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Saturday, April 29
8:00am–11:00am
2105—Advocacy Training Initiative—Part I
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles, Los
Angeles, CA; and Philip R. Nader, University of California San
Diego, La Jolla, CA
Target Audience: Pediatric
program directors and attendees interested in advocacy.
Development of advocacy training
experiences is evolving, and there is a national need for
opportunities to bring together residents, faculty, program
directors and community partners to facilitate the development
of this nascent field. After last year’s PAS meeting, the
leadership of the APA Advocacy Training SIG and the AAP
Community Pediatrics Training Initiative agreed to collaborate
to provide a more cohesive conference experience for
participants interested in advocacy training. However, before
training experiences can be developed into residency
curricula, the variety of advocacy skills that can be used to
promote child health should be appreciated. In this part of
the first-ever ATI Conference, we will focus on skill-building
in child advocacy. Through a panel discussion, guest lecturers
and resident presentations on child advocacy projects,
participants will gain skills in various aspects of child
advocacy.
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Welcome
Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
Philip R. Nader, University of
California San Diego, La Jolla, CA
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Advocacy Skills Panel Discussion
— 1–2 residents
— 1–2 community partners
Anda Kuo, University of California San Francisco, San Francisco, CA
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State Legislative Advocacy on
Behalf of Children and Pediatricians–How to be Effective
in Difficult Budget Times
Kris Calvin, American Academy of Pediatrics, California District IX
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Resident Presentations (3
Resident Presentations TBD)
Sponsored jointly by
the APA Advocacy Training SIG, the AAP Community Pediatrics
Training Initiative and the Pediatric Academic Societies
8:00am–11:00am
2115—Genetics and the Pediatric Medical
Educator: What We Need To Know and How Can We Teach It
PAS Mini Course
Room 2006, Moscone West
Chairs: Joseph Gigante, Vanderbilt Children's Hospital, Nashville, TN;
and Marilyn C. Dumont-Driscoll, University of Florida College
of Medicine, Gainesville, FL
Target Audience: Medical
educators, general pediatricians and anyone who would like to
learn more about how genetics affects primary care.
There have been rapid advances in
knowledge and technology in the field of genetics. General
pediatricians have become the first line of information and
counseling for patients and families seeking to understand the
unique role of genetics in their overall medical care. Yet
genetics has played a relatively small part in the medical
school curriculum, and the emerging gap in physician knowledge
has created an enormous need for education in a previously
underemphasized area of medical education. Genetic medicine
also raises some of the most subtle medical, psychosocial,
cultural and bioethical dilemmas faced by primary care
pediatricians and their patients.
This mini course is designed to
help participants understand and incorporate genetics in their
patient encounters, as well as enhance their comfort in
teaching genetics. Using a collaborative faculty presentation,
basic genetic concepts, core competencies and new paradigms
will be discussed. Strategies for incorporating genetics into
primary care practice and teaching genetics will include case
presentations; “missed opportunities,” where genetics
impacts a patient and pediatrician; and interactive
educational games that can be used at the participant’s own
site. Resources, such as internet sites that contain current
genetic information, will be distributed and discussed.
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Ethical, Legal, Social and
Cultural Issues and Genetics
Joseph Gigante, Vanderbilt Children's Hospital, Nashville, TN
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Using the Family History To Focus
Anticipatory Guidelines and Screening at Health
Maintenance Visits
Marilyn C. Dumont-Driscoll, University of Florida College of Medicine,
Gainesville, FL
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Genetic Tests for the
Pediatrician: What, When, How and Why
Daniel J. Driscoll, University of Florida College of Medicine,
Gainesville, FL
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Hearing Loss: Resources for
Genetic Information
Teri Lee Turner, Baylor College of Medicine, Houston, TX
8:00am–11:00am
2120—Management of Childhood Hypertension:
Guidelines and Controversies
PAS/ASPN/IPHA Mini Course
Room 2003-2005, Moscone West
Chairs: Steven R. Daniels, University of Colorado, Denver, CO; and
Ronald J. Portman, University of Texas Medical School,
Houston, TX
Target Audience: General
pediatricians, emergency medicine physicians, hospitalists,
intensivists, nephrologists and cardiologists.
The 2004 NHLBI guidelines for the
evaluation and management of childhood hypertension answered
many questions about how to approach hypertensive children,
but left others unanswered. This mini course is designed to
address some of the more controversial aspects of managing
hypertensive children, with the hope of stimulating further
discussion about the optimal approach to these patients.
Practical approaches to clinical management will be
emphasized.
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Overview
Stephen R. Daniels, The Children's Hospital/University of Colorado,
Denver, CO
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Overview of Treatment Guidelines
from the 4th Report
Bonita E. Falkner, Thomas Jefferson University, Philadelphia, PA
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Management of Pre-hypertension:
Lifestyle Changes or Pharmacologic Treatment?
Shawna D. Nesbitt, University of Texas Southwestern Medical Center,
Dallas, TX
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Choice of Agent for Children with
Primary Hypertension
Joseph T. Flynn, Children's Hospital at Montefiore, Bronx, NY
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Treatment of Severe Hypertension
in Ambulatory and Inpatient Settings
Joshua Samuels, University of Texas, Houston, TX
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Treatment of Hypertension in
Special Populations
Donald L. Batisky, Columbus Children's Hospital/The Ohio State
University College of Medicine, Columbus, OH
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Discussion
Sponsored jointly by
the American Society of Pediatric Nephrology, the
International Pediatric Hypertension Association and the
Pediatric Academic Societies
8:00am–11:00am
2130—Newborn Hearing Screening: From the
Bedside to Beyond
PAS/PIDS Mini Course
Room 3010, Moscone West
Chairs: Mark R. Schleiss and Lisa Ann Schimmenti, University of
Minnesota Medical School, Minneapolis, MN
Target Audience: General
pediatricians, geneticists and infectious disease specialists.
Sensorineural hearing loss (SNHL)
in infants is the most common birth defect, and early
detection improves outcome. Evidence from the CDC reveals that
less than one half of screened babies are followed up. One
possible reason is the low positive predictive value of
bedside screening. There is a critical need to augment current
strategies to prevent late diagnosis of SNHL. One solution is
to propose second-tier testing for the most common causes of
SNHL, as the most common causes of newborn hearing loss are
infectious and genetic. Of infectious causes, cytomegalovirus
(CMV) is the most common. Evidence of CMV infection can be
found in 1% of newborns, with 10–15% developing hearing loss
or other CNS abnormalities. Of the genetic causes, mutations
in GJB2/GJB6 are the most common and are identified in up to
one half of individuals with SNHL. The goal of this program
will be to examine evidence for inclusion of infectious and
genetic screening to augment current newborn screening
protocols.
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Diagnostic Evaluation and
Management of Childhood Hearing Loss
Margaret Alene Kenna, Children's Hospital Boston, Boston, MA
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Range of Mutations in
GJB2-Associated Hearing Loss
Lisa Ann Schimmenti, University of Minnesota Medical School,
Minneapolis, MN
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Congenital Cytomegalovirus
Infection and Hearing Loss
Karen B. Fowler, University of Alabama at Birmingham, Birmingham, AL
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Newborn Hearing Screening:
Audiologic Assessment
Yvonne Sininger, University of California Los Angeles, Los Angeles, CA
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Overview
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
8:00am–11:00am
2135—Suicide in Children and Adolescents
PAS/SAM Mini Course
Room 2004, Moscone West
Chair: Sheryl A. Ryan, Yale University School of Medicine, New Haven,
CT
Target Audience: General
pediatricians, behavioral pediatricians and clinicians
interested in behavioral/mental health issues in children and
adolescents.
This mini course is designed to
provide an update on the topic of suicide among children and
adolescents, what new is known about the epidemiology and
etiology of suicidal behaviors (including ideation, threats,
attempts and completed suicides), the connection between
depression and suicide, genetics/familial associations,
screening techniques and treatment for those at risk for
completed suicide. This mini course will also address the
increasing phenomenon of self-injurious behaviors, such as
cutting, and explore how this is related/not related to
suicidal behaviors and depression. Brief mention will be made
about complexity of treatment for depression using
pharmacologic agents that may increase the risk of suicide.
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Epidemiology and Assessment of
Suicidal Behaviors and Depression
Donald E. Greydanus, Michigan State University College of Human
Medicine, Kalamazoo, MI
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Cutting and Other Self-Injurious
Behaviors
Sheryl A. Ryan, Yale University School of Medicine, New Haven, CT
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Questions and Break
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Management and Prevention of
Suicide, Depression and Self-Injurious Behaviors
Joseph L. Calles, Michigan State University, Kalamazoo Center for
Medical Studies, Kalamazoo, MI
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Discussion
Sponsored jointly by
the Society for Adolescent Medicine and the Pediatric Academic
Societies
8:00am–11:00am
2154—Effective Management of Chronic
Disease in Schools
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: Linda Grant, Boston, MA; Co-leaders: Barbara Frankowski, Rani
Gereige
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The goals of this workshop are to
provide clinicians with the skills to more effectively manage
their patients with chronic disease within the school setting.
These skills include: (1) more effective communication between
the family, the office and the school, (2) understanding the
complexity of HIPAA and FERPA, (3) developing clinical
management strategies that support rather than burden school
systems and (4) applying these concepts to residency advocacy
programs.
The workshop will utilize case
histories and will rotate participants through three modules
reflecting the skill areas. Each module will be facilitated by
physician school consultants who are responsible for policy in
their districts and who also have residency training
responsibilities.
Objectives:
– Understand the differences
between HIPAA and FERPA as regards confidentiality and sharing
information between primary care and schools.
– Develop guidelines for appropriate and effective
school-linked case management of diabetes, asthma and other
chronic illnesses.
– Develop communication strategies connecting home, school
and office.
– Understand role of schools in advocacy in training
programs.
Format: Workshop will be divided
into three modules and participants will rotate through all
three. The three modules are: Legal and communication issues (FERPA/HIPAA),
Clinical Management and Advocacy in Training Programs. The
modules will be chaired by three school physician consultants
(and include a pediatric residency director who has
incorporated these objectives into the residency).
8:00am–11:00am
2155—Gender-Variant Youth: The Role of the
Pediatrician
PAS Educational Workshop
Room 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
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
Room Pacific Suite J, SF Marriott
Leader: Christina Bethell, Portland, OR; Co-leaders: Stephen Blumberg,
Debra Read
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The National Survey of Children's
Health (NSCH) is the largest, nationally representative survey
conducted with families to assess the health, well-being and
health care of children and youth (n = 102,000). Publicly
released in 2005, NSCH provides a wide range of national and
state-level data on the health of children, youth and
families. Participants will: 1) identify research topics that
can be addressed using the NSCH; 2) Obtain hands-on experience
using the Data Resource Center—a new resource to easily
obtain and download findings from the NSCH; 3) gt ideas on
using findings to stimulate efforts to improve care for
children, inform research and grant development and advance
evidence-based policy, program development, and advocacy.
Objectives:
– Identify the range of
research topics that can be addressed using these data.
– Obtain hands-on experience using the Data Resource Center
on Child and Adolescent Health (DRC)—a new resource for
pediatric clinicians, researchers, and families to easily
obtain and download findings from the NSCH (www.childhealthdata.org).
– Get ideas on presenting
findings to enhance state and local efforts to improve the
health and health care of children, youth, and families.
Format: Presentations, question
and answer, hands-on practice using an online data resource
center, case examples, real time technical assistance and
problem solving.
8:00am–11:00am
2159—Pediatric Medical-legal Documentation:
The Pen Is Mightier Than the Word
PAS Educational Workshop
Golden Gate Hall B3, SF Marriott
Leader: Allison Jackson, Washington, DC; Co-leader: Elizabeth Jacobs
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, and community
practitioners.
This workshop is planned with the
goal of developing physicians in the knowledge of, skills and
attitudes for the medical evaluation, assessment and
documentation of patients who are alleged victims of child
abuse using an interactive case-based approach. Course content
will address the program purpose and learning objectives and
will include: 1) elements of the history and physical that may
raise suspicion for child abuse; 2) the role of physicians in
the evaluation, management, and documentation for alleged
child abuse victims; 3) how the content and quality of the
medical documentation can benefit or impede the civil and
criminal outcomes.
Objectives:
– List elements of the history
that aid in making a diagnosis of child maltreatment.
– Describe physical findings consistent with or suspicious
for child maltreatment.
– Apply forensic terminology for documentation purposes.
– Understand the pediatrician's role as a medical advocate.
Format: This workshop will be
held in a small group setting in a classroom. This program
will begin with a welcome and introduction by the workshop
leaders. Following the introduction three completed
medicolegal documentation forms will be distributed to the
participants. Each case will either be one of physical abuse,
sexual abuse or neglect. The participants will break into
three groups based on the case they have received. Each group
will review the medicolegal form and prepare a mock trial for
which the characters will be an expert witness, a prosecutor,
and a defense attorney. Thirty minutes will then be devoted to
each case to include the role-play and discussion. After the
role-play, each group will be given the full case to review
and complete and medicolegal documentation form which will be
submitted to and analyzed by the facilitators. A summary of
the results will be shared with the participants after the
workshop.
8:00am–11:00am
2162—Transition to Adulthood: The Role of
Pediatricians
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Eric Levey, Baltimore, MD; Co-leaders: Patti Hackett, Suzanne
McLaughlin, Robert Blum
Target Audience: Fellows, junior
faculty, mid-level faculty, community practitioners.
This workshop will provide an
overview of health care transition concepts and tools for
primary care providers and specialists. The goal of transition
in health care for all youth with/without special health care
needs is to maximize lifelong functioning and potential
through the provision of high-quality, developmentally
appropriate health care services that continue uninterrupted
as one moves from childhood to adulthood, and from pediatric
to adult-oriented health care. We see an important role for
pediatricians in fostering health care decision-making,
self-determination and advocacy, as well as promoting health
and preventing secondary conditions and disability.
Participants will be divided into small, facilitated groups to
assess their current transition practices and strategize
regarding improvement within their own institutions and
communities.
Objectives:
– Discuss and evaluate the role
of the Medical Home and Specialists in preparing youth and
families for adulthood.
– Review and develop strategies and tools, useful to their
individual practice setting, to assist youth and family with
transition to adulthood including skill building in the areas
of health care decision-making, self-determination and
advocacy.
– Explore the importance of collaboration between pediatric
and adult-oriented health care providers, both in medical
education and clinical practice.
– Strategize about the next steps for putting national
policy into practice at the community level.
Format: Presentations by
pediatrician for children with disabilities, med/peds
physician, and parent advocate followed by question-and-answer
session. Facilitated group discussions and role-play followed
by reports back to the large group.
8:00am–12:00pm
2180A—LWPES Plenary Session I
LWPES Plenary Session
Room 3007-3009, Moscone West
Chairs: Lynne Levitsky, Massachusetts General Hospital, Boston, MA;
Henry Anhalt, Saint Barnabas Medical Center, Livingston, NJ;
and Alan D. Rogol, University of Virginia, Charlottesville, VA
Target Audience:
Endocrinologists, nephrologists, cardiologists, general
pediatricians, immunologists, geneticists and molecular
biologists.
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Opening Remarks
Lynne L. Levitsky, Massachusetts General Hospital, Boston, MA
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Lawson Wilkins Lecture:
Recent years have witnessed a
significant revision of the traditional view of fat cells
as simple stores of excess energy. Studies in the
speaker's lab as well as many others have clearly
demonstrated that adipocytes produce and regulate many
metabolic and hormonal signals, which generate profound
effects on systemic endocrine equilibrium. In his earlier
studies, he also demonstrated that these cells exhibit an
inflammatory capacity that is abnormal in obesity and key
to the pathogenesis of insulin resistance and diabetes.
Recently, he identified a key molecular mechanism
underlying the link between inflammatory responses and
insulin action. This pathway involves obesity-related
activation of the serine, threonine kinase, JNK, and the
consequent inhibition of insulin receptor signaling via
phosphorylation of a substrate of insulin receptor, IRS-1.
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Integration of Metabolic and
Inflammatory Pathways in Metabolic Disease
Gokhan S. Hotamisligil, Harvard School of Public Health, Boston, MA
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Robert Blizzard Lecture:
One of the greatest questions
asked of physicians caring for children with autoimmune
diabetes is "why did this happen?" This session
will unravel some of the mysteries surrounding the
etiology and pathogenesis of autoimmune diabetes from an
investigator who has dedicated his life to this issue.
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On the Unravelling of the
Etiopathogenesis of Type 1 Diabetes: Are We Stuck or
Are We Winning?
Gian Franco Bottazzo, Ospedale Pediatrico Bambino Gesú, Scientific
Institute, Rome, Italy
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Break
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Esoterix Lecture:
The attendee will familiarize
him/herself with newer molecular mechanisms of growth
failure that are due to abnormalities in receptor and
post-receptor translation of GH signaling.
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Molecular Mechanisms and Defects
in Growth Hormone Receptor Signaling
Peter Rotwein, Oregon Health and Science University, Portland, OR
9:00am–11:00am
2195—Historical Perspectives
PAS Poster Symposium
Room 2008, Moscone West
Chairs: Thor Willy Hansen and John V. Hartline
10:30am–12:30pm
2325—General Pediatrics I
PAS Platform Session
Room 2009, Moscone West
Chairs: Howard Bauchner and Cynthia Christy
11:45am–2:45pm
2404—Early Identification of Mental Health
and Developmental Problems in Foster Care Youth: Tools and
Innovative Treatment Strategies
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: David Harmon, Jacksonville, FL; Co-leaders: Steven Blatt, Moira
Szilagyi
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This interactive workshop will
present an overview of the early identification of children in
foster care with mental health problems and developmental
delays. This will be done through a round table discussion
among an expert panel as well as question-and-answer session.
Tools will be presented for this purpose and new innovative
treatment options will be discussed as well. It will include
case presentations with small group discussions. This workshop
is geared toward all learner/audience levels and will be an
ideal time to network with those who are taking care of
children in foster care.
Objectives:
– Tools to identify mental
health problems
– Tools to identify developmental delays
– Innovative treatment of developmental and behavioral
problems using mentoring
– Innovative treatment of developmental and behavioral
problems using foster parents
Format: We will assemble of panel
of experts on foster care to have a roundtable discussion,
demonstrate tools, and hold a question-and-answer session. It
will be presented in a very interactive format ideal for
networking these problems.
11:45am–2:45pm
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
2416—Publishing Research in Pediatric
Education: The Devil Is in the Methods
PAS Educational Workshop
Room 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
2420—Running an Academic Practice Wearing a
Private Practice Hat
PAS Educational Workshop
Golden Gate Hall A3, SF Marriott
Leader: Elaine Schulte, Albany, NY; Co-leaders: Linda Domovich,
Maryellen Gusic
Target Audience: Mid-level
faculty and senior faculty.
Unfortunately, most academic
providers have little or no training in the business of
medicine, nor do their institutions offer professional
development in this realm.
During this workshop we will put
on our private practice hats, and study two models of
successful, combined resident and faculty pediatric practices.
Through case-based, large group discussion, participants will
learn how to: 1) understand productivity standards and
financial reports, 2) teach billing and compliance to
learners, 3) manage staffing needs; determine the appropriate
provider-to-nurse ratio, optimize room utilization, maintain
morale, address reporting structure, 4) provide continuity of
care in an academic practice, including managing schedules of
30+ providers, and 5) successfully market their practice.
Workshop leaders will share information as well as tools
participants can use in their home institutions.
Objectives:
– Participants will better
understand the business aspect of operating an outpatient
general academic pediatric office.
– Participants will develop skills to address many
challenges in office practice.
Format: Large and small group
discussions, case-based problem solving.
11:45am–2:45pm
2422—Sex Ed: Learning To Teach Sexual
Education Across the Pediatric Age Spectrum
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Michelle Barratt, Houston, TX; Co-leaders: Andrea Bortot
Target Audience: Fellows, junior
faculty, and mid-level faculty
The workshop goal is to provide
resources for training residents and students in a stepwise
manner regarding sexuality and sex education for adolescents
and all age groups. Anticipatory Guidance regarding sex must
provide for the needs of a new mom (anatomic nomenclature,
etc.) through parent of an elementary aged child (upcoming
bodily changes, etc.) through parent and their adolescent
(direct conversation about healthy choices, etc.). Examples of
training by standardized patients, viewing video clips, role
modeling, and web-based resources will be presented.
Objectives:
– Participants will have two
new techniques to use when training students and residents on
age appropriate sexual education.
– Participants will have age specific sexual education
anticipatory guidance knowledge.
– Participants will increase their personal comfort
discussing sexual topics with parents and patients.
– Participants will be familiar with the use of brief
motivational interviewing with adolescents.
Format: The workshop will include
group discussion, videotape critiquing and small group
exercises.
11:45am–2:45pm
2424—Treatment of the Metabolic Syndrome in
Children and Adolescents
PAS Educational Workshop
Golden Gate Hall A1, SF Marriott
Leader: J. Darrell Nesmith, Little Rock, AR; Co-leaders: Alba Morales,
Mohammad Ilyas, Lisa Lubsch
Target Audience:
Endocrinologists, trainees, fellows, junior faculty, mid-level
faculty, senior faculty, and community practitioners.
The rise in pediatric obesity and
metabolic syndrome is well established. Less understood for
the pediatrician is the treatment of the metabolic syndrome.
In this workshop, we aim to: 1) briefly discuss the
epidemiology of the metabolic syndrome in children and
adolescents, 2) discuss non-pharmacologic and pharmacologic
treatment of the metabolic syndrome, and 3) review a stepped
approach in treating adolescents with the metabolic syndrome.
This workshop will be largely
case-based. Come prepared to devise treatment plans in a small
group setting. Participants are invited to bring their own
cases for discussion.
Participants will:
– Learn the epidemiology of the
metabolic syndrome in children and adolescents.
– Become familiar with existing treatment guidelines for
components of the metabolic syndrome in children and
adolescents.
– Identify gaps in the literature regarding treatment
guidelines of the metabolic syndrome in children and
adolescents.
– Consider pharmacologic treatment options of metabolic
syndrome treatment based on the available evidence.
Format: A short didactic
presentation will be given on diabetes, hypertension, and
dyslipidemia treatments from a diabetologist, nephrologist,
and endocrinologist respectively. Existing published
guidelines will be presented while gaps in the literature
regarding treatment will be discussed. Following these short
didactic presentations, small groups (at tables) will work on
cases which will be presented, and a treatment plan will be
derived by each group. At the end of these roundtable work
group discussions, the group as a whole will discuss the
treatment plans. Actual cases will be used when possible (with
appropriate de-identifiers) and their treatment plans
discussed.
12:00pm–3:00pm
2500—Advocacy Training Initiative—Part II
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles, Los
Angeles, CA; and Philip R. Nader, University of California San
Diego, La Jolla, CA
Target Audience: Pediatric
program directors and attendees interested in advocacy.
Building upon the Child Advocacy
Skills in Part I of the ATI Conference, Part II will now focus
on how to incorporate these skills into meaningful residency
curricular experiences. Pediatric residents are increasingly
committed to promoting child health in arenas other than the
pediatric exam room. Programs are being called upon to provide
structured curricular experiences for residents in child
advocacy, and these experiences may build upon existing
curricula in community pediatrics or be completely separate.
New avenues for partnerships between pediatric residency
programs and community agencies can occur as a result of child
advocacy rotations or projects. This part of the conference
will give participants new ideas for child advocacy training
experiences, address the how-tos on a shoestring budget, and
present ideas for evaluating your community/advocacy
curriculum.
Please join us for the Advocacy
Training SIG from 3:15-5:15pm immediately following the
Advocacy Training Initiative.
-
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
2515—New Insights into the Pathogenesis and
Treatment of Asthma
PAS Mini Course
Room 3012, Moscone West
Chair: Ellen F. Crain, Albert Einstein College of Medicine, Jacobi
Medical Center, Bronx, NY
Target Audience: General
pediatricians, pulmonary medicine, genetics and allergists.
This mini course will highlight
new advances and developments in our understanding of
pediatric asthma and its treatment. Leading investigators will
present new information on the pharmacogenomics of asthma, the
roles of early environmental factors in the development of
asthma, advances in drug therapy, understanding of mechanisms
underlying the pathophysiology of asthma and insights into the
application of these advances to the care of children with
asthma.
-
Role of Pharmacogenomics in
Asthma Management
Michael Ephraim Wechsler, Harvard Medical School, Brigham and Women's
Hospital, Boston, MA
-
Early Environmental Factors in
the Development of Asthma
Fernando D. Martinez, Arizona Respiratory Center, The University of
Arizona, Tucson, AZ
-
Advances in Drug Treatment of
Asthma
Stanley J. Szefler, National Jewish Medical and Research Center,
University of Colorado Health Sciences Center, Denver, CO
-
Pathophysiology of Childhood
Asthma: Search for Mechanisms
Giuseppe N. Colasurdo, University of Texas-Houston Medical School,
Houston, TX
-
Epidemiology and Outcomes in
Asthma
Peter J. Gergen, National Institute of Allergy and Infectious Diseases
(NIAID), Bethesda, MD
12:00pm–3:00pm
2520—Pediatric Assessment of Sexual Abuse:
State of the Science 2006
PAS Mini Course
Room 3011, Moscone West
Chair: Vince Palusci, Wayne State University School of Medicine,
Hospital of Michigan, Detroit, MI
This three-hour mini course will
address the medical evaluation of child sexual abuse in the
pediatric setting. The topics that will be addressed are:
– Physical sequelae of sexual
abuse: What’s new and how has the literature of the past 10
years shaped this field.
– Medical conditions that mimic sexual abuse: What a
clinician must know about anogenital medical conditions and
congenital findings.
– Sexually transmitted diseases in children: Beyond
cultures, DNA amplification techniques in children and the
newest recommendations for HIV post assault prophylaxis will
be presented.
-
Overview
Vincent J. Palusci, Wayne State University School of Medicine, Hospital
of Michigan, Detroit, MI
-
Interpretation of Medical
Findings in Suspected Child Sexual Abuse: Update 2006
Joyce Adams, University of California San Diego Medical Center, San
Diego, CA
-
Mimics of Sexual Abuse
Lori Frasier, University of Utah School of Medicine, Salt Lake City UT
-
Sexually Transmitted Diseases in
Children: Beyond Cultures, DNA Amplification Technology
Nancy Denny Kellogg, University of Texas San Antonio, San Antonio, TX
1:00pm–3:00pm
2600—Update on Treatment Options for Acute
Otitis Media
PAS/PIDS Hot Topic
Room 2009, Moscone West
Chairs: Tasnee Chonmaitree, University of Texas Medical Branch,
Galveston, TX; and Jerome O. Klein, Boston University School
of Medicine, Boston, MA
Target Audience: Pediatricians,
pediatric infectious disease specialists and anyone treating
otitis media in children.
Otitis media is the most common
disease seen in pediatric practice and the main reason for
antibiotic prescriptions for children. The practice guidelines
from the American Academy of Pediatrics (AAP) and the American
Academy of Family Physicians (AAFP) provided an option for
management of non-severe acute otitis media (AOM) with
observation rather than antibiotic treatment. While these
guidelines start to affect practice management of AOM, many
issues on treatment are still unresolved.
The symposium will address
important issues regarding the updated treatment of AOM: 1)
analyze the guideline recommendations and antibiotic choices;
2) present results on watchful waiting studies that came out
after the guidelines and how to select non-severe AOM cases;
3) answer the questions on whether symptomatic drugs and
adjunctive treatment should be used in place of antibiotics;
4) discuss whether withholding antibiotics affects recurrence
of the disease.
-
AOM Treatment: Making Sense of
the AAP/AAFP Guidelines
Jerome O. Klein, Boston University School of Medicine, Boston, MA
-
Watchful Waiting in Non-severe
AOM: How To Select Cases, and Does It Work in Young
Children?
David P. McCormick, University of Texas Medical Branch at Galveston,
Galveston, TX
-
Antihistamine and
Corticosteroids: Do They Have Any Role in AOM Treatment?
Tasnee Chonmaitree, University of Texas Medical Branch, Galveston, TX
-
Recurrent AOM—Is It Influenced
by Antibiotics?
Ron Dagan, Soroka University Medical Center, Beer Sheva, Israel
-
Discussion
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
1:30pm–3:30pm
2670A—Controversies in Care in Pediatric
Endocrinology—The Great Debates
LWPES Workshop
Room 3001, Moscone West
Chairs: William Clarke, University of Virginia, Charlottesville, VA;
and Henry Anhalt, St. Barnabas Medical Center, Livingston, NJ
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine specialists.
The attendee will be part of a
lively debate on a number of areas of controversy in pediatric
state-of-the-art diabetes management.
-
Is Primary Prevention of Type 1
Diabetes Possible?
-
Pro—Desmond A. Schatz, University of Florida, Gainesville, FL
-
Con—Dorothy J. Becker, Children's Hospital of Pittsburgh, Pittsburgh, PA
-
Should Glucose Sensors Be
Routinely Used?
-
Pro—Stuart Alan Weinzimer, Yale School of Medicine, New Haven, CT
-
Con—Darrell M. Wilson, Stanford University Medical Center, Stanford, CA
-
Should Metformin Be Used To Treat
Pediatric Patients with Insulin Resistance?
-
Pro—Michael S. Freemark, Duke University Medical Center, Durham, NC
-
Con—Philip Scott Zeitler, University of Colorado at Denver and Health
Sciences Center, Denver, CO
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 assess |