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2019 Surgical Symposium
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Last Revised:12-29-2018

Please join us for the APSNA
2019 Surgical Subspecialty Symposium:

Care of the Pediatric Surgical Patient - One Patient, Many Surgical Subspecialties

Thursday, May 16, 2019 • 1:00 PM – 4:45 PM


Surgical Subspecialty Symposium:


Case Presentation #1 –

Newborn and Long-Term Urologic Care of the Spina Bifida Patient

Liza Aguiar, MD, Pediatric Urologist, Brown Urology

Rebecca Sherlock, RN, MSN, PNP-BC Clinical Coordinator, Center for Spina Bifida & Spinal Cord Conditions, Boston Children’s Hospital

Case Presentation #2 –

Pediatric Surgical Care of Patient with Anorectal Malformation, Associated VACTERL Anomaly and Cardiac Defects

Britta Renzulli, PA-C, Pediatric Surgery Physician Assistant, University Surgical Associates/Hasbro Children's Hospital

Patricia O’Brien, MSN, CPNP-AC, Nurse Practitioner, Cardiology, Boston Children's Hospital


The purpose of the Surgical Subspecialty Symposium is to enhance the knowledge of attendees caring for pediatric surgery patients across multiple disciplines. The goal of the symposium is to present to the attendees the multidisciplinary care needed for some of our pediatric surgical patients and their families.  

Case Presentation #1

1:00 PM - 2:30 PM

Newborn and Long-Term Urologic Care of the Spina Bifida Patient

A case presentation of a child with spina bifida who requires care and follow up from the urology and neurology disciplines will be presented.  A spina bifida case will be presented about a child requiring care from urology and neurology, the care needed while the child is in the hospital and long term care needs once discharged (immediate discharge and longer) will be discussed.  At the completion of the case presentation, the attendees would be able to ask questions. The neurology aspect of this case presentation will be discussed while another speaker will present the urology portion.  The attendees of the course will be exposed of treatment for a baby/child with spina bifida, their co-morbidities and the importance of pediatric surgical subspecialties to recognize the complexity and the overlap of care that these patients require and the holistic approach to their care.


Upon completion of this case presentation the attendees will:

  1. List the key components of the initial newborn spina bifida assessment, from a urologic perspective.

  2.  List the main indications for initiating intermittent catheterization in a spina bifida patient.

  3.  Define the goals of urologic long term care for spina bifida patients.

  4.  Participant will define 3 comorbidities associated with Spina Bifida.

  5.  Participant will identify 3 criteria for perioperative assessment of patient with shunted hydrocephalus.

  6.  Participant will define 2 symptoms that necessitate further evaluation and collaboration with another surgical specialty in the Spina Bifida Center.


Case Presentation #2:

2:45 PM - 4:45 PM

Malformation, Associated VACTERL Anomaly and Cardiac Defects

Congenital heart defects and GI malformations often occur and require surgical management in infancy.  Common cardiac defects (septal defects, Tetralogy of Fallot) associated with GI malformations will be described and surgical repairs, post-operative management, nursing considerations  and long-term issues will be discussed.

  1. Participants should be able to recognize the various anorectal malformations and associated VACTERL anomalies.
  2. Participants should be able to describe the various surgical options for repair of anorectal malformations.
  3. Participants should be able to discuss the long term role of bowel management in the post-surgical care of patients with anorectal malformations.
  4. Discuss the incidence of Gi malformations associated with congenital heart defects and related genetic syndromes.
  5. Describe the congenital heart defects most often associated with GI malformations.
  6. Discuss cardiac surgical management, post-operative care and long term outcomes.


"Good variety of topics...keep everything in the rotation."

"I appreciated this year seemed to be directed to both RN and APNs."

"There were many interesting topics that may promote practice change in my institution."

"Excellent conference!!"

CONTACT HOURS: The surgical symposium is not yet accredited for CE contact hours.  Conference organizers plan to request 3.5 NAPNAP CE contact hours per the National Association of Pediatric Nurse Practitioners Continuing Education Guidelines.

This program not yet approved for AAPA Category 1 CME credits from the American Academy of Physician Assistants, Physician Assistant Review Panel. Conference organizers plan to request 3.5 AAPA Category 1 CME credits. 



If you have any questions, please contact the Director of Program