8:00am - 10:00am
8:00am - 10:00am Preventing
Child Abuse and Neglect: What Works? There is a growing body of research examining the prevention of child abuse and neglect. The link between domestic violence and child maltreatment has become increasingly clear, with important implications for pediatricians. Recent studies have demonstrated the potential impact that various strategies could have on the incidence of abuse and neglect. This symposium will present new information regarding the use of home visitors and the role of physicians in identifying and preventing abuse. The presenters will also discuss the need to establish child abuse prevention as a higher priority for funded research and as a major public health concern. A National Call to Action to End Child Abuse Domestic Violence, Child Maltreatment, and the
Pediatrician's Role Building
Systems to Improve Preventive Care: Linking Home & Office-based Prevention Preparing Physicians to Identify and Prevent Abuse 8:45am - 11:45am Environmental
Health The Pediatric Environmental Health Special Interest
Group is again invites your participation at our annual session at the
Spring Pediatric Academic Societies Meeting in Baltimore. Our agenda
will include the following: The Faculty Development 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 those areas. This year we will use the majority of our time for a training session in tools to measure effectiveness. We will also allow time for sharing and brainstorming. The SIG is co-chaired by Michelle S. Barratt, Charlene Gaebler-Uhing and Ronald V. Marino. Contact Michelle for questions or to join the list serve (Michelle.S.Barratt@uth.tmc.edu or 713-500-5810). Health Services ResearchThe HSR SIG will sponsor a session on implementing quality improvement research, including research in patient safety for children. The session will be moderated by Larry Kleinman (Lehigh Valley Hospital) and facilitated by senior staff from the Agency for Healthcare Research and Quality (AHRQ). Quality 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 session, senior AHRQ staff will explain their quality improvement initiatives and how applicants have responded with projects ranging from neonatal intensive care improvements to chlamydia screening for young women. There will be discussion of theoretical and conceptual QI frameworks, interventions, tools, the nature of collaborations with health systems, real world barriers and opportunities, and IRB requirements. Patient safety is promoted through the development of clinically appropriate plans for patient care and the successful implementation of those plans as intended. Patient safety research may investigate human and/or system factors that promote appropriate medical decision making and the successful delivery of clinical services. Injury
Control Reports from SPIG members on their local activities in injury control will also be discussed. New funding opportunities will also be explored through the pertinent Federal agencies. All are invited to attend the SPIG. Medical
Informatics Pediatric
Telephone Care
WS40
The
Brief Structured Observation: A Tool for Focused Feedback In the ‘BSO’ a faculty member or senior resident watches a trainee (student or intern) perform a short segment of a patient encounter. During this encounter the preceptor writes verbatim the questions or statements of the student. Following the segment the preceptor debriefs the learner and uses the recorded script to provide specific feedback on the encounter. In an interactive format, workshop participants will practice the technique by observing live medical students and simulated patients. We will also model the BSO method by giving participants feedback on their skills. We will also discuss our experience with using the BSO in different settings (inpatient and outpatient) and for the assessment of the competencies of different learners (students and residents). Ken Pituch, Jonathan Fliegel and Katherine Layton, University of Michigan Medical School, Ann Arbor, MI WS41
Dietary
Supplement Use in Infants and Children: Justification and Safety P. M. Coates, D. J. Raiten and M. F. Picciano, Office of Dietary Supplements, National Institutes of Health and Office of Prevention Research and International Programs, National Institutes of Child Health and Human Development, Bethesda, MD WS42
International
Adoption: New Children and New Challenges Using real life examples of medical records and videotapes, this workshop will give the practitioner hands-on experience in the types of issues and range of problems presented to families at the time they are considering adoption. The most common medical, developmental and behavioral concerns will be addressed in the context of what is the "abstractnorm" for different orphanages and cultures. The second part of the workshop will focus on the short and long-term follow-up of the children after adoption. Again, using real-life examples, the practitioner will have the opportunity to review some of the major issues facing these children and their parents as they recover from a myriad of social and medical insults. Jerri Ann Jenista, Departments of Pediatrics and Emergency Medicine, St. Joseph Mercy Hospital, Ann Arbor, MI and Provisional Section on Adoption, American Academy of Pediatrics WS43
Methods
to Establish Productivity-Based Compensation Programs that Align
Academic Health Center Incentives with General Pediatric Faculty
Performance This workshop will focus on the tools needed for creation and implementation of a productivity-based compensation program in an academic health center. Measures of physician productivity, including collections, visit numbers, and relative value units (RVUs) will be discussed and evaluated. Participants will have the opportunity to review, analyze and critique two years of experience with a field-tested program. 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, and 6) establish a regular checks and balance system for accurate recording of performance activity. Margie Andreae, Gary L. Freed, Division of General Pediatrics, University of Michigan, Ann Arbor, MI WS44
Physician
Needs for Managing Type 2 Diabetes in Pediatrics In the workshop, an overview of contemporary educational material available for DM2 adults and a survey of DM2 materials used by pediatric diabetes specialist will be provided. Then, the participants will evaluate the style and content of 2 contemporary videotapes and 2 chapters from DM2 educational manuals. Finally, a roundtable discussion will be held to identify 8-10 key concepts to be communicated to youth with DM2, the format that would most effectively communicate these (e.g., manuals vs. videotapes) and potential barriers to translating concept into action. Daniel E. Hale, Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, TX WS45
The
Pinpoint Pupil: Assessing Adolescents for Substance Use S. Levy, B. Vaughan, A. Arneill, J. R. Knight, Department of Pediatrics, Harvard Medical School; Division of General Pediatrics, Children’s Hospital, Boston, MA WS46
Reducing
Medical Errors: Time to Take Action S. Selbst, S. Levine, J. Gould, B. Taylor, J. Fein, K. Osterhoudt, A.I. duPont Hospital for Children,Wilmington, DE and Children’s Hospital of Philadelphia, PA WS47
Teaching
Pediatricians to Mobilize Communities The goals of this workshop are to introduce the CATCH curriculum, present ABCD concepts, and establish a basic framework for community building activities. This workshop includes an overview of the whole CATCH curriculum and presentation of two components: asset mapping and forming partnerships. In asset mapping, participants learn about the potential of associations and how to identify these untapped community resources for improving children’s health. The participants then develop strategies to mobilize these community partners for a potential community-based project in the second session. The other components of the curriculum, setting goals and objectives and evaluating results, will be described in the overview. Arnold Gold, Diane Littlefield, Carol Pandak and Richard Pan; Fremont-Rideout Health Group, Yuba City, CA, Center for Collaborative Planning, Public Health Institute, Sacramento, CA, Dept. of Community Pediatrics, American Academy of Pediatrics, Elk Grove Village, IL, UC Davis, Dept. of Pediatrics, Sacramento, CA WS4 8 Teaching the Culture of the Community: Developing Culturally Sensitive Community FacultyDespite increasingly prevalent curricula on cultural sensitivity and awareness in medical school, there are no published descriptions of faculty development programs to prepare primary care educators to teach students this material in community settings. This workshop will describe and involve participants in a curriculum developed at the UMASS Community Faculty Development Center that teaches primary care physicians to incorporate cultural competence and patient advocacy into their office-based teaching activities. The curriculum is delivered in 3 modules presented to our community faculty during a faculty development series. Participants will be provided with a concentrated version of our three modules. Participants will be oriented to the educational planning process (GNOME) developed at our institution. We will discuss how to assess the needs of students with regard to cultural sensitivity, using an interactive format and videotaped examples. Teaching methods that assist with attitudinal objectives including collaborative and facilitative teaching styles, self-reflection and role modeling will all be emphasized. After a short break, 4 specific strategies that facilitate the development culturally competent students will be reviewed: the Patient-Centered Interview; the Social Review of Systems; the LEARN negotiation technique; and use of the community as teacher. Following a large group video demonstration role-play, participants will then break out into small groups. Teaching case vignettes that emphasize needs assessment, attitudinal objectives and teaching skill objectives will be role-played in the small groups, and discussed. Finally, we will reconvene to present workshop evaluation data and discuss ways in which this curriculum could be adapted to their home institution. D. M. Keller, W. J. Ferguson, Departments of Pediatrics and Family Medicine/Community Health, UMASS Medical School, Worcester, MA WS4 9 WORKSHOP 49 IS CANCELLED
10:30am - 1:00pm 11:30am - 1:00pm
12:30pm - 2:30pm Man
Meets Microbe Previously we have thought that most infections are the circumstance of "bad luck". This session will highlight the exploding information on our innate immunity, subtle defects that cause susceptibility to certain pathogens, and the remarkable mechanisms of microbial pathogenesis. Toll-like Receptors, Innate Immunity and Responses to
Microbial Antigens Evading Host Defenses: Lessons from Bordetellae Recurrent Urinary Tract Infections: Acute or Chronic? HIV Receptor Interactions: Mechanisms and
Opportunities Sponsored Jointly with the Pediatric Infectious Diseases Society 1:00pm - 2:30pm Newborn
Screening in the 21st Century: Needs, Opportunities and Challenges Advances in molecular genetics and high through-put analytical chemistry like tandem mass spectrometry (MS/MS) are enabling technologies that permit expanded newborn screening for presymptomic diagnosis of disorders not previously feasible. The prototype genetic disease for which newborn screening is now available is cystic fibrosis. The group of metabolic diseases that can now be diagnosed by MS/MS includes medium chain acyl-CoA dehydrogenase (MCAD) deficiency and related disorders of fatty acid oxidation. This symposium will address the issue of whether these diseases should be added to expanded newborn screening profiles. If so, what is the sensitivity and specificity of the currently available tests? If included in expanded screening programs, who should do the testing and how? What are the implications for genetic counseling? Should any of the new approaches be adapted to preconceptual testing? What important policy issues are created by this new capacity? There is substantial variation among states currently on screening programs. Should there be national guidelines? Who should decide about expanded screening? How will these new tests be paid and by whom? Newborn Screening for Cystic Fibrosis: An Opportunity
to Give Every CF Patient a Health Start Tandem Mass Spectrometry and Expanded Newborn
Screening Public Policy Issues in Expanded Newborn Screening Supported by an educational grant from the March of Dimes Birth Defects Foundation Traumatic
Brain Injury in Infants and Children in the 21st Century: Mechanisms,
Therapies and Outcomes Trauma is the leading cause of death in children and severe traumatic brain injury is a key contributor to this mortality and important morbidity. This session will focus on novel developments in our understanding of the mechanisms of secondary damage that evolve during the acute phase after injury, novel therapeutic approaches to this important condition-including therapies targeting brain swelling and delayed neuronal death. Finally, reorganization of the injured brain and potential therapeutic implications in the subacute/chronic phase will also be discussed. Key Mechanisms of Secondary Damage After Traumatic
Brain Injury in Infants and Children Secondary Cerebral Swelling and the Use of Hypertonic
Saline Understanding and Targeting Neuronal Death Reorganization of the Injured Brain: Therapeutic
Implications 2:45pm - 4:45pm
2:45pm - 4:45pm Biologic
Influences on Brain and Behavior The roles of nature and nurture in shaping behavior are complex and our understanding of them is constantly expanding. Exciting recent findings have given us new perspectives on biologic influences on brain functioning and subsequent behavior. Genetic conditions can be reflected in clearly identifiable behavioral phenotypes. Prenatal exposure to nicotine can have effects that are measurable in adolescence, and low level exposure to environmental toxins are impacting cognitive and behavioral functioning of the current generation. Three outstanding speakers will discuss these advances in our knowledge of neuroscience and their implications for the identification and treatment of a variety of neurodevelopmental conditions. Fragile X Syndrome: A Model of Gene-Brain Behavior
Relationships Tobacco, Nicotine and Fetal Brain Damage: The Smoking
Gun in ADHD and SIDS Neurotoxicity of Low-Level
Exposure to Pesticides & PCBs Sponsored Jointly with the Society for Developmental Pediatrics 4:45pm - 6:45pm Brain
Development: Is It All Over by Age Three? Overview The Critical Period
Viewpoint and a More Complete View of the Effects of Experience on the Brain Early Biologic Insults
on Brain Development Neurons to Neighborhood:
Translating the Science to Policy and Program Discussion Hot
Topics in Infectious Diseases A major challenge of daily professional life is keeping abreast of the rapid changes in infectious diseases — pathogens, antimicrobial resistance, therapies and prevention. Four topics are selected because of their timeliness and the importance of new information. Vaccines: The Good, Bad and Ugly Meningococcal Vaccine: Experience and Experiment The MRSA Shows No Mercy Advances in the Antiviral Therapy of Congenital
Cytomegalovirus Infection Sponsored Jointly with the Pediatric Infectious Diseases Society Neonatal
Controversies Neonatal Hypoglycemia Revisited
(Park I) Nitric Oxide and the NICU
(Part II) Genetics
of Hyperinsulinism: Revisiting the Diagnosis and Treatment of Neonatal
Hypoglycemia Expanded Uses of Nitric Oxide in the Neonate Sponsored Jointly with the American Academy of Pediatrics
Schedules for: Schedule-at-a-Glance Last Modified: September 26, 2006 |
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