Texas Children's Hospital Advanced Practice Provider Conference

Non-Accredited/NO CME

Food for Life is an award-winning nutrition education and cooking class program through the Physicians Committee for Responsible Medicine that provides an innovative approach to diet-related chronic diseases. Foods for a Healthy Heart: gain practical skills to take action to bolster heart health through simple diet and lifestyle changes. Topics addressed focus in on cardiovascular risk factors, such as high blood pressure and high cholesterol, with recipes and nutrition strategies for improving or reversing these conditions.

• Understand the impact of antibiotic overuse on pediatric patients and public health
• Distinguish between viral and bacterial infections encountered in pediatric practice
• Apply stewardship principles to common pediatric infectious diseases cases
• Describe strategies to safely de-escalate or discontinue antibiotics
• Communicate with families about antibiotic decisions and expectations

• Recognize common ear, nose, and throat (ENT) conditions
• Know when a patient should be treated by Primary care, ENT, or the Emergency center
• Identify symptoms that require urgent or specialty evaluation
• Explain key procedures such as ear tubes, tonsillectomy, and frenotomy at basic level

• Recognize common clinical presentations of aggression in school-age children and differentiate between developmentally expected behavior and patterns suggestive of underlying psychiatric or psychosocial disorders
• Initiate evidence-informed first-line interventions, including parent guidance, behavioral strategies, school collaboration, and appropriate referral or pharmacologic considerations when indicated

• Describe how inclusive communication influences patient experience, safety, trust, and overall team dynamics
• Review the concept of cultural competence and how it supports effective communication.
• Examine how technology, such as interpreter services, communication devices, and digital tools, can enhance inclusivity.
• Discuss active listening techniques that strengthen communication within diverse healthcare teams.
• Examine the importance of adapting communication styles to meet the needs of diverse patients.

• Differentiate between shared decision-making strategies for
  pediatric, adult, and adolescent patients
• Apply the proper shared decision-making paradigm for your
  patients
• Demonstrate the nuances of assessing decision-making
  capacity in adolescents

• Clinical management of menopause and perimenopause
• Review contraceptive options vs menopausal hormone therapy options
• Discuss how to transition from contraceptive hormone therapy to menopausal hormone therapy
• Review clinical significance of premature menopause and primary ovarian insufficiency
• Management differences compared with natural menopause

• Classify ethical questions that arise during the clinical encounter with children at risk for abuse and neglect due to their unstable caregiving environment
• Analyze the impact of available interventions that arise in the course of a clinical assessment that could be interpreted as ethical 'grey zones' due to their effect on families with constrained resources or limited capabilities
• Construct a decision-making framework to manage the needs identified for the child and family based on the principles of best interest, child's rights, beneficence, autonomy and justice.

• Understand common orthopedic conditions associated with gait concerns including intoeing, knock knees, bow legs, and flat feet.
• Be able to perform a focused physical exam to accurately diagnose the listed conditions.
• Be able to differentiate normal (physiologic) from abnormal presentations for each condition.
• Provide specific treatment recommendations for each condition.
  
  

• Describe the rationale for the 2022 U.S. developmental milestone updates and
  explain how the shift from 50th to ~75th percentile benchmark impacts clinical
  decision-making.
• Identify developmental red flags at key well-child visits (15, 18, 24, and 30
  months) that warrant further screening, referral, or early intervention services.
• Differentiate common etiologies of global developmental delay in high-risk
  populations, including former premature infants and children with genetic conditions.
• Apply evidence-based strategies for initiating early intervention services for
• suspected autism spectrum disorder while awaiting subspecialty evaluation.
• Determine when referral to developmental-behavioral pediatrics or other
  subspecialist is indicated versus when management can remain in primary care.

• Identify and interpret age-specific signs of anxiety, depression, and ADHD.
• Apply accurate administration and scoring of mental health screening tools in pediatric primary care.
• Analyze and implement strategies that promote mental health awareness, prevention, and early management in primary care settings.
• Implement developmentally appropriate, culturally responsive care plans using behavioral strategies, nonpharmacologic supports, psychotherapy, and psychopharmacology.

• Discuss impact and relevance of risks of opioid
  use for perioperative pain management
• Explore opioid sparing medications and
  mechanism of action
• Implementation strategies to optimize pain
  management for peri-operative use

• Discuss respiratory failure through the lens of case study
• Define mild, moderate and severe respiratory failure requiring escalation of care
• Discuss asthma exacerbation treatment modalities in extreme situations
• Examine the use of ECMO in asthma

• Define Moral Distress
• Define Types of Moral Distress
• Define How Moral Distress Differs in APPs
• Define Moral Injury
• Identify Helpful Techniques for Moral Distress
• Offer the Nurse Practitioner Ethicist as peer support for Moral Distress

• Identify pediatric surgical emergencies
• Apply evidence-based knowledge to patient care
• Delineate appropriate surgical consults

• Discuss initiating individualized plan of care for child with complex medical needs
• Recognize barriers to care that interrupts optimizing care needs for patients and families
• Advocate for allowing child to be a part of family and community
• Navigate difficult conversations with parents/caregivers for end-of-life goals

• Identify emerging high-risk adolescent behaviors impacting mental and physical health
• Recognize clinical presentations associated with high–risk behavior
• Apply screening strategies for high-risk adolescent behaviors
• Initiate management and determine when to refer

• Describe the epidemiology and trends of sudden cardiac death (SCD).
• Risks and benefits of screening.
• Review risk factors for SCD.
• Discuss appropriate referrals to Cardiology

• Identify the key factors contributing to pediatric vaccine hesitancy, including cultural, social, and psychological barriers, and how they impact vaccination rates in children.
• Develop strategies to address vaccine hesitancy through effective communication, community engagement, and evidence-based interventions, aimed at increasing parental trust in pediatric immunization programs.
• Evaluate the public health consequences of pediatric vaccine hesitancy, including the risks to herd immunity, resurgence of preventable diseases, and the long-term impact on community health. 

• Advance your ability to identify rashes or label the morphology
• Pattern recognition
• Treatment plans while waiting a referral