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Guest Speaker: Robert Listernick, MD

Grand Rounds "Neurofibromatosis Type 1 in Children"

At the end of this presentation, participants should be able to:

• Demonstrate proficiency in distinguishing between the various forms of neurofibromatosis syndromes in children
• Demonstrate proficiency in recognizing the early manifestations of neurofibromatosis type 1 in children

Presentation title: Parental Authority

Panel of Presenters:

• Megan Land MD - Moderator, Critical Care physician and Ethics Committee Member
• Michelle Munkwitz, MD, Critical Care
• James Ahlers, Assistant General Counsel at Phoenix Children's Hospital and Ethics Committee member
• Adrian Ruiz - Parent representative on Ethics Committee
• Emma Ross, MD, PHD - Psychologist and Ethics Committee member
• Lisa Dowrick, RN, MS - Nurse and Ethics Committee member

At the end of this presentation, participants should be able to:

• Define standards of surrogate decision making
• Discuss role of family in society including obligations and rights of parents
• Consider the developing child’s autonomy in decision making
• Discuss thresholds for overriding parental decisions

Presenter: Thomas Inge, MD, PhD, Surgeon in Chief and Chair of Surgery, Lurie Children's Hospital of Chicago Professor of Surgery and Pediatrics Northwestern Feinberg School of Medicine

At the end of this presentation, participants should be able to:

• List the indications for use of metabolic bariatric surgery in pediatric patients
• Discuss benefits, risks, and outcomes of surgery
• Review technical aspects of vertical sleeve gastrectomy

Meet the presenter:

Dr. Thomas (Tom) Inge is a Professor of Surgery and Pediatrics with tenure at the Northwestern Feinberg School of Medicine (November 15, 2021-current). He also holds the Lydia J. Fredrickson Board Designated Professorship in Pediatric Surgery and is the Surgeon-in-Chief and Chairman of the Department of Surgery at the Ann and Robert Lurie Children’s Hospital of Chicago. His clinical practice has focused on advanced minimally invasive surgery and in particular, his clinical and academic interest over the last 20 years has been in the surgical care of adolescents with severe obesity. Dr. Inge has been continuously funded by the United States National Institutes of Health (NIH) since 2005 and has been the principal investigator of the Teen-Longitudinal Assessment of Bariatric Surgery study since 2006. He and his team have produced over 150 peer-reviewed publications and book chapters. He has also provided over 150 invited lectures for national and international professional groups. His leadership experience includes prior roles as Chief of Pediatric Surgery and Associate Surgeon-in-Chief at Children’s Hospital Colorado. Tom has also served as a member of the FDA’s Gastrointestinal and Urological Devices Committee, as a consultant to the NIH and the Agency for Healthcare Research and Quality. He has also served in leadership positions on numerous committees and task forces for surgical and pediatric professional organizations including American Society for Metabolic and Bariatric Surgery, The Obesity Society, the American Academy of Pediatrics, and the American Pediatric Surgical Association.

Guest Speaker: Dannah Raz, MD, Developmental Pediatrics 

Grand Rounds " Down Syndrome"

Surgery Grand Rounds Guest Speaker 

About the presenter:

Karin Muraszko, M.D., grew up in New Jersey and received her undergraduate degree from Yale University. She then continued to Columbia University in New York where she received her medical degree and completed her residency training in Neurological Surgery and completed fellowships in pediatric neurosurgery.

Following her training at Columbia, Dr. Muraszko was a researcher at the National Institutes for Health for 2 years before joining the team at the University of Michigan. In 2005, Dr. Muraszko was chosen to head the Department of Neurosurgery at the University of Michigan, becoming the first woman to chair an academic neurosurgery department in the United States.

Dr. Muraszko specializes in pediatric neurosurgery. She is board certified by the American Board of Neurological Surgeons, and is a member of the American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS) along with several pediatric professional associations. Her research interests include Immunotoxin therapy for brain tumors, the biology of brain tumors, Chiari malformations, craniofacial anomalies, congenital anomalies of the brain and spine and hydrocephalus.

Dr. Muraszko lives in Ann Arbor with her husband and 2 children.

Additional links:

Dr. Karen Muraszko's Video Profile

Karin Muraszko Dr. Muraskos PubMed Publications

Karin Muraszko Michigan Research Experts Website

Quality Day Grand Rounds

Keynote speaker to be announced.

Presentation details will be provided at a later date.

Presenter: Dr. Cristine Velazco the Chief Peds Surgery Fellow

At the end of this presentation, participants should be able to:

• Define bowel movement

• Provide details on how to manage bowel movement

• Explain the process of a bowel movement program

Meet the presenter:

Dr. Velazco, is a board-certified General Surgeon. She is currently the Chief Pediatric Surgery Fellow at Phoenix Children’s Hospital/Mayo Clinic Graduate School of Medical Education. She completed a master’s degree in Anatomy and Neurobiology at Virginia Commonwealth University School of Medicine and earned her MD at the University of Vermont College of Medicine. Cristine completed her residency at Mayo Clinic Arizona in General Surgery. During her residency she was an Instructor of Surgery and completed a Research Fellowship at Harvard University/Boston Children’s Hospital, working in the Center for Advanced Intestinal Rehabilitation on short bowel syndrome and intestinal failure, as well as working with the Vermont Oxford Network. She also was a member of the Mayo Clinic Education Committee for both Arizona and Mayo Clinic’s tri-site committee. After residency, she completed a fellowship at Cincinnati Children’s Hospital in Pediatric Colorectal Surgery prior to returning to Phoenix to start her fellowship in Pediatric Surgery. Cristine has written numerous peer-reviewed publications and book chapters.

Speaker panel:

Dr. Michael Henry - Lymphoma

Dr. Jennifer Hess - Leukemia

Dr. Alexandria Walsh - Survivorship

Objective:

To increase awareness among general pediatricians about childhood cancer.

At the end of this presentation, participants should be able to:

1. Identify the new problems facing the ability to StayCurrent in medical knowledge.

2. Implement new technology that may help solve the problem of information overload

3. Recognize the value of modifying how we tell the story of important medical information using media

Presenter: Todd Ponsky, MD, Professor of Surgery and Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital

Detailed presentation information will be provided at a later date.

Speaker panel:

Dr. Hoffman, Brain Tumors

Dr. Kothari, Solid Tumors

Patti Luttrell, Community Resources and Support

Objective: To increase awareness among general pediatricians about childhood cancer. 

For privacy purposes this session was not recorded. 

Shaanan Meyerstein, MD, MPH, FAAP
CDR, US Public Health Service
Team Lead - Medical Services
Division of Health for Unaccompanied Children (DHUC) Office of Refugee Resettlement Administration for Children and Families U.S. Department of Health and Human Services

Presenters:  Dr. Michael Nguyen & Dr. Ramin Jamshidi

At the end of this presentation, participants should be able to:

1) Outline the history of robotics in surgery

2) Describe the advantages and disadvantages of robotic surgery

3) Understand the finances of surgical robots

Speaker Dr. Daniel Blatt, Pediatric Infectious Disease, University of Louisville 

Learning Objectives:

• Describe the most common symptoms associated with Post- COVID unwellness in children
• Summarize the lessons learned from having a dedicated clinic for Post-COVID unwellness in children
• Describe the impact of Post-COVID unwellness  beyond the symptoms.

Meet the presenter: 

View Dr. Blatt's About Video

Daniel B. Blatt, M.D., joined Norton Children’s in August 2020 as a pediatric infectious diseases physician. He is a pediatric transplant infectious disease specialist and a member of the Norton Children’s Hospital’s infection control committee. In addition to his clinical role, he is an assistant professor of pediatrics at the University of Louisville School of Medicine.

Dr. Blatt graduated with highest honors from the University of Medicine and Health Sciences in Basseterre, Saint Kitts, where he earned his medical degree in 2014. He completed his residency in general pediatrics in 2017 at University of South Alabama Children’s & Women’s Hospital and then served as a fellow in pediatric infectious diseases at Hasbro Children’s Hospital for three years.

Clinically, Dr. Blatt is interested in transplant pediatric infectious diseases, global health, and infection control and prevention.

In addition to providing care domestically, Dr. Blatt has international experience. He treated residents in a rural village in Nepal in 2014. Two years later, he was the pediatrician for an 80-bed inpatient unit at Kibogora Hospital in Rwanda.

Dr. Blatt views being a physician as one of the most privileged careers because of the responsibility and honor to heal those who are sick. He specifically chose pediatrics because of his natural connection with children.

Dr. Blatt is certified by the American Board of Pediatrics in general pediatrics. He is a member of multiple national organizations, including the American Academy of Pediatrics, Pediatric Infectious Diseases Society, and Society for Healthcare Epidemiology of America.

Maintaining a highly active lifestyle, Dr. Blatt loves downhill skiing, hiking, running, Ultimate Frisbee and biking. He thoroughly enjoys exploring remote areas of the world and spontaneous adventures. He is passionate about maintaining a baseline level of goofiness and corny jokes.

Presentation details will be provided at a later date.

Meet the presenters:

Barry Markovitz, MD, MPH, has served as Chair of the Department of Anesthesiology Critical Care Medicine at Children’s Hospital Los Angeles since 2018, providing administrative and clinical leadership in alignment with the institution’s mission, vision, values and goals.

Dr. Markovitz joined Children’s Hospital Los Angeles in 2006 to head the hospital’s Division of Critical Care Medicine and  serve as Medical Director of the Pediatric Intensive Care Unit. He is also a professor of Clinical Pediatrics and Anesthesiology at the Keck School of Medicine of USC. Dr. Markovitz is Board-certified in anesthesiology and pediatric anesthesiology, as well as pediatrics and pediatric critical care medicine. He has been involved in numerous research studies related to intensive care throughout his career, including transfusions, relationships between Pediatric ICU volume and outcomes, and the treatment of sepsis and acute respiratory distress syndrome.

Dr. Markovitz is a member of the Pediatric Section of the Society of Critical Care Medicine, the Pediatric Cardiac Intensive Care Society, and he has served on the Executive Committee of the critical care section of the American Academy of Pediatrics. He serves on several editorial boards and was Chair of the Research Committee of VPS, LLC (Virtual Pediatric Systems), an international pediatric ICU quality and research collaborative. He also recently completed a term as Chair of the Scientific Committee of PALISI (Pediatric Acute Lung Injury and Sepsis Investigators), the largest pediatric critical care research network in North America.

Dr. Markovitz earned his medical degree from the University of Pennsylvania School of Medicine and received a master’s in public health from St. Louis University. He did his pediatric internship and residency at Children’s Memorial Hospital, Northwestern University Medical Center, and an anesthesiology residency at the Hospital of the University of Pennsylvania. Dr. Markovitz completed his fellowship in pediatric anesthesiology and critical care medicine at Children’s Hospital of Philadelphia. 

Ann F. Schrooten

Ann is the mother of four children. Her third child, Jack, was born with a rare congenital muscular dystrophy that affected his muscles, eyes and brain. Jack had a trach and required the support of a ventilator; he was non-verbal, non-mobile and required around the clock care. Jack died eight years ago at the age of 15 from complications of his disease. Ann has experienced hundreds of encounters with doctors and other medical professionals, beginning with Jack’s premature birth and complicated first year where he spent many months in the Pediatric Intensive Care Unit, through his diagnosis odyssey, the many procedures, surgeries and hospitalizations he endured, his transition to palliative care and, finally, to hospice care at the end of his life.

She co-authored a chapter titled “Parent Perspectives on Neuromuscular Disorders: From Diagnosis, to Parenting and Living With, to Advance Care Planning and Preparing for Death” in Neuromuscular Disorders in Children: A Multidisciplinary Approach to Management (Mac Keith Press 2019). She was a parent advisor for the development of videos portraying family experiences with decisions about home mechanical ventilation (Johns Hopkins) and the related article, “Family Experiences Deciding for and Against Pediatric Home Ventilation” published in The Journal of Pediatrics (2021) and she is the parent co-editor with Dr. Barry Markovitz of Shared Struggles – Stories from Parents and Pediatricians Caring for Children with Serious Illnesses (Springer 2021).

Ann has a Bachelor of Science from Arizona State University and a Juris Doctorate from University of Arizona. She is an estate planning and probate attorney. She is the founder of The Willow Tree Foundation, an Arizona non-profit organization that funds respite for parents of medically fragile children. She lives in Chandler, Arizona with her husband and their three adult children, and she enjoys hiking the many beautiful trails in Arizona.

Presenters:  Dr. Mark Molitor

Pediatric Grand Rounds *Via Zoom*

https://dmgaz.zoom.us/j/95025222368?pwd=cjVHU00vMXYySjFZVDFPOFRRTVRzZz09

Meeting ID: 950 2522 2368
Passcode: 146939

Contact Stephanie Perkins to claim CME credit for this session:

Office: 602.344.5418 | Cell: 775.846.5924; Email: Stephanie_Perkins@dmgaz.org

Meet the presenter:

Nicole Green, M.D. was born in London, United Kingdom. She moved to the United States of America for college where she received a BA degree from Amherst College and an MD from Columbia University-College of Physicians and Surgeons. Dr. Green completed Pediatric residency at New York Presbyterian Hospital-Weill Cornell before moving to Seattle for Pediatric GI fellowship at the University of Washington. Dr. Green is currently an Assistant Professor of Pediatrics at the University of Washington School of Medicine and an attending physician in the Division of Gastroenterology and Hepatology at Seattle Children’s Hospital. Dr. Green’s academic mission is to improve the gastrointestinal (GI) outcomes of patients with cystic fibrosis (CF). She received a DIGEST Award from the Cystic Fibrosis Foundation, a 3-year grant designed to build clinical expertise in the GI care of cystic fibrosis patients. She has established a research and clinical focus in CF-associated GI and liver disease. During GI fellowship she designed a prospective pilot study assessing the feasibility of a dietary intervention (exclusion of processed foods) to influence GI symptoms, intestinal inflammation and stool microbiome in pediatric patients with cystic fibrosis. She is a site P.I. for PUSH, a NIDDK-sponsored multi-institutional study aimed at determining the utility of abdominal ultrasound, as well as other imaging modalities and biomarkers, to predict the development of advanced liver disease in pediatric patients with cystic fibrosis. She was recently awarded her institution’s clinician research scholars award to support further research in CF-liver disease and the interaction with the GI microbiome. Dr. Green enjoys multi-institutional projects and is collaborating on CF-related projects both at a national and international level with the goal of continuing to lead advancements in the field of CF GI and liver disease. In her free time, Dr Green enjoys running and races at the elite level in marathons in the US and UK.

This recording will not be available until early November

At the end of this presentation, participants should be able to:

1. Understand the concept of Sentinel Injuries in Child Physical Abuse and be familiar with how to recognize them.
2. Know how to use the Ten 4 FACES-P Bruising Clinical Decision Rule in distinguishing abusive from non-abusive injuries in young children.
3. Recognize common radiologic indicators of child physical abuse.

Presenters:

John Curran,  MD, Pediatric Neuroradioly, Phoenix Children's

Lisa Kirsch, MD, Division Chief, Child Protection Team, Phoenix Children's

Cory Pfeifer, MD, Pediatric Neuroradiology, Phoenix Children's

Presentation details will be provided at a later date.

Learning objectives:

• Recognizing the beliefs & values of Native Americans and the view of traditional Indigenous health
• Understanding the role of generational trauma in Indigenous health outcomes
•  Understanding the role of Native American physicians within the Indian Health Service

** Surgery Grand Rounds

At the end of this presentation, participants should be able to:

• Understand the complexity of developing new therapies
• Know the options and outcomes for patients of spina bifida
• Know about advanced options for care of fetal patients

Detailed presentation information will be provided at a later date.

PCH - Heart Failure and Heart Transplant in Adult Congenital Heart Disease - Dr. Jonathan Menachem

Precision Medicine for IBD

At the end of this presentation, participants should be able to:

• Describe prognostic risk factors in pediatric IBD
• Integrate precision medicine to treatment choice
• Apply tight control and treat to target principles to pediatric IBD

Presented by: Marla Dubinsky, Professor of Pediatrics and Medicine Chief, Pediatric GI and Nutrition Co-Director Susan and Leonard Feinstein IBD Center Icahn School of Medicine, Mount Sinai New York

PCH Grand Rounds - Locally-acquired Dengue virus in Maricopa County - Dr. Nick Staab

NOTE: THIS TALK WILL BE GIVEN AT PEDIATRIC UPDATE AT THE SCOTTSDALE PLAZA AND BROADCAST LIVE TO THE COHEN CONFERENCE CENTER.  ANYONE WHO WANTS TO ATTEND THE ZOOM SESSION IN ANOTHER LOCATION NEEDS TO REGISTER FOR PEDIATRIC UPDATE AT www.pchpediatricupdate.com

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

• Define dysphagia and feeding problems related to esophageal inflammation
• Describe the epidemiology and demographics of children with EoE
• Outline the pathophysiology and clinical features of eosinophilic esophagitis (EoE)
• Analyze the pathophysiology and diagnosis of reflux and gastroesophageal reflux disease (GERD) and the long-term complications of GERD; clues to an inter-relationship with EoE
• Evaluate the biological plausibility underlying the intersect between GERD and EoE
  • True-True and unrelated
  • Cause and effect; reflux first then EoE…
  • Briefly review treatment approaches and future directions

MEET THE PRESENTER

Dr. Benjamin D. Gold is a pediatric gastroenterologist in Atlanta, Georgia and is affiliated with multiple hospitals in the area, including Children's Healthcare of Atlanta and Northside Hospital Forsyth. He received his medical degree from George Washington University School of Medicine and has been in practice for more than 20 years.

At the end of this presentation, participants should be able to:

• Describe the health risks faced by individuals with congenital heart disease as they enter adulthood.
• Describe the goal of behavioral lifestyle interventions.
• Identify at least two risk factors for lower physical activity engagement among adolescents and young adults with congenital heart disease.

Necrotizing Pneumonias, Empyema’s, Pulmonary Abscesses, Chest Tube Management and Bronchopleural Fistulas- A Surgeon's Approach to Complex Infectious Lung Pathology

Presented by: Dr. Damon Dixon, Pediatric Cardiolgy, Phoenix Children's

At the end of this presentation, participants should be able to:

• Explain Pediatric Dyslipidemia Subclinical State
• Apply Lipid Biomarkers for Pediatric Dyslipidemia Management 
• Differentiate “Genetic Dyslipidemia” and “Atherogenic Dyslipidemia”

PCH Grand Rounds - Treatment of OSA after Tonsillectomy/Adenoidectomy - Dr. Patrick Scheffler

Pediatric Grand Rounds *Via Zoom*

https://dmgaz.zoom.us/j/96336555388?pwd=S3pMcmg2ZkFQN0xrSkpwVktBT1VHdz09

Meeting ID: 963 3655 5388
Passcode: 762046

Contact Megan Jehlicka to claim CME credit for this session:

Office: 602.344.5418 | Cell: 775.846.5924; Email: megan_jehlicka@dmgaz.org

The Critical Role of Quality Improvement in Improved Clinical Outcomes: Two Real-life Examples at Phoenix Children’s Making a Big Impact

Presentation recording will be provided at a later date.

CME Credit will not be available for watching the recorded session.

Point of Care Ultrasound (POCUS)

PCH Grand Rounds - Podiatry for the General Pediatrician - Sophia Stocks, DPM