28th Annual SW Virginia Pediatrics Conference
Saturday - Sunday, August 4 - 5, 2012
The Martha Washington Inn, Abingdon, VA
Des Bharti, M.D., Activity Director
Pre Conference Activities
6:50 AM – 7:30 AM
Breakfast
Learning Objectives:
“As a result of participating in
this activity, the attendee will…
Memorial Tribute to
Festus O. Adebonojo, M.D.
Professor Emeritus of Pediatrics
East Tennessee State University,
Quillen College of Medicine,
Johnson City, TN
Presented by:
David Kalwinsky, M.D.
Chair/Professor, Department of
Pediatrics, ETSU, Quillen College
of Medicine, Johnson City, TN
7:15 AM – 7:30 AM
Welcome and Introductions
Des Bharti, M.D.
Activity Director
Professor, Department of
Pediatrics, East Tennessee State
University (ETSU), Quillen College
of Medicine, Johnson City, TN
Saturday, August 4, 2012
7:30 AM – 8:15 AM
Hey Dude – How Did I Get Here?

Melinda Lucas, M.D.
Associate Professor, Department
of Pediatrics, ETSU, Quillen

College of Medicine, Johnson City,
TN

Develop a differential
diagnosis for patients with
hallucinations and altered
mental status
Understand the impact of
social media on illicit drug
usage
Recognize 2 Toxidromes for
designer drugs
8:15 AM – 9:00 AM
9:00 AM – 10:00 AM
Failure to Thrive - Nutritional
Assessment

Eileen Cress, M.S., R.D. L.D.N.,
Assistant Professor, Clinical
Coordinator, Dietetic Internship
Program, Department of Allied
Health Sciences, ETSU, Johnson
City, TN

KEYNOTE ADDRESS
Bringing Value to the Table
Without Ending Up on the Menu

R. Allen Coffman, Jr., M.D.
President, Tennessee Chapter of
the American Academy of
Pediatrics; Assistant Clinical
Professor UTCOMChattanooga/TC Thompson’s
Children’s Hospital; Partner,
Highland Pediatric Clinic
10:00 AM – 10:30 AM
Break
10:30 AM – 11:15 AM
Neonatal Hematology for the
Primary Care Physician





Vlad C. Radulescu, M.D.
Assistant Professor, Department 
of Pediatrics, Pediatric
Hematology & Oncology,
University of Kentucky, Lexington, 
KY

Identify nutritional
screening criteria in failure
to thrive patients
Discuss nutritional
interventions options used
in failure to thrive pediatric
patients
Identify several megatrends
in pediatric medicine
Discuss the Value-Based
Medicine approach to
practice, it’s purpose and
benefits
Discuss the instability of a
national medical system
based on employer based
payment
Describe gaps in reality of
pediatric practice and the
expectations of
government, payors and
patients
Interpret the newborn
hematologic parameters
Review the common causes
of anemia in newborns
Interpret the results of the
newborn screening test for
hemoglobin
Evaluate a newborn with
abnormal bleeding
Understand the current
uses of umbilical cord stem
cells
11:15 AM – 12:10 PM
Practical Challenges in
Clinomics: A Mayo Perspective
Eric D. Wieben, Ph.D.
Co-Director, Clinomics Program,
Mayo Clinic Center for
Individualized Medicine,
Rochester, MN



12:10 PM – 1:00 PM
Evaluation and Treatment of the
Child with Cleft Lip and Palate –
Team Care


R. Mark Ray, M.D.
Director, Cleft Lip and Palate
Team, East Tennessee Children’s
Hospital, Knoxville, TN


1:00 PM – 2:00 PM
LUNCH
2:00 PM – 3:30 PM
OPTIONAL WORKSHOP….

“Good Grief: Surviving the Loss
of a Child”

Elizabeth B. Brown
Author of, “SunRise Tomorrow:
Coping with a Child’s Death” and
“Surviving the Loss of a Child”


Describe two clinical
scenarios where genomic
sequencing might
contribute to patient care
Appreciate technical
challenges encountered in
the application of genomic
technologies to patient care
Appreciate ethical
challenges encountered in
the application of genomic
technologies to patient care
Discuss feeding issues as
they relate to cleft lip and
palate
Differentiate between
different types of clefts
Recognize associated
functional challenges in
patients with clefts
Recognize how the team
approach best treats
affected children
Appreciate the depth of
grief and its effects on a
family coping with the
death of their child
Grasp the dynamics of loss
on the husband/wife
relationship
Understand the three
stages of child development
and the affect of loss on
emotional expression of a
sibling
Recognize the unique gift of
the physician in helping a
family stabilize before and
after their child’s death
Sunday, August 5, 2012
7:00 AM – 7:30 AM
Breakfast
7:30 AM – 8:25 AM
Fever Phobia

Dawn Tuell, M.D.

Associate Professor, Department
of Pediatrics, ETSU, Quillen

College of Medicine, Johnson City,
TN
8:30 AM – 9:25 AM
Navigating International Travel:
A Pediatrician’s Roadmap

Gayatri Jaishankar, M.D.
Assistant Professor, Department

of Pediatrics, ETSU, Quillen
College of Medicine, Johnson City,
TN


9:25 AM – 10:15 AM
Adolescent Birth Control
/Sexually Transmitted Infections

Howard Herrell, M.D.

Assistant Professor
Department of Obstetrics &
Gynecology, ETSU, Quillen
College of Medicine, Johnson City,
Understand the definition
of a fever
Dispel parental myths
regarding fever
Distinguish when to treat a
fever and when to observe
Identify and answer the
commonly asked questions
by families prior to
international travel
Recognize and list the
vaccines that are required
and recommended against
preventable infections in
the pediatric international
traveler
Discuss preventive
measures useful against
insect borne diseases such
as malaria and yellow fever
Discuss the epidemiology,
presentation and treatment
of Traveler’s diarrhea
Identify appropriate
methods of birth control for
adolescents
Understand appropriate
screening and treatment
guidelines for sexually
transmitted diseases in
adolescents
TN
10:15 AM – 10:30 AM
Break
10:30 AM – 11:30 AM
Seven Years of MRSA Abscess –
Lessons Learned
Lesli Taylor, M.D.
Professor, Department of
Surgery, ETSU, Quillen College of
Medicine, Johnson City, TN
11:30 AM – 12:15 PM
When to Refer to Genetics:
Common Clinical Scenarios.
Update on Genetic Testing; from
the Karyotype to Whole Exome
Sequencing






Apostolos Psychogios, M.D.,
F.A.C.M.G.
Associate Professor,
LeeAnne Brown Chair of Clinical
Excellence, Director of Medical
Genetics and Genomic Medicine,
Department of Pediatrics, ETSU,
Quillen College of Medicine,
Johnson City, TN
12:15 PM – 1:00 PM
Attention Deficit Disorder in
Adolescents and Young Adults
Hal W. Elliot, M.D.
Associate Professor, Residency
Program Director, Department of
Psychiatry, ETSU, Quillen College
of Medicine, Johnson City, TN



1:00 PM – 1:10 PM
Evaluation & Wrap up
Describe demographics of
MRSA
Describe surgical approach
Describe non-surgical
approach
Recognize patients with
common genetic disorders
Determine the appropriate
candidates for genetics
referral
Summarize the latest
developments in clinically
available genetic testing
Identify symptoms of
attention deficit disorder in
adolescents and young
adults
Identify basic treatment
strategies for treating
ADHD in young adults and
adolescents
Identify situations in which
a referral is indicated
The 28th Annual SW Virginia Pediatrics Conference is
sponsored by the East Tennessee State University, Quillen
College of Medicine Department of Pediatrics
In association with
Conference Activity Directors and Planning Committee
Activity Directors:
David Kalwinsky, M.D., Chair/Professor, Department of Pediatrics, ETSU, Quillen College of
Medicine, Johnson City, TN
Des Bharti, M.D., Professor, Department of Pediatrics, East Tennessee State University, Quillen
College of Medicine, Johnson City, TN
Planning Committee:
Joy E. Wachs, PhD, RN, FAAOHN
Professor and Coordinator, Continuing Nursing Education/Honors-in-Discipline Programs
Lean Six Sigma Green Belt for Health Care
College of Nursing
East Tennessee State University
Gayatri Jaishankar, MD, Assistant Professor, Department of Pediatrics, East Tennessee State
University, Quillen College of Medicine, Johnson, City, TN
Dawn Tuell, MD, Associate Professor, Department of Pediatrics, East Tennessee State
University, Quillen College of Medicine, Johnson City, TN
Todd Aiken, MD, Assistant Professor, Department of Pediatrics, East Tennessee State
University, Quillen College of Medicine, Johnson City, TN
Pat Myrick, BS, Program Planner, Office of Continuing Medical Education, Quillen College of
Medicine, Johnson City, TN
Presenters:
Melinda Lucas, M.D.
Associate Professor, Department of Pediatrics,
East Tennessee State University, Quillen
College of Medicine, Johnson City, TN
Dawn Tuell, M.D.
Associate Professor, Department of Pediatrics,
East Tennessee State University, Quillen
College of Medicine, Johnson City, TN
Gayatri Jaishankar, M.D.
Assistant Professor, Department of Pediatrics,
East Tennessee State University, Quillen
College of Medicine, Johnson City, TN
Apostolos Psychogios, M.D., F.A.C.M.G.
Associate Professor, LeeAnne Brown Chair of
Clinical Excellence, Director of Medical
Genetics and Genomic Medicine, Department
of Pediatrics, East Tennessee State
University, Quillen College of Medicine,
Johnson City, TN
Eileen M. Cress, M.S., R.D., L.D.N.
Assistant Professor, Clinical Coordinator,
Dietetic Internship Program, Department of
Allied Health Sciences, East Tennessee State
University, Johnson City, TN
Howard Herrell, M.D.
Assistant Professor, Clerkship Director,
Department of Obstetrics & Gynecology, East
Tennessee State University, Quillen College of
Medicine, Johnson City, TN
Lesli A. Taylor, M.D.
Professor, Department of Surgery, East
Tennessee State University, Quillen College of
Medicine, Johnson City, TN
Vlad C. Radulescu, M.D.
Assistant Professor, Department of Pediatrics,
Pediatric Hematology & Oncology, University
of Kentucky, Lexington, KY
Harold W. Elliott, M.D.
Associate Professor, Residency Program
Director, Department of Psychiatry, East
Tennessee State University, Quillen College of
Medicine, Johnson City, TN
Mark Ray, M.D.
Director, Cleft Lip and Palate Team, East
Tennessee Children’s Hospital, Knoxville, TN
Eric D. Wieben, Ph.D.
Co-Director, Clinomics Program, Mayo Clinic
Center for Individualized Medicine, Rochester,
MN
R. Allen Coffman, Jr., M.D.
President, Tennessee Chapter of the
American Academy of Pediatrics; Assistant
Clinical Professor UTCOM-Chattanooga/TC
Thompson’s Children’s Hospital; Partner,
Highland Pediatric Clinic
Elizabeth B. Brown, M.S.
Inspirational teacher, speaker and author of,
SunRise Tomorrow: Coping with a Child’s
Death, Surviving the Loss of a Child, The Joy
Choice, Living Successfully with Screwed Up
People, Hope for Grieving Parents, and
Working Successfully with Screwed-Up
People.
**The Quillen College of Medicine, East Tennessee State University, is
accredited by the Accreditation Council for Continuing Medical Education to
provide continuing medical education for physicians.
The Quillen College of Medicine, East Tennessee State University designates
this live activity for a maximum of 10.0 AMA PRA Category 1 CreditsTM.
Physicians should only claim credit commensurate with the extent of their
participation in the activity.
Optional Saturday afternoon Workshop, 1.5 AMA PRA Category 1 CreditsTM
AAFP Credit:
This Live activity, 28th Annual Southwest Virginia Pediatrics Conference, with
a beginning date of August 4, 2012, has been reviewed and is acceptable for
up to 11.50 Prescribed credit(s) by the American Academy of Family
Physicians. Physicians should claim only the credit commensurate with the
extent of their participation in the activity.
TN CNE Credit: 9.5 continuing nursing education contact hours will be
provided for this conference and an additional 1.5 CNE credits for the
optional Saturday afternoon workshop. East Tennessee State University
College of Nursing is an approved provider of continuing nursing education
by the Tennessee Nurses Association, and an accredited approver by the
American Nurses Credentialing Center's Commission on Accreditation.
Nursing Credit: As an Accreditation Council on Continuing Medical
Education (ACCME) –approved provider, the CME credit offered during this
educational activity is accepted by the ANCC, AACN, and the NCCPA for
recertification.
This event is presented by the East Tennessee State University Quillen College of Medicine
Department of Pediatrics and the Office of Continuing Medical Education (OCME). OCME
maintains responsibility for this program and its content.
In Memory of
Dr. Festus O. Abebonojo was the first Nigerian to graduate from Yale University,
where he completed his undergraduate and M.D. degrees as well as his pediatric residency. Dr
Adebonojo came to ETSU as Professor of Pediatrics and Chair in 1989 and over the next decade
expanded the department, recruited pediatric sub-specialists and established an accredited pediatric
residency at ETSU. Early on he championed a children's hospital within a hospital at Johnson City Medical
Center and was instrumental in developing what became Niswonger Children's Hospital. Festus was proud
of Yale and proud of ETSU. He will be remembered for working tirelessly for the welfare of children in
our region.