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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 Levits |
