Pediatric Grand Rounds Schedule

January

January 5: An Emergency Department Septic Shock Protocol

Gitte Larsen, MD
Associate Medical Director, Patient Safety
Attending Physician, Pediatric Critical Care
Medical Director
Life Flight Children's Transport Services

Nancy Mecham, APRN, FNP
Clinical Implementation Coordinator
Enterprise Clinical Information Management (ECIM)
Intermountain Healthcare

We will review the epidemiology and physiology of septic shock in children, discuss the development of a septic shock tool for use in the emergency department, and discuss the challenges, failures, and successes of implementation of the program at Primary Children's Medical Center.

January 12: Looking for Red Flags: Implications for Drug and Alcohol Screening for the Trauma Patient

Roni Robinson, MSN, CRNP, RN
Pediatric Nurse Practitioner
Trauma Program
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania

The American College of Surgeons Committee on Trauma has set forth standards of care that stipulate that all trauma patients must be screened for substance abuse, including injured children. However, no specific guidelines were provided to address this mandate for the pediatric trauma population. At The Children's Hospital of Philadelphia (CHOP), a Screening, Brief Intervention, and Referral for Treatment (SBIRT) program has been implemented which screens the adolescent trauma patient for at-risk behaviors for both alcohol and drug use.

January 19: Perspectives: Medical Care through Physician, Patient and Family Experience

Facilitated by:

Katy Jo Stevens, MSW, LCSW
Administrative Director, Family Support Services
Primary Children's Medical Center

Physicians:

Bryan L. Stone, MD, MSCI
Associate Professor, Pediatrics
Univerisity of Utah School of Medicine
Primary Children's Medical Center

Douglas S. Nelson, MD
Medical Director, Emergency Department
Primary Children's Medical Center
Univerisity of Utah School of Medicine

Victoria L. Wilkins, MD, MPH
Visiting Instructor
Univerisity of Utah School of Medicine

Parents and Family Members:

Diann Folkerson
2012 Family Co-chair, Patient and Family Advisory Council
Primary Children's Medical Center

Jodi Hansen
Alumni Member, Patient and Family Advisory Council
Primary Children's Medical Center

Jesse James
Member, Youth Advisory Council
Primary Children's Medical Center

Katy Jo Stevens will facilitate a physician, patient, and family panel discussion analyzing a case study from a patient and family centered care perspective.

January 26: Fulfilling the Promise: Can We Enhance Child Health Services to Promote Children's Healthy Development?

Paul H. Dworkin
Professor and Chair, Pediatrics
University of Connecticut School of Medicine
Physician-in-Chief
Connecticut Children's Medical Center, Help Me Grow National Director
Hartford, Connecticut

An explosion in knowledge of early brain development and early child development have profound implications for the content and process of child health services. The effectiveness of various components of child health supervision services will be critically reviewed, including an overview of new innovations worthy of widespread dissemination. The importance of child health services being delivered in the context of cross-sector collaboration and comprehensive system development will be emphasized.

February

February 2: Biobanking and the Fate of Residual Newborn Screening Bloodspots

Jeff Botkin, MD, MPH
Professor, Pediatrics
Associate Vice President, Research
University of Utah School of Medicine

State health departments retain residual newborn screening bloodspots after clinical testing is complete for use in quality assurance and biomedical research. This practice has become controversial due to the lack of parental awareness or permission for specimen banking. This presentation will address public attitudes regarding this practice and discuss the relevant ethical and policy issues.

February 9: Designing a System for Pediatric Health Care Delivery: When the Next Shoe Drops!

Edward B. Clark, MD
Wilma T. Gibson Presidential Professor
Chair, Pediatrics
University of Utah School of Medicine
Chief Medical Officer
Primary Children’s Medical Center

This presentation will help participants understand the forces driving change in children’s health care delivery. It will define the value proposition for pediatric care and describe the progress in designing and implementing a pediatric health care system in Utah. It will review three tools for change: patient tracker, febrile infant protocol, and management of complex chronic patients and explore options for the next phase of health care reform.

February 16: Supporting Transition for (YSHCN): Preparing to Pass the Baton

Maryellen Gusic, MD
Executive Associate Dean, Educational Affairs
Dolores and John Read Professor, Medical Education
Professor, Pediatrics
Indiana University School of Medicine
Indianapolis, IN

The goal of transition planning for youth is to maximize lifelong functioning and potential. Unfortunately, for many youth, health care transition remains a challenging and disorganized process. Access to continuous and comprehensive care is especially important for youth with special health care needs. This presentation will review the pediatric provider’s role in planning and preparing youth with special health care needs for transition to adult-oriented care. Using available guidelines and recommendations from national organizations, participants will identify changes they can make to enhance transition services within their practice/clinical care setting.

February 23: Cutting Edge Interventional Radiology: New Solutions to Difficult Problems

Ryan Arnold, MD
Attending Physician, Interventional Radiology
Department of Medical Imaging
Primary Children’s Medical Center
Adjunct Assistant Professor, Radiology
University of Utah School of Medicine

Advancements in the field of Interventional Radiology (IR) have yielded minimally invasive techniques for problems that previously were treated with major surgery. In addition, many effective therapies are now available for conditions that were thought to be untreatable. Some of the newest IR procedures will be reviewed; the treatment of vascular anomalies will be highlighted.

Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Primary Children's Medical Center and the Department of Pediatrics at the University of Utah School of Medicine. Primary Children's Medical Center is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit

Primary Children's Medical Center designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Unless otherwise indicated, neither Pediatric Education Services nor the presenters at Pediatric Grand Rounds have any relationship with commercial products or services discussed.

Jointly sponsored by Pediatric Education Services at Primary Children's Medical Center and the Department of Pediatrics at the University of Utah School of Medicine.