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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

Guest presenter: Nicolas Bamat, MD, MSCE, Division of Neonatology at Children's Hospital of Philadelphia

Learning objectives will be provided at a later date.

Presented by: Shahan Fernando, MD, Pediatric Gastroenterology, Phoenix Children's

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

• Review the workup for binary obstruction

• Understand the therapeutic advantages of advanced endoscopic procedures

• Know the available resources for patients in need of advanced endoscopic therapies

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

Guest Speaker: Dannah Raz, MD, Developmental Pediatrics 

Grand Rounds " Down Syndrome"

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

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

Children’s Neuroscience Grand Rounds 

Presenter Afra Can, MD

Deep Brain Stimulation for Pediatric Movement Disorders

Learning Objectives

1. Review deep brain stimulation and use in pediatric movement disorders.
2. Discuss a remarkable patient case.

Children’s Neuroscience Grand Rounds 

Recording available for internal purposes only. Please contact Christina Casanova to request access.

Demystifying Functional Neurological Disorders 

Presented by: Amy Schaefer, PsyD 

Learning Objectives:

1. Identify risk factors, presentations, outcomes, and biases associated with functional movement disorders and functional [nonepileptic] seizures
2. Discuss updated recommendations for evidence-based evaluation, diagnosis, and treatment of functional neurological disorders
3. Review current functional neurological disorder guidelines created by interdisciplinary teams at Phoenix Children's

Children’s Neuroscience Grand Rounds

Early circuit-directed rehabilitation mitigates late-onset sensory hypersensitivity after traumatic brain injury

Presented by: Gokul Krishna, PhD

Learning Objectives:

1. Recognize the contribution of maladaptive circuit reorganization as a pathophysiological process underlying late-onset neurological deficits after concussive brain injury.
2. Evaluate the efficacy of early rehabilitation for lessoning deficit severity and improving circuit function in a well-established model of diffuse axonal injury.

Early pharmacological intervention with gabapentin inhibits traumatic brain injury-mediated synaptogenesis in rats

Student Presenter: Caitlin Hair, PhD 

Learning Objectives:

1. Describe traumatic brain injury-induced upregulation of thrombospondins implicated in increased-synaptogenesis as a pivotal process in maladaptive circuit reorganization. 
2. Evaluate the efficacy of early gabapentin treatment to inhibit maladaptive synaptogenesis and improve long-term outcomes.
3. Discuss clinical possibilities of prophylactic use of gabapentin after in TBI patients.

Neuropathology and vulnerability to traumatic brain injury in a mouse model of connective tissue disorders

Presented by: Tala Curry, PhD (Candidate)

Learning Objectives:

1. Identify that connective tissue disorder (CTD) patient populations may be at risk for elevated severity of symptoms after traumatic brain injury.
2. Recognize Marfan Syndrome (CTD) and associated downstream signaling can contribute to neuropathology.

Children’s Neuroscience Grand Rounds 

11-Mar-24

Metabolic Psychiatry for Treatment Resistant Depression

Beth Zupec-Kania, RDN, CD

Children’s Neuroscience Grand Rounds 

Presenter: Ali Reza Tavasoli, MD

Navigating the Complexities of Migraine Pathophysiology

Learning Objectives

1. Relate migraine incidences, migraine stages, and CN-V anatomy.
2. Describe the anatomical network and chemical pathway involved in different stages of the migraine.
3. Explain the known and unknown aspects of these pathways as well as available treatment options.
4. Discuss further perspectives in the understanding of migraine and its treatments.

Children’s Neuroscience Grand Rounds 

Neuropsychological Functioning in Children

Presented by: Ammiee Hammer, PhD  

Reminder: ALL Barrow at Phoenix Children’s Faculty & Staff Report your Attendance to CAMS

Announcement for October 30, 2023 Pediatric Neuroscience Grand Rounds.

The University of Arizona College of Medicine – Tucson

Barrow at Phoenix Children’s

Neuroscience Grand Rounds

Strategic Opioid Use and Home Naloxone: A Balanced Practice and a New Rescue Option

Ahmar Husain, MD

Phoenix Children's

Learning Objectives

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

1. List the benefits of adequate analgesia and the risks related to different modalities of analgesia.
2. Recognize clinical scenarios that may benefit from multimodal analgesia including regional anesthesia or an ERAS protocol.
3. Identify signs of substance use disorder in pediatric patients.
4. Describe the use and current availability of naloxone at home and in the hospital.

Barrow at Phoenix Children’s

Virtual Live Streaming Neuroscience Grand Rounds

Monday’s from 7:00 – 8:00 a.m.

Zoom Information: CNI Grand Rounds

Meeting ID: 993 7837 3233

Join from PC, Mac, iOS or Android:

https://PhoenixChildrensHospital.zoom.us/j/99378373233?pwd=UXBudHZLemRYK056ZWZvMm8yUzNkUT09

Or join by phone: (408) 638-0968 (US Toll) or (646) 558-8656 (US Toll)

The Attendance code will be listed in the chat at the beginning of the presentation and every 20 minutes thereafter until the conclusion.

Please text the attendance code to the Grand Rounds Attendance number: (866) 327-3062 or log into the CAMS website: http://CME.arizona.edu and enter the attendance code.

• Please make sure to enter your cell phone number in your profile
• Please note that the attendance code is different each week

Attendance codes are only valid 15 minutes before the activity start time and for 24 hours after the activity end time.

Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The University of Arizona College of Medicine - Tucson and Phoenix Children’s Hospital. The University of Arizona College of Medicine - Tucson is accredited by the ACCME to provide continuing medical education for physicians. 

The University of Arizona College of Medicine - Tucson designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)^TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Statement: 

All Faculty, CME Planning Committee Members, and the CME Office Reviewers have disclosed that they have no financial relationships with commercial interests that would constitute a conflict of interest concerning this CME activity.

Children’s Neuroscience Grand Rounds 

04-Mar-24

The Phoenix Children’s Deep Brain Stimulation Program

Michael Kruer, MD

PCH - "Bone Biology, Growth, and Genetic Short Stature Conditions" - Dr. Rachel Lombardo

ChatGPT and Beyond: A Pediatrician's Guide to Generative Artificial Intelligence 

Presented by: Srinivasan Suresh, MD, MBA

March 19, 2024 – 7:30 AM

Session Objectives:

• Define Generative Artificial Intelligence

• Create an effective and appropriate prompt for a generative AI tool such as ChatGPT

• Identify three aspects of pediatric health care where a pediatrician or pediatric specialist can use a generative AI tool to support high quality care or practice

High Risk Fetal Conditions:  Cardiac Evaluation and Potential for Prenatal Therapy/Intrapartum/Postnatal Therapy  

March 26, 2024 – 7:30 AM

In Person at the Cohen Conference Center and Live Streamed

Presented by: Nicholas Behrendt, MD and Christopher Lindblade, MD 

Overall Activity Objectives:

1 Implement appropriate strategies for diagnosing pediatric conditions.

2 Evaluate and implement appropriate, current treatment options vis a vis emerging therapeutics.

3 Implement in practice developing areas of research and evidence-based recommendations within a diverse range of pediatric specialties.                                                                                                                                                             

Session Objectives:

• Discuss high risk fetal conditions (e.g. sacrococcygeal teratoma, vein of Galen malformation, placental chorioangioma, etc) and their cardiovascular implications

• Present options for prenatal monitoring and intervention for high risk fetal conditions

• Discuss the perinatal management for high risk fetal conditions and postnatal outcomes

Hot Topics in Pediatric Hospitalist Medicine

Presenters: Drs. Jared Kusma, Sagar Shah, Merritt ten Hope 

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

• Recognize how social determinants of health impact hospitalized and readmitted pediatric patients

• Better understand current pediatric residency program practices and curricula with regards to billings, coding and documentation, and demonstrate the need for developing a formalized curriculum

• Demonstrate the role and potential pitfalls of procalcitonin as a biomarker in identifying bacterial infections in febrile infants

Guest Presenter: Thomas Keens, MD, Director, Cystic Fibrosis Center, Attending Physician, Professor of Pediatrics, Physiology and Biophysics, Keck School of Medicine of USC, Children's Hospital Los Angeles

Clinical Interests

Cystic fibrosis, Sudden infant death syndrome, Congenital central hypoventilation syndrome (CCHS), Chronic respiratory failure and home mechanical ventilation, Pediatric respiratory physiology

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

1. Define sudden infant death syndrome (SIDS) and known basic demographics
2. Review current research on possible causes of SIDS
3. Know SIDS risk reduction actions which reduce the chance of a baby dying from SIDS

Detailed presentation information will be provided at a later date.

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

• List available tests to characterize Immune status
• Describe the distinguishing features of combined immunodeficiency
• Identify potential barriers for off-label immunomodulation in pediatric rare diseases

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

July 4--GR Cancelled

Cannabis Takes Page from the Tobacco Advertising Playbook: Repeating a Public Health Crisis

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.

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.

PCH - Duchenne Muscular Dystrophy with a History of Phoenix Children's - Dr. Saunder Bernes

Guest presenter: Swapna Reddy, JD, DrPH, MPH, Arizona State University

Presentation details will be provided at a later date.

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

Presentation details will be provided at a later date.

Presenters: Dr Arian Hess and Dr Camille Imbo

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

• Associate the Indications for Imaging in Headache.
• Recognize the common Imaging Findings in Secondary Headache.
• Identify which studies are inappropriate in specific Headache situations.

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

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.

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.