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 COURSE

¨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)

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.

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.

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

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

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

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

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

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 SEMINARS

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

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

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

1:00 pm - 4:00 pm - EDUCATIONAL SEMINAR

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

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 Program)

• 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

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

¨Pathogenesis of Viral Respiratory Infections
Chair: Mark R. Denison, Vanderbilt University Medical Center, Nashville

Viruses interact intimately with the host cell environment from the time of initial contact through assembly and release of new infectious virus particles. During infection viruses use preexisting host cell components, modify the intracellular environment, and use mechanisms to avoid host cell immunity in order facilitate their replication and survive to be transmitted to new hosts. The symposium will explore specific aspects of the pathogenesis of four respiratory viral pathogens; the coronaviruses, parainfluenza viruses, influenza virus, and respiratory syncytial virus. The symposium speakers will describe unique features of the replication, cell biology or immune response of each virus and how understanding of molecular mechanisms of pathogenesis provides critical information in efforts to prevent or treat viral respiratory infections.

Cellular Pathogenesis of Coronavirus Infections
Mark R. Denison, Vanderbilt University Medical Center, Nashville

Receptor Mediated Entry of Paramyxoviruses
Anne Moscona, Mount Sinai School of Medicine, New York

Molecular Determinants of Influenza Virus Virulence
Kanta Subbarao, Centers for Disease Control, Atlanta

Neonatal Immune Response to Respiratory Syncytial Virus
James E. Crowe, Jr., Vanderbilt University School of Medicine, Nashville

Supported by an educational grant from ICN Pharmaceuticals

5 pm - 7:15 pm - POSTER SESSION II

Sunday, May 14

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

• Asthma: Health Services Research (Poster Symposia)

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

WS22 Evidence-Based Pediatrics And The Cochrane Collaboration
An interactive classroom session with several facilitators and demonstrations of new resources in pediatric medicine. This session will provide attendees with an increased awareness of the scientific foundation of evidence-based pediatric practice and will demonstrate the Cochrane Library and other evidence-based resources which can assist the pediatrician in providing optimal care.

V. Moyer, University of Texas – Houston Medical School, Department of Pediatrics, Houston; A. Ohlsson, Mount Sinai Hospital, Toronto, T. Klassen, University of Alberta, Edmonton

WS24 Malpractice And Communication Skills For Difficult Situations
Medical students have not always had access to information and behavior skills training related to malpractice, and communication skills for difficult situations. Perhaps, as a result, some pediatricians become involved in lawsuits that might have been avoided by using interpersonal skills to enhance the physician-patient relationship. Research suggests that many families file malpractice suits when adverse outcomes are associated with poor physician-patient relationships, physicians’ criticism of one another, and unclear communications. This research has led multidisciplinary faculty and risk management staff to develop a 6 hour, small group course for practicing physicians, residents and 4th year medical students taking their 4 week ambulatory pediatrics rotation. The proposed workshop presents a mini version of the course and suggests how it may be adopted elsewhere.

Participants are challenged to: identify patient dissatisfactions that increase risk of suits, communicate effectively in adverse circumstances, relate physician’s interpersonal behaviors to patients’ perception of quality care and understand risk management’s issues and roles. Participants practice with surrogate patients who present 10 cases based on research and actual lawsuits. Scenarios range from a diagnosis of cerebral palsy in which a mother wants to blame her obstetrician to a case of iatrogenic death. The workshop will include a brief lecture, role plays and discussions that focus on: structuring difficult interactions, dealing with patients varied responses to bad news, what to do when you or another physician has erred and principles of risk reduction.

J. Gigante, G.B. Hickson, T. Trotter, J. W. Pichert, Vanderbilt Children’s Hospital, Nashville

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

WS28 Teaching The Pediatric Sexual Abuse Examination
For a number of reasons, many practitioners of pediatric medicine are uncomfortable with the presenting complaint of possible sexual abuse. Several pediatric sexual abuse centers have been established across the United States to address this issue and also to attempt to improve the quality and consistency of care delivered. Unfortunately, however, such a center is often not readily accessible to practitioners and their patients. It is therefore imperative that pediatric training centers become adept in teaching their residents and students how to most effectively manage the alleged sexual abuse victim.

At the UT – Houston pediatric sexual abuse center, we have developed a teaching module that we are currently implementing with faculty, residents and students. It includes a pre and post module questionnaire, audiovisual material, and interactive teaching with pediatric sexual abuse experts. The course content is easily modifiable according to the level of experience of the learner and the amount of time available. Using primarily a hands-on format, we will present our module to workshop participants and explore with them ways in which it may be implemented in various teaching situations.

R. Girardet, S. Lahoti and N. McClain, Department of Pediatrics,University of Texas – Houston Medical School, Houston

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

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.

SG14 Emergency Medicine
Chair: Mark Douglas Baker

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

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.

WS35 Dermatologic Manifestations Of Systemic Disease
This session will concentrate on the recognition of the cutaneous manifestations of a variety of systemic disorders. These will include collagen vascular diseases, vasculitic disorders, hypersensitivity syndromes, neurocutaneous disorders, and disorders of pigmentation. In addition the systemic implications of vascular lesions and infiltrative lesions will be reviewed.

S. E. Gellis, Children’s Hosptial, Boston, M. Liang, Children’s Hosptial, Boston, Richard Antaya,Yale, New Haven

WS37 Evidence Based Pediatrics: What Works Best And The Challenges For The Future
The potential for the EBM movement to positively influence care of children is increasingly recognized, but its real use and effect continues to be minimal. Using the combined experience from our institutions we will cover two topics with the goals of increasing the use of EBM. The first part of the workshop will address and review the requisite tools necessary for the practice of EBM; we will address the skills necessary for EBM users to understand papers on prognosis, screen, diagnostic testing and treatment, including a discussion of odds, risks, ROC curves, and kappas. The second half of the workshop will concentrate on the common barriers that most ‘EBM users’ are likely to face eventually. This will include a discussion of difficulties at each step in the practice of EBM, including (a) using the evidence (especially when it is scant or poor), (b) summarizing the evidence (and why there is a need for a common EBM language and format), (c) problems in disseminating the products of EBM in the midst of a busy clinic, and finally (d) problems in implementing evidence in real-time, using computers. We will use our own examples to encourage audience participation.

R.L. Davis, D.A. Christakis, T. Newman, University of Washington, Seattle, and University of California, San Francisco, San Francisco

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

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

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

SG21 Child Abuse
Chair: John Leventhal

2:30 pm - 4:30 pm - SUBSPECIALTIES/THEMES (Original Science Abstract Program)

• Emergency Medicine: General (Platform)

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 - 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

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

• Childhood Asthma (Platform)
• Emergency Medicine: Assessment and Decision Making (Platform)

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

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

¨What’s New in the Red Book?
Chair: Jon S. Abramson, Wake Forest University School of Medicine, Winston-Salem

This session will highlight substantial changes and additions in the diagnosis, treatment and prevention of infectious diseases that have been made in the Year 2000 Red Book. Some of the topics that will be discussed include meningococcal vaccine, ibuprofen and risk of systemic group A strep infection, herpes simplex disseminated and CNS disease, hepatitis A vaccine, lyme disease, mercury in vaccines, polio, rotavirus and pneumococcal disease.

Jon S. Abramson, Wake Forest University School of Medicine, Winston-Salem

Carol J. Baker, Baylor College of Medicine, Houston

Margaret Rennels, University of Maryland School of Medicine, Baltimore

Larry Pickering, Eastern Virginia Medical School, Norfolk

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Last Modified: August 02, 2001