The mission of Pediatric Grand Rounds is to inform attendees of new developments in various areas of health care for children.

Grand Rounds lectures which satisfy the State of Connecticut Department of
Health’s mandatory continuing education topic requirements for licensing are
scheduled as follows:

• November 20, 2007 Sexual Abuse


• April 15, 2008 Risk Management


• April 29, 2008 HIV

November 27, 2007 “Novice Teen Drivers: Recent Developments and Progress”
Brendan Campbell, MD, MPH Director, Trauma Surgery, CCMC; Assistant Professor of Surgery, University of Connecticut School of Medicine
Garry Lapidus, PA-C, MP Director, Injury Prevention Center, CCMC; Associate Professor of Pediatrics & Public Health, University of Connecticut School of Medicine

December 4, 2007 “Parenteral Nutrition Associated Cholestasis/liver Disease”
Kishore Iyer, MD Associate Professor of Surgery, Associate Professor of Pediatrics, Director, Adult/Pediatric Intestinal Transplantation and Rehabilitation
Program, Director, Pediatric Liver/Pediatric Liver Transplantation Program, Mount Sinai Medical Center, N.Y., N.Y.
Objectives:

1. Define parenteral nutrition associated cholestasis and understand definitions and pathogenesis.
2. Identify current research on the role of fat emulsion.
3. Identify approaches to management and the role for intestinal transplantation.

December 18, 2007 “How to Recognize Sleep Problems in School Age Children.”
Meir Kryger, MD, FRCPC Director of Research and Education at Gaylord Medicine Center; Clinical Professor of Medicine at University of Connecticut; Chairman of the Board, National Sleep Foundation; Past President American Academy of Sleep Medicine.
Objectives:

1. Define the sleep disorders seen in school age children.
2. List the sleep disorders that cause children to fail in school.
3. Know how to evaluate children with sleep disorders.
    

1. Describe the epidemiology of MRSA.
2. Review the data of MRSA in schools.
3. Identify the options for prophylaxing and treating MRSA infections.

John V. Banta Orthopaedic Lectureship

1. Identify the AAP recommendation for DDH screening.
2. Identify the risk factors associated with hip dysplasia.
3. Identify the most appropriate age to get an ultrasound for a newborn with an equivocal exam.

January 22, 2008 “New Trends in Pediatric Emergency Medicine”
Zoe Casey, MD Department of Emergency Medicine, CCMC
Michael Soltis, MD Department of Emergency Medicine, CCMC
Objectives:

1. Identify the applications of emergency ultrasound that are particularly useful to the pediatric emergency department.
2. Demonstrate the utility of emergency ultrasound from the clinically stable to the critically ill patient.
3. List how emergency ultrasound aids with the clinical diagnosis, management and disposition of patients.

January 29, 2008:  The Domestic Violence Grand Rounds lecture scheduled for Tuesday, January 29th has been postponed.

The speaker for January 29th will be Henry Feder, M.D.
Topic: Lyme Stories.

February 5, 2008 “Advancing the Practice of Patient and Family Centered Care… Partnerships for Quality and Safety”
Beverley Johnson President and CEO, Institute for Family Centered Care,
Bethesda, MD.
Objectives:

1. Define the core concepts of patient- and family-centered care and discuss the benefits of partnerships with patients and families for improving quality, safety, professional education, and other business metrics.
2. List three strategies that will facilitate patient and family participation in care and decision-making.
3. Describe a variety of ways to collaborate with patients and families in planning, implementing, and evaluating hospital and ambulatory care; in design planning; in policy and program development; in quality and safety initiatives; in professional education, and in research.

February 12, 2008 "Inherited Diseases and Birth Defects"
Arthur Beaudet, MD Chief, Genetic Service, Texas Children’s Hospital; Professor and Chair, Baylor College of Medicine

February 19, 2008 “Approaches to Disorders of Pigmentation”
Virginia Sybert, MD Clinical Professor, Division of Medical Genetics, Department of Medicine, University of Washington; Staff Physician, Dermatology, Group Health Permanente.
Objectives:

1. Identify the components of pigment in the skin.
2. Identify the common inherited disorders of pigmentation
3. Describe pigmentation abnormalities accurately.

February 26, 2008 “The Late Preterm Infant”
Marilyn Sanders, MD Medical Director of Network Development, Attending Neonatologist, Eastern Connecticut Health Network; Professor of Pediatrics, University of Connecticut School of Medicine

March 4, 2008 “Recurrent Respiratory Papillomatosis: Update 2008”
Craig Derkay, MD Professor and Vice Chairman, Department of Otolaryngology and Pediatrics, Director of Pediatrics, Otolaryngology, Children's Hospital of the Kings' Daughters

March 11, 2008 “DNA-Guided Medicine in Clinical Practice: Applications to Pediatric Pharmacotherapy”
Gualberto Ruano, MD, PHD Director, Laboratory of Personalized Health, President and Chief Executive Officer, Genomas, Inc.; Director of Genetics Research, Hartford Hospital; Adjunct Professor, George Washington University and the University of Puerto Rico
Bruce Bower, MD Medical Staff, Hartford Hospital; Senior Clinical Consultant to Laboratory of Personalized Health, Division of Genomas

March 18, 2008 "Clinical Development of Treatments for Neurofibromatosis Type 1 Related Tumors"
Brigitte Widemann, MD Tenure Track Investigator, NCI, Pediatric Oncology Branch, Pharmacology and Experimental Therapeutics Section
Objectives:

1. Identify neurofibromatosis type 1 (NF1) features, which are required for the diagnosis of NF1, describe the timeline of the development of NF1 manifestations, and their morbidity. and list current treatment options for NF1 related tumors.


2. Describe challenges in the design of clinical trials for NF1 related tumors. Individual will be able to compare individuals with NF1 to individuals with cancers, and how differences in the populations result in differences in the design of clinical trials for cancers and NF1


3. Describe ongoing and planned clinical trials for NF1 related tumor and non tumor manifestations including trial designs and endpoints. Individuals will gain knowledge of ongoing and planned clinical trials for NF1.

March 25, 2008 Pediatric Oncology
Eva C. Guinan, MD  Associate Professor of Pediatrics, Harvard Medical School

April 1, 2008 Critical Care
Christopher Carroll, MD  Pediatric Intensivist, CCMC; Assistant Professor of Pediatrics, University of Connecticut School of Medicine

April 8, 2008 Eating Disorders
James Lock, MD Professor of Child Psychiatry and Director, Stanford Child and Adolescent Eating Disorder Program, Stanford School of Medicine

April 15, 2008** "Risk Management & Professional Liability Issues"
**State Mandated Topic
Joyce Lagnese, Esq.  Attorney for Danaher, Lagnese & Neal, PC

April 22, 2008 Breastfeeding
Susan Landers, MD, FAAP, FABM

April 29, 2008 ** “Approach to Routine HIV Testing in the Office and Schools”
**State Mandated Topic
Juan Salazar, MD, MPH Division of Infectious Disease, CCMC Associate Professor Of Pediatrics, University of Connecticut School of Medicine
Lorraine Wells, RN Infectious Disease, HIV Clinical Coordinator The Andrew N. Schwartz Lecture May 6, 2008 “Advanced Neuro-Imaging”

May 6, 2008 - The Andrew N. Schwartz Lecture - “Advanced Neuro-Imaging”
Gary Spiegel, MD Director of NeuroIntervention, Co-Medical Director Hartford Hospital Stroke Center, Radiologist, Jefferson Radiology, Assistant Clinical Professor, University of Connecticut School of Medicine
Objectives:

1. 1. Define minimally invasive methods currently practiced for treatment of intracranial aneurysms.


2. Identify new catheter-based techniques for the acute treatment of ischemic stroke.


3. Illustrate techniques for the treatment of cerebral arteriovenous malformations, focusing on endovascular methods.

May 13, 2008 - The Cooke Surgical Lectureship -  “Extracorporeal Life Support in Pediatrics"
Robert Bartlett, MD Emeritus Professor of Surgery, Sections of General and Thoracic Surgery, University of Michigan, Ann Arbor
Objectives:

1. Present the indications of ECLS in Pediatrics.


2. Identify the results of ECLS in Pediatrics.


3. Present the management of ECLS in Pediatrics.

May 20, 2008 "At War with the Hidden Curriculum: Ethics Training in Medical School and Residency"
Mark Sabo, MD  Chief Resident, CCMC
Objectives:

1. 1. Recognize various aspects of the hidden curriculum in one’s daily practice.


2. Identify ways in which the effects of the hidden curriculum can be minimized.


3. Define the conceptual framework of the pedagogic friendship.

May 27, 2008 “Pediatric Procedural Sedation: News and Views”
David Marcello, MD, FAAP  Director, Pediatric Sedation Service, Faculty Practice Plan Connecticut Children’s Medical Center; Assistant Professor Pediatrics, University of Connecticut Medical School

June 3, 2008 "Improving Pain Management in Sickle Cell Disease"
J. Nathan Hagstrom, MD Division Head, Pediatric Hematology/ Oncology, Associate Professor, University of Connecticut School of Medicine
William Zempsky, MD Associate Director, Pain Relief Program, CCMC, Associate Professor of Pediatrics, University of Connecticut School of Medicine.
Objectives:

1. Communicate with the patient and family as partners when developing and implementing a treatment plan for sickle cell disease related pain and respect their knowledge and expertise.


2. Include the patient and family in decision-making regarding pain management for sickle cell related pain.


3. Describe the scope of the sickle cell pain research program at CCMC.

June 10, 2008 "Pediatric Decision-Making: An Ethical Conundrum.Who Decides?"
Paul Drager, MD MedEthics Consulting/Education, Principal; Adjunct Faculty, Southern Connecticut State University
Objectives:

1. Identify barriers to pediatric decision-making.


2. Identify the relationship of autonomy, substituted judgment, and best interests standards in pediatric decision-making.


3. Understand the differences, and need for, parental consent and patient (pediatric) assent and identify the rights of the child --- disclosure --- assent --- shared decision-making.

June 17, 2008 "New Thoughts Regarding the Pathology and Treatment of Craniosynostosis"
John Persing, MD Professor and Chairman of Plastic Surgery, Yale School of Medicine
Objectives:

1. Identify the pathogenesis of craniosynostosis.
 

2. Define the pathologic anatomy of craniosynostosis.


3. List surgical treatment options for craniosynostosis.

June 24, 2008 “Effective Primary Care-Specialist Co-Management: It CAN be done!”
Christopher Stille, MD Associate Professor of Pediatrics, Division of General Pediatrics, University of Massachusetts; Physician, Meyers Primary Care Institute
Objectives:

1. Identify three important barriers to implementing effective primary care-specialist co-management, and discuss their origins in the current health care system.
2. List three practices likely to improve primary care-specialist co-management that are feasible to implement in the practice setting.


3. Discuss the predominant model of management of children with complex conditions in their practice, and identify two opportunities for improvement.
4. Discuss what is known and what remains to be learned about the best ways to engage parents in co-management.