Dartmouth Pediatric Conference

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1 23 rd Contemporary Issues in Office Pediatrics Dartmouth Pediatric Conference OMNI MOUNT WASHINGTON RESORT, BRETTON WOODS, NH FEBRUARY 28 - MARCH 3, 2013 PRESENTED BY:

2 OMNI MOUNT WASHINGTON RESORT, BRETTON WOODS, NH FEBRUARY 28 - MARCH 3, 2013 from your hosts The 23rd Annual Dartmouth Pediatric Conference will return to the Omni Mount Washington Resort in Bretton Woods, NH from February 28 - March 3, Following your comments and suggestions, we have fine-tuned our focus on office and community-based pediatrics and will continue our mini-symposium format. As you advised, we will return to this historic location for its special ambiance and winter recreational opportunities. Our 2013 guest speaker, Dr. Thomas Welch, Professor and Chairman of the Pediatric Department at Upstate University in Syracuse, NY fits into our meeting environment in a unique way. He is a pediatrician, nephrologist and wilderness medicine expert. His presentations will draw attention to wilderness medicine and recreation as well as nephrology. We will feature symposia on office-based acute care, nephrology and child psychiatry. Other presentations include our annual pediatric infectious disease topic and making the most of the well child check. We look forward to a diverse audience that includes pediatricians and family medicine specialists as well as advanced practice and registered nurses and physician assistants. lift ticket rates for meeting attendees and their families. Nordic skiing is available on 100 kilometers of groomed terrain. Dog sledding and the longest zip line canopy tour in New England are also offered. If you prefer an indoor adventure, indulge yourself at the Omni Mount Washington Resort luxurious spa. All of this is within the historic elegance of the resort, making for an incomparable experience. Mark your calendar, register early and spread the word. Our meeting faculty and staff look forward to seeing you in February. We anticipate a great educational experience and old-fashioned winter fun. Do not hesitate to contact Joan Devine, RN, BSN, Pediatric Outreach Nurse at or joan.r.devine@hitchcock.org, or Jacqui Alexander, BS, Manager of Educational Services at or jacqueline.b.alexander@hitchcock.org. If you have a case to present or suggestions for the meeting, please send me an at George.A.Little@Dartmouth.edu. Sincerely, Resort amenities include alpine skiing at Bretton Woods- New Hampshire s largest area with 464 acres of skiing and riding. We have again negotiated substantially reduced George A. Little, MD Conference Medical Director Professor of Pediatrics/Neonatology and of Obstetrics & Gynecology 2

3 CONFERENCE INFORMATION Guest Faculty Thomas R. Welch, MD Professor and Chair, Department of Pediatrics, Upstate Medical University Medical Director, Upstate Golisano Children s Hospital, Syracuse, NY Children s Hospital at Dartmouth (CHaD) Faculty Omar Bhutta, MD Assistant Professor of Pediatrics, Pediatric Critical Care William Burl Daviss, MD Associate Professor of Psychiatry and of Pediatrics George A. Little, MD, FAAP Professor of Pediatrics/Neonatology and of Obstetrics & Gynecology Keith J. Loud, MD, MSc Section Chief, General Academic Pediatrics, Associate Professor and Instructor of Pediatrics Debora Matossian, MD Assistant Professor of Pediatrics Pediatric Nephrology Jennifer McLaren, MD Assistant Professor of Psychiatry John F. Modlin, MD Chair and Professor of Pediatrics, Professor of Medicine/Infectious Disease, Interim Director of Children s Hospital at Dartmouth Richard Morse, MD Associate Professor of Pediatrics and of Neurology Sarah Stearns, PhD Assistant Professor of Psychiatry and of Pediatrics William Storo, MD, FAAP Adjunct Assistant Professor of Pediatrics CHaD Pediatric Chair at Dartmouth-Hitchcock Concord, General Pediatrics Michele Vander Heyden, MD Section Chief, Pediatric Critical Care Assistant Professor of Pediatrics Adam Weinstein, MD Section Chief, Pediatric Nephrology Assistant Professor of Pediatrics, Nephrology Planning Committee: Children s Hospital at Dartmouth (CHaD) Joan R. Devine, RN, BSN Pediatric Outreach Nurse* Craig Donnelly, MD Professor of Psychiatry and of Pediatrics Victoria A. Flanagan, RN, MS Perinatal Outreach Nurse* Kristine Karlson, MD, FACSM Assistant Professor of Family Medicine and Orthopaedics George A. Little, MD, FAAP Professor of Pediatrics/Neonatology and of Obstetrics & Gynecology Keith J. Loud, MD, MSc Section Chief, General Academic Pediatrics, Associate Professor and Instructor of Pediatrics Margaret Rose Minnock, MBA Director, CHaD Planning and Regional Services* John F. Modlin, MD Chair and Professor of Pediatrics, Professor of Medicine/Infectious Disease, Interim Director of Children s Hospital at Dartmouth William Storo, MD, FAAP Adjunct Assistant Professor of Pediatrics CHaD Pediatric Chair at Dartmouth-Hitchcock Concord, General Pediatrics Michele Vander Heyden, MD Section Chief, Pediatric Critical Care Assistant Professor of Pediatrics Adam Weinstein, MD Section Chief, Pediatric Nephrology Assistant Professor of Pediatrics, Nephrology * DHMC Regional Program for Women s and Children s Health Accreditation PHYSICIANS: The Dartmouth-Hitchcock Medical Center designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Dartmouth-Hitchcock Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nurse Practitioners & Physician Assistants: Our credits are generally acceptable for Nurse Practitioners and Physician Assistants to meet their CE requirements. NURSES: Dartmouth-Hitchcock Medical Center s Nursing Continuing Education Council is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. This educational activity carries contact hours. Conference Questions CHaD Regional Program Tel: (603) Fax: (603) Joan.R.Devine@hitchcock.org Tel: (603) Jacqueline.B.Alexander@hitchcock.org The Regional Program for Women s & Children s Health Dartmouth-Hitchcock Medical Center One Medical Center Drive Lebanon, NH Call For Cases To enrich the dialogue, we are inviting participants to submit cases for discussion during our mini-symposia. These cases should relate to pediatric acute care, child psychiatry, or challenging renal issues. If your case is selected for discussion, we will invite you to provide a brief oral presentation. See submission guidelines on registration website. 3

4 CONFERENCE CALENDAR FEBRUARY 28 - MARCH 3, 2013 Thursday, February 28 3:30 5:00 pm Registration 5:00 5:10 Welcome Remarks George A. Little, MD, FAAP 5:10 5:55 The Bumpy Road to Polio Eradication John F. Modlin, MD 5:55 6:45 Babes in the Woods: What the primary care physician needs to know about wilderness medicine for children Thomas R. Welch, MD 6:45 8:00 Dinner and Dessert Reception (Participants welcome / Adult Guests at additional fee) 8:00 9:00 pm Bright Futures in Practice: an Open Forum Keith J. Loud, MD, MSc; William Storo, MD, FAAP Friday, March 1 Pediatric Acute Care Symposium Moderator: Michele Vander Heyden, MD 7:00 7:30 am Breakfast for Participants 7:30 8:15 Office Preparedness for Emergencies Omar Bhutta, MD 8:15 9:00 Shock Masquerading as Respiratory Distress Omar Bhutta, MD 9:00 9:45 Anaphylaxis in the Office Michele Vander Heyden, MD 9:45 10:15 Break 10:15 11:00 Epilepsy: Index of Suspicion-Early Diagnosis and Referral Richard Morse, MD 11:00 12:00 Cases and Panel Discussion Omar Bhutta, MD; Michele Vander Heyden, MD 12:00 pm Free Time - ENJOY! 4

5 CONFERENCE CALENDAR FEBRUARY 28 - MARCH 3, 2013 Saturday, March 2 Child Psychiatry Symposium Moderator: William Burl Daviss, MD 7:00 7:30 am Breakfast for Participants 7:30 8:15 Cognitive Behavioral Therapy for the Primary Care Physician Sarah Stearns, PhD 8:15 9:00 Evidence-Based Behavioral Treatments for Willful Children (and their Parents!) Sarah Stearns, PhD 9:00 4:00 Free Time - ENJOY! 4:00 4:45 Autism Spectrum Disorders: Psychopharmacology Review Jennifer McLaren, MD 4:45 5:30 Update on ADHD Diagnosis and Treatment in Primary Care Practice: How to Optimize Success William Burl Daviss, MD 5:30 6:15 Cases and Panel Discussion William Burl Daviss, MD; Jennifer McLaren, MD; Sarah Stearns, PhD 6:15 7:00 Chardonnay and Chevre Reception Courtesy of Omni Mount Washington Resort. Participants welcome. 7:00 pm Meeting Adjourns for the Evening Sunday, March 3 Acute Glomerulonephritis in Children Symposium Moderator: Adam R. Weinstein, MD 7:00 7:30 am Breakfast for Participants 7:30 8:15 Bright s Disease in the 21st Century Thomas R. Welch, MD 8:15 8:45 Clinical Indicators of Glomerulonephritis Severity - the Nephritis vs. Nephrosis Conundrum Adam Weinstein, MD 8:45 9:15 Break and Hotel Check-out 9:15 9:45 Evaluation and Supportive Management of Pediatric Acute Glomerulonephritis Debora Matossian, MD 9:45 11:00 Cases and Panel Presentation Thomas R. Welch, MD; Debora Matossian, MD; Adam Weinstein, MD 11:00 12:00 pm Evaluations and Final Comments 12:00 12:00 pm pm Meeting Meeting Adjourns Adjourns until until 2014! 2014! Target Audience & Objectives This program is intended for pediatricians, family physicians, nurse practitioners, physician assistants, and pediatric nurses. At the end of the conference participants will be able to: Review the pathophysiology of poliovirus infections and how it relates to the epidemiology and control of poliomyelitis in the United States and worldwide. Discuss the epidemiology of the most common backcountry illnesses and injuries. Design an appropriate screening process for adolescents or young adults preparing for a wilderness trek. Outline key elements of Bright Futures and facilitate sharing of best practices, strategies, techniques, and ideas on how to implement the guidelines. List equipment and personnel necessary for office preparedness for an emergency. Recognize the differences in presentation of shock versus respiratory distress. Review the treatment algorithm and possible use of an anaphylaxis box. Summarize the basic components of cognitive behavioral therapy. Recognize essential components of parent behavior management strategies. Review psychopharmacologic treatment options for children with autism spectrum disorders. List strategies for efficient and accurate assessment of patients with potential ADHD and other comorbid disorders, including the use of parent, teacher, and patient rating scales. Recall the early history of acute nephritic syndrome, including basic classification schemes for the primary care physician. Review the etiologies of and initiate an evaluation for childhood nephrotic syndrome. Develop an evaluation for acute glomerulonephritis in children. 5

6 OMNI MOUNT WASHINGTON RESORT AMENITIES More Winter Fun! Nordic Skiing On the grounds of the historic Mount Washington Hotel and the White Mountain National Forest, the Bretton Woods Nordic Center is one of the largest cross country areas in the East. The 100-km trail network crosses open fields, meanders through woods of spruce and fir, passes beaver ponds and mountain streams and traverses open hardwood stands. Enjoy classical and skate skiing or snowshoeing on trails painstakingly prepared with our state of the art groomers. And don t forget to stop off at the warming yurt or the rustic, back country cabin on Mount Stickney. Dog Sledding Take in the spectacular winter scenery as you glide across our winter wonderland behind a powerful team of dogs. You will experience nature as explorers have for hundreds of years. As the dogs stretch out and attack the trail ahead of them, you will enjoy the ride of a lifetime. It is amazing to watch these high-drive dogs do what they were bred to do. You will be introduced to all aspects of modern dog sledding, including meeting the dog team, taking a ride with one or two of your friends or family members and maybe even driving the sled. Photo courtesy of Omni Mount Washington Resort Alpine Skiing Visit Bretton Woods, NH s largest ski area with 464 acres of skiing and snowboarding, including 102 trails and glades, as well as four terrain parks! Nine lifts, including four high-speed quads, make your ride up the mountain almost as fun as the ride down. Voted Best in the East for Weather by SKI magazine, if there s snow falling, chances are we ve got it or we can make it with snow making on 92% of our trails. And, because you ll want to stay on our slopes until after dark, we also offer night skiing and riding. Our group rate is $30 per day. Children 7 and under ski FREE!! Bretton Woods Canopy Tour Located right here in Bretton Woods, NH, and descending over 1000 feet of elevation, the tour takes nature-lovers and thrillseekers across a series of tree-top zip lines on the longest zip line canopy tour in New England and one of the longest canopy tours in the continental United States! High-flying suspension bridges and hiking trails connect the zip lines, and the tour concludes with the Williwaw Racing Zip, a dual, side-by-side zip line leading right into the Bretton Woods base area. Designed and constructed by Bonsai Design, Inc., this unique canopy tour features a dual-cable construction (you slide below two separate cables, instead of just one), coated cables (to make for a quiet, more natural flight through the trees) and platforms and bridges milled from locallyharvested wood sources, in keeping with our commitment to environmentally sustainable programs. Once on the tour, our Adventure Guides describe the native flora and fauna, in addition to discussing the surrounding area, its natural history and White Mountain lore. All in all, a unique New Hampshire experience not to be missed! 6

7 REGISTRATION AND TRAVEL INFORMATION Register Online: Registration confirmation will be by ONLY Early Registration Fees: Paid on or before January 18, 2013 Physicians $525 NPs, RNs, PAs, Others $425 Registration Fees: Paid after January 18, 2013 Physicians $595 NPs, RNs, PAs, Others $495 Refunds: We must receive notice of cancellation on or before February 14, 2013 to ensure a refund. We will retain an administrative charge of 20% of the registration fee. Substitutions may be made at no additional cost. Travel Information By Air: Our attendees have told us Excellent speakers, academic program Updates in areas of controversy & in areas with new advances are good It will change my daily practice The Mt Washington Inn & surrounding activities were awesome Enjoyed & benefitted from all the presentations *Comments from 2012 conference. I will definitely attend again Perfect balance of lectures & free time Thanks for consistently & positively acknowledging nurse practitioners The nearest major airports are the Manchester- Boston Regional Airport (MHT) in Manchester, NH (approx. 1 hour 45 min.), Portland International Jetport (PWM) in Portland, ME (approx. 2 hours) and Logan International Airport (BOS) in Boston, MA (approx. 2.5 hours). By Car: From Boston, MA & Manchester, NH Take I-93 North through Franconia Notch to Exit 35, Route 3N. Take Route 3N to Twin Mountain, NH. Follow Route 302E to Bretton Woods. From NH Seacoast/Portsmouth, NH From I-95 or Route 101 or Route 4: exit onto Route 16N/Spaulding Turnpike to North Conway/ Glen, NH. Follow Route 302W to Bretton Woods. From Portland, ME Take Route 302W to Bretton Woods. From New York, NY and Hartford, CT Take I-95 North to I-91 North. Take I-91 North to I-93 South, Exit 40. Follow Route 302E to Bretton Woods. Estimated Driving Times Boston, MA - 2 1/2 hours, 160 miles New York City - 5 3/4 hours, 350 miles Portland, ME - 2 hours, 95 miles Montreal - 3 hours, 185 miles Hartford, CT - 4 hours, 240 miles 7

8 Dartmouth-Hitchcock Medical Center The Regional Program for Women s & Children s Health One Medical Center Drive Lebanon, NH NONPROFIT Organization U.S. Postage PAID Lebanon, NH Permit # rd Dartmouth Pediatric Conference OMNI MOUNT WASHINGTON RESORT, BRETTON WOODS, NH FEBRUARY 28 - MARCH 3, 2013 Lodging Information: Omni Mount Washington Resort 310 Mount Washington Hotel Rd Bretton Woods, NH Great Group Rates! Call: THE-OMNI Be sure to mention that you are with the Dartmouth Pediatric Conference. Bretton Woods