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

Friday, May 12

9:00 am - 12:00 noon - MINI COURSES

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Supported by an educational grant from Merck & Co.

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

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

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

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

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

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

9:00 am - 12:00 noon - WORKSHOPS

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

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

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

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

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

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

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.

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

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

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

This SIG has focused on a wide variety of issues concerning pediatricians who direct General Pediatric Programs. Members of this SIG may be involved with community-based or hospital-based programs, and come together around issues such as the impact of managed care, measuring the true complexity of visits in outpatient departments, and the development of a survey to assess the manpower and financial dynamics of General Pediatrics (the results of which were recently published in Ambulatory Child Health). We are also updating our Director of Division Directors in General Pediatrics. We are looking forward to an exciting meeting at the Boston meeting in the year 2000 and we would like to invite anyone interested in finding out about the meeting to contact either of the two Co-Chairs, Benard Dreyer, bpd1@is2.nyu.edu, or John Walburn, jwalburn@UNMC.EDU.

9:00 am - 3:00 pm - EDUCATIONAL SEMINAR

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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

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

1:00 pm - 4:00 pm - MINI COURSES

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

1:00 pm - 4:00 pm - WORKSHOPS

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

B. Williamson, Health Resources and Services Administration, Rockville

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

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

• Epidemiology (Platform)

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

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

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

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

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

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

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

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

• Neonatal Follow-up (Platform)
• Violence: A Family Affair (Poster Symposia)

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

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

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

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 - TOPIC SYMPOSIUM

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

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

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

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

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

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

• Asthma: Health Services Research (Poster Symposia)
• Health Care Delivery in Underserved Populations (Platform)
• Sudden Infant Death Syndrome (Poster Symposia)

9:00 am - 12:00 noon - WORKSHOP

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

WS25 Methods To Establish Productivity-Based Compensation Programs For Academic General Pediatric Practices That Promote Effective Teaching
Most academic health centers are actively building or consolidating practice networks and employ more physicians engaged predominantly in primary care practice. As a result, academic health centers require new methods to develop physician compensation packages that encourage physicians to be accountable for their individual clinical productivity as well as contribute to the academic success of the institution. Often, educational responsibilities - teaching of residents and students - are not addressed in compensation programs, resulting in diminished physician effort in this area and a perception that teaching is not valued.

This workshop will focus on the formulation and initial implementation of a productivity-based primary care compensation program in an academic health center. The workshop will provide an understanding and comparison of measures of physician productivity, including gross charges, collections, visit numbers, and relative value units (RVUs).

At the conclusion of the workshop, participants will be able to: 1) define performance responsibilities and expectations for faculty, 2) establish a market-based productivity benchmark using national norms, 3) define educational efforts in terms of work RVUs, 4) link salary to performance, 5) implement work RVU as measure of productivity, 6) use market-based dollar conversion per unit of productivity per work RVU, and 7) establish a regular checks and balance system for accurate recording of performance activity.

M. Andreae, G. Freed, University of Michigan, Ann Arbor

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.

SG15 Faculty Development
Chairs: Michelle S. Barratt, Charlene Gaebler-Uhing, Ronald V. Marino

This SIG is a forum for ongoing exchange in the area of medical education and faculty development.  The SIG is open to anyone that has an interest in Medical Education and Faculty Development.  Some members of the SIG participated in the APA Faculty Development  Scholars Program. The first cohort of 50 received training in one of three tracks:  Community Based Clinical Teaching, Educational Scholarship or Executive Leadership. The SIG will provide discussion and leadership in all three areas. Come help us brainstorm, problem-solve and share experiences.  Ideas for discussion can be emailed to jennifer@ambpeds.org and your message will be forwarded to the co-chairs.

SG19 Practice-Based Research Network
Chair: Mary Ottolini

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 - WORKSHOP

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

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; A. Mandalakas, Rainbow Babies and Children’s Hospital, Cleveland, R. Meier, Shriners Hospital for Children, Lexington

2:30 pm - 4:30 pm - TOPIC SYMPOSIA

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

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

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

Juvenile Bipolar Disorder
Joseph Biederman, Harvard Medical School, Boston

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

¨The Biology and Disorders of Sleep
Chairs: David Gozal, Kosair Children’s Research Institute, University of Louisville School of Medicine, Louisville and Jean Paul Praud, University of Sherbrooke, Québec, Canada

This symposium aims to introduce the audience to novel and exciting concepts regarding the ontogeny of chronobiological rhythms, the genes that regulate such rhythms, and the potential implications they may have for development. In addition, the effect of sleep states on upper airway muscle function in the immature mammal will be presented as well as the implications of sleep-disordered breathing for neurocognitive function.

Timekeeping by Genes of the Circadian Clock
Amita Sehgal, Howard Hughes Medical Institute, University of Pennsylvania Medical School, Philadelphia

The Development of Circadian Rhythmicity
Scott A. Rivkees, Yale University School of Medicine, New Haven

Ontogeny of Upper Airway Muscle Function During Sleep
Jean Paul Praud, University of Sherbrooke, Québec, Canada

Neurocognitive Sequelae of Obstructive Sleep Apnea in Children
David Gozal, University of Louisville, Louisville

Supported by an educational grant from Boehringer-Ingelheim/Roxane Laboratories

¨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

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

• Immunizations in Underserved Populations (Platform)
• Neonatal Epidemiology (Platform)

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

Monday, May 15

7:00 am - 8:00 am - BIOETHICS INTEREST GROUP Inaugural Meeting
Hynes Convention Center

Challenges for Western Medicine in Native Indian and Bedouin Cultures

Moderator:
Susan Albersheim, Neonatologist and Chair of British Columbia’s Children’s Hospital Ethics Committee, Vancouver, Canada

Speakers:
William L. Freeman, Director of the Indian Health Service Research Program, Albuquerque, New Mexico
Michael Karplus, Professor of Pediatrics and Head of the Division of Neonatology, Be’er Sheva, Israel

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

¨Vaccine Dialogue
Chairs: Sarah S. Long, St. Christopher’s Hospital for Children, MCP Hahnemann University School of Medicine, Philadelphia and Ron Dagan, Soroka University Medical Center, Beer-Sheva, Israel

In this interactive dialogue, speakers will engage the audience in discussion of highly important and timely issues related to vaccines. In part one, speakers will discuss latest information regarding the development and performance of conjugate pneumococcal and meningococcal vaccines, as well as the challenges of developing and evaluating novel combination vaccines. In part two, speakers will lead discussions of inherent tensions in implementing vaccine strategies that maximize benefits of scientific discoveries and protect individuals, the public and policy.

Mapping the Future of Bacterial and Combination Vaccines
Implementation of Pneumococcal and Meningococcal Conjugate Vaccines: Steven B. Black, Vaccine Study Center, Kaiser Permanente Medical Center, Oakland
Challenges of Combination Vaccines: Kathryn M. Edwards, Vanderbilt University School of Medicine, Vanderbilt Children's Hospital, Nashville

Matching Scientific Progress and Public Trust
Monitoring Achievements and Risks of Vaccine Programs: Walter A. Orenstein, National Immunization Program, Centers for Disease Control and Prevention, Atlanta
Current State of Confidence and Concern: Samuel L. Katz, Duke University Medical Center, Durham

Sponsored Jointly with the Pediatric Infectious Diseases Society

Supported by educational grants from Merck Vaccine Division and Wyeth-Lederle Vaccines

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

• Sickle Cell and Endothelial Cell Interface (Poster Symposia)

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

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

• Immunizations: Health Services Research (Poster Symposia)

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

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

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

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

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

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

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

Supported by an educational grant from Johnson & Johnson Pediatrics Institute

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

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

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

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

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

¨Mechanisms of Asthma and Other Allergic Diseases
Chair: Lanny J. Rosenwasser, University of Colorado Health Science Center and the National Jewish Hospital and Research Center

This session will present the latest information on 1) the role of the mast cell in asthma and other allergic diseases 2) the role of 1L-13 in asthma and 3) the genetics of asthma and other allergic diseases.

Update on Mast Cell Biology and Its Role in Allergic Diseases
Joshua Boyce, Harvard Medical School, Boston

Role of 1L-13 in Asthma
Marsha Wills-Karp, Johns Hopkins University, Baltimore

Genetics of Asthma and Other Allergic Diseases
Lanny Rosenwasser, University of Colorado Health Science Center and the National Jewish Hospital and Research Center

¨Molecular Genetics in Pediatric Practice
Chairs: Michael M. Kaback, Children’s Hospital and Health Center and the University of California, San Diego and Judith G. Hall, University of British Columbia, Vancouver

This session will address some of the dramatic recent developments in molecular genetics and their relevance to modern pediatric practice. These powerful and pervasive technologies will be addressed from a "forest" point of view, indicating how these innovations may impact diagnosis, treatment, and counseling in various sectors of pediatric practice. Molecular genetic methodologies have implications not only for classic inborn errors of metabolism and clearly defined genetic disorders, but are now becoming pivotal in the characterization of presymptomatic conditions and in defining predispositions to many common disorders which manifest both in childhood and/or adult life. The implications of these technologic advances are vast. From oncology to infectious disease--from congenital malformations to behavioral aberrations--these powerful new technologies are altering, and will continue to alter, the nature of medical practice.

Introduction and Overview
Judith G. Hall, University of British Columbia, Vancouver

The Technology of Molecular Genetics: Diagnosis, Prognosis, Intervention
Bradley Popovich, Oregon Health Science University, Portland

Molecular Mechanisms of Genetic Disease
David Valle, John Hopkins University School of Medicine, Baltimore

Molecular Genetics: Applications to and Implications for Patient Care
Larry J. Shapiro, University of California, San Francisco

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

Tuesday, May 16

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

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

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

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

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

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

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

• Childhood Asthma (Platform)
• Medical Informatics (Platform)

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

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.

SG29 Women in Medicine
Chair: Carol Berkowitz

The Women in Pediatrics SIG will focus on two areas. First the group will revisit the issue of mentoring, and the barriers that exist to establishment of mentoring relationships. The characteristics of successful mentor-mentee dyads will be discussed. MOMS (Mentors Over Miles) will again be explored.

Time management will also be discussed. Balancing professional and personal lives requires masterful time management skills, and we will discuss strategies for success.

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

12:15 pm - 2:15 pm - HOT TOPICS

¨Underserved