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 School of Medicine faculty, community pediatricians, residents and students are welcome to attend this weekly lecture to learn about pediatric topics, research and challenging clinical cases. This activity is open to the public.

Time: Thursdays, 8-9 a.m.

How to attend: Livestream and WebEx- Please use this option if you would like to participate in the Q&A after. You may ask your question in the chat window. 

To receive CME credit: If you are not on our mailing list and would like CME credit for a session you attend via WebEx or livestream, please email: norgrenb@ohsu.edu

*Due to COVID-19 restrictions Pediatric Grand Rounds will be held via WebEx and live-stream and recording until further notice. 

February 25, 2021

From Bedside to Bench (and back?) : Considerations in Measurement of ASD-Related Phenotypes

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
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 US 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 
March 11, 2021
March 18, 2021

Presented by Ramon Barajas and Dexing Zeng

March 25, 2021 | NO PEDIATRIC GRAND ROUNDS
April 1, 2021

Presented by Stephen Back 

April 8, 2021

Presented by Nicole Cirino 

April 15, 2021 | Bilderback Lecture and Award

Presented by Marc Del Monte 

April 22, 2021

Presented by Cydni Williams 

April 29, 2021

Presented by Hayley Baines

May 6, 2021 | Perko Lecture
May 13, 2021 | Fellowship Lecture
May 20, 2021
May 27, 2021
June 3, 2021
June 10, 2021 | Jeff Miller Lecture and Award
June 17, 2021

Beyond "Born in the Wrong Body": Challenging our Biases to Provide Inclusive Gender Affirming Care 

Presented by Danielle Moyer, Ph.D., Assistant Professor 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 24, 2021 | Meechan Award
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
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 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. 
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
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 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 23, 2020- Cindy Ferrell Lecture
October 29, 2020

What Happened to that EI Referral I Sent for my Patient? In Search of Solutions to Improving Referrals to Early Intervention

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. 
November 5, 2020

Threading the Needle- Use of Cross-Sector, Adverse Childhood Experiences Informed Data to Drive Meaningful Action in Oregon

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. 
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 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. 
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
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 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
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 
January 14, 2021

When the Plumbing is Fixed but the Tap Runs Dry: Mechanisms of Heart Failure in Congenital Heart Disease

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 21, 2021

Racism in Oregon's Health Care System: Experiences of Families of Black and Latino Children and Youth with Special Health Care Needs 

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 28, 2021

The Respiratory Implications of Neuromuscular Disease: Identification, Management and Future Directions

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
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 
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 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