Connecticut Children's Grand Rounds

Event Objectives:

• Attendees will understand the need for child and adolescent bariatric surgery programs in general and specifically for children with special healthcare needs.
• Attendees will understand the key components of bariatric surgery programs for children and adolescents and additional needs with respect to special populations.
• Attendees will understand the expected outcomes for laparoscopic sleeve gastrectomy in children and adolescents and how they may differ in special populations.

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Objectives:

• Describe how social media interacts with mental health depending on specific characteristics of the user as well as social media habits and experiences.
• Understand the concept of mental health contagion and how it occurs via social media.
• Evaluate our patient’s social media use and its importance for psychiatric diagnosis and treatment.

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• Review the current trends in medical malpractice settlements and verdict outcomes in CT.
• Discuss the challenges in malpractice defense including EHR documentation audit trails and e-discovery.
• Formulate strategies for reducing the risk of lawsuits and increasing the defensibility of cases.

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Event Objectives:

• Apply the learned epidemiology and clinical presentation of Wilms Tumor to appropriate surveillance and/or diagnostic evaluation for children at known risk due to underlying genetic syndromes or with presentation of signs and symptoms consistent this diagnosis.
• Contextualize the current standard of care therapies for patients with Wilms Tumor with the history of discovery and first treatments and recognize the evolution of risk stratification as the backbone of clinical trial development in Wilms Tumor.
• Appraise the presented supporting data on prognostic features of outcomes for patients with Wilms Tumor and evaluate the incorporation of this information into the upcoming Children’s Oncology Group therapeutic protocol for the Risk Stratified Treatment of patients with Stage I- IV Favorable Histology Wilms Tumor.
• Discuss the presented interrelationship between organogenesis and tumorigenesis and spur innovative thought into the underlying biology of the spectrum of Wilms Tumor and nephroblastomatosis.

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• Review the basics of pediatric inflammatory bowel diseases.
• Understand the role that Connecticut Children's has played in the understanding and management of IBD.
• Become aware of the risks associated with IBD therapies in children.

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Event Objectives:

• Describe systemic and structural drivers of health inequities and disparities.
• Explain the power of use of disaggregated data in the setting of health inequities and health disparities.
• Identify and list opportunities for place-based and systems-level mitigation strategies for health inequities and health disparities.

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No CME Credit Awarded

Event Objectives:

• The purpose of this study was to provide work flow optimization in the EHR for pediatric residents and track time use metrics as well as resident satisfaction.
• Review results of largest single-center study looking at pediatric and young adult patients with IBD followed and seen in Connecticut Children's initially on Originator-Infliximab (Remicade) and switched to Biosimilar-Infliximab (Inflectra).
• To apply lung ultrasound scores to severity of neonatal lung disease.
• Interpret data that suggest safety and efficacy of subcutaneous estradiol for gender-affirming hormone treatment for transgender and gender diverse adolescents and young adults.

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Event Objectives:

• To be able to list the most common pediatric/adolescent knee injuries.
• To be able to construct a knee injury differential diagnosis based on the history and physical exam taught in the lecture.
• To be able to integrate this into referrals to the orthopedic sports medicine service with potential MRIs ordered to investigate suspected meniscus or ACL tears.

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Event Objectives:

• Understand how to diagnose anaphylaxis.
• Describe differences in the presentation of infants and toddlers.
• Discuss recent treatment updates in anaphylaxis.

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