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

Friday, May 12

9:00 am - 12:00 noon - 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)

1:00 pm - 4:00 pm - MINI COURSE

¨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)

4:15 pm - 6:15 pm - POSTER SESSION I AND OPENING RECEPTION

Saturday, May 13

8:00 am - 10:00 am - TOPIC SYMPOSIUM

¨Computers in Medicine: From the Health Center to the Home to the Genome
Chair: Gary Fleisher, Children’s Hospital, Harvard Medical School, Boston

From molecular biology to clinical care, computers will play a decisive role in pediatrics in the next millennium. This symposium will address the technological solutions for the storage and dissemination of medical information. The translation of basic scientific discoveries into clinical practice and issues related to social concerns, access, privacy, and security will be discussed.

Information Infrastructure for the Next Generation Medicine
Isaac S. Kohane, Harvard Medical School, Boston

Health Applications on the Web: Access, Privacy, and Safety
Kenneth D. Mandl, Children's Hospital, Boston

Bioinformatics in Support of Molecular Medicine
Russ B. Altman, Stanford University, Stanford

10:15 am - 12:15 pm - TOPIC SYMPOSIUM

¨Child Health Services Research: Scientific Opportunities and Methods
Chair: Larry Kleinman, Lehigh Valley Hospital, Allentown

This session will discuss child health services research as an emerging field of applied science. The session will highlight both scientific opportunities and accomplishments. Dr. Kleinman will frame the context of health services research as an applied science. Dr. Simpson will elaborate on the continuum of child health services research, and the relationship of this work to the agenda of the Agency for Healthcare Research and Quality, and a principal federal agency for health services research. Dr. Stein will speak on the state-of-the-art in measuring the health and well being of children, emphasizing the methodological foundations of the work. Dr. Homer will address scientific methods in the quality of health care, from concept to measurement, to improvement and then back to measurement. The session will acknowledge specific controversies in the field and provide ample opportunity for discussion among participants and panelists.

Applied Science and the Context of Child Health Services Research
Larry Kleinman, Lehigh Valley Hospital, Penn State College of Medicine, Allentown

Child Health Services Research: Its Scope and Continuum
Lisa Simpson, Agency for Healthcare Research and Quality, Chevy Chase

Using Health Status Assessment in Children as an Outcome
Ruth E. Stein, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx

Quality of Care and Improving the Delivery of Child Health Services
Charles J. Homer, National Initiative for Children’s Healthcare Quality, Boston

10:15 am - 12:15 pm - SUBSPECIALTIES/THEMES (Original Science Abstract Programs)

• Adolescent Medicine I (Platform)
• Violence: A Family Affair (Poster Symposia)

1:30 pm - 2:30 pm - APS PRESIDENTIAL PLENARY - HOWLAND AWARD
Presidential Address - Rebecca H. Buckley, Duke University School of Medicine
John Howland Award Presentation - Samuel A. Katz

2:30 pm - 3:00 pm - JOSEPH W. ST. GEME, JR. LEADERSHIP AWARD
Joseph W. St. Geme, Jr. Award Presentation - Evan Charney, Dept. of Pediatrics, University of Massachusetts Medical Center, Shrewsbury
St. Geme Awardee Introduced by: Kenneth B. Roberts, Professor of Pediatrics, University of North Carolina School of Medicine, Greensboro

Presented on behalf of the American Pediatric Society, American Academy of Pediatrics, American Board of Pediatrics, Ambulatory Pediatric Association, Association of Pediatric Program Directors, Association of Medical School Pediatric Department Chairman and Society for Pediatric Research

5 pm - 7:15 pm - POSTER SESSION II

Sunday, May 14

8:00 am - 10:00 am - TOPIC SYMPOSIUM

¨The Neurobiologic Basis of Behavior and Development
Chair: James M. Perrin, Mass General Hospital for Children, Boston

This session will describe recent work linking developmental aspects of brain function and structures with understanding of child development, developmental disabilities, and child and adolescent behavior. Expanding knowledge in areas of brain development, anatomic structures, and molecular biology of the central nervous system broaden the base for understanding clinical phenomena. New work has helped to characterize environmental and central nervous system influences on child and adolescent behavior. Recent long-term follow-up data from the Infant Health and Development Program inform regarding the predictors of outcomes for children at developmental risk.

Brain Development and Developmental Disabilities
Mark L. Batshaw, Children’s National Medical Center, George Washington University School of Medicine, Washington

Neurobiologic Representations fo the Social World: Developmental Considerations
Felton Earls, Harvard Medical School, Boston

The Infant Health and Development Project: Implications for Neurobiologic Basis of Development
Marie McCormick, Harvard School of Public Health, Boston

9:00 am - 12:00 noon - WORKSHOPS

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

WS23 From Jonesboro To Melrose Place: Media Violence, Sexual Violence And The Internet
Hollywood claims that the media merely reflect a more violent society. Some public health activists claim that the media actually cause violence among teenagers. The literature is complex, but the answers are extremely important, given the events of the past two years. Where does the truth lie?

This workshop will explore the current state-of-the-art knowledge regarding media violence and sexual violence in movies, on television and in music videos, and the impact of the Internet. Participants will learn how to counsel teens and their parents and what solutions are practical demonstrations, and hand-outs will be provided.

Dr. Strasburger is a pediatrician and adolescent medicine specialist who has authored or co-authored most of the AAP’s statements on media for the past decade. Dr. Donnerstein is one of the primary authors of the National Television Violence Study.

V. C. Strasburger, University of New Mexico School of Medicine, Albuquerque; E. Donnerstein, University of California, Santa Barbara

WS29 Ten Common Sports Injuries In Adolescents
Pediatricians are caring for an increasing number of children and adolescents who are injured from sports participation. This session will review the diagnosis and management of the ten most common injuries in children and adolescents that develop during sports activities. Emphasis will be on when to manage and when to refer. Questions from the audience will be welcome.

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

WS31 Turning The Pediatric Resident On To Adolescent Health Care; Are You Up To The Challenge?
Most pediatric residents cringe at the thought of seeing adolescents at the health maintenance visit. Violence, sex, drugs, depression, abuse, and school failure are some of the critical issues to explore in providing optimal adolescent health care. A thorough physical assessment, including breast, testicular and gynecologic examination, is an integral part of the visit. The pediatric resident is often not prepared to explore the adolescent psychosocial risk profile or to thoroughly examine the adolescent patient. Dealing with the parents of adolescent patients is also a source of stress for residents. Providing anticipatory guidance to parents, as well as addressing parental concerns, is rarely discussed in the curriculum of pediatric residency.

Workshop faculty will present contrasting experiences teaching pediatric housestaff adolescent health care from two distinct clinical settings; one a General Pediatric Group Practice and the other, an established Division of Adolescent Medicine. The purpose of this workshop is to share skills and approaches in educating and inspiring pediatric residents to provide care to adolescent patients. We will review standard assessment tools such as GAPS and Bright Futures and use role-plays to teach participants how to respond to common scenarios involving the triad of parent, teen and medical provider.

K. Soren, B. Pfeffer, and E. Alderman. Division of General Pediatrics, Columbia University and Division of Adolescent Medicine, Albert Einstein College of Medicine

10:15 am - 12:00 noon - SPR PRESIDENTIAL PLENARY & AWARDS AND E. MEAD JOHNSON AWARD LECTURES

Presidential Address: Thomas Hazinski,Vanderbilt University Medical Center

Student Awards: Kyle Cowan, Aaron M. Milstone, Christine Siambani

House Officer Awards: Douglas D. Fraser, Paul J. Galardy, Matthew A. Saxonhouse

Fellow Basic Awards: Christopher E. Belcher, Elif Erkan, Syed Zaidi

Fellow Clinical Awards: Michael J. Ackerman, Okan Elidemir, Mika Ramet

David Nathan Award: Lisa Wang

Young Investigator Award Lecture:
Brendan Lee - Identification of Molecular Genetic Defect for Cleidocranial Dysplasia & Nail-patella Syndrome

E. Mead Johnson Award Lectures:
Mark Kay - Seminal Scientific Contributions to the Field of Hepatic Gene Therapy
Gregg Semenza - Molecular Response to Hypoxia

1:00 pm - 2:15 pm - MARCH OF DIMES PRIZE IN DEVELOPMENTAL BIOLOGY (Fifth Annual Lecture)
Presented by the March of Dimes

Genetic Control of Programmed Cell Death in C.elegans
H. Robert Horvitz, Professor of Biology, Howard Hughes Medical Institute Investigator, Massachusetts Institute of Technology, Cambridge, MA

1:15 pm - 2:00 pm - AAP PRESIDENTIAL PLENARY & JACOBI AWARD
Presidential Address: Donald E. Cook, American Academy of Pediatrics, Elk Grove Village
Jacobi Award: Catherine DeAngelis

2:00 pm - 5:00 pm - WORKSHOPS

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

WS40 Teenage Psychosocial And Interactive Problems: Family Systems Approaches For Primary Care
Psychosocial-behavioral problems often accompany teenagers’ entry into adolescence (e.g., separation, individuation, and independence). Problems include teen-parent conflict, noncompliance with medical regimes, somatic complaints, sexual promiscuity, substance abuse, affective disorders, and emotional-behavioral complications of ADHD and school learning problems.

Furthermore, the family is in a new family development cycle and parents are facing their own challenges with mid-life, mid-career changes.

Most psychosocial problems and transitions benefit from a family-centered approach. Detecting, treating, and referring constitute comprehensive primary care for teenagers. Participants will learn 1) family systems concepts; 2) clinical application for evaluation and management; 3) solution-oriented interviewing techniques; 4) techniques for referral; and 5) further training opportunities.

Teaching methods will include brief formal talks, interactive discussions, case studies, videos of family interviews, and extensive handouts.

W.L. Coleman,University of North Carolina, Chapel Hill

WS43 Working in International Child Health
Part 1: Children of the World 2000: An Overview
Ninety percent of children in 2000 will be born into the not-yet-industrialized parts of the world. This session will help child health professionals become aware of the difference in lifestyles and issues facing these children compared to those of children living in the western world. Participants will also gain awareness of how the health of all children impacts on all of the world’s people both now and into the 21st century.

Part 2: How to Help Children in Disasters
More than half of all people affected by disasters are children. Many will have long-term physical and mental health consequences. Their special needs and interests are often overlooked. This session will help child health professionals to understand the magnitude of the problem, to recognize the special needs of children in disaster situations, and to know how to help these children.

Part 3: Recommendations for Pediatricians Who Want to Work in International Health
Child health professionals with both short and long term experience in working internationally will compare their learning and provide recommendations for colleagues interested in becoming similarly involved.

K. Olness, Rainbow Babies and Children’s Hospital, Cleveland; B. Duncan, University of Arizona, Department of Pediatrics, Tucson; R. Haggerty, University of Rochester, Department of Pediatrics, Rochester; J. Kennell, Rainbow Babies and Children’s Hospital, Cleveland; R. Meier, Shriners Hospital for Children, Lexington

2:00 pm - 5:00 pm - SPECIAL INTEREST GROUPS

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

SG20 Adolescent Medicine
Chairs: Paula Braverman and Martin Fisher
Co-leaders: Robert Sege, Shari Barkin, and Carole Sousa.

Practical Approaches to Violence Prevention
This session is co-sponsored by the Special Interest Group in Adolescent Medicine of the Ambulatory Pediatric Association and the Section on Adolescent Health of the American Academy of Pediatrics. Both the Special Interest Group and the Section on Adolescent Health focus on the provision of care to teenagers in the community, private practice, and teaching hospital setting with emphasis on the practical issues in delivering this care. The session is open to anyone interested in adolescent health and will focus on interpersonal and dating violence. Practical approaches to screening and suggestions for prevention on the individual and community level will be addressed.

SG24 Nutrition
Chair: Robert Karp

Micronutrient supplementation: Why, when and for whom. 

These presentations were developed so as to familiarize pediatricians with contemporary uses of micronutients in clinical  practice with both well and sick children.  

1. A historical perspective of micronutrient supplementation  - Robert Karp
•recognizing the historical deficiency disease
•chemical isolation of micronutrients and the use of nutrients in prevention of ancient scourges
•the reappearance of concern for deficiency in families of poorer children — classic diseases and increased risk for modern ones.

2.  The Infant and Child — Mike Farrell
•breast and bottle feeding
•the prevention of iron deficiency
•concerns for degenerative diseases of contemporary society.

3.  The Adolescent Infancy and Early Childhood  - Sandy Hassink
•the nutrient needs of the adolescent
•preventing osteoporosis
•the dieting obese child as a special concern

4.   Medical Therapy and Micronutrients - Liz Sheppard
•medically necessary micronutrient supplementation
•examples: in type II diabetes, cystic fibrosis, and treatment with INH or Dilantin
•use of micronutrients in ‘alternative therapy’

A panel discussion with participants.

2:30 pm - 4:30 pm - TOPIC SYMPOSIUM

¨Advances and Application of Psychopharmacology in Pediatrics
Chair: Donald E. Greydanus, Michigan State University, Kalamazoo and East Lansing

The field of psychopharmacology has expanded rapidly over the past few decades. Research into psychopharmacologic management of mental disorders in children and adolescents has also expanded over the past decade. This sessions will review current research and its application to the treatment of attention deficit / hyperactivity disorder, depression in youth and juvenile bipolar disorder. The three presenting faculty are actively involved in this exciting research. In addition to a lecture format, questions from the audience will be invited.

Attention Deficit / Hyperactivity Disorder
Jefferson B. Prince, Northshore Children's Hospital, Massachusetts General Hospital, Harvard Medical School, Boston

Juvenile Bipolar Disorder
Joseph Biederman, Harvard Medical School, Boston

Depression in Youth
Thomas J. Spencer, Harvard Medical School, Boston

4:45 pm - 6:45 pm - POSTER SESSION III

Monday, May 15

8:00 am - 10:00 am - RICHARD E. ROWE AWARD
Richard E. Rowe Award Presentation - Mark W. Russell:
In vivo Transactivation of the alphaB Crystallin Promoter by Cardiac Transcription Factors Involved in Early Heart Development

8:30 am - 12:30 pm - APA PRESIDENTIAL PLENARY & ARMSTRONG LECTURE
Presidential Address: Ellen F. Crain, Albert Einstein College of Medicine, Bronx
Armstrong Lecture: Greenpeace

10:15 am - 11:45 am - STATE OF THE ART PLENARY

¨Pediatrics in the New Millennium: Compelling Issues in Public Policy - 7th Annual Public Policy Plenary
Chair: Myron Genel, Yale University School of Medicine, New Haven

This is the 7th annual Public Policy Plenary Symposium organized and sponsored by the Public Policy Council, which coordinates public policy activities for the APS, SPR and AMSPDC, in collaboration with the APA Public Affairs Committee. The year 2000 program will look forward to the new millennium and broadly examine the outlook for children’s health in three vital areas: (1) access to health care (2) testing and access of children to drugs and devices and (3) the pipeline for pediatric physician-investigators and the future of academic pediatrics. We have set aside significant time at the conclusion of the speakers’ formal presentations to permit interactive dialogue between members of the panel and the audience.

Children’s Access to Health Care - Removing the Financial Barrier
Joel J. Alpert, Immediate Past President of the American Academy of Pediatrics and Past President of the Ambulatory Pediatric Association, Boston University School of Medicine

Increasing Pediatric Access to Medical Therapies
Jane E. Henney, Commissioner, Food and Drug Administration, Rockville

The Pipeline of Physician-Scientist in Pediatrics
Leon E. Rosenberg, Princeton University; Lasker Trust/Funding First; and Former Dean, Yale University School of Medicine

Supported in part by an educational grant from the Columbus Children's Hospital, Columbus, Ohio

1:00 pm - 3:00 pm - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Adolescent Medicine II (Platform)

3:15 pm - 4:45 pm - STATE OF THE ART PLENARY

¨Achieving Good Health For the World’s Children
Chairs: Errol R. Alden, American Academy of Pediatrics, Elk Grove Village, and Jane Schaller, New England Medical Center, Boston

The health of the world’s children is important to the future of the world. This plenary session will explore basic principles of world health for children and suggest ways in which pediatricians all over the world can work together to achieve better and brighter futures for all of our children. The concept of a world community of pediatricians bearing a collective responsibility for the health of children will be explored. Existing standards will be discussed, including training and professional standards of our pediatric profession around the world, concepts of medical ethics which govern our behavior as physicians, and concepts of children’s rights which exist in international law and define world standards for the treatment of children. Adopting a broad definition of child health which includes physical, mental, and social health, the disease burdens of children around the world now and in the 21st century will be presented, along with some concepts of how these burdens might be lessened. Finally, the roles that pediatricians can play in humanitarian response to emergencies and disasters will be presented. Time will be allowed for discussion from members of the audience, who are encouraged to think about these issues in advance and be prepared to add their voices to the discussion.

World Community: Children and Pediatricians, A Collective Responsibility
Robert Haggerty, University of Rochester School of Medicine & Dentistry, Rochester

World Standards: Professional Standards, Medical Ethics, Children’s Rights
Jane G. Schaller, New England Medical Center, Boston

World Health: Disease Burdens for Children Now and in the 21st Century
Jerry Coovadia, University of Natal, South Africa

World Disasters: the Special Needs of Children
Karen Olness, Rainbow Babies and Children’s Hospital, Cleveland

Supported by an educational grant from Johnson & Johnson Pediatrics Institute

¨The Biologic, Sociologic and Psychologic Impact of Stress in Childhood
Chair: Jack P. Shonkoff, The Heller Graduate School, Brandeis University, Waltham

The impact of stress on the physical and mental health of adults has been extensively studied. Recent research has begun to examine its impact on children at all levels of their development. This state-of-the-art symposium examines current research and concepts on the impact of stress on the developing brain, on bio-behavioral responses in children, and in children in difficult social environments. Leading researchers in each of these areas will present aspects of their research that relates to cutting edge concepts in their field.

Molecules and Mechanisms of the Neuroendocrine Response to Stress During Early Postnatal Life: New Insights
Tallie Z. Baram, University of California at Irvine

Psychobiologic Reactivity to Stress: Implications for Pediatric Morbidities
W. Thomas Boyce, School of Public Health & Institute of Human Development, University of California, Berkeley

The Effects of Early Social Deprivation on Children
Felton Earls, Harvard School of Public Health, Cambridge

5:00 pm - 7:00 pm - POSTER SESSION IV

Tuesday, May 16

8:00 am - 10:00 am - TOPIC SYMPOSIUM

¨Youth Violence: Causes and Prevention
Chair: Frederick P. Rivara, Harborview Injury Prevention and Research Center, University of Washington, Seattle

Over the last decade, much attention has been given to the "epidemic" of youth violence. The number of deaths to youth has brought this issue to the attention of the medical and public health community. For many years, however, juvenile delinquency and violence has been carefully studied by psychologists, sociologists, and criminologists.
The goal of this symposium is to bring together the health and criminal justice perspectives on the problem of youth violence and discuss the underlying causes of youth violence, reasons for the recent rise and decline in violence, the continuity of behavior from childhood through adolescence and into adulthood, and the effectiveness of interventions in early childhood. The panelists are members of the National Consortium on Violence Research.

Reasons for the Recent Rise and Decline in Violence
Alfred Blumstein, H.J. Heinz III School of Public Policy and Management, Carnegie Mellon University, Pittsburgh and National Consortium on Violence Research

Continuity of Anti-social and Violent Behavior
Daniel Nagin, H.J. Heinz III School of Public Policy and Management, Carnegie Mellon University, Pittsburgh and National Consortium on Violence Research

Early Childhood Interventions to Prevent Youth Violence
Richard E. Tremblay, University of Montreal, Quebec Canada and National Consortium on Violence Research

8:00 am - 10:00 am - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Adolescent Medicine III (Poster Symposia)

10:15 am - 12:15 pm - POSTER SESSION V

PAS/AAP Joint Meeting Index Page
APS/SPR Home Page
APA Home Page
AAP Home Page

Last Modified: April 13, 2000