Full Schedule

This video is unavailable at the request of one or more presenters.
9:00 Welcome and introduction - Co-Chairs
9:05 Speaker 1 --Neal Halfon
9:20 Q&A for Speaker 1
9:25: Speaker 2 --Charlene Wong
9:40 Q&A Speaker 2
9:45 Speaker 3 --Joshua Sharfstein
10:00 Q&A Speaker 3
10:05 Open Panel Discussion

This workshop has a limited capacity. Please register in advance by clicking the "register" button. Capacity permitting, your attendance will be approved and you will be sent a confirmation email that contains a link to join the workshop. Please note that your spot is not guaranteed until your registration is accepted and you receive a confirmation email which contains a link to join the workshop. If you are no longer available to attend please cancel your registration, which can be done using the cancel link at the bottom of your confirmation email.

Competency-based medical education has begun to permeate medical programs throughout North America. How these programs function, both in general, and specific to nephrology, is a significant shift for this generation of medical teachers and trainees. This session will examine some of the core issues for teachers and learners focused on the assessment of competency and grading responsibility and how generational perspectives influence the adoption and success of these programs. ASPN Please register in advance by clicking the "register" button. A confirmation email will be sent to you with a link to join the session.

Since 2000, firearms have killed over 120,000 children and young adults and injured another 550,000. As the start of the SARS-CoV-2 pandemic incited widespread panic, March 2020 saw the highest gun sales recorded in United States (US) history, possibly increasing either numbers of children living in homes with guns,or increasing numbers of guns that children and teens may access. Now more than ever, two intersecting public health crises (an infectious pandemic and a national epidemic of gun violence), further threaten the lives of children in the US. As mental health concerns rise due to increasing financial and social stressors amplified during the pandemic, there are plausible concerns for increases in gun violence in the setting of both homicide and suicide.



Our workshop aims to increase awareness and empower providers into action around firearm safety in their communities. We begin the workshop with an interactive poll to assess participant knowledge and experiences with firearm safety/violence screening and counseling. We will review pediatric firearm injury epidemiology, state based legislation, and family interventions to reduce unsafe firearm exposure adaptable for various settings. Through the workshop we focus on four domains in which providers can address firearm safety: Advocacy, Education, Clinical Care and Research. Participants will be able to participate in two small group discussions based on their areas of interest: the first breakout either Advocacy or Education, and the second, either Clinical Care or Research. Case-based scenarios tailored to the area of interest will be used to stimulate conversation if needed. Interspersed between breakouts will be a large group report-out with short didactic review of ways providers can address firearm safety though each domain (advocacy, education, clinical care and research).



We will provide a resource guide for participants to help address pediatric gun safety, view the brief Be SMART video (developed by Everytown for Gun Safety), and highlight other accessible resources, including national organizations, community resources, advocacy opportunities and mental health resources. We will also review practical information and demonstrate for workshop attendees on different types of safe storage options (locks, safes, etc). We will conclude with reflection, asking participants to commit to one actionable item they plan to pursue to reduce pediatric firearm injuries, and allow an opportunity for questions. Pediatric providers routinely address second hand tobacco smoke exposure and motor vehicle safety; through this workshop we hope to inspire and enable providers to tackle pediatric firearm safety in the same manner. Additionally, we hope to connect advocates, educators, researchers and dedicated clinicians interested in firearm safety to foster future multi-center collaborative projects. This workshop has a limited capacity. Please register in advance by clicking the ""register"" button. Capacity permitting, your attendance will be approved and you will be sent a confirmation email that contains a link to join the workshop. Please note that your spot is not guaranteed until your registration is accepted and you receive a confirmation email which contains a link to join the workshop. If you are no longer available to attend please cancel your registration, which can be done using the cancel link at the bottom of your confirmation email.

This video is unavailable at the request of one or more presenters.
This club session features two presentations, including a description by Dr. Katlyn McGrattan of the growing prevalence of pediatric dysphagia presenting with signs and symptoms of oropharyngeal impairment. Key questions are raised concerning the 'physiologic' nature of dysphagia and aspiration during development in the context of oral feeding function among healthy infants. Research findings are presented regarding feeding attributes among healthy non-dysphagic infants. The second presentation by Dr. Britt Pados will review the findings of a descriptive, cross-sectional study to identify factors related to the symptoms of problematic feeding in the first 7 months of life in 337 infants offered both breastfeeding and bottle-feeding. Results on the Neonatal Eating Assessment tool, including three subscales [Mixed Breastfeeding and Bottle-feeding Sensory Responsiveness subscale, Feeding Flexibility subscale, and Gastrointestinal Tract Function subscale] will offer new insights on risk factors (adjusted for age) contributing to feeding disorders.

1:00p | Welcome and Club Introduction - Chair: Dr. Steven Barlow
1:10p | Recent Advances & Speaker Introductions: Dr. Emily Zimmerman 
1:20p | Speaker 1: Dr. Katlyn McGrattan
1:50p | Speaker 2: Dr. Britt Pados
2:20p | Q&A - Discussion

Escalating behavioral health challenges and diagnoses across all pediatric age groups and populations constitute a crisis in health care that requires inter-professional collaboration and innovation. While national statistics indicate one in five children suffer from a mental health issue, the practical experiences of primary and specialty care pediatric providers suggests that over 40% of patient visits have a primary or secondary behavioral health concern. Anxiety, depression and trauma in children and youth has escalated even further this year, precipitated by the isolation, loss of social supports, family stress and growing social determinants risks related to the COVID-19 global pandemic. The reality of long waiting lists for available services and access to behavioral health practitioners, along with limited access currently to school supports for many children further exacerbates the problem and points to the imminent need to strengthen preventive and primary care treatment approaches to help our children, youth, and families. While a lack of access to acute and ongoing mental health services is a reality that impacts children and families across our entire nation, regardless of socio-economic and regional variation, there are certain populations who face additional barriers. Such barriers include high poverty rates, elevated exposure to violence and trauma, substance abuse, and inconsistent communication between systems that serve children who are most marginalized and at the highest risk. While children’s behavioral health workforce and systematic service expansion will be necessary to adequately address the needs, the issues at play are complex and on such a scale that we cannot simply “treat our way out” of this crisis through expansion of current services alone. Upstream approaches to prevention and universal screening in primary care and community settings, integration of behavioral health services, family support, and connection to community-based resources and education settings, along with enhanced training for child health professionals at all levels, should be leveraged to improve child behavioral health and mental wellness. The purpose of this Special Interest Group is to promote new opportunities for collaboration, research, training and networking across multiple disciplines focused on pediatric behavioral health. For this first SIG session, the presenters will briefly outline common key components to successful behavioral health models including prevention and universal screening in primary care and community settings, integrated and aligned primary and specialty care behavioral health services, connection to care management and coordination with behavioral health services in childcare, early education settings and schools, and the promotion of protective factors and skills building for children and families. Additionally, presenters will engage attendees in dialogue around inter-professional training opportunities and education models for practicing primary care providers and pediatric specialists. This inaugural Behavioral Health SIG will focus on challenges and opportunities in addressing the behavioral health needs of children and adolescents. Participants should come prepared to speak for 2 to 3 minutes about best practices or innovative approaches from their own programs and experiences. The 3 breakout groups will foster conversations around 1) Cross-Sector Community Collaboration (connecting schools, primary care and behavioral health teams), 2) Behavioral Health Integration Models in Primary and Specialty Care, and 3) Training and Support Models to Expand the Scope of Practice for Primary Care Providers Agenda 1:00 pm I Welcome and Introductions - LJ Shipley, Co-Chair 1:15 pm I Mike Scharf, Co Chair 1:30 pm I Attendees split into 3 Breakout rooms -presenters/facilitators in each 2:00 pm I Switch to next breakout room 2:30 pm I Return to full group/Report out and Next Steps Co-Chairs: Michael Scharf, MD (Child and Adolescent Psychiatry) and Dr. Laura Jean Shipley, MD (Academic/Primary Care Pediatrics) Faculty: Cori Green, MD, MS, Weil Cornell Medicine/NY Presbyterian Hospital (Academic/Primary Care Pediatrics) Elizabeth Wallis, MD, MS Medical University of South Carolina (Adolescent Medicine) URMC Faculty Facilitators: LeKeyah Wilson MD (Adolescent Medicine/School Health), Linda Alpert-Gillis, PhD, Melissa Heatley, PhD Allison Stiles, PhD (Child Psychology)

Telemedicine use has grown in recent years, exponentially so during the current COVID-19 pandemic, with pediatric providers rapidly adopting various telehealth platforms for delivery of care in a number of settings. The combination of increased availability of and familiarity with necessary technology offers the opportunity for more systematic implementation and study of telemedicine initiatives to improve quality of care.

We will have a brief 5-minute introduction of the current state of pediatric telemedicine including different formats, goals, and licensing and reimbursement considerations. The core of the session will consist of a series of three 20-minute presentations in which departmental leaders will review their experiences in needs assessments; program development and implementation; ongoing program review and improvement, with discussion of both published and unpublished data; and future directions of several divisional initiatives in telemedicine. We will have interspersed 5-minute (maximum) Q&A sessions to allow participants to learn more about presenters’ work and conclude with a 10+-minute interactive Q&A session to delve further into desired topics (e.g., reimbursement), and share details of their own established or developing programs.

Introduction (5 minutes)
Case Symposia
- Critical Care (20 minutes)
- Acute care consultation regarding pre-transport patient stabilization at referring hospitals - program implementation and lessons learned
- Virtual parent participation in bedside patient rounds
- Remote simulation-based education
- Critical Care Q&A (3-5 minutes)
- Hospital Medicine (20 minutes)
- Patient/family and PCP needs assessments, development and implementation of post-discharge virtual visit program
- Data from in-depth chart review demonstrating significant clinical impacts; provider and family satisfaction
- Discussion of program improvement and expansion, with specific focus on patient with limited English proficiency
- Hospital Medicine Q&A (3-5 minutes)
- Infectious Disease (20 minutes)
- Initiation of virtual follow-up visits and expansion to virtual outpatient consultations during pandemic
- Implementation of asynchronous eConsult program to provide subspecialty advice to outpatient providers
- Data from chart review demonstrating benefits to patient care and education, as well as provider satisfaction survey
- Discussion of ongoing program evaluation and improvement
- Infectious Disease Q&A (3-5 minutes)
Wrap-up/Q&A (10-16 minutes)
- Interactive poll to determine specific needs of audience
- Potential topics for Q&A:
- Sharing of specific materials from needs assessments, chart review, additional data
- Deeper discussion of hospital stakeholder engagement; licensure and malpractice considerations; privacy and confidentiality; reimbursement
- Brief highlights of telemedicine work in other divisions (e.g., pediatric primary care, Down Syndrome clinic)
- Participants' experiences with their own hospitals' telemedicine programs