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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
2151—Can You Hear Me? Do You Understand?
Issues in Organizational Transformation to Meet the Needs of
Limited English Proficiency (LEP) Patients and Families
PAS Educational Workshop
Yerba Buena Gardens Salon 13, SF Marriott
Leader: Noel Rosales, Philadelphia, PA; Co-leader: William Tietjen
Target Audience: Junior faculty,
mid-level faculty, senior faculty, and community
practitioners.
This workshop will provide the
participant the knowledge and tools to effectively establish
and further develop a language access services program in
their institutions, discussing both translation and
interpretation. Using the experience of the Children's
Hospital of Philadelphia, the workshop will review the
legislative and regulatory mandates that make establishing and
maintaining language access services programs necessary. Using
an interactive discussion format, the participants will
explore the needs of their home institutions and determine
whether outsourcing or growing their own internal program is
most appropriate. Effective use of medically trained
interpreters will be reviewed and a model program for teaching
effective use of interpreters will be presented.
Objectives:
– To review the national
regulatory and legislative mandates for comprehensive programs
for the Limited English Proficient.
– To explore pertinent issues in the planning,
implementation and development of an effective language
service program.
– To understand the use of trained medical interpreters for
effective and safe patient care.
– To identify challenges and solutions among participants in
the establishment of language access programs.
Format: Brief lecture,
interactive discussion, short video vignettes, and group
problem solving.
8:00am–11:00am
2154—Effective Management of Chronic
Disease in Schools
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: Linda Grant, Boston, MA; Co-leaders: Barbara Frankowski, Rani
Gereige
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The goals of this workshop are to
provide clinicians with the skills to more effectively manage
their patients with chronic disease within the school setting.
These skills include: (1) more effective communication between
the family, the office and the school, (2) understanding the
complexity of HIPAA and FERPA, (3) developing clinical
management strategies that support rather than burden school
systems and (4) applying these concepts to residency advocacy
programs.
The workshop will utilize case
histories and will rotate participants through three modules
reflecting the skill areas. Each module will be facilitated by
physician school consultants who are responsible for policy in
their districts and who also have residency training
responsibilities.
Objectives:
– Understand the differences
between HIPAA and FERPA as regards confidentiality and sharing
information between primary care and schools.
– Develop guidelines for appropriate and effective
school-linked case management of diabetes, asthma and other
chronic illnesses.
– Develop communication strategies connecting home, school
and office.
– Understand role of schools in advocacy in training
programs.
Format: Workshop will be divided
into three modules and participants will rotate through all
three. The three modules are: Legal and communication issues (FERPA/HIPAA),
Clinical Management and Advocacy in Training Programs. The
modules will be chaired by three school physician consultants
(and include a pediatric residency director who has
incorporated these objectives into the residency).
8:00am–11:00am
2155—Gender-Variant Youth: The Role of the
Pediatrician
PAS Educational Workshop
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
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.
11:45am–2:45pm
2404—Early Identification of Mental Health
and Developmental Problems in Foster Care Youth: Tools and
Innovative Treatment Strategies
PAS Educational Workshop
Golden Gate Hall B1, SF Marriott
Leader: David Harmon, Jacksonville, FL; Co-leaders: Steven Blatt, Moira
Szilagyi
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This interactive workshop will
present an overview of the early identification of children in
foster care with mental health problems and developmental
delays. This will be done through a round table discussion
among an expert panel as well as question-and-answer session.
Tools will be presented for this purpose and new innovative
treatment options will be discussed as well. It will include
case presentations with small group discussions. This workshop
is geared toward all learner/audience levels and will be an
ideal time to network with those who are taking care of
children in foster care.
Objectives:
– Tools to identify mental
health problems
– Tools to identify developmental delays
– Innovative treatment of developmental and behavioral
problems using mentoring
– Innovative treatment of developmental and behavioral
problems using foster parents
Format: We will assemble of panel
of experts on foster care to have a roundtable discussion,
demonstrate tools, and hold a question-and-answer session. It
will be presented in a very interactive format ideal for
networking these problems.
11:45am–2:45pm
2412—Mobilizing High-Risk Communities To
Prevent Injuries to Youth
PAS Educational Workshop
Willow, SF Marriott
Leader: Michael Gittelman, Cincinnati, OH; Co-leaders: Wendy Pomerantz,
Andrea Gielen, and Mahseeyahu Selassie
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty and community
practitioners.
The purpose of this workshop is
to expand the participants' skills in advocating for
high-risk, underserved communities through local involvement.
The first portion of this workshop will concentrate on how to
obtain and utilize data to identify high-risk communities and
their needs. How to prevent injuries will be the example
given; yet this model could work for any community
intervention. The second portion of the workshop will be
interactive with breakouts into small groups. Skill building
groups will address: 1) the use of focus groups for strategic
thinking/planning; 2) obtaining community buy-in; 3) and
identifying and enhancing existing resources to approach a
common goal. Areas of success and pitfalls in local efforts
will be shared.
Objectives:
– Assessing a communities needs
– Community mobilization/interaction
– Obtaining funding support for community programs
Format: Roundtable discussion,
question-and-answer session, problem solving skills.
12:00pm–3:00pm
2500—Advocacy Training Initiative—Part II
PAS Mini Course
Room 2011, Moscone West
Chairs: Alice A. Kuo, University of California Los Angeles, Los
Angeles, CA; and Philip R. Nader, University of California San
Diego, La Jolla, CA
Target Audience: Pediatric
program directors and attendees interested in advocacy.
Building upon the Child Advocacy
Skills in Part I of the ATI Conference, Part II will now focus
on how to incorporate these skills into meaningful residency
curricular experiences. Pediatric residents are increasingly
committed to promoting child health in arenas other than the
pediatric exam room. Programs are being called upon to provide
structured curricular experiences for residents in child
advocacy, and these experiences may build upon existing
curricula in community pediatrics or be completely separate.
New avenues for partnerships between pediatric residency
programs and community agencies can occur as a result of child
advocacy rotations or projects. This part of the conference
will give participants new ideas for child advocacy training
experiences, address the how-tos on a shoestring budget, and
present ideas for evaluating your community/advocacy
curriculum.
Please join us for the Advocacy
Training SIG from 3:15-5:15pm immediately following the
Advocacy Training Initiative.
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Welcome
Alice A. Kuo, University of California Los Angeles, Los Angeles, CA
Philip R. Nader, University of
California San Diego, La Jolla, CA
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Different Forms of Advocacy
Training Curricular Experiences
David M. Keller, University of Massachusetts Medical School, Worcester,
MA
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Implementing a Required Child
Advocacy Rotation with No Budget
Sanjeev Kumar Sriram, University of California Los Angeles, Los
Angeles, CA
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Evaluating Community/Advocacy
Educational Experiences
Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial
Hospital, Rochester, NY
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Resident Poster Session
Sponsored jointly by
the APA Advocacy Training SIG, the AAP Community Pediatrics
Training Initiative and the Pediatric Academic Societies
12:00pm–3:00pm
2520—Pediatric Assessment of Sexual Abuse:
State of the Science 2006
PAS Mini Course
Room 3011, Moscone West
Chair: Vince Palusci, Wayne State University School of Medicine,
Hospital of Michigan, Detroit, MI
This three-hour mini course will
address the medical evaluation of child sexual abuse in the
pediatric setting. The topics that will be addressed are:
– Physical sequelae of sexual
abuse: What’s new and how has the literature of the past 10
years shaped this field.
– Medical conditions that mimic sexual abuse: What a
clinician must know about anogenital medical conditions and
congenital findings.
– Sexually transmitted diseases in children: Beyond
cultures, DNA amplification techniques in children and the
newest recommendations for HIV post assault prophylaxis will
be presented.
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Overview
Vincent J. Palusci, Wayne State University School of Medicine, Hospital
of Michigan, Detroit, MI
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Interpretation of Medical
Findings in Suspected Child Sexual Abuse: Update 2006
Joyce Adams, University of California San Diego Medical Center, San
Diego, CA
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Mimics of Sexual Abuse
Lori Frasier, University of Utah School of Medicine, Salt Lake City UT
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Sexually Transmitted Diseases in
Children: Beyond Cultures, DNA Amplification Technology
Nancy Denny Kellogg, University of Texas San Antonio, San Antonio, TX
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
2774—Telemedicine and Its Applications in
Pediatrics: Improving Quality and Addressing Access Barriers
PAS Educational Workshop
Golden Gate Hall C2, SF Marriott
Leader: James Marcin, Sacramento, CA; Co-leader: Stacey Cole
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
This workshop will provide an
overview of telemedicine, and demonstrate how telemedicine
assists in the care of pediatric patients in various settings.
Interactive lectures will be given on the critical components
of a successful telemedicine program. Video clips of
consultations and interviews will be shown to provide an
understanding of telemedicine from various perspectives. A
step-by-step process will be laid out to help evaluate the
possibility of using telemedicine for their services.
Panelists: Juan Trujano, Anita
Grady and Kristi MacLeod
Objectives:
– To understand the technology
of telemedicine, including telecommunications.
– To become familiar with the important structural,
managerial and financial considerations of telemedicine.
– To understand the impact of telemedicine on measures of
quality of care and satisfaction.
Format: This workshop will
primarily be conducted in a lecture/panel format. Sessions
will be interactive and include discussion, sample video
clips, and a live demonstration of equipment and telemedicine
consultations.
Sunday, April 30
8:00am–10:00am
3105—From Health Services Research to
Public Policy
PAS Topic Symposium
Room 2006, Moscone West
Chair: Gary L. Freed, University of Michigan, Ann Arbor, MI
Target Audience: Investigators,
clinicians and advocacy experts.
The contribution of research
regarding children is measured in its ability to improve
children's health and well being. Research findings that
contribute to public policy efforts have the potential to
improve the lives and well being of whole communities, states
and nations of children. Understanding the nature and
appreciating the role of such work is fundamentally important
for clinicians and researchers alike.
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Overview
Gary L. Freed, University of Michigan, Ann Arbor, MI
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Using Research To Confront Power:
Can P Values Speak to Justice?
Paul H. Wise, Stanford University, Stanford, CA
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Where Research Meets Policy and
Politics: The Road to Health Reform for Children
Sara Rosenbaum, George Washington University, Washington, DC
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Linking Health and School Goals
To Address Childhood Obesity
Joseph W. Thompson, University of Arkansas Medical Sciences, Little
Rock, AR
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Addressing Children’s
Underinsurance Through Policy-Relevant Research
Matthew M. Davis, University of Michigan, Ann Arbor, MI
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Discussion
8:00am–10:00am
3155—Underserved Populations I
PAS Platform Session
Room 2009, Moscone West
Chairs: Wendy L. Hobson-Rohrer and Lolita M. McDavid
8:00am–11:00am
3236—Evidence-Based Advocacy: Turning
Research into Action
PAS Educational Workshop
Golden Gate Hall C3, SF Marriott
Leader: Dennis Durbin, Philadelphia, PA; Co-leaders: Flaura Winston,
Suzanne Hill
Target Audience: junior faculty,
mid-level faculty, senior faculty, and community
practitioners.
Evidence-based advocacy
integrates the often independent, yet complementary, efforts
of clinicians, researchers, public health officials,
policymakers and the media to apply scientific principals to
widespread health promotion and prevention initiatives.
Through case-based illustrations, small-group skill building
and brainstorming exercises, workshop participants will learn
the critical steps involved in translating research results
into a variety of complementary advocacy activities to advance
children's health and safety. Strategies including public
education through the media, social marketing techniques,
legislative advocacy and working collaboratively with industry
will be reviewed and discussed. At the completion of the
workshop, participants will better understand how to plan and
conduct successful advocacy activities for the children in
their communities and will know how to access relevant
resources in support of their work.
Objectives:
– Learn the steps involved in
translating research into a variety of advocacy activities.
– Understand the complementary nature of distinct advocacy
activities.
– Practice translating research results into messaging.
– Develop a strategic plan for advocacy.
Format: Case-based
demonstrations, group discussion, and small break-out group
skill-building.
8:00am–11:00am
3242—Medical–Legal Collaboration: New
Strategies in Promoting Child Health
PAS Educational Workshop
Yerba Buena Gardens Salon 2, SF Marriott
Leader: Lauren Smith, Boston, MA; Co-leaders: Megan Sandel, David
Keller, Ellen Lawton, Christopher Stenberg
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty and community
practitioners.
Families and children face social
and economic challenges that can adversely affect child
health, development and long-term potential. Pediatricians are
a natural front-line defense for screening and referral for
housing issues, education needs, disability, hunger and other
problems, yet they often lack the training and resources to
advocate for families' basic needs. Developing effective
medical–legal collaboration in clinical settings is a potent
strategy to promote child health through ensuring that these
basic needs are met. Experienced pediatric and legal advocates
will facilitate discussion of concrete advocacy strategies
including programs such as the Family Advocacy Program at
Boston Medical Center, Johns Hopkins Children's Center-Harriet
Lane Clinic, UMass Medical Center, Barbara Bush Children's
Hospital and others. The workshop will utilize case examples,
curriculum, advocacy tools and advocacy action plans to bring
to life the integration of legal advocacy in the clinical
setting.
Objectives:
– Learn how to incorporate
advocacy in the clinical setting.
– Learn how the medical-legal collaborative model supports a
culture of advocacy.
Format: The workshop methodology
will utilize case-based presentations, interactive discussions
and hands-on demonstration with advocacy and training tools.
8:00am–11:00am
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.
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Gaps in the Evidence for
Well-Child Care: A Challenge to Our Profession
Virginia A. Moyer, University of Texas Health Sciences Center, Houston,
TX
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Linking Bright Futures to the
Evidence
Modena E. H. Wilson, American Medical Association, Chicago, IL
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U.S. Preventive Services Task
Force's Challenges with Pediatric Recommendations
Thomas G. DeWitt, Carl Weihl Professor and Director, Division of
General and Community Pediatrics, Associate Chair for
Education and Primary Care, Department of Pediatrics,
Cincinnati Children's Medical Center, Cincinnati, OH
-
The Role of Practice-Based
Research Networks in Evaluating Well-Child Care
Richard C. (Mort) Wasserman, University of Vermont, AAP PROS Network,
Burlington, VT
11:45am–1:30pm
3410—APA Public Policy/ Advocacy Committee
APA Committee
Room Sierra Suite B, SF Marriott
2:00pm–5:00pm
3740—AAP Presidential Plenary and First
Annual Silverman Lecture
AAP Presidential Plenary
Room 3007-3011, Moscone West
Chair: Errol R. Alden, American Academy of Pediatrics, Elk Grove
Village, IL
Target Audience: Scientists and
clinicians interested in the translation of research and
evidence-based principles into health policy and practice.
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AAP Presidential Address
Eileen M. Ouellette, President, American Academy of Pediatrics, Elk
Grove Village, IL
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The Community Pediatrics Training
Initiative: Quality Resident Education in Community
Pediatrics
Jeffrey M. Kaczorowski, University of Rochester, Strong Memorial
Hospital, Rochester, NY
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The Scientific Underpinnings of
Preventive Services for Children: The Bright Futures
Project
Paula M. Duncan, University of Vermont, Burlington, VT
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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.
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Prenatal Programming with
Estrogen/Estrogen Mimetics
Kenneth S. Korach, National Institute of Environmental Health Sciences,
Research Triangle Park, NC
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Epigenetic Transgenerational
Actions of Endocrine Disruptors on Male Fertility and
Other Diseases
Michael K. Skinner, Washington State University, Pullman, WA
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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
3760—Building a State-wide Child Advocacy
Network
PAS Educational Workshop
Yerba Buena Gardens Salon 14, SF Marriott
Leader: Quimby McCaskill, Jacksonville, FL; Co-leaders: Joy Burgess,
Jeff Goldhagen, Arturo Brito, Brian Guerdat, Cristina Pelaez
Target Audience: Trainees,
fellows, junior faculty, mid-level faculty, senior faculty,
and community practitioners.
The goal of this workshop is to
examine ways to encourage collaboration between residency
training programs and community advocacy groups in order to
train residents in statewide advocacy. Participants in this
interactive workshop will break into groups to discuss the
components of a "shared" legislative advocacy
curriculum between multiple training sites. Approaches to
developing a network of partners dedicated to advocacy,
including processes of formalizing governance, by-laws, and a
business plan, will be explored. Community-based advocates
from Florida will join the workshop to present ways that their
efforts can co-exist within the framework of resident
training, and to facilitate discussion about partnerships. At
the conclusion of the workshop, participants will have the
necessary tools to begin replicating this process in their own
state.
Objectives:
– To describe the components of
a statewide network dedicated to child advocacy
– To explore ways of developing a legislative advocacy
curriculum across training sites
– To learn how to develop effective partnerships between
training programs and child advocacy groups
Format: Break-out groups,
roundtable discussions, and question-and-answer period.
4:15pm–5:45pm
3805—Fetal Homeland Security: New Insights
into Old Threats
PAS State of the Art Plenary
Room 3002-3008, Moscone West
Chairs: Phil W. Shaul, University of Texas Southwestern Medical Center,
Dallas, TX; and Rashmin C. Savani, University of Texas
Southwestern Medical Center, Dallas, TX
Target Audience: Neonatologists,
pediatricians and researchers interested in perinatal biology.
In addition to premature birth,
there are a select number of maternal conditions that have
marked negative impact on the well being of the fetus and
newborn. This symposium will highlight recent advances in our
understanding of these classical threats to our most
vulnerable pediatric patient population.
First, new knowledge of the
mechanisms by which maternal diabetes alters embryonic and
fetal development will be discussed. Second, the newly
discovered role of circulating anti-angiogenic proteins of
placental origin in the pathogenesis of preeclampsia will be
presented. Finally, novel mechanisms by which biochemical
events in the fetal lung trigger the initiation of labor will
be discussed. Further advances in each of these realms will
ultimately lead to new therapies to protect the fetus and
yield healthy outcomes at term.
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Mechanisms by Which Maternal
Diabetes Modifies Embryonic and Fetal Development
Kelle H. Moley, Washington University School of Medicine, St. Louis, MO
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Role of Circulating Anti-angiogenic
Proteins of Placental Origin in the Pathogenesis of
Preeclampsia
S. Ananth Karumanchi, Harvard Medical School, Beth Isreal Deaconess
Medical Center, Boston, MA
-
Fetal–Maternal Signaling in the
Initiation of Labor
Carole R. Mendelson, University of Texas Southwestern Medical Center,
Dallas, TX
4:15pm–6:15pm
3820—New Resident Work Hours and Quality
Care—Synergistic or Antagonistic?
PAS/PPC State of the Art Plenary
Room 2006, Moscone West
Chair: Richard E. Behrman, Federation of Pediatric Organizations, Inc.,
Menlo Park, CA
The session will identify and
address continuing issues regarding resident work hours
specifically and the general climate in which resident
training occurs in light of the recent ACGME limits on
resident work hours. In particular, panelists will discuss
what impact the changes are having on both the quality of
patient care and the quality of resident education in
pediatrics. Participants will hear from three different
perspectives, representing the Accreditation Council for
Graduate Medical Education (ACGME), Resident Review Committee
(RRC) and directors of pediatric residency programs.
-
Overview
Richard E. Behrman, Federation of Pediatric Organizations, Inc., Menlo
Park, CA
-
ACGME Perspective
David C. Leach, Accreditation Council for Graduate Medical Education,
Chicago, IL
-
Residency Review Committee
Perspective
M. Douglas Jones, Professor, Department of Pediatrics, Section of
Neonatology, University of Colorado School of Medicine,
Denver, CO
-
Pediatric Program Director's
Perspective
Theodore Sectish, Stanford University Medical School, Palo Alto, CA
-
Discussion
Sponsored jointly by
the Public Policy Council, the Public Policy Advocacy
Committee of the Ambulatory Pediatric Association and the
Pediatric Academic Societies
4:15pm–6:15pm
3850—Human Milk and Breastfeeding
PAS Poster Symposium
Room 3001, Moscone West
Chairs: Sheela R. Geraghty and Ardythe L. Morrow
4:15pm–6:15pm
3870—Neonatal Public Health
PAS Poster Symposium
Room 3014, Moscone West
Chairs: Henrietta S. Bada and Robert A. Sinkin
Includes
-
Douglas K. Richardson Award for
Perinatal and Pediatric Healthcare Research
Marie C. McCormick, Harvard School of Public Health and Harvard Medical
School, Boston, MA
5:00pm–7:00pm
3900—APA Business Meeting, Armstrong
Lecture and Awards
APA Business Meeting
Yerba Buena Gardens Salon 9, SF Marriott
-
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
-
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 Ray E. Helfer Award for
Innovation in Pediatric Education
Mark Adler
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
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
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
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