REGISTRATION PERINATAL/NEONATAL CARE SYMPOSIUM April 25, 2014

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.