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Grand Rounds

Grand Rounds schedule

The VCU School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

VCU designates this educational activity for a maximum of 1 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

VCU is an equal opportunity/affirmative action institution providing access to education and employment without regard to age, race, color, national origin, gender, religion, sexual orientation, veterans status, political affiliation or disability.

If special accommodations are needed, please contact the Department of Pediatrics at (804) 628-2616.

Feb. 28, 2017

CPC: 20 month old male with hypercalcemia
Hind Al Saif, M.D.
Assistant Professor
Department of Human and Molecular Genetics

At the conclusion of this program, the participants will be able to:

  1. Formulate a differential diagnosis for hypercalcemia in a 20 month old male, based on historical, physical, and diagnostic lab/imaging findings of the case patient
  2. Interpret key diagnostic findings of the case patient
  3. State the preferred confirmatory diagnostic study for the case patient
Feb. 21, 2017

MSFM

A Multi-modal Approach to Pediatric Pain
Kelly K. Lastrapes, MD
Assistant Professor, Pediatric Hematology/Oncology and Palliative Care
Division of Pediatric Hematology, Oncology and Stem Cell Transplantation
Children's Hospital of Richmond

At the conclusion of this program, the participants will be able to:

  1. Delineate the components of a pediatric pain assessment
  2. Briefly review the pharmacological treatment strategies for pediatric pain
  3. Emphasize the importance of non-pharmacological treatment strategies in managing pediatric pain

__________

Anti-vaccine Movement Updates
Sean McKenna, MD
General Pediatrics, Medical Informatics
Chair- Medical Record Committee
Virginia Commonwealth University Health System and
Children's Hospital of Richmond

Objectives TBD

 

 

 

Feb. 14, 2017

Ambulatory Blood Pressure Monitoring

Nianzhou Xiao, Assistant Professor
Pediatric Nephrology

At the conclusion of this program, the participants will be able to:

  1. Review the indications and diagnostic findings of ABPM
  2. Discuss the research highlights of ABPM
Feb. 7, 2017

Total Pancreatectomy with Autologous Islet Transplantation

Marlon F. Levy MD
Professor and Chair, Division of Transplantation
Director, Hume-Lee Transplant Center
Virginia Commonwealth University
Richmond, Virginia

At the conclusion of this program, the participants will be able to:

  1. Compare autologous and allogeneic islet transplantation
  2. Describe the regulatory issues governing islet cell transplantation
  3. Review the indications and results of autologous pancreatic islet transplantation
Jan. 31, 2017

Pediatric Orthopaedics for the General Pediatrician
Victoria Kuester, MD
Associate Professor of Orthopaedic Surgery at CHoR/VCU
Pediatric Orthopaedics

At the conclusion of this program, the participants will be able to:

  1. Diagnose urgent pediatric orthopaedic problems such as SCFE, joint infection and fractures
  2. Diagnose DDH
  3. Determine when a limb deformity is really a problem, and not just something to be outgrown
  4. Assess for scoliosis and determine when to refer to orthopaedics

 

Jan. 24, 2017

MSFM
Management of the Difficult Pediatric Airway
Andrea Zepeda, MD

At the conclusion of this program, the participants will be able to:

  1. Identify basic differences between the adult and pediatric airway
  2. Recognize indications that a pediatric patient may have a difficult airway
  3. Review strategies to deal with the difficult pediatric airway with the help of the Pediatric Difficult Airway algorithm

__________

Transfusion Associated Hyperkalemic Cardiac Arrest in Pediatric Patients
Iolanda Russo-Menna, MD, MED, DABA
Anesthesiology Department
Pediatric Division
VCU/MCVP, Richmond, VA

At the conclusion of this program, the participants will be able to:

  1. Recall that massive pediatric transfusion is dangerous in children
  2. Discuss the difficulties involved in the treatment of hyperkalemia in children
  3. Recall the importance of discussion and planning of complex pediatric surgery in advance

Goal:
Create greater awareness of the severe risks encountered after massive old blood transfusion in children undergoing complex surgery

 

Jan. 17, 2017

Diagnosis and Management of Pediatric Airway Lesions
Rajanya S. Petersson, MD
Assistant Professor
Pediatric Otolaryngology - Head and Neck Surgery
Pediatric Facial Plastic and Reconstructive Surgery
Virginia Commonwealth University Health System

At the conclusion of this program, the participants will be able to:

  1. Determine the location of an airway lesion by the quality of stridor
  2. Describe the evaluation of suspected airway lesions
  3. Discuss management options for the more common airway lesions
Jan. 10, 2017

Developmental Aspects of Sleep in Children
Jennifer Accardo, MD, MSCE
Assistant Professor, Department of Pediatrics
Child Development Clinic

At the conclusion of this program, the participants will be able to:

  1. Describe how children’s sleep changes with age in regard to duration, consolidation, and day-night differentiation
  2. Identify how developmental milestones can affect sleep
  3. Compare sleep in typically developing children and sleep in children with developmental disabilities

 

Jan. 3, 2017

NO GRAND ROUNDS - VCU WINTER CLOSING

Dec. 27, 2016

NO GRAND ROUNDS - VCU WINTER CLOSING

Dec. 20, 2016

Fatal and Near Natal Asthma: Beyond the Guidelines
Bruce K. Rubin MEngr, MD, MBA, FRCPC
Jessie Ball duPont Distinguished Professor and Chair, Dept. of Pediatrics
Professor of Biomedical Engineering
Virginia Commonwealth University School of Medicine
Physician in Chief, Children's Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

  1. Determine how fatal and near fatal asthma differs from stable or acute asthma
  2. Recognize the limited therapeutic role of beta agonists in treating near fatal asthma
  3. Recall that intentional or unintentional non-adherence is probably the major precipitating factor for life threatening asthma attacks
Dec. 6, 2016

Mast Cell Activation Syndrome
Wei Zhao, MD, PhD, FAAAAI, FACAAI
Associate Professor and Chair, Division of Allergy and Immunology
Department of Pediatrics
Program Director, Allergy and Immunology Fellowship
Pediatric Ambulatory Medical Director, Virginia Commonwealth University

At the conclusion of this program, the participants should be able to:

  1. Describe Mast Cell Biology
  2. Define Mast Cell Activation Syndrome
  3. Develop Diagnosis of MCA
  4. Choose Laboratory Tests
  5. Formulate Treatment Plan
Nov. 29, 2016

Treatment of Severe Obesity in Adolescence
David Lanning, MD, PhD, Claudio Oiticica, MD, and Edmond Wickham III, MD, MPH
Nancy Thompson, NP, CBN, Melanie K. Bean PhD, LCP

At the conclusion of this program, the participants will be able to:

  1. Detail the indications for weight loss surgery in adolescent patients
  2. Have an improved understanding as to what the common comorbidities are for morbidly obese adolescent patients
  3. Be able to discuss the most current surgical techniques for weight loss surgery in adolescent patients
Nov. 22, 2016

Research at CHoR: Current State, Brighter Future
Henry J. Rozycki, MD
Vice Chair for Research
Department of Pediatrics

At the conclusion of this program, the participants will be able to:

  1. Navigate through the process of conducting research at CHoR
  2. Plan research projects and collaborations that mesh with strategic vision
  3. Incorporate research into pursuing missions of CHoR
Nov. 15, 2016

Safely Doing Less: Reducing Patient Harm One Medical Decision at a Time
Matt Schefft DO, MSHA
Assistant Professor of Pediatrics
Division of Pediatric Hospital Medicine
Division of Pediatric Hematology, Oncology, & Stem Cell Transplantation
Children's Hospital of Richmond at VCU

 

At the conclusion of this program, the participants will be able to:

  1. Recall what Safely Doing Less means
  2. Identify how bias affects the way we think
  3. Determine when a test or treatment involves misdiagnosis, over diagnosis, or overuse
  4. Propose clinical scenarios where we can Safely Do Less
Nov. 8, 2016

Management of severe CLD: Our approach and the evidence

Huayan Zhang, MD,
Medical Director, the Newborn and Infant Chronic Lung Disease Program
Division of Neonatology
Children’s Hospital of Philadelphia
Associate professor of clinical pediatrics
University of Pennsylvania Perelman School of Medicine

At the conclusion of this program, the participants will be able to:

  1. Describe the multidisciplinary complex care model to the care of infants with severe CLD
  2. Discuss treatment approach based on pathophysiology and individual patient needs
  3. Recall what we have learned from our patients and our data
  4. Discuss our approach in management
Nov. 1, 2016

Prenatal Urinary Tract Dilation: Role of Prophylactic Antibiotics and Lower Urinary Tract Imaging
CD Anthony Herndon, MD
Professor of Surgery/Urology
Division Chief Pediatric Urology
Co-Surgeon in chief CHOR at VCU

 

At the conclusion of this program, the participants will be able to:

  1. Determine which patients with prenatal urinary tract dilation are at most risk for UTI
  2. Determine which patients with prenatal urinary tract dilation warrant prophylactic antibiotics
  3. Determine which patients with prenatal urinary tract dilation warrant lower urinary tract imaging
  4. Develop a risk stratification and management pathway for prenatal urinary tract dilation
Oct. 25, 2016

CPC: 8 year old with fever, fatigue and jaundice
Wei Zhao, MD, PhD, FAAAAI, FACAAI.
Associate Professor and Chair, Division of Allergy and Immunology
Department of Pediatrics
Program Director, Allergy and Immunology Fellowship
Pediatric Ambulatory Medical Director, Virginia Commonwealth University

 At the conclusion of this program, the participants will be able to:

  1. Formulate a differential diagnosis for fever, fatigue and jaundice in an 8 yr. old, based on historical, physical, and diagnostic lab/imaging findings of the case patient
  2. Interpret key diagnostic findings of the case patient
  3. State the preferred confirmatory diagnostic study for the case patient
Oct. 18, 2016

Screening for Suicide Risk in Pediatric Medical Settings
Lisa M. Horowitz, PhD, MPH, Staff Scientist / Pediatric Psychologist
Intramural Research Program, National Institute of Mental Health, NIH

At the conclusion of this program, the participants will be able to:

  1. Recognize youth suicide as a national and global public health threat
  2. Describe the implications of suicide epidemiology in the general medical setting
  3. Discuss approaches to detection and management of youth at risk for suicide in the medical setting
  4. Take home message: Ask patients directly about suicide risk
Oct. 11, 2016

Endocrine Testing: Putting the Puzzle Together
Anshu Gupta, M.D.
Division of Endocrinology and Metabolism
Children’s Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

  1. Compare recent advances in endocrine testing that utilize LC-MS techniques to traditional assays
  2. Select appropriate tests for some common scenarios encountered by a pediatric provider
  3. Recognize the limitations of electronic health record reference ranges when reviewing endocrine test results
Oct. 4, 2016

The Macrosomic Infant: The Other Side of the NICU
Darlene A. Calhoun, D.O.
Associate Professor, Johns Hopkins All Children’s Hospital
Associate Clinical Professor, Florida State University

At the conclusion of this program, the participants will be able to:

  1. Determine the definition of macrosomia and the impact of macrosomia on long term health
  2. Present the results of a retrospective study of deliveries of macrosomic infants from 2010-2015 at a single institution
  3. Identify maternal and infant demographic information related to infants who required NICU admission
  4. Determine the incidence of macrosomic deliveries and their impact on NICU admissions at our hospital
  5. Identify which macrosomic infants are most at risk for NICU admission
  6. Identify key areas for research related to a) the macrosomic infant and b) pregnancies involving mothers at risk of delivering a macrosomic infant
May 17, 2016

2-year-old female with hypoglycemia
Timothy E Bunchman MD
Professor and Chief, Division of Nephrology

At the conclusion of this program, the participants will be able to:

  1. Formulate a differential diagnosis for hypoglycemia in a 2 yo female based on historical, physical, and diagnostic lab/imaging findings of the case patient
  2. Interpret key diagnostic findings of the case patient
  3. State the preferred confirmatory diagnostic study for the case patient
May 10, 2016

Drowning
Duane Williams, M.D.
Assistant professor
Division of Critical Care Medicine

May 3, 2016

MSFM
1. The L.A.R.C. Ascending; The Next Best Way to Reduce Teen Pregnancy
Richard R. Brookman, M.D.
Professor and Chief
Division of Adolescent Medicine

2. Macrocephaly in Children
Ann M. Ritter, M.D.
Associate Professor
Department of Neurosurgery

At the conclusion of this program, the participants will be able to:

  1. Discuss the use and safety of long-acting reversible contraceptives (LARC) in adolescents
  2. Describe the advantages and disadvantages of LARC use by adolescents
April 26, 2016

Pediatric Bone and Joint Infection - Two Perspectives
Joanna J. Horstmann, M.D.
Assistant Professor
Orthopaedics

Suzanne R. Lavoie, M.D.
Professor of Pediatrics and Internal Medicine
Chief, Division of Pediatric Infectious Diseases
Program Director, Pediatrics Residency

At the conclusion of this program, the participants will be able to:

  1. Recognize the presentation of bone and joint infections in children
  2. Describe the differential diagnosis of bone and joint infections in children and how to distinguish bacterial infection from other causes of joint pain
  3. Identify the common organisms which cause osteomyelitis and septic arthritis and what the latest therapeutic options are
  4. Summarize the outcomes of pediatric bone and joint infections and the approach to short and long term consequences
April 19, 2016

The Medical Legal Controversy of the Diagnosis of Abusive Head Trauma
Robin Foster, M.D., FAAP, FACEP
Chief, Division of Pediatric Emergency Medicine 
Associate Professor of Emergency Medicine and Pediatrics 

At the conclusion of this program, the participants will be able to:

  1. State the etiology of the controversy of the diagnosis of abusive head trauma
  2. Review the historical perspective of the diagnosis of abusive head trauma and the body of literature surrounding it
  3. Describe medical expert testimony standards
  4. Identify current prospective studies regarding the diagnosis of abusive head trauma
April 12, 2016

Building Bridges Behind Bars: Meeting the Health Care Needs of Incarcerated Youth
Stephanie Crewe, MD, MHS
Assistant Professor
Division of Adolescent Medicine

At the conclusion of this program, the participants will be able to:

  1. Identify the unmet health needs of incarcerated youth
  2. Describe the role of the pediatrician in providing re-integrative care for youth transitioning from the juvenile correctional system to the community
  3. Discuss medical education, policy and advocacy priorities for promoting the health of incarcerated youth
April 5, 2016

CPC: “4 day old male newborn with failure to thrive and dehydration”
David J. Friedel, M.D., FAAP, FACP
Assistant Professor of Pediatrics and Internal Medicine, Division of Infectious Diseases
Program Director, Combined Medicine-Pediatrics Residency Program
Associate Program Director, Pediatric Residency Program, Co-Director, Family Travel Clinic

L. Das Narla, M.D.
Director and Professor, Pediatric Radiology
Program Director, Radiology Residency Program  

At the conclusion of this program, the participants will be able to:

  1. Formulate a differential diagnosis for FTT and dehydration in a newborn male based on historical, physical, and diagnostic lab/imaging findings of the case patient
  2. Interpret key diagnostic findings of the case patient
  3. State the preferred confirmatory diagnostic study for the case patient
March 22, 2016

Vaptans: A New Treatment for Severe Hyponatremia
Cristin Kaspar, M.D.
Fellow, Pediatric Nephrology

At the conclusion of this program, the participants will be able to:

  1. Describe the controversy surrounding administration of hypotonic versus isotonic maintenance IVF
  2. Identify the Syndrome of Inappropriate Antidiuretic Hormone
  3. Explain the treatment goals of sodium correction in severe hyponatremia
  4. Convey the mechanism of action of ‘Vaptan’ drugs and in what situations they may be beneficial
March 15, 2016

School Policies and Obesity Prevention: Modifying the Environmental Defaults
Melanie K. Bean, Ph.D.
Associate Professor of Pediatrics
Director of Clinical and Behavioral Services
Healthy Lifestyles Center

At the conclusion of this program, the participants will be able to:

  1. Describe the modifications to and controversies surrounding the revised National School Breakfast and Lunch Programs
  2. Recognize the role of school policies in impacting children’s sleep, dietary and physical activity behaviors, with a particular focus on the rapidly changing landscape of the Richmond Public School System
  3. Identify ways to enhance congruency between clinical recommendations and the current school environment
March 8, 2016

Using Deliberate Practice to Optimize Our Clinical Coaching
Jennifer M. Jackson, M.D.
Associate Professor, Dept. of Pediatrics
Wake Forest School of Medicine

At the conclusion of this program, the participants will be able to:

  1. Describe deliberate practice principles and how they apply to clinical teaching
  2. Discuss why performance feedback is important for the professional development of both learners and educators
  3. Describe practical methods for incorporating DP principles to effectually and efficiently teach in the clinical setting
March 1, 2016

22q11.2 Deletion Syndrome
Donna M. McDonald-McGinn, MS, LCGC
Clinical Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania
Chief, Section of Genetic Counseling Director, 22q and You Center
Associate Director, Clinical Genetics Center at the Children's Hospital of Philadelphia

At the conclusion of this program, the participants will be able to:

  1. Recognize the complexities of the 22q11.2 deletion syndrome
  2. Describe the concept of nested 22q11.2 deletions and duplications
  3. Identify the utility of healthcare surveillance and harmonized care in particular for congenital anomalies, speech/language, developmental and behavioral issues
Feb. 23, 2016

Understanding Vaccine Hesitancy
Elizabeth Wolf, M.D., M.P.H.
Assistant Professor
Division of General Pediatrics
Children's Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

  • Describe the origins of vaccine hesitancy
  • Respond to specific questions that vaccine hesitant parents may have
Feb. 16, 2016

February 16, 2016

An Update on Pediatric Hearing Impairment
Kelley Dodson, M.D.
Associate Professor
Residency Program Director
Otolaryngolog, Head & Neck Surgery
Children's Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

  • Categorize types of pediatric hearing impairment
  • Review diagnosis and early intervention for congenital hearing loss
  • Investigate etiologic work-up and management of common types of pediatric hearing loss
Feb. 9, 2016

Pediatric Workforce Issues: Tools and Resources for Advocacy in Pediatrics
William B. Moskowitz, M.D., FAAP, FACC, FSCAI, FAHA
Professor, Pediatrics and Medicine
Chief, Pediatric Cardiology
Vice Chair of Clinical Operations
Children's Hospital of Richmond at VCU

Chair, AAP Committee on Pediatric Workforce

At the conclusion of this program, the participants will be able to:

  • Describe whether the pediatrician workforce is meeting the needs of children
  • Understand the impact of increased number and proportion of women in the pediatrician workforce
  • Explain the patient-centered medical home concept and its impact on pediatric workforce
  • Question how should GME change to ensure adequate supply of pediatricians of all types
Feb. 2, 2016

Clinicopathologic Conference: 17 year old male with a cough
Roopa Kanakatti Shankar, M.D., M.S.
Assistant Professor
Division of Endocrinology and Metabolism
Children's Hospital of Richmond at VCU

Gregory Vorona, M.D.
Assistant Professor
Department of Radiology
Children's Hospital of Richmond at VCU

Rachel Fielden, M.D.
PGY2, Pathology

At the conclusion of this program, the participants will be able to:

  • Formulate a differential diagnosis for cough in an adolescent male based on historical, physical, and diagnostic lab/imaging findings of the case patient
  • Interpret key diagnostic findings of the case patient
  • State the preferred confirmatory diagnostic study for the case patient
Jan. 26, 2016

Controversial Chemicals Common in Dentistry
William Dahlke, D.M.D.
Director, Advanced Education in Pediatric Dentistry
Pediatric Dentistry
Children’s Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

  1. Identify the controversial chemicals occurring in common dental materials
  2. Describe how these chemicals interact in the human body
  3. Explain the current state of the scientific literature regarding the safety of these chemicals and the official position of the American Dental Association regarding their safe use
Jan. 19, 2016

Title TBD
Christina Wiedl, D.O.
Assistant Professor
Division of Hematology and Oncology
Children’s Hospital of Richmond at VCU

At the conclusion of this program, the participants will be able to:

Jan. 12, 2016

Lymphatic Imaging and Interventions in Children
Maxim Itkin, M.D.
Associate Professor of Radiology
University of Pennsylvania Hospital

Yoav Dori, M.D., Ph.D.
Assistant Professor of Cardiology
Children’s Hospital of Philadelphia

At the conclusion of this program, the participants will be able to:

  1. Understand new lymphatic imaging techniques such as intaranodal lymphangiogram and MR ductogram
  2. Implement appropriate treatment algorithm for chylous leaks such as chylous ascities, chylothorax and chylopericardium
  3. Describe the indications, techniques, pitfalls and outcomes of thoracic duct embolization as a treatment of plastic bronchitis
Jan. 5, 2016

What’s New in Autism: The Promising, the Puzzling, and the Simply Odd
Donald Oswald, Ph.D.
Director of Diagnostics and Research
Commonwealth Autism

At the conclusion of this program, the participants will be able to:

  1. Identify recent autism-related research findings that are relevant to clinical practice with patients with autism spectrum disorder and their families
  2. Identify implications of autism-related research for their interactions with, and care of, patients with autism spectrum disorder
Dec. 15, 2015

Recognizing, Diagnosing and Treating Hereditary Angioedema (HAE)
Timothy Craig, D.O.
Assistant Professor
Professor of Medicine and Pediatrics
Penn State Hershey Allergy, Asthma and Immunology

At the conclusion of this program, the participants will be able to:

  1. Recognize a patient with HAE
  2. Identify how HAE differs from other angioedema
  3. Improve the quality of life of patients with HAE
Dec. 8, 2015

Barriers and Facilitators to Infant Feeding Among Low-Income African American Women in Richmond, Virginia
Cecelia Barbosa, PhD, MPH, MCP
Principal and Owner, cBe Consulting

At the conclusion of this program, the participants will be able to:

  1. Describe the infant feeding facilitators and barriers experienced by low-income African American women from family and friends, hospitals, health care providers, WIC, work and in public.
  2. Describe and discuss the factors that differentiated positive deviants from other women in the study.
Dec. 1, 2015

Perinatal Palliative Care
Jean E. Teasley, M.D.
Medical director, Pediatric Palliative Care
Associate Professor
Division of Child Neurology

At the conclusion of the program, participants will be able to:

  1. Identify issues that are specific to perinatal palliative care
  2. Evaluate necessary steps in caring for infants with life limiting illnesses
  3. Endorse advocacy for infants with life limiting illness and their families
Nov. 17, 2015

Children’s Mental Health Resource Center: A GPS for Children’s Mental Health
Lynette Brinkerhoff, LPC
Program Director
Children’s Mental Health Resource Center

At the conclusion of the program, participants will be able to:

  1. Inform the community of the innovation and activities of the Children’s Mental Health Resource Center
  2. Describe the methods employed to help families and providers navigate access to child mental health services
  3. Explain the role of Family Navigators & Parent Support Partners
  4. Advocate for collaborative interventions to help children access the mental health services they need and want
Nov. 10, 2015

Pediatric Sleep Medicine:  More Than Snoring Alone
Justin Brockbank, MD
Assistant Professor
Pediatric Sleep Center Director
Division of Pulmonary Medicine

At the conclusion of this program, the participants will be able to:

  1. Outline AAP guidelines regarding indications for sleep study in pediatric patients
  2. Define obstructive sleep apnea syndrome in infants and children
  3. Discuss treatment options for OSA in the pediatric population
  4. Identify patients at risk for other sleep disorders including pediatric insomnia, circadian rhythm disorders, restless leg syndrome and central disorders of hypersomnolence
Nov. 3, 2015

Vaccines to prevent congenital cytomegalovirus disease: can antibodies in saliva block oral transmission? 
Michael McVoy, PhD
Professor of Pediatrics
Division of Infectious Diseases

 At the conclusion of the program, participants will be able to:

  1. Appreciate the importance of a vaccine to prevent congenital cytomegalovirus infections
  2. Understand the potential roles of neutralizing antibodies in blocking oral transmission
  3. Recognize that cytomegalovirus shed in urine (and possibly other secretions) is highly resistant to antibody neutralization
  4. Appreciate the implications for a vaccine designed to prevent transmission by inducing salivary neutralizing antibodies
Oct. 27, 2015

Controversies in Childhood Thyroid Diseases
William T. Scouten, M.D., CAPT, MC, USN
Chief, Pediatric Endocrinology
Naval Medical Center Portsmouth

At the conclusion of the program, participants will be able to:

  1. Chart the pattern of thyroid hormone production during normal fetal development, perinatal transition, and early infancy
  2. Contrast the pattern of measured thyroid function in appropriate for gestational age or small for gestational age preterm and term infants
  3. Apply the most recent evidence in screening and management of abnormal thyroid function tests in premature infants
  4. Describe the natural history of Graves' disease in pediatric patients and clinical characteristics that are associated with prolonged active disease
  5. List the risks and benefits of palliative and definitive management options for Graves' disease
  6. Formulate an age-appropriate approach to management of pediatric Graves' disease
  7. Define subclinical hypothyroidism
  8. Describe clinical manifestations and categorize sub-populations
  9. Carefully assess the clinical relevance of subclinical thyroid disease
Oct. 20, 2015

Curing Hydrocephalus without Shunts
John J. Collins, M.D.
Professor and Chief
Division of Neurosurgery

At the conclusion of the program, participants will be able to:

  1. Determine the difference between hydrocephalus, benign enlargement of the subarachnoid space (BESS), and subdural hygroma
  2. Identify those patients with shunts who exhibit signs and symptoms suggestive of a high likelihood that they have shunt malfunction.
  3. Describe the signs and symptoms that differentiate between insufficient shunt drainage and shunt over drainage
  4. Identify those patients with shunts who exhibit signs and symptoms suggestive of a high likelihood that they have shunt infection and will be able to differentiate those patients from patients who have a low likelihood of having shunt infection
  5. Describe the sequence of causes that have the effect of producing the shunt slit ventricle syndrome and will be able to explain the morbidities that this syndrome causes
  6. Describe the pathway of cerebrospinal fluid flow, describe the radiographic features of aqueduct stenosis, and describe the anatomic features relevant to the E TV surgical procedure
  7. Contrast and compare the risks and benefits of a shunt treatment compared to an E TV treatment
  8. Recognize clinical features that suggest a patient would have a high likelihood of ETV treatment success
Oct. 13, 2015

Respiratory Distress in a Neonate
Philip Kum-Nji, M.D.
Lakshmana Das Narla, M.D.
Tracy L. Shipe, D.O.

At the conclusion of the program, participants will be able to:

  1. Formulate a differential diagnosis for respiratory distress in the newborn based on historical, physical, and diagnostic lab/imaging findings of the case patient
  2. Interpret key diagnostic findings of the case patient
  3. Select the preferred confirmatory diagnostic imaging for the case patient
Oct. 6, 2015

Understanding the Value of Medical Legal Partnership
Protecting Tenants' Access to Safe, Stable Housing
Allison Held , Volunteer Attorney, Medical Legal Partnership – Richmond
Phil Storey, Attorney, Legal Aid Justice Center

At the conclusion of the program, participants will be able to:

  1. Understand and make the most of CHoR's Medical-Legal Partnership (MLP) to enable patients and their families to receive the legal services and support they need to get and stay healthy
  2. Communicate basic information to patients about the services available through the MLP and how patients might benefit from legal advice or representation
  3. Identify housing problems that might benefit from legal advice or representation
  4. Communicate basic information to patients about the rights and obligations of tenants
  5. Communicate basic information to patients about protecting their rights as tenants
  6. Refer patients to appropriate legal help for landlord-tenant problems
Sept. 29, 2015

Human Trafficing
Elisabeth Corey, MSW

At the conclusion of the program, participants will be able to:

  1. Describe human trafficking using the Trafficking Victims Protection Act standard definition
  2. Identify common barriers to victim identification and comprehensive care in the medical setting
  3. Understand steps to overcome those barriers in your own medical community
  4. Define and list key indicators of human trafficking
  5. Describe the basic concept of trauma-informed care
Sept. 22, 2015

Donor Milk Controversies and Perspectives
Jenny Fox, M.D., M.P.H.
Assistant Professor
Division of Neonatal Medicine

At the conclusion of the program, participants will be able to:

  1. Differentiate the benefits of pasteurized donor breastmilk feedings versus preterm formula feedings in the very low birthweight infants
  2. Apply current literature to determine the appropriate use of pasteurized donor human milk in infants
  3. Educate colleagues and parents on the controversies surrounding the use of pasteurized donor human milk
Sept. 15, 2015

Pediatrics to Policy
Ralph S. Northam, M.D.
Lieutenant Governor of Virginia
Pediatric Neurologist

*Location change: Egyptian Building Baruch Auditorium

At the conclusion of the program, participants will be able to:

  1. Identify how pediatic health care advocacy can become law in the Commonwealth of Virgnia
  2. Determine how to recognize concussions in student athletes
May 12, 2015

Identification and Management of Craniosynostosis
Ann M. Ritter, MD
Associate Professor
Division of Neurosurgery

At the conclusion of the program, participants will be able to:

  1. Describe the different types of craniosynostosis
  2. Evaluate the different types of head shapes
  3. Identify the two types of repair for craniosynostosis
  4. Differentiate  between lambdoid craniosynostosis and positional plagiocephaly
May 5, 2015

Psychosocial Late Effects of Childhood Cancer
Matthew Bitsko, PhD, LCP
Assistant Professor
Division of Hematology and Oncology

At the conclusion of the program, participants will be able to:

  1. Identify the most common psychosocial late effects from childhood cancer treatment
  2. Describe the risk factors associated with psychosocial late effects of childhood cancer
  3. Evaluate treatment or referral options for these late effects
April 28, 2015

Functional Gastrointestinal Disorders: What's an Elephant Got to Do with Them?
Sally Tarbell, PhD
Associate Professor of Psychiatry and Pediatrics
University of Colorado School of Medicine
Chief Psychologist
Children’s Hospital Colorado

At the conclusion of the program, participants will be able to:

  • Identify biological, psychological and social factors that can predispose a child to functional gastrointestinal disorders and perpetuate illness related disability
  • Describe evidenced informed treatment approaches to optimize outcomes in pediatric functional gastrointestinal disorders
April 21, 2015

Enhancing Recognition of Pediatric Obstructive Sleep Apnea during Moderate (Conscious) Sedation
David J. Leszczyszyn, MD, PhD
Director, VCU Center for Sleep Medicine
Program Director, Child Neurology Fellowship
Associate Professor of Neurology and Pediatrics

Harmeet K. Chiang, BDS
Assistant Professor
VCU Medical Center

At the conclusion of the program, participants will be able to:

  1. Describe the vast heterogeneity of the young adult population
  2. Discuss the common health needs of young adults and obstacles to their receiving appropriate health care
  3. Identify issues in the transition from pediatric-focused to adult-focused health care and resources to assist providers in transitioning youth
April 14, 2015

Lost in Translation? The Health Care Needs of Young Adults        
Richard R. Brookman, MD
Professor and Chief
Division of Adolescent Medicine

At the conclusion of the program, participants will be able to:

  1. Describe the vast heterogeneity of the young adult population
  2. Discuss the common health needs of young adults and obstacles to their receiving appropriate health care
  3. Identify issues in the transition from pediatric-focused to adult-focused health care and resources to assist providers in transitioning youth
April 7, 2015

7-Week-Old Presented for Admission to the PICU for ECMO Cannulation
Matthew Schefft, D.O.
Fellow
Division of Hematology and Oncology

March 31, 2015

Pediatric TBI: Not Just a Little Ding
Charles M. Dillard, MD
Assistant Professor
Department of Physical Medicine and Rehabilitation
Medical Director, Concussion/TBI Program

At the conclusion of the program, participants will be able to:

  1. Discuss the incidence and pathophysiology of pediatric mild TBI
  2. Discuss signs and symptoms of a pediatric mild traumatic brain injury
  3. Discuss appropriate treatments for pediatric mild TBI
  4. Discuss appropriate return to play and return to school protocols following pediatric mild TBI
March 24, 2015

Febrile Infants: Time to Change the Standard of Care?
Rianna Evans, MD
Hospitalist
Children’s Hospital of the King’s Daughters

At the conclusion of the program, participants will be able to:

  1. Use febrile infant management protocols in daily practice
  2. Identify areas of current research in the management of febrile infants and how these areas impact daily practice
March 17, 2015

Gut Microbiota, Obesity, and Insulin Resistance
Edmond P. Wickham III, M.D., MPH
Associate Professor of Internal Medicine and Pediatrics
Division of Endocrinology and Metabolism
Director of Research, Comprehensive Pediatric Obesity Research and Treatment Center

At the conclusion of the program, participants will be able to:

  1. Discuss how the human gut microbiota is established and changes during infancy and childhood
  2. Describe the associations between the gut microbiota, weight status and insulin resistance
  3. Identify how the gut microbiota may represent a novel therapeutic target  for cardiometabolic risk factors
March 10, 2015

Therapeutic Hyperthermia in Children
Jesse Bain, DO
Assistant Professor
Division of Critical Care Medicine

At the conclusion of the program, participants will be able to:

  1. Have an understanding of the pathophysiology associated with cardiac arrest and brain injury in children
  2. Be able to describe the most current literature regarding the use of therapeutic hypothermia in children
March 3, 2015

Metabolic Bone Disease: Perspective from Pediatric Endocrinology and Nephrology
Timothy Bunchman, M.D.
Professor and Chief
Nephrology

Gary Francis, M.D.
Professor and Chief
Endocrinology and Mmetabolism

At the conclusion of the program, participants will be able to:

  1. Evaluate causes of PTH and bone interaction
  2. Intervene to prevent future bone disease
  3. Understand PTH and bone disease in renal disease
Feb. 24, 2015

An evolutionary approach to understanding the psychosocial impact of medical trauma/stress on children’s functioning
Robert B. Noll, Ph.D.
Professor of Pediatrics, Psychiatry, and Psychology

At the conclusion of the program, participants will be able to:

  1. Describe expected social and emotional outcomes for children with severe chronic illness
  2. Identify which children are at highest risk for psychosocial difficulties subsequent to the occurrence of medical trauma
  3. Increase awareness of resilience and positive psychology in children with chronic illness
  4. Explain why an evolutionary model is useful for understanding children’s psychological reactions to medical trauma
Feb. 17, 2015

Identification and Management of Craniosynostosis
Ann M. Ritter, M.D.
Associate Professor
Department of Neurosurgery

At the conclusion of the program, participants will be able to:

  1. Describe the different types of craniosynostosis
  2. Evaluate the different types of head shapes
  3. Identify the two types of repair for craniosynostosis
  4. Differentiate  between lambdoid craniosynostosis and positional plagiocephaly
Feb. 10, 2015

The Cycle of Chronic Pain
Jean E. Teasley, M.D.
Associate Professor of Neurology and Pediatrics
Medical Director, Pediatric Palliative Care

At the conclusion of the program, participants will be able to:

  1. Discuss components that lead to a chronic cycle of pain
  2. Discuss multiple modalities of treatment for chronic pain
Feb. 3, 2015

Clinicopathologic Conference: 2-month-old female with fever, diarrhea and rash
John E. Fortunato Jr., M.D.
Professor and chief
Division of Gastroenterology and Nutrition
Download more information.
 
This program will include a discussion and Q&A session.

Jan. 27, 2015

Caring for Children with Craniofacial Conditions: Pierre Robin Sequence and Craniosynostosis
Jennifer Rhodes, M.D., FACS, FAAP
Director, Center for Craniofacial Care
 
At the conclusion of the program, participants will be able to:

  1. Describe current best practice protocols for the management of infants with Pierre Robin sequence
  2. Explain to patients how craniosynostosis is treated and why
Jan. 20, 2014

Congenital Cytomegalovirus: Experimental Vaccines and Immunotherapeutics
Michael McVoy, Ph.D.
Professor of Pediatrics
Division of Infectious Diseases
 
At the conclusion of the program, participants will be able to:

  1. Appreciate the clinical relevance of congenital CMV infections
  2. Understand the mechanism of action of neutralizing antibodies and the role played by cell type-specific viral entry pathways
  3. Appreciate the potential role of neutralizing antibodies in preventing congenital infections or ameliorating disease
  4. Be aware of recent progress in development of vaccines and immunotherapeutics
Jan. 13, 2015

Pediatric Obesity: Getting to the Heart of the Matter
Kerri A. Carter, M.D.
Assistant Professor
Division of Cardiology
 
At the conclusion of the program, participants will be able to:

  1. Review the origins of the First Steps program
  2. Discuss the process of development and implementation of the First Steps program
  3. Identify the structural and functional alterations seen in the heart in the setting of pediatric obesity
Jan. 6, 2015

Understanding Cultural Humility and What Does it have to do with my work?

Dana Yarbrough
VCU Partnership for People with Disabilities Center for Family Involvement

Mauretta Copeland
VCU Partnership for People with Disabilities Center for Family Involvement

At the conclusion of the program, participants will be able to:

  1. Understand what cultural humility is and why it is important
  2. Better understand the significance of discussing cultural beliefs with families when making diagnosis and intervention recommendations

Narratives on the influence on choice making among families of children recently diagnosed with autism spectrum disorders
Matthew Bogenschutz, MSW,  Ph.D.
VCU School of Social Work

Parthen Dinora
VCU Partnership for People with Disabilities

At the conclusion of the program, participants will be able to:

  1. Better understand the role of family finances, culture, and service access of families seeking early interventions for ASD
  2. Appreciate the role of families in clinical decision making
  3. Reinforce the centrality of family-centered intervention in optimizing treatment decisions
Dec. 16, 2014

Management of Bronchopulmonary Dysplasia
Judith Voynow, M.D.
Edwin L. Kendig Jr. Professor of Pulmonology
Division of Pulmonary Medicine
 
At the conclusion of the program, participants will be able to:

  1. Explain the differences in the pathogenesis of the new vs. the old BPD
  2. List the long-term outcomes of BPD and the most common complications  and co-morbidities
  3. Understand  the current therapies to mitigate BPD and its complications both during and after the NICU course 
Dec. 9, 2014

Is it SAFE to Order That Head CT?
Gregory Vorona, MD
Assistant professor
Department of Radiology

At the conclusion of the program, participants will be able to:

  1. Identify the major components of a computed tomography (CT) unit, and to describe two of the major contributing modifiable technical factors contributing to CT radiation dose production (mA and kVp)
  2. Learn to communicate in terms of “absorbed dose” and “effective dose”
  3. Express knowledge of current literature from which our pediatric radiation risk estimates are based
  4. Understand how CT radiation dose is reported via the Picture Archiving and Communication System (PACS), and be introduced to how we are working to optimize pediatric CT radiation exposure at VCU
Dec. 2, 2014

Turner Syndrome: New Insights into the Enigmatic X    
Roopa Kanakatti Shankar, MBBS, MS
Assistant Professor
Division of Endocrinology and Metabolism

At the conclusion of the program, participants will be able to:

  1. Identify patients with short stature and appropriately screen for Turner syndrome
  2. Outline the diagnostic and management guidelines for care of patients with Turner Syndrome
  3. Recognize phenotype-genotype correlations with Turner Syndrome
  4. Describe the cardiac and reproductive issues associated with Turner syndrome
  5. Recognize the significance and basic mechanism of X-inactivation and its prognostic implications
Nov. 18, 2014

Managing Your Child's Media Use
Liv Gorla Schneider, M.D., FAACP
Community Pediatrician
The Pediatric Center

At the conclusion of the program, participants will be able to:

  1. Describe current AAP Policy and current research related to children's media use
  2. Discuss several key strategies parents can use to help their children effectively utilize media
  3. Access simple web based resources to support parents’ efforts to effectively manage their children's media use
Nov. 11, 2014

Multiple Small Feedings of the Mind (MSFM)

The Speech Pathologist’s Role in Managing Feeding Disorders
Carrie Mills, MS, CCC-SLP
Speech Pathologist
VCU Medical Center

At the conclusion of the program, participants will be able to:

  1. Identify medical, motor, sensory, and behavioral factors that may interrupt feeding/swallowing development
  2. Determine underlying factors/etiology that place children at risk for feeding disorders and how to screen for them
  3. Describe the modified barium swallow study including its purpose and interpretation of findings
  4. Increase their understanding of current speech pathology services provided within the VCUHS

Feeding A Newborn With Cleft Palate
Ruth Trivelpiece, MEd, CCC-SLP
Program Coordinator, Center for Craniofacial Care
Children’s Hospital of Richmond at VCU

At the conclusion of the program, participants will be able to:

  1. Describe the different methods of feeding babies with cleft lip/palate
  2. Understand the anatomical challenges of feeding newborns with cleft lip/palate
Nov. 4, 2014

Brant Ward, MD, PhD
Clinical Immunologist
Assistant Professor of Medicine

At the conclusion of the program, participants will be able to:

  1. Justify newborn screening for severe combined immunodeficiency (SCID) based on epidemiologic and economic data.
  2. Recognize the methods adopted by the Commonwealth of Virginia for SCID newborn screening and follow-up.
  3. Coordinate the care of infants who screen positive for SCID and/or disorders associated with T cell lymphopenia.
Oct. 28, 2014

Airway Mucus: It’s Not Just Snot
Bruce K. Rubin, MEngr, M.D., MBA, FRCPC
Jesse Ball duPont Distinguished Professor and Chair
VCU Department of Pediatrics
Physician-in-Chief
Children’s Hospital of Richmond at VCU

At the end of the presentation, the participants will be able to:

  1. Understand the differences between mucus, mucin, sputum, and phlegm
  2. Have a better appreciation for the iterative process of science
  3. Recognize the importance of mucus secretion and clearance as well as the potential harm of sputum retention
  4. Know that death from asthma is due, in large part, to mucus obstruction that is unresponsive to beta agonists or corticosteroids
Oct. 21, 2014

Caring for Kids with Cleft and Craniofacial Differences – What Every Pediatrician Should Know
Jennifer L. Rhodes, M.D., FACS, FAAP
Associate Professor and Director
Center for Craniofacial Care
Children's Hospital of Richmond at VCU

At the end of the presentation, the participants will be able to:

  1. Explain to families why children get the best care through multidisicplinary teams
  2. Learn current national timelines for surgical and therapeutic interventions for cleft and craniofacial conditions
  3. Understand the role of the Program Coordinator as point of contact for referrals
Oct. 14, 2014

Clinical Pathological Conference
Susanne Appleton, M.D.
Assistant Professor
Division of General Pediatrics
Children's Hospital of Richmond at VCU

Christina Ching, M.D.
Assistant Professor
Division of General Pediatrics
Children's Hospital of Richmond at VCU

At the end of the presentation, the participants will be able to:

  1. Formulate a differential diagnosis for cough and dyspnea based on historical, physical, and diagnostic lab/imaging findings of the presenting case patient
  2. Interpret key diagnostic findings of the presenting case patient
  3. State the preferred diagnostic and confirmatory laboratory test for presenting case patient
Oct. 7, 2014

Kidney Injury in Severely Obese Children
Nianzhou Xiao, M.D.
Assistant Professor
Nephrology
Children’s Hospital of Richmond at VCU

At the end of the presentation, the participants will be able to:

  1. Improve their understanding of obesity related kidney injury
  2. Apply proper functional screening to identify kidney impairment in obese children
  3. Advocate for early and proactive weight management 
  4. Reflect upon potential growth opportunities via clinical, teaching, and research initiatives