Video Library

Spina Bifida – Medical and Surgical Collaborative Care

Aired on 2.01.2017
$49.00
Spina Bifida – Medical and Surgical Collaborative Care
Join the multidisciplinary team from Cincinnati Children’s Developmental Pediatrics, Neurosurgery, Orthopedics, and Urology divisions as they discuss the team-based approach to medical and surgical management of patients with Spina Bifida. The team will be accompanied by colleagues from Seattle Children’s and Riley Children’s. Topics covered will include care coordination, transition to adult care, and multiple treatment options. This symposium will be broadcast live to a virtual audience from Cincinnati, Ohio, and feature case presentation and faculty panel discussion, audience polling, questions and debate.

Description

Experts from Cincinnati Children’s with collaboration from Seattle Children’s and Riley Children’s will discuss the multi-disciplinary care of patients with Spina Bifida.  The goal of the session is to provide pediatric providers with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served.

Directors & Faculty

Directors

Brian A. VanderBrink, MD

Dr. VanderBrink is a pediatric urologist at Cincinnati Children’s Hospital. His career goal is to help children with congenital conditions that affect the urinary tract to achieve the best possible outcomes. This can mean different things to different families and he takes pride in listening to each individual family’s concerns while formulating a treatment plan. His main goals are to preserve kidney function, work towards urinary control and provide opportunities to become independent for their chronic condition. Dr. VanderBrink’s specialties include reconstructive lower urinary tract surgery; neurogenic bladder; and spina bifida.

Jason Woodward, MD

Dr. Woodward an attending pediatrician in the division of adolescent medicine at Cincinnati Children’s Hospital. His clinical interests are in the transition from pediatric to adult health care and the care of adolescents and young adults with chronic conditions of children childhood. 


Additional Faculty

Todd Ponsky, MD

Associate professor of surgery and pediatrics at Akron Children's Hospital, in Akron, OH. Currently Associate Professor of Surgery and Pediatrics and a Pediatric Surgeon at Akron Children's Hospital. Dr. Ponsky attended Medical School at Case Western Reserve University in Cleveland, Ohio from 1995-1999, Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007, and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008.

Junichi Tamai, MD

Dr. Tamai is the Director of the Physician Assistant Program in the Division of Pediatric Orthopaedic Surgery at Cincinnati Children’s Hospital. Dr. Tamai’s clinical interests include Legg-Calve-Perthes, hip dysplasia and other pediatric and adolescent hip disorders, clubfeet and other pediatric foot disorders and pediatric fractures. He is the co-author of the chapter entitled “Spina Bifida: The Management of Extremity Deformities in Myelominingocele” in Spina Bifida – Management and Outcome. Ozek MM (Ed.). New York, NY: Springer Milan Berlin Heidelberg, 2008.

Shelly King, CPNP

Shelly King is the director of the Children’s Continence Center at Riley Children’s Hospital, where she and her colleagues perform state-of-the-art evaluations and education for children with all types of incontinence. She developed a post-operative care program for patients that she teaches to young doctors and nurses all over the country. She also created a pre-operative plan that explains reconstructive surgery to children and their parents and helps kids feel less anxious about the procedure.

Timothy John Brei, MD

Dr. Brei is member of the Developmental Pediatrics Team at Seattle Children’s Hospital. He received the Hydrocephalus award from the International Federation for Spina Bifida. Dr. Brei is an alumnus of Cincinnati Children’s having completed his fellowship in Developmental-Behavioral Pediatrics there. His clinical interests include spina bifida, cerebral palsy and complex disabilities.

Ashlee K. Bolger, MD

Dr. Bolger is the Associate Program Director of the Physical Medicine and Rehabilitation/Pediatrics Combined Residency at Cincinnati Children’s Hospital. Her Clinical expertise includes neuromuscular disorders, myelomeningocele; cerebral palsy, traumatic brain injury, and spasticity management.

Karin Bierbrauer, MD

Dr. Bierbrauer is a Faculty Neurosurgeon, Division of Pediatric Neurosurgery at Cincinnati Children’s Hospital. Dr. Bierbrauer’s special areas of interest include spina bifida and all other types of spinal dysraphism, (tethering of the spinal cord), and the evaluation of congenital disorders of the central nervous system. She is a member of the Cincinnati Fetal Center's team of subspecialists and directs the neurosurgical evaluation of children enrolled in the comprehensive Spina Bifida Clinic at Cincinnati Children's Hospital Medical Center.

Charles Stevenson, MD

Dr. Stevenson is a Faculty Neurosurgeon in the Division of Pediatric Neurosurgery at Cincinnati Children’s Hospital. Dr. Stevenson brings expertise in selective dorsal rhizotomy as a treatment for spasticity, which, when added to implantation of baclofen pumps and medical therapy, allows for a wide range of treatment options for patients with spasticity from cerebral palsy or spinal cord injury. He is a member of a multidisciplinary team of specialists that includes neurosurgery, orthopedic surgery, physical medicine and rehabilitation as well as physical and occupational therapies that offers comprehensive care for children with spasticity.

Agenda

9:00 am - 9:10 am
Introduction
9:10 am - 9:30 am
In Utero Repair of Myelomeningocele
9:30 am - 9:50 am
Is My Patient Retethered?
Rational Approach to workup for spinal cord retethering in patients with Myelomeningocele
9:50 am - 10:00 am
Questions
10:00 am - 10:20 am
Mobility Devices
10:20 am - 10:40 am
Clubfoot Therapeutic Options in Patients with Myelomeningocele
10:40 am - 10:50 am
Questions
10:50 am - 11:05 am
Break/ Virtual Exhibits
11:05 am - 11:25 am
National Spina Bifida Patient Registry Urologic and Renal Protocol for the Newborn and Young Child
11:25 am - 11:45 am
Treatment Options for Social Fecal Continence in the Myelomeningocele Patient
11:45 am - 11:50 am
Questions
11:50 am - 12:10 pm
Care Coordination in a Multidisciplinary Spina Bifida Clinic – How can we make this work?
12:10 pm - 12:30 pm
Strategies for Successful Transition of Pediatric Myelomeningocele Patient to Adult Care
12:30 pm - 1:00 pm
Patient Case Discussions
1:00 pm - 1:10 pm
Closing Comments

Topics Covered

Neurosurgical:

In Utero Repair of Myelomeningocele
Rational Approach to workup for spinal cord retethering in patients with Myelomeningocele

Orthopedic
Mobility Devices
Clubfoot Therapeutic Options in Patients with Myelomeningocele

Urology:
National Spina Bifida Patient Registry Urologic and Renal Protocol for the Newborn and Young Child
Treatment Options for Social Fecal Continence in the Myelomeningocele Patient

Developmental Pediatrics: 
Care Coordination in a Multidisciplinary Spina Bifida Clinic – How can we make this work? 
Strategies for Successful Transition of Pediatric Myelomeningocele Patient to Adult Care

Objectives

Session 1: Neurosurgical Update
The overall goal of the session addressing neurosurgical issues in patients with spina bifida is to provide pediatric providers with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served.
At the end of the session participants should be able to:
• Describe the in utero repair of Myelomeningocele
• Discuss ideas and methodologies in managing spinal cord retethering in patients with Myelomeningocele
• Generate further ideas in the field of Pediatric Neurosurgery with regards to spina bifida patient management

Session 2: Orthopedic Update
The overall goal of the session addressing orthopedic issues in patients with spina bifida is to provide pediatric providers with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served.
At the end of the session participants should be able to:
• State how to treat patients with orthopedic issues in a holistic and compassionate manner
• Discuss ideas and clubfoot therapeutic options in the management of spina bifida patients with Myelomeningocele
• Describe the mobility device options for spina bifida patients
• Generate further ideas existing in the field of Pediatric Orthopedics with regards to spina bifida patient management

Sessions 3: Urology Update
The overall goal of the session addressing urology concerns is to provide pediatric providers with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served.
At the end of the session participants should be able to:
• State how to treat patients with urologic issues in a holistic and compassionate manner
• Cite the pathophysiology of genitourinary conditions that coexist in patients with spina bifida
• Describe national spina bifida registry urologic and renal protocol for the neonate and young child
• Discuss ideas and methodologies in the management of spina bifida patients with urologic issues
• Describe the treatment options, timing of surgery and outcomes of surgical intervention for spina bifida patients with fecal incontinence
• Generate further ideas existing in the field of Pediatric Urology with regards to spina bifida patient management

Session 4: Developmental Pediatrics Update
The overall goal of the session addressing urology concerns is to provide pediatric providers with the highest quality learning opportunities that are designed to advance physician competence, enhance practice performance, promote patient safety, and improve patient outcomes in the population served. At the end of the session participants should be able to:
• Discuss ideas and methodologies in the management of spina bifida patients in a multidisciplinary clinic
• Describe the successful transition of pediatric spina bifida patients to adult care
• Generate further ideas existing in the field of Developmental Pediatrics with regards to spina bifida patient management

Accreditation Statement

Cincinnati Children’s Hospital Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Cincinnati Children’s designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 4.0 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
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