Pediatric Academic Societies and American Academy of Pediatrics Joint Meeting May 12-16, 2000 Hynes Convention Center, Boston

Expanded Schedules for: Saturday Sunday Monday Tuesday Schedule-at-a-Glance Affiliate Societies & Clubs

FRIDAY, MAY 12

MINI COURSES

¨ADHD: Guidelines for Office Practice
Chair: James Perrin, Mass-General Hospital for Children, Harvard Medical School, Boston

This program will provide perspective from the AAP Committee on Quality Improvement’s Subcommittee on ADHD with respect to the diagnosis and treatment of ADHD. The session will focus on key controversies in the diagnosis of ADHD, including the use of specific criteria for the diagnosis, collaboration with schools in the diagnosis, and the importance of considering other conditions that may co-exist with ADHD. The discussion of treatment will address choices in stimulants and other medications and the role of parent and school-based interventions and will present data regarding the long-term outcomes of ADHD.

Diagnosis of ADHD in Pediatric Practices
James Perrin, Mass-General Hospital for Children, Harvard Medical School, Boston

Issues in the Application of Guidelines
Heidi M. Feldman, University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh; Pittsburgh

ADHD: Diagnosis and Treatment Guidelines for Office Practice
Martin T. Stein, University of California San Diego

¨Adolescent Gynecology (Part I of II)
Chair: Donald Greydanus, Michigan State University, College of Human Medicine; MSU/Kalamazoo Center for Medical Studies

Adolescent Contraception
This three-hour session will focus on recent advances in contraception and will cover oral contraception, emergency contraception (estrogen/progestin and progestin-only dosing), injectable and subdermal contraceptives, and barrier methods. New oral contraceptives, use of hormonal contraceptives for medical conditions (PCOS, acne, DUB), and evidence-based assessment of health risks and benefits will be highlighted. Newer data on potential side effects of injectable contraceptives, including effects on bone density, will also be reviewed. The role of condoms and spermicides in the prevention of both pregnancy and STDs will be considered. Questions from the audience are welcome.

Oral Contraceptives - Risks, benefits and Medical Uses
S. Jean Emans, Children’s Hospital, Boston

Injectable Contraceptives and Barrier Methods - Update
John W. Kulig, Floating Hospital for Children at New England Medical Center, Tufts University School of Medicine, Boston

(Part II of this is program is scheduled on Friday, May 12, from 1:00 PM - 4:00 PM)

¨Asthma and Food Allergy: Bench to Bedside (Part I of II)
Chair: D. Michael Foulds, University of Texas Health Science Center at San Antonio

Asthma: Bench to Bedside
This session will review the current knowledge on the pathogenesis of asthma and the implications for treatment. Recent developments in pharmacotherapeutic agents will be reviewed. Community-based intervention programs will be discussed.

Asthma: Molecular Immunology Updates
Patricia Finn, Brigham and Women’s Hospital, Harvard Medical School, Boston

Advances in Pharmacotherapy of Asthma in Children
Joshua Boyce, Brigham and Women’s Hospital, Massachusetts General Hospital, Boston

Asthma Intervention Programs: Do They Work?
Pamela Wood, University of Texas Health Science Center at San Antonio, San Antonio

(Part II of this is program is scheduled on Friday, May 12, from 1:00 PM - 4:00 PM)

Supported by an educational grant from Merck & Co.

¨The Importance of Breastfeeding for Premature Infants: Management Issues During and After Hospital Discharge (Part I of II)
Chair: Richard J. Schanler, Baylor College of Medicine, Houston

This program for physicians providing care to premature infants is designed to provide a review of the issues surrounding long-term feeding of human milk. Topics to be covered include the neurodevelopmental outcomes of term and preterm breast-fed infants, the adequacy of human milk to advance this development, and the requirements for growth and body composition. The need for fortification and the specifics of fortification of human milk for preterm infants will be reviewed. The stress of lactation on mothers of preterm infants and how to assess this stress will be covered along with ways to initiate and promote successful, long-term breastfeeding by mothers of premature infants.

How Well Does Breast Milk Meet the Requirements of Premature Infants?
Ekhard Ziegler, University of Iowa, Iowa City

Breastfeeding and Brain Development
Richard J. Schanler, Baylor College of Medicine, Houston

Stress and Lactation: Implications for the Mother of the Premature Infant
Chantal Lau, Baylor College of Medicine, Houston

(Part II of this is program is scheduled on Friday, May 12, from 1:00 PM - 4:00 PM)

WORKSHOPS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

WS01 Designing And Submitting A Child Health Services Research Study: Grantsmanship At The Federal Agency For Health Care Policy And Research
What happens to a grant application once it is submitted? From review procedures to "the check is in the mail," this workshop will outline the funding process for health services research proposals at the federal Agency for Health Care Policy and Research (AHCPR). AHCPR is a leading funder of child health services research (CHSR), spending one-tenth of its budget or approximately $21 million on CHSR this year. In this session, participants will be oriented to the distinguishing features of child health services research, as well as to AHCPR’s strategic goals and current funding priorities. Essentials of grantsmanship - from generating an idea, to getting technical assistance from AHCPR staff, to deciding where to submit, to designing an application using the PHS 398 and AHCPR’s requirements, to the review and approval/disapproval process will be described and discussed. The session will include a mock "study section" in which seasoned peer reviewers as well as workshop participants will critique a research proposal. Throughout the session, participants will have an opportunity to ask important questions about constructing fundable research applications and fine-tuning their grantsmanship skills.

L. Blankenbaker and C. Clancy, Agency for Health Care Policy and Research, Rockville

WS02 Doing The Best For My Patient: The Application Of Single-Subject Design To Clinical Practice Or The N Of 1 Experiment
How can we evaluate the effectiveness of our pediatric interventions with our own patients in a systematic and truly experimental way? How do we evaluate the effectiveness of alternative medicine regimens with our patients? N of 1 studies (single-subject experimental designs) are actually small N studies using innovative methods to systematically explore treatment effects. These designs, frequently used in psychology and special education, are now being utilized in medicine and medical education and being published in the New England Journal of Medicine.

This workshop is an introduction to the use of single-subject design to evaluate management of some common pediatric problems, disability treatment effects, and resident education. Upon completion of the workshop, participants will be able to understand the use of single-subject designs, explore threats to validity, and demonstrate the application of three different designs in pediatric practice. The workshop will be an interactive presentation using slides, videotapes, group discussion, and a question and answer format. The content will be illustrated using published case examples including ADHD treatment, medication titration for a variety of disorders, analyzing the effectiveness of new treatments for disabled youngsters, and teaching residents new skills.

R. C. Tervo, University of Minnesota, St. Paul; W. Bryson-Brockmann, Winthrop-University Hospital, Mineola

WS03 The Inpatient Attending Physician Making The Most Of Teaching Opportunities In 2000
Many academic general and subspecialty pediatricians serve regularly as "Rotator Attending Physicians" or "Teaching Attending Physicians." These Attendings are assigned to a specific inpatient ward for a defined period (e.g., one month) during which they may assume supervisory patient care responsibilities for a panel of inpatients, or direct the educational program for that particular unit, or both. The inpatient setting offers unique opportunities for teaching because it provides multiple exposures over a short period of time to the same group of house officers and medical students. This facilitates the faculty member’s ability to determine and then meet educational, needs to evaluate performance and subsequently provide feedback, and to address general pediatric/primary care issues. The goal of this workshop, now in its sixth year, is to provide strategies for faculty members to become more effective clinical teachers during the inpatient attending month. The workshop will be structured as follows: first, participants will analyze, using a worksheet provided, the interrelated clinical, educational and administrative tasks that need to be accomplished during this on-service month. Second, we will identify how adult learning principles affect good teaching in practice during this month. Third, we will demonstrate several examples of effective teaching models that have been used in the inpatient setting. Some of these models make use of interactive techniques that incorporate general pediatrics/primary care issues. We will also discuss other educational fora, such as Work Rounds and Morning Report. Finally, we will review principles of feedback and their application in the inpatient setting. Participants will be asked to share their own insights, experiences and successful teaching strategies.

P.H. Kaleida, J.A. Lucas, and M.D. Bloom. Department of Pediatrics, University of Pittsburgh School of Medicine and Children’s Hospital of Pittsburgh, Pittsburgh and Department of Pediatrics, Albany Medical Center, Albany

SPECIAL INTEREST GROUPS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

SG01 AIDS/HIV
Chair: Nancy Hutton

Information on this SIG will be posted on our website in early 2000.

SG02 Complementary and Alternative Pediatrics
Chairs: Scott Faber and Sharon Reisen

This SIG brings together clinicians and researchers interested in the integration of allopathic Medicine with the best of traditional and alternative healing systems. Past meetings have discussed Acupuncture, Ayurvedic Medicine, Hypnosis, Biofeedback, and herbal treatments, combining examples from the clinical experience of the speakers with descriptions of some of the research that has been done in these areas. Much audience participation has occurred at the SIG. In 5/2000 the SIG is planning a program that will include an integrative view of developmental disabilities. Complete information will be available on the website at www.aps-spr.org in 1/2000. Join us for a session that will provide food for your own synthetic/integrative thought.

SG03 Division Directors in General Pediatrics
Chairs: Benard Dreyer and John Walburn

The topic of discussion for the Division Directors in General Pediatrics SIG at the annual meeting will be:
Hospitalists:  Integrating Inpatient and Outpatient Roles in the Division of General Pediatrics
Peter Scheidt, MD
Children's National Medical Center
Washington, DC

We will also discuss future agenda topics during this meeting.  Benard Dreyer and I look forward to seeing you there and getting your input on this important topic.
John Walburn M.D.
Department of Pediatrics
University of Nebraska Medical Center
982167 Nebraska Medical Center
Omaha, NE 68198-2167
Office     402 559-7346
Fax         402 559-5137
E-mail     jwalburn@unmc.edu
Web        http://www.unmc.edu/Pediatrics/Residency/
http://www.unmc.edu/Pediatrics/Residency/

SG04 Environmental Health
Chairs: Sophie Balk and Benjamin Gitterman

We will be presenting an educational session/training on Smoking Cessation. This will include a videotape presentation developed by Dr. Jerry Aronson that could be used as a means for both education and advocacy. We will further discuss how this could be used as an educational tool in pediatric residency teaching programs. We hope you will join us.

SG05 Pain in Children
Chair: Neil Schechter

This new SIG will focus on the management of pain in children, a common symptom which has only recently begun to receive attention.  Future programs will address not only new research in this area but also the translation of research into clinical practice by addressing the barriers that impede implementation. The ultimate goal is to create pediatric environments (NICU, PICU, inpatient units, ambulatory services, ED) that consider the treatment of pain and discomfort as important aspects of humane clinical care.

SG06 Pediatric Emergency Medicine Program Directors
Chair: Richard Ruddy

Information on this SIG will be posted on our website in early 2000.

SG07 Pediatrics for Family Practice
Chair: David Estroff

At last year’s session, we developed goals and objectives for the SIG. This grew out of an APA collaboration with the AAFP that resulted in the publication in July 1998 by the AAFP of the Core Educational Guidelines for Family Practice Residents- Care of Infants and Children. This document can be viewed and downloaded from the AAFP web site at www.aafp.org/edu/guide/rep260.html. [Also, see the newly revised (2/99) version of the Core Educational Guidelines for Family Practice Residents: Adolescent Health at www.aafp.org/edu/guide/rep278.html].

The goal for the SIG is:
To develop new relationships and resources to support faculty who teach care of infants, children, and adolescents in family practice residencies. There are 475 (as of July 1998) accredited family practice residencies in the US, with over 10,600 residents in training.

All of these residents must receive training in patients in the pediatric age groups. Many FP residencies utilize pediatricians to help train their residents in their area of expertise, the care of infants and children both in the in and outpatient setting, both as attendings, preceptors, lecturers.

The objectives of the SIG are:
Resources to collect or gather and make available needs assessments, curricular resources, and evaluation resources to pediatric faculty working with FP residents, and to identify gaps in resources currently available. We will set priorities to fill these gaps, and try to help develop new resources to do so.

We hope to foster relationships and increase communication between concerned organizations; the APA, the AAP, the AAFP and STFM to assist in meeting our objectives. This will include supporting mechanisms for communication and collaboration between the organizations listed. These could include a list serve Internet discussion group and/or a Web site, a newsletter, applying for grants to support educational projects, and regional or local meetings like the SIG sessions where pediatric and FP faculty can work together to provide high quality training to FP residents.

We will continue discussions and review progress towards the goals and objectives mentioned above, and look forward to meeting with AAP colleagues who are invited to attend and participate in the SIG session during our joint meeting in Boston. Please contact David Estroff at e-mail, estrofda@u.washington.edu with suggestions for the session, questions, or comments, or to be added to the SIG mailing list.

SG08 Serving the Underserved
Chairs: Jeffrey Brown and Ronald Samuels

At the STUS SIG meeting we will work on several initiatives that were started over the last couple of years, including:
•Finalizing the STUS case based curriculum.
•Development of a national meeting to create a curriculum to be used for teaching about STUS and advocacy training in pediatric residency programs.
•Continued collaboration with the AAP CATCH Program.
•Members of the AAP Committee on Community Health Services and the Section on Community Pediatrics will attend the meeting. This is a unique opportunity to collaborate with these colleagues at the first joint meeting of the APA and AAP.
•Continued work with the Advocacy Training SIG re teaching materials.

Come and join us at our annual meeting to continue this work and explore other projects in the future.

EDUCATIONAL SEMINAR

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

ES01 Approaches to Teaching in the Ambulatory Setting (Session limited to 35)

This workshop will focus on teaching approaches that have been advocated in the ambulatory setting. Participants will have the opportunity to role play, discuss in groups and choose from a series of teaching models that best fit what they do in their home environment. It is anticipated that they will leave with new or reinforced skills, knowledge and attitudes about ambulatory teaching.

Richard Sarkin, Associate Professor of Clinical Pediatrics, Children’s Hospital of Buffalo, Buffalo and Larrie Greenberg, Professor, Department of Pediatrics, The George Washington University School of Medicine and Health Science, Washington D.C.

EDUCATIONAL SEMINARS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

ES02 Advanced Academic Leadership (Mentoring)
The workshop will emphasize appropriate and inappropriate techniques for evaluation and mentoring of faculty and provide younger faculty with a sense of what they should expect from their supervisors. A formal plan for faculty development will be presented and discussed, the basis of which is self-evaluation and planning.

Mentoring is a vital component of faculty development. An appropriate mentoring program strengthens the relationship between supervisor and faculty member and mandates that the faculty member should envision his or her career goals. It is an essential contributor to departmental esprit de corps because it conveys worthiness to the faculty members. Faculty development and mentoring should be the highest priority of departmental chairman and division heads, but has been downgraded because the supervisors have been encumbered with financial responsibilities in recent years. Without a faculty development and mentoring program, the department neglects what should be one of the highest priorities in academic medicine.

Robert L. Brent, Distinguished Professor, Louis and Bess Stein Professor of Pediatrics, Professor of Radiology, Pathology, Anatomy and Cell Biology, Emeritus Chairman of the Department of Pediatrics – Jefferson Medical College, Alfred I. duPont Hospital for Children, Wilmington

ES03 Career Paths in Academic Medicine: Basic Science
The physician scientist is the individual who is most responsible for helping translate the basic sciences into clinically important investigations. Given the increasing difficulties in obtaining funding as either a physician or a scientist, some people have questioned the viability of this hybrid. We will discuss the necessary background, environment, support and mentoring necessary to train and sustain the physician scientist in a complex and changing environment. Individuals choosing either laboratory or other basic sciences as major components of their career are encouraged to attend.

Frederick J. Suchy, Chairman, Department of Pediatrics, Mount Sinai Medical Center, New York

ES04 Career Paths in Academic Medicine: Clinical
Climbing the academic ladder with a primary emphasis in clinical education, research and/or service pose some particular challenges and opportunities for faculty members. This session is designed for faculty engaged in or contemplating academic careers and will discuss: (1) Tenure vs. non-tenure track decision making; (2) Identifying and using appropriate mentors; (3) Funding scholarly activities; (4) Developing a portfolio of activities.

Kathleen Nelson, Professor of Pediatrics, University of Alabama School of Medicine, Birmingham

ES05 Career Paths In Academic Medicine: Clinical/Fellows
Developing an academic career with emphasis on clinical research, teaching and patient care. Training and funding for clinical research. Publishing for the clincian/educator. Developing leadership roles in local, regional and national organizations. Selecting appropriate mentors for different aspects of your career.

Edward McCabe, Physician-in Chief, Department of Pediatrics, University of California, Los Angeles and Linda McCabe, Adjunct Assistant Professor, Mattel Children’s Hospital at UCLA, Los Angeles

ES06 Clinical Bioethics
This seminar will encourage discussion about the omission, withdrawal, or use of treatment for fetuses and newborn infants, focusing in particular on the context of the transition of the fetus to the newborn in the delivery room. Through a case presentation and discussion format, an analysis of the moral issues of delivery room practices will include consideration of quality of life, the best interest of the infant, the best interests of the family members, and futile treatment.

David K. Stevenson, Harold K. Faber Professor of Pediatrics, Stanford University School of Medicine, Palo Alto; Jane Battaglia, Associate Clinical Professor, Anesthesiology, Pediatrics and Preventive Medicine (Program in Health Care Ethics and Humanities), University of Colorado, Denver; Rosamund Rhodes, Director of Bioethics, Mount Sinai School of Medicine, New York; Amnon Goldworth, Senior Medical Ethicist in Residence, Lucile Salter Packard Children's Hospital, Palo Alto.

ES07 Effective Teaching in Office Settings
With more and more emphasis being placed on students and residents learning in office settings, effective, efficient and innovative teaching strategies are needed. This seminar will provide participants with such strategies while also providing methods to insure adequate recruitment, faculty development and retention of preceptors. "Mock teaching codes," videotapes, and other live demonstrations will be used to highlight the innovations to be introduced. Content areas will include a focus on importance of a good orientation, feedback, evaluation, and creative solutions to time constraints. Participants will also be given the tools needed to conduct a similar workshop in their own office setting.

Lewis First, Professor & Chair, Department of Pediatrics, University of Vermont – College of Medicine, Burlington

ES08 Manuscript Writing
This session will be a discussion of how an editor of a pediatric journal handles a submitted manuscript and decides upon its disposition. Examples of common problems that authors of manuscripts should avoid so as to increase the likelihood of acceptance will be presented. There will be a review of issues involved in writing manuscripts, as well as specific information about what does and does not belong in the Introduction, Methodology, Discussion, and Abstract. Additionally, proper use and structure of tables, figures, and references will be covered. There will be ample opportunity for questions from and dialogue with attendees.

Birt Harvey, Department of Pediatrics, Emeritus, Stanford University, Palo Alto

ES09 Preparation and Presentation of Scientific Abstracts: Part I: Abstract Writing; Part II: Abstract Presentation
This session will provide valuable information regarding how to make a successful scientific presentation. Attendees will learn how to present important concepts, results, and the essential message to the audience. The dos and don’ts when preparing such a presentation will also be detailed. This will include issues pertaining to the outline of the talk, slide making, pointer use, microphone use, and general poise during the presentation. At the end of the session, attendees will be able to independently prepare an abstract for presentation at any scientific meeting.

Dale L. Phelps, Chief, Division of Neonatology, Children’s Hospital at Strong, Rochester and Sherin Devaskar, Department of Pediatrics, UCLA School of Medicine, Children’s Hospital, Los Angeles

ES10 Reviewing Peer Review Manuscript
Reviewing articles for peer-reviewed journals combines many skills, including knowledge of the area of investigation, methodology, epidemiology, statistics and the scientific context of the research being reviewed. Judging one’s peers and colleagues is difficult and represents an important aspect of the scientific method. Unfortunately, there is little "formal" teaching of this activity.

In this seminar we will review the process of peer review and discuss those areas that reviewers are usually asked to comment on, including: importance and originality; validity of data; clarity of manuscript; importance for readers; and assignment of priority. Samples of checklists that some journals provide for reviewers will be distributed and discussed. Participants will be asked to review a brief manuscript and formulate their opinions during the workshop. The manuscript and reviews will then be discussed. Finally, sample reviews will be distributed and participants will be asked to assess how helpful the review would be for both the editors as well as the authors. Areas that are most subjective, such as importance for practitioners and scientists and assigning priority will be discussed, with particular attention paid to each participant’s own biases.

There is little formal instruction in the peer-review process – an important aspect of academic medicine. This workshop should help faculties who are beginning to be peer-reviewers.

Howard C. Bauchner, Professor of Pediatrics and Public Health, University School of Medicine, Boston and Patricia Shiono, The David and Lucile Packard Foundation, Los Altos

ES11 Recognizing Common Biostatistical Errors – A Case-Based Approach (Repeats on Friday, May 12, 1:00 pm-3:00 pm-see seminar ES26)
Back by popular demand, this seminar uses multiple real examples from the pediatric literature to teach participants how to be more discriminating consumers of statistics. Topics to be covered include standard deviation vs. standard error of the mean, commonly violated assumptions of statistical tests, including normality and independent sampling, between-vs. within-groups comparisons, "type 3" (dumb or careless) errors, odds ratios versus risk ratios, relative versus absolute effect sizes, and multiple comparisons. In the last part of the seminar, participants will have the opportunity to test what they’ve learned on a set of "unknown" examples.

Thomas Newman, Professor of Epidemiology and Biostatistics, Pediatrics and Laboratory Medicine, University of California, San Francisco and Barbara Mahon, Assistant Professor of Pediatrics and Epidemiology, University of Indiana School of Medicine, New Brunswick

ES12 The Clinical Research Project – Start to Finish
This seminar will focus on "the start to finish" requirements of a successful clinical research project. In a discussion format: the organization, implementation and completion of a clinical research project will be reviewed. Specifically, we will address forming a hypothesis, organization and maintenance of the research team, grant funding, use of consultants, IRB approval as well as potential problems and how to avoid them. Collaboration with other departments/academic centers as well as presenting your research at grand rounds, regional and national meetings, will be discussed. Plenty of "real life" examples will be presented. Seminar is directed toward fellows and junior faculty.

Theresa Schlager, Associate Professor, University of Virginia Health System, Charlottesville and Stephen Borowitz, Associate Professor, Pediatrics and Emergency Medicine, University of Virginia, Charlottesville

ES13 The Promises and Pitfalls of Multi-Site Collaborative Research
This session will provide participants with the necessary background for developing and conducting successful multi-site collaborative research projects in inpatient and outpatient settings. The co-leaders, who have overseen numerous diverse multi-site observational studies and clinical trials, will begin the session with a focused presentation outlining the rationale for multi-site collaborations, the principles of successful collaboration, and the potential pitfalls of this type of research, answering questions about these issues. Subsequently, they will lead the participants in a step-by-step exercise of planning, developing and implementing one inpatient and one outpatient study suggested by the audience.

Richard C. "Mort" Wasserman, Professor of Pediatrics, University of Vermont College of Medicine, Burlington and Roger F. Soll, Associate Professor of Pediatrics, University of Vermong College of Medicine, Burlington

ES14 Time Management for the Academic Physician
The academic physician embarking on a career in the 1990’s faces a variety of demanding tasks that requires effective time management. This can be accomplished by setting clear priorities that fit with both short-term and long-term objectives. A number of techniques can be used to increase the efficiency of carrying out daily activities. An essential feature of time management involves effective interaction with superiors, colleagues, staff, and trainees. Since an academic career depends on efficient management of the voluminous literature and authorship of scholarly publications, a disciplined pattern of reading and writing must be established. Finally, the faculty member’s time will be utilized most effectively by enlisting help from others. This requires skillful networking that can be rewarding both professionally and socially.

Robert Chevalier, Benjamin Armistead Stepherd Professor, Chair, Department of Pediatrics, University of Virginia Children’s Medical Center, Charlottesville

ES15 Translating Research Into Practice & Policy
Like other fields, pediatrics research is action oriented; yet it faces the continuing challenge of translating its research findings into practice and policy. This workshop will provide a framework for conducting and rigorously studying the translation process, and provide specific examples of practical experience during critical steps in the translation process. Specific critical steps to be addressed include: the synthesis of available evidence on child health topics so that research findings are more usable by pediatricians; formulation and uses of evidence-based clinical practice guidelines; efforts to improve quality in ambulatory practices; uses (and potential misuses) of child health research by health plans to develop policies (e.g., on coverage) and to attempt to facilitate changes in practice; and the uses and potential misuses of child health research (i.e., home visiting research) at varying policy levels. Panel members will answer participants’ questions about conceptualization, design, and dissemination to ensure that more child health research is used in practice and policy. New efforts to develop a science of translating research into practice will be described.

Also assisting in this seminar are: L.A. Simpson, Agency for Health Care Policy and Research; David Bergman, Lucile Packard Children’s Health Services; Charles Homer, Institute for Healthcare Improvement; Tracy Lieu, Harvard Pilgrim Health Care; and David Olds, University of Colorado.

Denise M. Dougherty, Coordinator, Child Health Activities, Agency for Health Care Policy & Research, Rockville

ES16 Design and Execution of Randomized Clinical Trials Extended session ends at 12:15 pm
Randomized, controlled trials are the gold standard for determining which treatments are superior. More and more, clinicians of all specialties are demanding that randomized trials show new treatments, such as surfactant and ECMO, to be superior to current therapy (or no therapy) before the new treatments are adopted.

This workshop will cover principles of clinical trials including defining the question, assessing outcomes, defining the study and control treatments, single versus multi-center trials, reasons for and methods of randomization, eligibility and exclusions, blinding, analysis strategies, and early stopping. The format will be didactic with extensive open discussion. Real world examples of "what can happen if you don’t watch out" will be utilized. Participants are encouraged, although not required, to bring an idea for a possible clinical trial. We will use these ideas as examples during the discussion. Statistical knowledge is definitely not required.

Mark Klebanoff, Director of Division of Epidemiology Statistics and Prevention, NICHD, Bethesda

LUNCH BREAK

SPECIAL INTEREST GROUP

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

SG09 Injury Control
Chair: Alan Woolf

Childhood injuries are the leading cause of mortality and morbidity among children outside the newborn period. The past several decades have witnessed a steady increase in the activity and interest in childhood injury control research in the United States. The Special Interest Group on Injury Control seeks to explore collaboration in the pursuit of educational and research objectives into childhood injuries and their prevention. At annual meetings, members are updated on new regulatory and research initiatives, activities of similar groups in other professional organizations, and new funding opportunities. With over 150 participants, the Injury Control SIG hopes to draw on the talents and resources of its membership in designing new methodologies in research and advising professional groups on safety related issues affecting children. The SIG plans a joint 3-hour educational session on ‘Childhood Injury Control: Progress & Prospects for the Year 2001’ with the Section on Injury and Poison Prevention in May, 2000, at the national meeting in Boston.

EDUCATIONAL SEMINARS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

ES17 Academic Leadership
Discussion will include characteristics of strong leaders, leadership styles, and the necessity for vision and dedication to the mission. Recommended reading.

Lucy Osborn, Department of Pediatrics, University of Utah Health Science Center, Salt Lake City

ES18 Applying for Research Grants
In the current climate of funding opportunities, the ability to successfully obtain extramural support involves applying for grants that are appropriate for an investigator’s career stage and drafting a clear and focused application. In this session, we will discuss career-stage appropriate funding opportunities from the NIH and other agencies. We will also address how to write a grant application, focusing on strategies with proven success. The working of NIH study sections will be reviewed along with how to best address the concerns of review panels. We will also focus on how to obtain funding for fellowship postdoctoral training and early stages of an academic career.

Scott Rivkees, Associate Professor of Pediatrics, Yale School of Medicine, New Haven and William Tamborlane, Professor of Pediatrics, Yale University, New Haven

ES19 Career Paths In Academic Medicine: Clinical/Residents
This session will delineate the patterns of academic clinical practice. Co-led by a general pediatrician and pediatric subspecialist, the session will address the following topics.
1 .How do I decide if I want to pursue a career in academic medicine or in community practice?
2. Are there models of practice which allow me to combine academic medicine and community practice?
3. How do I decide if I want to become a general pediatrician or want to subspecialize?
4. What are the requirements for a career in general academic pediatrics? What for subspecialists?
5. How and when do I apply for fellowships?
6. Who in my institution can help me with these career decisions?

Judith S. Palfrey, Chief, Division of General Pediatrics, Children’s Hospital, Boston and Jane Newburger, Department of Cardiology, Children’s Hospital, Boston

ES20 Career Paths In Academic Medicine: Women
This seminar will focus on the unique issues related to the challenges of women in academic medicine. The first topic will be the various tracks within the academic community, and the expectations related to promotion within these tracks. The second topic to be discussed will be maintaining a balance between professional and personal life, and the presentation will include a discussion of the pros and cons, and ups and downs of part-time employment. The last issue to be discussed will be negotiation skills for women in academia. Problematic scenarios will be presented and strategies for solutions will be proposed.

Carol Berkowitz, Professor of Clinical Pediatrics, Harbor-UCLA Medical Center, Torrance

ES21 Choosing a Faculty Position: What to Look For In Department, Institution, and a Mentor
In this interactive session, case scenarios will be discussed involving a post-doctoral fellow interviewing at three different imaginary institutions for their first faculty appointment. In each scenario, issues to be discussed include salary, incentive, allocation of time, departmental commitment and support, and faculty development programs/mentorship. Characteristics of a high-quality mentor will be identified and discussed. In addition, there will be feedback, from a chairman’s point of view, on how the faculty candidate should be presenting themselves during the interviewing process and what are the important issues to negotiate in a recruitment package.

Jon S. Abramson, Weston M. Kelsey Professor and Chair, Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem and Shari Orlicek, Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem

ES22 Effective Scientific Presentation
Presenting scientific information clearly is an essential part of a successful scientific career. Colleagues will infer your scientific ability from the clarity and quality of your oral presentations. Presentation skills can be learned and improved. In this seminar, we will discuss the following topics:
-Organizing your presentation
-Choosing audio-visual aids
-Making effective slides
-Presenting data
-Handling questions
-Practical hints

Thomas A. Hazinski, Professor and Vice-Chair, Department of Pediatrics, Vanderbilt University, Nashville

ES23 Foundation Perspectives on Funding Projects Related To Children
The types of issues and policies that influence the development of foundation programs and guidelines will be discussed.

Richard Behrman, Sr. Vice-President for Medical Affairs, Lucile Packard Foundation for Children’s Health/Clinical Professor of Pediatrics, Stanford and UCSF Schools of Medicine, Palo Alto and Karen Hein, President, William T. Grant Foundation, New York

ES24 Research and Child Health Advocacy
This seminar session is aimed at helping academicians to become more comfortable in approaching public officials, as well as learning some techniques that enhance the odds of success for these encounters. The Washington, DC "scene" will be reviewed with an update on issues relevant to academic pediatrics. We will also emphasize advocacy efforts at the local and state levels.

Myron Genel, Associate Dean, Yale School of Medicine, New Haven and Karen Hendricks, AAP Washington Office, Washington D.C. and Stephen Berman, Vice President AAP, Professor of Pediatrics, University of Colorado School of Medicine, Attending Physician Children’s Hospital, Denver

ES25 Residents as Teachers: Moving Toward Relational Teaching (Session limited to 30)
Residents as teachers are essential to the education of medical students and interns. Renewed interest in improving residents’ teaching skills has generated interest in ‘residents as teachers’ curricula. The challenge is to identify core teaching concepts that can be flexibly integrated into residency programs.

This "hands-on" seminar employs a "train the trainer" model. The goals are to provide participants with the opportunity to be learners in teaching module focusing on the student-teacher relationship; to analyze how to teach the concepts; and to explore implementation strategies for a participant’s own institution.

Core skills and competencies for resident teaching will be discussed. Participants will explore strategies that facilitate learning. We will describe program designs in which the module could be integrated. Written materials will be provided that participants can use in their own residency programs.

Elizabeth A. Rider, Clinical Instructor in Pediatrics and Instructor in Medical Education, Harvard Medical School, Chestnut Hill and Janet P. Hafler, Assistant Professor of Pediatrics, Harvard Medical School, Boston

ES26 Recognizing Common Biostatistical Errors – A Case-Based Approach
Back by popular demand, this seminar uses multiple real examples from the pediatric literature to teach participants how to be more discriminating consumers of statistics. Topics to be covered include standard deviation vs. standard error of the mean, commonly violated assumptions of statistical tests, including normality and independent sampling, between-vs. within-groups comparisons, "type 3" (dumb or careless) errors, odds ratios versus risk ratios, relative versus absolute effect sizes, and multiple comparisons. In the last part of the seminar, participants will have the opportunity to test what they’ve learned on a set of "unknown" examples.

Thomas Newman, Professor of Epidemiology and Biostatistics, Pediatrics and Laboratory Medicine, University of California, San Francisco and Barbara Mahon, Clinical Assistant Professor of Pediatrics, Indiana University Medical School

ES27 Subspecialists as General Attendings: Improving Teaching Skills
Subspecialist pediatricians, and particularly pediatric cardiologists, participate to a varying degree in general pediatric attending in children’s hospitals. This session will explore the most useful of two alternative ways to utilize subspecialists in the pediatric setting as general attendings and present how the attending may improve his/her teaching skills during such a rotation. Two methods will be addressed:

"Blend in" method – Pediatric subspecialists should try to emphasize their roles as general pediatricians and consciously avoid teaching their own subspecialty during general ward attending rotations.

"Teach them what you know" method – Pediatric subspecialists should focus on the basics of their subspecialty while teaching residents and students during general ward attending rotations.

Steps in improving skills will be suggested including preparation for the rotation, getting to know the residents and students, goal-setting, types of teaching cases, use of the Socratic method, and evaluation.

James C. Huhta, Clinical Professor of Pediatrics, University of South Florida School of Medicine, Tampa
and Wallace D. Wilcox, Professor and Vice Chairman, Academic Affairs, Department of Pediatrics, Emory University, Atlanta

EDUCATIONAL SEMINARS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

ES28 Increasing Skills in Giving and Receiving Feedback (Session limited to 25)
The purpose of this seminar, which is designed for junior faculty, fellows, and residents, is to provide an opportunity for participants to increase their comfort in giving and receiving feedback in an educational setting. Although physicians are expected to give and receive feedback throughout their experiences as students, teachers, researchers, and clinicians, these skills are seldom discussed as components in the process of teaching and learning. This session will include self-reflective, interactive, and role-playing exercises.

John Leventhal, Professor of Pediatrics, Yale University School of Medicine, New Haven and MaryAnne Johnston, Assistant Professor, Department of Internal Medicine, University of Colorado Health Science Center, Denver

ES29 Introductory Techniques for Pediatric Research (Session limited to 30)
This seminar will provide clinically oriented pediatricians with basic epidemiologic and analytic tools needed for the planning, design, and preliminary analysis of a clinical research project. Seminar attendees and leaders will work together to develop a research strategy that includes the development of an appropriate research hypothesis, the selection of proper outcome measures, and the type of data that should be collected. We will then undertake a preliminary organization and analysis of hypothetical data. Brief didactic interludes woven into the seminar will focus on commonly used statistical terms such as relative risks, confidence intervals, and p-values.

Kenneth C. Schoendorf, Chief, Infant and Child Health Studies, National Center for Health Statistics, CDC, Hyattsville and William G. Adams, Division of General Pediatrics, Boston University School of Medicine, Boston

ES30 Preparation, Submission and Peer Review of a Scientific Manuscript
The aims of this session are to discuss (1) preparation of a scientific manuscript for submission; (2) the peer review process; and (3) means for responding to criticism. We will consider strategies in composing the manuscript and presenting data in written, tabular and graphic form, and will compare styles and formats. We will review common flaws that interfere with understanding or acceptance of the paper. We will discuss how a manuscript is processed during the review and rebuttal. And, we will consider the responsibilities of authors, reviewers and editors in the overall process. During the workshop participants will have an opportunity to draft or revise materials that we will discuss.

George Lister, Professor, Department of Pediatrics, Yale University School of Medicine, New Haven

APA COMMITTEES

Health Care Delivery Committee
Chair - Danielle Laraque, MD

The Health Care Delivery Committee (HCDC) is one of the five standing APA committees. The goals of this committee are to serve as a resource to APA members by disseminating information about health care delivery issues, recognize excellent models of care and establish collaborative relationships with other generalist organizations. Email dl2@columbia.edu for any items to bring to the HCDC. All members are welcome.

Education Committee
Chair - Lindsey K. Grossman, MD

The Education Committee will feature reports on some of the many activities the APA is involved in relative to education. These will include AAP Council on Pediatric Education, the Future of Pediatric Education II, COMSEP, UME-21, American Academy on Physician and Patient and the APA/HRSA Faculty Development Project. Opportunities for involvement in the many APA educational activities will be discussed. Email lgrossma@hsc.vcu.edu with any topics for discussion at the committee meeting. Please join us!

Communications Committee
Chair – Judy Shaw, RN, MPH

All interested members of the APA are invited to attend the Communications Committee meeting. This year’s topics for discussion will include ongoing issues concerning communications among the APA membership: the APA-Net and the web site, the journal, the newsletter and the Ross Roundtable. Email shaw@a1.tch.harvard.edu with any items for discussion. Please come and participate in the Communications Committee’s yearly meeting.

Public Policy Committee
Chair – Charles Oberg, MD, MPH

The Public Policy Committee members have continued to be active in public policy initiatives at both the Federal and State levels. The overriding emphasis and theme is to increase the health and well being of infants, children and adolescents through participation in the public policy and advocacy process. APA members interested in becoming more involved in public policy issues are encouraged to attend. Please email oberg001@umn.edu with any questions or items for the meeting.

Research Committee
Chair - Marie C. McCormick, MD, SCD

The  Research Committee welcomes all interested members. Agenda items for the Boston meeting include a discussion of ideas for commissioned workshops and the review process for the joint PAS abstract process. Please email mmccormi@hsph.harvard.edu with any discussion items for this year’s meeting.

MINI COURSES

¨Adolescent Gynecology (Part II of II)
Chair: Donald Greydanus, Michigan State University, College of Human Medicine; MSU/Kalamazoo Center for Medical Studies

Adolescent Gynecology
This three-hour seminar will focus on common gynecologic problems of the adolescent, including menstrual problems (amenorrhea, polycystic ovary syndrome, dysfunctional uterine bleeding, and dysmenorrhea), breast complaints (asymmetry, masses, pain) and evaluation of chronic pelvic pain. Questions from the audience are welcome.

Breast Complaints in the Adolescent Girl
Marc R. Laufer, Children’s Hospital, Boston

Evaluation of Pelvic Pain in the Adolescent Girl
Marc R. Laufer, Children’s Hospital, Boston

Menstrual Disorders
S. Jean Emans, Children’s Hospital, Boston

(Part I of this is program is scheduled on Friday, May 12, from 9:00 AM - 12:00 Noon)

¨Asthma and Food Allergy: Bench to Bedside(Part II of II)
Chair: D. Michael Foulds, University of Texas Health Science Center, San Antonio

GI Immunology and Food Allergies: An Update
This session will focus on current topics and controversies in food allergy in the pediatric population. Topics will include a review of gastrointestinal immunology and the practical evaluation of suspected food allergy. Relevant cases will be presented and discussed.

An Update on the Immunopathophysiologic Basis of Food Allergy
W. Allen Walker, Harvard Medical School, Children’s Hospital, Boston

Gastrointestinal Food Allergic Disorders
Hugh Sampson, Mount Sinai School of Medicine, New York

(Part I of this is program is scheduled on Friday, May 12, from 9:00 AM - 12:00 Noon)

¨Genetics for the Practicing Pediatrician
Chair: Judith G. Hall, University of British Columbia, Vancouver, Canada

This is a session aimed at helping the practicing primary care pediatrician integrate the new developments in genetics into their practice. During the last few decades, there has been amazing progress made using molecular techniques to the understanding of biology. Many of these findings have direct application to the care of patients and families. The American Academy of Pediatrics Committee on Genetics has developed practice guidelines for common genetics disorders. The course will be practical and presented in understandable language. It will describe new genetic developments that should be part of pediatric practice.

Evaluation of the Dysmorphic Child
Cynthia Curry, Valley Children’s Hospital/UCSF, Fresno

New Developments in Newborn Screening
Harvey Levy, Children’s Hospital, Boston

The Use of Genetic Consultants and Clinical Guidelines for Genetic Disorders
H. Eugene Hoyme, Stanford University School of Medicine, Palo Alto

¨The Importance of Breastfeeding for Premature Infants: Management Issues During and After Hospital Discharge (Part II of II)
Chairs: Frank R. Greer, University of Wisconsin, Madison and Richard J. Schanler, Baylor College of Medicine, Houston

This program for physicians providing care to premature infants is designed to provide a review of the issues surrounding long-term feeding of human milk. Topics to be covered include the neurodevelopmental outcomes of term and preterm breast-fed infants, the adequacy of human milk to advance this development, and the requirements for growth and body composition. The need for fortification and the specifics of fortification of human milk for preterm infants will be reviewed. The stress of lactation on mothers of preterm infants and how to assess this stress will be covered along with ways to initiate and promote successful, long-term breastfeeding by mothers of premature infants.

Does Human Milk Support Growth and Body Composition After Discharge?
Stephanie Atkinson, McMaster University, Hamilton, Ontario, Canada

The Mechanics: How to Get the Premie to the Breast and Techniques to Use at Home
Paula Meier, Rush Children’s Hospital, Chicago

Nutritional Options for the Breastfed Premature Infant After Hospital Discharge
Richard A. Ehrenkranz, Yale University School of Medicine, New Haven

(Part I of this is program is scheduled on Friday, May 12, from 9:00 AM - 12:00 Noon)

¨Ventilators and Ventilator Techniques in Newborn Infants with Acute and Chronic Lung Disease: What to Use, When, How, and What to Expect for Results
Chair: Ann R. Stark, Harvard Medical School, Children’s Hospital, Boston

This three-hour mini-course will include the basic science foundations and clinical applications related to three important aspects of neonatal ventilation. These include (1) initial management of high-risk premature infants including initial lung inflation, resuscitation, and surfactant administration, (2) ventilatory strategies to prevent chronic lung disease, and (3) ventilatory strategies for term infants with severe respiratory failure.

Initial Management of High-Risk Premature Infants, Including Resuscitation and Surfactant Administration
Alan H. Jobe, Children’s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati

Ventilatory Strategies to Prevent Chronic Lung Disease
Waldemar A. Carlo, University of Alabama at Birmingham, Birmingham

Ventilatory Strategies for Term Infants with Severe Respiratory Failure
John P. Kinsella, University of Colorado School of Medicine and the Children’s Hospital, Denver

WORKSHOPS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

WS04 Academic General Pediatrics: An International Perspective
Despite similarities in the clinical and public health problems facing children in most industrialized countries, wide differences are found in the goals and challenges facing academic pediatric generalists from one country to another. Approaches vary with respect to training of residents for primary care vs consultant practice, interaction with diverse health care systems (fee-for-service, capitation, universal insurance, managed care), funding for research and research training, and faculty salary arrangements.

This workshop will compare and contrast the perspectives of academic general pediatrics in the U.S., Canada, the U.K., and Australia. Generalists from each of the four countries will briefly outline the distinctive features of their respective approaches, emphasizing advantages and disadvantages vis à vis other approaches. The moderator will then facilitate debate and discussion among the presenters, as well as with workshop attendees. The objective is not only to foster greater understanding among academic pediatric generalists working in different countries, but also to learn about advantageous features in each setting that may be adoptable or adaptable in others.

M.S. Kramer, Department of Pediatrics, McGill U., Montreal, R.C. Wasserman, Department of Pediatrics, U. of Vermont, Burlington, M. Blair, Department of Child Health, Imperial College, Harrow, and F. Oberklaid, Centre for Community Child Health, U. of Melbourne

WS05 Achieving Cultural Competency In Pediatrics
The United States rapidly is growing more culturally diverse as we approach the 21st century. In several cities, whites are already in the minority. Culture has a profound impact on pediatrics, affecting a wide variety of aspects of clinical care, including outcomes, process measures, quality of care, satisfaction with care, obtaining an accurate history, and adherence. Cultural competency is defined as the ability to recognize and appropriately respond to key cultural characteristics that affect clinical care in the major cultural groups seen in your practice. In this workshop, participants will learn about a model of cultural competency that can be applied to any cultural group that might be encountered by the pediatrician. This model is based on five aspects of culture that affect clinical care: 1) normative cultural values; 2) language issues; 3) folk illnesses; 4) parent beliefs; and 5) provider practices. Latinos and African-Americans will be used to illustrate the most important ways that culture impacts pediatric care, drawing on the rich available literature and the personal experience of the workshop leaders.

Using an evidence-based approach derived from critical studies on the Latino and African-American cultures, workshop participants will learn and master the cultural competency model. Illustrative cases (including videotapes) will be presented to challenge participants and further solidify their skills. Participants can expect to acquire practical skills for recognizing and appropriately responding to crucial aspects of culture and language that affect pediatric care.

G. Flores and K. Fox, Department of Pediatrics and Pediatric Latino Clinic, Boston Medical Center and Boston University Schools of Medicine & Public Health, Boston

WS06 After Arrival: Caring For New Immigrant Children
At least 500,000 new immigrant children (refugees, adoptees, children traveling with or to visit family) arrive in the United States annually. Most pediatric practices in the United States work with these patients, who often have unique medical concerns.

The goal of this workshop is to increase providers’ knowledge about caring for new immigrant children. Using a case-based discussion format in three parts, we will: 1) Discuss medical issues common to immigrant children, such as health screening, immunizations and interpretation of tuberculin skin tests; 2) Provide strategies for working with interpreters, addressing families from diverse cultures and preparing immigrant children for optimal learning in school and 3) Describe legal considerations for these children, including benefits and entitlements available to some new arrivals, and INS regulations governing medical screening for visas and immigration status.

This workshop is intended for primary care providers who work with new immigrant children. This workshop will enable participants to: 1) Recognize medical issues specific to immigrant children; 2) Improve their skills working with interpreters, across cultures and with school systems; and 3) Identify legal considerations for immigrant children. We will distribute written resources useful to clinicians working with new immigrants.

L.M.H. Albers, E.D. Barnett, J. Ciborowski, P.L. Geltman, P.E. Klass, J. Zotter, Children’s Hospital & Boston Medical Center, Boston, MA Department of Public Health.

WS07 A Single, Simple Method For Reviewing Study Results: A Useful Tool For Evidence-Based Medicine
Clinical readers who seek to apply the principles of evidence-based medicine often find the guidelines taught for critiquing individual studies too difficult to learn and use. These guidelines suffer a major shortcoming in that they are often goal-specific or methodology-specific. Diagnostic studies call for a set of guidelines that differ from therapeutic studies. Case-control studies call for a set of guidelines that differ from those for prospective cohorts. The workshop leader teaches a single method for detecting bias and generalizability problems as well as for evaluating the study objective and the comparative strategy. The workshop’s objectives include: 1) learning how to diagram the architecture of a study to identify its major components and 2) learning how to critique the 4 major issues with a study: the basic objective of the study, the strategy of comparison, the potential for biases, and the problems with generalizability. The workshop leader will present didactic materials on diagramming a study and critiquing the 4 major issues with a study. The participants will then break into small groups to apply this approach to examples drawn from several recently published clinical pediatric studies. The participants will then reconvene as a large group to discuss the small-group analysis and conclusions.

R. M. Jacobson, Department of Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester

WS08 Community Oriented Primary Care: From Theory To Evidence Based Practice
Community Oriented Primary Care (COPC) is a modification of the traditional model of primary care practice, providing an evidence-based approach to the planning of clinical interventions, evaluations, and research that addresses the health care problems of a defined population. Although COPC is well established in other countries, its use in the United States has been limited due to a lack of skills and knowledge of COPC principles by U.S. practitioners and is particularly unfamiliar to most pediatricians and pediatric settings. We have demonstrated the potential for its use in the community training of academic pediatricians, especially those in urban areas, and as a tool to improve the validation and community acceptance of new approaches to clinical care and research. This workshop will seek to train fellows and faculty to apply the principles of COPC to innovative clinical pediatric practice and research. Through presentations, interactive discussions and participation in skills building exercises, this workshop will: (1) educate participants on the principles of COPC; (2) provide a framework to apply COPC to a variety of patient populations; (3) identify skills needed to implement COPC in their population; and (4) identify national and international resources for information on applying COPC principles. At the conclusion of this workshop, participants should gain sufficient knowledge to understand and begin to apply the principles of COPC to pediatric practice and clinical research in their community.

I. B. Horn, C. Focht, B. Gitterman, F. Mullan, Children’s National Medical Center, Washington, D.C.; George Washington University, Washington, D.C.

WS09 Community Pediatrics: Can It Be Taught? Can It Be Learned? Can It Be Practiced?
This program will discuss the recent AAP policy statement "The Pediatrician’s Role in Community Pediatrics" and the Pediatric Education in Community and Office Settings (PECOS) program, which will create tools to enable the community pediatrician to teach community pediatrics to students and residents. The panel will discuss the principles and activities that comprise community pediatrics and the needs of pediatricians attempting to teach community pediatrics. Panel members will represent community pediatrics in community, public health and private settings. Audience participation will be encouraged.

P. Melinkovich, Denver Community Health Services, Denver, D. Cora-Bramble, The George Washington University Medical Center; Washington, DC; J. Goldhagen, Duvall County Health Unit, Jacksonville; F. Rushton, University of South Carolina, Lowcountry Pediatrics; Beaufort

WS10 Consent And Confidentiality – Teaching Housestaff To Respect The Rights Of Others
Procedural skills are an important part of housestaff training. Unfortunately, residents often learn the technical skills but are less aware of how and when to obtain proper consent or to communicate effectively with families. Likewise, some fail to appreciate the need to keep information private.

This workshop will focus on common, important issues that arise in pediatric training such as:
1. Appropriate discussion of risks and benefits before a procedure.
2. How to deal with religious objections.
3. Managing the patient or parent who wants to leave "AMA".
4. Testing for HIV – to help the patient, or to help the staff after needle injury.
5. Caring for a pregnant adolescent who doesn’t want her parents to know.
6. The dangers of "elevator talk".
7. Sensitive management of suspected child abuse.
8. What is the role of "advance directives" in pediatrics?

Workshop leaders will facilitate a discussion of the legal and ethical principles involved in considerations of consent and confidentiality, and on methods to effectively teach these issues to housestaff. Participants will then have the opportunity to engage in practical application of teaching techniques through the use of case scenarios, and role playing in small group sessions.

S. Selbst, K. Palmer, M. Gorelick, Division of Emergency Medicine, A.I. duPont Hospital for Children, Wilmington, DE, Jefferson Medical College, Philadelphia

WS11 Diagnostic Dilemmas In Pulmonology
Copies of cases that emphasize common pulmonary signs and symptoms will be distributed at the beginning of the session. You will contribute to the differential and management plan. A final handout will summarize the answers, teaching points, and readings.

H. Dorkin, New England Medical Center, Department of Pediatrics

WS12 Fighting Big Tobacco: A Massachusetts Success Story
Beginning in the year 2000, the states will receive $206 billion from the Multi-state Master Settlement Agreement with the tobacco industry. Teenage smoking will become a thing of the past, right? Or has Big Tobacco put one over on us?

The leaders who developed the successful Massachusetts Tobacco Control Program and paved the way for the lawsuit against the tobacco makers will talk about the pitfalls in the settlement. How can you ensure that your state uses Settlement funds to combat tobacco use and that pediatricians are part of the process?

Come find out why teen smoking rates are NOT rising in Massachusetts as they are in nearly all other states. Physicians, attorneys, state officials, and legislators will discuss the anti-tobacco movement in Massachusetts and describe successful strategies to take home to other states.

C. Allen, Children’s Health Care, Arlington, B. Cady, Women and Infants Hospital of Rhode Island, Providence; G.Connolly, Massachusetts Department of Public Health, Boston; R. Daynard, Esq., Northeastern University School of Law, Tobacco Control Resource Center, Boston, State Representative R. Kaprielian, Boston, G. Kelder, Esq., Northeastern University School of Law, Tobacco, Law & Policy Project; Boston; S. Harshbarger, President of Common Cause, Washington

WS13 Games Residents (And Students!) Play
Residents and students are bombarded with conferences, rounds and lectures. Games are useful adjuvants to these formats, taking advantage of the learner’s competitive nature and gamesmanship to reinforce topics and aid in evaluation.

We have developed several games to be played with housestaff and students. Through the use of a variety of computer aided formats, we now have such games as STD Bingo, Adolescent Jeopardy, Well Child Jeopardy, Trivial Pursuit and The Game of Life. Used with both large and small groups, these have become real adjuncts to our curriculum, both in direct education as well as enabling the students, housestaff and faculty to identify areas of strengths and weaknesses. Additionally the use of games for some of the more dry topics (i.e. career choices/practice management) allows a fun, interactive way for residents to develop an understanding of the consequences of career decisions.

We plan to demonstrate the use of different technology to develop and implement games as an alternative, effective education tool, fun for both learners and faculty. We will use sample portions of our different games to allow participants to play the games, as well as become familiar with the development of games for educational purposes. (Join us and get Game Board Certified!)

C.B. Turley, R.E. Rupp, P. Haardt, University of Texas Medical Branch, Department of Pediatrics, Galveston

WS14 Humanistic Habits In Teaching Ambulatory Pediatrics: Modeling, Observing And Inspiring
The humanistic attributes of the physician caregiver have been addressed in medical student and resident education. Many trainees enter the system with idealism, altruism, and a passion to help others, only to leave with indifference and coldness. With care shifted to the ambulatory setting, there is a unique opportunity for clinician/educators to promote humanistic and professional habits in trainees in the environment in which they are most likely to practice.

In this workshop we plan to examine and define humanistic habits as they contribute to and enhance teaching in the ambulatory setting. Participants will have an opportunity to apply principles of humanism to scenarios such as 1)teaching at the chairside, 2)orienting trainees to a rotation, 3)observing trainees at the chairside, and 4)teaching students how to give bad news. The workshop will be divided into a large group, interactive didactic session and small groups focusing on case simulations with role playing. After each session, the facilitators will provide a template to stress essential issues. Closure will involve participant ideas on how to apply the principles in their workplaces.

S. Miller, Babies and Children’s Hospital, Columbia University, New York, R. Sarkin, SUNY at Buffalo School of Medicine, Buffalo, L. Greenberg, Children’s National Medical Center, George Washington University, Washington, DC

WS15 Orthopaedic Issues For The Pediatrician: Limp, DDH, And Scoliosis
This session will review three important pediatric orthopaedic disorders: limp, developmental dysplasia of the hip and scoliosis. The attendee will learn the most common causes of a limp in various pediatric age groups and also learn how to manage the limping child. Guidelines for referral will also be reviewed. Current issues regarding the etiology and management of developmental dysplasia of the hip will be discussed. Finally, current concepts regarding the diagnosis, management and referral guidelines for the adolescent with scoliosis will be presented.

J. Emans, Children’s Orthopaedic Surgery Foundation, Children’s Hospital, Boston; M. Goldberg, New England Medical Center, Boston

WS16 Poster Session On Current General Pediatric Residency And Faculty Development Grant Activities Funded Under Section 747 Of The Public Health Service Act
The poster session will: highlight the uniqueness of these grant activities as well as their contributions in shaping graduate medical education for the nation; provide a forum for project directors to discuss their activities, challenges and innovations directly with other project directors and colleagues interested in medical education, with the possibility for replication in other programs; provide an opportunity for initiating networks and collaborative activities with other grantees and participants at the annual meeting; provide an opportunity to showcase measurable outcomes from residency and faculty development programs.

B. Williamson, Health Resources and Services Administration, Rockville

WS17 Substance Abusing Families: Helping The Parent While Protecting The Child
Few situations are as challenging to the pediatrician as dealing with a parent who is thought to be placing his/her child at risk because of substance abuse. The goal of this workshop is to develop clinical skills in brief intervention with parents who are thought to have an alcohol or drug problem. The workshop is intended for pediatricians and pediatric educators. Participants will learn: (1) To express concern in an assertive but non-judgmental fashion, (2) To use the parent-child bond, and mandated reports to child welfare agencies, as motivational tools to move ambivalent parents into substance abuse treatment, (3) The importance of alliance building and continuity of care with high risk families, and (4) How to teach other professionals these essential skills. This workshop will use a standardized case, The Silent Cry, for purposes of discussion and skills development. Two mnemonics which summarize the principles of effective interventions (FRAMER and ATTUNE) will be presented. Workshop participants will be invited to participate in a group role-play of an office intervention, either as an active player (mother, pediatrician) or as an "alter ego" of one of the players. The workshop will conclude with a discussion of how these principles can be applied in one’s own clinical practice and in teaching pediatric residents. Each participant will receive a copy of the complete teaching module, with handouts and references, for use in his or her home institution.

A.Vandeven, C. R. Wilson, J. R. Knight, Department of Pediatrics Harvard Medical School; Division of General Pediatrics, Children’s Hospital, Boston

WS18 Supporting Grieving Children: An Underpracticed Skill
Each year, 80,000 infants and children less than 19 years of age die in the US, on average about 2 child deaths per pediatrician per year. Are you satisfied with the care and support you provided to the last child in your practice who died?

Each year, 3 M people of all ages die in the US. If each death affects only 1 child, 3 M children become bereaved. Do you know the 75 children in your practice who lost a parent, grandparent, sibling, or friend last year? Did you acknowledge their bereavement in person, by phone, or in a note? Did you counsel the family about the child attending the wake or funeral? Did you help answer the question "Why?" Did you explain the different ways people can feel when someone dies? Did you say, "We can talk about this anytime you want to?"

If you answered "yes", join us to share your experience. If you answered "no", join us to discover how personally & professionally satisfying it could have been.

In this workshop, a primary pediatrician will share decades of experience with grieving children. We will review children’s understanding of death and explore techniques for discussing death, helping children and their families cope, and promoting healthy adaptation to loss over a lifetime.

O.J. Sahler, Children’s Hospital at Strong, Rochester, and M. A. Wessel and D. J. Schonfeld, Department of Pediatrics, Yale Medical Center, New Haven

SPECIAL INTEREST GROUPS

TICKETS NECESSARY FOR THIS EVENT. NO FEE IS REQUIRED BUT PRE-ENROLLMENT IS ESSENTIAL TO ATTEND.

SG10 Advocacy Training
Chairs: Steven Blatt and Ann Botash

We welcome everyone interested in child advocacy and how to best teach it to trainees. Nationally, most residency programs are in the early stages of planning and implementing advocacy training. Programs continue to struggle with defining many basic issues. For example, what specific activities constitute advocacy? How should residents be taught child advocacy? Who should be teaching child advocacy? How much time should be devoted to child advocacy? How do programs pay for faculty time? Attendees at the workshop will have the opportunity to share with others their experiences in trying to answer those and other questions of Advocacy Training. Those interested in presenting at the meeting can contact:
Steve Blatt blatts@mailbox.hscsyr.edu or Ann Botash botasha@mailbox.hscsyr.edu.

SG11 Behavioral Pediatrics
Chair: Daniel Coury

The Behavioral Pediatrics SIG will have a varied program. There will be a brief business meeting reviewing progress in board certification. Following this will be a presentation by Peter Sherman, MD of Montefiore Hospital on newborn hearing screening. They are using an automated otoacoustic emission device to test hearing in children under 5 years of age, and will present data on several hundred children. Most of their data is from homeless children, children from an underserved area and children in foster care. The main objective is to determine whether it can be utilized to screen for hearing loss in young children. Given that the child is not required to respond, it is potentially much more useful than threshold testing in the clinical context.

Additional portions of the SIG program have not yet been finalized. Further information will be posted on this website when available.

SG12 Continuity Clinic Directors
Chairs: Diane Kittredge and Marilyn C. Dumont-Driscoll

The Continuity Directors’ Special Interest Group welcomes faculty and learners who teach in continuity settings.  This meeting provides an opportunity for networking and problem solving around educational, clinical and administrative issues that challenge us. Our program agenda will be available on this website prior to the meeting.

SG13 Pediatric Telephone Care
Chairs: Andrew Hertz and Allison Kempe

Information on this SIG will be posted on our website in early 2000.

COMMERCIAL EXHIBITS OPEN AND POSTERS AVAILABLE FOR VIEWING
Available for Viewing - 3:15 pm - 7:15 pm
Author Attendance - 4:15 pm - 6:15 pm

POSTER SESSION I AND OPENING RECEPTION

PEDIATRIC BOWL
Chair: Lewis First, University of Vermont, Burlington

Fashioned after the television version of the College Bowl, this event will feature teams of pediatricians competing by answering questions designed to test their clinical acumen and knowledge of pediatric trivia. Points will be awarded for correct answers and the team with the highest score will win bragging rights.

Team Leaders:
William Gerson, Pediatric Medicine, South Burlington and Marshall Land, Pediatric Medicine, South Burlington

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Last Modified: April 17, 2000