 |
Saturday, April 28 - Tuesday, May 1, 2001 Jointly
sponsored by the In cooperation with |
Expanded schedules for:
Saturday, 4/28
Sunday, 4/29 Tuesday,
5/1
Schedule-at-a-Glance |
MONDAY, APRIL 30
|
7:00am - 8:00am
PUBLIC POLICY
LEGISLATIVE BREAKFAST SYMPOSIUM
Vaccine Funding - Conflicts between Markets and Regulation
7:15am - 8:45am
APA REGIONAL BREAKFASTS
8:00am - 10:00am
SUBSPECIALTIES/THEMES
(Original Science Abstract
Programs)
Cardiology
Genetic
Basis of Disease II
Neonatal
and Fetal Nutrition and Metabolism I
Neonatal
Infectious Diseases
Neonatal
Outcomes and Followup I
Pharmacology
Practice
Issues in the NICU
Protection
Against Brain Injury
Pulmonary:
Airways Infection and Inflammation
8:00am - 10:00am
TOPIC SYMPOSIA
Endocrine
Disruptors: What Are They and What Do We Know About Their Health
Effects?
Chairs: Phillip Landrigan, Center for Children's Health & the
Environment, Mt. Sinai School of Medicine, New York, NY
and Ruth Etzel, The George Washington University School of Public Health
and Health Services, Washington, DC
Hormones regulate critical biological functions including neurologic growth, sexual differentiation, and organ maturation, through intricate signaling mechanisms. Pregnant women, infants, and children are increasingly exposed to chemicals in the environment that mimic or block hormones, often at very small doses. Exposure to these endocrine disruptors occurs at home, in the workplace and the community, and even as a consequence of medical care. This session will review the growing evidence of adverse health effects due to exposure to endocrine disruptors and discuss new research efforts that will help fill in the gaps in our knowledge in this area.
NHANES: A Rich Source of National Pediatric and
Adolescent Exposure Data
Elaine Gunter, NHANES Laboratory, Centers for Disease Control and
Prevention, Atlanta, GA
Biomarkers in Endocrine Disruptor Research
Cynthia F. Bearer, Case Western Reserve University, Cleveland, OH
Evidence of Endocrine Disruption: Lessons From
Wildlife
Louis Guillette, University of Florida, Gainesville, FL
Helicobacter pylori Infection in Children and
Adolescents: Advances and Recommendations
Chairs: Benjamin D. Gold, Emory University School of Medicine, Atlanta,
GA and VasundharaK. Tolia, Children’s Hospital of Michigan, Detroit,
MI
The diagnosis and treatment of H. pylori in children is a controversy surrounded with questions of who should be tested, what are the most reliable tests, who should be treated, and what is the preferred therapy. A panel of experts will examine the epidemiology and clinical outcomes of infection, microbial and host factors, and the newly published clinical practice guidelines from the North American Society for Pediatric Gastroenterology and Nutrition.
Epidemiology and Clinical Outcomes of Infection
John D. Snyder, University of California Medical Center, San Francisco,
CA
Microbial Genome and Virulence Determinants
Philip M. Sherman, The Hospital for Sick Children, University of
Toronto, Toronto, ON, Canada
Host Responses as Determinants of Disease Outcome
Sheila Crowe, University of Texas Medical Branch, Galveston, TX
NASPGN Clinical Practice Guideline Summary and
Recommendations
Steven J. Czinn, Case Western Reserve University School of Medicine,
Cleveland, OH
Sponsored Jointly with the North American Society for Pediatric Gastroenterology & Nutrition
9:00am - 12:00noon
SPECIAL INTEREST GROUPS
Child
Abuse
1) Ongoing research projects
Descriptions of innovative educational and clinical programs
Community-Based
Physicians
The second meeting for this group will be held on Monday, April 30 from
9-12 am at the Baltimore PAS meeting. This SIG is designed for those
community-based APA physicians involved in academic pursuits such as
practice-based research or teaching in a community setting. Items to be
covered include the relationship of our group to the APA (faculty
development, academic appointments etc.) and the AAP (CATCH, PROS
etc.) and how the group can develop a network for better
communication about programs (the first newsletter should be published
this Fall) including a data-base to allow trainees to access those sites
involved in a variety of teaching and research functions. Any questions
or suggestions should be addressed to Dr. Emanuel Doyne: doyne0@chmcc.org
or 513-636-8043.
International
Health
Hello to all of the APA International
Health SIG members!
We have collected an excellent
group of presenters and anticipate an exciting program. Please be
sure to share the following highlights and invite interested colleagues
to attend:
- Lisa Albers, of Boston Children's Hospital, will begin with a discussion of International travel for work and leisure. During this presentation, the epidemiology of travel related concerns and practical pre-travel preparation, including preventive immunizations and medications, will be discussed. Special considerations for pediatric travelers and physicians working abroad will be emphasized. Resources will be provided for use by physicians preparing their patients for international travel.
- Joe Sherman, of the University of Washington, will discuss his experience and share lessons learned during his recent work in a Pediatric Hiv clinic in Kampala, Uganda. The objectives of his talk "Peri-natal HIV in Uganda and the Developing World: prevention and care" include (1) the identification of strategies for reducing peri-natal HIV transmission in the developing world, (2) a discussion of challenges of delivering pediatric care in Uganda, and (3) a discussion of the effects of the HIV epidemic in Africa. Of note, many of you may remember Joe as faculty from Georgetown who ran the mobile clinic in Washington, DC.
- Ezekiel Mupere, this year's APA International Health Award recipient, will be our final speaker. He will discuss his research examining the clinical efficacy of Measles vaccine in Urban Africa and alternative strategies in measles control. Additionally, he will discuss his clinical work in the Northern Ugandan Gulu district and highlight his recent experience during the Ebola outbreak.
The APA Presidential Plenary and Armstrong Lecture will take place Monday afternoon from 1:00 to 5:30pm in Ballroom I/II. The plenary will end with Dr. Mupere's research presentation and award acceptance. We hope that you will all have the opportunity to attend and support this important aspect of the IH SIG.
Medical
Student Education
This year we will focus on enhancing our skills in the evaluation of
competencies. The format will include three critical components.
1. Brief review of concepts of competency based evaluation from experts
in the field, including (but not limited to) OSCE’s, Standardized
Patients, Oral Exams and Written exams.
2. Group work to develop a template for competency based evaluation of
skills that are part of the national curriculum for students (COMSEP).
This has relevance for residents as well.
3. Organizing collaborative work for the entire year, in the spirit of
the Physical Examination Video.
We will also have time for poster presentations (submit any ideas
including program description and new ideas) this is a terrific forum
for first time academic forays in a friendly environment - an update on
the PE video, and a review of other national work that affects medical
education.
Finally, we will reserve some time to share Palm applications through
poster presentations and informal discussion. Anyone interested in
medical education should attend.
Women
in Medicine
The Women in Medicine Special Interest Group will have presentations
dealing with the experiences of minority women: the past, the present
and the future, lessons for us all. There will be personal
presentations highlighting barriers as well as opportunities. The
SIG will hear about efforts aimed at increasing minority recruitment.
| 9:00am - 12:00noon WORKSHOPS |
 Requires
advance enrollment
|
WS
30 Approaches to Identifying and Measuring Quality for Children with Chnronic ConditionsThe identification and measurement of health care quality for children with chronic conditions is a pressing need shared by clinicians, health plans, consumers and Federal, State and local health agencies. Available methods vary widely in the definition of chronic condition used and cost of administration. The goal of this workshop is to outline alternatives for identifying and measuring quality for children with chronic conditions and an approach that is expected to be used in National health plan monitoring systems (HEDIS) as well as the National Medical Expenditures Panel Survey (MEPS). Two parent survey based and administrative/diagnostic based method for identifying children with chronic conditions will be compared in terms of their appropriateness for alternative applications such as case identification, quality improvement, quality assessment, comparing performance of providers and/or health plans or community health assessment. Results from a 16 sample, multi-State, multi- health plan study testing and comparing these methods will be used as a basis for recommendations. Real life examples of using the identification and measurement tools for prevalence’s estimation, case identification, quality improvement and performance comparison will be provided.
C. D. Bethell, D. K. Read, The Foundation for Accountability, P. Newacheck, UCSF Institute for Health Policy Studies, R. E. K. Stein, Albert Einstein College of Medicine, J. Fowler, University of Massachusetts, J. Thompson, Arkansas Children’s Hospital
WS3
1 Developmentally Oriented PediatricsThe objective of this workshop will be to introduce strategies to teach pediatric residents about the Healthy Steps approach of developmentally-oriented, primary care. With the support of the Commonwealth Foundation and other funders, we developed an innovative program (presently in 24 practices nationally) called "Healthy Steps" (HS). HS enhances services for young children in primary care through such strategies as teachable moments, promotion of early literacy, parent handouts, and other family supports. To implement HS, we have created an interactive curriculum involving video vignettes of children’s behavior and a CD-ROM to help pediatricians better understand and respond to the social, emotional, fine motor, and cognitive development of infants and toddlers. Specifically, the curriculum emphasizes improving observational skills and understanding the meaning of children’s behavior and development.
The curriculum and associated videos have been presented to more than 50 faculty of pediatric residency training programs and are presently used in a variety of settings, including pre-clinic primary care conferences or as part of developmental and behavioral pediatrics rotation. This workshop will provide the tools to enhance resident training in developmental and behavioral issues through its innovative, multi-media, interactive approach.
Barry Zuckerman, Steven Parker, Margot Kaplan Sanoff, Marilyn Augustyn, Boston University, Boston, MA
WS3
2 Ethical and Policy Issues in Pediatric ResearchThe participation of children in research is a double-edged sword. Children are vulnerable and need protection, yet their participation is critical to ensure improvements in the medical care of this same population. The fundamental question is how to balance the need for protection and access in a manner that is ethically sound and yet pragmatically feasible.
In this workshop, we will look at various recent publications in pediatric journals and present several vignettes to explore ethical and policy issues regarding the participation of children as human subjects. Through the scenarios, we will discuss such issues as: 1) the questions raised by the need to balance access versus protection; 2) the potential impact on this balance of the new NIH and FDA policies that went into affect in the late 1990s; 3) ethical issues regarding consent to participation (e.g., should adolescents be able to consent to research without parental participation?); and 4) ethical issues in research design (e.g., when are placebos morally justifiable?). For each vignette and journal article, the workshop leaders will then present where there is and is not consensus between bioethicists.
L. F. Ross, J. D. Lantos, G. Koren, S. Leikin, University of Chicago, Chicago, IL (LFR, JDL), University of Toronto, Toronto, Canada (GK), Office of Human Protection Research, Department of Health and Human Services, Washington, DC (SL—probable).
WS3
3 Health Care Delivery Models: Key Elements of SuccessThe medical home model of care is described as accessible, family-centered, comprehensive, continuous, coordinated, compassionate and culturally-competent. Components include attention to mental health, parent support, education, religious and spiritual support, access to specialists, and finances. Community pediatrics recognizes economical, educational, environmental, social, political and family forces that impact on child health. Service integration and advocacy are seen as key to the medical model and the practice of community pediatrics. The role of the interdisciplinary team proposes new avenues for effective health care delivery. Translating these concepts into reality as part of program design is challenging. Integrating residency education, program evaluation, and promoting sustainability require a deliberate process. This workshop will address the key components of innovative programs providing improved access to care for children and adolescents. The panelists will review the literature, summarize the experience of the broad-based community partnerships of the Community Access to Child Health Programs (CATCH) and the experience of the recipients of the APA Health Care Delivery Award. The extent to which these models reflect evidence-based practice will be discussed. Specific resources to develop programs will be shared with the workshop participants.
D. Laraque, J. Cox, M. LoFrumento, T. Tonniges, K. Capitulo and the APA Health Care Delivery Committee, Mt Sinai Medical Center, NY; Children’s Hospital, Boston; Franklin Pediatrics, NY; American Academy of Pediatrics
WS3
4 Improving Medication Safety for Pediatric InpatientsStudies from New York, Colorado and Utah, and Australia have demonstrated a high rate of adverse events in the inpatient setting related to medical error, in particular one-in-five related to medication error. A recent Institute of Medicine report stressed the importance of improving systems to reduce preventable adverse drug events in health care. CHAI is a collaborative of thirteen pediatric hospitals that have successfully improved their medication systems to reduce preventable adverse drug events. CHAI representatives will use a complement of short lectures and work sessions to introduce a conceptual framework for assessing medication systems and a model for improvement that will lead to successful change and reductions in preventable adverse drug events. The workshop will emphasize a non-punitive and systems-oriented approach to quality improvement. Participants will be expected to bring a pre-workshop assessment of their medication systems and will identify and work on a specific medication-related problem during the course of the workshop. Institutional teams, in contrast to individuals, will be given priority admittance to the workshop.
G. Takata, C. Taketomo, and W. Mason (Childrens Hospital Los Angeles, Los Angeles, CA), L. Brodsky and M. Cimino (Children’s Hospital Buffalo, Buffalo, NY), and M. Kirschbaum (Child Health Corporation of America, Shawnee Mission, KS), representing the Child Health Accountability Initiative (CHAI)
WS3
5 Medical Informatics Rotations for Pediatric House StaffAs pediatricians are called upon to manage more complex clinical and administrative information, educators of residents should respond by providing relevant curricula in medical informatics (MI).
In this workshop, participants will relate their experiences with two different but long-standing MI electives for pediatric house officers. The workshop leaders will demonstrate templates, reading lists, web-based course administration, syllabi, and curricula used to facilitate MI experiences. Curricular content areas for these rotations include basic information technology literacy, the Internet, accessing medical literature, evidence-based medicine, practice management systems, hospital information systems, decision support, and health services research. The workshop includes an orientation to educational guidelines, a tutorial on web-based course administration, and strategies for integrating the experience into the residency program. Participants should have some familiarity with information technology but not necessarily special expertise in MI. Participants who desire to create an elective experience as described in this workshop should need no special resources other than internet access and as little as four hours a month to devote to supervising the residents. Participants will also be able to take away evaluation tools for pre-test and course evaluation purposes.
S. Andrew Spooner, University of Tennessee at Memphis, Memphis, TN, and Raymond G. Duncan, Cedars-Sinai Medical Center, Los Angeles, CA
WS3
6 Quality Improvement Research: A How To SessionQuality improvement activities are intended to close the gap between desired evidence-based structures and processes of health care and what is actually delivered. The Federal Agency for Healthcare Research and Quality (AHRQ, formerly the Agency for Health Care Policy and Research) continues to encourage and support rigorous research so that quality improvement efforts can themselves be evidence-based. In this workshop, AHRQ awardees will explain how they successfully applied for grants for quality improvement research, and how they are conducting quality improvement research in real world settings. The grantees will discuss the theoretical and conceptual QI frameworks that informed their approaches, the interventions they designed and implemented, the tools they used and developed, the importance of collaborations with health systems, the real world barriers and opportunities they encountered, and how they handled IRB requirements. Panelists’ projects concern jaundice (Palmer, funded in 1998): timely delivery of surfactant to high-risk neonates (Horbar, funded in 1999); and pediatric asthma (project(s) to be funded in 2000). The workshop will include substantial opportunities to address participants’ questions about individual research projects and the overall QI theme.
D. M. Dougherty and M. Miller (co-chairs), Agency for Healthcare Research and Quality, Rockville, MD; R. Heather Palmer, Harvard University; Jeffrey D. Horbar, M.D., University of Vermont College of Medicine; other awardees of AHRQ quality improvement grants
WS3
7 Sudden Cardiac Death in Young AthletesSudden, unexpected death among young athletes is receiving increasing attention by the press and public. This has created a need for physicians working with young athletes to understand the most common causative conditions, and how to respond appropriately.
Participants will understand common causes of sudden
cardiac death in young athletes, learn about the natural history and
clinical features of hypertophic cardiomyopathy, and obtain the latest
guidelines for athletic participation and information on prevention.
Co-sponsored by the AAP Sections on Sports Medicine and Fitness and
Cardiology
Ronald Feinstein, University of Alabama Birmingham, Reginald Washington, AAP Committee on Sports Medicine and Fitness, Barry I. Maron, Mayo Clinic
WS3
8 Using Evidence-Based Decision-Making in Pediatric Practice: You Can Do It!Introduction: Practicing evidence-based decision-making (EBDM) is an essential skill for lifelong learning among practicing pediatricians and pediatric residents. The author has developed a set of workshops for general pediatricians designed to help build skills in EBDM and to teach these skills to residents in their clinics.
Goals: As a result of this workshop, participants will be able to 1) translate a clinical scenario into a well-built clinical question; 2) describe basic literature search techniques; 3) critically appraise an article; and 4) describe several tools useful for the daily practice of EBDM. This workshop will be useful for those just learning about EBDM and those want to teach this material to students or residents in their offices.
Format: Following a brief overview of EBDM, the participants will self-select small groups to focus on skills in the practice or teaching of EBDM. Each will have its own facilitator, to ensure that each participant comes away with the skills and comfort to be able to apply this knowledge in their daily practice. Special attention will be given to the newest sources available through the internet to facilitate the practice of EBDM. The session will conclude with discussion of useful pearls for the practice and teaching of EBDM generated by the participants. Participants will receive a workbook with handouts, pediatric case discussions, and teaching materials.
J. G. Frohna, Sheila Gahagan, Kenneth Pituch, and Stephen Park, Department of Pediatrics, University of Michigan, Ann Arbor, MI
WS3
9 Using the Medical Expenditure Panel Survey for Pediatric ResearchThis workshop will enable participants to begin using public use files from the Medical Expenditure Panel Survey (MEPS), a large national study of health care use and expenditures, health status, access to care and insurance. The design of the survey will be reviewed and examples of past uses of the survey for pediatric research will be discussed to demonstrate the potential uses of the MEPS for children’s health care issues and policy interventions. Participants will become familiar with the content of public use files, including person-level files, condition files, and event files, such as ambulatory care, hospital, emergency room, and prescribed medication files. The workshop will also cover the basics of setting up an analytic file for research from public use files and the use of appropriate software. Time will be allotted for questions. This workshop is designed for health services researchers who have a background or interest in using national surveys. Some familiarity with statistical software (SAS, SPSS, etc.) would be helpful. Analysts whose primary interest is in local area analysis or clinical research would not benefit from this workshop.
N. A. Krauss, R. M. Weinick, and J. S. Banthin Center for Cost and Financing Studies, Agency for Healthcare Quality and Research, Rockville, MD
10:00am - 12:00noon
SUBSPECIALTIES/THEMES
(Original Science Abstract
Programs)
Adolescent
Medicine II
Emergency
Medicine II
General
Pediatrics and Preventive Pediatrics I
Health
Services Research: Interventions and Delivery of Care
Underserved
Populations: Potpourri
10:15am - 12:00noon
SPR PRESIDENTIAL
PLENARY AWARDS
Presidential Address (Ora H.
Pescovitz, Riley Hospital for Children)
Young Investigator & E. Mead Johnson Lectures
Student, House Officer & Fellow Research Awards
11:30am - 1:00am
COMMERCIAL EXHIBITS
OPEN AND POSTERS AVAILABLE FOR VIEWING
12:00pm - 1:00pm
KERNICTERUS
SYMPOSIUM
12:15pm - 1:00pm
SPR BUSINESS MEETING
12:15pm - 1:00pm
BIOETHICS
INTEREST GROUP
1:00pm - 2:30pm
MARCH OF DIMES PRIZE IN DEVELOPMENTAL
BIOLOGY LECTURE
1:00pm - 5:30pm
APA PRESIDENTIAL PLENARY AND ARMSTRONG
LECTURE
Presidential Address (Kenneth
B. Roberts, Moses Cone Memorial Hospital)
Armstrong Lecture
2:45pm - 4:45pm
MILK
CLUB
2:45pm - 4:45pm
SUBSPECIALTIES/THEMES
(Original Science Abstract
Programs)
Clinical
Bioethics
Critical
Care
Cytokines
and Brain Injury
Gastroenterology
Genetics/Inborn
Errors/Dysmorphology
Heart
and Lung Development
Neonatal
Chronic Lung Diseases
Neonatal
Outcomes and Followup II
Neurodevelopmental
Disabilities I
Placental
Mechanisms: Growth, Development, Regulation
2:45pm - 4:45pm
TOPIC SYMPOSIUM
Are All
Diseases Infectious?
Chairs: Sarah S. Long, MCP
Hahnemann University School of Medicine, Philadelphia, PA and Richard F.
Jacobs, University of Arkansas for Medical Sciences, Arkansas Children’s
Hospital, Little Rock, AR
Increasingly, scientific evidence is becoming available that links chronic diseases such as atherosclerosis, neuropsychiatric disorders and certain malignancies with infectious roots. Faculty will expose the fascinating existing information and help put novel findings and theories in perspective.
Are All Diseases Infectious?
Bennett Lorber, Temple University School of Medicine, Philadelphia, PA
Chlamydia pneumoniae and Atherosclerosis:
Weighing the Evidence
Thomas C. Quinn, Johns Hopkins University, Baltimore, MD
Epstein-Barr Virus, Lymphoproliferation and Cancer
John L. Sullivan, University of Massachusetts School of Medicine,
Worcester, MA
Virus Infections and Neurobehavioral Diseases:
Lessons from the Borna Disease Virus Model
Kathryn M. Carbone, Laboratory of Pediatric and Respiratory Viral
Diseases, U.S. Food and Drug Administration, Bethesda, MD
Sponsored Jointly with the Pediatric Infectious Diseases Society
4:30pm - 6:30pm
COMMERCIAL EXHIBITS
OPEN AND POSTERS AVAILABLE FOR VIEWING
Available for Viewing -
4:30pm - 6:30pm
Author Attendance - 4:45pm
- 6:30pm
4:45pm - 6:30pm
POSTER SESSION III
Cardiology
Cardiac and Pulmonary Development
Genetic Basis of Cardiac Disease
Cell Signaling
Clinical Research
Pulmonary and Vascular Biology
Critical
Care
Cytokines and Signaling
Oxidants and Antioxidants
Clinical
Neurology
Brain Metabolism and Injury
Developmental Biology
Vascular Biology
Cardiopulmonary Development
Gene Expression
Brain Development
Gastroenterology
Clinical Advances
Enterocyte Cell Biology
and Pathobiology
General
Pediatrics & Preventive Pediatrics
Child Health Supervision
Delivery of Care
Asthma
Newborn Care
Oral Health
Neonatology
Maternal Disease/Interventions
Neonatal Hematology/Bilirubin
Metabolism
Miscellanous Metabolism
Outcomes/Follow-up Studies
Neonatal Feeding/Nutrition/Metabolism
Neurodevelopmental Disabilities
Neonatal Outcomes
ADHD
General
Neurology
Pulmonology
SIDS/Sleep Disordered Breathing
Chronic Lung Diseases
Laboratory
Studies of the Pathophysiology of Lung Injury and Chronic Lung Diseases
Pharmacology
General
Pharmacolinetics and Metabolism
5:00pm - 6:00pm
PEDIATRIC INFECTIOUS DISEASES SOCIETY
BUSINESS MEETING
6:45pm
PAS PRESIDENTIAL AND
NEW MEMBERS RECEPTION
6:45pm - 8:00pm
LUNG
CLUB
6:45pm - 9:45pm
SOCIETY
FOR DEVELOPMENTAL PEDIATRICS
Schedules for:
Saturday, 4/28
Sunday, 4/29
Tuesday,
5/1
Schedule-at-a-Glance
Affiliated Societies and Club Schedules
Last Modified: September 26, 2006