• Grand Rounds contact:
    grandrounds@dshs.state.tx.us


    Continuing Education contact:
    ce.service@dshs.state.tx.us


    TRAIN Texas contact:
    txtrain@dshs.state.tx.us

Presentations

E-mail updates


GR slogan tall

Fall 2016 Semester

The Fall 2016 semester of Grand Rounds begins on October 5 and ends on November 9, 2016. All presentations are free and are held on Wednesdays from 11:00 am to 12:30 pm, Central Time, in Austin (K-100 Lecture Hall at 1100 W. 49th Street, see map) or via webinar.

If you have a disability and need accommodations for this event, please contact us one week before the event so we may arrange for accommodations.


Upcoming Presentations

Questions? E-mail grandrounds@dshs.state.tx.us

  

shepherd, suzanne

Suzanne Shepherd
Healthcare Chair and Past President, 
Down Syndrome Association
of Central Texas (DSACT)

Barta, Adam

Adam Barta, MD
Attending Physician, Blackstock Family Health Center and Clinical Assistant Professor,
UT Austin Dell Medical School

GR-10-05-2016 presentation image

register now orange bar2

Down Syndrome Today: New Information and New Obligations for Clinicians

Presenters: 
Suzanne Shepherd, Healthcare Chair and Past President, Down Syndrome Association of Central Texas (DSACT)
Adam Barta, MD, Attending Physician, Blackstock Family Health Center and Clinical Assistant Professor, UT Austin Dell Medical School

Description:
Research shows that new and expectant parents want -- but often do not receive-- current, accurate information about Down syndrome when they are given a positive diagnosis or test result. This lack of information leaves parents feeling uninformed, isolated and overwhelmed at a critical time. Best practice in this area, as recommended by AAP, ACOG and others, calls for providing current information about Down syndrome to new and expectant parents at the time of diagnosis. This best practice is now law in Texas. The Texas Down Syndrome Information Act requires physicians and genetics counselors to provide to new and expectant parents current, evidence-based information about Down syndrome at the time of diagnosis or positive test result. 

Please join Suzanne Shepherd, JD, Healthcare Chair of the Down Syndrome Association of Central Texas, and Adam Barta, MD, Attending Physician Blackstock Family Health Center and Clinical Assistant Professor, UT Austin Dell Medical School, for a presentation about the DSIA. We will also cover the current range of medical and developmental outcomes of individuals with Down syndrome, status of Down syndrome cognition research, and current published research about prenatal cell-free DNA testing.

Objective:  
To provide healthcare professionals with:

  • Insight into the current range of developmental and medical outcomes of individuals with Down syndrome.
  • Current information about best practices, professional guidelines and new Texas law (Texas Down Syndrome Information Act) related to delivering the diagnosis of     Down syndrome prenatally or postnatally.
  • Current information about resources for parents available through the Down Syndrome Association of Central Texas
  • Awareness of latest Down syndrome cognition research. 
  • Current information on cell-free DNA tests for Trisomy 21.

1.5 continuing education credit/contact hours available for the following: 

  • AMA PRA Category 1 Credits™
  • Continuing Nursing Education
  • Social Workers
  • Certified Health Education Specialists and Master-Certified Health Education Specialists
  • Licensed Professional Counselors
  • Licensed Marriage and Family Therapists
  • Licensed Chemical Dependency Counselors
  • Registered Sanitarians
  • Licensed Psychologists

A certificate of attendance is available for those not seeking the credits/contact hours listed above.

Presentation documents (.pdf): coming soon 

Suggested resources
: To request a full-text copy of any of the articles below, please e-mail library@dshs.state.tx.us.

  1. Bull MJ; Committee on Genetics. Health supervision for children with Down syndrome. Pediatrics. 2011 Aug;128(2):393-406. doi: 10.1542/peds.2011-1605
  2. National Society of Genetic Counselors. Abnormal prenatal cell-free DNA screening results, 2015. Available at http://nsgc.org/page/abnormal-non-invasive-prenatal-testing-results
  3. Skotko BG, Kishnani PS, Capone GT; Down Syndrome Diagnosis Study Group. Prenatal diagnosis of Down syndrome: how best to deliver the news. Am J Med Genet A. 2009 Nov;149A(11):2361-7. doi: 10.1002/ajmg.a.33082
  4. Skotko BG, Capone GT, Kishnani PS; Down Syndrome Diagnosis Study Group. Postnatal diagnosis of Down syndrome: synthesis of the evidence on how best to deliver the news. Pediatrics. 2009 Oct;124(4):e751-8. doi: 10.1542/peds.2009-0480.
  5. Texas Department of State Health Services. Information about Down syndrome for new and expecting parents, 2016.  Available at http://www.dshs.texas.gov/birthdefects/downsyndrome/

      [top of page] 

      william, karen

      Karen Williams, MSSW 
      Williams Group

      GR-10-12-2016 presentation image2

      register now orange bar2

      Obesity and Distress: The "Second Brain" Connection

      Presenter:
      Karen Williams, MSSW, Williams Group

      Description: 
      Over the last 30 years, two alarming epidemics have coincided among U.S. children and adolescents: one is the increase in obesity, and the other is the increase in psychological distress, anxiety, and trauma. Childhood obesity has more than tripled in the last three decades, and there has been an equally dramatic increase in childhood distress, anxiety, and trauma, with one-half of our nation's children having their lives touched by violence, crime,and personal and family adversity each year. Research has linked both obesity and unmitigated distress, anxiety and trauma, aka "toxic stress", to a host of common preventable emotional,behavioral, social, and physical health problems. This workshop provides an overview of the latest neuroscience that links distress, anxiety, and trauma to obesity.

      Learning Objectives:

      • Discuss the role of the vagus nerve.
      • Describe at least one reason the gut is called our “second brain”.
      • Identify the links between childhood adversity, distress, and health risks.

      1.5 continuing education credit/contact hours available for the following:

      • AMA PRA Category 1 Credits™
      • Continuing Nursing Education
      • Social Workers 
      • Certified Health Education Specialists and Master-Certified Health Education Specialists
      • Licensed Professional Counselors 
      • Licensed Marriage and Family Therapists 
      • Licensed Chemical Dependency Counselors 
      • Registered Sanitarians

      A certificate of attendance is available for those not seeking the credits/contact hours listed above.

      Presentation documents (.pdf): coming soon

      Suggested resources: To request a full-text copy of any of the articles below, please e-mail library@dshs.state.tx.us.

      1. Gershon M. The Second Brain: A Groundbreaking New Understanding of Nervous Disorders of the Stomach and Intestine. New York: Harper Perennial, 1999. 
      2. Knight R, Buhler B. Follow Your Gut: the Enormous Impact of Tiny Microbes. New York: Simon & Schuster, 2015.
      3. Perlmutter D, Loberg K. Brain Maker: The Power of Gut Microbes to Heal and Protect Your Brain-for Life. New York: Little, Brown and Co., 2015

          [top of page] 

          maddock, jay

          Jay Maddock, PhD
          Dean and Professor, School of Public Health, 
          Texas A&M University

          GR-10-19-2016 presentation image2

          register now orange bar2

          Obesity: A Public Health Approach

          Presenter: 
          Jay Maddock, PhD, Dean and Professor, School of Public Health, Texas A&M University

          Description: 
          Over the past twenty years, Texas and the United States have witnessed massive increases in the rates of overweight and obesity. While genetic factors are highly linked to obesity, these do not change rapidly over time. Environments, culture and lifestyles play an important role in the development of obesity. This talk will examine factors including community design, increasing portion sizes and the proliferation of electronic devices and their relationship to rising obesity rates. Policy and environmental interventions will be discussed to help change this trajectory to reduce the subsequent increase in diabetes, heart disease and medical care costs.

          Learning Objectives:  

          • Examine factors including community design, increasing portion sizes, and the proliferation of electronic devices and their relationship to rising obesity rates.
          • Discuss how policy and environmental interventions can change the current obesity trajectory, and impact the incidence of diabetes and heart disease, as well as lowering medical care costs.

          1.5 continuing education/contact hours available for the following:

          • AMA PRA Category 1 Credits™
          • Continuing Nursing Education 
          • Social Workers 
          • Certified Health Education Specialists and Master-Certified Health Education Specialists 
          • Registered Sanitarians

          A certificate of attendance is available for those not seeking the credits/contact hours listed above.

          Presentation documents (.pdf): coming soon

          Suggested resources: To request a full-text copy of any of the articles below, please e-mail library@dshs.state.tx.us.

          1. Daniels SR, Hassink SG; Committee on Nutrition. The role of the pediatrician in primary prevention of obesity. Pediatrics. 2015 Jul;136(1):e275-92. 
          2. English L, Lasschuijt M, Keller KL. Mechanisms of the portion size effect. What is known and where do we go from here? Appetite. 2015 May;88:39-49. 
          3. Hoyt LT, Kushi LH, Leung CW, et al.  Neighborhood influences on girls' obesity risk across the transition to adolescence. Pediatrics. 2014 Nov;134(5):942-9. 
          4. LeBlanc AG, Katzmarzyk PT, Barreira TV, et al. Correlates of total sedentary time and screen time in 9-11 year-old children around the world: the international study of childhood obesity, lifestyle and the environment. PLoS One. 2015 Jun 11;10(6):e0129622. 
          5. Livingstone MB, Pourshahidi LK. Portion size and obesity. Adv Nutr. 2014 Nov 14;5(6):829-34. 
          6. Wang Y, Cai L, Wu Y, et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev. 2015 Jul;16(7):547-65. 

            [top of page] 



            register now orange bar2

            Topic: Birth Defects

            Presenters: coming soon

            Description: coming soon

            Learning Objectives:  coming soon

            1.5 continuing education credit/contact hours available for the following: coming soon

            A certificate of attendance is available for those not seeking the credits/contact hours listed above.

            Presentation documents (.pdf):  coming soon

            Suggested resources: coming soon

            [top of page] 

            Toy, Eugene
            Eugene C. Toy, MD

            Assistant Dean for Educational Programs, and Professor and Vice Chair of Medical Education, Department of Obstetrics and Gynecology, University of Texas Medical School at Houston

            GR-11-02-2016 presentation image2

            register now orange bar2

            Caring for Our Most Vulnerable: Levels of Neonatal Care

            Presenter:
            Eugene C. Toy, MD, Assistant Dean for Educational Programs, and Professor and Vice Chair of Medical Education, Department of Obstetrics and Gynecology, University of Texas Medical School at Houston

            Description:
            Texas is in the midst of a statewide neonatal designation process for neonatal care. This presentation, hosted by the Healthy Texas Babies initiative, will examine the background, rationale, key points of the history, and resources for application for level designation, including the scientific basis and the evidence that supports state designation of neonatal levels of care. 

            Very low birth weight infants (less than 32 weeks gestation/1500g) have much better outcomes when born in a higher level neonatal facility (level III and IV). In fact, the survival is 60% better as compared to a VLBW infant being born at a lower level facility and transferred. In Texas, less than half of the VLBW infants are born at level III and IV hospitals. A state designation hopes to ensure that hospitals have the personnel, equipment, and processes for the appropriate level of care, and to coordinate with other facilities in its region.

            Learning Objectives:  

            • Discuss the scientific basis and evidence for designated neonatal levels of care.
            • Describe the basis of neonatal levels of care in Texas.
            • Apply the neonatal levels of care requirements to one’s own hospital setting to improve the quality of care.
            • Describe the state designation process in Texas.

            1.5 continuing education credit/contact hours available for the following: 

            • AMA PRA Category 1 Credits™
            • Continuing Nursing Education 
            • Social Workers 
            • Certified Health Education Specialists and Master-Certified Health Education Specialists 
            • Registered Sanitarians 

            A certificate of attendance is available for those not seeking the credits/contact hours listed above.

            Presentation documents (.pdf):  coming soon

            Suggested resources: To request a full-text copy of any of the articles below, please e-mail library@dshs.state.tx.us.

            1. American Academy of Pediatrics, Committee on Fetus and Newborn. Levels of neonatal care. Pediatrics. 2012 Sep;130(3):587-97.
            2. American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. Guidelines for perinatal care. 7th ed. Elk Grove Village, IL: American Academy of Pediatrics and the American College of Obstetricians and Gynecologists; 2012.
            3. Health and Human Services Commission. Perinatal Advisory Council, Report on Determinations and Recommendations. September 2016. Austin, TX : Health and Human Services Commission.
            4. Lasswell SM, Barfield WD, Rochat RW, Blackmon L. Perinatal regionalization for very low-birth-weight and very preterm infants: a meta-analysis. JAMA. 2010 Sep 1;304(9):992-1000.
            [top of page] 

            hellerstedt web

            John Hellerstedt, MD
            Commissioner,
            Texas Department of State Health Services 


            register now orange bar2

            Zika: Looking Ahead

            Presenter:
            John Hellerstedt, MD, Commissioner, Texas Department of State Health Services 

            Description: coming soon

            Learning Objectives:  coming soon

            1.5 continuing education credit/contact hours available for the following: 

            A certificate of attendance is available for those not seeking the credits/contact hours listed above.

            Presentation documents (.pdf):  coming soon

            Suggested resources: coming soon

            [top of page]

            Last updated September 23, 2016