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Latest Evidence & Trends in Pediatric Obesity IV

Aired on 4.25.2019
FREE
Latest Evidence & Trends in Pediatric Obesity IV

CME is provided by Children’s Healthcare of Atlanta.

 To apply for CME follow this link: 

https://choacme.co1.qualtrics.com/jfe/form/SV_cT6OWsnWpYG1OYt

 

Description

This course reviews the latest evidence and trends in pediatric obesity. The course will focus on interventions easily implemented in the primary care office, such as, co-morbidity management, prediabetes, environmental components,  medication update, syndromic obesity, severe young obesity, kids who don’’t do well post sleeve. Directed by Stephanie Walsh, M.D., Mark Wulkan, M.D., Tom Inge, M.D., and Christopher Bolling, M.D., this truly interactive world broadcast will have brief presentations from world leaders in the field followed by discussion of controversial issues. This exciting, interactive format will allow the viewers to join in the discussions and debates.

Directors & Faculty

Directors

Mark Wulkan, MD, FAAP

Surgeon-in-Chief, Children's Healthcare of Atlanta. Dr. Wulkan is a pioneer in pediatric advanced minimally invasive surgery with a strong interest in neonatal and thoracic lesions. After initiating the Minimally Invasive Surgery Center at Children’s in 2003, he oversaw its growth into one of the most high volume pediatric minimally invasive programs in the country. Additionally, he performed Children’s first lap-band procedure to treat adolescent obesity in 2007, was one of the first surgeons in Georgia to perform single-site incision surgery on pediatric patients for routine surgeries in 2009, and performed the first laparoscopic sleeve gastrectomy for adolescent obesity in the Southeast in 2010.

Christopher F. Bolling, MD, FAAP

Chair of the Section of Obesity, Volunteer Associate Professor of Pediatrics in the Division of General and Community Pediatrics at Cincinnati Children’s Hospital Medical Center (CCHMC) and the University of Cincinnati College of Medicine, Private Practice, Pediatric Associates, Kentucky

Tom Inge, MD, FAAP

Dr. Tom Inge is a professor and chair of pediatric surgery and Children’s Hospital of Colorado. In addition to his role as division head for pediatric surgery, in 2017 he established the section of adolescent bariatric surgery integrating a surgical treatment option into existing obesity treatment program for adolescents with severe and other special forms of obesity at the Children’s Hospital of Colorado. He has authored or co-authored over 140 peer-reviewed publications and book chapters and provided over 120 invited lectures for national and international professional groups. Dr. Inge has served as a consultant to the NIH and the Agency for Healthcare Research and Quality. He has also served in leadership positions on numerous committees and task forces for surgical and pediatric professional organizations including ASMBS, TOS, AAP, and APSA.

Stephanie Walsh, MD, FAAP

Associate Professor of Pediatrics and Surgery, Emory University, Medical Director of Child Wellness at Children’s Healthcare of Atlanta, Atlanta, Georgia


Additional Faculty

Allen Browne, MD, FACS, FAAP

Dr. Browne is a pediatric/adolescent weight management specialist and pediatric surgeon. He has worked in the development of treatment algorithms for pediatric obesity for 15 years as Clinical Director of the New Hope Pediatric and Adolescent Weight Management Program at UIC Medical Center in Chicago (2004-2008), Attending physician at The Center for Healthy Weight and Nutrition at Nationwide Children's Hospital in Columbus, Ohio (2008-2009), and founder of the Pediatric Weight Management Program at the Carle Clinic in Urbana (2012 to 2016).  With Drs. Mark and Ai-Xuan Holterman, Dr. Browne developed and served as Principal Investigator of FDA IDE #1 to study the adjustable gastric band in severely obese adolescents.  Dr. Browne is the author and co-author of a number of papers, articles, and chapters on the treatment of pediatric obesity.  He is a member of the Section on Obesity of the AAP, the Pediatric Committee of The Obesity Society, the Pediatric Committee of ASMBS, and the Pediatric Obesity Committee of APSA.  In 2014, Dr. Browne became certified as a Diplomate of the American Board of Obesity Medicine.  Since July 2016, Dr. Browne has focused full-time on pediatric weight management through advocacy, education, and writing. 

Janey Pratt, MD, FACS, FASMBS

Dr. Janey S.A. Pratt, MD, FACS, FASMBS is a general surgeon who specializes in Robotic Hernia repair and Metabolic and Bariatric Surgery (MBS). She began her career in general surgery at Massachusetts General Hospital, where she was a founding member of the MGH Weight Center. In 2016 Dr. Pratt moved to California where she began her work at Stanford University as a Clinical Associate Professor of Surgery. Dr. Pratt is the associate program director of the VA MIS fellowship program, and Chair of the Pediatric Committee of the American Society for Metabolic and Bariatric Surgery.

Evan P. Nadler, MD

Evan P. Nadler MD serves as Co-Director of the Children’s National Obesity Programs, and is the Director of the Child and Adolescent Weight Loss Surgery Program at Children’s National Health System.  He is also a tenured Associate Professor of Surgery, and Pediatrics, at The George Washington University School of Medicine & Health Sciences and was one of the founding members of the Childhood Obesity Committee of the American Pediatric Surgery Association.   His research pursuits include obesity device development, bariatric surgery for monogenic forms of obesity, and adipocyte signaling via exosomes

Aayed Al Qahtani, MD, FRCSC, FACS

Director KSU Obesity Chair, Associate Professor & Consultant of Obesity; MIS Surgery, College of Medicine, King Saud University & KFMC, Riyadh, Saudi Arabia

Gitanjali Srivastava, MD

Gitanjali Srivastava, MD is an Assistant Professor of Medicine in Endocrinology, Diabetes & Nutrition at the Boston University School of Medicine. Throughout her careerm Dr. Srivastava has been high achieving and was inducted into five honor societies: the Golden Key Society, Gamma Beta Phi, Phi Kappa Phi, Omicron Delta Kappa, and Alpha Omega Alpha. During her undergraduate years she was awarded the Chancellor's Gold Medal, the highest award granted to a student and graduated Summa Cum Laude. Later on in her career, she was recognized by the American Academy of Pediatrics with the Outstanding Distinguished Services Award to a Young Physician. She received licensed to practice in five states, three of which are still active. In the medical community, she is well-known for her numerous publications and is frequently featured at conferences.

Melanie Green, MD, PhD

Dr. Green, is the Director of Multi-Disciplinary PCOS clinic. Her overall philosophy is to practice personalized medicine as much as possible, and make sure her recommended therapies are right for the medical condition, the patient and the family. 

Marialena Mouzaki, MD, MSc

Marialena Mouzaki MD MSc is an Associate Professor of Pediatrics in the Division of Gastroenterology, Hepatology and Nutrition at Cincinnati Children’s Hospital Medical Center and the Medical Director of Nutrition Services.Dr. Mouzaki received her MD from the Medical School of Athens, Greece and then went on to do her Residency Training in General Pediatrics at Penn State Milton S. Hershey Medical Center in Pennsylvania. She completed her Fellowship Training in Pediatric Gastroenterology, Hepatology and Nutrition at the Hospital for Sick Children in Toronto and obtained a Masters in Science from the Institute of Medical Sciences at the University of Toronto. Her research interests include non-alcoholic fatty liver disease (NAFLD) and in particular the role of the intestinal microbiota in the development of NAFLD.

Megan Kelsey, MD, MS

Megan Moriarty is an associate professor of pediatrics-endocrinology at the University of Colorado School of Medicine.

Ashley H. Shoemaker, MD, MSCI

Ashley Shoemaker, MD is an Assistant Professor of Pediatric Endocrinology at Vanderbilt University Medical Center. She attended Virginia Commonwealth University’s Medical School of Virginia in Richmond, VA and completed pediatric residency at Johns Hopkins University in Baltimore, MD. She then moved to Nashville, TN and completed a pediatric endocrinology fellowship and Master of Science in Clinical Investigation at Vanderbilt University. Dr. Shoemaker’s research program focuses on pathophysiology and treatment of obesity disorders such as hypothalamic obesity and genetic obesity syndromes.

Marc Michalsky, M.D., FAAP

Dr. Marc Michalsky is Professor of Clinical Surgery and Pediatrics at The Ohio State University, College of Medicine where he serves as the Surgical Director for The Center for Healthy Weight & Nutrition and Director, Center for Robotic Surgery at Nationwide Children’s Hospital in Columbus, Ohio. Under Dr. Michalsky’s leadership the center’s Adolescent Bariatric Surgery Program has become both nationally and internationally recognized for its clinical excellence related to surgical outcomes a well as its long standing participation in the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study; an ongoing multicenter NIH-funded observational study designed to investigate the long-term safety and efficacy of severely obese adolescents undergoing surgical weight loss. In August 2015, the bariatric surgery program at Nationwide Children’s earned distinction as the first freestanding pediatric center in the U.S. to be awarded clinical national accreditation as part of the American College of Surgeons’ - Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). Dr. Michalsky has published numerous peer-reviewed articles on clinical outcomes related to bariatric surgical intervention in the adolescent population and has served in leadership positions on various national organization committees including the American Society of Metabolic and Bariatric Surgery, American Pediatric Surgical Association, American Academy of Pediatrics and the American College of Surgeons.   

Agenda

8:30 am - 8:45 am
Welcome and Introductions



8:45 am - 9:45 am
Severe obesity/hypothalamic obesity: What to do with these challenging kids

9:45 am - 10:15 am
What to do about patients who don’t do well with the sleeve
10:15 am - 10:45 am
New guidelines for adolescent bariatric surgery
10:45 am - 11:00 am
Break
11:00 am - 12:00 pm
Journal Club



12:00 pm - 12:30 pm
Lunch
12:30 pm - 1:15 pm
Medications
1:15 pm - 1:30 pm
Break
1:30 pm - 2:00 pm
Comorbidity Management: Prediabetes
2:00 pm - 2:30 pm
Comorbidity Management: PCOS
2:30 pm - 3:00 pm
Comorbidity Management: NAFLD
3:00 pm - 3:10 pm
Break
3:10 pm - 3:40 pm
Environment
3:40 pm - 4:20 pm
Rapid Fire












4:20 pm - 4:30 pm
Conclusion and Wrap-up



Topics Covered

- Co-morbidity management 

- Prediabetes

- PCOS

- NAFLD

- Environmental components 

- Medication update

- Journal Club

- Syndromic Obesity/ Hypothalamic/ Severe young obesity

- New Criteria/Age 

- Kids who don’t do well post sleeve 

- Rapid Fire Q&A

Objectives

- List three ways that environment can be altered to support weight loss strategies

- Recognize advantages and disadvantages of various screening methods for diagnosis of prediabetes/diabetes in youth (OGTT, fasting glucose, HbA1c)

- Understand the metabolic risks associated with PCOS and obesity and necessary screening procedures

- To be familiar and understand that advanced pharmacological therapy options exist for pediatric patients with severe "sick" obesity when patients do not respond to lifestyle intervention

- Understand the options for treatment of hypothalamic syndromic obesity

- Review the new guidelines for adolescent bariatric surgery

Accreditation Statement


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