Pediatric Grand Rounds
Pediatric Grand Rounds are designed to discuss and evaluate evolving diagnostics and therapeutics as they relate to general and sub-specialty pediatrics, and describe community and academic resources relevant to contemporary pediatric practice. At the conclusion of this activity, participants will be able to discuss, assess, and manage care of children with either normal or complex care requirements.
Department of Pediatrics and all School of Medicine faculty, community pediatricians, trainees, and staff are welcome to attend this weekly lecture to learn about pediatric topics, research, and challenging clinical cases. This activity is open to the public.
Due to COVID-19 restrictions, Pediatric Grand Rounds will be held via WebEx and livestream until further notice.
Time: Thursdays, 8-9 a.m.
How to attend: Livestream and WebEx. Please use the Webex option if you would like to participate in the Q&A; questions asked in the Chat will be moderated.
To receive CME credit: Please complete the evaluation sent out after the session. If you are not on our mailing list and would like CME credit for sessions you attend via WebEx or livestream, please email Jessica Willhite.
Recordings of previous sessions: Recordings can be accessed via Echo 360 at: https://echo360.org/section/7571cc8f-2e17-4e57-88a5-d8cfd2b5b316/public (note: please use this exact URL if sharing the link; the URL will change once opened in a web browser).
September 2, 2021
Physicians, Epidemics, and Burnout: Lessons on Professionalism from Ancient Greece
Presented by Nathan Selden, MD, PhD, Professor and Chair, Neurological Surgery, OHSU, and Nigel Nicholson, PhD, Dean Emeritus and Professor of Classics, Reed College
Learning Objectives:
- Participants will be able to describe the impact of the Plague of Athens in 429 BCE, as chronicled by Thucydides, in the development of the medical rhetoric of the physician-patient relationship.
- Participants will be able to list the ways in which the ancient rhetoric of the disembodied physician has affected the wellness of physicians through to the present day.
- Participants will be able to discuss the ways in which the COVID-19 pandemic has exacerbated these ancient rhetorical challenges to physician health and wellness and to list ways in which physicians can respond to counter burnout.
September 9, 2021
Presented by Kea Parker, MD, IBCLC, Assistant Professor, Family Medicine, OHSU
Learning Objectives:
- Describe Project Nurture as a wholistic approach to prenatal, postpartum, and pediatric care for families affected by substance use disorder
- Describe how we support families engaged with the Department of Human Services (DHS)
September 16, 2021
No Pediatric Grand Rounds
September 23, 2021
Optimal Outcomes in PICU Survivors: What’s Neuropsychology Got to Do with It?
Presented by Trevor A. Hall, PsyD, ABPdN, Associate Professor, Department of Pediatrics, Pediatric Neuropsychologist, Associate Director, Pediatric Critical Care & Neurotrauma Recovery Program, Institute on Development & Disability
Learning Objectives:
- Learn about the current standard of care for post-PICU follow-up and how things have changed over the past few years
- Acquire an understanding on the importance of assessing and addressing neuropsychological variables for PICU survivors in order to optimize recovery
- Gain knowledge about advancements made in cognitive outcomes research following a PICU admission
September 30, 2021
Growth Failure and Cachexia in Chronic Disease
Presented by Daniel Marks, MD, PhD, Senior Associate Dean for Research, School of Medicine, OHSU
Learning Objectives:
- Understand sickness behaviors and altered metabolism in chronic childhood disease
- Describe the role of the brain in mediating sickness behaviors, growth failure, and cachexia in chronic disease
- Learn about new therapies in development for treatment of growth failure and cachexia in chronic disease
June 24, 2021
Presented by Tim Menza, M.D., Ph.D., Medical Director, OHA HIV/STD/TB Program Assistant, Professor, ID Division, OHSU, and Judy A. Guzman-Cottrill, D.O., Professor of Pediatrics, Division of Infectious Diseases, OHSU
Learning Objectives:
- Know the epidemiologic trends in congenital syphilis in Oregon
- Understand how social determinants of health influence congenital syphilis outcomes
June 17, 2021
Beyond "Born in the Wrong Body": Challenging our Biases to Provide Inclusive Gender Affirming Care
Danielle Moyer, Ph.D., Assistant Profesor of Pediatric Psychology, Jess Guerriero, M.A., M.S.W., Intake and Referral Specialist, Transgender Health Program, and Kara Connelly, M.D., Associate Professor of Pediatric Endocrinology
Learning Objectives:
- Define the care needs of Nonbinary youth
- List various pathways for affirming gender
- Define shared decision making and apply to case review
- Identify the impact of law and policy in affirming care
June 10, 2021
Presented by Erik Brodt, M.D., Associate Professor, Family Medicine, Director NW Native American Center of Excellence
Learning Objectives:
- Appreciate the national trends for American Indians and Alaska Natives in medical education
- Understand growing efforts at OHSU to increase the number of American Indians and Alaska Natives in both medicine and health professions
May 27, 2021 | Braner Lecture
Community Strategies to Reduce Gun Violence
Presented by Charles Branas, Ph.D., Gelman Professor and Chair, Department of Epidemiology, Columbia University, Mailman School of Public Health
Learning Objectives:
- Understand the state of the science in terms of community-based strategies to reduce gun violence
- Understand the breadth of opportunities available to reduce gun violence
May 13, 2021 | Fellow Lecture
Molecularly Targeted Treatments in Spindle Cell Rhabdomyosarcoma
Presented by Florence Choo, M.D., Pediatric Hematology Oncology Fellow, Department of Pediatrics
Learning Objectives:
- Review the background of spindle cell rhabdomyosarcoma (ssRMS) and need for developing new treatments
- Discuss efficacy of mTOR and MAPK targeted treatments in a patient derived ssRMS cell model
New Hematology-Oncology Therapies
Presented by Patrick DeMartino, M.D., Fellow, Division of Pediatric Hematology Oncology
Learning Objectives:
- Explore what impacts the affordability of a therapy
- Consider the budget impact of a gene therapy for sickle cell disease
Presented by Avi Kopstick, M.D., Fellow, Division of Pediatric Critical Care Medicine
Learning Objectives:
- Understand how providers in a tertiary PICU Implementation the latest pediatric acute respiratory distress (pARDS) guidelines
- Suggest potential revisions to the definition of pARDS in order to improve recognition and adherence to best practices
Presented by Catherine Caruso, D.O., Neonatal-Perinatal Medicine Fellow, Department of Pediatrics
Learning Objectives:
- Define entrustable professional activities (EPA)
- Consider how you might apply an EPA framework to assessing trainee competency in your field
May 6, 2021 | Perko Lecture
Adolescents and Young Adults Facing Illness and Loss: Finding Meaning, Focusing on Hope
Presented by Barbara Jones, Ph.D., M.S.W., F.N.A.P., Associate Dean for Health Affairs University Distinguished Teaching Professor and Josleen and Frances Lockhart Memorial Professor of Social Work Co-Director, Institute for Collaborative Health Research and Practice Steve Hicks School of Social Work ,Chair, Department of Health Social Work Associate Director of Social Sciences and Community Based Research, Livestrong Cancer Institutes Professor of Oncology, Population Health, and Psychiatry and Behavioral Sciences Dell Medical School
Learning Objectives:
- Describe losses experienced by adolescents and young adults (AYA) facing illness
- Review key psychosocial issues for adolescents and young adults
- Understand the core competencies of interprofessional collaborative care
- Identify ways to support AYAs, the families, and ourselves
April 29, 2021
Presented by Hayley Baines, MD, MCR, Assistant Professor, Pediatric Endocrinology, Kara Connelly, MD, MCR, Associate Professor, Pediatric Endocrinology, Cori Feist, MS, CGC, Genetic Counselor, Brian Jordan, MD, PhD, Assistant Professor, Neonatology, Danielle Moyer, PhD, Assistant Professor, Pediatric Psychology, and Casey Seideman, MD, Assistant Professor, Urology
Learning Objectives:
- Describe approach to differential diagnosis and initial evaluation of infants and children with atypical genitalia
- Review shared decision making model for care of children with differences in sex development (DSD)
- Differentiate key components of ethical and legal considerations impacting care of children and adolescents with DSDs
- Identify who and how to contact the Doernbecher Sex Development Program team for care and consultation
April 22, 2021
Presented by Cydni N. Williams, M.D., M.C.R., OHSU, Associate Professor of Pediatrics, Division of Pediatric Critical Care, Director, Pediatric Critical Care and Neurotrauma Recovery Program
Learning Objectives:
- Learn about the neurobiology of sleep in brain injury and repair
- Learn about the impact of sleep disturbances on Post-Intensive Care Syndrome morbidities
April 15, 2021 | Bilderback Lecture and Awards
Meeting the Moment: Achieving Optimal Health for All Children
Presented by Sara Goza, M.D.
Learning Objectives:
- Inform the audience of current AAP organizational priorities
- Communicate strategies to engage members in advocacy activities and initiatives
- Discuss current legislative issues impacting pediatrics and child health
April 8, 2021
Perinatal Mood and Anxiety Disorders: The Role of the Pediatrician
Presented by Nicole Cirino, M.D., C.S.T., I.F., Reproductive Psychiatrist, Associate Professor, Dept. of Psychiatry and OB/GYN, Division Chief, Women's Mental Health and Wellness, Director, Perinatal Mental Health Program, Co-Director, Menopause and Sexual Medicine Program, Center for Women's Health, OHSU
Learning Objectives:
- Describe etiology, diagnosis and treatment of Perinatal Mood and Anxiety Disorders
- Understand how to assess lactation safety and risk benefit ratio of psychotropic medication
- List three ways a pediatrician may support the mother whom has been diagnosed with a PMAD
April 1, 2021
Does Disrupted Brain Maturation in Congenital Heart Disease Originate in the Fetus?
Presented by Stephen A. Back, M.D., Ph.D., Director of Pediatric Neuroscience Research, Clyde and Elda Munson Professor of Pediatrics
Learning Objectives:
- Define the fetal origins of neurodevelopmental disabilities arising from congenital heart disease
- Define the role of fetal hypoxemia in the diffuse disturbances in brain maturation associated with congenital heart disease
- Review current potential therapies to reduce the impact of fetal hypoxemia on disrupted brain maturation in congenital heart disease
March 18, 2021
The Use of SMART Technology for the Diagnosis and Treatment for Pediatric Cancer
Presented by Ramon Francisco Barajas Jr., M.D., Associate Professor, Department of Radiology, Neuroradiology Section, Advanced Imaging Research Center, Knight Cancer Research Institute, Translational Oncology Research Program and Dexing Zeng, Ph.D., Associate Professor, Department of Radiology, Director of Organic Chemistry, Center for Radiochemistry Research
Learning Objectives:
- Describe the types and applications of commonly used medical radiation
- Define the role imaging plays in cancer therapy
- Describe the rational of Radiotheranostics
- Discuss the current clinical applications and limitations of systemic radionuclide therapy
March 11, 2021
Presented by Mark Gorman, M.D., Department of Neurology, Boston Children's Hospital
Learning Objectives:
- To learn clinical features which help differentiate opsoclonus myoclonus ataxia syndrome (OMAS) from acute cerebellar ataxia (ACA)
- To be able to select the most sensitive tests to detect neuroblastoma in setting of OMAS
- To be aware of current approaches to identifying an autoantibody biomarker in OMAS
- To appreciate current treatment approaches and potential impact on outcomes in OMAS
March 4, 2021
Supported Decision-Making: Why It's Important to You and the People you Care for
Presented by Sharon Lewis, B.F.A., Principal, Health Management Associates, formerly U.S. Commissioner of the Administration on Intellectual and Developmental Disabilities
Learning Objectives:
- Understanding the concept of Supported Decision-Making a process to implement self-determination and informed choice
- Learning how Supported Decision-Making is evolving as an alternative to guardianship
- Reviewing practical applications and examples of Supported Decision-Making for people with disabilities and their families
February 25, 2021
From Bedside to Bench (and Back?): Considerations in Measurement of ASD-Related Phenotypes
Presented by Somer L. Bishop, Ph.D., Associate Professor in Psychiatry, University of California San Francisco
Learning Objectives:
- Understand challenges in differential diagnosis of ASD and other disorders associated with social impairment
- Identify different "types" of social-communication impairments and understand limitations of currently available measures of social functioning
- Understand potential utility of developmental phenotypes for stratification within ASD and NDDs
February 18, 2021
Why Aren't There More Black People in Oregon?
Presented by Antwon Chavis, M.D., Assistant Professor of Pediatrics
Learning Objectives:
- Review and explore Oregon history, detailing historical examples of Black exclusion and discrimination that have occurred since its founding
- Create a connection between the historical timeline of racial identity and power, and present day socioeconomic health disparities and social inequity that still exist
- Review community organizations that are working to eliminate racial discrimination and disparities to enhance the quality of life for Black Oregonians
February 11, 2021 | Lipman Lecture
Towards a New TB Vaccine Strategy for Infants, Children, and Adolescents
Presented by Mark Hatherill, M.D., Professor and Director of the South African Tuberculosis Vaccine Initiative, University of Cape Town
Learning Objectives:
- Understand the rationale for pre- and post- exposure vaccination strategies against Mycobacterium tuberculosis
- Understand the differences between candidate TB vaccines that may be suitable for use in infants, children and adolescents
February 4, 2021
Technology and Type 1 Diabetes: Has the Brave New World Arrived?
Presented by Ines Guttmann-Bauman, M.D., M.C.R., Associate Professor of Pediatrics, Division of Pediatric Endocrinology
Learning Objectives:
- Discuss diabetes device technology and its impact on clinical outcomes in Type 1 diabetes
- Discuss the impact of telemedicine and other digital health tools on healthcare delivery in Type 1 diabetes
January 28, 2021
Presented by Courtney Gushue, M.D., Assistant Professor of Pediatric Pulmonology
Learning Objectives:
- Identify patients who may have respiratory muscle weakness
- Describe the ways in which neuromuscular disease can affect the respiratory system
- Contrast the respiratory anatomy and physiology in this population to those unaffected by weakness
- Understand the general pulmonary management principles applied to this population
- Appreciate the evolving disease phenotypes with advances in care
- Recognize when to consult with or refer to additional subspecialty teams
January 21, 2021
Presented by Alison Martin, Ph.D., Claudia Bisso-Fetzer, Ph.D., M.A., Central Oregon Community College, Sheryl Gallarde-Kim, MSc, Oregon Center for Children Youth with Special Health Needs, Charles Smith, M.S.W., Charles Smith & Associates
Learning Objectives:
The Oregon Center for Children and Youth with Special Health Needs (OCCSYHN) collaborated with the Sickle Cell Anemia Foundation of Oregon and the Latino Community Association to conduct a study using a participatory needs assessment approach. One of the key findings was that families of Black and Latino children and youth with special health care needs (CYSHCN) experience racism in health care settings.
- Discuss these findings in relations to Jones' (2000, 2003) levels of racism framework
- Apply learnings to two practice scenarios
January 14, 2021
Presented by Lars Grosse-Wortmann, M.D., FRCPSC, Division Head, Pediatric Cardiology, Department of Pediatrics, Professor of Pediatrics, OHSU
Learning Objectives:
- To understand the pathophysiology of heart failure in patients with congenital hear disease
- To learn how we can examine myocardial tissue non-invasively
- To hear about current and future therapies to lessen myocardial fibrosis
January 7, 2021
Does Early or Preventative Treatment of Epilepsy Rescue Development?
Presented by Juuriaan M. Peters, M.D., Ph.D., Division of Epilepsy and Clinical Neurophysiology, Boston Children's Hospital, Assistant Professor of Neurology, Harvard Medical School
Learning Objectives:
- To gain insight in the developmental impact of uncontrolled seizures
- To recognize key aspects of an epileptic encephalopathy
- To appreciate an impending paradigm shift towards early and preventative treatment
December 17, 2020
Pediatric Brain Tumors: Where We Are At in 2020?
Presented by Matthew Miller, M.D., Assistant Professor, Pediatric Hematology and Oncology
Learning Objectives:
- Appreciate the multidisciplinary care required to address the needs of the pediatric brain tumor population
- Recognize recent advances in the treatment of pediatric brain tumor patients
December 10, 2020
Nanomedicine Therapies for Cystic Fibrosis (CF)
Presented by Kelvin MacDonald, M.D., Associate Professor, Pediatric Pulmonology and Anindit Mukherjee
Learning Objectives:
- Review the "state of the art" with CF protein rescue therapies
- Discuss the advantages to mRNA based gene therapy over DNA in restoring CFTR protein
- Review the role of the Epithelial Sodium Channel as a target in CF
December 3, 2020 | Cazden Lecture
A Motley Crew, Thinking Differently, Built the Fontan
Presented by Thomas J. Kulik, M.D., Senior Associate in Cardiology, Boston Children's Hospital, Associate Professor of Pediatrics, Harvard Medical School
Learning Objectives:
- Learn about some of the key developments in the evolution of pediatric cardiology and cardiac surgery
- Appreciate the multiple ways that people have made important contributions to the field
November 19, 2020
Opportunities for Prevention of Pediatric Chronic Pain: Psychosocial and Intergenerational Factors
Presented By Anna C. Wilson, Ph.D., Associate Professor, Institute on Development and Disability, Department of Pediatrics
Learning Objectives:
- Gain knowledge of the cost and impact of pediatric chronic pain.
- Understand the importance of psychosocial and family factors in the development of pain problems, and how these might be targeted for prevention.
November 12, 2020
When "Advanced" Isn't: Early Developmental Milestone Acquisition as a Sign of Abnormal Development
Presented by Daniel Crowder, M.D., Assistant Professor, Pediatrics, Neurodevelopmental Disabilities
Learning Objectives:
- Identify major milestones in early childhood development.
- Recognize common out-of-sequence developmental milestones that suggest abnormal development.
November 5, 2020
Presented by Colleen Reuland, M.S., Director of the Oregon Pediatric Improvement Partnership, Instructor-Department of Pediatrics, Doernbecher Children's Hospital, OHSU
Learning Objectives:
- To provide an overview of the Oregon Pediatric Improvement Partnership and the work and approach we use to galvanize improvement efforts across the state.
- To share findings from the novel pediatric health complexity data for Oregon's publicly insured children, which leverages cross cross-sector, adverse childhood experiences informed indicators about medical and social complexity and what it means for front-line health care providers.
- To describe how the pediatric health complexity data is being used to galvanize meaningful action at the system, community and practice level.
October 29, 2020
Presented by Ben Sanders, M.D.
Learning Objectives:
- Understand ways in which Early Intervention can be both effective and underused by children and families who may benefit the most.
- Describe ways in which the referral step in the entry pipeline plays a key role in access to Early Intervention and its associated inequities.
- Describe opportunities presented by information technology to reduce Early Intervention access barriers in the next decade.
- Think critically about evaluation methods of potential solutions to these access barriers.
October 23, 2020 | Cindy Ferrell Lecture
Children's Health and the COVID-19 Pandemic: Impact, Recovery, and Reflections
Presented by Dana Hargunani, M.D.
October 15, 2020
Trajectories of Lung Function for Infants and Children: Setting a Course for Lifelong Lung Health
Presented by Brian K. Jordan, M.D., Ph.D., Assistant Professor of Pediatrics, Division of Neonatology
Learning Objectives:
- To recognize that infants have trajectories of lung function that are established very early in life
- To appreciate that these early trajectories predict peak lung function in early adulthood
- To understand that prematurity alters an infant's lung trajectory
October 8, 2020
Information Sharing in Pediatrics: Effects of the Final Rule of the 21st Century Cures Act
Presented by Ben Orwoll, M.D., M.S., Assistant Professor, Department of Pediatrics, Division of Critical Care, Department of Medical Informatics and Clinical Epidemiology
Learning Objectives:
- Participants will gain an understanding of what information blocking is, as defined by the CURES act, and key elements of how new regulations will affect how patients access their health data.
- Understand some key considerations around ensuring the safety and necessary privacy of the health information of our most vulnerable populations.
October 1, 2020
Reversing Dysbiosis of Inflammatory Bowel Disease
Presented by Henry Lin , M.D., M.B.A., Associate Professor of Pediatrics and Anna K. Hunter, M.D., Assistant Professor of Pediatrics, Division of Pediatrics, Department of Pediatric Gastroenterology, Hepatology and Nutrition
Learning Objectives:
- Changing trends in epidemiology of IBD
- Multifactorial etiology of IBD
- What is current understanding of IBD related dysbiosis
- Dietary interventions of IBD
September 24, 2020
Infection, Inflammation, & Mental Health: Mapping the Intersections
Presented by Jennifer Frankovich, M.D., M.S., Clinical Associate Professor of Pediatrics Rheumatology, Director of the Stanford PANS Research Program, Co-Director of Stanford Children's Health Immune Behavioral Health Clinic
Learning Objectives:
- Give examples of a well-defined inflammatory disorders that can present with psychiatric symptoms.
- What is the general approach to treating inflammation based on neuropsychiatric disorders like Sydenham's Chorea, Lupus, PANS/PANDAS, etc.
September 17, 2020
What's in a Smile? Pediatric Facial Paresi and (re) Animation
Presented by Lori K. Howell, M.D., F.A.A.P., Assistant Professor, Division of Plastic and Reconstructive Surgery, Interim Medical Director Cleft and Craniofacial, Associate Residency Program Director, Doernbecher Children's Hospital, OHSU
Learning Objectives
- Recognize common congenital and acquired etiologies of facial paresis in children.
- Interpret importance of timing of injury and possible surgical (re)animation options.
- Assemble knowledge of one-stage and two-stage free functional muscle transfer for pediatric facial (re) animation.
September 10, 2020
Acute Flaccid Myelitis (AFM): This Generation's Polio?
Presented by Dawn Nolt, M.D., M.P.H., Professor, Pediatric Infectious Diseases, OHSU
Learning Objectives
- Understand the US national perspective on AFM
- Recognize this disease
- Conduct the appropriate diagnostic evaluation
- Realize the impact of COVID-19 on incidence of AFM