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Saturday, April 29
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.
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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
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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
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.
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Overview
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
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Epidemiology and Assessment of
Suicidal Behaviors and Depression
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
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Cutting and Other Self-Injurious
Behaviors
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
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Questions and Break
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Management and Prevention of
Suicide, Depression and Self-Injurious Behaviors
Joseph L. Calles, Michigan State University, Kalamazoo Center for
Medical Studies, Kalamazoo, MI
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Discussion
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
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
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
Room 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
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
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
Room 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.
11:45am–2:45pm
2404—Early Identification of Mental Health
and Developmental Problems in Foster Care Youth: Tools and
Innovative Treatment Strategies
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: David Harmon, Jacksonville, FL; Co-leaders: Steven
Blatt, Moira Szilagyi
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This interactive workshop will
present an overview of the early identification of children in
foster care with mental health problems and developmental
delays. This will be done through a round table discussion
among an expert panel as well as question-and-answer session.
Tools will be presented for this purpose and new innovative
treatment options will be discussed as well. It will include
case presentations with small group discussions. This workshop
is geared toward all learner/audience levels and will be an
ideal time to network with those who are taking care of
children in foster care.
Objectives:
– Tools to identify mental
health problems
– Tools to identify developmental delays
– Innovative treatment of developmental and behavioral
problems using mentoring
– Innovative treatment of developmental and behavioral
problems using foster parents
Format: We will assemble of panel
of experts on foster care to have a roundtable discussion,
demonstrate tools, and hold a question-and-answer session. It
will be presented in a very interactive format ideal for
networking these problems.
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
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.
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.
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.
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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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Different Forms of Advocacy
Training Curricular Experiences
David M. Keller, University of Massachusetts Medical School, Worcester,
MA
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Implementing a Required Child
Advocacy Rotation with No Budget
Sanjeev Kumar Sriram, University of California Los Angeles, Los
Angeles, CA
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Evaluating Community/Advocacy
Educational Experiences
Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial
Hospital, Rochester, NY
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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
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.
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Overview
Vincent J. Palusci, Wayne State University School of Medicine, Hospital
of Michigan, Detroit, MI
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Interpretation of Medical
Findings in Suspected Child Sexual Abuse: Update 2006
Joyce Adams, University of California San Diego Medical Center, San
Diego, CA
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Mimics of Sexual Abuse
Lori Frasier, University of Utah School of Medicine, Salt Lake City UT
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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
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
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Discussion
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
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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
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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
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Discussion
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
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
3:15pm–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.
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Back from Diagnosis to Genetics;
Forward from Diagnosis to Behavioral and Educational
Programming
Catherine E. Lord, University of Michigan, Ann Arbor, MI
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Screening and Early
Identification
Lonnie Zwaigenbaum, McMaster University, Hamilton, ON, Canada
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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
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Discussion
Sponsored jointly by
the Child Neurology Society and the Pediatric Academic
Societies
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
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
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
2779—Culture, Ethnicity and Health
Care/Race in Medicine
APA Special Interest Group
Room 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.
Sunday, April 30
8:00am–10:00am
3105—From Health Services Research to
Public Policy
PAS Topic Symposium
Room 2006, Moscone West
Chair: Gary L. Freed, University of Michigan, Ann Arbor, MI
Target Audience: Investigators,
clinicians and advocacy experts.
The contribution of research
regarding children is measured in its ability to improve
children's health and well being. Research findings that
contribute to public policy efforts have the potential to
improve the lives and well being of whole communities, states
and nations of children. Understanding the nature and
appreciating the role of such work is fundamentally important
for clinicians and researchers alike.
-
Overview
Gary L. Freed, University of Michigan, Ann Arbor, MI
-
Using Research To Confront Power:
Can P Values Speak to Justice?
Paul H. Wise, Stanford University, Stanford, CA
-
Where Research Meets Policy and
Politics: The Road to Health Reform for Children
Sara Rosenbaum, George Washington University, Washington, DC
-
Linking Health and School Goals
To Address Childhood Obesity
Joseph W. Thompson, University of Arkansas Medical Sciences, Little
Rock, AR
-
Addressing Children’s
Underinsurance Through Policy-Relevant Research
Matthew M. Davis, University of Michigan, Ann Arbor, MI
-
Discussion
8:00am–10:00am
3155—Underserved Populations I
PAS Platform Session
Room 2009, Moscone West
Chairs: Wendy L. Hobson-Rohrer and Lolita M. McDavid
8:00am–11:00am
3232—Build a Tutorial To Track Resident
Learning in Developmental–Behavioral Pediatrics
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Henry Shapiro, St. Petersburg, FL; Co-leader: Frances
Glascoe and Nataly Arcila
Target Audience: Fellows, junior
faculty, and mid-level faculty.
This workshop will teach
participants to use the online tutorial on Developmental and
Behavioral Screening at www.dbpeds.org. Participants will
learn how they can track resident learning activities, and
produce individual and group reports. They will also learn how
to teach residents to track their own progress. By the end of
the workshop, participants will be able to customize the
tutorial for local use, know how to use analysis tools, and
contribute to further improvement and evaluation of the
tutorial tool. Participants will be give access to the online
tools needed to view reports and participate in an online user
group.
Objectives:
– Know how to view reports from
the online tutorial
– Know how to customize tutorials to reflect local needs
– Know how to use online tools to communicate with user
community
Format: Demonstration, direct
training, guided practice, small group brainstorming, and
facilitated group discussion.
8:00am–11:00am
3242—Medical–Legal Collaboration: New
Strategies in Promoting Child Health
PAS Educational Workshop
Yerba Buena Gardens Salon 2, SF Marriott
Leader: Lauren Smith, Boston, MA; Co-leaders: Megan Sandel,
David Keller, Ellen Lawton, Christopher Stenberg
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty and community
practitioners.
Families and children face social
and economic challenges that can adversely affect child
health, development and long-term potential. Pediatricians are
a natural front-line defense for screening and referral for
housing issues, education needs, disability, hunger and other
problems, yet they often lack the training and resources to
advocate for families' basic needs. Developing effective
medical–legal collaboration in clinical settings is a potent
strategy to promote child health through ensuring that these
basic needs are met. Experienced pediatric and legal advocates
will facilitate discussion of concrete advocacy strategies
including programs such as the Family Advocacy Program at
Boston Medical Center, Johns Hopkins Children's Center-Harriet
Lane Clinic, UMass Medical Center, Barbara Bush Children's
Hospital and others. The workshop will utilize case examples,
curriculum, advocacy tools and advocacy action plans to bring
to life the integration of legal advocacy in the clinical
setting.
Objectives:
– Learn how to incorporate
advocacy in the clinical setting.
– Learn how the medical-legal collaborative model supports a
culture of advocacy.
Format: The workshop methodology
will utilize case-based presentations, interactive discussions
and hands-on demonstration with advocacy and training tools.
8:00am–11:00am
3246—The Teen–Tot Clinic: Innovative
Health Care Delivery and Medical Education
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Lee Beers, Washington, DC; Co-leader: Victoria
Garriett
Target Audience: Trainees,
fellows, junior faculty, and mid-level faculty.
This workshop will address
strategies for caring for adolescent parents and their
children in pediatric practice and the role these experiences
play in medical education. During the first part of the
workshop, the participants will brainstorm about effective
ways of providing health care to adolescent parents and their
children. Video clips of teen parents enrolled in the workshop
leaders teen-tot program will be used to facilitate
discussion. During the last part of the workshop, the group
will discuss how the teen-tot model of health care can be used
to teach trainees the principles of systems based practice and
family-centered care.
Objectives:
– The participant will gain
knowledge of the teen-tot model of care for adolescent parents
and their children.
Format: Roundtable discussion,
videotape viewing, question and answer and small group
workgroups.
8:00am–11:00am
3250—Community-Based Physicians
APA Special Interest Group
Pacific Suite C, SF Marriott
Chair: David Bromberg, dbromberg@peds.umaryland.edu.
Check back later for additional
information.
8:00am–11:00am
3260—Pediatrics for Family Practice
APA Special Interest Group
Sierra Suite F, SF Marriott
Chair: Scott Krugman, scott.krugman@medstar.net.
Target Audience: Anyone who
teaches family practice residents.
The Pediatrics for Family
Practice SIG marks a major step forward in collaboration
between the two disciplines. This year, members of the AAFP
Task Force on Children and members of STFM will be joining our
SIG meeting to discuss updating the current APA/AAP/AAFP/STFM,
"Guidelines for the care of children." The AAFP task
force has started the revision, and this is our opportunity to
discuss family practice resident education from the
perspective of pediatricians. Our group has grown
significantly over the past year, and anyone who teaches
family practice residents is welcome to come to the SIG.
8:30am–10:00am
3280—Can Primary Care Ever Be
Evidence-Based? Current Efforts To Integrate Practice with
Science
PAS State of the Art Plenary
Room 2011, Moscone West
Chair: Elizabeth A. Edgerton, Agency for Healthcare Research
and Quality, Rockville, MD
Target Audience: Providers,
educators, research methodologists and policy makers.
A recent article published by
Moyer et al. (2004) highlights the lack of evidence supporting
many of the activities of pediatricians in the primary care
setting. A natural tension then arises between what is an
important pediatric issue and the relative impact the
pediatrician can have during the patient encounter.
Multiple stakeholders are
grappling with this very issue. Medical education is focusing
on the role of evidence-based medicine in clinical decision
making. The United States Preventive Services Task Force,
which develops evidence-based recommendations, struggles with
the limited research available to review. Similarly, the
American Academy of Pediatrics’ Bright Futures Initiative is
trying to integrate the quality of evidence available to
support common practices in their publication.
This session will present the
latest information on the “state of the science” regarding
evidence-based pediatric ambulatory care. Panelists will
highlight what has been successful as well as barriers to the
application of an evidence-based approach to primary care and
future solutions.
-
Gaps in the Evidence for
Well-Child Care: A Challenge to Our Profession
Virginia A. Moyer, University of Texas Health Sciences Center, Houston,
TX
-
Linking Bright Futures to the
Evidence
Modena E. H. Wilson, American Medical Association, Chicago, IL
-
U.S. Preventive Services Task
Force's Challenges with Pediatric Recommendations
Thomas G. DeWitt, Carl Weihl Professor and Director, Division of
General and Community Pediatrics, Associate Chair for
Education and Primary Care, Department of Pediatrics,
Cincinnati Children's Medical Center, Cincinnati, OH
-
The Role of Practice-Based
Research Networks in Evaluating Well-Child Care
Richard C. (Mort) Wasserman, University of Vermont, AAP PROS Network,
Burlington, VT
2:00pm–5:00pm
3740—AAP Presidential Plenary and First
Annual Silverman Lecture
AAP Presidential Plenary
Room 3007-3011, Moscone West
Chair: Errol R. Alden, American Academy of Pediatrics, Elk
Grove Village, IL
Target Audience: Scientists and
clinicians interested in the translation of research and
evidence-based principles into health policy and practice.
-
AAP Presidential Address
Eileen M. Ouellette, President, American Academy of Pediatrics, Elk
Grove Village, IL
-
The Community Pediatrics Training
Initiative: Quality Resident Education in Community
Pediatrics
Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial
Hospital, Rochester, NY
-
The Scientific Underpinnings of
Preventive Services for Children: The Bright Futures
Project
Paula M. Duncan, University of Vermont, Burlington, VT
-
The Evidence Base Underlying
Pay-for-Performance Initiatives
Paul V. Miles, The American Board of Pediatrics, Chapel Hill, NC
-
Introduction
Gerald B. Merenstein, University of Colorado School of Medicine,
Aurora, CO
-
First Annual William A. Silverman
MD Lecture:
-
From Disasters to
Triumphs—Lessons Learned in the Evolution of Neonatology
as a Subspecialty
Avroy A. Fanaroff, Case Western Reserve University School of Medicine,
Cleveland, OH
The Silverman Lecture
is sponsored by the AAP Section on Perinatal Pediatrics
2:00pm–5:00pm
3760—Building a State-wide Child Advocacy
Network
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Quimby McCaskill, Jacksonville, FL; Co-leaders: Joy
Burgess, Jeff Goldhagen, Arturo Brito, Brian Guerdat, Cristina
Pelaez
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The goal of this workshop is to
examine ways to encourage collaboration between residency
training programs and community advocacy groups in order to
train residents in statewide advocacy. Participants in this
interactive workshop will break into groups to discuss the
components of a "shared" legislative advocacy
curriculum between multiple training sites. Approaches to
developing a network of partners dedicated to advocacy,
including processes of formalizing governance, by-laws, and a
business plan, will be explored. Community-based advocates
from Florida will join the workshop to present ways that their
efforts can co-exist within the framework of resident
training, and to facilitate discussion about partnerships. At
the conclusion of the workshop, participants will have the
necessary tools to begin replicating this process in their own
state.
Objectives:
– To describe the components of
a statewide network dedicated to child advocacy
– To explore ways of developing a legislative advocacy
curriculum across training sites
– To learn how to develop effective partnerships between
training programs and child advocacy groups
Format: Break-out groups,
roundtable discussions, and question-and-answer period.
2:00pm–5:00pm
3764—Helping Children in Disasters:
Community Training
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: Karen Olness, Cleveland, OH; Co-leader: Anna
Mandalakas and Marisa Herran
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will address the
special issues of children in disasters and provide guidelines
for child health professionals who wish to help their
communities prepare for disasters. This workshop will use a
problem based training format with appropriate case histories
to allow participants to consider decision making for children
in natural or man made disasters. Components of this training
include the problems and priorities for children in disasters,
how to identify resources in the local community that are
available for disaster-impacted children, how to mobilize
rapid responses on behalf of children, and how to reduce long
term psychological problems for children.
Objectives:
– List the special issues of
children who experience disasters.
– Provide information on preparing a community to help
children in disasters.
Format: Problem based learned
format including discussion of relevant case histories.
2:00pm–5:00pm
3766—Implementing Innovations in Well Child
Care in a Community or University Clinic
PAS Educational Workshop
Yerba Buena Gardens Salon 1, SF Marriott
Leader: David Bergman, Palo Alto, CA
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
Current provision of
developmental and preventive care in well child care (WCC) is
inefficient and out of step with the needs of families. Yet,
the systemic changes that are necessary are within reach of
most pediatric practices. This workshop will present the
results of a national conference where child health care
leaders, practitioners and parents developed a set of
innovative changes for WCC. Each participant will understand
how these changes can be applied to their practice setting.
You will learn methods to stimulate creative thinking to
generate new change ideas and understand how these ideas
relate to key systems issues in WCC. You will also learn how
to identify and select changes that are best for your
practice. Finally you will generate a framework for
implementation that will be tailored to the your needs.
Objectives:
– To learn about new
innovations in WCC
– To understand systems issues in WCC and how they can be
improved
– To be able to identify and selection innovations that are
best for your clinic setting
– To develop a frameworks for systems change in WCC in your
clinic
Format: Round table discussion,
group problem solving and question and answer. We will use
both video images and slides.
4:15pm–6:15pm
3845—Endocrinology: Insulin
Resistance/Obesity
PAS/LWPES Poster Symposium
Room 3003-3005, Moscone West
Chairs: I. David Schwartz and Svetlana Ten
4:15pm–6:15pm
3850—Human Milk and Breastfeeding
PAS Poster Symposium
Room 3001, Moscone West
Chairs: Sheela R. Geraghty and Ardythe L. Morrow
Monday, May 1
7:00am–8:00am
4020—Public Policy Council 20th Annual
Legislative Breakfast Symposium
PPC Breakfast
Room 2002, Moscone West
Chair: Myron Genel, Yale University School of Medicine, New
Haven, CT
Can Medicaid be
"reformed" without adversely impacting access to
care for children and adolescents? As a member of the
Secretary of Health and Human Services' Medicaid Commission,
Carol Berkowitz will provide an overview of the Commission's
activities, the outcome of the ongoing deliberations of the
Medicaid Commission, a preview of the next steps for the
Commission and an outline of the role of the pediatric
community in advocating for the critically important EPSDT
program and opposing cost sharing.
-
Introduction
Myron Genel, Yale University School of Medicine, New Haven, CT
-
Medicaid "Reform": Can
We Preserve Our Children's Safety Net?
Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen
School of Medicine at UCLA, Torrance, CA
-
Discussion
8:00am–10:00am
4100—Making Pediatrics Family Friendly
PAS/APPD Topic Symposium
Room 2003-2007, Moscone West
Chairs: Carol D. Berkowitz, Harbor-UCLA Medical Center,
Torrance, CA; and Richard E. Behrman, Federation of Pediatric
Organizations, Inc., Menlo Park, CA
Target Audience: Pediatric
clerkship directors, residency program directors, fellowship
directors and division chiefs and department chairs, as well
as those in training or faculty interested in a
family-friendly environment.
The Federation of Pediatric
Organizations (FOPO) released its Report of the Task Force on
Women in Pediatrics in April 2005. The report recommends
structural and functional changes in academic pediatrics so
that family balance is possible during all stages of training.
Specific steps to achieve this goal were outlined from medical
student training up through senior pediatric faculty. It has
been proposed that information should be collected from
medical schools and training programs so that they can be
rated as “family-friendly” in a manner analogous to
Fortune 500 companies. Issues related to a family-friendly
environment include flexible training and work schedules;
provision of sufficient leave for maternity/paternity and
eldercare; resources for childcare, after-school and lactation
facilities; and extension of timelines for tenure and
extramural funding.
-
Overview
Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen
School of Medicine at UCLA, Torrance, CA
Richard E. Behrman, Federation of
Pediatric Organizations, Inc., Menlo Park, CA
-
The FOPO Report and the View of a
Chair
Bonita F. Stanton, Wayne State University School of Medicine,
Children’s Hospital of Michigan, Detroit, MI
-
Part-Time Pediatrics: Faculty and
Residents
Rebecca R. S. Socolar, UNC - Chapel Hill, Chapel Hill, NC
-
Parenting During Medical School,
Residency and Fellowship: Pregnancy, Parental Leave and
Lactation
Alison Volpe Holmes, Dartmouth-New Hampshire Family Practice Program,
Concord, NH
-
The FOPO Task Force on Women
Report and Program Director Perspectives
Ann Burke, Wright State University, Dayton, OH
-
Creating a Great Place to Work™-
Lessons from the 100 Best Companies to Work for in America
Hal Adler, Great Place to Work Institute™, Inc., San Francisco, CA
-
Discussion
Sponsored jointly by
the Association of Medical School Pediatric Department Chairs,
the Association of Pediatric Program Directors and the
Pediatric Academic Societies
Supported in part by an unrestricted educational grant from
GATE Pharmaceuticals
8:00am–11:00am
4150—The Skinny on the Adipocyte
PAS/LWPES Mini Course
Room 3010-3012, Moscone West
Chairs: Silva A. Arslanian, University of Pittsburgh,
Pittsburgh, PA; and Robert H. Lustig, University of
California, San Francisco, CA
Target Audience: General
pediatricians, gastroenterologists, endocrinologists,
cardiologists, pulmonologists and adolescent medicine
specialists.
Over the past five years much has
been learned about the adipocyte. The ability of the adipocyte
to function as an endocrine gland, elaborating inflammatory
cytokines that result in free radical formation and premature
apoptosis of the beta cell, is a relatively new concept. This
mini course will comprehensively address many of the newest
concepts in adipocyte function and their impact on health and
disease. Further discussion will include new concepts on the
interactions of IGF-II and other peptides' interactions with
the adipocyte. Lastly, there will be a call for new approaches
to the pediatric obesity epidemic.
-
Adipose Tissue as an Endocrine
Organ
Susan Fried, University of Maryland School of Medicine, Baltimore VA
Medical Center, Baltimore, MD
-
Obesity and Inflammation
Christopher Hug, Whitehead Institute and Children's Hospital,
Cambridge, MA
-
Effects of GH, IGF-I and Insulin
Therapies on Adiposity
Zvi Laron, Schneider Children's Medical Center of Israel, Petah Tikva,
Isreal
-
Pathology and Sequelae of
Childhood Obesity in Adult Life
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
9:00am–12:00pm
4240—Utilization of Instructional Alignment
for Resident Community-Based Projects
PAS Educational Workshop
Yerba Buena Gardens Salon 5, SF Marriott
Leader: Quimby McCaskill, Jacksonville, FL; Co-leaders:
Colleen Kalynych, Elisa Zenni, Jeff Goldhagen, David Wood
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The Pediatric RRC requires
"structured educational experiences that prepare
residents for the role of advocate for the health of children
within the community." Many programs are utilizing
community-based projects to promote resident competence in
this area. This workshop will introduce instructional
alignment (i.e. aligning objectives with teaching and
evaluation), as it applies to developing a sound curriculum
towards residents achieving competence in community pediatrics
through community-based projects. A videotape review and
analysis will allow participants to become familiar with the
benefits of and the essential components to instructional
alignment. Small work groups will also be used to apply these
concepts.
Objectives:
– Participants will be able to
describe instructional alignment.
– Participants will begin to develop an instructional
alignment protocol in community pediatrics utilizing
community-based projects.
– Participants will describe ways in which to evaluate
residents in national community pediatrics competencies
correlated with ACGME competencies, and explore the value of
electronic portfolios.
Format: Videotape, roundtable
discussions, and small work groups.
9:00am–12:00pm
4242—Well Child Care for the Premature
Infant
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Ricki Goldstein, Durham, NC; Co-leader: William
Malcolm
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners
After a brief overview of the
common problems encountered by premature infants after
discharge, this interactive workshop will engage the audience
in the utilization of a new premature infant well-child check
list being developed for office or clinic visits during the
first 2 years of life. Several videos of pediatric well-child
visits will be viewed which demonstrate common scenarios
involving abnormal motor development and feeding patterns.
After viewing each video, the workshop participants will
complete either a standard checklist used in a pediatric
practice or the one specifically designed for former premature
infants. The key questions or observations used to detect
various problems will be identified and indications for early
intervention will be discussed.
Objectives:
– To become familiar with the
common medical problems encountered by premature infants after
discharge
– To recognize the red flags for early motor and feeding
problems in premature infants after discharge
– To recognize indications for referring a premature infant
for early intervention services
Format: (1) Video presentation of
well child visit demonstrating various problems in premature
infants; (2) participants to complete a new check list
designed to detect various problems encountered in the
premature infant; and (3) roundtable discussion of advantages
and problems with new check list.
9:00am–12:00pm
4254—Integrative Pediatrics
APA Special Interest Group
Nob Hill A, SF Marriott
Chairs: Sharon Riesen, sriesen@ahs.llumc.edu;
and David Steinhorn, d-steinhorn@northwestern.edu.
The Integrative Medicine SIG will
meet together with the new AAP provisional Section for
Complementary, Holistic and Integrative Medicine. We will
provide a 3-hour multimedia, experiential presentation for all
PAS visitors interested in finding out more about
Complementary and Integrative Medicine and an opportunity to
meet and network with other clinicians, educators and
researchers interested in this topic. Our goal is to provide a
forum to see the current state of complementary and
alternative medicine (CAM) research, an opportunity to
experience a complementary therapy (if they wish) and to ask
about many of the CAM modalities most commonly used by our
patients. Local practitioners from the San Francisco area will
give hands-on demonstrations and explanations of their
specific modality and will answer your questions, as time
permits. Please take advantage of this unique opportunity to
satisfy your curiosity or whet your appetite to find out about
a field which many of our patients are already exploring.
12:15pm–1:15pm
4470—The National Children's Study: Status
and Future Plans
PAS/PPC Special Symposium
Room 3010-3012, Moscone West
Chair: Elena Fuentes-Afflick, University of California, San
Francisco, CA
Target Audience: Practicing
pediatricians, academic child health professionals,
researchers, administrators and policymakers who are
interested in child health across the lifespan. Professionals
interested in the impact of environmental factors on health
outcomes will also be interested.
This special symposium will
present an update on the National Children's Study, which
recently selected 7 vanguard centers and is prepared to begin
recruitment of subjects. However, the President's budget
proposal allocated no further funding and stated that the
study would be terminated at the end of the current fiscal
year. The panel presenters will discuss the current budgetary
outlook, status of the study, options to implement the study
and respond to questions from the audience.
Panelists
-
Elena Fuentes-Afflick, University of California, San Francisco, CA
-
Duane Alexander, Director,
National Institute of Child Health and Human Development,
National Institutes of Health, Bethesda, MD
-
Peter C. Scheidt, Director,
National Children's Study, National Institute of Child
Health and Human Development, National Institutes of
Health, Bethesda, MD
-
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
-
David J. Schonfeld, Member,
National Children's Study Federal Advisory Committee and
Chair, AAP Committee on Research, Cincinnati, OH
Sponsored jointly by
the Public Policy Council and the Pediatric Academic Societies
3:00pm–5:00pm
4620—Hirschsprung’s Disease and Chronic
Constipation: Medical and Surgical Approaches
PAS/NASPGHAN Topic Symposium
Room 3014, Moscone West
Chairs: B U.K. Li, Children's Memorial Hospital, Northwestern
University School of Medicine, Chicago, IL; and Melvin B.
Heyman, University of California San Francisco, San Francisco,
CA
Target Audience: General
pediatricians, pediatric gastroenterologists, pediatric
surgeons and developmental biologists.
This symposium will focus on a
common yet challenging problem constipation: the clinical,
diagnostic, genetic and surgical aspects of Hirschsprung’s
disease; and diagnostic testing, medical and surgical
treatment of chronic constipation. In Hirschsprung’s
disease, the clinical presentation (red flags) of, diagnostic
testing for and genetic mutations found will be discussed.
Surgical approaches including standard staged pull-thrus,
single stage repairs, laparoscopic approaches and
post-surgical obstructions will be reviewed. In chronic
constipation, the differential diagnosis and diagnostic
testing (findings in anorectal and colonic manometry, MRI and
bead transit studies) will be presented. Medical and surgical
therapeutic approaches will cover education, behavioral and
biofeedback therapy, medical treatment (disimpaction and
maintenance therapy) and antegrade enemas delivered via
cecostomies. The specific approaches applicable to a general
pediatric practice use will be identified.
-
Clinical and Genetics Aspects of
Hirschsprung's Disease
Cheryl E. Gariepy, University of Michigan Health System, Ann Arbor, MI
-
Surgical Approaches to
Hirschsprung's Disease
Daniel H. Teitelbaum, University of Michigan Hospitals, Ann Arbor, MI
-
Diagnostic Approaches to Chronic
Constipation
Samuel Nurko, Children's Hospital and Harvard University, Boston, MA
-
Therapeutic Approaches to Chronic
Constipation
Warren P. Bishop, Children's Hospital of Iowa, University of Iowa, Iowa
City, Iowa
Sponsored jointly by
the American Pediatric Surgical Association; the North
American Society for Pediatric Gastroenterology, Hepatology
and Nutrition; and the Pediatric Academic Societies
Tuesday, May 2
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.
-
Recommendations from the National
Academies of Science
Bernard Lo, University of California San Francisco, San Francisco, CA
-
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
-
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
-
Resolving Ethical Dilemmas in
Housing Hazard Research Through Community Participation
Brenda Eskenazi, University of California Berkeley, Berkeley CA
-
Discussion
8:00am–10:00am
5158—Endocrinology: Diabetes—Immune
Mediated
PAS Poster Symposium
Room 3020, Moscone West
Chairs: Bruce A. Boston and Susan B. Nunez
8:45am–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
5245—School and Community Health
APA Special Interest Group
Room 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!
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
Chair: 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
5415—Reducing Disparities in Healthcare
Quality: How Much Progress Are We Making?
PAS State of the Art Plenary
Room 3022, Moscone West
Chairs: Denise M. Dougherty, USDHHS Agency for Healthcare
Research and Quality, Rockville, MD; and Glenn Flores, Center
for the Advancement of Underserved Children, Medical College
of Wisconsin and Children's Research Institute, Milwaukee, WI
Target Audience: Attendees
serving racially and ethnically diverse families and those
concerned about reducing disparities in children's health care
and health.
The 2002 Institute of Medicine
report, Unequal Treatment, brought national attention to
racial and ethnic disparities in healthcare quality. At the
time, there was almost nothing to report on disparities in
children's healthcare quality.
This session will bring
participants up to date on key disparities in children's
healthcare quality, based on information from the 2005
National Healthcare Disparities Report (NHDR) and other
sources. Selected examples of disparities from the 2004 NHDR
include: African–American children are three times as likely
as white children to be hospitalized for asthma, and Black and
Hispanic children on dialysis are less likely than white
non-Hispanic children to be on a waiting list for a kidney
transplant. Examples of activities under way to reduce
disparities will be presented, including development of a
structured framework for increasing cultural competency in
children's healthcare and efforts to improve care for
vulnerable racial and ethnically diverse child patients using
health information technology strategies. The panel will end
with a presentation on future directions in policy and
research for reducing disparities in children's healthcare.
-
Where Are We Now? Disparities in
Children's Healthcare Quality
Denise M. Dougherty, USDHHS Agency for Healthcare Research and Quality,
Rockville, MD
Lisa Simpson, All Children's
Hospital, Endowed Chair, Children's Health Policy,
University of South Florida, St. Petersburg, FL
-
Improving Cultural Competency in
Children's Healthcare
Charles J. Homer, National Initiative for Children's Healthcare Quality (NICHQ), Cambridge,
MA
-
Using Health Information
Technology To Improve Care and Reduce Disparities
Richard N. Shiffman, Yale University School of Medicine, New Haven, CT
-
Yes, It Can Be Done: The
Successful Elimination of a Racial/Ethnic Disparity in
Children's Healthcare
Glenn Flores, Center for the Advancement of Underserved Children,
Medical College of Wisconsin and Children's Research
Institute, Milwaukee, WI
-
Future Directions
Robert K. Ross, The California Endowment, Woodland Hills, CA
1:45pm–3:45pm
5725—Meet the Red Book Committee: Update on
New Vaccines
PAS/PIDS Hot Topic
Room 3014, Moscone West
Chairs: Sarah S. Long, Drexel University College of Medicine
and St. Christopher’s Hospital for Children, Philadelphia,
PA; Larry K. Pickering, Emory University School of Medicine,
Atlanta, GA; David Kimberlin, University of Alabama,
Birmingham, AL; and Henry Bernstein, Dartmouth Medical School,
Lebanon, NH
Target Audience: Primary care
pediatricians, infectious diseases physicians and adolescent
medicine physicians.
Vaccines represent the best
return on investment in health care resources. Currently, this
is a dynamic time for new vaccine development and licensure.
Recent changes in the vaccine schedule include the development
and licensure of new rotavirus vaccines, meningococcal
conjugate vaccines, acellular pertussis vaccines for use in
adolescents, papillomavirus, hepatitis A vaccines for
1-year-olds and a new “combination” vaccines (including
mumps-measles-rubella-varicella). Human papillomavirus vaccine
is expected to be licensed. To update physicians in practice,
the American Academy of Pediatrics will co-sponsor a symposium
on new vaccines, entitled “Red Book Update: New Vaccines”.
Topics to be discussed include
the newly licensed products listed above, as well as new
indications and uses of existing vaccines.
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
1:45pm–3:45pm
5730—Obesity Symposium—The BIG Picture
PAS/LWPES Hot Topic
Room 3007-3011, Moscone West
Chairs: Janet H. Silverstein, University of Florida College of
Medicine, Gainesville, FL; and Josephine Z. Kasa-Vubu,
University of Michigan, Ann Arbor, MI
Target Audience: General
pediatrics, developmental pediatrics, adolescent medicine,
genetics, basic science, pediatric endocrinology and health
outcomes.
The obesity epidemic continues to
be a major public health threat and a top priority for a broad
range of researchers and clinicians. This symposium will
attempt to reach beyond descriptive statistics and will focus
on advances from bench to bedside with a focus on
intervention.
-
Overview
Josephine Z. Kasa-Vubu, University of Michigan, Ann Arbor, MI
-
Lessons from the Bench: Molecular
and Anatomical Models of Leptin Resistance
Martin Myers, University of Michigan, Ann Arbor, MI
-
Intensive Versus Behavior
Therapies for the Obese Child: What We Know and What We Do
Not Know
Jack Adam Yanovski, National Institutes of Health, Bethesda, MD
-
Long-Term Costs of Early Onset
Diabetes
William H. Herman,
-
Prenatal Programming of Obesity
and Obesity-Related Behaviors
Peter D. Gluckman, Liggins Institute, University of Auckland, Auckland,
New Zealand
-
Discussion
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
1:45pm–3:45pm
5760—Underserved Populations II
PAS Platform Session
Room 3000, Moscone West
Chairs: David M. Keller and Ronald C. Samuels
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