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 - WORKSHOP

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

9:00 am - 12:00 noon - SPECIAL INTEREST GROUPS

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

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.

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.

10:00 am - 12:00 noon - EDUCATIONAL SEMINAR

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

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

12:00 noon - 5:00 pm - 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.

1:00 pm - 3:00 pm - EDUCATIONAL SEMINAR

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

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

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

1:00 pm - 4:00 pm - 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.

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.

1:00 pm - 4:00 pm - WORKSHOPS

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

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

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

1:00 pm - 4:00 pm - SPECIAL INTEREST GROUP

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.

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

Saturday, May 13

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

7:00 am - 8:00 am - PUBLIC POLICY LEGISLATIVE BREAKFAST SYMPOSIUM

¨Medical Science and the Brave New World of Electronic Publishing
Moderator: James Perrin, Editor, Journal of the Ambulatory Pediatric Association

Speakers: Jerold Lucey, Editor-in-Chief, Pediatrics and Alvin Zipursky, Editor, Pediatric Research

9:00 am - 12:00 noon - WORKSHOPS

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

WS19 Children’s Health 2000 Won’t Happen Without Reimbursement/Financing
One can teach and preach combined inissions of clinical care, research, education and advocacy issues, but it cannot be achieved without adequate financing and reimbursement for professional and hospital services. The formal educational preparation and in- training experience of most doctors is usually deficient and poorly coordinated.

This workshop will present an overview of reimbursement and financing principles for the pediatric generalist and medical and surgical subspecialist, whether engaged in private solo, multispecialty, HMO or academic practices in the following areas:
1. The medical encounter - an overview from patient care through reimbursement.
2. Understanding medical finance - the basics.
3.Application of medical finance - understanding the business of practice revenue.
4. Needs for medical finance - different settings, yet similar needs. How do different practice settings impact reimbursement? facility vs. non-facility fees.
5. Sources of reimbursement / finance and different payment arrangements.
6. Who controls / does what related to coding and RVU’S.
In conclusion, the attendee will be given direction for future study and sources of information.

S. Berman, The Children’s Hospital, Denver; R.A. Molteni, Children’s Hospital, Seattle; C.M. Vanchiere, Children’s Clinic of SW La., Lake Charles

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

9:00 am - 12:00 noon - SPECIAL INTEREST GROUP

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

SG17 Literacy Promotion in Primary Care
Chairs: Robert Needleman and Perri Klass

This SIG will provide a forum for directors of primary care literacy programs modeled after Reach Out and Read to discuss program innovations, successes, and ongoing challenges. As in previous years, topics will include clinician and volunteer training, recruitment, fund-raising, publicity, books, and other program logistics. Participants are encouraged to bring examples of recently-developed educational materials, photos, and vignettes. We will also review current research in the field, including a discussion of current studies by SIG participants. A special session will be set aside for work on the collaborative Before-and-After-Books-and-Reading (BABAR) study, which now has more than 20 sites, and more than 900 completed interviews. Another special session will serve as an introduction to ROR for physicians and others interested in beginning a clinic-based literacy program. Teaching modes will include videotape and live demonstration, role-play, discussion, and small-group problem solving. Those interested are encouraged to contact ROR at www.reachoutandread.org.

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

12:00 pm - 1:15 pm - APA BUSINESS MEETING & AWARDS
Health Care Delivery Award
Public Policy Award
Research Award
Teaching Award
Ray E. Helfer Award for
Innovation in Pediatric Education
International Health Research Award
Ludwig-Seidel Award

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.

WS33 Advocacy Training For Pediatric Residents: The Role Of The Community Pediatrician.
Child advocacy is central to the practice of pediatrics. Pediatricians have been exemplary child advocates at the local, state and national level. Paradoxically, only recently has training in advocacy been a requirement of residency training. There is no national consensus regarding a child advocacy curricula or how to teach it. As training programs develop their advocacy training programs, one potentially effective and rewarding model includes cooperative efforts with the AAP’s CATCH program.
Specific objectives include:
•Defining the role of CATCH and the AAP in resident advocacy training
•Learning about different models of curricula for advocacy training
•How to build institutional support for community based advocacy training
•How to incorporate community pediatricians into resident advocacy training

The workshop will use brief presentations about model programs from different training programs and interactive breakout groups. Reference material and resources will be distributed to attendees.

S.D. Blatt, J. Brown, A.S. Botash, J. Harisiades, D. Haut, D. Keller, T Tonniges. SUNY Health Science Center @ Syracuse, U of Colorado, Denver, Children’s Memorial Hospital, Chicago, AAP, Elk Grove Village, U of Massachusetts, Worcester

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.

SG21 Child Abuse
Chair: John Leventhal

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

¨Research in Office and Community Settings: Studying Pediatric Care in the Real World
Chair: Peter G. Szilagyi, University of Rochester School of Medicine, Rochester

Research performed in pediatric offices and community settings has contributed substantially to improving the health of children. Office-based research can provide useful descriptive information about health conditions of children, improve the quality of care delivered by practitioners, and promote new innovations in health care delivery. Research in community settings such as schools and daycare sites and in children’s homes can focus on high-risk populations and on the "new morbidity" such as developmental and behavioral problems, social concerns, and mental health issues. Many future health problems will be prevented by targeting entire communities, rather than patients, for interventions, and employing public health and systems approaches focusing on community-level targets, measures, and outcomes. Research in office and community settings represents an overlapping domain of academic pediatrics, private pediatrics, and public health. This panel will (a) review the history and the future of office-based research (b) summarize critical practical issues regarding research in office and community settings, (c) discuss local research networks and the national PROS research network, (d) present specific examples of types of research that would most benefit from collaborations between academic pediatricians, private pediatricians, and public health and community-based child health experts.

Research in Office and Community Settings: The Past and the Future
Evan Charney, University of Massachusetts Medical School, Shrewsbury, MA

Doing Research in a Busy Private Primary Care Pediatric Office
Gordon B. Glade, Chairman PROS Steering Committee, American Fork, UT

Office-Based Research: A Community Pediatric Agenda
Thomas McInerny, University of Rochester School of Medicine and Dentistry, Rochester

Pediatric Research in Office Settings (PROS): A National Approach to Office-Based Research
Richard "Mort" Wasserman, University of Vermont/PROS Network, Burlington

Community Pediatrics Research and Vulnerable Populations: The Role of the New AAP Center for Child Health Research
Michael Weitzman, The Center for Child Health Research and the University of Rochester School of Medicine & Dentistry, Rochester

Collaborations Between Primary Care Pediatricians and Academic Departments
Elizabeth McAnarney, Children’s Hospital at Strong, University of Rochester Medical Center, Rochester

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

Monday, May 15

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 - 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 - TOPIC SYMPOSIUM

¨The Environment and Children’s Health
Chair: Ellen F. Crain, Albert Einstein College of Medicine, Bronx

Rates of childhood asthma, cancer, ADHD, and poor school performance are increasing, and there is growing evidence that environmental disruption plays an important role in these trends. Exposure to lead continues to affect children’s health, and exposure to pesticides and chemicals is increasing. Few pediatricians understand the extent of these threats to their patients’ health, and fewer still have incorporated environmental health into their practice or advocacy activities. The goals of this symposium are to provide an overview of what is known about several key environmental threats to children’s health and to introduce evidence that interaction with the natural environment may have a positive impact on children’s health.

Pesticides, PCB’s, and Endocrine Disruptors: What is the Evidence That They Threaten Children’s Health?
Philip J. Landrigan, Mount Sinai School of Medicine, New York

What is Known About Air Quality and Children’s Respiratory Health?
Jonathan Samet, Johns Hopkins University, School of Hygiene & Public Health, Baltimore

Play in the Natural Environment: Preliminary Evidence of its Contributions to Children’s Health
Robin C. Moore, North Carolina State University, School of Design, Raleigh

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

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

Tuesday, May 16

9:00 am - 12:00 noon - WORKSHOP

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

WS48 Improving Health Care For America’s Children: The National Initiative For Children’s Healthcare Quality
Despite clinicians’ best intentions, health services delivered to children fall short of evidence-based recommendations, primarily due to inadequate systems of care. Several demonstration projects have identified promising approaches to revising office-based systems, allowing physicians to identify and track preventive care, monitor quality of care, and document improvement in process and outcome measures. To accelerate this improvement process, investigators from several academic centers have joined forces with the Institute for Healthcare Improvement and the American Academy of Pediatrics to form the National Initiative for Children’s Healthcare Quality (NICHQ). The goal of NICHQ is to advance the quality of children’s health care by raising the will to improve care, developing better strategies to accomplish change, and directly assisting practices in their improvement activities. The objectives of this workshop are to familiarize participants with the rationale, tools and strategies developed for this initiative, including dissemination methods for clinical practice improvement, and to discuss the barriers to improvement in ambulatory settings. We will present examples of successful projects that have improved systems for preventive services and asthma in over 100 primary care practices. We will also share current and future directions of this new initiative.

C. Homer, C. Haraden, Institute for Healthcare Improvement, Boston; J. Stout, University of Washington, Seattle; P. Margolis, C. Lannon, University of North Carolina, Chapel Hill; R. Wasserman, University of Vermont, Burlington

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

12:15 pm - 2:15 pm - HOT TOPIC

¨Underserved Children and their Families; Improvements or Impoverishment
Chairs: Benjamin Gitterman, Children’s National Medical Center, Washington and Peter Sherman, Montefiore Children's Hospital at Bronx

Over the past several years the United States has profoundly altered the manner in which health care and entitlement programs are delivered to our most vulnerable population; children growing up in poverty. This, along with an increased understanding of how the environment in which they live, impacts upon their health, has brought us to a cross roads in health care delivery as we enter the new millennium. What impact will these forces have upon this population? This panel will examine the question of whether we are entering an era of vast improvement or impoverishment in children’s health and welfare. Given the complexity and seriousness of these issues it is important that health care professionals have a strong voice in their outcome. This forum will lay the groundwork for planning future collaborative work in addressing the problems identified.

Serving the Underserved: Can Clinicians Meet the Needs?
Donna Bacchi, Texas Technical University, Lubbock

Status Report: The Health of Underserved Children in the New Millenium
Irwin Redlener, Montefiore Hospital and Medical Center, Bronx

The Impact of Environmental Health Issues on Underserved Children
Philip J. Landrigan, Mount Sinai School of Medicine, New York

Health of the Underserved in a Fiscally Conservative Political Environment
Richard Bucciarelli, University of Florida, Gainesville

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Last Modified: April 13, 2000