-hour mini course will
present current concepts on the use of psychopharmacologic
agents for young adolescents with ADHD, depression and
psychosis. The session begins with a discussion of the biology
of puberty and the changes that occur in the central nervous
system as the child becomes an adolescent. Recent research on
the teenage brain will be considered, including the
biological, psychological and social changes that puberty
induces. This vision of a deeper sense of puberty will set the
stage for the status of current psychopharmacologic agents
used to manage key mental health disorders in this child, now
turned teenager. Medications reviewed will include stimulants,
antidepressants and atypical antipsychotics.
-
Overview
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
-
The Biology of Puberty
Bernard JM Stier, Kinder-und Jugendarzt, Butzbach, Germany
-
Stimulants in Adolescents
Glen R. Elliott, The Children's Center at Langley Porter, University of
California, San Francisco, CA
-
Antidepressants in Adolescents
Susan M. Smiga, The Children's Center at Langley Porter, University of
California, San Francisco, CA
-
Atypical Antipsychotics
Chris K. Varley, University of Washington School of Medicine,
Children's Hospital and Regional Medical Center, Seattle,
WA
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
12:00pm–3:00pm
2530—Underserved Populations Research
PAS Mini Course
Room 2008, Moscone West
Chairs: Peter Sherman, St. Barnabas Hospital, Bronx, NY;
and Wendy Hobson-Rohrer, University of Utah, Salt Lake City,
UT
Target Audience:
Interns/residents and faculty mentors interested in
doing/teaching research with underserved populations.
Given the unmet health needs of
underserved children, it is important that physicians be
provided with the skills needed to engage in research in this
arena. This mini course will provide a framework for inspiring
clinicians to do research with underserved children as well as
teach pertinent skills. The goals of the workshop are to: 1)
generate interest in pursuing research with underserved
populations; 2) outline why research in this area is important
and discuss research priorities; 3) introduce ethical and
effective methods, e.g., community outreach, gaining community
trust and ensuring that your research is of benefit to the
community, and not just your CV, working with community-based
organizations; 4) outline effective research methodologies
used in this field (e.g., pilot studies, needs assessments,
focus groups, focused interviews, outcomes research); 5)
discuss non-financial resources such as organizations and
mentors; 6) discuss financial resources for this type of work,
e.g. CATCH grants.
-
Overview
Peter Sherman, St. Barnabas Hospital, Bronx, NY
-
Effective Research Techniques in
Underserved Populations
David H. Rubin, St. Barnabas Hospital, Bronx, NY
-
Working with the Community
Glenn Flores, Center for the Advancement of Underserved Children,
Medical College of Wisconsin and Children's Research
Institute, Milwaukee, WI
-
Underserved
Pediatrics Populations Research: Where Do We Go From Here?
Iman
Sharif, Children's Hospital at
Montefiore, Bronx, NY
-
Discussion
12:30pm–2:30pm
2540—Neonatal Infections
PAS Platform Session
Room 3003-3005, Moscone West
Chairs: Henrietta S. Bada and Jill E. Baley
12:30pm–2:30pm
2545—Public Health and Prevention I
PAS Platform Session
Room 2002, Moscone West
Chairs: Louis M. Bell and Craig Garfield
12:45pm–2:45pm
2550A—Challenges in Neonatal Care:
Coagulation Disturbances, IVH and Bleeding Control
ASPHO Industry Sponsored Symposium
Yerba Buena Gardens Salon 8, SF Marriott
Chair: Lu-Ann Papile, University of New Mexico Children’s
Hospital, Albuquerque, NM
Premature infants are at high
risk for cerebral hemorrhage because of their fragile cerebral
vasculature and their compromised ability to self-regulate
cerebrovascular responses. This symposium will review the
hematology of neonates and will discuss the pathophysiology of
and treatment options for intraventricular hemorrhage and
other hemorrhagic conditions in neonates.
Supported by a grant
from Novo Nordisk Pharmaceuticals, Inc.
12:45pm–2:45pm
2551A—Advances in the Diagnosis and
Management of Patients with Hematologic Disorders
ASPHO Industry Sponsored Symposium
Yerba Buena Gardens Salon 9, SF Marriott
Chair: Elliot Vichinsky, Chief, Department of Hematology
& Oncology, Children’s Hospital and Research Center,
Oakland, CA
Emerging data on the treatment of
pediatric anemias continue to mature and evolve. In this
symposium, distinguished faculty will review considerations
for management of patients with pediatric anemias, and help
increase physicians’ awareness of current and future
treatment options for these patients and their applications in
the field of pediatric hematology.
The benefits of transfusion
therapy as supportive care for patients with thalassemia,
sickle cell disease, and other transfusion-dependent disorders
are well established, both for improving quality of life and
prolonging survival. However, these benefits are often limited
by the accumulation of iron in the body.
Transfusion-associated iron overload negatively impacts the
function of the liver, heart, and endocrine organs, resulting
in increased morbidity and mortality. Although treatments for
iron overload can be highly effective, their use can be
limited by difficulty of administration and poor compliance.
Thus, effective, more convenient iron chelation therapy is a
growing need.
Supported by a grant
from Novartis Oncology
1:00pm–3:00pm
2600—Update on Treatment Options for Acute
Otitis Media
PAS/PIDS Hot Topic
Room 2009, Moscone West
Chairs: Tasnee Chonmaitree, University of Texas Medical
Branch, Galveston, TX; and Jerome O. Klein, Boston University
School of Medicine, Boston, MA
Target Audience: Pediatricians,
pediatric infectious disease specialists and anyone treating
otitis media in children.
Otitis media is the most common
disease seen in pediatric practice and the main reason for
antibiotic prescriptions for children. The practice guidelines
from the American Academy of Pediatrics (AAP) and the American
Academy of Family Physicians (AAFP) provided an option for
management of non-severe acute otitis media (AOM) with
observation rather than antibiotic treatment. While these
guidelines start to affect practice management of AOM, many
issues on treatment are still unresolved.
The symposium will address
important issues regarding the updated treatment of AOM: 1)
analyze the guideline recommendations and antibiotic choices;
2) present results on watchful waiting studies that came out
after the guidelines and how to select non-severe AOM cases;
3) answer the questions on whether symptomatic drugs and
adjunctive treatment should be used in place of antibiotics;
4) discuss whether withholding antibiotics affects recurrence
of the disease.
-
AOM Treatment: Making Sense of
the AAP/AAFP Guidelines
Jerome O. Klein, Boston University School of Medicine, Boston, MA
-
Watchful Waiting in Non-severe
AOM: How To Select Cases, and Does It Work in Young
Children?
David P. McCormick, University of Texas Medical Branch at Galveston,
Galveston, TX
-
Antihistamine and
Corticosteroids: Do They Have Any Role in AOM Treatment?
Tasnee Chonmaitree, University of Texas Medical Branch, Galveston, TX
-
Recurrent AOM—Is It Influenced
by Antibiotics?
Ron Dagan, Soroka University Medical Center, Beer Sheva, Israel
-
Discussion
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
1:00pm–3:00pm
2610—Genetics and Epigenetics of Neonatal
Disease
PAS Platform Session
Room 3022, Moscone West
Chairs: Aaron Hamvas and Jeffrey C. Murray
1:00pm–3:00pm
2615—Injury Prevention I
PAS Platform Session
Room 2006, Moscone West
Chairs: Elizabeth A. Edgerton-Gabriele and Robert J. Vinci
1:00pm–3:00pm
2620—Neonatal Hematology–Immunology
PAS Poster Symposium
Room 3024, Moscone West
Chairs: Michael P. Sherman and Eric J. Werner
1:00pm–3:00pm
2625—Nephrology I
PAS/ASPN Platform Session
Room 2003-2005, Moscone West
Chairs: Patrick D. Brophy and Deepa H. Chand
Includes:
-
ASPN Basic Research Trainee
Award: Deletion of FGFR2 from the Metanephric Mesenchyme
Results in Ectopic Ureteric Bud Induction
David Sullivan Hains, Children's Hospital, Columbus, OH
-
ASPN Clinical Research Trainee
Award: Prevalence of the Stages of Hypertension (HTN) in
Adolescents
Karen L McNiece, University of Texas-Houston Medical School, Houston,
TX
1:00pm–3:00pm
2630—Neurology
PAS Platform Session
Room 3020, Moscone West
Chairs: Anne M. Comi and Yvonne W. Wu
1:00pm–3:00pm
2635—Respiratory Mechanics at the
Bedside—NICU
PAS Platform Session
Room 3002-3008, Moscone West
Chairs: Robert E. Fleming and Howard W. Kilbride
1:30pm–3:30pm
2670A—Controversies in Care in Pediatric
Endocrinology—The Great Debates
LWPES Workshop
Room 3001, Moscone West
Chairs: William Clarke, University of Virginia,
Charlottesville, VA; and Henry Anhalt, St. Barnabas Medical
Center, Livingston, NJ
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine specialists.
The attendee will be part of a
lively debate on a number of areas of controversy in pediatric
state-of-the-art diabetes management.
-
Is Primary Prevention of Type 1
Diabetes Possible?
-
Pro—Desmond A. Schatz, University of Florida, Gainesville, FL
-
Con—Dorothy J. Becker, Children's Hospital of Pittsburgh, Pittsburgh, PA
-
Should Glucose Sensors Be
Routinely Used?
-
Pro—Stuart Alan Weinzimer, Yale School of Medicine, New Haven, CT
-
Con—Darrell M. Wilson, Stanford University Medical Center, Stanford, CA
-
Should Metformin Be Used To Treat
Pediatric Patients with Insulin Resistance?
-
Pro—Michael S. Freemark, Duke University Medical Center, Durham, NC
-
Con—Philip Scott Zeitler, University of Colorado at Denver and Health
Sciences Center, Denver, CO
1:30pm–3:30pm
2675A—Controversies in the Management of
Non-classical Congenital Adrenal Hyperplasia
LWPES Workshop
Room 3000, Moscone West
Chairs: Perrin White, University of Texas Southwestern
Medical Center, Dallas, TX; and Ieuan Hughes, University of
Cambridge, Cambridge, UK
Target Audience: Neonatologists,
endocrinologists, generalists and adolescent medicine
specialists.
Non-classical adrenal hyperplasia
(NCAH) occurs more commonly than does the classical form and
may masquerade as hirsutism, acne and menstrual cycle
dysfunction. NCAH must be considered in the differential
diagnosis of these relatively common conditions. The diagnosis
of NCAH is being made more frequently today as a result of
greater access to genotyping available through many commercial
laboratories. Once the diagnosis is made, however, the
controversies begin. Who should have stress-dose
glucocorticoids and who should have prenatal screening are
some of the controversial issues.
-
Glucocorticoid Coverage and
Treatment in Non-classical Adrenal Hyperplasia
Mitchell E. Geffner, Children's Hospital Los Angeles, Los Angeles, CA
-
Role or No Role of Prenatal
Diagnosis and Newborn Screening in Non-classical Adrenal
Hyperplasia
Patricia A. Donohoue, The Children's Hospital of Iowa at the University
of Iowa Hospitals and Clinics, Iowa City, IA
-
Fertility in Patients with
Non-classical Adrenal Hyperplasia
Marcelle Cedars, University of California-San Francisco, San Francisco,
CA
2:15pm–5:15pm
2700—Educating Pediatric Fellows in a
Competency-Based World
PAS/APPD Mini Course
Room 2007, Moscone West
Chairs: Susan Guralnick, Stony Brook University Medical
Center, Stony Brook, NY; and Joseph Gilhooly, Oregon Health
and Science University, Portland, OR
Target Audience: Attendees
involved with fellowship programs.
Competency-based education is now
the standard for residency education. Residency programs have
integrated the ACGME Core Competencies into their curricula
and assessment methods. It is now time for fellowships to
enter the “competency” arena, and there is much to be
accomplished. This program will focus on several areas of
fellowship education including: the new RRC common
requirements for subspecialty training, development of a
competency-based fellowship curriculum, competency-based
assessment tools, and pediatric subspecialty fellows as
teachers. Attendees are encouraged to bring tools and ideas
for discussion and development. Attendees should leave with
useful materials to bring back to their home programs.
-
Overview
Susan Guralnick, Stony Brook University Medical Center, Stony Brook, NY
Joseph Gilhooly, Oregon Health
& Science University, Portland, OR
-
A Brave New World! New Common
Requirements for Subspecialty Training—Implementing the
Competencies
Carol Carraccio, Professor of Pediatrics and Associate Chair for
Education, University of Maryland School of Medicine,
Baltimore, MD
-
"Survivor ACGME"—Fellowship
Competencies in Action
Joseph Gilhooly, Oregon Health & Science University, Portland, OR
John D. Mahan, Children’s
Hospital, The Ohio State University, Columbus, OH
-
Turning to Fellows as Teachers:
From Curricula to Evaluation
Nancy D. Spector, St. Christopher's Hospital for Children,
Philadelphia, PA
Susan Guralnick, Stony Brook
University Medical Center, Stony Brook, NY
Sponsored jointly by
the Association of Pediatric Program Directors and the
Pediatric Academic Societies
Supported by an
unrestricted educational grant from Dey, L.P.
2:15pm–5:15pm
2705—Vitamin D: More Than Just Calcium and
Bone
PAS/LWPES Mini Course
Room 3007-3009, Moscone West
Chairs: Catherine M. Gordon, Children's Hospital of Boston,
Boston, MA; and Linda A. DiMeglio, Indiana University,
Indianapolis, IN
Target Audience: General
pediatricians, gastroenterologists, endocrinologists and
hematologists/oncologists.
The understanding of the role of
vitamin D in health and illness is becoming more complex. Both
skeletal and extra-skeletal actions have been described, and
vitamin D analogs are being explored for their anti-proliferative
effects. The attendee will gain both clinically relevant
epidemiological knowledge as well as review the calcemic and
non-calcemic actions of Vitamin D.
-
What Is the Evidence for Vitamin
D Deficiency in Children?
Frank R. Greer, University of Wisconsin, Madison, WI
-
Vitamin D and Extra-Skeletal
Actions in Health
Michael F. Holick, Boston University School of Medicine, Boston, MA
-
Non-calcemic Actions of Vitamin D
Receptor Ligands
Sunil Nagpal, Women's Health & Musculoskeletal Biology,
Collegeville PA
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
3:00pm–5:00pm
2710A—Hematopoietic Cell
Transplantation—An Update
ASPHO Symposium
Room 3016-3018, Moscone West
Chairs: Jakub Tolar and K. Scott Baker, University of
Minnesota, Minneapolis, MN
The program will begin with a
review of unrelated umbilical cord blood transplantation, now
a common practice in the treatment of pediatric malignancies.
The program will follow with a presentation of the most recent
data on reduced intensity hematopoietic cell transplantation
for treatment of malignant and non-malignant diseases in
children. The symposium will conclude with an overview of
immune implications of mesenchymal stem cell infusion,
including their use for graft versus host disease prophylaxis
and treatment. Cellular therapy has yielded notable successes
in the past decade and holds considerable promise, and one
should walk away from the session with a realistic overview of
the possibilities and limitations of cellular therapy for
childhood cancer.
After attending this session, it
is expected that the learner will be able to:
1. Identify efficacious cellular
therapy approaches.
2. Recognize the limitations of cellular therapy for childhood
cancer.
-
Introduction
Jakub Tolar, University of Minnesota, Minneapolis, MN
-
Umbilical Cord Blood
Transplantation: Current Practice and Future Innovations
John E. Wagner, University of Minnesota Medical School, Minneapolis, MN
-
Non-myeloablative Hematopoietic
Cell Transplantation in Children
Morris Kletzel, Northwestern University Feinberg School of Medicine,
Chicago, IL
-
Immunobiology of Mesenchymal Stem
Cells
Katarina Le Blanc, Karolinska University, Stockholm, Sweden
-
Question and Answer Session
3:15pm–5:15pm
2720—Advances in Autism: One Step Forward
and One Step Back
PAS Topic Symposium
Room 3020, Moscone West
Chairs: Catherine E. Lord and Faye S. Silverstein,
University of Michigan, Ann Arbor, MI
Target Audience: Pediatricians
and other physicians and professionals who see children and
adolescents within their practices and researchers interested
in general summaries of the most recent advances in scientific
approaches to autism.
Dr. Lord is a developmental
psychologist with clinical and research expertise in the
diagnosis and treatment of autism spectrum disorders (ASD).
She chaired the National Academy of Science’s Early
Intervention in Autism Committee. She is best known for her
longitudinal studies of children and adults with autism and
the development of the standard autism diagnostic measures.
She has recruited a group of researchers with expertise
ranging from epidemiology to innovative clinical projects for
this symposium. The speakers will present recent findings and
discuss advances and controversies from a variety of fields
relevant to ASD and pediatrics. New prevalence studies from
the United States and other countries, epidemiological studies
of autism and vaccine use and current medical treatments will
be discussed, as well as practical ways of working with
parents interested in alternative therapies and skeptical
about conventional medicine. The role of early screening and
identification of ASD in infants and toddlers will be raised,
with particular attention to the ethics of research and
practice in this area. A summary of genetic findings will be
integrated with a discussion of methods of diagnosis and the
most recent empirically based studies of behavioral and
educational treatments.
-
Back from Diagnosis to Genetics;
Forward from Diagnosis to Behavioral and Educational
Programming
Catherine E. Lord, University of Michigan, Ann Arbor, MI
-
Screening and Early
Identification
Lonnie Zwaigenbaum, McMaster University, Hamilton, ON, Canada
-
Changes in Prevalence, Demands
for Treatment and What's a Pediatrician To Do?
Susan E. Levy, Children's Hospital of Philadelphia, Philadelphia, PA
-
Eating (and Not Eating) and
Sleeping (and Not Sleeping)
Susan Hyman, University of Rochester, Rochester, NY
-
Discussion
Sponsored jointly by
the Child Neurology Society and the Pediatric Academic
Societies
3:15pm–5:15pm
2725—Integrating Genetic Susceptibility and
Environmental Influences in Pediatric Research
PAS Topic Symposium
Room 2008, Moscone West
Chair: Bruce P. Lanphear, Cincinnati Children's
Environmental Health Center, Cincinnati Children’s Hospital
Medical Center, Cincinnati, OH
Target Audience: A broad
pediatric audience with the goal of promoting
interdisciplinary understanding and greater integration of
genetic and environmental research.
Asthma, preterm birth, ADHD and
other prevalent pediatric conditions are widely recognized to
result from interactions of environmental influences and
genetic susceptibility. Tremendous progress has been made in
measuring both environmental and genetic risk factors.
Increasingly, researchers are moving beyond ecological methods
(e.g., questionnaires, air monitoring) to directly measure in
humans hundreds of environmental chemicals, from nicotine to
metals to DDT and phthalates. Similarly, unprecedented
innovation has led rapidly to high-throughput methods that
assess DNA variation across large cohorts. New
interdisciplinary collaborations that integrate state of the
art approaches to both environmental and genetic influences
should greatly improve our ability to predict and prevent
disease and disability. Such studies will be critical for
understanding mechanistic pathways, defining susceptible
subpopulations and developing effective interventions. This
session will provide an overview of gene–environment
research, describe recent advances in biomarkers of
environmental exposure and review new methods for measuring
genetic variability.
-
Gene–Environment Interaction in
Common Pediatric Conditions: Conceptual Overview and
Recent Evidence
Robert S. Kahn, Cincinnati Children’s Hospital Medical Center,
University of Cincinnati College of Medicine, Cincinnati,
OH
-
Advances in Biomarkers of
Environmental Exposure in Pediatric Research
Bruce P. Lanphear, Cincinnati Children's Environmental Health Center,
Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
-
Measuring Genetic Susceptibility
to the Environment: Study Designs and Genotyping Methods
Robert O. Wright, Harvard Children's Environmental Health Center,
Boston Children's Hospital and the Harvard School of
Public Health, Boston, MA
3:15pm–5:15pm
2730—Mechanisms of Hypertension in the
Molecular Era
PAS/ASPN/IPHA/LWPES Topic Symposium
Room 2003-2005, Moscone West
Chairs: Bruce Z. Morgenstern, Phoenix Children's Hospital,
Phoenix, AZ; and Julie R. Ingelfinger, Massachusetts General
Hospital, Boston, MA
Target Audience: General
pediatricians, nephrologists, endocrinologists and
neonatologists.
Our understanding of the
pathophysiology of hypertension has been changing rapidly due
to advances in molecular genetics, most notably the
identification of several single-gene defects that cause
hypertension. This session will update participants on the
latest advances in our knowledge of molecular mechanisms of a
variety of forms of hypertension.
-
Role of Dopamine Receptors
Pedro A. Jose, Georgetown University Medical Center, Washington, DC
-
Perinatal Programming and the
Development of Hypertension
Lori Woods, Oregon Health & Science University, Portland, OR
-
Low Renin Hypertension in
Childhood
Maria I. New, Mount Sinai School of Medicine, New York, NY
-
WNK Kinases and Blood Pressure
Regulation
Richard Lifton, Yale University School of Medicine, New Haven, CT
Sponsored jointly by
the American Society of Pediatric Nephrology, the
International Pediatric Hypertension Association, the Lawson
Wilkins Pediatric Endocrine Society and the Pediatric Academic
Societies
3:15pm–5:15pm
2735—Update on Therapeutic Monoclonal
Antibodies
PAS Topic Symposium
Room 3014, Moscone West
Chair: E. Richard Stiehm, UCLA School of Medicine, Los
Angeles, CA
Target Audience: Immunologists,
rheumatologists, hematologists, oncologists and general
pediatricians.
The first talk will be an
overview of the various therapeutic monoclonals and some
general principles of their use. Then a discussion of
Rituximab in refractory immune cytopenias and other disorders
will be presented. Then the use of anti-tumor necrosis factor
treatment including infliximab and adalimumab (Ramicade and
Humira) for rheumatic diseases in children. The final talk
will discuss the adverse effects of these therapies and some
projections for the future. Discussion will be held after each
presentation.
-
Overview
E. Richard Stiehm, Mattel Children's Hospital at UCLA, Los Angeles, CA
-
Use of Anti-CD20 (Rituximab) in
Hematology and Autoimmunity
James B. Bussel, New York Hospital, Cornell Medical Center, New York,
NY
-
Use of Anti-TNF and Other
Cytokine Inhibitors in Rheumatology and Related Illnesses
Christy Irene Sandborg, Stanford University Medical Center, Stanford,
CA
-
The Downside and Future of
Monoclonal Antibody Therapy
Susan Lee, University of California, San Diego, CA
3:15pm–5:15pm
2740—Use of Ultrasound in the Pediatric
Acute Care Setting
PAS Topic Symposium
Room 2006, Moscone West
Chairs: Dee Hodge III, St. Louis Children's Hospital and
Washington University School of Medicine, St. Louis, MO; and
Mary A. Hegenbarth, Children's Mercy Hospitals and Clinics,
University of Missouri-Kansas City School or Medicine, Kansas
City, MO
Target Audience: Pediatric
emergency medicine physicians, academic generalists and
pediatric radiologists.
Ultrasonography is a noninvasive,
portable form of imaging with many applications in pediatric
and emergency practice. It is an established part of the
curriculum of the training of physicians in emergency medicine
residency programs and integrated in day-to-day practice.
However, the use of ultrasound performed by pediatricians and
pediatric emergency medicine physicians in settings such as
the emergency department is controversial and remains a hot
topic at many centers. The primary issues of controversy
include training, credentialing, billing, costs and
applications. This session will explore these issues through
an introduction by the moderator followed by three
presentations and audience discussion.
-
An Introduction to Ultrasound in
the Pediatric Acute Care Setting
Dee Hodge, St. Louis Children's Hospital and Washington University
School of Medicine, St. Louis, MO
-
Training
Ann Dietrich, Children's Hospital, Ohio State University, Columbus, OH
-
Potential Applications of Bedside
Ultrasonography in the Pediatric Acute Care Setting
Jay K. Pershad, University of Tennessee Health Sciences Center &
LeBonheur Children's Medical Center, Memphis, TN
-
Obtaining Privileges in Limited
Bedside Ultrasound
Mary A. Hegenbarth, Children's Mercy Hospitals and Clinics, University
of Missouri-Kansas City School of Medicine, Kansas City,
MO
-
Discussion
3:15pm–5:15pm
2745—Asthma: Improving Care and Outcomes
PAS Poster Symposium
Room 3012, Moscone West
Chairs: Craig M. Schramm and Stanley J. Szefler
3:15pm–5:15pm
2747—Immunization Delivery
PAS Poster Symposium
Room 2002, Moscone West
Chairs: Sarah J. Clark and Jeanne Santoli
3:15pm–5:15pm
2749—Medical Education
PAS Platform Session
Room 2009, Moscone West
Chairs: Robyn J. Blair and William V. Raszka
Includes:
3:15pm–5:15pm
2751—Neonatal Fetal Nutrition and
Metabolism I
PAS Platform Session
Room 3022, Moscone West
Chairs: David H. Adamkin and Ronnie Guillet
3:15pm–5:15pm
2753—Neonatal Infectious Diseases
PAS/PIDS Poster Symposium
Room 3003-3005, Moscone West
Chairs: Deborah A. Lewinsohn and John V. Williams
3:15pm–5:15pm
2755—Neonatal Medicine: Clinical Trials I
PAS Platform Session
Room 3002-3008, Moscone West
Chairs: Namasivayam Ambalavanan and Reese H. Clark
3:15pm–5:15pm
2757—Nutrition and Behavior
PAS Poster Symposium
Room 3024, Moscone West
Chairs: Conrad R. Cole and Timothy A. Sentongo
3:15pm–5:15pm
2760—Designing a Longitudinal Curriculum in
Evidence-Based Medicine for Large Residency Programs
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Srinivasan Suresh, Detroit, MI; Co-leaders: Anne
Mortensen, Misa Mi, Munirah Curtis, Renato Roxas, Joshua
Evans, Kate Sheppard, Lakshmi Srinivasan, Deepak Kamat
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
Evidence-based medicine (EBM) is
a complementary approach to clinical practice that applies the
principles of clinical epidemiology to the traditional skills
of patient care. A longitudinal curriculum is vital in
inculcating this concept in medical students, residents and
fellows.
This workshop will enable
participants to effectively design an EBM curriculum to
trainees. The workshop leaders currently perform this activity
in a large residency program of about 100 residents. The
logistics of ensuring that all residents are exposed to the
spectrum of EBM, given their other responsibilities, will be
explained. Means of incorporating continual feedback in the
curriculum to achieve best clinical practices will also be
demonstrated.
Objectives:
– Ability to develop formal
clinical questions based on patient encounters
– Ability to develop skills in finding evidence based
medical literature
– Ability to explain the EBM process to peers and trainees
– Acquire the operational skills necessary to
institute/improve an EBM curriculum
Format: (1) Interactive
Discussion, (2) hands-on, real-time demonstration of
literature search strategies using Personal Digital Assistants
(PDA), and (3) problem solving, applying common clinical
vignettes.
3:15pm–5:15pm
2762—How To Evaluate Medical Literature
PAS Educational Workshop
Golden Gate Hall B3, SF Marriott
Leader: William King, Birmingham, AL
Target Audience: Trainees,
fellows, junior faculty, and other health care professionals.
How to Evaluate the Medical
Literature. All scientific work must be subjected to rigorous
critical appraisal. Although peer review precedes most
published medical reports, significant methodological flaws
survive the peer review process. Thus, the ultimate evaluation
and judgment of the quality of published reports remains with
the reader. This workshop will introduce the importance of
developing critical appraisal skill, discuss important
concepts related to manuscript and journal quality, identify
six potential problem areas in a study's methodology, review
and apply up to four quantifiable evaluation instruments,
assign quality scores to a journal article using one of the
instruments, discuss the elements of a good review and apply a
review quality instrument to rate the participant's review of
a journal article.
Objectives:
– Understand the importance of
developing critical appraisal skills.
– Understand the following concepts: quality filtering, peer
review, publication bias, journal quality indicators, CONSORT,
RQI.
– Identify and apply up to 4 evaluation instruments for
evaluating journal articles.
– Identify and apply a review quality instrument.
Format: Introductory lecture and
discussion, followed by the participant's application of an
evaluation instrument, participant quality scoring of a
published article and scoring of the critical review provided
by the participant (using a review quality instrument).
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
3:15pm–5:15pm
2763—New Approaches in Stem Cell Technology
PAS Educational Workshop
Golden Gate Hall A1, SF Marriott
Leader: Kathleen Sakamoto, Los Angeles, CA; Co-leaders: Ed
Horwitz, Harley Kornblum, and Punam Malik
Recent advances in molecular and
cellular techniques have provided new approaches to studying
the role of gene function in a variety of cell types,
including stem cells. It is critical for pediatricians and
pediatric subspecialists to understand the basis and use of
these emerging technologies. This workshop will provide an
overview of new methods that are currently being used to study
stem cells. The topics include RNA interference (RNAi),
isolation and purification of stem cells, gene expression
profiling, and gene therapy. Upon completion of this workshop,
participants will be able to describe (a) uses of RNAi in stem
cells, (b) approaches to isolate and purify mesenchymal stem
cells, (c) characterization of neural stem cells using
expression profiling, and (d) applications of gene therapy and
stem cells.
3:15pm–5:15pm
2764—Pediatric Overweight: Bringing It Home
PAS Educational Workshop
Golden Gate Hall A2, SF Marriott
Leader: Joan Griffith, Lexington, KY; Co-leaders: Starr
Gantz and Aaron Beighle
Target Audience: Junior,
mid-level and senior faculty and community practitioners.
Increased awareness of the danger
of physical inactivity and overweight has not appeared to
reverse the pediatric overweight epidemic. This workshop will
provide an overview of pediatric overweight, discuss the
demographics and third-party reimbursement rates of a central
Kentucky university-based initiative, utilize data from a
research study to initiate a roundtable discussion on an
approach to pediatric overweight, identify simple ways to
implement the 2005 Dietary Guidelines for managing overweight
children and demonstrate ways to motivate children/parents to
become more physically active.
Objectives:
– Develop a positive approach
toward managing pediatric overweight.
– Discuss the 2005 Dietary Guidelines for overweight
children.
– Demonstrate methods for increasing participation in
physical activity.
Format: 1, Review data from the
first year of a university-based pediatric weight management
clinic and research study; 2, case presentations; 3,
demonstration of motivational approach for increasing physical
activity in children/parent; 4, roundtable discussion; and 5,
question-and-answer session.
3:15pm–5:15pm
2766—Personal Health Records (PHRs) and
Personal Digital Assistants (PDAs): A Hands-on Demonstration
To Promote Family-Centered Care
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: Donna Ettel, Saint Petersburg, FL; Co-leader: Lisa
Simpson
Target Audience: Junior faculty,
mid-level faculty, and community practitioners.
There is a great deal of interest
within both the public and private sectors in encouraging all
health care providers to migrate from paper-based health
records to a system that stores health information
electronically and employs computer-aided decision support
systems.
This workshop provides an
opportunity for participants to: (1) increase their
understanding of the clinical benefits of the application of
HIT platforms into the provider settings with an emphasis on
the role of family controlled PHRs and (2) navigate examples
of PHR's and e-prescribing models with online data sharing and
interoperability models. It will also provide the opportunity
for a discussion on lessons learned.
Objectives:
– Provide an overview of
information technology diffusion into health provider settings
in general, with emphasis on personal digital assistants and
personal health records including provider names, medications,
treatments and immunization records.
– Provide participants an opportunity to access an example
of an electronic personal health record from the patient and
physician portals.
– Provide participants an opportunity to navigate through an
online survey of the identified data that will assess the home
environment, family health history and insurance coverage.
– Providing participants an opportunity to navigate through
a wireless system (PDA) to fully access instant, current and
accurate prescription histories and decision support including
vital patient specific pharmacological information.
Format: (1) Power point
presentation (overview); (2) hands on workshop with hands on
computer navigation, (3) round table discussion, and (4)
question and answer.
3:15pm–5:15pm
2767—How Do I Incorporate Proteomics
Technology Into My Research?
PAS Educational Workshop
Golden Gate Hall A3, SF Marriott
Leader: Anne Murphy, Johns Hopkins University School of
Medicine, Baltimore, MD; and Co-leader: James Schilling,
Stanford University School of Medicine, Stanford, CA
Laboratory scientists,
physician-scientists and trainees as well as clinical
scientists interested in disease biomarkers.
Proteomics is a technology driven
field. Many investigators not currently employing these
technologies would love to incorporate them into their
research. This workshop will address some strategies for
investigators contemplating the use of the gel,
mass-spectrometry, and array based approaches. Discussions of
strategies to choose technologies to match the question,
strategies for assessing post-translational modifications, and
how to best work with a core facility will be addressed. The
workshop attendees should emerge with an understanding of the
strengths and weaknesses of various broad-based proteomic
technologies. This will permit them to match techniques with
an experimental question and to maximize interactions with
core facilities already in place within their institutions.
-
Approaches To Analyze The
Phosphoproteome
Anne M. Murphy, Johns Hopkins University School of Medicine, Baltimore,
MD
-
Overview Of Approaches
David R. Graham, Johns Hopkins University-Bayview Campus, Baltimore, MD
-
Sample preparation
James Malone, Washington University School of Medicine, St. Louis, MO
-
Mass Tagging Approaches to
Biomarker Discovery
K.W. Michael Siu, Centre for Research in Mass Spectrometry, York
University, Toronto, Ontario Canada
-
Statistics and Data Analysis
Robert Tibshirani, Stanford University, Stanford, CA
Supported in part by
an unrestricted educational grant from Applied Biosystems and
GE Healthcare
3:15pm–5:15pm
2768—So You Want To Do International
Research?
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: Linda Wright, Rockville, MD; Co-leaders: Jose
Belizan, Waldemar Carlo, Jeanne McDermott, Elizabeth McClure
and Cyril Engmann
Target Audience: Trainees,
fellows, junior faculty, and mid-level faculty.
Almost all (99%) of maternal and
infant deaths worldwide occur in low and middle-income
countries. Conducting research in these countries has many
rewards and challenges, which are often daunting for
investigators trying to apply for NIH support. This workshop
will describe the process of applying for research support
from NIH, how review is done and funding decisions made, how
to enhance the likelihood of success and NIH's priorities for
research. We will also discuss the design and conduct of
studies in these settings, how to identify appropriate partner
countries and collaborate with local investigators and
government organizations as well as how to address three
important areas for international research, strengthening
local research capacity, scaling up proven interventions, and
facilitating sustainability.
Objectives:
– To increase participants
understanding of issues related to the design and
implementation of clinical trials in low and middle-income
countries
– To increase participants skills in writing a protocol for
research in another country
– To increase participants knowledge of funding
opportunities for research in low and middle-income countries
Format: The format will be
didactic presentations with extensive question-and-answer
session.
3:15pm–5:15pm
2770—Surviving and Thriving: Strategies for
Women in Research
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Rita Mangione-Smith, Seattle, WA; Co-leaders: Maria
Britto and Shari Barkin
Target Audience: Fellows and
junior faculty.
Women who pursue careers as
clinical investigators in medicine face unique challenges
compared to their male counterparts. In this workshop we will
focus on important elements to consider when looking for a
first academic job, preparing for promotion, or changing
institutions during the early phases of one's career. We will
present negotiation strategies that are particularly useful
for women in the early years of their clinical investigator
track and give participants a chance to practice these skills
through role-play exercises. In an open forum discussion, we
will discuss challenges faced by women in the field and
elucidate strategies for academic career building when faced
with competing demands.
Objectives:
– To discuss issues unique to
women physician investigators.
– To discuss key elements to consider when seeking a new
academic position.
– To develop basic skills in negotiation.
– To identify take-home strategies for academic career
building.
Format: This workshop will be
interactive and will include a brief background presentation,
a short didactic presentation on basic negotiation skills,
role-playing to reinforce negotiation techniques covered, and
an open-forum discussion that encourages questions from
participants.
3:15pm–5:15pm
2772—Teaching Professionalism to Pediatric
Residents: Meeting the ACGME Requirements in the Core
Competencies
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Alexander Kon, Sacramento, CA
Target Audience: Junior faculty,
mid-level faculty, and senior faculty.
This workshop will discuss how to
create and implement a residency course in Professionalism to
meet the new ACGME requirements. Participants will learn what
these requirements are and how to identify resources at their
own institution. We will discuss one such course that is used
by the ACGME as an exemplar, and participants will consider
how they can create a similar course. Attendees will become
active participants in the brainstorming and role-playing
sessions, and will discuss their own experiences in attempting
to create and run such courses. Participants will also learn
what resources are available nationally for instructors in
professionalism training.
Objectives:
– Participants will become
familiar with the new ACGME requirements for resident
instruction in professionalism.
– Participants will brainstorm what resources are available
at their own institution to develop a course to meet these
requirements.
– Participants will discuss a course that is recognized as a
national exemplar, and will learn how to implement such a
course at their institution.
– Participants will learn what resources are available
nationally for the development of such courses.
Format: Group discussions,
brainstorming sessions, question-and-answer session, and
role-playing with workshop participant volunteers.
3:15pm–5:15pm
2774—Telemedicine and Its Applications in
Pediatrics: Improving Quality and Addressing Access Barriers
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: James Marcin, Sacramento, CA; Co-leader: Stacey
Cole
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will provide an
overview of telemedicine, and demonstrate how telemedicine
assists in the care of pediatric patients in various settings.
Interactive lectures will be given on the critical components
of a successful telemedicine program. Video clips of
consultations and interviews will be shown to provide an
understanding of telemedicine from various perspectives. A
step-by-step process will be laid out to help evaluate the
possibility of using telemedicine for their services.
Panelists: Juan Trujano, Anita
Grady and Kristi MacLeod
Objectives:
– To understand the technology
of telemedicine, including telecommunications.
– To become familiar with the important structural,
managerial and financial considerations of telemedicine.
– To understand the impact of telemedicine on measures of
quality of care and satisfaction.
Format: This workshop will
primarily be conducted in a lecture/panel format. Sessions
will be interactive and include discussion, sample video
clips, and a live demonstration of equipment and telemedicine
consultations.
3:15pm–5:15pm
2776—Transition Issues for Adolescents with
Developmental Disabilities
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Thomas Webb, Cincinnati, OH; Co-leader: Nienke Dosa
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
community practitioners.
Up to 85% of children born with
developmental disabilities are surviving to adult age. As
these individuals reach adulthood they are simultaneously
leaving school, exploring community living and needing
adult-oriented health care. As compared to other adolescents
with special health care needs, those with developmental
disabilities have more significant cognitive and physical
difficulties that affect the transition process. This workshop
will use case-based learning to review the principles of
adolescent transition, describe barriers to transition more
prevalent in developmental disabilities, and highlight
web-based, community service, financial, and
vocational-educational resources available to assist patients,
families, and providers with the transition process.
Objectives:
– Understand the principles of
adolescent transition to adult services.
– Recognize the additional physical and cognitive
difficulties facing adolescents with developmental
disabilities.
– Assist adolescents in developing self-care and independent
living skills.
– Describe the role of community service providers, schools,
and vocational rehabilitation specialists in adolescent
transition.
Format: Case presentations,
question and answer, problem solving, and didactic—for
introduction.
3:15pm–5:15pm
2778—Advocacy Training
APA Special Interest Group
Room 2011, Moscone West
Chairs: Alice Kuo, akuo@mednet.ucla.edu;
Benjamin Hoffman, bhoffman@salud.unm.edu;
and Lisa Chamberlain, lisa.chamberlain@medcenter.stanford.edu.
3:15pm–5:15pm
2779—Culture, Ethnicity and Health
Care/Race in Medicine
APA Special Interest Group
Pacific Suite C, SF Marriott
Chairs: Louis Hampers, hampers.lou@tchden.org;
Elsie Taveras, elsie_taveras@hphc.org;
Iris Renee Mabry-Hernandez, imabry@ahrq.gov;
and Suzette Oyeku, suzette.oyeku@childrens.harvard.edu.
Increasing Diversity and
Enhancing Cross-Cultural Training in the Pediatric Workforce
According to the 2000 U.S. Census
data, persons of color represent nearly 29% of the population.
Demographic trends show that in the future, the U.S.
population will increasingly be persons of color. Given the
changing racial/ethnic landscape in the United States, as well
as predicted shortages in the health care professions, we will
need a health care workforce that represents the diversity of
the persons we seek to serve. This workforce will need to be
diverse in its scope of providing child health, with
representation in clinical pediatrics, research, government,
public health and policy. In addition, clinicians will need to
feel prepared and confident to treat patients from diverse
cultures or racial and ethnic minorities. Many doctors believe
that cultural issues are important; however, many receive
little or no training in this area. Cross-cultural care can
help meet the unique challenges that minority patients face in
communicating with their health care providers to obtain the
best possible care and can ultimately help eliminate racial
and ethnic disparities in health care.
In this combined SIG, we will
explore diverse career options within child health, not to
focus on workforce diversity in the traditional sense (i.e.,
pipeline issues, recruitment and faculty development
activities) but to focus on diverse career options within
child health, inside and outside of academia (i.e., policy,
government, foundations), which might help to expand the child
health workforce as well as address health disparities. The
other focus of this SIG session will be on how diversity at
all levels of the child health workforce can also help to
improve cross-cultural care, patient outcomes and eliminate
racial and ethnic disparities.
3:15pm–5:15pm
2780—Division Directors in General
Pediatrics
APA Special Interest Group
Pacific Suite H, SF Marriott
Chairs: Gary Emmett, gemmett@nemours.org;
and Tina Cheng, tcheng2@jhmi.edu.
The SIG for Directors of
Divisions will discuss two subjects this year:
3:15–4:15
Tina Cheng will present "The State of Divisions in
General Pediatrics: Results of a National Survey,"
following up on last year's development meeting on this
subject. The data raise many interesting issues around our
missions of clinical care, education, research and advocacy.
Much interest was expressed in sharing experiences across
programs and the possibility of a future leadership meeting in
academic general pediatrics. We will discuss results and next
steps.
4:15–4:45
Gary Emmett and the staff from Jefferson/duPont Pediatrics
will present the economics of adoption of an electronic
medical record (EMR) in a large outpatient division at an
university teaching facility with both changes in patients
seen and time to recovery to baseline. We will discuss EMR-related
practice "improvements" using change in efficacy of
influenza vaccination of asthmatics and how to use the EMR to
improve resident education.
4:45–5:15
Drs. Cheng and Emmett will lead a general discussion of a
leadership in general academic pediatrics retreat and planning
for next year. Much interest was expressed in sharing
experiences across programs and the possibility of a future
leadership meeting in academic general pediatrics. We will
discuss results and next steps.
3:15pm–5:15pm
2781—Fellowship Program Directors
APA Special Interest Group
Pacific Suite I, SF Marriott
Chair: Paul Darden, dardenpm@musc.edu.
3:15pm–5:15pm
2782—Pediatric Telephone Care
APA Special Interest Group
Pacific Suite A, SF Marriott
Chair: Maya Bunik, bunik.maya@tchden.org.
The session will begin with a
discussion and demonstration of the computerized pediatric
telephone triage protocols focusing on teaching pediatric
residents. The second portion will be an update on current
research in telephone triage.
3:45pm–5:15pm
2785A—Celiac Disease for the
Non-gastroenterologist
LWPES Workshop
Room 3010, Moscone West
Chair: Michelle M. Pietzak, Children's Hospital of Los
Angeles, Los Angeles, CA
Target Audience:
Gastroenterologists and endocrinologists.
Celiac disease affects
approximately 10-15% of children with diabetes. Often times
the screening tests are vexing. This workshop is aimed at
clarifying the disease process and how to diagnose it.
-
Celiac Disease for the
Non-gastroenterologist
Michelle M. Pietzak, Children's Hospital of Los Angeles, Los Angeles,
CA
3:45pm–5:15pm
2790A—Hyperthyroidism
LWPES Workshop
Room 3000, Moscone West
Chair: Scott A. Rivkees, Yale School of Medicine, New
Haven, CT
Target Audience: Generalists.
Much controversy exists about the
most effective and safest treatments for hyperthyroidism in
children. This workshop will clarify some of the newer
evidence based approaches to the diagnosis and management of
hyperthyroidism, with a special emphasis on radioactive
ablation.
3:45pm–5:15pm
2795A—Neonatal Diabetes
LWPES Workshop
Room 3001, Moscone West
Chair: Mark A. Sperling, Children's Hospital of Pittsburgh,
Pittsburgh, PA
Target Audience: Endocrinologists
and neonatologists.
Over the past few years much has
been learned about the pathogenesis of neonatal diabetes. This
workshop will impart knowledge on important considerations in
the diagnosis and work-up of this rare condition.
4:00pm–7:30pm
Commercial Exhibits Open and Posters
Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West
Posters Available for Viewing:
4:00pm–7:30pm
Author Attendance: 5:15pm–7:15pm
Level 1:
– Developmental Biology
– Endocrinology
– Hematology–Oncology
– Neonatal Infectious Diseases
– Neonatology
– Nephrology
Level 2:
– Cardiology
– Developmental–Behavioral Pediatrics
– General Pediatrics
– Medical Education
– Neurology
5:15pm–6:00pm
2800—Clinical Pediatric Hypertension
PAS/ASPN/IPHA Poster Symposium
Room 2004, Moscone West
Chairs: Stephen R. Daniels and Deborah P. Jones
5:15pm–7:15pm
Poster Session I and PAS Opening Reception
PAS Poster Session
Levels 1 and 2, Moscone West
Posters Available for Viewing:
4:00pm–7:30pm
Author Attendance: 5:15pm–7:15pm
Level 1:
– Developmental Biology
– Endocrinology
– Hematology–Oncology
– Neonatal Infectious Diseases
– Neonatology
– Nephrology
Level 2:
– Cardiology
– Developmental–Behavioral Pediatrics
– General Pediatrics
– Medical Education
– Neurology
Includes:
-
SPR Student Research Award:
Resuscitation of Non-Viable Infants: Will
Neonatologists[apos] Practice Change After the Born-Alive
Infant Protection Act?
Mya Sendowski, University of California, San Francisco, CA
7:15pm–8:30pm
2960A—Neonatal Hemodynamics Club
Club
Golden Gate Hall A1-3, SF Marriott
-
Relative Adrenal Insufficiency in
the Preterm and Term Infant
Kristi L. Watterberg, University of New Mexico Health Sciences Center,
Albuquerque, NM
-
Cardiac Function and Its
Relationship to Serum Cortisol, Inflammation, Pulmonary
Acuity and Hydrocortisone Therapy in Sick ELBW Infants
Cynthia H. Cole, Harvard Medical School, Boston, MA
-
Discussion
Istvan Seri, MD, PhD
Children’s Hospital Los Angeles, University of Southern
California
Phone: 323-669-5932
Email: iseri@chla.usc.edu
Supported by an
unrestricted educational grant from Dey LP
7:15pm–8:30pm
2970—PAS Presidential and New Member
Reception
PAS Reception
Yerba Buena Gardens Salon 9, SF Marriott
8:00pm–10:00pm
2980A—ASPN Member Reception
ASPN Dinner
Room View Lounge, SF Marriott
– Fellow Awards
– Welcome Residents
Presenter—Research Trainee
Awards
Susan L. Furth, Johns Hopkins University, Baltimore, MD
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