2024 Annual Meeting Agenda

Program Agenda

Friday, November 8th 

7:30-8:00am: Breakfast & Welcome

8:00-9:00am: Session I - Keynote Speaker & APGNN Year in Review

8:00-8:45am: Keynote: Recognizing and Responding to the Impact of Screen Time in Youth 

      Dr. Scott Poland, Licensed Psychologist - Nova Southeastern University 

      Objectives:

• National survey data will be shared to help participants understand the amount of screen time for youth daily.
• National survey data will be shared to help participants understand the increasing rate of anxiety, depression, and suicide for youth.
• The warning signs of anxiety, depression and suicide will be shared to help participants better recognize at-risk youth.
• Practical suggestions will be provided to conduct discussions with parents and other adults on balancing their own screen time to serve as a model for youth.
• Participants will learn strategies to discuss the importance of screen free time in homes with their clients.
• Participants will learn strategies to discuss screen time with youth to help them to be more mindful of their screen time usage and to set goals for limiting screen time usage

8:45-9:00am: APGNN Year in Review

      Kerry Reed, MS, RN, CPNP-PC, APGNN President 

9:00-10:00am: Session II - LGBTQ+ Centered Care 

9:00-9:30am: Creating LGBTQ+Safe(r) Spaces

      Dr. Eyad Hanna - University of Iowa 

       Objectives: 

• Describe how safe(r) spaces can
  • ​Save lives
  • Support colleagues
  • Change your life how to start the discussion of identity / pronouns with patients
• Name 2 things that can create safe(r) spaces
  • Individuals can do
  • Institutions / clinics can do

9:30-10:00am: LGBTQ+ inclusion in IBD, from the Trans Perspective 

       Elizabeth Mileti, MD - Pediatric Gastroenterology and Nutrition Associates Las Vegas

       Objectives: 

• Understand and be able to fluently use terms in the LGBTQ community as it relates to gender identity and sexual identity
• Identify disparities in health care for LGBTQ+ with IBD
• Review IBD specific issues within the transgender population
• How stress and trauma may be particularly impactful including stress and trauma related to LGTBQ+ experiences

10:00-10:30am: Committee Meetings & Break 

10:30-12:00pm: Session III - Celiac Disease 

10:30-11:00am: Lab testing - When, How and Why?

       Ritu Verma, MD - University of Chicago 

       Objectives: 

• Review which screening  blood tests  to order and when?
• Discuss - decision to biopsy or not to biopsy? 
• Discuss Gluten challenge; how, when and why? 

11:00-11:30am: Missing Nutrients: Monitoring for Deficiencies in the Gluten-Free Diet for Celiac Disease

      Nicole Misner, MS RDN - University of South Florida 

      Objectives: 

• Discuss common micronutrient deficiencies associated with celiac disease and adherence to the gluten-free diet. 
• Describe strategies to treat or prevent nutritional deficiencies on a gluten-free diet. 

11:30-12:00pm: Celiac Disease: The Evolving Landscape of Drugs, Diet, and Diagnosis

       Marisa Stahl, MD - Children's Hospital Colorado 

       Objectives: 

• Review the landscape of celiac disease pharmacotherapies under development.
• Discuss the outcomes under use and in development for clinical trials and their potential clinical applications to celiac disease diagnosis and disease monitoring. 

12:00-1:30pm: Lunch & Poster Session 

1:30-3:30pm: Session IV - Nutrition & Weight Management

1:30-2:00pm: The Nuts & Bolts of Childhood Obesity 

       Stephanie Abrams, MD - Memorial Care Miller Children's and Women's Hospital Long Beach

       Objectives: 

• Understand the epidemiology of overweight vs obesity in children
• Gain knowledge of the most recent AAP guidelines on childhood obesity
• Utilize clinical pearls as management tools for the treatment of childhood obesity

2:00-2:30pm: From NAFLD to MASLD: Why the Name Change? What it Means for You and Your Patients

       Jeff Schwimmer, MD - Rady Children's San Diego 

       Objectives: 

• To explain the reasons behind the transition from NAFLD to MASLD and the significance of the new nomenclature.
• To differentiate between the old and new terminologies, highlighting changes in diagnostic criteria and disease understanding.
• To discuss the clinical implications of the nomenclature change on the diagnosis, management, and treatment of pediatric patients with MASLD.

2:30-3:00pm: Bariatrics: Established Practices and Emerging Solutions 

       Dr. Desiree Sierra-Velez & Anne Marie Fayemi, NP - Boston Children's Hospital 

       Objectives: 

• Understand indications for referral for bariatric surgery
• Review available bariatric surgical procedures, mechanisms, outcomes, and complications 
• Consider the role of anti-obesity medications in pre- and post-op periods

3:00-3:30pm: Eating on a Tight Budget: Balanced Meals for Malnourished Children of Low-Income Families

       Olguyne Fernandez-Fraga, MS, RD, SP, CNSC - Miami Private Practice 

       Objectives: 

• Define low-income, under-resourced, and malnutrition with an emphasis on overnutrition
• Outline practical tips and strategies for eating balanced meals on a tight budget
• Recognize barriers for the creation of home-cooked meals
• Formulate recommendations for food resources that support at-risk patients

3:30-5:00pm: Session V - Nutrition Potpourri/Nutrition, Highs and Lows 

3:30-4:00pm: NG Tube Weaning: A Multidisciplinary Approach 

       Sarah Connearny, NP - Boston Children's Hospital 

       Objectives: 

• Understand the criteria for weaning NG tube feeds
• Understand the teamwork approach to weaning NG tube feeds 
• Understand the monitoring criteria in weaning NG tube feeds and what success looks like 

4:00-4:30pm: Dysphagia Detective: The Role of Speech Pathology in the Diagnosis and Management of the Pediatric Swallow  

       Courtney Long, SLP - Children's National Medical Center

       Objectives: 

• Define the physiology of the swallow, appropriate reasons for a speech consultation and complicating medical challenges/comorbidities impacting to safe feeding
• Identify the instrumentation to objectively assess deglutition and describe the limitations and advantages of each in the infant and pediatric population 
• List the components of IDDSI and five management techniques to safely modify an oral feeding plan

4:30-5:00pm: Management of Enteral Nutrition in Pediatric Patients with Medically Complex Histories 

       Victoria Powell, NP - University Pittsburgh Medical Center

       Objectives: 

• Describe how to assess nutritional status for medically complex children both through physical assessment and with utilization of growth charts
• Explain the importance of using specialized growth charts, monitoring weight/length or BMI trends
• Describe how to utilize lab testing to monitor nutritional status

5:00-5:30pm: APGNN Awards & Presentations 

• Excellence in Education 
• Poster of Distinction 
• Susan Moyer Research Grant 
  • Announcing current year's winner 
  • Grant update from two years prior winner

6:00pm: APGNN Social Event 

Saturday, November 9th

7:00-8:00am: Reckitt Mead-Johnson Book Launch Breakfast

8:00-8:30am: Communal Breakfast & Welcome

8:30-10:00am: Session VI - Constipation

8:30-9:00am: Pooping in all the wrong places-Functional Constipation and Encopresis 

       Melanie Merrill Kennedy, PA - University of Colorado 

       Objectives: 

• Define normal stooling and constipation
• Understand causes of constipation, encopresis  and “Red Flags”
• Discuss testing and treatment options 
• Discuss long term use of laxative therapy, addressing parental fears of dependence 

9:00-9:30am: Innovative Bowel Management strategies for intractable Constipation 

       Fiona Paul, DNP - Boston Children's Hospital 

       Objectives: 

• Review existing enema programs, including retrograde, transanal irrigations, and antegrade continence enemas
• Identify appropriate candidates for an intensive bowel management plan
• Discuss strategies to address challenges in treatment
• Review additional interventions to improve the success of bowel management, including pelvic floor therapy, massage techniques

9:30-10:00am: First Line Behavioral Treatments for Going Number 2

       Dr. Christina Low Kapalu - Oregon Health 

       Objectives: 

• Describe evidence based behavioral interventions for reducing soiling in children
• Identify two behavioral strategies to increase appropriate toileting behaviors
• Evaluate for (and problem solve solutions to) barriers to implementation of strategies

10:00-10:30am: Break 

10:30am-12:00pm: Session VII- Hot Topics 

10:30-11:00am: My TikTok says I have MALs, POTs, EDS, SFN, MCAS: What should I do next? 

       Anil Darbari, MD - Children's National Medical Center

       Objectives: 

• GI symptoms in association in children and adolescents with Multisystem symptoms
• Diagnostic process
• Treatment options and outcomes

11:00-11:30am: Things You Shouldn't Eat AKA Indigestables

       Christina Sanchez, NP - UT Southwestern 

       Objectives: 

• Discuss recommendations for the evaluation and management of water bead ingestions. 
• Review current guidelines for the treatment and management of button battery ingestions. 
• Highlight the evaluation, treatment, and follow up required following an unintentional caustic ingestion. 
• Understand necessary imaging, treatment, and potential complications following 2 or more magnet ingestion. 

11:30am-12:00pm: HOT TOPIC: Less Invasive and Innovative Modalities in the Management of Eosinophilic Esophagitis

       Nathalie Nguyen, MD - Children's Hospital Colorado/University of Colorado School of Medicine 

       Objectives: 

• Indentify the barriers to care and unmet needs in the diagnosis and monitoring of EoE
• Discuss innovative modalities to address these needs
• Recognize current limitations to integrating these modalities into clinical practice 

Joint APGNN/NASPGHAN Sessions after lunch 

12:00-2:00pm: Lunch & Poster Session 

2:00-6:00pm: Session VIII- APGNN/NASPGHAN Concurrent Sessions 

• To discuss the spectrum of abnormal liver biochemistries in children and young and adults with Inflammatory Bowel Disease
• Review and apply recommendations for the care of pediatric patients with concurrent IBD and Autoimmune Liver Disease
• Implement care practices to streamline care for children with IBD and liver abnormalities

2:25pm: Flash Abstracts

• Explore the pathophysiology linking IBD and rheumatological disorders
• Recognize common rheumatological manifestations associated with IBD
• Discuss the therapeutic approaches for managing rheumatological conditions in IBD, including pharmacological and non-pharmacological treatments

• Review the definition and epidemiology of IBD-related fatigue
• Review the multidimensional pathophysiology of fatigue in IBD
• Discuss the various pharmacological and non- pharmacological​

• Maggie Stoeckel, PhD, Yale University School of Medicine
• Kirsten Jones, RD, Nationwide Children's Hospital
• Jennifer Webster, DO, Children's Hospital of Philadelphia
• Miranda Van Tilburg, PhD, University of North Carolina

• To better understand the considerations of a GI Psychologist in the treatment of patients with DGBI
• Recognize ethical dilemmas and DEI perspectives in diagnosing, treating, and studying DGBI
• Understand the impact of social media on mental health and outcomes in DGBI
• Recognize key concepts in ARFID and malnutrition prevention in DGBI

7:00-10:00pm: NASPGHAN/APGNN/CPNP Social Event