Pediatric Grand Rounds

One way Children’s Hospital & Medical Center offers continuing professional education opportunities for physicians, students, residents, and other medical professionals is through pediatric Grand Rounds — weekly presentations on various issues in pediatric care, such as research reviews, case studies, or recent advances in treating a particular illness.

Pediatric Grand Rounds is presented live each Friday from 8-9 a.m. at Children’s in the Glow Auditorium on the 3rd floor. Each program is made available to view via our intranet link. CME credit is approved for one year from the date of the presentation. Archived presentations may be viewed for content, but credit is not offered.

Recordings of Grand Rounds presentations are available for online viewing (below).

Contact a CME Coordinator at CME@childrensomaha.org or 402-955-6070 with questions.

Upcoming Presentations

Grand Rounds

Friday, October 18
Why Teamwork Matters in Patient Care at Children’s: What I Have Learned During My Career in Medicine
Donny Suh, MD
Interim Surgeon-in-Chief
Chief of Pediatric Ophthalmology and Adult Strabismus
Children’s Hospital & Medical Center
Professor, Ophthalmology and Visual Science & Pediatrics
UNMC College of Medicine

Objectives:

  1. Describe the value of an interdisciplinary healthcare team.
  2. Discuss the importance of teamwork in patient care and its impact on patient outcomes.
  3. Describe why communication matters in healthcare and strategies for improving communication.

Friday, October 25
Advanced Heart Failure in Neuromuscular and Oncology Disease in the Pediatric Patient
Jean A. Ballweg, MD
Medical Director, Pediatric Heart Transplant and Advanced Heart Failure
Children’s Specialty Physicians
Associate Professor, Pediatrics
UNMC College of Medicine

Objectives:

  1. Identify populations at risk for advanced heart failure.
  2. Identify therapies that are available for oncology and neuromuscular patients with advanced heart failure.
  3. Identify the outcomes for patients with oncological and neuromuscular disease who develop advanced heart failure.

Friday, November 1
Prolonged and Recurrent Fevers in Children
Steven Chartrand, MD
Memorial Lecture in Pediatric Infectious Disease
Gary S. Marshall, MD
Division Chief, Pediatric Infectious Diseases
Professor of Pediatrics, University of Louisville

Objectives:

  1. Design a diagnostic plan for children with unexplained fever.
  2. Differentiate intermittent febrile illnesses and periodic fevers.
  3. Manage patients with PFAPA syndrome.

Friday, November 8
Distinguished Lecture

The Elephant in the Room:  Sudden Cardiac Death with Exercise in Young Patients with Heart Disease
Mark E Alexander, MD, FHRS
Co-Director, Exercise Physiology
Boston Children’s Hospital
Associate Professor of Pediatrics, Harvard Medical School

Objectives:

  1. Identify concepts of perceived risk, actual risk and opportunity cost for established pediatric heart disease.
  2. Discuss how much exercise changes risk of cardiac events.
  3. Describe a model of moving from cohort data and “guidelines” to partnership and personal decision making for exercise in these patients.

Friday, November 15
What’s new in AKI (Acute Kidney Injury)

Melissa Muff-Luett, MD
Medical Director, Pediatric Dialysis
Children’s Specialty Physicians
Assistant Professor, Pediatrics
UNMC College of Medicine

Objectives:

  1. Define pediatric acute kidney injury.
  2. Discuss treatment of AKI.
  3. Discuss new advancements in AKI.

Friday, November 22
Distinguished Lecture


Friday, November 29
No Grand Rounds


Friday, December 6
Becoming Upstanders as Healthcare Leaders
Jasmine R Marcelin, MD
Associate Program Director, Internal Medicine Residency
UNMC College of Medicine

Objectives:

  1. Define Implicit Bias and how it impacts healthcare professionals and delivery of care to patients.
  2. Apply the active bystander approach to counter implicit bias in difficult situations.
  3. Identify steps to mitigating implicit bias in healthcare and leadership.

Friday, December 13
House-wide Multidisciplinary Case Review
Additional details forthcoming


Friday, December 20
No Grand Rounds


Friday, December 27
No Grand Rounds


Friday, January 3
No Grand Rounds

 

CME Credit for Grand Rounds Presentations

Grand Rounds CME credit is available and approved for programs presented within one year of the current date. Qualifying presentations are noted with a “CME Credit” icon.

You can use the CME Tracker to view and register for upcoming presentations.

Don’t have an account yet? Start by learning how to set up your continuing education profile.

Contact a CME Coordinator at CME@childrensomaha.org or 402-955-6070 with questions.

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  • Distinguished Lecture: Advocacy and the American Academy of Pediatrics: Optimal Health for ALL Children

    2018/10/19

    Mark Del Monte, JD
    American Academy of Pediatrics
    Interim CEO/Executive Vice President &
    Sr. Vice President, Advocacy and External Affairs

    Objectives:
    1.  Define the role of pediatricians, pediatric medical subspecialists, and surgical specialists in child health policy development.
    2.  Identify current child advocacy needs at the federal and state level.
    3.  Consider the role individuals can play in advocacy.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Stephen Chartrand, MD Memorial Lecture in Pediatric Infectious Disease: Influenza Viruses and Influenza Vaccines

    2018/10/26

    Janet A. Englund, MD
    Professor of Pediatrics
    Director, Transplant Infectious Diseases, Seattle Children’s Hospital

    Objectives:
    1. Describe the epidemiology of influenza pandemics and epidemics
    2. Discuss prevention of influenza in the pediatric population
    3. Identify high risk groups who may be impacted by influenza and understand prophylaxis and treatment for these groups.

    Presenter will provide disclosures at presentation.  Upon review, no conflict of interest has been identified.

  • Antimicrobial Stewardship: Opportunities for Improvement

    2018/11/02

    Andrea Green Hines, M.D.
    Medical Director, Antimicrobial Stewardship Program
    Children’s Hospital & Medical Center
    Assistant Professor, Adult and Pediatric Infectious Diseases
    UNMC College of Medicine

    Objectives:
    1. Describe opportunities for optimizing antibiotic prescribing.
    2. Identify rapid diagnostic modalities that can assist in earlier targeted therapy for infections.
    3. Recognize the impact that antibiotic allergies can have in the care of patients.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Weeding Out the Truth Behind Marijuana and Breastfeeding

    2018/11/09

    Melissa St. Germain, MD, FAAP
    Pediatrician
    Children’s Physicians
    West Village Pointe

    Objectives:
    1. Define the prevalence of marijuana use in breastfeeding moms.
    2. Discuss medical effects of marijuana on newborns.
    3. Explore psychosocial effects of marijuana use on the family unit.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • An Update on PE and Recess

    2018/11/16

    Natalie Ronshaugen, MD
    Sports Medicine
    Children’s Specialty Physicians
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1. Discuss the benefits of active play, including PE and recess, in young children.
    2. Identify strengths and weaknesses of the current state of PE and recess in the United States.
    3. Construct effective activity restriction notes for kids in school.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • The Second Victim Syndrome

    2018/11/30

    Louis Marmon, MD, PhD
    Division of Pediatric General and Thoracic Surgery
    Department of Surgery
    Children’s National Medical Center
    Professor of Surgery and Pediatrics,
    George Washington University School of Medicine & Health Sciences

    Objectives:
    1.       Explain the concept of the physician as a “second victim” of poor patient outcomes.
    2.       Describe how physicians are affected by medical errors and their patient’s adverse outcomes.
    3.       Design a support system to assist all healthcare providers in coping with the emotional and psychological impacts of medical errors and adverse patient outcomes.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Anyone Can Do Research: How You Can Make a Significant Contribution to Science

    2018/12/07

    Russell J. McCulloh, MD
    Division Chief, Pediatric Hospital Medicine
    Children’s Hospital & Medical Center
    Director, Nebraska Pediatric Clinical Trials Unit
    Associate Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1.       Identify three methods of conducting research with limited resources.
    2.       Recognize the role that community-based pediatricians can play in advancing medical knowledge.
    3.       Develop a research question relevant to your current clinical practice/training.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Contemporary Management of Pediatric Neurogenic Bladder Dysfunction

    Friday, January 25, 2019
    Contemporary Management of Pediatric Neurogenic Bladder Dysfunction
    John H. Makari, MD
    Section Chief, Pediatric Urology
    Children’s Specialty Physicians
    Associate Professor of Surgery (Urologic Surgery)
    UNMC College of Medicine

    Objectives:
    1.  Identify diagnoses that place patients at risk for neurogenic bladder dysfunction.
    2.  Describe the management goals of neurogenic bladder dysfunction.
    3.  Discuss the medical and surgical treatment options for neurogenic bladder dysfunction.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Geospatial variation in the incidence of childhood cancer in Nebraska, and future implications

    Friday, February 1, 2019
    Geospatial variation in the incidence of childhood cancer in Nebraska, and future implications

    Don Coulter, MD
    Children’s Specialty Physicians
    Hematology/Oncology
    Associate Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1.  Review available data defining the incidence of pediatric cancer in Nebraska.
    2.  Identify geographic variation of pediatric cancer incidence within Nebraska and discuss the geographic burden of care for families of children with chronic disease.
    3.  Review the methodology of geographic information system mapping as a possible modality to better understand the epidemiology of other childhood diseases.

    Presenter has disclosed no actual or potential conflict of interest related to this educational activity.

  • Pediatric Dermatology: Recessive Dystrophic Epidermolysis Bullosa and Squamous Cell Carcinoma

    Friday, February 15
    Pediatric Dermatology: Recessive Dystrophic Epidermolysis Bullosa and Squamous Cell Carcinoma
    Ashley Wysong MD, MS
    Chair, Department of Dermatology
    UNMC College of Medicine

    Objectives:
    1.       Identify common conditions and treatment options in pediatric dermatology.
    2.       Describe recessive dystrophic epidermolysis bullosa and potential complications of this condition.
    3.       Explore surgical and medical treatment options for high-risk SCC in RDEB.

  • Begin the Journey: Find our True North and Build our Future Together

    Friday, March 8
    Begin the Journey: Find our True North and Build our Future Together
    Anna Spagnoli, MD
    Senior Vice President, Pediatric Services
    Pediatrician-in-Chief
    Children’s Hospital & Medical Center
    Carol Remmer Angle, M.D., Presidential Endowed Chair, Department of Pediatrics
    Executive Director, Child Health Research Institute
    Professor of Pediatrics
    UNMC College of Medicine

    Objectives:
    1.       Discuss the visions and goals for the Department of Pediatrics.
    2.       Describe the visions and goals for the Child Health Research Institute.
    3.       Discuss the integration process of clinical, research, education and service at Children’s.

  • Medical Providers Role in Identifying Victims of Human Trafficking

    Friday, March 15
    Medical Providers Role in Identifying Victims of Human Trafficking
    Cassandra Wehling, MD, HO-IV
    Medicine-Pediatrics Resident
    UNMC-CUMC-CHMC Joint Pediatric Residency Program

    Objectives:

    1. Define human trafficking and how it relates to health care.
    2. Identify victims in their daily practice.
    3. Identify resources and next steps for health care providers once a victim is identified.
  • Trust Me, I’m a (Certified) Doctor: Innovations and Improvements in Maintenance of Certification

    Friday, March 22
    Trust Me, I’m a (Certified) Doctor: Innovations and Improvements in Maintenance of Certification
    Marshall L. Land, Jr., MD
    R.J. McKay, Jr., MD Green and Gold Professor of Pediatrics University of Vermont
    American Board of Pediatrics, Advisor for Diplomate Outreach and Strategic Planning

    Objectives:
    1. Describe a brief history of the evolution of ABP certification.
    2. Discuss innovations and improvements in the MOC process (credit for CME activities, 10 year test will be replaced, credit for work already being done in the workplace, new fee options).
    3. Offer feedback and solicit ideas from Nebraska AAP members.

  • My Patient is Dying: Patient Centered and Self Care for Medical Providers


    2019/04/26
    Loyd Schultz, MD Memorial Lecture in Pediatric Surgery
    Mary E. Fallat, MD
    Hirikati S. Nagaraj Professor
    Division Director, Pediatric Surgery
    University of Louisville
    Surgeon-in-Chief
    Norton Children’s Hospital
    Louisville, KY

    Objectives:
    1.    Gain confidence in the ability to provide compassionate death notification for families in both emergency and non-emergency situations.
    2.    Recognize the need to reassess care that may be non-beneficial in critically ill or injured patients.
    3.    Identify and prevent secondary trauma in themselves, which contributes to provider disability after giving or experiencing bad news.

  • Opioid Crisis and Non-Medical Use of Opiates in Children

    Opioid Crisis and Non-Medical Use of Opiates in Children

    2019/05/03
    Distinguished Lecture
    Myron Yaster, MD
    Children’s Hospital Colorado
    Professor of Anesthesiology
    University of Colorado School of Medicine, Aurora, Colo.

    Objectives:
    1. Describe a process of discovery and quality improvement in the delivery of medical care.
    2. Describe how we went from the undertreatment of pain to an epidemic of opioid abuse.
    3. Outline future directions.

  • Vitamin status in mother-infant dyads and adverse neonatal outcomes AND navigating research as a resident

    2019/05/10
    David Brooks, MD, HO-III
    UNMC-Creighton-Children’s Joint Pediatrics Residency Program

    Objectives:
    1.       Define the role of vitamins in neonatal development.
    2.       Describe the relationship between maternal vitamin deficiencies and neonatal morbidity.
    3.       Identify research opportunities available to the resident physician.

  • Lessons Learned from the Chronic Kidney Disease in Children (CKiD) Study


    2019/05/17
    Distinguished Lecture

    Bradley A Warady, MD
    Director, Division of Nephrology, Children’s Mercy Kansas City

    Objectives:
    1.      List the most common causes of CKD in Children.
    2.      Calculate the estimated glomerular filtration rate in children.
    3.      Describe comorbidities experienced by children with CKD.

  • The Value of Global Health Experiences in Medical Education

    2019/05/31
    Arwa Nasir, MD, MPH

    Children’s Physicians
    Division Chief of General Pediatrics
    Associate Professor,
    Department of Pediatrics
    UNMC College of Medicine

    Sophia Schneider, M4
    UNMC College of Medicine

    Natalie Wichelt, M4
    UNMC College of Medicine

    Objectives:
    1. Discuss the role of global health experiences in medical education.
    2. Describe some of the challenges of global health experiences.
    3. Discuss lessons learned from a global health experience.

  • Distinguished Lecture: Orlando Health Response to the Pulse Nightclub Tragedy

    2019/06/07
    Chadwick P. Smith, MD  

    Director, Surgical Critical
    Orlando Health

    Eric R. Alberts, CEM
    Care Corporate Manager, Emergency Preparedness
    Orlando Health

    Objectives:
    1. Elucidate challenges in active shooter mass casualty.
    2. Explain the impact of the incident on hospital operations.
    3. Describe the fast-paced nature of incidents and the importance of communications.
    4. List the primary challenges identified by hospital staff during and immediately following the incident.

  • Stress, Burnout and Depression: Challenges to Wellness


    2019/06/14
    Distinguished Lecture
    Carol A. Bernstein, MD
    Professor of Psychiatry
    Department of Psychiatry
    Albert Einstein College of Medicine
    Past President, American Psychiatric Associations

    Objectives:
    1. Identify key factors contributing to stress, burnout, wellness and resilience among trainees and faculty
    2. Describe the complex inter-relationships between burnout, depression and resilience and how these factors may interact with each other as a result of pressures in the academic medical center
    3. Identify different approaches to the problem both at the individual and systemic levels.
  • House-wide Multidisciplinary Case Review

    2019/06/21
    Jay Snow, MD
    Children’s Specialty Physicians
    Pediatric Hospitalist
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    The purpose of the House-wide Multidisciplinary Case Review Conference is to provide a safe venue for medical providers to identify areas of improvement, and promote professionalism, ethical integrity and transparency in assessing and improving patient care.

    Objectives:
    1.       Review pertinent details of a patient case, including history of illness, clinical impressions, and diagnosis.
    2.       Analyze relevant literature.
    3.       Discuss factors which contributed to success and opportunities for improvement.

  • Sports Related Concussions: Diagnosis, Management & Return to Activity

    2019/07/19
    Natalie Ronshaugen, MD

    Sports Medicine
    Children’s Specialty Physicians
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Objectives:

    1. Discuss evidence based testing methods for concussion evaluation in primary care.
    2. Identify the appropriate time frame for youth concussion recovery and the factors that indicate a prolonged symptom disorder.
    3. Identify the parameters of the NE Concussion Awareness Act; legal logistics for return to play/return to learn following a concussion.
  • Gene Therapy in Neuromuscular Diseases

    2019/07/26
    Geetanjali Rathore, MD
    Interim Division Chief, Pediatric Neurology
    Children’s Specialty Physicians
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1.  Discuss overview of Spinal Muscular Atrophy (SMA).
    2.  Review the genetic components of SMA.
    3.  Describe the latest therapies for SMA and their impact on the pediatric population.

  • Sickle Cell Update

    2019/08/02
    James Harper, MD
    Children’s Specialty Physicians
    Hematology/Oncology
    Associate Professor, Pediatrics
    UNMC College of Medicine

    Objectives:

    1. Review sickle cell physiology at the cellular, endothelial, and inflammatory systems levels.
    2. Update evolving data on the common sites of accumulative damage caused by sickle cell.
    3. Describe strategies to limit damage done.
    4. Discuss issues for the successful transition to adult care.
  • The perplexity of vascular anomalies unraveled and repackaged

    2019/08/09
    Joe Stavas MD, MPH
    Radiology
    Children’s Specialty Physicians
    Chair, Dept of Radiology
    Creighton University

    Objectives:
    1.      Describe the historical timeline for vascular anomalies discovery.
    2.      Classify the various types of vascular malformations.
    3.      Formulate a comprehensive treatment plan for malformation management.

  • Building a Research Portfolio

    2019/08/16
    Chris Maloney, MD, PhD
    Chief Medical Officer, Children’s Hospital & Medical Center
    Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1.      Develop a methodology to create a research roadmap.
    2.      Connect with teams to identify research direction.
    3.      Identify resources in our research community for success.

  • Visionmobile: Taking the Road Less Traveled

    2019/08/23
    Colby Fletcher, OD
    Children’s Hospital & Medical Center

    Objectives:
    1.      Describe the impact of vision on learning.
    2.      Define the access to eye care gap in Omaha.
    3.      Illustrate how an eye exam and vision screening are different.

  • Health Literacy for Clinicians

    9/6/19
    Quan P. Ly, MD
    Associate Professor, Department of Surgery
    Division of Surgical Oncology
    UNMC College of Medicine

    Objectives:
    1. Identify patients with low health literacy.
    2. Name at least 3 tools that can be used to overcome low health literacy.
    3. Describe the impact of health literacy on patient-physician communication.

  • In Bed Together – Behavioral and Medical Sleep Program

    9/20/19
    Matthew Dennis, MD
    Children’s Specialty Physicians
    Pediatric Pulmonology and Sleep Medicine
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Brett Kuhn, PhD
    Director, Behavioral Sleep Medicine Clinic
    Children’s Hospital& Medical Center
    Professor, Psychology
    UNMC Monroe Meyer Institute

    Casey Burg, MD
    Division Chief, Pediatric Pulmonology/Allergy/Sleep Medicine
    Children’s Hospital & Medical Center
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1. Identify criteria for ordering pediatric sleep studies.
    2. Outline diagnosis and treatment of sleep apnea, narcolepsy and periodic limb movement disorders.
    3. Describe evaluation and intervention for behavioral sleep problems such as insomnia, circadian rhythm and parasomnia abnormalities.

  • Hand Hygiene: The Automated Advantage

    9/20/19
    Kari Simonsen, MD
    Chief, Division of Pediatric Infectious Disease
    Hospital Epidemiologist
    Children’s  Hospital & Medical Center
    Professor and Vice Chair of Pediatrics,
    UNMC College of Medicine

    Objectives:
    1.       Describe automated hand hygiene monitoring systems and compare with observation based systems
    2.       Define advantages and disadvantages of automation for hand hygiene monitoring
    3.       Explain patient engagement elements of Children’s Hospital hand hygiene monitoring program

  • House-wide Multidisciplinary Case Review: Early Recognition of Shock/Sepsis


    9/27/19
    Sally Stimson, MSN, RN, CPN

    Simulation Program Coordinator
    Nursing Education
    Jay Snow, MD
    Children’s Specialty Physicians
    Pediatric Hospitalist
    Assistant Professor, Pediatrics
    UNMC College of Medicine

    Objectives:
    1. Review pertinent details of a patient case, including history of illness, clinical impressions, and diagnosis.
    2. Analyze relevant literature.
    3. Discuss factors which contributed to success and opportunities for improvement.

  • The changing medical landscape of Trisomy 13 and 18: Improving decision making


    10/4/19
    Annual Distinguished Lecture in Ethics
    Annie Janvier, MD, PhD
    Professor of Pediatrics and Clinical Ethics
    University of Montreal

    Objectives:
    1. Describe the evolution of decision making for trisomy 13 and 18.
    2. Contrast the perspectives of healthcare providers and parents.
    3. Examine how to better communicate with parents of children with trisomy 13 and 18.

  • Safety and efficacy of complementary therapies in children and adolescents


    10/11/19
    In conjunction with the NE chapter AAP fall meeting
    Cora Breuner, MD, MPH
    Division of Adolescent Medicine
    Orthopedics and Sports Medicine Department
    Seattle Children’s Hospital
    Professor, Pediatrics
    University of Washington School of Medicine.

    Objective:
    1. Evaluate the use of complementary therapies in children and adolescents, including herbs, acupuncture, homeopathy, massage, manipulation and chiropractic therapies.

Trauma Grand Rounds

Questions or comments
Please email trauma@childrensomaha.org

Learn more about the presentation
Check out past Trauma Grand Rounds

Contact

Contact a CME Coordinator at CME@childrensomaha.org or 402-955-6070 with questions about Grand Rounds or Trauma Grand Rounds.

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