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, August 2
Sickle Cell Update
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.

Friday, August 9
The perplexity of vascular anomalies unraveled and repackaged

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.

Friday, August 16
Building a Research Portfolio
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.

Friday, August 23
Visionmobile: Taking the Road Less Traveled
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.

Friday, August 30
No Grand Rounds

CME Credit for 2018 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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  • Newborn Screening: Pompe, MPS-I & X-ALD

    Register To Earn CME Credit
    • Please make note of the Activity Code before selecting CNE Credit. You will be asked to enter this code on the following screen.
    • Activity Code: 18545

    Date: 2018/06/08

    William Rizzo, MD
    Clinical Service Chief, Metabolic Management
    Children’s Hospital & Medical Center
    Professor, Division of Inherited Metabolic Diseases
    Vice Chair, Research
    UNMC College of Medicine

    Objectives:
    1. Review the new diseases to be added to the newborn screening panel on July 1.
    2. Understand why babies with these diseases should be identified early on.
    3. Appreciate the early management and treatment of Pompe disease, Mucopolysaccharidosis type I and X-linked adrenoleukodystrophy.

    Disclosure: Dr. Rizzo will disclose his relationship with a pharmaceutical company that manufacturers a drug that will be mentioned in my presentation.  He receives grant/research support.

  • Screening To Diagnostics: Advances In Genomic Testing

    Register To Earn CME Credit
    • Please make note of the Activity Code before selecting CNE Credit. You will be asked to enter this code on the following screen.
    • Activity Code: 18546

    Date: 2018/06/15

    Madhuri Hegde, PhD, FACMG
    Professor, Department of Human Genetics and Pediatrics
    Executive Director, Emory Genetics Lab
    Emory university School of Medicine
    Vice President and Chief Scientific Officer, Laboratory Services
    PerkinElmer Diagnostics

    Objectives:
    1. Describe advances in genomics, including technology and interpretation.
    2. Review impact of sequencing on future of genomic testing.
    3. Discuss cost/benefit analysis of direct genomics testing.

    Disclosure: Dr. Hegde is an employee of PerkinElmer.

  • Improving Diagnostic Safety

    Distinguished Lecture

    Date: 2018/07/13

    Improving Diagnostic Safety
    Andrew P.J. Olson, MD
    Assistant Professor of Medicine & Pediatrics
    University of Minnesota Medical School

    Objectives:
    1. Identify factors leading to diagnostic error in pediatrics.
    2. Discuss strategies to improve feedback in pediatrics to improve decision making.
    3. Identify strategies to engage patients and families as members of the diagnostic team.

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

  • Common Adolescent Financial Pitfalls

    Register To Earn CME Credit
    • Please make note of the Activity Code before selecting CNE Credit. You will be asked to enter this code on the following screen.
    • Activity Code: 18553

    Date: 2018/08/03

    Jamie Wagner, Ph.D.
    Assistant Professor
    Director, Center for Economic Education
    Department of Economics
    University of Nebraska at Omaha

    Objectives:
    1. Identify some common financial pitfalls that adolescents might make.
    2. Describe strategies to help adolescents make sound financial decisions.
    3. Review a list of resources for adolescents.

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

  • Neuroblastoma Treatment Updates, With a Focus on Immunotherapy

    Date: 2018/08/10

    Stefanie Lowas, MD
    Children’s Specialty Physicians
    Pediatric Hematology Oncology
    Assistant Professor, Pediatrics
    University of Nebraska Medical Center

    Objectives:
    1. Identify neuroblastoma risk groups and their current treatment.
    2. Discuss the use of immunotherapy in high risk neuroblastoma.
    3. Describe the Omaha experience with administering immunotherapy to patients with neuroblastoma.

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

  • Friendtorship--Approaching Mentorship through a Different Lens

    Date: 2018/09/14

    Emily Borman-Shoap, MD
    Director, Pediatric Residency Program
    Vice Chair of Education
    University of Minnesota

    Objectives:
    1.  Reflect on current mentoring relationships.
    2. Examine the role that friendship plays in mentorship.
    3. Create a mentorship map.

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

  • John A. Haggstrom, MD Distinguished Lecture in Pediatric Radiology
    More than 50 Shades of Gray: Typical and Atypical Demyelinating Disease

    Date: 2018/09/21

    Christopher G. Filippi, MD
    Vice Chairman of Biomedical Imaging and Translational Science
    Professor of Radiology, Zucker School of Medicine at Hofstra/Northwell
    Lenox Hill Hospital and Greenwich Village Healthplex
    New York City

    Objectives:
    1. Recognize common imaging features of typical and atypical demyelinating disease.
    2. Identify uses of advanced MR imaging in the assessment of demyelinating disease.
    3. Differentiate different treatments and outcomes in typical and atypical demyelinating disease.

    Presenter will share disclosures during live lecture. Upon review, no actual or potential conflict of interest exists related to this educational activity.

  • Distinguished Lecture: Neonatal Stroke: Little Brains, big consequences

    2018/09/28:

    Donna M. Ferriero, MD, MS
    Distinguished Professor
    Departments of Pediatrics and Neurology
    Director, Neonatal Brain Disorder Laboratories
    University of California San Francisco

    Objectives:
    1.  Identify the pathophysiology of arterial stroke and its risks and consequences
    2.  Identify the pathophysiology of venous thrombosis in the newborn period, its risk and consequences
    3.  Discuss the value of treatment of these conditions

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

  • Distinguished Lecture in Ethics: Medical Ethics and Legacy of the Nazi Physicians

    2018/10/05

    Mark Mercurio, MD, MA
    Chief, Neonatal-Perinatal Medicine
    Director, Program for Biomedical Ethics
    Director, Yale Pediatrics Ethics Program
    Professor of Pediatrics
    Yale School of Medicine

    Objectives:
    1. Discuss some of the history of medicine under Nazi leadership in Europe.
    2. Consider the relationship between the American eugenic movement and the Nazi medical programs.
    3. Consider some lessons from this era relevant to modern medical care.

    Presenter will share disclosures during live lecture. Upon review, no actual or potential conflict of interest exists related to this educational activity.

  • Distinguished Lecture: Hemophagocytic Lympohistiocytosis (HLH) 101 to 2018

    2018/10/12

    Ashish Kumar, MD, PhD
    Associate Professor of Pediatrics
    Director, Langerhans Cell Histiocytosis Center
    Director, Pediatric Hematology/Oncology Fellowship Program
    Cincinnati Children’s

    Objectives:
    1.  Describe common pitfalls in diagnosing HLH.
    2.  Discuss the pathophysiology of HLH.
    3.  Learn the clinical and laboratory tools used in the diagnosis of HLH.

    Presenter will share disclosures during live lecture. Upon review, no actual or potential conflict of interest exists related to this educational activity.

  • 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.

  • NO Grand Rounds 12/14, 12/21, 12/28 or 1/4.

    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.

    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.

    Friday, February 8 not available

    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.

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.

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.

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.

Friday, April 26

Loyd Schultz, MD Memorial Lecture in Pediatric Surgery
My Patient is Dying: Patient Centered and Self Care for Medical Providers
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.

Friday, May 3
Distinguished Lecture
Opioid Crisis and Non-Medical Use of Opiates in Children
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.

 

Friday, May 10
Vitamin status in mother-infant dyads and adverse neonatal outcomes AND navigating research as a resident
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.

Friday, May 17
Distinguished Lecture: Lessons Learned from the Chronic Kidney Disease in Children (CKiD) Study
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.

 

Friday, May 31
The Value of Global Health Experiences in Medical Education
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.

Friday, June 7
Distinguished Lecture: Orlando Health Response to the Pulse Nightclub Tragedy
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.

Friday, June 14
Distinguished Lecture:
Stress, Burnout and Depression: Challenges to Wellness
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.

Friday, June 21
House-wide Multidisciplinary Case Review
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.

Friday, July 19
Sports Related Concussions: Diagnosis, Management & Return to Activity
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.

Friday, July 26
Gene Therapy in Neuromuscular Diseases
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.

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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