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

Friday, May 12

9:00 am - 12:00 noon - WORKSHOP

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

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

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

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

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

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.

SG07 Pediatrics for Family Practice
Chair: David Estroff

At last year’s session, we developed goals and objectives for the SIG. This grew out of an APA collaboration with the AAFP that resulted in the publication in July 1998 by the AAFP of the Core Educational Guidelines for Family Practice Residents- Care of Infants and Children. This document can be viewed and downloaded from the AAFP web site at www.aafp.org/edu/guide/rep260.html. [Also, see the newly revised (2/99) version of the Core Educational Guidelines for Family Practice Residents: Adolescent Health at www.aafp.org/edu/guide/rep278.html].

The goal for the SIG is:
To develop new relationships and resources to support faculty who teach care of infants, children, and adolescents in family practice residencies. There are 475 (as of July 1998) accredited family practice residencies in the US, with over 10,600 residents in training.

All of these residents must receive training in patients in the pediatric age groups. Many FP residencies utilize pediatricians to help train their residents in their area of expertise, the care of infants and children both in the in and outpatient setting, both as attendings, preceptors, lecturers.

The objectives of the SIG are:
Resources to collect or gather and make available needs assessments, curricular resources, and evaluation resources to pediatric faculty working with FP residents, and to identify gaps in resources currently available. We will set priorities to fill these gaps, and try to help develop new resources to do so.

We hope to foster relationships and increase communication between concerned organizations; the APA, the AAP, the AAFP and STFM to assist in meeting our objectives. This will include supporting mechanisms for communication and collaboration between the organizations listed. These could include a list serve Internet discussion group and/or a Web site, a newsletter, applying for grants to support educational projects, and regional or local meetings like the SIG sessions where pediatric and FP faculty can work together to provide high quality training to FP residents.

We will continue discussions and review progress towards the goals and objectives mentioned above, and look forward to meeting with AAP colleagues who are invited to attend and participate in the SIG session during our joint meeting in Boston. Please contact David Estroff at e-mail, estrofda@u.washington.edu with suggestions for the session, questions, or comments, or to be added to the SIG mailing list.

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

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

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.

ES23 Foundation Perspectives on Funding Projects Related To Children
The types of issues and policies that influence the development of foundation programs and guidelines will be discussed.

Richard Behrman, Sr. Vice-President for Medical Affairs, Lucile Packard Foundation for Children’s Health/Clinical Professor of Pediatrics, Stanford and UCSF Schools of Medicine, Palo Alto and Karen Hein, President, William T. Grant Foundation, New York

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 - APA COMMITTEE

Research Committee
Chair - Marie C. McCormick, MD, SCD

The  Research Committee welcomes all interested members. Agenda items for the Boston meeting include a discussion of ideas for commissioned workshops and the review process for the joint PAS abstract process. Please email mmccormi@hsph.harvard.edu with any discussion items for this year’s meeting.

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 Programs)

• Epidemiology (Platform)
• Newborn: Health Services Research (Platform)
• The Ethics and Genetics of Inborn Errors of Metabolism (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 Health Care and Policy Research, 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)

• Neonatal Follow-up (Platform)

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

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

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

5 pm - 7:15 pm - POSTER SESSION II

Sunday, May 14

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

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

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

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

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

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

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.

WS26 Qualitative Research In Pediatrics
Qualitative research has steadily acquired greater popularity and respect in medical and health services research over the past two decades. Increasingly, this set of methods is viewed as complementary to traditional quantitative research approaches. Qualitative research techniques represent a diverse set of research methods featuring the collection and analysis of narrative data to capture a subject’s unfiltered view of a situation or topic. Qualitative methods hold particular promise in certain research activities such as medical education, ethics, quality of care, cultural perspectives, survey research and patient-doctor communication.

This workshop will introduce participants to qualitative methodology and its application to research questions in pediatrics by addressing two of the most commonly employed methods: focus groups and ethnographic interviewing. Participants learn to: (1) identify research topics appropriate for the use of qualitative methods; (2) design a qualitative study using the two highlighted methods; (3) organize a paper for publication; (4) determine research opportunities to blend qualitative and quantitative methods in a single multi-method study design. Methodological issues such as sampling, data collection, coding, data analysis, and validity and reliability will be reviewed using examples from published literature and from participants’ own research questions.

D.C. Grossman, C. Feudtner, J.I. Takayama, Department of Pediatrics and Robert Wood Johnson Clinical Scholars Program, University of Washington, Seattle and Department of Pediatrics, UCSF, San Francisco

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

Presidential Address: Thomas Hazinski,Vanderbilt University Medical Center

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

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

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

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

David Nathan Award: Lisa Wang

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

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

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

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

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

2:00 pm - 5:00 pm - WORKSHOPS

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

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

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

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

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

WS41 The Ethics Of Research In Infants, Children And Adolescents
While the NIH and the FDA have both called for greater inclusion of children in research, the ethical barriers have not changed. These barriers frequently strike the clinical pediatrician as unnecessary, if not incomprehensible. The workshop leader participated in the review of the ethical inclusion of children in research at the Mayo Clinic for 10 years and has chaired the review group for 5 years. In this workshop, the participant will gain an understanding of and learn how to apply the rules regarding the ethical inclusion of children as promulgated by the U.S. Department of Health and Human Services. Through the establishment of minimal risk, parental permission, subject assent, and a balance between benefits and risks, these rules apply the spirit of the Declaration of Helsinki to children and can be understood through the principles of beneficence, justice, and self-determination. In this workshop, the leader will present didactic material on the history and current status of the ethical rules as they apply to infants, children, and adolescents. The participants will then break into small groups and apply these rules to several cases drawn from research applications made to the leader’s institution. The participants will reconvene as a large group to discuss the small-group analyses and conclusions.

R. M. Jacobson, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester

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.

SG22 Health Services Research
Chair: Lawrence Kleinman

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

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

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

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

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

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

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

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

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

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

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

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

• Clinical Research in Emerging Countries (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 - 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

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)

• Breastfeeding (Platform)
• Childhood Asthma (Platform)
• Health Services Potpourri (Platform)
• Medical Informatics (Platform)

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.

SG27 Managed Care
Chair: Alan Bernstein

Recognizing the special nature of this year’s combined pediatric meetings and the new millennium, the Special Interest Group on Managed Care will focus on new roles for pediatricians in the managed care environment. Speakers representing three types of medical organizations will discuss their individual roles as pediatricians  within their organization as well as projects they have developed. These organizations include an independent practice association (IPA) HMO, a pediatric practice management (PPM) company and pediatric provider network. Individuals interested in learning about these types of organizations should plan on attending this SIG.

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

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

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

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

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

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

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

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

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Last Modified: April 06, 2000