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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 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.
2:15pm–5:15pm
2705—Vitamin D: More Than Just Calcium and
Bone
PAS/LWPES Mini Course
Room 3007-3009, Moscone West
Chairs: Catherine M. Gordon, Children's Hospital of Boston, Boston, MA;
and Linda A. DiMeglio, Indiana University, Indianapolis, IN
Target Audience: General
pediatricians, gastroenterologists, endocrinologists and
hematologists/oncologists.
The understanding of the role of
vitamin D in health and illness is becoming more complex. Both
skeletal and extra-skeletal actions have been described, and
vitamin D analogs are being explored for their anti-proliferative
effects. The attendee will gain both clinically relevant
epidemiological knowledge as well as review the calcemic and
non-calcemic actions of Vitamin D.
-
What Is the Evidence for Vitamin
D Deficiency in Children?
Frank R. Greer, University of Wisconsin, Madison, WI
-
Vitamin D and Extra-Skeletal
Actions in Health
Michael F. Holick, Boston University School of Medicine, Boston, MA
-
Non-calcemic Actions of Vitamin D
Receptor Ligands
Sunil Nagpal, Women's Health & Musculoskeletal Biology,
Collegeville PA
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
3:15pm–5:15pm
2725—Integrating Genetic Susceptibility and
Environmental Influences in Pediatric Research
PAS Topic Symposium
Room 2008, Moscone West
Chair: Bruce P. Lanphear, Cincinnati Children's Environmental Health
Center, Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
Target Audience: A broad
pediatric audience with the goal of promoting
interdisciplinary understanding and greater integration of
genetic and environmental research.
Asthma, preterm birth, ADHD and
other prevalent pediatric conditions are widely recognized to
result from interactions of environmental influences and
genetic susceptibility. Tremendous progress has been made in
measuring both environmental and genetic risk factors.
Increasingly, researchers are moving beyond ecological methods
(e.g., questionnaires, air monitoring) to directly measure in
humans hundreds of environmental chemicals, from nicotine to
metals to DDT and phthalates. Similarly, unprecedented
innovation has led rapidly to high-throughput methods that
assess DNA variation across large cohorts. New
interdisciplinary collaborations that integrate state of the
art approaches to both environmental and genetic influences
should greatly improve our ability to predict and prevent
disease and disability. Such studies will be critical for
understanding mechanistic pathways, defining susceptible
subpopulations and developing effective interventions. This
session will provide an overview of gene–environment
research, describe recent advances in biomarkers of
environmental exposure and review new methods for measuring
genetic variability.
-
Gene–Environment Interaction in
Common Pediatric Conditions: Conceptual Overview and
Recent Evidence
Robert S. Kahn, Cincinnati Children’s Hospital Medical Center,
University of Cincinnati College of Medicine, Cincinnati,
OH
-
Advances in Biomarkers of
Environmental Exposure in Pediatric Research
Bruce P. Lanphear, Cincinnati Children's Environmental Health Center,
Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
-
Measuring Genetic Susceptibility
to the Environment: Study Designs and Genotyping Methods
Robert O. Wright, Harvard Children's Environmental Health Center,
Boston Children's Hospital and the Harvard School of
Public Health, Boston, MA
3:15pm–5:15pm
2730—Mechanisms of Hypertension in the
Molecular Era
PAS/ASPN/IPHA/LWPES Topic Symposium
Room 2003-2005, Moscone West
Chairs: Bruce Z. Morgenstern, Phoenix Children's Hospital, Phoenix, AZ;
and Julie R. Ingelfinger, Massachusetts General Hospital,
Boston, MA
Target Audience: General
pediatricians, nephrologists, endocrinologists and
neonatologists.
Our understanding of the
pathophysiology of hypertension has been changing rapidly due
to advances in molecular genetics, most notably the
identification of several single-gene defects that cause
hypertension. This session will update participants on the
latest advances in our knowledge of molecular mechanisms of a
variety of forms of hypertension.
-
Role of Dopamine Receptors
Pedro A. Jose, Georgetown University Medical Center, Washington, DC
-
Perinatal Programming and the
Development of Hypertension
Lori Woods, Oregon Health & Science University, Portland, OR
-
Low Renin Hypertension in
Childhood
Maria I. New, Mount Sinai School of Medicine, New York, NY
-
WNK Kinases and Blood Pressure
Regulation
Richard Lifton, Yale University School of Medicine, New Haven, CT
Sponsored jointly by
the American Society of Pediatric Nephrology, the
International Pediatric Hypertension Association, the Lawson
Wilkins Pediatric Endocrine Society and the Pediatric Academic
Societies
3:15pm–5:15pm
2735—Update on Therapeutic Monoclonal
Antibodies
PAS Topic Symposium
Room 3014, Moscone West
Chair: E. Richard Stiehm, UCLA School of Medicine, Los Angeles, CA
Target Audience: Immunologists,
rheumatologists, hematologists, oncologists and general
pediatricians.
The first talk will be an
overview of the various therapeutic monoclonals and some
general principles of their use. Then a discussion of
Rituximab in refractory immune cytopenias and other disorders
will be presented. Then the use of anti-tumor necrosis factor
treatment including infliximab and adalimumab (Ramicade and
Humira) for rheumatic diseases in children. The final talk
will discuss the adverse effects of these therapies and some
projections for the future. Discussion will be held after each
presentation.
-
Overview
E. Richard Stiehm, Mattel Children's Hospital at UCLA, Los Angeles, CA
-
Use of Anti-CD20 (Rituximab) in
Hematology and Autoimmunity
James B. Bussel, New York Hospital, Cornell Medical Center, New York,
NY
-
Use of Anti-TNF and Other
Cytokine Inhibitors in Rheumatology and Related Illnesses
Christy Irene Sandborg, Stanford University Medical Center, Stanford,
CA
-
The Downside and Future of
Monoclonal Antibody Therapy
Susan Lee, University of California, San Diego, CA
3:15pm–5:15pm
2745—Asthma: Improving Care and Outcomes
PAS Poster Symposium
Room 3012, Moscone West
Chairs: Craig M. Schramm and Stanley J. Szefler
3:15pm–5:15pm
2757—Nutrition and Behavior
PAS Poster Symposium
Room 3024, Moscone West
Chairs: Conrad R. Cole and Timothy A. Sentongo
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
2764—Pediatric Overweight: Bringing It Home
PAS Educational Workshop
Golden Gate Hall A2, SF Marriott
Leader: Joan Griffith, Lexington, KY; Co-leaders: Starr Gantz and Aaron
Beighle
Target Audience: Junior,
mid-level and senior faculty and community practitioners.
Increased awareness of the danger
of physical inactivity and overweight has not appeared to
reverse the pediatric overweight epidemic. This workshop will
provide an overview of pediatric overweight, discuss the
demographics and third-party reimbursement rates of a central
Kentucky university-based initiative, utilize data from a
research study to initiate a roundtable discussion on an
approach to pediatric overweight, identify simple ways to
implement the 2005 Dietary Guidelines for managing overweight
children and demonstrate ways to motivate children/parents to
become more physically active.
Objectives:
– Develop a positive approach
toward managing pediatric overweight.
– Discuss the 2005 Dietary Guidelines for overweight
children.
– Demonstrate methods for increasing participation in
physical activity.
Format: 1, Review data from the
first year of a university-based pediatric weight management
clinic and research study; 2, case presentations; 3,
demonstration of motivational approach for increasing physical
activity in children/parent; 4, roundtable discussion; and 5,
question-and-answer session.
3:15pm–5:15pm
2776—Transition Issues for Adolescents with
Developmental Disabilities
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Thomas Webb, Cincinnati, OH; Co-leader: Nienke Dosa
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
community practitioners.
Up to 85% of children born with
developmental disabilities are surviving to adult age. As
these individuals reach adulthood they are simultaneously
leaving school, exploring community living and needing
adult-oriented health care. As compared to other adolescents
with special health care needs, those with developmental
disabilities have more significant cognitive and physical
difficulties that affect the transition process. This workshop
will use case-based learning to review the principles of
adolescent transition, describe barriers to transition more
prevalent in developmental disabilities, and highlight
web-based, community service, financial, and
vocational-educational resources available to assist patients,
families, and providers with the transition process.
Objectives:
– Understand the principles of
adolescent transition to adult services.
– Recognize the additional physical and cognitive
difficulties facing adolescents with developmental
disabilities.
– Assist adolescents in developing self-care and independent
living skills.
– Describe the role of community service providers, schools,
and vocational rehabilitation specialists in adolescent
transition.
Format: Case presentations,
question and answer, problem solving, and didactic—for
introduction.
3:45pm–5:15pm
2785A—Celiac Disease for the
Non-gastroenterologist
LWPES Workshop
Room 3010, Moscone West
Chair: Michelle M. Pietzak, Children's Hospital of Los Angeles, Los
Angeles, CA
Target Audience:
Gastroenterologists and endocrinologists.
Celiac disease affects
approximately 10-15% of children with diabetes. Often times
the screening tests are vexing. This workshop is aimed at
clarifying the disease process and how to diagnose it.
-
Celiac Disease for the
Non-gastroenterologist
Michelle M. Pietzak, Children's Hospital of Los Angeles, Los Angeles,
CA
3:45pm–5:15pm
2790A—Hyperthyroidism
LWPES Workshop
Room 3000, Moscone West
Chair: Scott A. Rivkees, Yale School of Medicine, New Haven, CT
Target Audience: Generalists.
Much controversy exists about the
most effective and safest treatments for hyperthyroidism in
children. This workshop will clarify some of the newer
evidence based approaches to the diagnosis and management of
hyperthyroidism, with a special emphasis on radioactive
ablation.
3:45pm–5:15pm
2795A—Neonatal Diabetes
LWPES Workshop
Room 3001, Moscone West
Chair: Mark A. Sperling, Children's Hospital of Pittsburgh, Pittsburgh,
PA
Target Audience: Endocrinologists
and neonatologists.
Over the past few years much has
been learned about the pathogenesis of neonatal diabetes. This
workshop will impart knowledge on important considerations in
the diagnosis and work-up of this rare condition.
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–6:00pm
2800—Clinical Pediatric Hypertension
PAS/ASPN/IPHA Poster Symposium
Room 2004, Moscone West
Chairs: Stephen R. Daniels and Deborah P. Jones
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
6:00am–8:00am
Insights into ADHD's Associated Comorbidities
and Treatment Modalities
PAS Industry Sponsored Symposium
Yerba Buena Gardens Salon 7, SF Marriott
Target Audience: General
pediatricians.
Studies suggest up to 80% of
children with a clinical diagnosis of ADHD will continue to
have the disorder into adolescence, with 60% having symptoms
into adulthood.
Among children with ADHD,
comorbid psychiatric disorders are predictive of the
persistence of ADHD into adolescence and adulthood, and a more
complicated course of illness with poorer outcomes.
Options for effective management
of ADHD from childhood through adulthood are emerging as more
clinical studies focus on this common disorder. Studies in
adults show that medications with anti-ADHD activity in
childhood and adolescent ADHD work equally well in adult ADHD,
providing further evidence for the syndromatic continuity
between the juvenile and adult diagnosis. This engaging,
leading-edge session is designed to fill the knowledge gaps
that exist in the areas of diagnosis and treatment of ADHD,
with a particular focus on managing the common psychiatric
conditions that are often comorbid with ADHD.
For registration information
please contact:
Marcie Farmer
Phone: (800) 600-5636.
Email: mfarmer@partnersmeded.com
Supported by a grant from Eli Lilly & Company
7:00am–8:00am
3030—Career Specifics in Academic General
Pediatrics
PAS Meet the Professor
Yerba Buena Gardens Salon 5, SF Marriott
This session is designed to
provide trainees and junior faculty with a perspective on
career pathways in academic general pediatrics, a broad field
with an often-confusing array of possibilities. Specific
attention will be given to: (1) training options, especially
the selection of fellowships and the spectrum of research
training; (2) career trajectories and mentorship; and (3)
leadership development. The integration of an academic focus
with other professional activities in an academic setting will
be discussed. Additional topics will include creating an
academic niche and the importance of life balance.
8:00am–10:00am
3100—Advances in Pathogenesis, Diagnosis
and Management of Kawasaki Disease
PAS/PIDS Topic Symposium
Room 3001, Moscone West
Chairs: Marian Melish, University of Hawaii, Kapiolani Children's
Hospital, Honolulu, HI; and Stanford T. Shulman, Children's
Memorial Hospital, Northwestern University, Feinberg School of
Medicine, Chicago, IL
Target Audience: Infectious
disease specialists, cardiologists, rheumatologists,
immunologists and primary care pediatricians.
Cloning the IgA antibody response
in acute Kawasaki Disease has led to exciting new insights
into the etiology and pathogenesis of this enigmatic illness.
The diagnosis of incomplete Kawasaki Disease remains a
significant clinical problem, and new guidelines have been
published to help the clinician in making this diagnosis.
Approximately 10–15% of children with acute Kawasaki Disease
do not respond to conventional intravenous gammaglobulin and
aspirin therapy, and new data regarding treatment with
steroids and Remicade are emerging. Knowledge regarding
optimal management of cardiac complications and long-term
outcome continues to evolve as patients diagnosed with
Kawasaki Disease in the 1970s and 1980s age.
-
Overview
Marian E. Melish, University of Hawaii, Kapiolani Children's Hospital,
Honolulu, HI
-
IgA Response in Acute Kawasaki
Disease Targets Inclusion Bodies in Acute Kawasaki Disease
Bronchial Epithelium
Anne H. Rowley, Northwestern University, Children's Memorial Hospital,
Chicago, IL
-
Clinical Dilemma of Diagnosing
Incomplete Kawasaki Disease
Jane C. Burns, University of California, San Diego, CA
-
Treatment of Refractory Kawasaki
Disease
Stanford T. Shulman, Children's Memorial Hospital, Northwestern
University, Feinberg School of Medicine, Chicago, IL
-
Management of Cardiac
Complications and Long-Term Outcome
Jane W. Newburger, Harvard University, Children’s Hospital of Boston,
Boston, MA
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
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
3135—Environmental Health: Exposures and
Outcomes
PAS Platform Session
Room 2002, Moscone West
Chairs: Ellen F. Crain and Bruce P. Lanphear
8:00am–10:00am
3140—General Pediatrics II
PAS Platform Session
Room 2007, Moscone West
Chairs: Christine L. Johnson and Elisa A. Zenni
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
Robert S. McGregor, St.
Christopher's Hospital for Children, Philadelphia, PA
Cynthia Rose LaBella, Institute for Sports Medicine,
Children's Memorial Hospital, Chicago, IL
Jordan Daniel Metzl, Hospital for Special Surgery, New
York, NY
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
3244—Pediatricians as Advocates: Efforts on
Behalf of Children Being Raised by Gay and Lesbian Parents
PAS Educational Workshop
Yerba Buena Gardens Salon 3, SF Marriott
Leader: Ellen Perrin, Boston, MA; Co-leader: James Crawford and Jim
Pawelski
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty and
community practitioners.
Pediatricians have a long history
of advocating for their patients health-care needs, broadly
defined. Advocacy efforts have included: (1) ensuring that
individual families have adequate housing and food; (2)
providing societal supports for disadvantaged subgroups, e.g.,
foster children and immigrants; (3) enacting political
guarantees for the security of vulnerable populations; and (4)
building coalitions among opinion leaders in support of
progressive policies.
Not long ago, gay and lesbian
teens and their parents and gay and lesbian parents and their
children were close to invisible in pediatrics. Currently
pediatricians are in the forefront of advocacy efforts on
behalf of this group of children and families. We will
describe the background and strategy behind several of these
recent advocacy efforts, including pediatricians'
participation in legislative deliberations, the role of
professional publications and media appearances and the AAP's
support of co-parent adoption and civil marriage. These
examples will be used to generate ideas and strategies for
further advocacy efforts for these and other populations.
Objectives:
– Know examples of advocacy
efforts on behalf of families with a gay or lesbian member
through professional organizations.
– Understand the role of pediatricians as opinion leaders
and advocates in public media and professional publications.
Format: Small group discussion
and presentation of history of successful advocacy efforts.
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.
8:30am–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
11:00am–4:00pm
Commercial Exhibits Open and Posters
Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West
Posters Available for Viewing:
11:00am–4:00pm
Author Attendance: 12:00pm–2:00pm
Level 1:
– Allergy, Immunology and Rheumatology
– Developmental-Behavioral Pediatrics
– Endocrinology
– Infectious Diseases
– General Pediatrics
– Hematology–Oncology
Level 2:
– Cardiology
– Neonatal Neurology
– Neonatology
11:45am–1:30pm
3415—APA Research Committee
APA Committee
Sierra Suite C, SF Marriott
12:00pm–2:00pm
Poster Session II
PAS Poster Session
Levels 1 and 2, Moscone West
Posters Available for Viewing:
11:00am–4:00pm
Author Attendance: 12:00pm–2:00pm
Level 1:
– Allergy, Immunology and Rheumatology
– Developmental-Behavioral Pediatrics
– Endocrinology
– Infectious Diseases
– General Pediatrics
– Hematology–Oncology
Level 2:
– Cardiology
– Neonatal Neurology
– Neonatology
Includes:
-
SPR Fellow's Basic Research
Award: Myopalladin Mutations and Inherited
Cardiomyopathies
Enkhsaikhan Purevjav, Baylor College of Medicine, Houston, TX
-
SPR Clinical Research Award:
Accelerated Development in the Visual Areas of Preterm
Infants? A Voxel-Based Morphometry Study on Diffusion
Tensor MR Imaging (DTI)
Maria Miranda, Copenhagen University Hospital, Hvidovre, Denmark
-
SPR Fellow's Clinical Research
Award: Novel Genotyping Technology To Classify Childhood
Leukemia
Joshua D. Schiffman, Stanford University, Palo Alto, CA
-
SPR House Officer Research Award:
Erythropoietin Protein Expression in the Developing Human
Eye
Shrena Patel, University of New Mexico, Albuquerque, NM
2:00pm–4:00pm
3710—Non-Growth Related Issues in Girls
with Turner Syndrome
PAS/LWPES Topic Symposium
Room 3003-3005, Moscone West
Chairs: Judith G. Hall, The University of British Columbia and BC
Children's Hospital, Vancouver, BC, Canada; and Paul H.
Saenger, Montefiore Medical Center, The Bronx, NY
Target Audience: Geneticists,
endocrinologists, cardiologists and developmental
pediatricians.
Although the focus of the
pediatric endocrine community has been primarily on the growth
issues of girls with Turner Syndrome, other non-growth issues
continue to be described. This topic symposium will highlight
these non-growth-related issues and illuminate the problems
and strategies of dealing with them.
-
Evaluation of Congenital and
Acquired Heart Disease in Turner Syndrome
Carolyn A. Bondy, National Institute of Child Health and Human
Development, Bethesda, MD
-
Skeletal Health
Vladamir K. Bakalov, National Institute of Child Health and Human
Development, Bethesda, MD
-
Non-verbal Learning Disabilities
Marsha L. Davenport, University of North Carolina at Chapel Hill,
Chapel Hill, NC
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
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
3750—Endocrine Disrupters
PAS/LWPES Mini Course
Room 3010-3012, Moscone West
Chairs: Mary M. Lee, University of Massachusetts Medical School,
Worcester, MA; and Henry Anhalt, Saint Barnabas Medical
Center, Livingston, NJ
Target Audience:
Endocrinologists, generalists, neonatologists and basic
scientists.
Concerns regarding clinical
consequences of endocrine disrupting chemicals have increased
over the past decade as researchers have documented
detrimental effects in wildlife. Federal attention to
endocrine disrupters began in earnest in 1996 when the U.S.
Congress passed the Food Quality Protection Act and amended
the Safe Drinking Water Act. These laws mandated testing to
determine if pesticides and industrial chemicals might behave
like hormones; therefore, the U.S. EPA formed the Endocrine
Disrupters Screening and Advisory Committee. In addition to
direct effects, some environmental disrupters act through
non-genomic actions, some of which persist for several
generations. This program presenting innovative studies on
mechanisms of action of endocrine disruptors will be of
critical interest to endocrinologists, both clinical and basic
scientists, as well as public health experts.
-
Prenatal Programming with
Estrogen/Estrogen Mimetics
Kenneth S. Korach, National Institute of Environmental Health Sciences,
Research Triangle Park, NC
-
Epigenetic Transgenerational
Actions of Endocrine Disruptors on Male Fertility and
Other Diseases
Michael K. Skinner, Washington State University, Pullman, WA
-
Prenatal Programming with Native
and Environmental Steroids
Vasantha Padmanabhan, University of Michigan, Ann Arbor, MI
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
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
3764—Helping Children in Disasters:
Community Training
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: Karen Olness, Cleveland, OH; Co-leader: Anna Mandalakas and
Marisa Herran
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will address the
special issues of children in disasters and provide guidelines
for child health professionals who wish to help their
communities prepare for disasters. This workshop will use a
problem based training format with appropriate case histories
to allow participants to consider decision making for children
in natural or man made disasters. Components of this training
include the problems and priorities for children in disasters,
how to identify resources in the local community that are
available for disaster-impacted children, how to mobilize
rapid responses on behalf of children, and how to reduce long
term psychological problems for children.
Objectives:
– List the special issues of
children who experience disasters.
– Provide information on preparing a community to help
children in disasters.
Format: Problem based learned
format including discussion of relevant case histories.
2:00pm–5:00pm
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
3766—Implementing Innovations in Well Child
Care in a Community or University Clinic
PAS Educational Workshop
Yerba Buena Gardens Salon 1, SF Marriott
Leader: David Bergman, Palo Alto, CA
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
Current provision of
developmental and preventive care in well child care (WCC) is
inefficient and out of step with the needs of families. Yet,
the systemic changes that are necessary are within reach of
most pediatric practices. This workshop will present the
results of a national conference where child health care
leaders, practitioners and parents developed a set of
innovative changes for WCC. Each participant will understand
how these changes can be applied to their practice setting.
You will learn methods to stimulate creative thinking to
generate new change ideas and understand how these ideas
relate to key systems issues in WCC. You will also learn how
to identify and select changes that are best for your
practice. Finally you will generate a framework for
implementation that will be tailored to the your needs.
Objectives:
– To learn about new
innovations in WCC
– To understand systems issues in WCC and how they can be
improved
– To be able to identify and selection innovations that are
best for your clinic setting
– To develop a frameworks for systems change in WCC in your
clinic
Format: Round table discussion,
group problem solving and question and answer. We will use
both video images and slides.
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
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
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.
4:15pm–5:45pm
3810—RNA Interference, Technological
Development of siRNAs and Potential Treatments for Childhood
Diseases
PAS State of the Art Plenary
Room 3016-3018, Moscone West
Chair: R. Alan B. Ezekowitz, Harvard Medical School, Massachusetts
General Hospital, Boston, MA
Target Audience: Basic scientists
studying a broad range of childhood diseases, translational
scientists of all disciplines studying clinical implications
of basic science research, clinical scientists studying
childhood and other diseases in need of improved therapies and
clinicians interested in cutting-edge science and its medical
implications.
RNA interference is a recently
discovered, naturally occurring intracellular process that
regulates gene expression through the silencing of specific
mRNAs. Methods of harnessing this natural pathway are being
developed that allow the catalytic degradation of targeted
mRNAs using specifically designed complementary small
inhibitory RNAs (siRNA). siRNAs are being chemically modified
to acquire drug-like properties. Numerous recent high-profile
publications have provided proofs of concept that RNA
interference may be useful therapeutically. Much of the design
of these siRNAs can be accomplished bioinformatically, thus
potentially expediting drug discovery and opening new avenues
of therapy for many childhood diseases including uncommon
pediatric and orphan diseases. A discussion of the science
behind RNA interference will be followed by a presentation of
the potential practical issues in applying this technology to
disease. The program then describes two therapeutic programs
currently under way with applications to pediatric diseases. A
question-and-answer time will follow each discussion.
-
The Science of RNA Interference
John J. Rossi, Beckman Research Institute of City of Hope, Duarte, CA
-
RNA Interference and Its
Potential Applications for Controlling Disease
Judy Lieberman, CBR Institute for Biomedical Research and Harvard
Medical School, Boston, MA
-
Silencing the VEGF Pathway with
siRNAs and the Potential Application to Retinopathy of
Prematurity
Pamela Pavco, Sirna Therapeutics, Boulder, CO
-
siRNA as Therapy for Respiratory
Syncytial Virus
John P. DeVincenzo, University of Tennessee School of Medicine,
Memphis, TN
4:15pm–6:15pm
3825A—Systemic Lupus: Implications of
Recent Developments for Management of Children with Lupus
Nephritis
ASPN Symposium
Room 2003-2005, Moscone West
Chairs: Joseph T. Flynn, Montefiore Medical Center, Bronx, NY; and
James Jarvis, University of Oklahoma Health Sciences Center,
Oklahoma City, OK
Target Audience: Nephrologists
and rheumatologists.
Glomerulonephritis remains a
significant source of morbidity in children with SLE. However,
recent changes in renal pathology and immunosuppressive
regimens offer the potential for improved outcomes in affected
children. This session will highlight some of the recent
advances in the diagnosis and treatment of children with lupus
nephritis.
-
Overview
Joseph T. Flynn, Children's Hospital at Montefiore, Bronx, NY
-
Lupus Nephritis: The
Rheumatologist's View
James N. Jarvis, University of Oklahoma Health Sciences Center,
Oklahoma City, OK
-
Updated WHO Classification
System: Are There Implications for Therapy?
Glen S. Markowitz, Columbia University Medical Center, New York, NY
-
Application of Monoclonal
Antibodies in Therapy: Rituximab and Beyond
Sangeeta Sule, Johns Hopkins University, Baltimore, MD
-
Cyclophosphamide Versus
Mycophenolate as Initial Therapy for Class III and IV
Lupus Nephritis
Ana L. Paredes, Miami Children's Hospital, Miami, FL
Sponsored jointly by
the AAP Section on Rheumatology and the American Society of
Pediatric Nephrology
4:15pm–6:15pm
3845—Endocrinology: Insulin
Resistance/Obesity
PAS/LWPES Poster Symposium
Room 3003-3005, Moscone West
Chairs: I. David Schwartz and Svetlana Ten
4:15pm–6:15pm
3850—Human Milk and Breastfeeding
PAS Poster Symposium
Room 3001, Moscone West
Chairs: Sheela R. Geraghty and Ardythe L. Morrow
5:00pm–7:00pm
3900—APA Business Meeting, Armstrong
Lecture and Awards
APA Business Meeting
Yerba Buena Gardens Salon 9, SF Marriott
-
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,
-
APA National Pediatric Community
Teaching Award
Bronwen J. Anderson,
-
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
7:00pm–9:00pm
Preventing Allergies— Preserving Quality of
Life
PAS Industry Sponsored Symposium
Golden Gate Hall B1-2, SF Marriott
Target Audience:
Allergy/Immunologists, gastroenterologists, neonatologists.
Preventing Allergies –
Preserving Quality of Life, will focus on allergy issues in
the pediatric population and provide clinicians with valuable
information to help them understand the key contributing
factors behind the increase in allergic disease worldwide.
Faculty will present the hypothesis that childhood
sensitization to foods and allergens can lead to allergies in
later life.
The harmful effect that allergies
have on a child’s physical and emotional well-being and on
the family’s quality of life will also be thoroughly
discussed. The goal of treatment, therefore, is to prevent
allergies from developing.
One way to accomplish this goal
is to follow recommendations for proper nutrition in infants
and children. Exclusive breastfeeding for 4-6 months, use of
special formulas, and delayed introduction of solids are among
the methods to be discussed.
Clinicians attending this
symposium will learn new strategies for preventing infant and
childhood allergies that they can put into practice
immediately.
For registration information
please contact:
Haymarket Medical Continuing Education
Phone: (800) 636-1668
Email: preventingallergies@haymarketmedical.com
Supported by a grant from Nestle, USA
Monday, May 1
7:00am–8:00am
4020—Public Policy Council 20th Annual
Legislative Breakfast Symposium
PPC Breakfast
Room 2002, Moscone West
Chair: Myron Genel, Yale University School of Medicine, New Haven, CT
Can Medicaid be
"reformed" without adversely impacting access to
care for children and adolescents? As a member of the
Secretary of Health and Human Services' Medicaid Commission,
Carol Berkowitz will provide an overview of the Commission's
activities, the outcome of the ongoing deliberations of the
Medicaid Commission, a preview of the next steps for the
Commission and an outline of the role of the pediatric
community in advocating for the critically important EPSDT
program and opposing cost sharing.
-
Introduction
Myron Genel, Yale University School of Medicine, New Haven, CT
-
Medicaid "Reform": Can
We Preserve Our Children's Safety Net?
Carol D. Berkowitz, Professor of Clinical Pediatrics, David Geffen
School of Medicine at UCLA, Torrance, CA
-
Discussion
8:00am–10:00am
4110—Pediatric Fluids and Hyponatremia: Are
We Giving Too Much Water?
PAS/ASPN/LWPES Topic Symposium
Room 3007-3011, Moscone West
Chairs: John W. Foreman, Duke University Medical Center, Durham, NC;
and D. Michael Foulds, University of Texas Health Science
Center at San Antonio, San Antonio, TX
Target Audience: Nephrologists,
general pediatricians, emergency room doctors, intensivists,
hospitalists, endocrinologists and anyone who administers IV
maintenance fluids.
In the 1950s, Holiday and Segar
devised formulae for calculating intravenous maintenance
fluids for infants and children who were unable to drink.
These formulae have been taught and used now for over 40 years
and have generally stood the test of time. However, several
recent investigators have challenged these formulae and argued
that they put children at risk of hyponatremia. Since Holiday
and Segar devised these formulae, new information has arisen,
such as the concept of non-osmotic stimulation of ADH release
in sick children and our ability to measure ADH levels in
plasma on a routine basis. Arieff and Ayus were the first to
point out that children and women are at particular risk for
developing hyponatremic encephalopathy. Moritz and Ayus have
subsequently argued that hypotonic parenteral fluid should not
be used unless there are ongoing free water losses or
hypernatremia. In addition to this new clinical data,
Verkman’s group has exciting data identifying molecular
mechanisms of cerebral edema, including after water
intoxication. Dr. Arieff will review who is at risk and why.
Dr. Verkman’s group has developed data regarding mechanisms
of cerebral edema in experimental animals. Dr. Moritz will
describe the new concepts of maintenance fluids. Dr. Friedman
will defend the current practice. At the end there will be
time for an exchange between the speakers and the audience on
the right fluid to use in today’s children.
-
Hyponatremic Encephalopathy:
Special Risk Factors for Children and Women
Allen I. Arieff, University of California San Francisco, San Francisco,
CA
-
Aquaporin 4 and Cerebral Edema
Alan S. Verkman, University of California San Francisco, San Francisco,
CA
-
0.9% Sodium Chloride: The New
Approach to Maintenance Fluids in Pediatrics
Michael L. Moritz, Children's Hospital of Pittsburgh, Pittsburgh, PA
-
Maintenance Therapy: Tried and
True
Aaron L. Friedman, Brown Medical School, Hasbro Children's Hospital,
Providence, RI
Sponsored jointly by
the AAP Section on Nephrology, the American Society of
Pediatric Nephrology, the Lawson Wilkins Pediatric Endocrine
Society and the Pediatric Academic Societies
8:00am–10:00am
4136—Nutritional Disorders—Mechanisms
PAS Platform Session
Room 3000, Moscone West
Chairs: Conrad R. Cole and B U.K. Li
8:00am–11:00am
4150—The Skinny on the Adipocyte
PAS/LWPES Mini Course
Room 3010-3012, Moscone West
Chairs: Silva A. Arslanian, University of Pittsburgh, Pittsburgh, PA;
and Robert H. Lustig, University of California, San Francisco,
CA
Target Audience: General
pediatricians, gastroenterologists, endocrinologists,
cardiologists, pulmonologists and adolescent medicine
specialists.
Over the past five years much has
been learned about the adipocyte. The ability of the adipocyte
to function as an endocrine gland, elaborating inflammatory
cytokines that result in free radical formation and premature
apoptosis of the beta cell, is a relatively new concept. This
mini course will comprehensively address many of the newest
concepts in adipocyte function and their impact on health and
disease. Further discussion will include new concepts on the
interactions of IGF-II and other peptides' interactions with
the adipocyte. Lastly, there will be a call for new approaches
to the pediatric obesity epidemic.
-
Adipose Tissue as an Endocrine
Organ
Susan Fried, University of Maryland School of Medicine, Baltimore VA
Medical Center, Baltimore, MD
-
Obesity and Inflammation
Christopher Hug, Whitehead Institute and Children's Hospital,
Cambridge, MA
-
Effects of GH, IGF-I and Insulin
Therapies on Adiposity
Zvi Laron, Schneider Children's Medical Center of Israel, Petah Tikva,
Isreal
-
Pathology and Sequelae of
Childhood Obesity in Adult Life
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
9:00am–12:00pm
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
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
4242—Well Child Care for the Premature
Infant
PAS Educational Workshop
Yerba Buena Gardens Salon 15, SF Marriott
Leader: Ricki Goldstein, Durham, NC; Co-leader: William Malcolm
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners
After a brief overview of the
common problems encountered by premature infants after
discharge, this interactive workshop will engage the audience
in the utilization of a new premature infant well-child check
list being developed for office or clinic visits during the
first 2 years of life. Several videos of pediatric well-child
visits will be viewed which demonstrate common scenarios
involving abnormal motor development and feeding patterns.
After viewing each video, the workshop participants will
complete either a standard checklist used in a pediatric
practice or the one specifically designed for former premature
infants. The key questions or observations used to detect
various problems will be identified and indications for early
intervention will be discussed.
Objectives:
– To become familiar with the
common medical problems encountered by premature infants after
discharge
– To recognize the red flags for early motor and feeding
problems in premature infants after discharge
– To recognize indications for referring a premature infant
for early intervention services
Format: (1) Video presentation of
well child visit demonstrating various problems in premature
infants; (2) participants to complete a new check list
designed to detect various problems encountered in the
premature infant; and (3) roundtable discussion of advantages
and problems with new check list.
10:15am–12:15pm
4320A—New Frontiers in Reproductive Science
LWPES Topic Symposium
Room 3001, Moscone West
Chairs: Ram K. Menon, University of Michigan, Ann Arbor, MI; and Henry
Anhalt, Saint Barnabas Medical Center, Livingston, NJ
Target Audience:
Endocrinologists, geneticists, developmental biologists and
adolescent medicine.
The regulation of puberty remains
one of the greatest mysteries of medicine. A child is born
with all of the necessary components to undergo puberty at
birth but this process is quiescent until puberty occurs. The
attendee will learn the newest information on the biological
regulators of puberty.
In addition, the attendee will be
exposed to newer techniques available for preservation of
fertility in a variety of different pathological states.
Discussion will include the cryopreservation of the
pre-pubertal ovary.
-
Kiss-1 and GPR54 as New Players
in Gonadotropin Regulation and Puberty
Ursula Kaiser, Brigham and Women's Hospital, Boston, MA
-
Modern Preservation of Fertility
Kutluk Oktay, Weill Medical College of Cornell University, New York, NY
10:15am–12:15pm
4335—General Pediatrics III
PAS Platform Session
Room 2008, Moscone West
Chairs: Charles Feild and Lydia M. Furman
10:15am–12:15pm
4347—Late-Breaker Abstract Session II:
General Pediatrics
PAS Platform Session
Room 2004, Moscone West Convention Center
Chairs: Yvonne W. Wu and Paul C. Young
The "Late-Breaker"
sessions will include reports on clinical trials and other
important and significant pediatric research, which might not
have been ready for reporting at the time of the winter
abstract deadline. Please be sure to review the content
so you don't miss these very special sessions!
10:15am–12:15pm
4360—New Perspectives on ADHD
PAS Poster Symposium
Room 2002, Moscone West
Chairs: Marc A. Lerner and Mark L. Wolraich
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
12:15pm–1:15pm
4470—The National Children's Study: Status
and Future Plans
PAS/PPC Special Symposium
Room 3010-3012, Moscone West
Chair: Elena Fuentes-Afflick, University of California, San Francisco,
CA
Target Audience: Practicing
pediatricians, academic child health professionals,
researchers, administrators and policymakers who are
interested in child health across the lifespan. Professionals
interested in the impact of environmental factors on health
outcomes will also be interested.
This special symposium will
present an update on the National Children's Study, which
recently selected 7 vanguard centers and is prepared to begin
recruitment of subjects. However, the President's budget
proposal allocated no further funding and stated that the
study would be terminated at the end of the current fiscal
year. The panel presenters will discuss the current budgetary
outlook, status of the study, options to implement the study
and respond to questions from the audience.
Panelists
-
Elena Fuentes-Afflick, University of California, San Francisco, CA
-
Duane Alexander, Director,
National Institute of Child Health and Human Development,
National Institutes of Health, Bethesda, MD
-
Peter C. Scheidt, Director,
National Children's Study, National Institute of Child
Health and Human Development, National Institutes of
Health, Bethesda, MD
-
Alan R. Fleischman, Chair,
National Children's Study Federal Advisory Committee, New
York Academy of Medicine, New York and National Institutes
of Health, Bethesda, MD
-
David J. Schonfeld, Member,
National Children's Study Federal Advisory Committee and
Chair, AAP Committee on Research, Cincinnati, OH
Sponsored jointly by
the Public Policy Council and the Pediatric Academic Societies
1:45pm–5:15pm
4550—APA Presidential Plenary and Awards
APA Presidential Plenary
Room 2003-2007, Moscone West
Claibourne I. Dungy
Includes selected original
science abstract presentations, as well as the Presidential
Address, APA Outstanding Teaching Award and APA Research
Award.
-
APA Research Award
Neal Halfon, University of California, Los Angeles, CA
-
APA Outstanding Teaching Award
J. Lindsey Lane
2:00pm–4:00pm
4580—Application of Translational Science
to Vaccinology: Varicella-Zoster Virus and Human
Papillomavirus
PAS/PIDS State of the Art Plenary
Room 3003-3005, Moscone West
Chairs: Ann M. Arvin, Stanford University School of Medicine, Stanford,
CA; and Anna-Barbara Moscicki, University of California, San
Francisco, CA
Target Audience: Infectious
disease specialists, primary care pediatricians, immunologists
and adolescent medicine physicians.
One of the major goals of
infectious diseases research is to understand the pathogenesis
of disease and to use this knowledge to prevent the illness
through vaccination. An understanding of varicella
pathogenesis led to the development of a successful vaccine,
and further insights into long-term success of the vaccine and
the future of varicella immunization are emerging. A more
recent success story is that of human papillomavirus, in which
basic science studies of pathogenesis led to the development
of vaccines based on virus-like particles. These two examples
serve as models of the success of translational science in
combating infectious diseases.
-
New Insights into Varicella-Zoster
Virus Pathogenesis
Ann M. Arvin, Stanford University School of Medicine, Stanford, CA
-
MMRV and the Future of
Immunization Against Varicella-Zoster Virus
Anne A. Gershon, Columbia University, New York, NY
-
Pathogenesis of Human
Papillomavirus Infections
Anna-Barbara Moscicki, University of California, San Francisco, CA
-
Development of Virus-like
Particles for Immunization Against Human Papillomavirus
John T. Schiller, National Cancer Institute, National Institutes of
Health, Bethesda, MD
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
3:00pm–5:00pm
4620—Hirschsprung’s Disease and Chronic
Constipation: Medical and Surgical Approaches
PAS/NASPGHAN Topic Symposium
Room 3014, Moscone West
Chairs: B U.K. Li, Children's Memorial Hospital, Northwestern
University School of Medicine, Chicago, IL; and Melvin B.
Heyman, University of California San Francisco, San Francisco,
CA
Target Audience: General
pediatricians, pediatric gastroenterologists, pediatric
surgeons and developmental biologists.
This symposium will focus on a
common yet challenging problem constipation: the clinical,
diagnostic, genetic and surgical aspects of Hirschsprung’s
disease; and diagnostic testing, medical and surgical
treatment of chronic constipation. In Hirschsprung’s
disease, the clinical presentation (red flags) of, diagnostic
testing for and genetic mutations found will be discussed.
Surgical approaches including standard staged pull-thrus,
single stage repairs, laparoscopic approaches and
post-surgical obstructions will be reviewed. In chronic
constipation, the differential diagnosis and diagnostic
testing (findings in anorectal and colonic manometry, MRI and
bead transit studies) will be presented. Medical and surgical
therapeutic approaches will cover education, behavioral and
biofeedback therapy, medical treatment (disimpaction and
maintenance therapy) and antegrade enemas delivered via
cecostomies. The specific approaches applicable to a general
pediatric practice use will be identified.
-
Clinical and Genetics Aspects of
Hirschsprung's Disease
Cheryl E. Gariepy, University of Michigan Health System, Ann Arbor, MI
-
Surgical Approaches to
Hirschsprung's Disease
Daniel H. Teitelbaum, University of Michigan Hospitals, Ann Arbor, MI
-
Diagnostic Approaches to Chronic
Constipation
Samuel Nurko, Children's Hospital and Harvard University, Boston, MA
-
Therapeutic Approaches to Chronic
Constipation
Warren P. Bishop, Children's Hospital of Iowa, University of Iowa, Iowa
City, Iowa
Sponsored jointly by
the American Pediatric Surgical Association; the North
American Society for Pediatric Gastroenterology, Hepatology
and Nutrition; and the Pediatric Academic Societies
3:00pm–5:00pm
4675—Obesity I
PAS Poster Symposium
Room 2002, Moscone West
Chairs: Robert H. Lustig and Jennifer Miller
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–10:00am
5100—Ethical Issues in Housing Health
Hazard Research Involving Children
PAS Topic Symposium
Room 2003-2005, Moscone West
Chair: Bernard Lo, University of California San Francisco, San
Francisco, CA
Target Audience: A broad
pediatric audience with the goal of promoting understanding of
ethical issues in conducting community-based research,
especially housing hazard research.
Children’s homes may contain
hazards that can cause lead toxicity, trigger asthma or result
in serious injuries or poisoning. A 2001 court decision, in
Grimes versus Kennedy Krieger Institute, highlighted ethical
issues in housing-related research and led to substantial
controversy and confusion. Many ethical dilemmas occur because
research participants are often poor, members of a minority
group and have few affordable housing options. Moreover,
carrying out research in the home raises unique ethical
issues. A forthcoming report from National Academies of
Science (NAS) will offer recommendations for conducting
research on this topic. This panel will present these NAS
recommendations and discuss how they might be applied to
specific projects in housing research involving children.
Specific issues to be discussed include innovations in
research design and informed consent, responding to risks
observed in the home, the role of researchers and IRBs and
community involvement in research. Audience participation will
be encouraged.
-
Recommendations from the National
Academies of Science
Bernard Lo, University of California San Francisco, San Francisco, CA
-
Protecting Vulnerable Research
Participants While Allowing Valuable Research To Be
Carried Out
Alan R. Fleischman, Chair, National Children's Study Federal Advisory
Committee, New York Academy of Medicine, New York and
National
-
Institutes of Health, Bethesda,
MD
-
Innovations in Study Design and
Informed Consent in Housing Hazard Research Involving
Children
Bruce P. Lanphear, Cincinnati Children's Environmental Health Center,
Cincinnati Children’s Hospital Medical Center,
Cincinnati, OH
-
Resolving Ethical Dilemmas in
Housing Hazard Research Through Community Participation
Brenda Eskenazi, University of California Berkeley, Berkeley CA
-
Discussion
8:00am–10:00am
5154—Developmental–Behavioral Pediatrics
PAS Platform Session
Room 2007, Moscone West
Chairs: Karen Ratliff-Schaub and Martin T. Stein
8:00am–10:00am
5158—Endocrinology: Diabetes—Immune
Mediated
PAS Poster Symposium
Room 3020, Moscone West
Chairs: Bruce A. Boston and Susan B. Nunez
8:00am–10:00am
5162—General Pediatrics IV
PAS Platform Session
Room 2008, Moscone West
Chairs: Jeffrey M. Devries and Susan Feigelman
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
8:30am–9:45am
5200A—The Challenge of Diagnosis and
Outcome in Intersex
LWPES State of the Art Plenary
Room 3007-3011, Moscone West
Chair: Lynne Levitsky, Massachusetts General Hospital, Boston, MA
Target Audience: Geneticists,
endocrinologists and general pediatricians.
The attendee will be presented
with an overview of intersex and then the challenges of
diagnosis and outcome will be addressed. Many previous
assumptions about outcome have proven to be false. This should
prove to be an exciting talk about a highly controversial
topic affecting pediatric endocrinologists and geneticists.
The Challenge of Diagnosis and
Outcome in Intersex
Ieuan Hughes, University of Cambridge, Cambridge, UK
8:45am–11:45am
5216—How To Change the World in an Hour a
Month: Skills for Effective and Efficient Leadership in
Community Health and Child Advocacy
PAS Educational Workshop
Yerba Buena Gardens Salon 4, SF Marriott
Leader: Andy Aligne, Rochester, NY; Co-leaders: Laura Jean Shipley,
Jeffrey Kaczorowski, Danielle Thomas-Taylor
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will enable
attendees to leverage their time more effectively when working
outside the clinical setting to improve child health at the
community level. Facilitated group exercises will improve
skills in some or all of the following: time management,
teamwork, coping with change, getting involved with
community-based organizations, cultural observation, speaking
to the media, project planning and evidence-based community
health.
Objectives:
– Time management
– Speaking to the media
– Project planning
– Evidence-based community health
Format: Group exercises and group
problem solving.
8:45am–11:45am
5245—School and Community Health
APA Special Interest Group
Sierra Suite C, SF Marriott
Chair: Rani S. Gerige, gereiger@allkids.org;
and Sarah E. Hampl, shampl@chm.edu.
Working with the community and
the schools on health issues requires a great deal of
collaboration, networking and partnership. This year the
School and Community Health SIG will focus primarily on
“Coalition Building: The How To?” Come and learn from
pediatricians and other health care professionals who have
built successful coalitions with their communities and/or
schools. Coalitions in the areas of mental health, adolescent
health, obesity and dental health will be presented. Attendees
who have built successful coalitions in their own
communities/schools are encouraged to attend and share their
experience. Come learn, network and build coalitions!
10:00am–11:45am
5310A—Pitfalls in Endocrine
Assays—Results Are Not What They Seem
LWPES Workshop
Room 3000, Moscone West
Chairs: Jack Fuqua, Indiana University, Indianapolis, IN; and John
Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
Target Audience:
Endocrinologists, general pediatricians and adolescent
medicine.
All too often clinicians are
encountering laboratory tests that are difficult to interpret.
Sometimes the real problem lies in understanding the pitfalls
in assays and how they are performed. This symposium will help
the clinician and scientist understand the basis for assays
and what can go wrong with them. Many referrals to
subspecialists are made due to misinterpretation of laboratory
tests or unfamiliarity with age related norms. This symposium
will have wide appeal to all who order endocrine tests.
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Overview
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
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IGF–I/GH
George M. Bright, Tercica, Inc., South San Francisco, CA
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Adrenal Steroids and Thyroid
Jon M. Nakamoto, Quest Diagnostics, San Juan Capistrano, CA
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Sex Steroids
Dennis M. Styne, University of California, Davis Medical Center,
Sacramento, CA
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Discussion
10:00am–2:00pm
Commercial Exhibits Open and Posters
Available for Viewing
PAS Exhibits
Levels 1 and 2, Moscone West
Posters Available for Viewing:
10:00am–2:00pm
Author Attendance: 12:00pm–1:30pm
Level 1:
– Adolescent Medicine
– Emergency Medicine
– Epidemiology
– General Pediatrics
– Infectious Diseases
– Neonatal Epidemiology and Follow Up
Level 2:
– Neonatal Pulmonology
– Neonatology
10:15am–11:45am
5400—Campaign To Save 100K Lives: What It
Means for Child Health
PAS State of the Art Plenary
Room 3024, Moscone West
Chair: Charles J. Homer, National Initiative for Children's Healthcare
Quality (NICHQ), Boston, MA; Connie
Crowley Ganser, National Initiative for Children's Healthcare
Quality (NICHQ), Cambridge, MA; and Paul Kurtin, Children's
Hospital San Diego, San Diego, CA
Target Audience: Hospital-based
pediatricians across a wide array of specialties.
In December 2004, the Institute
for Healthcare Improvement launched a campaign to save 100K
lives through targeted improvements in care. Shortly after the
launch, the National Initiative for Children’s Healthcare
Quality, Children’s Hospital Corporation of America and the
National Association of Children’s Hospitals and Related
Institutions convened to identify whether these changes could
cause comparable improvements in health care for children and
promote that effort. This session will review the science
behind these interventions, describe the programs and
implementation efforts to advance these and future directions
for such safety and quality campaigns.
-
The Campaign Approach to Quality
Improvement
Connie Crowley Ganser, National Initiative for Children's Healthcare
Quality (NICHQ), Cambridge, MA
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Bloodstream Infections
W. Charles Huskins, Mayo Clinic, Rochester, MN
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Rapid Response Teams
Glenn Billman, Children's Hospitals and Clinics of Minneapolis/St.
Paul, Minneapolis, MN
-
Ventilator Acquired Pneumonia and
Adverse Drug Events
Paul Kurtin, Children's Hospital San Diego, San Diego, CA
-
Where Do We Go from Here? The
Pediatric Campaign
Charles J. Homer, National Initiative for Children's Healthcare Quality
(NICHQ), Cambridge, MA
-
Discussion
10:15am–11:45am
5405—Newborn Screening: The Coming
Revolution
PAS State of the Art Plenary
Room 3001, Moscone West
Chair: Alex R. Kemper, University of Michigan, Ann Arbor, MI
Target Audience: General
pediatricians, subspecialists involved with newborn screening,
for including neonatologists, endocrinologists, hematologists
and geneticists.
Newborn screening has resulted in
dramatic improvements in the morbidity and mortality of
inherited disorders. Recent laboratory developments have
dramatically increased the number of conditions that can be
detected in early infancy. Expanding the list of conditions
has lead to unique challenges for pediatric practices and
public health systems. This symposium will explore these new
and emerging challenges.
-
Overview
Alex R. Kemper, University of Michigan, Ann Arbor, MI
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New Technologies for Newborn
Screening
Edward R.B. McCabe, David Geffen School of Medicine at UCLA, Mattel
Children's Hospital, Los Angeles, CA
-
Meeting the Needs for
Confirmation, Counseling and Treatment
R. Rodney Howell, Miller School of Medicine at the University of Miami,
Miami, FL
-
"Treatment" Versus
"Benefit" in Evaluating the Desirability of
Expanded Newborn Screening
Don Bailey, University of North Carolina at Chapel Hill, Chapel Hill,
NC
-
Ethical Issues That Must Be
Addressed in an Expanded Newborn Screening Program
Ellen Wright Clayton, Vanderbilt University, Nashville, TN
-
Summary Comments
Michele Puryear, Maternal and Child Health Bureau, Health Resources
& Services Administration, Rockville, MD
-
Discussion
10:15am–11:45am
5415—Reducing Disparities in Healthcare
Quality: How Much Progress Are We Making?
PAS State of the Art Plenary
Room 3022, Moscone West
Chairs: Denise M. Dougherty, USDHHS Agency for Healthcare Research and
Quality, Rockville, MD; and Glenn Flores, Center for the
Advancement of Underserved Children, Medical College of
Wisconsin and Children's Research Institute, Milwaukee, WI
Target Audience: Attendees
serving racially and ethnically diverse families and those
concerned about reducing disparities in children's health care
and health.
The 2002 Institute of Medicine
report, Unequal Treatment, brought national attention to
racial and ethnic disparities in healthcare quality. At the
time, there was almost nothing to report on disparities in
children's healthcare quality.
This session will bring
participants up to date on key disparities in children's
healthcare quality, based on information from the 2005
National Healthcare Disparities Report (NHDR) and other
sources. Selected examples of disparities from the 2004 NHDR
include: African–American children are three times as likely
as white children to be hospitalized for asthma, and Black and
Hispanic children on dialysis are less likely than white
non-Hispanic children to be on a waiting list for a kidney
transplant. Examples of activities under way to reduce
disparities will be presented, including development of a
structured framework for increasing cultural competency in
children's healthcare and efforts to improve care for
vulnerable racial and ethnically diverse child patients using
health information technology strategies. The panel will end
with a presentation on future directions in policy and
research for reducing disparities in children's healthcare.
-
Where Are We Now? Disparities in
Children's Healthcare Quality
Denise M. Dougherty, USDHHS Agency for Healthcare Research and Quality,
Rockville, MD
Lisa Simpson, All Children's
Hospital, Endowed Chair, Children's Health Policy,
University of South Florida, St. Petersburg, FL
-
Improving Cultural Competency in
Children's Healthcare
Charles J. Homer, National Initiative for Children's Healthcare Quality (NICHQ), Cambridge,
MA
-
Using Health Information
Technology To Improve Care and Reduce Disparities
Richard N. Shiffman, Yale University School of Medicine, New Haven, CT
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Yes, It Can Be Done: The
Successful Elimination of a Racial/Ethnic Disparity in
Children's Healthcare
Glenn Flores, Center for the Advancement of Underserved Children,
Medical College of Wisconsin and Children's Research
Institute, Milwaukee, WI
-
Future Directions
Robert K. Ross, The California Endowment, Woodland Hills, CA
10:15am–12:15pm
5425—A Spectrum of Neurodevelopmental
Disabilities
PAS Poster Symposium
Room 2006, Moscone West
Chairs: Bruce K. Shapiro and Robert G. Voigt
10:15am–12:15pm
5430—Obesity II
PAS Platform Session
Room 3014, Moscone West
Chairs: Michael Cabana and John N. Udall
12:00pm–1:30pm
Poster Session IV
PAS Poster Session
Levels 1 and 2, Moscone West
Posters Available for Viewing:
10:00am–2:00pm
Author Attendance: 12:00pm–1:30pm
Level 1:
– Adolescent Medicine
– Emergency Medicine
– Epidemiology
– General Pediatrics
– Infectious Diseases
– Neonatal Epidemiology and Follow Up
Level 2:
– Neonatal Pulmonology
– Neonatology
Includes:
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SPR Student Research Award: Metal
Contamination of Blood Bank Blood
Allison Blatz, Case Western Reserve University, Rainbow Babies &
Children's Hospital, Cleveland, OH
-
SPR House Officer Research Award:
Pathogenesis of Measles Virus Infection in Simian
Immunodefiency Virus-Infected, Measles Virus-Vaccinated
Rhesus Monkeys
Sallie R Permar, Children's Hospital and Boston Medical Center, Boston,
MA
1:45pm–3:45pm
5720—Autosomal Recessive Polycystic Kidney
Disease (ARPKD): New Insights and Clinical Perspectives
PAS/ASPN/NASPGHAN Topic Symposium
Room 3010-3012, Moscone West
Chairs: Philip Rosenthal, University of California, San Francisco, San
Francisco, CA; and Lisa M. Guay-Woodford, University of
Alabama at Birmingham, Birmingham, AL
Target Audience: Pediatricians,
pediatric nephrologists, pediatric gastroenterologists,
neonatalogists and developmental biologists.
ARPKD is a developmental disorder
of the kidneys and liver caused by mutations in the PKHD1
gene. Fibrocystin/polyductin, the protein encoded by PKHD1, is
expressed on the primary cilia of renal and bile duct
epithelial cells. Several lines of evidence indicate that the
PKHD1 transcriptional profile is complex with extensive splice
variants. While the function of these transcripts and the
polypeptides that they encode is not well understood, these
proteins seem to play critical roles in establishing and
maintaining the tubular architecture. This symposium will
discuss the complex transcriptional profile of PKHD1 and the
role of these gene products in renal as well as biliary
epithelia. Given that ARPKD has a high perinatal mortality due
to oligohydramnios and resultant respiratory insufficiency,
current concepts regarding the interplay between the
developing kidney, the placenta and the developing lung will
be discussed. Finally, a clinical perspective based on the
on-going NHGRI-sponsored natural history study will focus on
ARPKD-associated morbidities and disease progression.
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Transcriptional Complexity of
PKHD1: Implications for Development and Disease
Pathogenesis
Gregory G. Germino, Johns Hopkins University, Baltimore, MD
-
Pathobiology of Biliary Epithelia
in ARPKD
Tatyana Masyuk, Mayo Clinic College of Medicine, Rochester, MN
-
Oligohydramnios: Current Concepts
and Implications for Pulmonary Development
F. Sessions Cole, Washington University School of Medicine, St. Louis
Children's Hospital, St. Louis, MO
-
Report on the NIH ARPKD/CHF
Natural History Study
Meral Gunay-Aygun, National Human Genome Research Institute (NHGRI),
Bethesda, MD
Sponsored jointly by
the American Society of Pediatric Nephrology; the North
American Society for Pediatric Gastroenterology, Hepatology
and Nutrition; and the Pediatric Academic Societies
1:45pm–3:45pm
5725—Meet the Red Book Committee: Update on
New Vaccines
PAS/PIDS Hot Topic
Room 3014, Moscone West
Chairs: Sarah S. Long, Drexel University College of Medicine and St.
Christopher’s Hospital for Children, Philadelphia, PA; Larry
K. Pickering, Emory University School of Medicine, Atlanta,
GA; David Kimberlin, University of Alabama, Birmingham, AL;
and Henry Bernstein, Dartmouth Medical School, Lebanon, NH
Target Audience: Primary care
pediatricians, infectious diseases physicians and adolescent
medicine physicians.
Vaccines represent the best
return on investment in health care resources. Currently, this
is a dynamic time for new vaccine development and licensure.
Recent changes in the vaccine schedule include the development
and licensure of new rotavirus vaccines, meningococcal
conjugate vaccines, acellular pertussis vaccines for use in
adolescents, papillomavirus, hepatitis A vaccines for
1-year-olds and a new “combination” vaccines (including
mumps-measles-rubella-varicella). Human papillomavirus vaccine
is expected to be licensed. To update physicians in practice,
the American Academy of Pediatrics will co-sponsor a symposium
on new vaccines, entitled “Red Book Update: New Vaccines”.
Topics to be discussed include
the newly licensed products listed above, as well as new
indications and uses of existing vaccines.
Sponsored jointly by
the Pediatric Infectious Diseases Society and the Pediatric
Academic Societies
1:45pm–3:45pm
5730—Obesity Symposium—The BIG Picture
PAS/LWPES Hot Topic
Room 3007-3011, Moscone West
Chairs: Janet H. Silverstein, University of Florida College of
Medicine, Gainesville, FL; and Josephine Z. Kasa-Vubu,
University of Michigan, Ann Arbor, MI
Target Audience: General
pediatrics, developmental pediatrics, adolescent medicine,
genetics, basic science, pediatric endocrinology and health
outcomes.
The obesity epidemic continues to
be a major public health threat and a top priority for a broad
range of researchers and clinicians. This symposium will
attempt to reach beyond descriptive statistics and will focus
on advances from bench to bedside with a focus on
intervention.
-
Overview
Josephine Z. Kasa-Vubu, University of Michigan, Ann Arbor, MI
-
Lessons from the Bench: Molecular
and Anatomical Models of Leptin Resistance
Martin Myers, University of Michigan, Ann Arbor, MI
-
Intensive Versus Behavior
Therapies for the Obese Child: What We Know and What We Do
Not Know
Jack Adam Yanovski, National Institutes of Health, Bethesda, MD
-
Long-Term Costs of Early Onset
Diabetes
William H. Herman,
-
Prenatal Programming of Obesity
and Obesity-Related Behaviors
Peter D. Gluckman, Liggins Institute, University of Auckland, Auckland,
New Zealand
-
Discussion
Sponsored jointly by
the Lawson Wilkins Pediatric Endocrine Society and the
Pediatric Academic Societies
1:45pm–3:45pm
5750—General Pediatrics V
PAS Platform Session
Room 3001, Moscone West
Chairs: Paul M. Darden and David P. McCormick
1:45pm–3:45pm
5760—Underserved Populations II
PAS Platform Session
Room 3000, Moscone West
Chairs: David M. Keller and Ronald C. Samuels
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