Grand Rounds Schedule

"Policy Development: The Case of Child Health Policy in the US and Texas"

Frank Moore, PhD

School of Public Health, UT Health Science Center, San Antonio

Susan Zinn, JD

Texas Rio Grande Legal Aid, Private Practice

Financial Disclosure Statement: Dr. Moore and Ms. Zinn have no financial relationships with commercial interests to disclose.

Objectives:
1.) Describe the background and outcomes associated with the ongoing Frew case.
2.) Discuss how child and adolescent health in Texas can be improved as a result of the ongoing Frew case.

Additional information on the ongoing Frew Case.

"Guidelines for Interactions between Clinicians and Industry"

Daniel W. Carlisle, MD

Interim Chairman and Residency Director, Department of Orthopaedic Surgery, UT Health Science Center, San Antonio

Financial Disclosure Statement: Dr. Carlise has no financial relationships with commerical interests to disclose.

Objectives:

1.) Understand the new HSC policies regarding industry support of CPE.
2.) Identify real, perceived or potential conflicts of interest between clinicians and industry.
3.) Know the policies that apply to free medication samples, gifts from industry, CPE expense reimbursement and disclosure of any conflicts of interest.

Abstract:

The relationship between industry and clinicians continues to evolve; the rapid pace is driven by the need to avoid any conflict of interest between the two entities.  Several well publicized examples of unethical behavior involving industry and medical researchers has brought national attention to the issue of real or perceived conflicts of interest and how these can compromise the integrity and reliability of medical research.  The University of Texas Health Science Center-San Antonio created a new policy which went into effect January 1, 2008 that provides detailed guidance for UTHSCSA clinicians regarding how they interact with industry in their clinical, surgical and research activities.

This presentation meets the Texas Medical Board criteria for formal continuing medical education involving the study of medical ethics and/or professional responsibility.

"Autism Spectrum Disorders: What's New and What To Do "

Chris P. Johnson, MD, MEd

Clinical Professor, Division of Neurology and Developmental Pediatrics, Center of Hope for Childhood Development, UT Health Science Center, San Antonio

Financial Disclosure Statement: Dr. Johnson has no financial relationships with commerical interest to disclose.

Objectives:

1.) List the three categories of criteria that define autism in the DSM-IV
2.) Define joint attention and describe why it is so important in recognizing children with autism.
3.) Describe the AAP’s guidelines for screening and surveillance for ASD’s
4.) List the three actions that should be taken when an ASD is suspected in a young child.
5.) List three common management challenges particular to ASDs.

Abstract: In November, 2007, the American Academy of Pediatrics (AAP) published 3 documents to help clinicians recognize and care for children with Autism Spectrum Disorders (ASDs).  ASDs are not rare, thus the AAP is recommending ongoing surveillance and two standardized screenings of all children at the 18 and 24 month health visits as well as when parents express concerns about ASDs and/or language.   New evidence supports aggressive screening since early intervention can dramatically improve outcomes.  Children suspected of ASD should be immediately and simultaneously referred to an early intervention program (a definitive diagnosis is not necessary to qualify for services), audiology and a clinical team with expertise in diagnosing ASDs. 

"Primary Care after Psychiatric Crisis: A Qualitative Analysis "

Kim Griswold, MD, MPH, RN, FAAFP

Associate Professor of Family Medicine, Psychiatric and Social and Preventive Medicine, Department of Family Medicine, SUNY at Buffalo

Financial Disclosure Statement: Dr. Griswold has no financial relationships with commerical interest to disclose.

Abstract/Objectives: TBA

"The Last Hours of Life "

Sandra Sanchez-Reilly, MD

Assistant Professor/Clinical, Department of Medicine, Geriatrics, UT Health Science Center, San Antonio

This Grand Rounds presentation is sponsored jointly with Geriatrics Grand Rounds which is partially sponsored by the John Hartford Center for Geriatrics Education