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8:00am–10:00am
5100—Ethical Issues in Housing Health
Hazard Research Involving Children
PAS Topic Symposium
Room 2003-2005, Moscone West
Chair: Bernard Lo, University of California San Francisco, San
Francisco, CA
Target Audience: A broad
pediatric audience with the goal of promoting understanding of
ethical issues in conducting community-based research,
especially housing hazard research.
Children’s homes may contain
hazards that can cause lead toxicity, trigger asthma or result
in serious injuries or poisoning. A 2001 court decision, in
Grimes versus Kennedy Krieger Institute, highlighted ethical
issues in housing-related research and led to substantial
controversy and confusion. Many ethical dilemmas occur because
research participants are often poor, members of a minority
group and have few affordable housing options. Moreover,
carrying out research in the home raises unique ethical
issues. A forthcoming report from National Academies of
Science (NAS) will offer recommendations for conducting
research on this topic. This panel will present these NAS
recommendations and discuss how they might be applied to
specific projects in housing research involving children.
Specific issues to be discussed include innovations in
research design and informed consent, responding to risks
observed in the home, the role of researchers and IRBs and
community involvement in research. Audience participation will
be encouraged.
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Recommendations from the National
Academies of Science
Bernard Lo, University of California San Francisco, San Francisco, CA
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Protecting Vulnerable Research
Participants While Allowing Valuable Research To Be
Carried Out
Alan R. Fleischman, Chair, National Children's Study Federal Advisory
Committee, New York Academy of Medicine, New York and
National Institutes of Health, Bethesda,
MD
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Innovations in Study Design and
Informed Consent in Housing Hazard Research Involving
Children
Bruce P. Lanphear, Cincinnati Children's Environmental Health Center,
Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
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Resolving Ethical Dilemmas in
Housing Hazard Research Through Community Participation
Brenda Eskenazi, University of California Berkeley, Berkeley CA
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Discussion
8:00am–10:00am
5105—Not All Near-Term Infants Are Born
Equal
PAS Topic Symposium
Room 3002-3008, Moscone West
Chairs: Lucky Jain, Emory University, Atlanta, GA; and Tonse N.K. Raju,
National Institute of Child Health and Human Development,
Rockville, MD
Target Audience: Neonatologists
and pediatricians.
Infants born at >34 weeks and
<38 weeks are often presumed to be mature and treated at
par with term infants. However, there is considerable
epidemiologic information to show that these infants have
considerably higher rates of NICU admissions and are at risk
for serious morbidity and death. Causes of morbidity include
delayed respiratory transition and surfactant deficiency,
hyperbilirubinemia, hypothermia, hypoglycemia and poor
initiation of feeding, etc. This symposium is designed to
review the physiological events related to neonatal transition
at birth and the pitfalls in the transition of a near-term
infant. The symposium should create awareness among
neonatologists and pediatricians for these morbidities and
suggest ways to overcome them.
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Overview
Lucky Jain, Emory University, Atlanta, GA
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Epidemiology and Overview of
Near-Term Births
Tonse N.K. Raju, National Institute of Child Health and Human
Development, Rockville, MD
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Respiratory Transition and
Morbidity in Near-Term Infants
Lucky Jain, Emory University, Atlanta, GA
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Brain Maturation and Pathology in
Near-Term Infants
Hannah Kinney, Harvard University, Boston, MA
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Hyperbilirubinemia and
Kernicterus in Near-Term Infants
Vinod K. Bhutani, Stanford University School of Medicine, Stanford, CA
-
Post-Discharge Morbidity and
Rehospitalization in Near-Term Infants
Gabriel J. Escobar, Kaiser Permanente, Oakland, CA
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Discussion
Supported by an
unrestricted educational grant from INO Therapeutics
8:00am–10:00am
5110A—Inflammation in Uremic
Pathophysiology
ASPN Symposium
Room 3010-3012, Moscone West
Chairs: H. William Schnaper, Northwestern University Feinberg School of
Medicine, Chicago, IL; and Robert H.K. Mak, Oregon Health and
Science University, Portland, OR
Target Audience: Pediatric
nephrologists and fellows, basic scientists, pathologists and
immunologists.
Recent evidence has strongly
suggested that the manifestations of uremia are caused in
large part by activation of inflammatory pathways. This
symposium will review the syndromic events that can be
attributed to uremic inflammation and include oxidant injury,
cytokine production and its end-organ effects on the body
tissues.
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Oxidant Injury in ESRD
Jonathan Himmelfarb, Maine Medical Center, Portland, ME
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MIA (Malnutrition, Inflammation,
Atherosclerosis) Syndrome in ESRD
Joel D. Kopple, Harbor-UCLA Medical Center, David Geffen School of
Medicine at UCLA, UCLA School of Public Health, Torrance,
CA
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Leptin and Melanocortin Signaling
in Chronic Kidney Disease
Robert H.K. Mak, Oregon Health and Science University, Portland, OR
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Molecular Pathophysiology of
Muscle Catabolism in Uremia: Effect of Acidosis and
Inflammation
William E. Mitch, Baylor College of Medicine, Houston, TX
Supported by an
unrestricted educational grant from Abbott
8:00am–10:00am
5130A—Neonatal Infectious Diseases in
Developing Countries—Part I
PGPR Symposium
Room 3016-3018, Moscone West
Co-Chairs: Alvin Zipursky, The Hospital for Sick Children, Toronto,
Canada; and Stephen Wall, Senior Research Manager, Saving
Newborn Lives, Washington, DC
Target Audience: Researchers and
clinicians interested and/or involved in all aspects of the
study of neonatal infectious disease, in any setting.
The Programme for Global
Paediatric Research (PGPR) includes paediatric researchers,
societies, and other organizations committed to child health.
It was formed in January 2004 to address the disparity between
the scientific research resources available in high-income
countries and the quantity of scientific research focused on
the health of children in mid- and low-income countries. PGPR
works at the centre of a global network to inform, educate,
facilitate international research cooperation and
collaboration, and acts as an advocate for research to improve
the health of all children. This three-part symposium will
focus on the serious problem of neonatal infectious diseases
in developing countries. Parts 1 and 3 will be comprised of
expert presentations providing an overview of the problem,
instances of work that is being done in the area, and
region-specific information. Part 2 will feature platform
presentations from selected abstracts on issues included in
the study of neonatal infectious diseases in developing
countries. At the PGPR workshop on Wednesday, May 3 colleagues
from high-, mid- and low-income countries, who are working in
fields related to neonatal infectious diseases, will meet in
order to examine the critical issues and establish clear plans
for collaborative study and other action. One of the expected
outcomes of the workshop will be a preliminary statement of
research needs and directions related to neonatal infectious
diseases in developing countries.
-
Neonatal Infections in the
Developing World: An Overview
Barbara J. Stoll, Emory University School of Medicine, Atlanta, GA
-
Healthcare Associated Neonatal
Infections and Antimicrobial Resistance in Developing
Countries
Anita Zaidi, Aga Khan University Hospital, Karachi, Pakistan
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Diagnosis and Antibiotic Therapy
of Neonatal Infections by Health Care Workers
Abhay T. Bang, The Society for Education, Action and Research in
Community Health (SEARCH), Gadchiroli, Maharashtra, India
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Global Partnerships for
Infectious Disease Research: A Focus on Pediatric Studies
of Dengue in Nicaragua
Eva Harris, School of Public Health, University of California,
Berkeley, CA
8:00am–10:00am
5150—Cardiology—Genetics and Development
PAS Platform Session
Room 3000, Moscone West
Chairs: H. Scott Baldwin and Marlene Rabinovitch
Includes
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SPR Student Research Award:
Mutations in [italic]JPH2-[/italic]Encoded Junctophilin 2
as a Novel Pathogenic Mechanism in Hypertrophic
Cardiomyopathy
Karin Batalden, Mayo Medical School, College of Medicine, Rochester, MN
8:00am–10:00am
5152—Clinical Bioethics
PAS Platform Session
Room 3001, Moscone West
Chairs: Joel Frader and Lainie F. Ross
8:00am–10:00am
5154—Developmental–Behavioral Pediatrics
PAS Platform Session
Room 2007, Moscone West
Chairs: Karen Ratliff-Schaub and Martin T. Stein
8:00am–10:00am
5156—Emergency Medicine III
PAS Platform Session
Room 2004, Moscone West
Chairs: Evaline A. Alessandrini and David C. Brousseau
8:00am–10:00am
5158—Endocrinology: Diabetes—Immune
Mediated
PAS Poster Symposium
Room 3020, Moscone West
Chairs: Bruce A. Boston and Susan B. Nunez
8:00am–10:00am
5160—Epidemiology II
PAS Platform Session
Room 2002, Moscone West
Chairs: José F. Cordero and Jennifer S. Read
8:00am–10:00am
5162—General Pediatrics IV
PAS Platform Session
Room 2008, Moscone West
Chairs: Jeffrey M. Devries and Susan Feigelman
8:00am–10:00am
5164—Health Services III
PAS Platform Session
Room 2009, Moscone West
Chairs: Michael Cabana and Matthew M. Davis
8:00am–10:00am
5166—Lung Development and Alveolarization
PAS Poster Symposium
Room 3003-3005, Moscone West
Chairs: Lawrence S. Prince and A. Keith Tanswell
Includes
8:00am–10:00am
5168—Oxidants, Antioxidants and the Battles
They Wage
PAS Poster Symposium
Room 3014, Moscone West
Chairs: Jonathan M. Davis and Charles V. Smith
8:00am–11:00am
5180—Health Literacy/Health Communication
Challenges in the 21st Century: Effective Strategies for
Enhancing Patient Interactions
PAS Mini Course
Room 2011, Moscone West
Chairs: Shalini G. Forbis and John M. Pascoe, Wright State University
Boonshoft School of Medicine, Dayton, OH
Target Audience: All healthcare
providers.
This session will focus on
improving health care to children with low literacy parent(s).
It will employ a format created by the AMA-Foundation with
three separate presentations: (1) An overview of low health
literacy in the United States, including the definition of
health literacy as contrasted to general literacy; (2)
Creating a shame-free environment that encourages parents to
share their low literacy struggles with health providers; (3)
Strategies to enhance parent-provider
interaction/communication, with emphasis on improving
communication with low literacy parents. Ample time should be
built into the session to enable discussion of the major
themes/ideas presented.
-
Introduction
John M. Pascoe, Wright State University, Dayton, OH
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Overview of Health Literacy
Shalini G. Forbis, Wright State University Boonshoft School of
Medicine, Dayton, OH
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Creating a Shame-Free Environment
Kadriye Lewis, Cincinnati Children's Hospital Medical Center,
Cincinnati, OH
-
Break
-
Enhancing Patient Interaction and
Communication
Teri Lee Turner, Baylor College of Medicine, Houston, TX
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Wrap-up/Discussion
John M. Pascoe, Wright State University, Dayton, OH
8:00am–5:00pm
5190—Educational Scholars Program
APA Workshop
Yerba Buena Gardens Salon 5-6, SF Marriott
Chairs: Latha Chandran, State University of New York at Stony Brook,
Stony Brook, NY; and Constance Baldwin, University of
Rochester, Rochester, NY
Thirty Educational Scholars,
competitively selected in February 2006, are required to
attend a full day didactic and interactive session at PAS for
three consecutive years, as well as attend and review 2
workshops per year, and complete a home-based educational
project. The 2006 didactic session will address theories and
principles of learning in the morning, and educational program
planning in the afternoon. Lunch will be provided. The midday
period will include time for networking, project sharing,
discussion of program procedures, and establishing electronic
communications to enable interactions among scholars and
faculty throughout the year.
-
Welcome ESP Scholars
-
Introduction to ESP Program
-
Orientation and Program
Procedures
Constance Baldwin, University of Rochester, Rochester, NY
Latha Chandran, State University
of New York at Stony Brook, Stony Brook, NY
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Module 1 Session 1: Theories and
Principles of Adult Learning
Latha Chandran, State University of New York at Stony Brook, Stony
Brook, NY
Maryellen E. Gusic, Pennsylvania
State University College of Medicine, Hershey, PA
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Module 1 Lunch Session: Project
Based Networking
Constance Baldwin, University of Rochester, Rochester, NY
Latha Chandran, State University
of New York at Stony Brook, Stony Brook, NY
Miriam Bar-on, Loyola University Stritch School of
Medicine, Maywood, IL
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Module 1 Session 2: Planning a
New Educational Program—The Nuts and Bolts
Constance Baldwin, University of Rochester, Rochester, NY
R. Franklin Trimm, University of
South Alabama, Mobile, AL
8:30am–9:45am
5200A—The Challenge of Diagnosis and
Outcome in Intersex
LWPES State of the Art Plenary
Room 3007-3011, Moscone West
Chair: Lynne Levitsky, Massachusetts General Hospital, Boston, MA
Target Audience: Geneticists,
endocrinologists and general pediatricians.
The attendee will be presented
with an overview of intersex and then the challenges of
diagnosis and outcome will be addressed. Many previous
assumptions about outcome have proven to be false. This should
prove to be an exciting talk about a highly controversial
topic affecting pediatric endocrinologists and geneticists.
-
The Challenge of Diagnosis and
Outcome in Intersex
Ieuan Hughes, University of Cambridge, Cambridge, UK
8:45am–11:45am
5210—Direct Observation of Residents in
Their Natural Habitat: Documenting ACGME Competencies and
Giving Feedback in a Busy Clinical Setting
PAS Educational Workshop
Yerba Buena Gardens Salon 1, SF Marriott
Leader: Ellie Hamburger, Washington, DC; Co-leaders: Sandra Cuzzi, Dale
Coddington, Lindsey Lane, Angela Allevi, Joseph Lopreiato
Target Audience: Fellows, junior
faculty, mid-level faculty, and senior faculty.
Direct observation of residents
in the clinical setting is now mandated by the RRC as a method
to document competence in patient care, communication skills,
and professionalism. Who has the time? How many observations
are needed? How can we standardize our observations to make
them valid and reliable? How much faculty development is
needed? This workshop will address those questions and more as
we review potential uses for and pitfalls in direct
observation. Using videos of resident encounters, participants
will practice using a tool presenters have adapted for ACGME
competency documentation. We will discuss the practicalities
of implementation, including faculty development. Participants
will head back to their programs armed with tools to implement
a feasible, systematic approach to resident observation and
its documentation.
Objectives:
– Understand how to choose a
tool with which to document direct observation.
– Develop new strategies to implement a system of direct
observation and feedback for residents that incorporates
documentation of ACGME competencies.
Format: We will begin the session
with a survey of participants: their experience with
observation, documentation and feedback in the clinical
setting. After a review of things to consider in implementing
a system of direct observation, we will introduce a tool for
documentation of clinical observation as an example for
discussion of implementation of a system of direct
observation. We will show videotapes of resident clinical
encounters to allow the group to practice use of the tool and
to get a sense of its feasibility and utility. We'll then
break into "implementation groups" to discuss 1)
choosing a tool to document competencies and guide feedback;
2) assessing faculty development needs; and 3) overcoming
barriers to implementation. Final discussion will incorporate
feedback from groups and focus on steps for successful
implementation of systematic direct observation of and
feedback to residents. Participants will take home a worksheet
that will guide implementation for their specific program.
8:45am–11:45am
5214—Enhancing Opportunities for
Longitudinal Patient Care in a Resident Continuity Practice
PAS Educational Workshop
Yerba Buena Gardens Salon 3, SF Marriott
Leader: Carrin Schottler-Thal, Albany, NY; Co-leaders: Judith Lucas,
Elaine Schulte
Target Audience: Junior faculty,
mid-level faculty, and senior faculty.
Using our own program’s
experience, we will present innovative ways to build patient
panels and strengthen residents' continuity practice. We will
describe methods which allow residents to 1) market their
practice and have input into practice management, 2) establish
continuity, beginning in the newborn nursery, 3) care for
their patients during night team and away rotations, 4) follow
their patients when they’re admitted to the hospital, 5)
provide care on days other than their regular office day, and
6) participate in subspecialty care (e.g. development,
behavior, adolescent medicine) within the same office setting.
We will also describe how we monitor patient panels, and
evaluate resident performance.
Objectives:
– Participants will develop
methods to strengthen residents' continuity experience.
– Participants will learn strategies to create and monitor
individual resident patient panels.
Format: Small group break-out and
problem solving discussions.
8:45am–11:45am
5216—How To Change the World in an Hour a
Month: Skills for Effective and Efficient Leadership in
Community Health and Child Advocacy
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Andy Aligne, Rochester, NY; Co-leaders: Laura Jean Shipley,
Jeffrey Kaczorowski, Danielle Thomas-Taylor
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will enable
attendees to leverage their time more effectively when working
outside the clinical setting to improve child health at the
community level. Facilitated group exercises will improve
skills in some or all of the following: time management,
teamwork, coping with change, getting involved with
community-based organizations, cultural observation, speaking
to the media, project planning and evidence-based community
health.
Objectives:
– Time management
– Speaking to the media
– Project planning
– Evidence-based community health
Format: Group exercises and group
problem solving.
8:45am–11:45am
5218—Integrating Evidence-Based Medicine
into the Pediatric Curriculum
PAS Educational Workshop
Yerba Buena Gardens Salon 10, SF Marriott
Leader: John Frohna, Ann Arbor, MI; Co-leaders: Nader Shaikh, Stephen
Park and Russ Kolarik
Target Audience: Trainees,
fellows, junior faculty and mid-level faculty.
Practicing evidence-based
medicine (EBM) is essential for lifelong learning and critical
thinking among pediatric residents/fellows. With multiple
demands on the curriculum, programs have found it difficult to
make time and space to incorporate this material. This
interactive workshop will simplify the curriculum development
process for others wishing to launch or enhance their EBM
educational program. Participants will work in small groups to
(a) identify core EBM competencies to be taught, (b) develop
practical educational strategies to integrate these
competencies into a variety of venues and (c) discuss methods
for evaluating the curriculum's effectiveness. The session
will conclude with a participant-generated discussion of
useful pearls for teaching EBM across different settings.
Participants will receive sample curricular materials and a
list of resources that can foster the teaching and practice of
EBM.
Objectives:
– Participants will understand
the core competencies addressing EBM in residency/fellowship
education.
– Participants will develop skills in curricular design
related to EBM.
Format: Brief didactic overview,
small group discussions and question-and-answer period.
Designed to meet elements of the
core curriculum for pediatric fellowship subspecialty
training.
8:45am–11:45am
5220—The "Invisible Faculty": The
Role of Community Pediatricians in U.S. Pediatric Medical
Education
PAS Educational Workshop
Yerba Buena Gardens Salon 11, SF Marriott
Leader: Emanuel Doyne, Cincinnati, OH; Co-leaders: Maryellen Gusic,
Leslie Fall, Stanley Fisch, David Bromberg, Thomas DeWitt
Target Audience: Trainees, junior
faculty, mid-level faculty, senior faculty, and community
practitioners.
The valuable contributions of
community-based pediatricians to pediatric education have
largely been overlooked. This workshop will highlight the
roles that community faculty play in medical student and
resident education. The faculty will present successful
examples from their own training programs for consideration. A
perspective from division chairs, program directors, clerkship
directors, trainees and community pediatricians will be
entertained and problem solving for participant-raised issues
will be facilitated. The roles of the AAP and APA will also be
explored.
Objectives:
– The various roles played by
community pediatricians in undergraduate and graduate
pediatric education.
– Be aware of the benefits and
incentives provided by some academic health centers for their
community faculty.
– To discuss the resources necessary to train community
faculty.
– To discuss how national organizations such as the AAP and
APA can support the efforts of community-based faculty.
Format: Didactic, roundtable, and
interactive group discussion.
8:45am–11:45am
5222—The Reflective Process: Can We
Stimulate Critical Thinking and Higher Order Processing?
PAS Educational Workshop
Yerba Buena Gardens Salon 12, SF Marriott
Leader: Margaret Plack, Washington, DC; Co-leaders: Maryanne Driscoll,
Larrie Greenberg, Lynne Cuppernull, Maria Marquez
Target Audience: Fellows, junior
faculty, mid-level faculty, and senior faculty.
Reflection is a method of
learning from experience considered critical to practice. It
is particularly critical in preparing students for clinical
decision-making and residents to meet the ACGME competencies.
For many, reflection is taken for granted or remains rather
abstract; missing the link to critical thinking and higher
order processing. Participants will engage in activities that
link reflection to critical thinking. In small groups, they
will evaluate journal excerpts and develop questions to
facilitate the reflective process in learners. This workshop
will enable participants to practically apply the elements of
reflection essential to quality care.
Objectives:
– Recognize the link between
reflection and critical thinking.
– Assess reflective writing using the elements underlying
the reflective process.
– Assess the depth and breadth of reflective thinking
evident in trainees/learners.
– Develop and practice effective questions to facilitate
reflective thinking and higher order processing.
Format: This workshop will
consist of small and large group activities, structured
discussions, role-plays, and brief lecturettes
8:45am–11:45am
5224—Using Electronic Health Records for
Pediatric Research and Quality Improvement
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Robert Grundmeier, Philadelphia, PA; Co-leaders: Christoph
Lehmann, Su-Ting Li, Stuart Weinberg, William Adams, Richard
Shiffman, Aaron Carroll
Target Audience: Trainees,
fellows, and junior faculty.
While the potential of the
electronic health record (EHR) as a permanent data repository
has gained widespread acceptance, this workshop will introduce
the implications for research and quality improvement (QI)
efforts. Participants will work together in small groups to
design a research question that may be answerable with EHR
data. Using sample data, each group will extract and
manipulate data from the EHR in order to address their
question. Participants are expected to raise methodological
questions based on the exercises and their previous
experiences. An expert panel will respond to these questions
and provide solutions.
Objectives:
– Participants will better
understand electronic health record (EHR) technologies and the
strengths and weakness of EHR data.
– Participants will learn to extract and process aggregate
EHR.
– Participants will better understand regulatory issues
related to IRB guidelines, HIPAA, and data use agreements.
Format: A brief dadaistic lecture
will introduce key aspects of working with EHR data. Hands-on
exercises mentored by medical informaticians will be completed
in small groups with a demonstration dataset. An expert panel
will respond to the participant's questions.
8:45am–11:45am
5226—What You Need To Be Successful in
Planning Your Career as a Clinician–Educator
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Robert Hilliard, Toronto, ON, Canada; Co-leaders: Ann
Jefferies, Karen Leslie
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, and senior
faculty.
Clinician-educators combine
patient care, teaching, and educational scholarship. In this
interactive workshop, using small group discussions and case
problem solving, participants will learn a practical approach
to career development, and will be able
1. To compare their motivation,
successes and challenges with other clinician-educators.
2. To develop a career 'map' and an effective teaching
dossier.
3. To learn how mentoring and networking can help career
development.
4. To identify useful and effective faculty development
activities.
5. To have a better understanding of educational scholarship.
This workshop will be of interest
to junior faculty planning their academic careers and to
senior faculty / administrators responsible for mentoring
junior faculty.
Objectives:
– To have a better
understanding of the motivation, roles, successes and
challenges of clinician-educators.
– Be able to plan their careers as clinician-educator
through mentorship, networking, effective faculty development
and effective teaching dossiers.
– To be able to develop a career map and action plan for
their own career goals as clinician-educators.
– To have a better understanding of the scholarly activities
expected of clinician-educators.
Format: Formal introduction /
presentation, whole audience interactive presentation, small
group discussions and case problem-solving.
8:45am–11:45am
5245—School and Community Health
APA Special Interest Group
Sierra Suite C, SF Marriott
Chair: Rani S. Gerige, gereiger@allkids.org;
and Sarah E. Hampl, shampl@chm.edu.
Working with the community and
the schools on health issues requires a great deal of
collaboration, networking and partnership. This year the
School and Community Health SIG will focus primarily on
“Coalition Building: The How To?” Come and learn from
pediatricians and other health care professionals who have
built successful coalitions with their communities and/or
schools. Coalitions in the areas of mental health, adolescent
health, obesity and dental health will be presented. Attendees
who have built successful coalitions in their own
communities/schools are encouraged to attend and share their
experience. Come learn, network and build coalitions!
8:45am–11:45am
5250—Women in Medicine
APA Special Interest Group
Sierra Suite B, SF Marriott
Chair: Carol Berkowitz, carolb@pol.net.
The Women in Medicine SIG will
revisit the issue of minority women and the “progress,” if
any that has occurred since the group last discussed this
topic in 2001. The format of the SIG will include panelists
who will relay their perceptions of the changes that have
occurred during that past 5 years, as well as the directions
the medical community should take to continue to address
remaining inequities.
10:00am–11:45am
5300A—Late-Breaking Clinical Trials
LWPES Workshop
Room 3020, Moscone West
Chairs: Mitchell Geffner, Children's Hospital of Los Angeles, Los
Angeles, CA; and Lawrence Silverman, Goryeb Children's
Hospital Morristown, Morristown, NJ
Target Audience: Pediatric
endocrinologists, fellows, trainees and geneticists.
This session will allow
investigators of major multi-center national trials being
conducted in the United States to share their late-breaking
data with the pediatric community at large. This session will
have particular appeal for trainees and junior faculty.
-
Trial Net
Desmond A. Schatz, University of Florida, Gainesville, FL
-
STOPPT2D
Francine R. Kaufman, Children's Hospital of Los Angeles, Los Angeles,
CA
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Histrelin Implant Study in
Children with Central Precocious Puberty
Erica A. Eugster, Indiana University, Indianapolis, IN
-
Toddler Turner Trial
Marsha L. Davenport, University of North Carolina at Chapel Hill,
Chapel Hill, NC
-
IGF-I Deficiency and Treatment
Using IGF-Based GH Dosing
Pinchas Cohen, Mattel Children's Hospital at UCLA, Los Angeles, CA
-
Discussion
10:00am–11:45am
5310A—Pitfalls in Endocrine
Assays—Results Are Not What They Seem
LWPES Workshop
Room 3000, Moscone West
Chairs: Jack Fuqua, Indiana University, Indianapolis, IN; and John
Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine.
All too often clinicians are
encountering laboratory tests that are difficult to interpret.
Sometimes the real problem lies in understanding the pitfalls
in assays and how they are performed. This symposium will help
the clinician and scientist understand the basis for assays
and what can go wrong with them. Many referrals to
subspecialists are made due to misinterpretation of laboratory
tests or unfamiliarity with age related norms. This symposium
will have wide appeal to all who order endocrine tests.
-
Overview
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
-
IGF–I/GH
George M. Bright, Tercica, Inc., South San Francisco, CA
-
Adrenal Steroids and Thyroid
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
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Sex Steroids
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
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Discussion
10:00am–12:00pm
5350—Revisiting NICU's Old Standbys: What's
the Evidence?
PAS Hot Topic
Room 3002-3008, Moscone West
Chairs: David Edwards, Hammersmith, UK; and Kristi L. Watterberg,
University of New Mexico, Albuquerque, NM
Target Audience: Neonatologists.
Although research continues to
promote advances in neonatal medicine, much of neonatal
practice is still not necessarily evidence-based. In this
session, we will take a look at several common neonatal
practices and the evidence that does–or does not–support
their use.
-
Sodium Bicarbonate for Metabolic
Acidosis: Basic Therapy or Basically Useless Therapy?
Judy L. Aschner, Vanderbilt University Medical Center, Nashville, TN
-
Transfusions in Premature
Infants: Too Much of a Good Thing or Not Enough?
Robin K. Ohls, University of New Mexico School of Medicine,
Albuquerque, NM
-
Preterm Circulatory Compromise:
Which Inotrope in Which Baby?
Nick Evans, Royal Prince Alfred Hospital and University of Sydney,
Australia
-
Analgesia in the Premature
Infant: Controlling Their Pain or Ours?
Johannes N. van den Anker, Children's National Medical Center,
Washington, DC
-
Discussion
10:00am–12:00pm
5360A—Pay for Performance: The Pediatric
Perspective—Hemodialysis
ASPN Workshop
Room 3010-3012, Moscone West
Chairs: Sandra L. Watkins, Children's Hospital and Regional Medical
Center, Seattle, WA; and Bradley A. Warady, Children's Mercy
Hospital and Clinics, Kansas City, MO
Target Audience: Nephrologists.
Quality patient care is of utmost
importance to pediatricians caring for children. Congress and
the Centers for Medicare and Medicaid are exploring models of
“Pay for Performance” in an effort to reward high quality
patient care and encourage ongoing quality improvement. This
workshop explores the latest research results that aid the
clinician in improving patient outcomes in hemodialysis,
reviews the data available linking performance measures and
outcomes and discusses the mechanisms for reimbursement.
-
Overview
Bradley A. Warady, Children's Mercy Hospital and Clinics, Kansas City,
MO
-
New Insights into Improved
Quality Care in Hemodialysis
Stuart L. Goldstein, Baylor College of Medicine/Texas Children's
Hospital, Houston, TX
-
Quality Measures for Pediatric
Hemodialysis—What Should They Be?
Barbara Fivush, Johns Hopkins University, Baltimore, MD
-
How Can a Pediatric Nephrologist
be Appropriately Compensated for Providing Quality
Hemodialysis Care?
Linda Upchurch, Baxter Healthcare Corporation, Fletcher, NC
-
Discussion
Sponsored jointly by
the North American Pediatric Renal Transplant Cooperative
Study (NAPRTCS) and the American Society of Pediatric
Nephrology
10:00am–2:00pm
Commercial Exhibits Open and Posters
Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West
Posters Available for Viewing:
10:00am–2:00pm
Author Attendance: 12:00pm–1:30pm
Level 1:
– Adolescent Medicine
– Emergency Medicine
– Epidemiology
– General Pediatrics
– Infectious Diseases
– Neonatal Epidemiology and Follow Up
Level 2:
– Neonatal Pulmonology
– Neonatology
10:15am–11:45am
5400—Campaign To Save 100K Lives: What It
Means for Child Health
PAS State of the Art Plenary
Room 3024, Moscone West
Chairs: Charles J. Homer, National Initiative for Children's Healthcare
Quality (NICHQ), Boston, MA; Connie Crowley Ganser, National
Initiative for Children's Healthcare Quality (NICHQ),
Cambridge, MA; and Paul Kurtin, Children's Hospital San Diego,
San Diego, CA
Target Audience: Hospital-based
pediatricians across a wide array of specialties.
In December 2004, the Institute
for Healthcare Improvement launched a campaign to save 100K
lives through targeted improvements in care. Shortly after the
launch, the National Initiative for Children’s Healthcare
Quality, Children’s Hospital Corporation of America and the
National Association of Children’s Hospitals and Related
Institutions convened to identify whether these changes could
cause comparable improvements in health care for children and
promote that effort. This session will review the science
behind these interventions, describe the programs and
implementation efforts to advance these and future directions
for such safety and quality campaigns.
-
The Campaign Approach to Quality
Improvement
Connie Crowley Ganser, National Initiative for Children's Healthcare
Quality (NICHQ), Cambridge, MA
-
Bloodstream Infections
W. Charles Huskins, Mayo Clinic, Rochester, MN
-
Rapid Response Teams
Glenn Billman, Children's Hospitals and Clinics of Minneapolis/St.
Paul, Minneapolis, MN
-
Ventilator Acquired Pneumonia and
Adverse Drug Events
Paul Kurtin, Children's Hospital San Diego, San Diego, CA
-
Where Do We Go from Here? The
Pediatric Campaign
Charles J. Homer, National Initiative for Children's Healthcare Quality
(NICHQ), Cambridge, MA
-
Discussion
10:15am–11:45am
5405—Newborn Screening: The Coming
Revolution
PAS State of the Art Plenary
Room 3001, Moscone West
Chair: Alex R. Kemper, University of Michigan, Ann Arbor, MI
Target Audience: General
pediatricians, subspecialists involved with newborn screening,
for including neonatologists, endocrinologists, hematologists
and geneticists.
Newborn screening has resulted in
dramatic improvements in the morbidity and mortality of
inherited disorders. Recent laboratory developments have
dramatically increased the number of conditions that can be
detected in early infancy. Expanding the list of conditions
has lead to unique challenges for pediatric practices and
public health systems. This symposium will explore these new
and emerging challenges.
-
Overview
Alex R. Kemper, University of Michigan, Ann Arbor, MI
-
New Technologies for Newborn
Screening
Edward R.B. McCabe, David Geffen School of Medicine at UCLA, Mattel
Children's Hospital, Los Angeles, CA
-
Meeting the Needs for
Confirmation, Counseling and Treatment
R. Rodney Howell, Miller School of Medicine at the University of Miami,
Miami, FL
-
"Treatment" Versus
"Benefit" in Evaluating the Desirability of
Expanded Newborn Screening
Don Bailey, University of North Carolina at Chapel Hill, Chapel Hill,
NC
-
Ethical Issues That Must Be
Addressed in an Expanded Newborn Screening Program
Ellen Wright Clayton, Vanderbilt University, Nashville, TN
-
Summary Comments
Michele Puryear, Maternal and Child Health Bureau, Health Resources
& Services Administration, Rockville, MD
-
Discussion
10:15am–11:45am
5410—Pediatric Acute Lung Injury: Results
of Therapeutic Trials and Future Directions
PAS State of the Art Plenary
Room 3003-3005, Moscone West
Chairs: Martha A.Q. Curley and John H. Arnold, Children's Hospital,
Boston, MA
Target Audience: Attendees
practicing in acute care pediatrics.
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