2006 PAS Annual Meeting

April 29–May 2 
San Francisco, California

Track/Area of Interest

At A Glance Page 
(PDF format)

(as of April 24, 2006) 

Education

Friday, April 28

10:15am–12:15pm
APPD Plenary Session
APPD Plenary Session
Yerba Buena Gardens Salon 8, SF Marriott

• Association of Pediatric Program Directors
  Theodore Sectish, Stanford University Medical School, Palo Alto, CA

• Residency Review Committee
  Carol Carraccio, Professor of Pediatrics and Associate Chair for Education, University of Maryland School of Medicine, Baltimore, MD

• American Board of Pediatrics
  Gail A. McGuinness, American Board of Pediatrics, Chapel Hill, NC

• Pediatric Education Steering Committee
  Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo Park, CA

• American Academy of Pediatrics
  Robert Perelman, American Academy of Pediatrics, Elk Grove Village, IL

• APPD Financial Update
  Ann Burke, Wright State University, Dayton, OH

• APPD Awards
  Robert S. McGregor, St. Christopher's Hospital for Children, Philadelphia, PA
  Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen School of Medicine at UCLA, Torrance, CA

• Recognize Outgoing Leaders
  Theodore Sectish, Stanford University Medical School, Palo Alto, CA
  Robert S. McGregor, St. Christopher's Hospital for Children, Philadelphia, PA

• APPD Election Results
  Edwin I. Zalneraitis, Connecticut Children's Medical Center, Hartford, CT

• Interative Panel Discussion (Q&A)
  Ann Burke, Wright State University, Dayton, OH

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.

• Welcome
  Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
  Philip R. Nader, University of California San Diego, La Jolla, CA

• Advocacy Skills Panel Discussion
  — 1–2 residents
  — 1–2 community partners
  Anda Kuo, University of California San Francisco, San Francisco, CA

• State Legislative Advocacy on Behalf of Children and Pediatricians–How to be Effective in Difficult Budget Times
  Kris Calvin, American Academy of Pediatrics, California District IX

• Resident Presentations (3 Resident Presentations TBD)

Sponsored jointly by the APA Advocacy Training SIG, the AAP Community Pediatrics Training Initiative and the Pediatric Academic Societies

8:00am–11:00am
2115—Genetics and the Pediatric Medical Educator: What We Need To Know and How Can We Teach It
PAS Mini Course
Room 2006, Moscone West
Chairs: Joseph Gigante, Vanderbilt Children's Hospital, Nashville, TN; and Marilyn C. Dumont-Driscoll, University of Florida College of Medicine, Gainesville, FL

Target Audience: Medical educators, general pediatricians and anyone who would like to learn more about how genetics affects primary care.

There have been rapid advances in knowledge and technology in the field of genetics. General pediatricians have become the first line of information and counseling for patients and families seeking to understand the unique role of genetics in their overall medical care. Yet genetics has played a relatively small part in the medical school curriculum, and the emerging gap in physician knowledge has created an enormous need for education in a previously underemphasized area of medical education. Genetic medicine also raises some of the most subtle medical, psychosocial, cultural and bioethical dilemmas faced by primary care pediatricians and their patients.

This mini course is designed to help participants understand and incorporate genetics in their patient encounters, as well as enhance their comfort in teaching genetics. Using a collaborative faculty presentation, basic genetic concepts, core competencies and new paradigms will be discussed. Strategies for incorporating genetics into primary care practice and teaching genetics will include case presentations; “missed opportunities,” where genetics impacts a patient and pediatrician; and interactive educational games that can be used at the participant’s own site. Resources, such as internet sites that contain current genetic information, will be distributed and discussed.

• Ethical, Legal, Social and Cultural Issues and Genetics
  Joseph Gigante, Vanderbilt Children's Hospital, Nashville, TN

• Using the Family History To Focus Anticipatory Guidelines and Screening at Health Maintenance Visits
  Marilyn C. Dumont-Driscoll, University of Florida College of Medicine, Gainesville, FL

• Genetic Tests for the Pediatrician: What, When, How and Why
  Daniel J. Driscoll, University of Florida College of Medicine, Gainesville, FL

• Hearing Loss: Resources for Genetic Information
  Teri Lee Turner, Baylor College of Medicine, Houston, TX

8:00am–11:00am
2150—Basic Tools and Techniques of Evidence-Based Medicine
PAS Educational Workshop
Room Pacific Suite F, SF Marriott
Leader: Kathleen Meert, Detroit, MI; Co-leaders: Barry Markovitz, Mona McPherson

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

Evidence-based medicine (EBM) aims to judiciously apply best research evidence to the prevention, detection and treatment of health disorders. Workshop participants will learn to: (1) generate focused clinical questions from case scenarios, (2) find the best research evidence to answer clinical questions through literature and database searching, (3) critically appraise evidence for validity, effect size and applicability, and (4) integrate critical appraisal with clinical expertise and individual patient preferences. Methods will include case discussions, demonstrations of electronic research databases and pre-appraised evidence sources, small group critical appraisals of recent articles, practice with EBM calculators, and pre- and post-tests assessments.

Objectives:

– Participants will be able to generate focused clinical questions from case scenarios.
– Participants will be able to find the best research evidence to answer clinical questions through literature and database searching.
– Participants will be able to critically appraise original evidence for validity, effect size and applicability.
– Participants will be able to integrate critical appraisal with clinical expertise and individual patient preferences.

Format: Formats/strategies that will be used to accomplish the objectives include small group discussions, question-and-answer period, examples, problem solving, pre- and post-tests.

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

8:00am–11:00am
2151—Can You Hear Me? Do You Understand? Issues in Organizational Transformation to Meet the Needs of Limited English Proficiency (LEP) Patients and Families
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Noel Rosales, Philadelphia, PA; Co-leader: William Tietjen

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

This workshop will provide the participant the knowledge and tools to effectively establish and further develop a language access services program in their institutions, discussing both translation and interpretation. Using the experience of the Children's Hospital of Philadelphia, the workshop will review the legislative and regulatory mandates that make establishing and maintaining language access services programs necessary. Using an interactive discussion format, the participants will explore the needs of their home institutions and determine whether outsourcing or growing their own internal program is most appropriate. Effective use of medically trained interpreters will be reviewed and a model program for teaching effective use of interpreters will be presented.

Objectives:

– To review the national regulatory and legislative mandates for comprehensive programs for the Limited English Proficient.
– To explore pertinent issues in the planning, implementation and development of an effective language service program.
– To understand the use of trained medical interpreters for effective and safe patient care.
– To identify challenges and solutions among participants in the establishment of language access programs.

Format: Brief lecture, interactive discussion, short video vignettes, and group problem solving.

8:00am–11:00am
2154—Effective Management of Chronic Disease in Schools
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: Linda Grant, Boston, MA; Co-leaders: Barbara Frankowski, Rani Gereige

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

The goals of this workshop are to provide clinicians with the skills to more effectively manage their patients with chronic disease within the school setting. These skills include: (1) more effective communication between the family, the office and the school, (2) understanding the complexity of HIPAA and FERPA, (3) developing clinical management strategies that support rather than burden school systems and (4) applying these concepts to residency advocacy programs.

The workshop will utilize case histories and will rotate participants through three modules reflecting the skill areas. Each module will be facilitated by physician school consultants who are responsible for policy in their districts and who also have residency training responsibilities.

Objectives:

– Understand the differences between HIPAA and FERPA as regards confidentiality and sharing information between primary care and schools.
– Develop guidelines for appropriate and effective school-linked case management of diabetes, asthma and other chronic illnesses.
– Develop communication strategies connecting home, school and office.
– Understand role of schools in advocacy in training programs.

Format: Workshop will be divided into three modules and participants will rotate through all three. The three modules are: Legal and communication issues (FERPA/HIPAA), Clinical Management and Advocacy in Training Programs. The modules will be chaired by three school physician consultants (and include a pediatric residency director who has incorporated these objectives into the residency).

8:00am–11:00am
2155—Gender-Variant Youth: The Role of the Pediatrician
PAS Educational Workshop
Laurel, SF Marriott
Leader: Irene Sills, Albany, NY; Co-leader: Arlene Lev

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

This workshop is an overview of sexual and gender identity development in children and youth focusing on understanding the needs of transgender and transsexual youth. By review of case presentations, attendees will gain skills and knowledge in how to assist parents of children with gender variant behavior, children with gender identity confusion, and adolescents who exhibit cross-gender behaviors. Ethical considerations in the care of this population will be presented and discussed. Current standards for hormonal therapy will be reviewed.

Objectives:

– The participant will demonstrate an understanding of the developmental appropriateness of youth with gender variant behavior.
– The participant will prepare to assist children and adolescents with gender variant behavior and their families.
– The participant will demonstrate an understanding of the ethical issues in the medical care of transgendered adolescents.

Format: a) Short didactic presentation; b) discussions of scenarios that might present to the pediatrician; c) viewing of a short videotape; and d) roundtable discussion of ethical issues.

8:00am–11:00am
2157—I Can Do That! Preparing Residents To Perform Minor Procedures
PAS Educational Workshop
Yerba Buena Gardens Salon 12, SF Marriott
Leader: Steve Selbst, Wilmington, DE; Co-leader: Joel Fein and Jonathan Bennett

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

Minor procedures are important in pediatric residency and office practice. Training and performing certain procedures varies between residency programs. With limited exposure, peds residents and practitioners may avoid procedures or call consultants when uncomfortable. The goal of this hands-on workshop is to teach techniques and instructional methods for minor office procedures. Workshop leaders will demonstrate skills and allow practice of: 1) Wound repair- use glue, fast absorbing sutures, staples 2) Remove foreign bodies from ears, nose, eyes; reimplant avulsed teeth 3) Troubleshoot G- tube and trach-tube complications 4) Extricate embedded fishhooks, subungual hematomas, hair tourniquets 5) Master intraosseous infusion, new needleless systems and IV safety devices 6) Manage paraphimosis, zipper entrapment, rectal prolapse. Participants will become adept at several procedures and be able to teach them to others.

Objectives:

– Participants should improve their own technical skills during the workshop.
– Participants will become aware of teaching modalities and be able to conduct similar teaching sessions at their own institutions.

Format: Lecture, demonstration, hands-on practicing, and question-and-answer period.

8:00am–11:00am
2158—The National Survey of Children's Health: Resources and Tips for Using New National and State Data on Child and Adolescent Health
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: Christina Bethell, Portland, OR; Co-leaders: Stephen Blumberg, Debra Read

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

The National Survey of Children's Health (NSCH) is the largest, nationally representative survey conducted with families to assess the health, well-being and health care of children and youth (n = 102,000). Publicly released in 2005, NSCH provides a wide range of national and state-level data on the health of children, youth and families. Participants will: 1) identify research topics that can be addressed using the NSCH; 2) Obtain hands-on experience using the Data Resource Center—a new resource to easily obtain and download findings from the NSCH; 3) gt ideas on using findings to stimulate efforts to improve care for children, inform research and grant development and advance evidence-based policy, program development, and advocacy.

Objectives:

– Identify the range of research topics that can be addressed using these data.
– Obtain hands-on experience using the Data Resource Center on Child and Adolescent Health (DRC)—a new resource for pediatric clinicians, researchers, and families to easily obtain and download findings from the NSCH ( www.childhealthdata.org).
– Get ideas on presenting findings to enhance state and local efforts to improve the health and health care of children, youth, and families.

Format: Presentations, question and answer, hands-on practice using an online data resource center, case examples, real time technical assistance and problem solving.

8:00am–11:00am
2160—Striving for Excellence: Using the Model for Improvement To Transform Pediatric Practice
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Lloyd Werk, Orlando, FL; Co-leader: Lynn Woods

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

This session will demonstrate the role of quality improvement interventions in transforming pediatric practice. Recent reports from the Institute of Medicine and guidance from professional societies recommend adoption of systematic quality improvement interventions in health care in order to promote best practices. This workshop will review the context and evidence behind quality improvement activities, introduce the Model for Improvement (Nolan), and provide examples of tests of change. Through the use of vignettes and their own clinical dilemmas, participants will generative their own tests of change. Upon completion of the workshop, participants will be able to apply lessons learned within their own practice settings.

Objectives:

– Identify at least one opportunity in their setting for which they can apply the Model for Improvement to effect advancement of a best practice.
– Use three questions to generate the aims, measures, and change concepts needed to drive PDSA cycles.
– Generate a plan to test a change concept and describe how they would use the result.

Format: The Striving for Excellence workshop employs a balanced format rotating among didactic instruction, illustrative games, and practical exercises. The workshop starts with an introduction and needs assessment and proceeds through some basic concepts to set the stage. Participants are asked to generate some suggestions in response to a video vignette. The Model for Improvement (Nolan) is introduced and game played to draw out ways quality improvement can be applied. The Model for Improvement is then reviewed in detail and applied to the initial video vignette. Aims, Measures, Change concepts are created as well as illustrative PDSA cycles, both demonstrated and elicited from participants. Change concepts from the needs assessment, parking lot, and exercises are gathered together and developed into tailored Aims, Measures, Change concepts and PDSA cycles through an interactive tool.

8:00am–11:00am
2161—Teaching Oral Presentation Skills to Medical Students and Residents in Pediatrics
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Anand Sekaran, Hartford, CT; Co-leaders: Mary Ottolini, Craig DeWolfe

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

Teaching trainees how to present patients efficiently is an ongoing challenge. The goal of this workshop is to introduce a format to teach effective presentation in a "rounds" setting and in one-to-one sign out. We will portray Bordage's use of semantic dissonance as a means for trainees to address differential diagnosis. We will demonstrate an assessment tool to provide feedback to trainees using video-clips of varied presentations. An instructional CD-ROM demonstrating an ideal oral presentation by medical students will highlight many of the points reviewed. Small group participation will be used to focus on feedback, efficiency measures and adapting to family-centered rounds. At the conclusion of the session participants will be provided with the tools to implement the teaching workshop at their own institutions.

Objectives:

– To present a module for teaching oral presentation in pediatrics
– To provide participants with the teaching tools developed at two institutions

Format: (1.) Collaborative use of teaching tools, (2.) small group interaction, (3.) CD-ROM of oral presentations depicting varied quality, (4.) assessment sheet to critique presentations, and (5.) instructional CD-ROM of an ideal presentation.

8:00am–11:00am
2172—Medical Student Education
APA Special Interest Group
Pacific Suite I, SF Marriott
Chairs: Bill Raszka, william.raszka@uvm.edu; and Lindsey Lane, jllane@nemours.org.

This year the Medical Student Education SIG will focus on two topics:

1. How pediatric clerkships are currently evaluating the core competencies and what future evaluation goals should be. 
2. How different medical schools/clerkships are addressing the LCME ED2 requirements.

Members of the SIG will present their experiences in each of these two challenging curricular areas, and as always, there will be lively discussion and exchange of ideas.

8:00am–11:00am
2173—Faculty Development
APA Special Interest Group
Pacific Suite C, SF Marriott
Chairs: Virginia Niebuhr, vniebuhr@utmb.edu; and Lyuba Konopasek, lyk2003@med.cornell.edu.

Target Audience: Anyone who claims to be or wants to be a faculty developer.

Who are we? The Faculty Development SIG is a group of educators committed to learning more about the field of faculty development and helping each other succeed. Attendance is open to anyone who claims to be or wants to be a faculty developer.

8:00 Business meeting
We will review our mission statement, summarize our SIG activities, especially co-sponsorship of the APA Faculty Development Program’s Educational Scholars Program (ESP) and e-Connections. Danielle Laraque, Mount Sinai School of Medicine, will present AAMC data on faculty demographic trends and issues of diversity in faculty recruitment and retention. We will honor outgoing co-chair, Latha Chandran, and select a new co-chair.

9:00 Workshop on Program Evaluation
In response to our membership’s request for more guidance on program evaluation, Dr. Patricia O’Sullivan, Associate Director for Educational Research at the University of California-San Francisco School of Medicine, will facilitate this workshop on principles and strategies to use when evaluating your faculty development efforts.

10:30am–12:30pm
2335—Medical Education—Duty Hours and Competencies
PAS Platform Session
Room 2002, Moscone West
Chairs: Miriam Bar-on and Cynthia L. Ferrell

11:45am–2:45pm
2406—Enhancing Efficiency and Productivity in the Patient Care Environment with the Use of Personal Digital Assistants (PDAs)
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: Srinivasan Suresh, Detroit, MI; Co-leaders: Anne Mortensen, Kate Sheppard

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

A potentially compelling environment for the use of Personal Digital Assistants (PDA) exists in most hospitals. This workshop will demonstrate effectively using the Pocket PC PDA in facilitating resident education, bedside clinical teaching, and patient care, sign-out and communication in the aftermath of the 80-hour week, and improving the cost effectiveness of wireless networks in the patient care setting.

A hands-on workshop component will demonstrate how these handheld computers are a valuable tool for physicians by allowing them to have immediate access to relevant clinical information such as drug interactions, calculating important parameters, or expanding the differential diagnosis, providing a readily accessible and permanent means of recording and tracking patient procedures, enabling fluid transfer of vital patient information to other health care providers, and managing and accessing patient data.

Objectives:

– Familiarity with common medical applications using Pocket PCs
– Ability to integrate effective usage of PDAs in clinical decision-making
– Understand the importance of creating and/or sustaining a robust wireless network in a patient care facility
– Keep abreast of the technological advances in medical education and patient care in the 21st century

Format: (1) Hands-on, real-time demonstration of applications using Pocket PCs, (2) interactive discussion and (3) problem solving with examples.

11:45am–2:45pm
2414—Opportunities for Leadership
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Carol Berkowitz, Torrance, CA; Co-Leader, Surendra Varma

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

This workshop will discuss the multiple paths to academic leadership. There will be three distinct perspectives presents: (1) leadership at an institutional level - climbing the academic ladder; (2) leadership at an organizational level - opportunities to become involved with national organizations such as the American Academy of Pediatrics, the Ambulatory Pediatric Association, American Pediatric Society; and (3) networking: differences in gender styles and opportunities. There will be a panel discussion following individual presentations and an opportunity for workshop participants to discuss their personal experiences.

Objectives:

– To learn from different Roadmaps available for achievements in academic media
– Learn from the experiences of national pediatric leaders
– Diversity of skills of presenting speakers

Format: Presentations by four speakers followed by a questions-and-answers period with active participation from the audience.

11:45am–2:45pm
2416—Publishing Research in Pediatric Education: The Devil Is in the Methods
PAS Educational Workshop
Pacific Suite J, SF Marriott
Leader: James Perrin, Boston, MA; Co-leaders: John Co and Benjamin Siegel

Target Audience: Junior, mid-level and senior faculty.

Increasing numbers of pediatric faculty have taken on studies of pediatric education, and new and promising techniques can help pediatric educators in these investigations. Many academic centers have a wealth of researchers who can collaborate with pediatric educators in their efforts. This workshop provides guidance in choosing a research question, determining how to study it using both qualitative and quantitative methods, and writing up the study for publication. Based on the experience of Ambulatory Pediatrics, the leaders will share reasons for success and failure in publishing research in pediatric education. Participants will work on their own research questions as well as studies that the journal has evaluated.

Objectives:

– To describe ways of defining interesting questions in research in pediatric education
– To clarify strategies for the presentation of research methods and findings for journal publication
– To compare and contrast qualitative and quantitative research in pediatric education

Format: Case examples of research papers sent to Ambulatory Pediatrics for review; characterization of reasons for rejecting papers; brief, didactic presentations on qualitative and quantitative methods and on guides to publication and research problems for participants to work on in small groups.

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

11:45am–2:45pm
2418—The Richard Sarkin Legacy: Using Hollywood Movies To Teach Communication Skills and Adult Learning Theory
PAS Educational Workshop
Golden Gate Hall A2, SF Marriott
Leader: Larrie Greenberg, Washington, DC; Co-leaders: Patience White, Christopher White

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

Richard Sarkin was a pioneer in using Hollywood movie clips as a way to enhance teaching and learning. In this workshop we will explore how Rich used movies to teach and apply adult learning theory and to improve doctor-patient communication. Participants will view and analyze snippets from movies and discuss their observations in small groups. Discussions will focus around the teaching/learning points the movies illustrate and how/when to best use these snippets. What will also evolve is how learners collaboratively and proactively can generate, through previous experiences and some knowledge, information that teachers in a traditional teacher-centered model would give them in a passive learning mode.

Objectives:

– To recognize how movies can help to teach communication skills and adult learning theory
– To practice using movie clips to recognize how they can be used in teaching and learning
– To analyze the strengths/weaknesses of movies as a teaching tool

Format: We will use a very brief interactive discussion followed by small group assessments of movie clips as they pertain to doctor-patient communication and adult learning theory.

11:45am–2:45pm
2422—Sex Ed: Learning To Teach Sexual Education Across the Pediatric Age Spectrum
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Michelle Barratt, Houston, TX; Co-leaders: Andrea Bortot

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

The workshop goal is to provide resources for training residents and students in a stepwise manner regarding sexuality and sex education for adolescents and all age groups. Anticipatory Guidance regarding sex must provide for the needs of a new mom (anatomic nomenclature, etc.) through parent of an elementary aged child (upcoming bodily changes, etc.) through parent and their adolescent (direct conversation about healthy choices, etc.). Examples of training by standardized patients, viewing video clips, role modeling, and web-based resources will be presented.

Objectives:

– Participants will have two new techniques to use when training students and residents on age appropriate sexual education.
– Participants will have age specific sexual education anticipatory guidance knowledge.
– Participants will increase their personal comfort discussing sexual topics with parents and patients.
– Participants will be familiar with the use of brief motivational interviewing with adolescents.

Format: The workshop will include group discussion, videotape critiquing and small group exercises.

12:00pm–3:00pm
2500—Advocacy Training Initiative—Part II
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles, Los Angeles, CA; and Philip R. Nader, University of California San Diego, La Jolla, CA

Target Audience: Pediatric program directors and attendees interested in advocacy.

Building upon the Child Advocacy Skills in Part I of the ATI Conference, Part II will now focus on how to incorporate these skills into meaningful residency curricular experiences. Pediatric residents are increasingly committed to promoting child health in arenas other than the pediatric exam room. Programs are being called upon to provide structured curricular experiences for residents in child advocacy, and these experiences may build upon existing curricula in community pediatrics or be completely separate. New avenues for partnerships between pediatric residency programs and community agencies can occur as a result of child advocacy rotations or projects. This part of the conference will give participants new ideas for child advocacy training experiences, address the how-tos on a shoestring budget, and present ideas for evaluating your community/advocacy curriculum.

Please join us for the Advocacy Training SIG from 3:15-5:15pm immediately following the Advocacy Training Initiative.

• Welcome
  Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
  Philip R. Nader, University of California San Diego, La Jolla, CA

• Different Forms of Advocacy Training Curricular Experiences
  David M. Keller, University of Massachusetts Medical School, Worcester, MA

• Implementing a Required Child Advocacy Rotation with No Budget
  Sanjeev Kumar Sriram, University of California Los Angeles, Los Angeles, CA

• Evaluating Community/Advocacy Educational Experiences
  Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial Hospital, Rochester, NY

• Resident Poster Session

Sponsored jointly by the APA Advocacy Training SIG, the AAP Community Pediatrics Training Initiative and the Pediatric Academic Societies

12:00pm–3:00pm
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, Montefiore Medical Center, Bronx, NY

• Effective Research Techniques in Underserved Populations
  David H. Rubin, St. Barnabas Hospital, Bronx, NY

• Working with the Community
  Glenn Flores, Center for the Advancement of Underserved Children, Medical College of Wisconsin and Children's Research Institute, Milwaukee, WI

• Underserved Pediatrics Populations Research: Where Do We Go From Here?
  Iman Sharif, Children's Hospital at Montefiore, Bronx, NY

• Discussion

2:15pm–5:15pm
2700—Educating Pediatric Fellows in a Competency-Based World
PAS/APPD Mini Course
Room 2007, Moscone West
Chairs: Susan Guralnick, Stony Brook University Medical Center, Stony Brook, NY; and Joseph Gilhooly, Oregon Health and Science University, Portland, OR

Target Audience: Attendees involved with fellowship programs.

Competency-based education is now the standard for residency education. Residency programs have integrated the ACGME Core Competencies into their curricula and assessment methods. It is now time for fellowships to enter the “competency” arena, and there is much to be accomplished. This program will focus on several areas of fellowship education including: the new RRC common requirements for subspecialty training, development of a competency-based fellowship curriculum, competency-based assessment tools, and pediatric subspecialty fellows as teachers. Attendees are encouraged to bring tools and ideas for discussion and development. Attendees should leave with useful materials to bring back to their home programs.

• Overview
  Susan Guralnick, Stony Brook University Medical Center, Stony Brook, NY
  Joseph Gilhooly, Oregon Health & Science University, Portland, OR

• A Brave New World! New Common Requirements for Subspecialty Training—Implementing the Competencies
  Carol Carraccio, Professor of Pediatrics and Associate Chair for Education, University of Maryland School of Medicine, Baltimore, MD

• "Survivor ACGME"—Fellowship Competencies in Action
  Joseph Gilhooly, Oregon Health & Science University, Portland, OR

• John D. Mahan, Children’s Hospital, The Ohio State University, Columbus, OH

• Turning to Fellows as Teachers: From Curricula to Evaluation
  Nancy D. Spector, St. Christopher's Hospital for Children, Philadelphia, PA
  Susan Guralnick, Stony Brook University Medical Center, Stony Brook, NY

Sponsored jointly by the Association of Pediatric Program Directors and the Pediatric Academic Societies

Supported by an unrestricted educational grant from Dey, L.P.

3:15pm–5:15pm
2749—Medical Education
PAS Platform Session
Room 2009, Moscone West
Chairs: Robyn J. Blair and William V. Raszka

APA Ray E. Helfer Award for Innovation in Pediatric Education

3:15pm–5:15pm
2760—Designing a Longitudinal Curriculum in Evidence-Based Medicine for Large Residency Programs
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Srinivasan Suresh, Detroit, MI; Co-leaders: Anne Mortensen, Misa Mi, Munirah Curtis, Renato Roxas, Joshua Evans, Kate Sheppard, Lakshmi Srinivasan, Deepak Kamat

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

Evidence-based medicine (EBM) is a complementary approach to clinical practice that applies the principles of clinical epidemiology to the traditional skills of patient care. A longitudinal curriculum is vital in inculcating this concept in medical students, residents and fellows.

This workshop will enable participants to effectively design an EBM curriculum to trainees. The workshop leaders currently perform this activity in a large residency program of about 100 residents. The logistics of ensuring that all residents are exposed to the spectrum of EBM, given their other responsibilities, will be explained. Means of incorporating continual feedback in the curriculum to achieve best clinical practices will also be demonstrated.

Objectives:

– Ability to develop formal clinical questions based on patient encounters
– Ability to develop skills in finding evidence based medical literature
– Ability to explain the EBM process to peers and trainees
– Acquire the operational skills necessary to institute/improve an EBM curriculum

Format: (1) Interactive Discussion, (2) hands-on, real-time demonstration of literature search strategies using Personal Digital Assistants (PDA), and (3) problem solving, applying common clinical vignettes.

3:15pm–5:15pm
2772—Teaching Professionalism to Pediatric Residents: Meeting the ACGME Requirements in the Core Competencies
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Alexander Kon, Sacramento, CA

Target Audience: Junior faculty, mid-level faculty, and senior faculty.

This workshop will discuss how to create and implement a residency course in Professionalism to meet the new ACGME requirements. Participants will learn what these requirements are and how to identify resources at their own institution. We will discuss one such course that is used by the ACGME as an exemplar, and participants will consider how they can create a similar course. Attendees will become active participants in the brainstorming and role-playing sessions, and will discuss their own experiences in attempting to create and run such courses. Participants will also learn what resources are available nationally for instructors in professionalism training.

Objectives:

– Participants will become familiar with the new ACGME requirements for resident instruction in professionalism.
– Participants will brainstorm what resources are available at their own institution to develop a course to meet these requirements.
– Participants will discuss a course that is recognized as a national exemplar, and will learn how to implement such a course at their institution.
– Participants will learn what resources are available nationally for the development of such courses.

Format: Group discussions, brainstorming sessions, question-and-answer session, and role-playing with workshop participant volunteers.

3:15pm–5:15pm
2781—Fellowship Program Directors
APA Special Interest Group
Room Pacific Suite I, SF Marriott
Chair: Paul Darden, dardenpm@musc.edu.

4:00pm–7:30pm
Commercial Exhibits Open and Posters Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West

Posters Available for Viewing: 4:00pm–7:30pm
Author Attendance: 5:15pm–7:15pm

Level 1:
– Developmental Biology
– Endocrinology
– Hematology–Oncology
– Neonatal Infectious Diseases
– Neonatology
– Nephrology

Level 2:
– Cardiology
– Developmental–Behavioral Pediatrics
– General Pediatrics
– Medical Education
– Neurology

5:15pm–7:15pm
Poster Session I and PAS Opening Reception
PAS Poster Session
Levels 1 and 2, Moscone West

Posters Available for Viewing: 4:00pm–7:30pm
Author Attendance: 5:15pm–7:15pm

Level 1:
– Developmental Biology
– Endocrinology
– Hematology–Oncology
– Neonatal Infectious Diseases
– Neonatology
– Nephrology

Level 2:
– Cardiology
– Developmental–Behavioral Pediatrics
– General Pediatrics
– Medical Education
– Neurology

Includes:

• SPR Student Research Award: Resuscitation of Non-Viable Infants: Will Neonatologists[apos] Practice Change After the Born-Alive Infant Protection Act?
  Mya Sendowski, University of California, San Francisco, CA

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
3200—Sports Medicine—Caring for the Young Athlete
PAS/APPD Mini Course
Room 2008, Moscone West
Chair: Robert S. McGregor, St. Christopher's Hospital for Children, Philadelphia, PA

"Sports medicine, not a matter of life and death…it’s much more important than that” is a bit overstated. However, some estimates suggest pediatricians in training receive little more than 5 hours of clinical training. This creates a generation of pediatric clinicians and pediatric educators who didn't get it.

We suggest the time has come for a mini course designed to address some basic concepts, as well as more current controversial areas to attempt to catch-up the contemporary pediatrician, and to provide a curricular base for the pediatric educator.

Topics will include: the female athlete, ergogenic substance use and abuse and current medical issues including concussion guidelines. The course will conclude with case discussions combined with live video projection of pertinent physical examination techniques.

• Overview
  Robert S. McGregor, St. Christopher's Hospital for Children, Philadelphia, PA

• Female Athlete Issues
  Jordan Daniel Metzl, Hospital for Special Surgery, New York, NY

• Ergogenic Substance Use, Abuse and Cases
  Cynthia Rose LaBella, Institute for Sports Medicine, Children's Memorial Hospital, Chicago, IL

• Medical Considerations and Concussion Management
  Rani S. Gereige, University of South Florida/ All Childrens' Hospital, St. Petersburg, FL

• Selected Sports Medicine Cases with Video Feed
  Rani S. Gereige, University of South Florida/ All Childrens' Hospital, St. Petersburg, FL
  Cynthia Rose LaBella, Institute for Sports Medicine, Children's Memorial Hospital, Chicago, IL
  Jordan Daniel Metzl, Hospital for Special Surgery, New York, NY
  Robert S. McGregor, St. Christopher's Hospital for Children, Philadelphia, PA

Sponsored jointly by the Association of Pediatric Program Directors and the Pediatric Academic Societies

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
3234—Effective, Efficient and Innovative Medical Student and Resident Teaching: Who Says It Can't Be Done?
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: Lewis First, Burlington, VT

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

With increased pressures to treat patients as efficiently as possible, teaching of medical students and residents has become more of a burden or even an afterthought and less of a major priority in the clinical setting. Effective, efficient and innovative teaching strategies are needed. This workshop will provide participants with such strategies that will in turn aid in the recruitment, faculty development and retention of preceptors. Content areas will focus on the importance of a good orientation, feedback, evaluation and creative teaching techniques that will resolve conflicts with time constraints and make teaching fun and a true learning experience for all involved.

Objectives:

– To introduce innovative strategies and techniques to improve teaching effectiveness and efficiency
– To provide opportunities to practice these strategies and techniques

Format: Mock "teaching" codes, trigger videotapes, live demonstration, audience participation and discussion.

8:00am–11:00am
3240—Manuscript Preparation and the Process of Peer-Reviewed Publication
PAS Educational Workshop
Willow, SF Marriott
Leader: Stephen Daniels, Denver, CO; Co-leaders: Thomas Welch, Robert Wilmott, Sarah Long

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

This interactive workshop will address multiple aspects of publication in scientific journals and provides insights from editors of The Journal of Pediatrics on the publication process. Presenters will discuss preparation of materials, including the initial decision that the data are sufficient to justify publication. Issues related to manuscript writing will include length, focus, adherence to journal formats, and referencing. The editorial process, from submission to publication, will be described in depth, with particular attention to ways in which authors can interact with journal editors. Another section of the workshop will cover ethical issues in publication including review boards, authorship, duplicate publication, intellectual property rights, and conflict of interest. There will be open discussion of sample cases and questions derived from the experiences of the participants.

Objectives:

– To learn about preparing and submitting work for publication in peer-reviewed journals.
– To discuss ethical issues related to publication of research and clinical work.
– To have the opportunity to ask and have answered questions about publication and to offer insights.

Format: Open discussion, question-and-answer.

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
3258—Pediatric Residents
APA Special Interest Group
Room Pacific Suite A, SF Marriott
Chair: Joyce Li, jli15@stanford.edu.

Calling all residents! Now in its fourth year, the Pediatric Resident SIG provides residents with a forum for discussion, advice, support and unique educational experiences. By sharing different approaches and solutions to key issues in training programs, members of the Pediatric Resident SIG will:

– learn effective teaching techniques,
– learn to handle stress of long work hours and sleep deprivation,
– receive financial advice about loan repayment and retirement funds,
– learn about fellowship opportunities and application process,
– learn about different career choices,
– learn about end-of-life care issues,
– learn to recognize and solve ethical dilemmas,
– network with other residents interested in areas such as advocacy or research.

This year the SIG will host a panel of speakers addressing the business aspects of pediatric practice and how to improve business training within residency. After the presentation, we will rank and discuss the issues of residency that we find most pressing to us. Finally, we will invite the Program Directors attending the Association of Pediatric Program Directors Spring Meeting to hear our thoughts and give us their best response. This is a great opportunity to meet residents from across the country and learn how different programs address issues that concern us all. Join us for a lively round of resident discussion, philosophy and dialogue.

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

11:45am–1:30pm
3400—APA Education Committee
APA Committee
Golden Gate Hall B2, SF Marriott

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
3761—Enhancing Education with Medical Journals
PAS Educational Workshop
Willow, SF Marriott
Leader: Graham McMahon, Boston, MA; Co-leader: Julie Ingelfinger

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

This workshop will explore some novel approaches to learning using medical journals. We will explore some innovative uses of primary data to address core competencies together. We will examine the use of primary data for teaching statistics in real time, compare original data to textbook and database material and demonstrate how original articles can be used to teach study design and stimulate new research questions. We will present an exercise using case material for interactive discussions of management and will show how educators can harness the unique power of audiovisual material to optimize learning. We will participate in an exercise to illustrate the peer-review process, illustrate a series of resources that are available online and share our experience using medical essays to generate reflection and introspection in small groups.

Objectives:

– Learn novel approaches to teaching with medical journals.
– Teaching core competencies using medical journals.

Format: Presentation, discussion, and interactive exercises.

2:00pm–5:00pm
3762—Family-Centered Rounds: Overcoming Barriers To Get Back to the Bedside
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: William Brinkman, Cincinnati, OH; Co-leaders: Mike Vossmeyer and Stephen Muething

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

At academic medical centers, attending physician rounds (patient presentations and discussions) commonly occur in a conference room. A recent AAP policy statement entitled, "Family-Centered Care and the Pediatrician's Role," calls for rounds of all hospitalized patients to occur at the bedside in the presence of the patient and family. 'Family-Centered Rounds' are meant to facilitate information sharing and encourage active family involvement in decision-making. Drawing on their own experience as well as the Cincinnati Children's Hospital experience during the Robert Wood Johnson Pursuing Perfection initiative, workshop participants will develop practical strategies to overcome barriers to teaching and learning while delivering family-centered care at the bedside of the hospitalized patient.

Objectives:

– Participants will understand the basic principles of family-centered care in the inpatient setting.
– Participants will develop practical strategies to overcome barriers to teaching and learning while delivering family-centered care at the bedside of the hospitalized patient.

Format: Small group discussion, didactic presentation, videotaped rounding vignettes, question and answer, and small group problem solving sessions.

2:00pm–5:00pm
3763—Giving Back by Giving Feedback: Enhancing the Learning Process Through Effective Feedback Delivery
PAS Educational Workshop
Golden Gate Hall C1, SF Marriott
Leader: Barry Solomon, Baltimore, MD; Co-leaders: Kimberly Stone, Karen Zimmer, Janet Serwint

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

Effective January 2006, the ACGME program requirements for pediatrics include a formative evaluation component whereby faculty should provide ongoing and timely performance feedback to all residents. Clinical educators know the value of providing feedback, but rarely receive education in this area. This workshop will include a brief presentation utilizing principles of adult learning followed by a highly interactive session with small group role-play activities using a variety of short hypothetical scenarios. Each scenario will then be discussed by the entire group with ample opportunity to share experiences, process new skills learned and reflect on strengths and weaknesses of different techniques.

Objectives:

– To understand barriers and facilitators for giving and receiving feedback
– To learn practical techniques for giving effective feedback
– To apply feedback strategies in a variety of clinical settings

Format: Large and small group facilitated discussion, role-play activities, and videotape critique.

2:00pm–5:00pm
3765—High-Fidelity Pediatric Simulation: Setting a National Human Performance and Patient Safety Research and Training Agenda
PAS Educational Workshop
Yerba Buena Gardens Salon 2, SF Marriott
Leader: Louis Halamek, Palo Alto, CA; Co-leaders: Mary Patterson, Joseph Lopreiato

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

The goal of this workshop is to bring together those who are interested in using high fidelity multidisciplinary pediatric simulation to improve the training of healthcare professionals and in establishing the evidence base to support the use of this methodology. This will be an interactive panel-led session coupled with video presentations and small breakout group discussions that will allow participants to identify the elements of a national simulation-based research and training agenda and a strategy for implementation of such a plan. Participants will learn what they can do on the local and national levels to validate and disseminate its use.

Objectives:

– Define high fidelity simulation.
– Describe the unique challenges of pediatric simulation.
– Understand why a national research and training agenda is indicated.
– Develop the major elements of this agenda and develop an action plan.

Format: I plan to use the three panelists to lead a facilitated, interactive discussion with the audience in order to accomplish the workshop objectives (setting a national agenda and creating an action plan).

2:00pm–5:00pm
3768—Securing a Faculty Position: A Practical Guide for Residents, Fellows, Junior Faculty and Their Mentors
PAS Educational Workshop
Yerba Buena Gardens Salon 10, SF Marriott
Leader: Claibourne Dungy, Iowa City, IA; Co-leader: Thomas DeWitt

Target Audience: Trainees, fellows, and junior faculty.

Applying for a faculty position can appear to be a daunting project for many residents, fellows and junior faculty due, in large part, to the lack of readily available information on the process of interviewing and negotiating for faculty appointment in academic medicine. This workshop discusses the standard procedures used when applying and interviewing for a faculty position in academic medicine. From the submission of the resume to the negotiation of the offer package, this workshop will serve as a practical guide to trainees, fellows and junior faculty wishing to secure a position in academic medicine. Through the presentation of material, discussion, and role-playing, participants will become familiar with the processes involved in the application and negotiation process for a faculty position.

Objectives:

– Ability to negotiate for a faculty position
– Knowledge of standard procedures for the interview process

Format: Presentation of material, question-and-answer period, and role-playing.

2:00pm–5:00pm
3769—See One, Do One, Teach One...Documenting Lifelong Learning
PAS Educational Workshop
Yerba Buena Gardens Salon 12, SF Marriott
Leader: Lisa Leggio, Augusta, GA; Co-leaders: Carol Carraccio, Henry Bernstein, Theodore Sectish, Susan Guralnick

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

The ABP and the ACGME require evidence of lifelong learning for maintenance of certification and training accreditation, respectively. The AAP has updated PediaLink®, a web-based resource for continuous professional development, to document practice-based learning and improvement. The Learning Center, Resident Center and Program Director Center components of PediaLink® will be presented as tools for documenting PBLI and learning plans throughout a pediatric career. Groups will participate in exercises documenting learning plans and mentoring others through the process.

Objectives:

– Know how to use PediaLink® as a resource to document lifelong learning along a continuum in medical education.
– Create an individual focused and efficiently managed practice-based, learning plan.
– Teach colleagues and trainees alike to do the same exercise with their own personal learning plans.

Format: Mini-presentation, buzzgroup/brainstorming, and small group discussions.

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

2:00pm–5:00pm
3770—Supporting Physicians Through the Stress of Malpractice Litigation
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Rita Meek, Wilmington, DE; Co-leaders: Linda Pilla, Wesley Bowman and Phyllis Rosenbaum

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

This workshop will provide information about malpractice litigation as well as how to develop a "peer support" process utilizing physician mentors who have had prior experience with malpractice litigation. We will present information about the stages of the litigation process as well as common reactions that many physicians experience. We will discuss how to train physician mentors in "active listening" skills and confidentiality and boundary issues. In this experiential workshop, participants will practice "active listening skills" and role-play being a physician defendant and a physician mentor. Handouts and literature review will be provided.

Objectives:

– Improved active listening skills
– Understand the stages of malpractice litigation process
– Understand physicians' reactions to stress
– Understand how to train physician mentors

Format: Roundtable discussion, question-and-answer period and interactive dialogue.

2:00pm–5:00pm
3771—Teaching Humanism: Promoting Humanistic Education and Practice
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Elizabeth Rider, Boston, MA; Co-leaders: Lyuba Konopasek, John Andrews, Jennifer Koestler, Andrew Mutnick, Virginia Niebuhr, Jennifer Post, Saleem Razack, Wanessa Risko, Elisa Zenni

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

Humanism, essential to medical practice and professionalism, is rarely taught explicitly. Our workshop, dedicated to the memory of Rich Sarkin and Steve Miller, draws on their vision for disseminating humanism as an essential component of medical education. This interactive, skills-based, train-the-trainer workshop will provide participants with a framework and tools to foster the teaching and practice of humanism in their own institutions. Workshop participants will generate their own definitions of humanism in medical practice, learn techniques for teaching humanism during observation of video clips, and develop strategies for implementation and faculty buy-in. We will provide a syllabus, toolkit of resources, and a list of individuals who can provide ongoing project mentoring.

Objectives:

– To define humanism as it relates to medical education and practice
– To describe and use techniques for teaching humanism across the continuum of medical education (UME, GME, CME)
– To define strategies for integration of the teaching of humanism into curricula at participants' home institutions

Format: We will use small and large group discussions, video clips to identify teaching moments and techniques, role-play, brainstorming, and interactive discussion of strategies to implement humanism teaching and practice and to sustain faculty buy-in. We will also provide a toolkit of resources.

This workshop is sponsored by the APA Education Committee.

2:00pm–5:00pm
3772—Teaching Residents To Teach Basic Parenting Skills
PAS Educational Workshop
Yerba Buena Gardens Salon 5, SF Marriott
Leader: Robert Sege, Boston, MA; Co-leader: Karen Miller

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

Parents seek advice from their pediatrician about child development and behavior management. Formal education in these topics allows residents to develop an approach to counseling that is both evidence-based and suited to the needs and cultural values of the patient and family. The Boston Floating Hospital residency implemented a comprehensive approach to address resident learning needs in parenting education in the fall of 2003. This session uses a highly interactive approach (including a simulated resident session) to help faculty members develop structured programs in resident education concerning common parenting concerns. Participants will also have an opportunity to review sample resources, including the new AAP Connected Kids: Safe, Strong Secure program.

Objectives:

– Learn an approach to teaching residents about parenting issues.
– Experience and discuss specific interactive teaching techniques.
– Become familiar with resources available to support parenting education.

Format: Introductory didactic instruction, with small group interactive activities. A simulated resident session will serve as a focal point of discussion.

2:00pm–5:00pm
3773—Videotaping Residents as a Form of Direct Observation: Helpful Tool for Measuring Competencies or Monday Morning Quarterback?
PAS Educational Workshop
Yerba Buena Gardens Salon 6, SF Marriott
Leader: Angela Allevi, Philadelphia, PA; Co-leader: Tara Berman

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

This workshop will assist those who teach and evaluate trainees to develop a videotaping program that meets RRC requirements for direct observation and evaluates ACGME competencies. Participants will leave with the tools and skills necessary to develop and implement a videotaping program. Workshop leaders will share their experiences of videotaping residents in the outpatient setting, highlighting lessons learned by both residents and staff. Discussion will focus on procedural and technical aspects of a videotaping program, formats that can be used to review tapes and give feedback and documentation of resident’s progress in acquisition of ACGME competencies. Workshop leaders will review the tool they use for reviewing resident videotapes, and participants will practice using this tool. Residents will be on hand to share their experiences first-hand.

Objectives:

– To familiarize participants with the ACGME competencies that can be effectively evaluated using videotaping of trainees
– To outline and discuss how to design and implement a videotaping program
– To highlight the advantages and disadvantages of using videotaping as a means of direct observation of trainees

Format: Lecture format to introduce background information; audience participation and practice with scenarios; and break-out small group discussions.

2:00pm–5:00pm
3774—What We Have Is Failure To Communicate—Teaching Residents the Art of Effective Communication
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Steven Selbst, Wilmington, DE; Co-leader: Lindsey Lane and Maria Carmen Diaz

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

Poor communication leads to errors/lawsuits. ACGME requires residents demonstrate competence in communication. This workshop proposes a dynamic curriculum to teach residents effective communication. Workshop leaders discuss (1) Listening skills to address parental concerns, (2) difficult patients, (3) delivering bad news, (4) informed consent, (5) feedback to residents and students, (6) essential info at morning rounds, signout, and (7) professionalism with nursing staff, consultants. Case scenarios, videotape, role-playing demonstrate successful communication techniques, underscore pitfalls.

Objectives:

– Understand how to effectively deliver bad news to families.
– Know how to obtain informed consent from parents.
– Be able to give effective feedback to students and residents.
– Work well with nurses and staff.

Format: Videotape, discussion, and question-and-answer period.

2:00pm–5:00pm
3775—Whose Life Is This Anyway? Examining the Balance in One's Personal and Professional Life
PAS Educational Workshop
Yerba Buena Gardens Salon 3, SF Marriott
Leader: Robert Doughty, Jacksonville, FL; Co-leader: Patricia Williams

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

This program focuses on achieving balance in physicians' work and personal lives. It is designed to teach skills to maximize personal and professional satisfaction. Pitfalls in the management of time and tasks will be explored.

Objectives:

– Clarify personal vision of successful career and life.
– Maximize personal and professional effectiveness and satisfaction.
– Establish concrete goals and action plan to improve balance in personal and professional life.
– Practical techniques for change in work and personal life.

Format: Participants will engage in a sequence of small- and large-group activities.

2:00pm–5:00pm
3784—Evidence-Based Pediatrics
APA Special Interest Group
Room Pacific Suite C, SF Marriott
Chairs: Nader Shaikh, nader.shaikh@chp.edu and John Frohna, jfrohna@med.umich.edu.

Evidence-based pediatrics (EBP) is increasingly important as we strive to provide high-quality care to our patients and as we help students, residents and faculty integrate the latest evidence into their clinical care. We will review the progress of the SIG over the past year and set goals for the upcoming year. Our meeting will be highlighted by an exciting presentation from one of the world’s experts in EBP as we consider ways to integrate EBP into our daily work. While the skills and knowledge that we all focus on are important, the next frontier includes a more seamless and efficient integration into our patient care and teaching. How can our SIG make this potential a reality? How can we network with each other and with other SIGs to move us in this direction? Come join us and help us find these answers!

4:15pm–6:15pm
3820—New Resident Work Hours and Quality Care—Synergistic or Antagonistic?
PAS/PPC State of the Art Plenary
Room 2006, Moscone West
Chair: Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo Park, CA

The session will identify and address continuing issues regarding resident work hours specifically and the general climate in which resident training occurs in light of the recent ACGME limits on resident work hours. In particular, panelists will discuss what impact the changes are having on both the quality of patient care and the quality of resident education in pediatrics. Participants will hear from three different perspectives, representing the Accreditation Council for Graduate Medical Education (ACGME), Resident Review Committee (RRC) and directors of pediatric residency programs.

• Overview
  Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo Park, CA

• ACGME Perspective
  David C. Leach, Accreditation Council for Graduate Medical Education, Chicago, IL

• Residency Review Committee Perspective
  M. Douglas Jones, Professor, Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Denver, CO

• Pediatric Program Director's Perspective
  Theodore Sectish, Stanford University Medical School, Palo Alto, CA

• Discussion

Sponsored jointly by the Public Policy Council, the Public Policy Advocacy Committee of the Ambulatory Pediatric Association and the Pediatric Academic Societies

5:00pm–7:00pm
3900—APA Business Meeting, Armstrong Lecture and Awards
APA Business Meeting
Yerba Buena Gardens Salon 9, SF Marriott

• APA National Pediatric Community Teaching Award
  Bronwen J. Anders,

• APA Miller-Sarkin Award
  Stephen Ludwig, Children's Hospital of Philadelphia, Philadelphia, PA

• APA Ray E. Helfer Award for Innovation in Pediatric Education
  Mark Adler, 
  James H Duffee,

• George Armstrong Lecture
  Kenneth B. Roberts, Director, Pediatric Teaching Program, Moses Cone Health System, Greensboro, NC; Professor of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, NC

• APA Ludwig-Seidel Award
  Lise Edelberg Nigrovic,

Monday, May 1

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

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

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

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

Objectives:

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

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

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

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

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

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

Objectives:

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

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

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

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

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

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

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

Objective:

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

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

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

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

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

Objectives:

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

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

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

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

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

Objectives:

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

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

9:00am–12:00pm
4236—Teach to Your Strengths and Adapt to Your Learners! Understanding Individual Teaching and Learning Styles To Maximize Your Teaching Potential
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Heather McPhillips, Seattle, WA; Co-leaders: Richard Shugerman, Sherilyn Smith and Jordan Symons

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

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

Objectives:

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

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

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

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

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

Objectives:

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

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

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

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

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

Objectives:

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

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

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

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

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

Objectives:

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

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

12:00pm–6:45pm
Commercial Exhibits Open and Posters Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West

Posters Available for Viewing: 12:00pm–6:45pm
Author Attendance: 5:15pm–6:45pm

Level 1:
– Critical Care
– Gastroenterology
– Genetics
– Neonatal Epidemiology and Follow Up
– Neonatal Pulmonology
– Neonatology
– Nephrology
– Pulmonology

Level 2:
– Developmental–Behavioral Pediatrics
– Emergency Medicine
– General Pediatrics
– Medical Education

5:15pm–6:45pm
Poster Session III
PAS Poster Session
Levels 1 and 2, Moscone West

Posters Available for Viewing: 12:00pm–6:45pm
Author Attendance: 5:15pm–6:45pm

Level 1:
– Critical Care
– Gastroenterology
– Genetics
– Neonatal Epidemiology and Follow Up
– Neonatal Pulmonology
– Neonatology
– Nephrology
– Pulmonology

Level 2:
– Developmental–Behavioral Pediatrics
– Emergency Medicine
– General Pediatrics
– Medical Education

Tuesday, May 2

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

• Overview of Health Literacy
  Shalini G. Forbis, Wright State University Boonshoft School of Medicine, Dayton, OH

• 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

• 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

• 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

• 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

• 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

8:45am–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
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.