RE GIST R A T ION PERINATAL/NEONATAL CARE SYMPOSIUM April 25, 2014 PERINATAL/NEONATAL CARE SYMPOSIUM, APRIL 25, 2014 REGISTRATION Registration fee is $135 for all participants. Fee includes enrollment, educational materials, continental breakfast, refreshment breaks, luncheon, and parking. St. Louis Children’s Hospital One Children’s Place St. Louis, MO 63110 CoxHealth, Cox South, Foster Auditorium • 3801 S. National • Springfield, MO 65807 Registration fee less $25 service charge is refundable if cancellation is received by April 18, 2014. Cancellations must be received in writing and can be sent to: St. Louis Children’s Hospital, Physician Services, MS 90-75-564, One Children’s Place, St. Louis, MO 631101077. No refunds will be made for cancellations received after April 18, 2014. CoxHealth, St. Louis Children’s Hospital, Barnes-Jewish Hospital, and Washington University School of Medicine are not responsible for travel, hotel, booking fees, or other cancellation fees for registrants. Registration deadline is: April 18, 2014 To register – Select one of the following options… •On-Line: Go to StLouisChildrens.org/Med_Ed and select the link for “Perinatal/Neonatal Care Symposium,” register, and pay by credit card. • By Phone: Call St. Louis Children’s Hospital at 800.678.4357 and pay be credit card • By Mail: Complete this form and send with a check payable to St. Louis Children’s Hospital. Return to: St. Louis Children’s Hospital Physician Services, 90-75-564 One Children’s Place St. Louis, MO 63110-1077 PERINATAL/NEONATAL CARE SYMPOSIUM  MD  DO  NP  PA  RN  Respiratory  Other ____________________________________________________________ If respiratory therapist, please list AARC member number ____________________ PERINATAL/NEONATAL CARE SYMPOSIUM April 25, 2014 _______________________________________________________________________________________________________________________ First Name MI Last Name _______________________________________________________________________________________________________________________ Office Practice Name/Hospital _______________________________________________________________________________________________________________________ Street Address _______________________________________________________________________________________________________________________ City/State/Zip Code _______________________________________________________________________________________________________________________ Office Telephone Number CoxHealth, Cox South, _______________________________________________________________________________________________________________________ Specialty/Title Foster Auditorium _______________________________________________________________________________________________________________________ E-Mail 3801 S. National Special dietary considerations; every effort will be made to accommodate your request: Springfield, MO 65807 _______________________________________________________________________________________________________________________ SLC18105 2/14 PROGRAM DESCRIPTION AGENDA AND OBJECTIVES This symposium is a collaboration between CoxHealth, St. Louis Children’s Hospital, Barnes-Jewish Hospital and Washington University School of Medicine and is designed to highlight recent changes, updates and/or current controversies in perinatal and neonatal topics. Topics will include: thrombophilias, monochorionic twins, preterm birth, preeclampsia, neonatal neuro-protection, neurodevelopmental outcomes in NICU, non-invasive ventilation, skin and wound care, cue-based feeding, gut microbiome, and quality improvement in perinatal/neonatal care. EDUCATIONAL CREDIT This activity has been planned and implemented in accordance with Essential Areas and policies of the Missouri State Medical Association through the joint sponsorship of CoxHealth and St. Louis Children’s Hospital. CoxHealth is accredited by the Missouri State Medical Association to provide continuing medical education to physicians. CoxHealth designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Cox College Interprofessional Simulation and Education Center is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 6.5 Contact Hours Application has been made to the American Association for Respiratory Care (AARC) for continuing education contact hours for respiratory therapists and credit is pending. For questions regarding educational credit please contact Christine Tibbs, MA, CPC, CoxHealth CME Program Coordinator at 417.269.4618 or [email protected]. Accreditation approval only refers to this educational activity and does not imply endorsement of any commercial products by CoxHealth. St. Louis Children’s Hospital or Washington University School of Medicine or any other proprietary entity producing health care goods or services. Participants will receive statements of credit at the end of the program when all requirements for credit have been Questions? Call Children’s Direct at 800.678.HELP (4357). 2:30 – 2:40 p.m. Registration/Continental Breakfast Transition to Breakout Sessions 8:15 – 08:20 a.m. 2:40 – 3:10 p.m. Welcome and Opening Remarks Breakout Sessions (30 minutes, will be presented twice) Joseph Eccher, MD and Patricia Dix, MD, Physician Moderators Discuss the use of non-invasive ventilation (NIV) strategies in term and preterm infants with respiratory distress. Thrombophilias Jeffrey Greenspoon, MD Examine thrombophilia risk and adverse pregnancy outcomes, indications for screening to detect these conditions, and management options in pregnancy. met. Satisfactory completion of objectives will occur through program attendance; therefore, contact hours will be given only for hours the participant attends. In order to receive a statement of credit, all participants must sign-in at the registration desk and turn in a completed evaluation form and verification of attendance form at the end of the program. Americans with Disabilities Act: If you have special needs addressed by this act, please notify us at least two weeks before this offering so that reasonable efforts will be made to accommodate your needs. Notes: CoxHealth facilities and grounds are tobacco free. Please bring a sweater or jacket due to variations in temperature and personal preferences. HOTEL INFORMATION Special rates are available for CoxHealth conference participants at University Plaza Hotel. When making a reservation, ask for the “CoxHealth Conference” or “CoxHealth” negotiated rate. Space is available on a firstcome, first-served basis. University Plaza Hotel 333 John Q Hammons Parkway Springfield MO, 65806 417.864.7333 DIRECTIONS Visit StLouisChildrens.org/Med_Ed and select the link for the conference for detailed driving directions and a map to the conference. ________________________________________________________ 9:05 – 9:50 a.m. Monochorionic Twins: The Tale of the Shared Placenta No sponsorship or commercial support has been received for this activity. Planning committee members and speakers have created this activity without bias or influence from all external commercial entities. No Off Label medications or medical devices will be discussed. Session II: Skin and Wound Care Mary Raney, NNP-BC, Robin Stoneman, RN, CCRN Examine appropriate skin and wound care in the term and preterm infant and the indications and contraindications. Katherine Goetzinger, MD Session III: Cue-Based Feeding Accurately determine chorionicity in the first trimester of pregnancy. Jackie Kunz, NNP-BC, Sherry Mason, MS, CCC-SLP Describe perinatal risks and complications specific to monochorionic twin pregnancies. Identify appropriate developmental feeding cues to help determine the infant’s readiness to orally feed. Develop a generalized management scheme for counseling, antenatal surveillance and delivery timing for monochorionic twin pregnancies. Preterm Birth: Antenatal Interventions Describe factors that determine quality of oral feedings. Discuss ways to improve oral feedings starting from the admission to the NICU regardless of gestational age or diagnosis. 9:50 – 10:35 a.m. Methodius Tuuli, MD Describe the role of antenatal corticosteroids, magnesium and tocolysis in the management of preterm birth. 3:10 – 3:15 p.m. Break/Snacks/Transition to Breakout Session Repeat 3:15 – 3:45 p.m. 10:35 – 10:50 a.m. Breakout Sessions Repeated (30 minutes, see above) Break 3:45 – 3:50 p.m. 10:50 – 11:35 a.m. Transition Back to Foster Auditorium Preeclampsia: Much More Than Hypertension in Pregnancy D. Michael Nelson, MD, PhD Define and classify hypertensive disorders of pregnancy. Describe the pathophysiology of preeclampsia 3:50 – 4:20 p.m. Quality Improvement Joan Smith, PhD, RN, NNP-BC Provide pragmatic management based on the pathophysiology. Describe the difference between quality improvement, research and implementation science. 11:35 a.m. – 12:00 p.m. Discuss the importance of continuous process monitoring and the use of PDSA (Plan, Do, Study, Act) cycles for rapid improvement. Panel Discussion, Patricia Dix, MD, Physician Moderator Jeffrey Greenspoon, MD, Katherine Goetzinger, MD, Methodius Tuuli, MD, and Mike Nelson, MD Participate in panel discussion with experts in the field of neonatology and perinatology in regard to thrombophilias, monochorionic twins, preterm birth, and preeclampsia. 12:00 p.m. Lunch (provided on site) Discuss the opportunity for clinicians to learn from and help improve outcomes by participating in national interdisciplinary quality improvement collaboratives. 4:20 – 4:50 p.m. Gut Microbiome Barbara Warner, MD Describe the role of the neonatal intestinal microbiome in health maintenance. 1 – 1:45 p.m. Identify patterns leading to potential morbidity (i.e. necrotizing enterocolitis and late onset sepsis). Neonatal Neuro-Protection Evaluate current literature for probiotics and examine use in term and preterm infants. Amit Mathur, MD Discuss the pathophysiology of brain injury in the term and preterm neonate. Describe the current status of neuro-protective strategies in the term neonate. We reserve the right to substitute speakers and topics in case of emergency or cancellation. Information presented during this conference represents the views and opinions of the presenters and does not necessarily constitute the opinion, endorsement of or promotion by CoxHealth. The presenters’ views do not represent the policy or position of Washington University School of Medicine. Session I: Non-Invasive Ventilation Rakesh Rao, MD, Sarah Kuhlman, MD, Ronda Wise, RT 8:20 – 9:05 a.m. TARGET AUDIENCE Neonatologists, perinatologists, hospitalists, primary care physicians, gynecologists and obstetricians, pediatricians, nurse practitioners, physician assistants, respiratory therapists, nurses, and all others of interest caring for the perinatal and neonatal patient population. 7:45 – 8:15 a.m. Evaluate the issues involved in applying neuro-protective strategies to premature infants. 1:45 – 2:30 p.m. Neurodevelopmental Outcomes in NICU Graduates Christopher Smyser, MD Describe the neurodevelopmental challenges faced by preterm infants. Discuss the utility of magnetic resonance imaging (MRI) in outcome prediction in preterm infants. Evaluate interventions and resources available to address neurodevelopmental concerns in preterm infants. 4:50 – 5:15 p.m. Panel Discussion, Joseph Eccher, MD, Physician Moderator Amit Mathur, MD, Christopher Smyser, MD, Joan Smith, NNP-BC, PhD, and Barbara Warner, MD Participate in panel discussion with experts in the field of neonatology and perinatology regarding neonatal neuro-protection, neurodevelopmental outcomes in the NICU, quality improvement, and gut microbiome. 5:15 p.m. Final Remarks/Adjourn/Evaluations/Statements of Credit SPEAKERS Patricia Dix, MD Perinatologist Regional Perinatal Center Springfield, MO Joseph Eccher, MD Neonatologist CoxHealth Newborn Medicine Specialists Springfield, MO Katherine Goetzinger, MD Assistant Professor, Obstetrics and Gynecology, Washington University School of Medicine; Maternal Fetal Medicine Specialist, Barnes-Jewish Hospital and The Fetal Care Center St. Louis, MO Jeffrey Greenspoon, MD Perinatologist Regional Perinatal Center Springfield, MO Sarah Kuhlman, MD Neonatologist CoxHealth Newborn Medicine Specialists Springfield, MO Jackie Kunz, RNC, NNP-BC Neonatal ICU St. Louis Children’s Hospital St. Louis, MO Sherry Mason, MS, CCC-SLP Speech Therapist III CoxHealth Acute Care Therapy Springfield, MO Amit Mathur, MD Professor of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine Medical Director, NICU, St. Louis Children’s Hospital St. Louis, MO D. Michael Nelson, MD, PhD Virginia S. Lang Professor and Vice Chair Department of Obstetrics and Gynecology Washington University School of Medicine St. Louis, MO Mary Raney, MSN, RNC, NNP-BC Newborn ICU St. Louis Children’s Hospital St. Louis, MO Rakesh Rao, MD Assistant Professor of Pediatrics, Division of Newborn Medicine Washington University School of Medicine St. Louis, MO Joan Smith, PhD, RN, NNP-BC Newborn ICU St. Louis Children’s Hospital St. Louis, MO Christopher Smyser, MD Assistant Professor or Neurology, Division of Pediatric Neurology, Washington University School of Medicine; Pediatric Neurologist, St. Louis Children’s Hospital St. Louis, MO Robin Stoneman, RN, CCRN Staff Nurse CoxHealth Neonatal ICU Springfield, MO PLANNING COMMITTEE Joseph Eccher, MD Neonatologist CoxHealth Newborn Medicine Specialists Springfield, MO Jeffrey Greenspoon, MD Perinatologist Regional Perinatal Center Springfield, MO Sherrie Hauft, MD Professor of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine Associate Medical Director, Newborn Intensive Care Unit (NICU), St. Louis Children’s Hospital Director, Newborn Outreach Program St. Louis, MO Kimberly Migneco, RN Physician Liaison, Physician Services St. Louis Children’s Hospital St. Louis, MO D. Michael Nelson, MD, PhD Virginia S. Lang Professor and Vice Chair Department of Obstetrics and Gynecology Washington University School of Medicine St. Louis, MO Christine Tibbs, MA, CPC CME Program Coordinator CoxHealth Medical Staff Springfield, MO Ashley Goad, RN, BSN MONA Planner Maternal Child Educator CoxHealth Nursing Education Springfield, MO Methodius Tuuli, MD Assistant Professor, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Washington University School of Medicine; Maternal Fetal Medicine Specialist, Barnes-Jewish Hospital St. Louis, MO Barbara Warner, MD Professor of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine Co-Director, The Fetal Care Center Neonatologist, St. Louis Children’s Hospital St. Louis, MO Ronda Wise, RT NICU Team Leader CoxHealth Respiratory Care Springfield, MO All speakers and all planning committee members for this activity have indicated they do not have any conflicts of interest or significant financial affiliations with any pharmaceutical or medical device companies. Planning committee members and speakers have created this activity without bias or influence from all external commercial entities. No conflicts were noted that would exclude the speakers or the planning committee members from this activity.