3RD ANNUAL MEDICAL RESPONSE TO CHILD ABUSE AND NEGLECT October 17, 2014 — 8:30 am to 4:00 pm Li Ka Shing Center for Learning and Knowledge, Stanford, CA A Continuing Medical Education Conference presented by the Department of Pediatrics at the Stanford University School of Medicine PROGRAM (subject to change) FACULTY 8:00 am-8:30 am Registration/Continental Breakfast 8:30 am-8:45 am Welcome/Opening Remarks All Faculty 8:45 am-10:15 am Abusive Head Trauma: What Does the Science Tell Us? Carole Jenny, MD 10:15 am-10:30 am Break/Travel to Breakout Rooms 10:30 am-11:30 am Breakout Session I (3 options): 1) Recognizing and Helping CSEC Youth in the Office Practice Denicia Cormier, MSW 2) Defining Medical Neglect John Stirling, MD 3) Parenting in the Context of Domestic Violence Jeffrey Edleson, Ph.D. 11:30 am-12:30 pm Breakout Session II (3 options): 1) Medical Child Abuse Carole Jenny, MD 2) Adverse Childhood Experiences – Implications for Clinicians Tricia Tayama, MD 3) Medical Management of Sexual Abuse in Adolescents Angela Rosas, MD 12:30 pm-1:30 pm Lunch 1:30 pm-2:30 pm Is Domestic Violence Child Abuse? Research, Policy, and Practice Jeffrey Edleson, Ph.D. 2:30 pm-2:45 pm Break 2:45 pm-3:45 pm Panel Discussion: Multidisciplinary Team Response to Child Maltreatment All Faculty 3:45 pm-4:00 pm Closing Remarks/Adjourn All faculty are affiliated with Stanford University School of Medicine unless otherwise noted. Opportunities for Q&A will be provided at the conclusion of each presentation Joseph Kim, MD Clinical Assistant Professor in General Pediatrics, Department of Pediatrics Course Director John Stirling, MD Clinical Professor (Affiliated) in Pediatrics, Department of Pediatrics Director, Center for Child Protection Santa Clara Valley Medical Center Co-Course Director Melissa Egge, MD Pediatrician, Center for Child Protection Santa Clara Valley Medical Center Planner Tricia Tayama, MD Pediatric Medical Director, Keller Center for Family Violence Intervention San Mateo Medical Center Planner Jeffrey Edelson, PhD Professor and Chair, School of Social Work, UC Berkeley Carole Jenny, MD Clinical Professor of Pediatrics University of Washington School of Medicine Angela Rosas, MD Pediatrician Medical Director, BEAR Program Sutter Medical Group Sacramento, CA Faculty Disclosure The Stanford University School of Medicine adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of faculty and commercial relationships will be made prior to the activity. Denicia Cormier, MSW Emergency Response Social Worker Supervisor San Mateo County Human Services Agency SPONSORED BY THE STANFORD UNIVERSITY SCHOOL OF MEDICINE To register and pay online, visit http://cme.stanford.edu/childabuse/ 3RD ANNUAL MEDICAL RESPONSE TO CHILD ABUSE AND NEGLECT October 17, 2014 Li Ka Shing Center for Learning and Knowledge, Stanford, CA ENROLLMENT APPLICATION 3rd Annual Medical Response to Child Abuse and Neglect – October 17, 2014 Please register by completing this application form or by registering online at http://cme.stanford.edu/childabuse/. Applications must be completed online, faxed or postmarked 3 weeks prior to the course date. Registration fee includes continental breakfast, refreshment break, lunch, course materials, and certificate of attendance. Tuition may be paid by check, Visa or MasterCard. Please type or print: STATEMENT OF NEED This CME symposium will address the need of medical practitioners treating pediatric patients to increase and improve the fund of knowledge regarding child abuse and neglect, increase awareness of this issue and available resources and to increase comfort level in screening and treating these patients. This course will offer practical strategies on implementing these skills in the clinical practice. TARGET AUDIENCE This regional conference is designed to meet the educational needs of physicians across all specialties, nurse practitioners, nurses, social workers, lawyers, and law enforcement officers. LEARNING OBJECTIVES At the conclusion of this activity, participants should be able to: • Develop skills to recognize and treat child abuse in clinical practices according to evidence-based guidelines. • Develop skills and strategies to consistently and timely document and report suspected child abuse. • Apply the multi-disciplinary approach to treat and protect abused children. ACCREDITATION The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CREDIT DESIGNATION Stanford University School of Medicine designates this live activity for a maximum of 5.5 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements, as long as the course is certified for AMA PRA Category 1 Credit(s)TM (rn.ca.gov). Nurses will receive a Certificate of Attendance following this activity that may be used for license renewal. The Lucile Packard Children’s Hospital Department of Social Services is accredited by the California Board of Behavioral Sciences, Continuing Education Provider number PCE3981. This course meets the qualifications for 5.5 hours of continuing education credit for LMFTs, LPCCs, LEPs, and/or LCSWs as required by the California Board of Behavioral Sciences. CANCELLATION POLICY Refunds must be requested in writing 3 weeks prior to the course and will be subject to a $25 administrative fee. No refunds will be made on cancellations received after this date. Program materials cannot be guaranteed unless enrollment is received less than 3 weeks prior to the course. Stanford University School of Medicine reserves the right to cancel this program; in the event of cancellation, course fees will be fully refunded. ACCOMMODATIONS Nearby Hotels with free shuttle to campus: Sheraton (650) 3282800; Westin (650) 321-4422. Please contact the hotel directly to secure a reservation. ____________________________________________________________ NAME/DEGREE ____________________________________________________________ SPECIALTY ____________________________________________________________ MEDICAL LICENSE NUMBER (REQUIRED FOR CME CREDIT) AFFILIATION ____________________________________________________________ STREET ADDRESS ____________________________________________________________ CITY STATE ZIP ____________________________________________________________ BUSINESS PHONE FAX ______________________________________________________________ EMAIL CONCURRENT SESSION CHOICES: Please mark one choice each for Session I and Session II: Breakout Session I: CSEC Youth in the Office Practice Defining Medical Neglect Domestic Violence Breakout Session II: Medical Child Abuse Adverse Childhood Experiences Sexual Abuse in Adolescents REGISTRATION FEES: Physicians$125 Nurses & Allied Health Professionals $75 Type of payment: Check made payable to Stanford University School of Medicine Credit Card (Check one: Visa Master Card) ____________________________________________________________ CARD NUMBER EXPIRATION ____________________________________________________________ NAME (AS IT APPEARS ON CARD) ____________________________________________________________ CARDHOLDER’S SIGNATURE Please register online at http://cme.stanford.edu/childabuse/ OR complete this form and remit with payment to: Stanford Center for Continuing Medical Education Attn: Jean Hengst 1070 Arastradero Road, Suite 230, Palo Alto, CA 94304 Phone: (650) 497-8554 Fax: (650) 497-8585 Email: [email protected] Stanford University School of Medicine is fully ADA compliant. If you have needs that require special accommodations, including dietary concerns, please contact [email protected] CONFERENCE LOCATION Li Ka Shing Center for Learning and Knowledge 291 Campus Drive, 2nd Floor Stanford, CA 94305 http://lksc.stanford.edu/ For questions about the symposium, please contact Jean Hengst, Stanford Center for Continuing Medical Education at (650) 497-8554 or email [email protected]. To register and pay online, visit http://cme.stanford.edu/childabuse/