Pediatric Chair's Friday For​um

Pediatric Chair's Friday Forum is designed to instill lifelong learning practices for participants and to further develop critical-thinking skills essential to the practice of medicine and translational science. This weekly, interactive session is facilitated by Department of Pediatrics faculty and residents, and is structured around rotating themes:

  • Week 1 - Clinical Reasoning
  • Week 2 - Evidence-Based Medicine
  • Week 3 - Morbidity & Mortality or Health Equity Rounds
  • Weeks 4 & 5 - Research in Progress or Ethics

Due to confidentiality of some topics, attendees must be OHSU employees.

Time: Fridays, 12 noon-1 p.m.

How to attend: Beginning April 1, Friday Forum will be held in person in CDRC 3200. A Webex option will be available (OHSU login required) for those who wish to watch sessions virtually. If you are an OHSU employee and would like to attend via Webex, please email Jessica Willhite to be added to the distribution list.

October 1, 2021 | Clinical Reasoning

More Than Just a Red Eye

Facilitated by Michelle Noelck

Learning Objectives:

  • Walk through a challenging clinical case
  • Facilitate interdisciplinary discussion regarding diagnosis and management

October 8, 2021 | Evidence-Based Medicine

Racial Differences in Antibiotic Prescribing by Primary Care Pediatricians

Facilitated by Doris Valenzuela-Araujo, Lucia Covert, Zayna Bakizada

Learning Objectives:

  • Review the racial and ethnic disparities that exist in provider prescribing practices
  • Explore specific actions we can take to address provider biases

October 15, 2021 | Morbidity & Mortality

MIS-C: How to Safely Manage Evolving Treatment in an Inpatient Setting

Facilitated by Sarah Green and Michelle Noelck

• Discuss safety standards and communication in the setting of changing and varied guidelines for MIS-C
• Review pharmacy procedures for rarely given medications

October 22, 2021 | Research in Progress

What We Talk About When We Talk About “Ethics Research”: An Introduction to Ethics 

Facilitated by Tyler Tate

Learning Objectives:

  • Consider what makes “ethics” its own body of knowledge, warranting research
  • Learn about the two major distinctions in ethics: Normative Ethics (what you should do) vs Empirical Ethics (what people think about what people should do)
  • Review potential career paths for clinician-ethicists
  • Examine basic research processes and methodologies for doing Normative and Empirical ethics scholarship, with a focus on pediatric ethics

October 29, 2021 | Ethics

Decisional Capacity, Mature Minors, Total Pain, Boundaries, and Counter-Transference: What to do When Seemingly Every Ethical and Personal Complexity Arise in a Single Case

Facilitated by Bob Macauley

  • Identify the elements on informed consent
  • Identify situations where a patient under the age of 18 may make their own medical decisions
  • Learn how to navigate situations that challenge us both cognitively and emotionally

Content Warning: This session will discuss a patient who was the survivor of sexual assault. We recognize this topic may be triggering.

November 5, 2021 | Clinical Reasoning

An Interesting Case That Has Nothing to Do With Covid

Facilitated by Jared Austin

Learning Objectives:

  • Discuss the workup and management of a child with limp
  • Describe the history and pathophysiology of the final diagnosis

November 12, 2021 | Research in Progress

Improving the Patient and Caregiver BMT Experience: The Evolution of BMT Roadmap

Facilitated by Amanda Johnson

Learning Objectives:

  • Outline scope of mobile health and technology with specific focus on Hematology, Oncology, and BMT-related apps
  • Describe progression of BMT Roadmap over the past decade
  • Review pilot study of BMT Roadmap with results to date and introduce multi-site BMT Roadmap study.
  • Discuss fellow/trainee research experience with specific attention to experience with external mentorship

November 19, 2021 | Health Equity Rounds

Beyond the Hill: Addressing Socioeconomic Disparities in Health Among Medically Complex Children

Facilitated by Robert McRae, Trisha Wong, Allison Empey, and Jaime Peterson

Learning Objectives:

  • Develop a better understanding of socioeconomic disparities in healthcare among medically complex patients  
  • Discuss avenues for optimizing equity among socioeconomically disadvantaged patients

November 26, 2021

No Pediatric Chair's Friday Forum

December 3, 2021 | Clinical Reasoning

A Sleepy Baby

Facilitated by Amanda Kim, Erin Madison, Kimberly Kripps, and Kelsey Richardson

Learning Objectives:

  • Understand the pathophysiology of neonatal hyperbilirubinemia
  • List the initial work up of a lethargic neonate

December 10, 2021 | Evidence-Based Medicine

Autism and Interventions in Infancy

Facilitated by Aaron Davis, Andrea Chobrutskiy, and Blaire Mallahan

Learning Objectives:

  • Identify and critically evaluate a single-blinded randomized control trial
  • Understand study results regarding early intervention

December 17, 2021 | Morbidity & Mortality

Exploring the Medication Reconciliation Process

Facilitated by Hannah Yerxa

Learning Objectives:

  • Describe at least one problem or pitfall of the current medication reconciliation process
  • Discuss at least one possible improvement to the medical reconciliation process or one solution to a current problem with the process

December 24, 2021

No Pediatric Chair's Friday Forum

December 31, 2021

No Pediatric Chair's Friday Forum

January 7, 2022 | Clinical Reasoning

When COVID is Just the Tip of the Iceberg

Facilitated by Kathryn Felmet, Judy Guzman-Cottrill, Patrick Evers, Terry Kho, Sandra Iragorri

Learning Objectives

  • Review the pathophysiology of Covid disease as it pertains to cardiac/renal involvement
  • Understand the mechanism that leads to a dilated cardiomyopathy
  • Review some aspects of mineral bone disease as it pertains to myocardial morbidity

January 14, 2022 | Evidence-Based Medicine

Exploring the Utility of AAP Risk Criteria to Identify Serious Illness Associated with BRU

Facilitated by Omar Tayh, Kayla Erspamer, Jason Blanks

Learning Objectives

  • Overview the definition of a BRUEs and current BRUEs guidelines
  • Review a recent multi-center retrospective study on BRUE outcomes and associated risk factors
  • Discuss the utility of AAP BRUEs risk criteria in identifying high risk events
  • Discuss how to best use AAP BRUEs risk criteria to triage BRUWs in various settings

January 21, 2022 | Health Equity Rounds

Health Disparities & Gaps in Kindergarten Readiness

Facilitated by: Tate Correll, E. Hayes Bakken, Jaime Peterson

Learning Objectives

  • Understand the family, community and learning environments that promote school readiness for children
  • Describe the school readiness gap for children living in poverty as a result of long-standing system and institutional level racism
  • Describe two ideas to design a more equitable system

January 28, 2022 | Ethics

All or Nothing? When Families Agree to Treatment That could Cause Harm and Decline Safeguards

Facilitated by: Melissa Weddle, Kelsey Richardson, Sara Taub

Learning Objectives

  • Define shared decision-making and identify clinical situations for which shared decision-making is appropriate
  • Discuss how to weigh the risks to a child’s health when parents agree to a treatment that could cause harm and decline safeguards
  • Discuss the clinician's approach when the duty to heal seems to conflict with the obligation to do no harm

February 4, 2022 | Clinical Reasoning

Canceled due to technological issues

Sometimes Chasing A Zebra Works Out

Facilitated by: Abbie Bauer, Shinpei Shibata, Christina Lancioni, Mikelle Bassett

Learning Objectives

  • Explore management of a critically ill child with progressive worsening of unclear cause
  • Understand presentation of systemic diseases in infants

February 11, 2022 | Evidence-Based Medicine

Spatial Clustering of Vaccine Exemptions on the Risk of a Measles Outbreak

Facilitated by: David Wagner, Paul G. Mitchell, Olivia Brasher, Laura McWhirter

Learning Objectives

  • Examine how California's 2015 ban on personal belief exemptions for school required vaccines has led more families to seek medical vaccine exemptions and how these exemptions are clustered in CA schools
  • Using outbreak modeling, examine how outbreak potential of measles in CA has changed pre and post policy changes based upon the spatial clustering of vaccine exemptions

February 18, 2022 | Morbidity & Mortality

When Blood Supplies Run Dry

Facilitated by: Mackenzie Deane, Trisha Wong

Learning Objectives

  • Basics of blood banking
  • Understand indications for Massive Transfusion Protocol
  • National blood shortages
  • Ways we can help mitigate blood shortages

February 25, 2022 | Research in Progress

Who's In Your Network?

Facilitated by: Carrie Phillipi

Learning Objectives

  • Describe how network research can help improve the evidence base in your field
  • Identify your own opportunities for success in collaborative research

March 4, 2022 | Clinical Reasoning

An Eye-Opening Case...

Facilitated by

Richard C. Cohen, MD, Department of Pediatrics, NW Permanente 
Dia Hazra, MD, Department of Pediatrics, NW Permanente
Jonathan B. Greene, MD, cornea and External Disease, Comprehensive Ophthalmology, NW Permanente 

Learning Objectives

  • Navigation through the complexities of outpatient and inpatient medical decision making
  • How to synthesize and coordinate consultant input in a collaborative fashion
  • Affirmation of the mantra "All the wheezes is not asthma"

March 11, 2022 | Evidence-Based Medicine

In a Nutshell: Peanut Allergy Desensitization in 1-3 Year Olds

Facilitated by

Kevin Kron, MD, Resident 
Austen Yeager, MD, Resident
Joanna Galindo, MD, Resident

Learning Objectives

  • Understand oral immunotherapy protocols to induce desensitization and remission
  • Explore the IMPACT trial's unique findings in oral immunotherapy for younger age groups not included in previous studies, including higher remission rates in the youngest participants

March 18, 2022 | Morbidity & Mortality

Considering the Safety of Direct Admissions for Pediatric Patients

Facilitated by

Karen Fryefield, MD, Resident
Jared Austin, MD, FAAP, Associate Professor of Pediatrics

Learning Objectives

  • Understand the concept of direct admission and how it differs from admission through the emergency department
  • Consider the risks and benefits of pediatric direct admissions

March 25, 2022

No Pediatric Friday Forum

April 1, 2022 | Clinical Reasoning

Sometimes Chasing a Zebra Works Out

Facilitated by Abbie Bauer and Amit Mehta

Learning Objectives

  • Explore management of a critically ill child with progressive worsening of unclear cause
  • Understand presentation of systemic diseases in infants

April 8, 2022 | Evidence-Based Medicine

Wildfire Smoke and Preemie Lungs: Clinical Impact and Healthcare Utilization

Facilitated by Meredith Haag, Alyssa Penning, Boone Rhinehart, Madeleine Geisheker

Learning Objectives:

  • To explore whether premature infants may be of greater risks related to wildfire smoke inhalation
  • To review case control study design and strengths and weaknesses of an example study
  • To review statistical methods including z score, confounding, effect modification, Mann Whitney U Test
  • To consider how the authors' results may apply more broadly to former term children with respiratory disease

April 15 | Health Equity Rounds

Family Acceptance and the Health of Transgender Youth

Presented by Laura Burbach

Learning Objectives:

  • Identify and analyze the effects of stigma on transgender youth in health care settings and in patient-family relationships
  • Describe the importance of family support of transgender youth and its impact on the health care system
  • Brainstorm strategies to combat stigma at the individual, interpersonal, community and structural level to reduce impact of such on patient care

April 22

No Friday Forum this week

April 29 | Ethics

Ethical Dilemmas From Pediatric Ophthalmology: Navigating the Right to Sight With Parental Preferences

Presented by: Donna Kim, MD,  Associate Professor of Ophthalmology, School of Medicine

Learning Objectives:

  • Promote awareness about ethical issues pertaining to pediatric ophthalmology
  • Explore cultural parental preferences that can influence shared decision making in pediatric care

May 6, 2022 | Evidence-Based Medicine

The Answer Was in the Urine

Facilitated by Jennifer Lane, Alyssa Penning, Olivia Brasher

Learning Objectives

  • Review a broad differential for abdominal pain
  • Review urinalysis and urine microscopy results and their commonly ignored components
  • Review appropriate referrals and treatment for an uncommon cause

May 13, 2022 | Evidence-Based Medicine

A Prospective Randomized Controlled Clinical Trial Comparing Digital Otoscopy With Conventional Otoscopy

Facilitated by

Salman Zahid, Kaitlyn Simmons, Alex Mechler-Hickson

Learning Objectives

  • Describe the diagnostic criteria for AOM and discuss the challenges to obtaining accurate exams
  • Explain the use of Fleiss Kappa testing in assessing interrater reliability
  • Debate the evidence for digital vs traditional otoscopy

May 20, 2022 | Morbidity & Mortality

Level III Care in a Level I Nursery

Facilitated by Katie Sacotte and Jennifer Stahl

Learning Objectives

  • Challenges of caring for acutely ill infants in a Community Hospital
  • Understanding resources at a community hospital

May 27, 2022 | Ethics

Who Gets the Keys to the Medical Home?

Facilitated by Melissa Weddle

Learning Objectives

  • Discuss the clinician's relationship with and responsibility to community agencies charted with child protection
  • Consider whether the health care establishment is an appropriate setting to enforce the law and the potential cost
  • Identify approaches for sustaining parental trust when working with Child Protective Services

June 3, 2022 | Clinical Reasoning

Clinical Reasoning: A Gut Feeling

Facilitated by Pat Hogan, Ana Van Meurs, and Will Wurster

Learning Objectives

  • Formulate a differential diagnosis for failure to thrive in an infant
  • Discuss rare diagnoses (genetic, metabolic, GI, renal) that can contribute to failure to thrive

June 10, 2022 | Evidence-Based Medicine

Head Positioning in Preterm Infants

Facilitated by Kara Mossler, Claire Conrad, and Hannah Grierson

Learning Objectives

  • Understand how head positioning might affect neonatal brain oxygenation and the consequences this may have for brain development
  • Be able to interpret box and whisker plots

June 17, 2022 | Health Equity Rounds

Up for Interpretation - Adding Depth to Our Communication

Facilitated by Andrew Arndt, Amanda Johnson, Daria Abel, Grecia Dandach

Learning Objectives

  • Identify and analyze the effects of communication and interpretation in clinical scenarios 
  • Describe the historical context and present-day role of interpretation and its impact on the health care system 
  • Employ skills and resources to effective communication and recognize healthcare disparities
  • Explore ways to combat structural racism at the institutional level by identifying policies and practices in place that disproportionately affects marginalized populations

June 24, 2022 | Research in Progress

TBD

Facilitated by Marie Hogan