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

Friday, May 12

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

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 - WORKSHOP

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

WS27 Searching For The Evidence – Use Of Electronic Databases & Internet In Research & Clinical Decision Making
Evidence-based Medicine requires new skills in identifying and retrieving information for both the researcher and clinician, yet many of us have received little training in how to acquire this expertise. Computers can provide easily accessible tools to meet this challenge. In this workshop, we will (1) explore available sources of information focusing on MEDLINE searches of the primary literature, as well as identification of internet based sites for secondary sources, guidelines, & more; (2) create well-formulated researchable questions using the PICO method; (3) find on-line resources to address practical clinical scenarios; and (4) use directed computer exercises to demonstrate how participants can improve the efficiency and comprehensiveness of their primary literature searches. The workshop will enhance participants’ skills in searching for evidence both for research purposes and to provide support for clinical decision making. Materials will be distributed to aid teaching medical students and residents this topic. It features hands-on, real-time computer exercises under expert guidance. Participants should have at least an introductory level of understanding about MEDLINE searches and the Internet; Workshop limited to 20 participants.

The goal of the workshop is to provide faculty and primary care clinicians with the skills necessary to integrate Evidence-based medicine in their practice and in teaching medical students & residents.

This workshop will be held in the Boston University Computer Lab. Transportation will be provided.

L.N. Werk, C. Shubkin, J. Kasper, S. Chapman, B. Siegel, H. Bauchner, Department of Medical Education, Arnold Palmer Hospital for Children & Women, Orlando, Division of General Pediatrics, Boston University School of Medicine, Boston, and Greater Lawrence Family Health Center, Lawrence

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.

SG18 Medical Informatics
Chair: Kevin B. Johnson

Now in its second year, the Medical Informatics Special Interest Group will devote this meeting to improving our understanding of "pediatric Informatics." In particular, we will informally discuss research projects underway by our members. We will spend the bulk of the meeting definng the role of Medical Informatics in the field of Pediatrics. What work should we as pediatricians be doing to enhance the lives of children, and to improve the ability for other pediatric clinicans to care for them?

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.

WS38 Performing Secondary Data Analyses: How, When, Where & Why
A variety of large data sets are increasingly becoming available for research purposes, namely secondary analyses. A secondary analysis is a fundamental tool in health services research allowing a re-analysis of previously collected data in an effort to address questions which may not have been considered in the original study. One of the values to such work is that the data are often nationally or regionally representative samples which may permit easier generalization of study findings beyond small clinic or hospital samples.

This workshop is geared towards faculty and fellows at the initial planning stages of a secondary data analysis project. The workshop will use several examples of completed secondary analyses using data from state, federal and industry sources as "cases" from which the participants may: 1) review the approach to a secondary analysis, 2) identify strategies to discover and acquire data sets, 3) highlight challenges and opportunities inherent in such work and 4) discuss the resources necessary to pursue a secondary analysis project including staff expertise, statistical modeling and information systems requirements.

At the conclusion of the workshop the participants will have had the opportunity to review the pros and cons of pursuing a secondary analysis project and have a frame of reference from which to consider any additional training or resources needed to complete such a project.

A. P. Giardino, D. R. Durbin, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia

WS39 Resuscitation And Stabilization Of The Pediatric Transport Patient In "Virtual Reality"
When confronted with complications which arise during the interhospital transport of pediatric patients, health care providers must take into account the unique characteristics of critically ill children and the transport environment. This workshop is intended to introduce a hands-on, teaching tool which develops skills including: identification, management, and prevention of problems commonly encountered in critically ill pediatric transport patients. Participants join in a scenario where instructors pose as health care professionals treating a critically ill child (actually a resuscitation mannequin) at a referral facility." A variety of inappropriate and potentially dangerous interventions (ie. improperly stabilized endotracheal tube) have been performed. While resuscitating, stabilizing, and preparing the "patient" for transport, the participants try to identify and correct these inappropriate interventions using equipment provided for their use. The participants then place the "patient" into an actual ambulance. While the ambulance is in motion, the participants try to solve problems which are unique to the moving ambulance environment. For the purposes of this workshop, participants will view a video of pediatric residents participating in this teaching exercise. Workshop participants may then participate in similar scenarios where they will try to identify potential problems, resuscitate, stabilize and prepare a mannequin for transport.

G. Zuckerman, M. Pante, B. Fischberg, W. Goerlich. Departments of Pediatrics and EMS Education, Robert Wood Johnson Medical School, New Brunswick

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

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

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

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Last Modified: April 13, 2000