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APA Focus
The Official Newsletter of the Academic Pediatric Association

Volume 52, Issue 2 April 2015
President's Message


With the 2015 Pediatric Academic Societies (PAS) Annual Meeting coming up on April 25-28, I'd like to talk about just a few of the exciting events in store for attendees. As always, there will be a plethora of interesting and informative platform and poster sessions on critical issues that affect child health, but here are some specific events that I highly recommend:

Friday, April 24 at 8:00am: The 5th Annual Quality Improvement Science for Children's Health Care Research Conference will focus on barriers and facilitators to the development, extension, and use of state-of-the-art methodologies and research methods for health care quality improvement research. This conference gets great reviews each year. Sign-up!

Saturday, April 25 at 1:00pm: The APA Speed Mentoring Luncheon is a fantastic avenue for getting advice from and making connections with more senior colleagues.

Sunday, April 26 at 11:00am: For those looking to get more involved in APA activities or to just learn more about our current initiatives, check out our committee meetings: Education, Research, Public Policy and Advocacy, and Health Care Delivery.

Sunday, April 26 at 3:45pm: The APA Business Meeting will include the APA Debate, which is always an entertaining event. This year's debate topic is “Resolved: It's Time to Take the Pediatrician out of Primary Care Pediatrics.” I am also excited about all of this year's award winners, many of whom will receive their awards during the business meeting.

Monday, April 27 at 7:00am: Don't miss the APA regional breakfasts, which are a great way to connect with local colleagues.

Monday, April 27 at 1:30pm: The APA Presidential Plenary will feature presentations on a range of timely and important topics in general pediatrics, from quality improvement to global health to advocacy. The accompanying Armstrong Lecture will be given by pediatrician Neal Baer, MD, AM, EdM, former executive producer of the television shows ER and Law & Order: Special Victims Unit, among others. For the Presidential Address, I will be speaking about the importance of supporting and facilitating parent engagement in pediatric practice.

APA Special Interest Groups (SIGs) are scheduled throughout the meeting and cover 41 different topics, so consider dropping in on a SIG that aligns with your interests, because there probably is one.

In addition, keep in mind the many alumni receptions in the evenings, which are great for networking, sharing ideas, and catching up with old friends.

Once again, I look forward to learning about all of the exciting work everyone is doing and to returning home yet again inspired by our awesome membership.

Mark Schuster, MD, PhD
Academic Pediatric Association

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Past President's Message

David Keller

David Keller
Immediate Past President

Academic Pediatric Association
Thanks for the Memories
David Keller

"Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air:"
- Shakespeare, The Tempest

Wow. My three years as President-Elect, President and Immediate Past President of the APA have just flown by. For me, it has been a wonderful opportunity to meet our members from all over the country, to support the great work that our members do in education, research, health care delivery and public policy and advocacy, and work with a tremendous group of Board members and staff who really care about making things better for children and their families. Before I melt "into thin air" (to quote the Bard), I wanted to take a minute of your time to review what we've managed to accomplish over the last few years, and to lay out some challenges for our Association in the coming years.

The good news is that the state of the Association is strong. When I started my term in 2012, we were just emerging from the Great Recession, with an exciting new strategic plan and a budget deficit. Working with Connie MacKay and the management team at Degnon Associates, we now have stabilized expenses and have enhanced revenues to balance the budget. We have a new management contract in place, allowing us to plan how and when we will be able to expand services to our members. This will serve us well, as we develop our next 5-year plan for our Association in 2017.

The programs that we offer have grown and matured, allowing us to meet the needs of more and more of our members. When I started in 2012, we had Educational Scholars, New Century Scholars and Young Investigators. In 2013, we added the Research Scholars program and now hope to initiate a Quality Scholars program within the next year. While funding for some of these programs has waxed and waned, our organizational commitment to career development has been unwavering. I am certain that we will be able to sustain these programs (and develop a program for Policy Scholars) over the coming years. It will, however, be a continuing challenge fund and operationally support these programs in an era of fiscal restraint. Somehow, it feels like we always face this problem, and, as in the past, I know that our Board members will rise to the challenge.

Our commitment to child health policy and advocacy has also grown and matured. In 2013, I was proud to hear Benard Dreyer commit our Association to support policies and advocacy that would reduce child poverty in America. Since then, the Poverty Task Force has worked with the AAP, the Century Foundation and many others to highlight the impact that economic disparities have on child health. We've delivered testimony on gun violence in the US Senate, sponsored a Child Health Policy conference with our colleagues at AcademyHealth, joined the National Quality Forum and helped to reorganize the Pediatric Policy Council and the Federation of Pediatric Organizations, all in an effort to improve the health of children through changes in public policy. This year, Mark Shuster and Paul Chung spearheaded efforts on family leave, using data to drive policy change. As the late Joel Alpert said, advocacy is the core of the APA. I am confident that my successors will maintain that legacy in our research, education and health care delivery work.

There will always be challenges to small Associations like the APA; our members are working in a rapidly evolving health care system and it would be naive to think that we completely understand how those changes will impact General Academic Pediatrics. Over the past 3 years, I have watched our members rise to the challenge on many occasions. I look forward to cheering you all on as the next generation rises into leadership and onto the Board. Indeed, it is imperative that you do so. I can assure you that, if you take on the task, the rewards will outweigh the burdens of office. I've had a lot of fun as your Member/Region chair, your Treasurer and your President. You should do so as well.

Thank you all for the opportunity to serve as your President. I'll see you in San Diego!

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Secretary's Message

Steven Selbst It's that time of year again! I am very much looking forward to the PAS annual meeting in San Diego at the end of this month. San Diego is beautiful and fantastic setting for the PAS meeting. But don't plan to spend all of your time on the beach at La Jolla. You do not want to miss the fascinating, enlightening sessions at the Hilton Hotel and San Diego Convention Center. The quality of the science at this meeting is outstanding. This is in part due to the many APA members who reviewed and scored research abstracts and workshop proposals for the meeting. Thank you for your efforts. Each year at the PAS meeting there are more and more physicians joining us from all over the world, making this a very exciting international forum for discussion. There will be numerous valuable sessions for academic faculty and trainees at all levels. A new APP should help you navigate the complex meeting and find the abstracts to be presented.

In addition to the platform and poster sessions, some of the highlights of the upcoming PAS meeting include:

-The Fellows Core Curriculum, providing essential didactic sessions exclusively for fellows before the official meeting begins. (Friday, April 24)

-The Joseph St. Geme Award at the PAS Opening Ceremony (Saturday, April 25). This year the award will be presented to Dr. Barry Zuckerman, who is Professor and Chair Emeritus of the Department of Pediatrics at Boston University School of Medicine and Professor of Public Health at Boston University School of Public Health.

-A session of "Speed Mentoring" to connect younger members of the APA with more senior mentors (Saturday, April 25).

-The informative and entertaining APA Debate at the annual Membership Meeting (Sunday, April 26). This year's debate will focus on whether or not a general pediatrician still has a role in primary care (tongue-in-cheek of course).

-Late Breaking Sessions with cutting edge abstracts of importance (Saturday, April 25).

There will also be dozens of new and innovative workshops and the APA Special Interest Groups (SIGs) eagerly await their annual gatherings at the PAS meeting. We very much enjoy and value our SIGs, and in San Diego, APA members will discuss important issues with others who have similar interests and unique experience.

Most importantly, the PAS meeting in beautiful San Diego will offer us all the opportunity to connect with colleagues and friends. At our regional breakfasts and at the many receptions, you can "catch up". You can also meet new collaborators at the poster sessions and share your ideas with physicians from across the country and even around the globe. We look forward to a great meeting.

As part of the PAS meeting, I will turn over the reins of APA Secretary to Judy Shaw. I am sure Judy will serve the APA well. As for me, I can't tell you how much I enjoyed serving on the APA Board for so many years. We have an amazing organization with so many dedicated and talented people, all working to improve the care of children. I will miss the APA Board terribly, but look forward to my continued association with our cherished APA.

Click Here to View PAS Registration Report 1999-2015

Best regards,
Steven M. Selbst, M.D.
Academic Pediatric Association

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APA New Members

Welcome to all of the new APA Members!

Joel Blumberg
Elizabeth Burgener
Cynthia Chi
Jolene Collins
Suratha Elango
Ara Festekjian
Meredith Fishbane-Gordon
Luis Garcia-Chacon
Pratichi Goenka
Christine Gold
Alice Hensley
Thanh Huynh
James Kaferly III
Michael Levy
Sara Long-Gagne
Claire MacGeorge
Luis Maldonado
Gabriela Maradiaga Panayotti
Hilary McClafferty
Jessica Morrison
Priscilla Mpasi
Chinwe Obiaga
Enkhsaikhan Purevjav
Yamini Rao
Alan Schroeder
Megha Shah
Michael Tchou
Adam Weinstein

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Upcoming Conferences

APA Regional Meetings

APA Region VI
Save the Date
September 25, 2015
Kansas City
Click here for more information

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Pediatric Academic Societies (PAS) 2015
PAS 2015

Pediatric Academic Societies 2015
San Diego, CA
April 25-28, 2015

APA QI Research Conference 2015

San Diego, CA
April 24, 2015
Hilton Bayfront Hotel

Leadership Conference 2015
Leadership 2015

Leadership Conference 2015
July 22-23, 2015
Marriott Rivercenter
San Antonio, TX

Pediatric Hospital Medicine (PHM) 2015

Pediatric Hospital Medicine 2015
July 23-26, 2015
Marriott Rivercenter
San Antonio, TX

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Education Committee

The Education committee continues its work and here are some of the highlights from recent activities and plans:

PEEAC meeting
The biennial Pediatric Educational Excellence Across the Continuum (PEEAC) Meeting is collaboratively sponsored by the APA, APPD, COMSEP and CoPS. The fourth PEEAC meeting will be held immediately after the all APPD meeting in Atlanta on September 18-19, 2015 at the Westin Peach Tree Plaza in Atlanta. The theme of this meeting is “Optimizing the Learning Environment: Leadership, Training and Patient Care”. The PEEAC meeting is aimed at current and future leaders in medical education and will offer plenary talks, networking opportunities, leadership panels, workshops, and poster presentations that focus on numerous topics related to the ideal learning environment. For additional information please Click Here

Educational Scholarship Planning Forum:
We have planned this new activity for PAS. The Forum will convene immediately after the Education Committee meeting on Sunday (April 26, 1:00-3:00 PM, Hilton Bayfront Hotel, Aqua Salon C). We hope to broaden the ESP’s impact on the careers of APA educators by promoting collaborative projects in educational research and evaluation. Beneficiaries of this initiative would be not only ESP members and graduates, but also the many other educators in the APA, APPD, COMSEP, and COPS. We plan to organize discussion tables to consider a wide variety projects in areas such as:

 - Curriculum development and evaluation
 - Uses of technology in education
 - Faculty development
 - Studies involving ESP data sources
 - Educational scholarship collaborations across organizations
 - And wild ideas of your invention

Please come with your inspirations and aspirations!

Educational Project Consultation at PAS Meeting
Since 2014, at the PAS annual meeting, the Education Committee has been providing opportunities for junior APA members interested in conducting educational projects to receive expert consultation. Members are asked to submit their proposal using a standard template and a review committee selects the top four projects for such expert consultation. The 2014 event was received well, so we have continued that effort this year. Educational Project Expert Consultation is a way we believe to keep our junior educators energized and supported by the APA. Thanks to the experts who volunteer and to the junior educators who apply to participate in the program.

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Research Committee

Research is alive and well in the APA! From thriving practice based research networks to the Young Investigator Program to RAPID to the Research Scholars Program to Research in Academic Pediatrics Initiative on Diversity (RAPID) to recognition of excellence in research, all this is made possible by an outstanding Research Executive Committee. We are committed to promoting research both among those with established careers as well as among those in training.

At both PAS and at the Regional Meetings, research is a highlight of many of our discussions. Some Regions have instituted Trainee Research Awards (see photo).

This year we are delighted to announce the expansion of the Young Investigator Program to include an award focused on nutrition in underserved communities. We are most appreciative of the generous donation from the Karp family that makes this award in honor of Dr. Robert Karp possible.

Want to learn more about the Research Committee activities? Please join us at PAS at the annual meeting on Sunday April 26 at the Hilton San Diego Bayfront, Aqua D, 11:00 AM-12:30 PM. In addition to a recap of the Year in Review, this year, come join us for a lively panel discussion, "Everything You Always Wanted to Know About the Practice Based Research Networks in APA....But Didn't Know Who to Ask." Our panel features Jim Taylor (BORN), Jan Serwint (CORNET), and Karen Wilson (PRIS).  We also will bestow nine Trainee Research Awards to an outstanding group of early career researchers.

Finally, as my term comes to a close, I would like to thank the APA members for giving me the opportunity to serve as Research Committee Chair and to the dedicated Research Executive Committee members including: Iris Borowsky, Tony Burgos (BORN liaison), Georgine Burke, Kecia Carroll, Dimitri Christakis, Eve Colson (COMSEP liaison), Bill Cooper, Nui Dhepyasuwan, Benard Dreyer, Ruth Etzel, Glenn Flores, Gary Freed, Tanya Froelich (SDBP liaison), Jim Guevera, Donna Halloran, Janice Hanson, Betsy Holm (PRIS Administrator), Larry Kleinman, Chris Landrigan, Kandyce Larson (AAP liaison), Iris Mabry (AHRQ liaison), Shirley Russ, Janet Serwint, Samir Shah, Rashmi Shetgiri, Laura Shone (AAP liaison), Tamara Simon, Sara Slovin, Adam Spanier, Adiaha Spinks-Franklin, Raj Srivastava (PRIS liaison), Christopher Stille, Melissa Stockwell, Peter Szilagyi, James Taylor, Darcy Thompson, Megan Tschudy, Karen Wilson (Incoming Chair), and Whitney Witt.

What an incredible organization! Best wishes to the very talented incoming Research Committee Chair, Karen Wilson. Hope to see you in San Diego.

                                         Research Committee Award Winners

Recipients of the inaugural Region IV Trainee Awards. Pictured from L to R are: Callie Brown (UNC; Fellow Research Award); Eliana Perrin (UNC mentor for Callie Brown and Kaitlin Brandstadter); Kaitlin Brandstadter (UNC; Resident Research Award); Katherine Ottolini (Walter Reed; Resident Research Award); Carolyn Arnold (Johns Hopkins; Student Research Award); Megan Tschudy (Johns Hopkins mentor for Carolyn Arnold)

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Core Activities
BORN in San Diego

We are excited to make the trip to San Diego and have many activities associated with the annual PAS Meeting:

BORN Pre-PAS Meeting is scheduled on Friday, April 24 from 1:30 - 5:00 PM at the Hilton Bayfront Hotel - Room Aqua 314. Connect with BORN members, learn about ongoing BORN studies, and help design the next BORN project. Our guest speaker is Dr. Karen Puopolo (early onset sepsis calculator).

Other BORN sessions during PAS Meeting include:

Newborn Nursery Research
Platform Session 2190: Pediatric Nutrition - Sunday April 26 from 8:00 -10:00 AM - San Diego Convention Center, Room 28C

Platform Session 4570: Prenatal and Perinatal Practices; Tuesday, April 28, from 9:45 - 11:45 AM - San Diego Convention Center, Room 29ABCD

Platform Session 4775: Human Milk or Breastfeeding; Tuesday, April 28 from 12:15 - 2:15 PM - San Diego Convention Center, Room 30D

Newborn Nursery SIG Meeting:
Sunday, April 26 from 12:00 Noon - 3:00 PM, Hilton Bayfront Hotel, (Aqua Salon F)

BORN Executive Committee Chair,
Carrie Phillipi

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Its springtime - which means PAS is right around the corner! Many CORNET members will be traveling to San Diego at the end of April for the PAS meeting. We always look forward to meeting our members face to face!

The CORNET Executive Committee will also hold its annual 1½ day meeting immediately after PAS to collaborate on current and future CORNET projects, discuss strategic planning, and work to ensure we remain a vibrant network during leadership transitions.


National Immunization Partnership with the APA (NIPA)
We are now in active recruitment for this project! As a part of this grant, the APA will be working with CORNET and the National Improvement Partnership Network (NIPN) to implement a large-scale practice-based quality improvement (QI) program to prioritize HPV vaccination at every adolescent visit. The goal is to increase HPV vaccination rates in 65 primary care practices in Year One and create a template for practice change that can be used across the United States.

We are recruiting continuity sites for this project, which will include QI training, baseline data collection, a nine month intervention period, and post-intervention data collection. Benefits to participating in this project include:

  - MOC Four credits for faculty who meet minimum participation requirements
  - Meets ACGME requirements for resident QI project
  - QI coaching, customized tools and feedback on individual practice performances

If you are interested in participating please contact by April 27th.


National Partnership for Adolescent Immunization (NPAI)
We are now in the post-data collection phase of this project, where 13 CORNET sites worked for a year to enhance the delivery of adolescent immunizations through QI. We are excited to see the results of all that hard work! We are also assessing the extent of resident involvement in NPAI, and hope the project can serve as a template for enhancing relevance and involvement of residents in future CORNET projects.

Thanks to participating sites:
  -University of Utah
  -University of South Florida
  -New York Medical College
  -Baylor College of Medicine
  -Dartmouth Hitchcock Medical Center
  -Medical University of South Carolina
  -University of Oklahoma
  -University of Southern California
  -University of Louisville
  -Helen DeVos Children's Hospital
  -Dayton Children's Medical Center
  -University of Toledo
  -Duke University Medical Center

Furthering our Agenda to Address Poverty in our Nation's Children
CORNET is perfectly poised to develop research to address poverty in our nation's children and improve children's health. This goal is consistent with the fundamental goals of the AAP and APA. There are two potential studies in development to address this focus:

CORNET Infrastructure Support and ACES Study
The CORNET Steering Committee recently submitted a grant to HRSA/MCHB entitled: "CORNET: A Diverse National Research Network to Improve Child Health". The goals of this five year grant are to enhance the infrastructure and research capacity of CORNET in order to improve the health care of children with special attention to underserved and minority children.

The three objectives include:
  -Improve trans-disciplinary collaboration through better communication and mentorship,
  -Improve network infrastructure to increase capacity of grant submission and grant management,
  -Improve dissemination and translation of results into practice

In addition, we propose to develop a national collaborative study between CORNET and the Home Visiting Applied Research Collaborative (HARC) to address adverse childhood experiences (ACEs). The identification of adverse childhood experiences (ACEs) has demonstrated a relationship between early negative life events and resulting adult disease conditions that are the leading causes of mortality as well as poor quality of life. ACEs are particularly concerning given not only their association with life course health, but also their high prevalence. According to the 2011/2012 National Survey of Children's Health, 48% of children ages 0-17 experienced one or more ACEs and 23% experienced two or more.

Our main study objective is to determine the prevalence of ACEs in parents of children in CORNET practices across the country. We hypothesize that the prevalence among children in CORNET practices will be higher than state and national rates.

Additional questions we hope to address (with additional funding) include: factors that enhance the referral to home visitation programs, whether adherence to anticipatory guidance by parents is enhanced when there is coordination with home visiting programs and to determine whether screening for ACEs results in different anticipatory guidance topics discussed and whether those who screen positive for ACEs and participate in home visiting programs demonstrate more positive parenting skills.

WE CARE Project
Led by Arvin Garg as the principle investigator, this application for funding will serve as a pilot for a collaborative study between CORNET and PROS in addressing the social determinants of health of children and families in our respective practices. This includes systematic screening of low-income families' unmet materials needs such as food security, employment, parental education, housing stability, household heat, and childcare. While Dr. Garg has studied this in urban practices, the feasibility and adaptation to suburban and rural practices is needed prior to a national dissemination project. This next grant, to be submitted in June, will determine how the components of the WE CARE model need to be adapted for rural and suburban practice settings and also obtain inter-professional input regarding implementation strategies. Stay tuned for more details.

Great news! An article from the Adolescent Immunizations in the Medical Home Initiative (AIMHI) project has been published in Academic Pediatrics.

If your site participated in this study, make sure to add this citation to your CV by creating a section called "Research Participation" and list your role as Site Investigator:

Szilagyi PG, Serwint JR, Humiston SG, Rand CM, Schaffer S, Vincelli P, Dhepyasuwan N, Blumkin A, Albertin C, Curtis CR. Effect of provider prompts on adolescent immunization rates: a randomized trial. Acad Pediatr. 2015 Mar-Apr;15(2):149-57.

We have two manuscripts that are in active development.

  - Gereige R, Dhepyasuwan N, Serwint JR, Garcia K, Vasan R, Connor K, Bernstein H. Pediatric Resident Knowledge and Attitudes on Bright Future Oral Health Concepts. Submitted to Academic Pediatrics. Potential publication pending revisions.
  - Sanguino SM, Serwint JR, Dhepyasuwan N, Church A, Dabrow S, Bernstein H. Pediatric Resident's Competency with Oral Health Guidance and Oral Exam. Ready for submission.

CORNET Membership
You, our CORNET members, are what make CORNET so vibrant and productive. Thanks for your participation and your contributions to improve children's health. If you have not yet received a CORNET pin, please stop by the Continuity SIG (Sunday, April 26, 8:00 - 11:00 AM at Hilton Sapphire Ballroom I) during the break and Nui will be happy to give you one.

See you at PAS!

Submitted by
CORNET Steering Committee

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The Council on Medical Student Education in Pediatrics (COMSEP) is a community of educators dedicated to promoting innovation and scholarship in medical student education in pediatrics, and to fostering the personal growth, professional success, and collaboration of its members. COMSEP's mission is to improve the health of children and their families by advancing the art and science of medical student education in pediatrics.

After many years of serving as a council under AMSPDC (Association of Medical School Pediatric Department Chairs), COMSEP is now functioning as an independent 501(c)3 organization based on a mutual agreement between the organizations. COMSEP has over 300 independent members in the new membership categories of Faculty ($300/yr), Administrators ($100/yr), Trainee ($50/yr) and Emeritus ($50/yr). Anyone interested in undergraduate medical education in pediatrics can become a member of COMSEP and is welcome. We are professionally managed by Degnon Associates and we value our collaborations with the APA, APPD, PUPDOC, AAP, AMSPDC, and other organizations. COMSEP has an active pediatrics clerkship administrators' section, whose members enhance the quality and vibrancy of our organization. Members receive access to our listserv, Grant program, monthly educational journal club, project working groups, national collaborations and are welcomed into a home for professional / faculty development in pediatrics UME.

In 2015, the COMSEP annual meeting in New Orleans drew over 400 individuals. The meeting theme was "Coming back stronger; finding opportunities in change". Our meeting consisted of 27 educational workshops, a poster and platform session for educational scholarship and the 2015 Miller-Sarkin lecture by Dr. Stuart Slavin. COMSEP continues to collaborate with the APA on past and future PEEAC meetings, the APA Poverty Curriculum, and building a community to support of educational scholarship. Many COMSEP members are graduates of the APA's Educational Scholars program and members serve on the editorial board of Academic Pediatrics. The President of COMSEP participates in the monthly planning calls of the APA Education Committee and our organization looks forward to discovering new opportunities for collaboration to enhance the health of children and their families through our shared educational missions.

Sherilyn Smith
COMSEP President

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Educational Scholars Program

2015 ESP Application Cycle:
Please note that applications for a new ESP cohort will be accepted from July - October 2015. Last year, we recruited and accepted 24 new scholars into the program, including 12 general pediatricians, 7 hospitalists, and 5 subspecialists. Click Here for additional details.

ESP at PAS Meeting: We have nearly completed planning our instructional sessions for ESP Day on April 24 in San Diego. Graduation for Cohort 5 will take place at the APA Membership Meeting on Sunday, April 26, followed by an ESP Reception for current and past members of the program. PAST GRADUATES: Please join us!!

Educational Scholarship Planning Forum: We have planned this new activity for PAS. The Forum will convene immediately after the Education Committee meeting on Sunday (April 26, 1-3pm, Hilton Bayfront Hotel, Aqua Salon C). We hope to broaden the ESP's impact on the careers of APA educators by promoting collaborative projects in educational research and evaluation. Beneficiaries of this initiative would be not only ESP members and graduates, but also the many other educators in the APA, APPD, COMSEP, and COPS. We plan to organize discussion tables to consider a wide variety projects in areas such as:

   -Curriculum development and evaluation
   -Uses of technology in education
   -Faculty development
   -Studies involving ESP data sources
   -Educational scholarship collaborations across organizations
   -And wild ideas of your invention

Please come with your inspirations and aspirations!

The New ESP Portal:
The ESP is the first APA program to use the new APA Portal, a learning management system powered by Moodle. ESP Portal Manager, Virginia Niebuhr, has been working very hard to build a platform for communications, assignments, directories, committee agendas, document repositories and other key functions.

A Final Note: ESP’s 10th Birthday!
In 2016, the ESP will be celebrating its 10-year birthday at the PAS meeting in Baltimore, MD. Two stellar ESP graduates, Barry Solomon (Hopkins) and Melissa Klein (Cincinnati), are leading the Planning Committee. More to come later!

APA Awards
Miller Sarkin Award
The Miller Sarkin is one of the APA standing awards recognizing the mentorship of both Steve Miller and Richard Sarkin to faculty through their involvement in the APA. The award is given out annually.  Drs. Lyuba Konopasek and Miriam Bar-on facilitate the submission and review processes. A committee comprised of the former award recipients along with the chair of the health care delivery committee will review and rate the submissions. Objective scoring determines the winner. The award is presented at the APA business meeting at the annual meeting in the spring. To date there have been 10 recipients. The 2015 winner is Samir Shah MD, MSCE, Professor of Pediatrics, Director, Division of Hospitalist Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati Children’s Research Foundation Endowed Chair, University of Cincinnati.

Ray E. Helfer Award
The purpose of the Ray E. Helfer Award is to recognize a member of the Academic Pediatric Association who is a “creative, innovative educator who submits an outstanding” abstract to the Pediatric Academic Society meeting. Each January, the Chair of the Helfer Award Committee receives the nominated abstracts and then distributes them to the committee members for judging and scoring. This year’s winner is Colin Sox, MD for his abstract “Comparing The Impact Of An Online Module To Faculty Feedback Sessions On Student’s Oral Presentations: A Multi-Center Randomized Controlled Trial”. The selection committee felt that this abstract stood apart for its novelty, creativity and innovation.

APA Teaching Awards for Faculty

The purpose of the APA Teaching Awards for Faculty awards is to (a) recognize excellence in teaching among APA members and (b) support the promotion of junior and mid-level faculty who demonstrate excellence in, and commitment to, teaching. This year, we received 7 applications from junior faculty and 3 from mid-level faculty, representing 10 institutions. The junior faculty teaching award winner is Dr. Robert Dudas, Johns Hopkins University and the mid-career faculty teaching award winner is Dr. Geeta Singhal from Baylor College of Medicine.

APA Teaching Award for Educational Programs
This award goes to a program showing excellence in teaching of general pediatrics through exceptional educational methods, acceptance by students and/or residents, acceptance by the community and the institution, innovations and adaptability, and outstanding quality of the individuals trained in the program. The 2015 winning program is “Creating Leaders in Pediatrics: Education Across the Continuum”-Johns Hopkins University Harriet Lane Pediatric Medical Education Program. The program is led by Drs. Michael Barone, Robert Dudas, Janet Serwint, Jeffrey Fadrowski, and Julia McMillan. This outstanding pediatric education program began in 1912 and has developed a rich and diverse faculty that begins teaching first-year medical students and continues through fellowship training using the common themes of generalist training, leadership and compassion/humanism.


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2015 APA RAPID Scholars Selected
The APA is delighted to announce the selection of the 2015 class of Scholars for the APA Research in Academic Pediatrics Initiative on Diversity (RAPID), sponsored by the National Institutes of Diabetes and Digestive and Kidney Diseases (NIDDK).

RAPID's goal is to recruit, retain, and provide career development and advancement for diverse junior faculty in general academic pediatrics pursuing careers in NIDDK mission areas. RAPID targets applicants who are underrepresented minorities, disabled, or from a socially, culturally, economically, or educationally disadvantaged background. The program, which includes both a research project and career development activities, consists of: 1) research grants of up to $15,000 for projects in NIDDK mission areas (pediatric obesity, nutrition, and/or sickle cell disease); 2) pairing of the RAPID scholar with a national mentor who is an accomplished senior investigator and seasoned mentor; 3) in-person mentoring and networking at an annual breakfast at the PAS Meeting; 4) an educational symposium on career development and academic success, including mentoring and networking with leading researchers; and 5) RAPID Scholar telephone conference calls every two months, to provide peer support, peer mentoring, networking, a venue for presenting research in progress, and opportunities for potential research collaborations. Additional information on RAPID is available at:

The 2015 RAPID Scholars are:

Rochelle Cason-Wilkerson, MD, FAAP
Primary Care Research Fellow
University of Colorado Denver/Anschutz Medical Campus 
Project title: "TOPS effectiveness in children: A pilot study."
Mentor: Mandy Allison, MD, MPH
Department Chair: Simon Hambidge, MD, PhD







Juan Espinoza, MD, FAAP
Attending Physician, Division of General Pediatrics
Children's Hospital Los Angeles
Assistant Professor of Pediatrics
Keck School of Medicine
Project title: "Effect of personal activity trackers on weight loss in a comprehensive behavioral family-lifestyle intervention (CBFLI) program."
Mentor: Larry Yin, MD, MSPH
Department Chair: D. Brent Polk, MD







Christina Fernandez, MD, MPH, FAAP
Primary Care Research Fellow in Community Health
Division of Child and Adolescent Health
Department of Pediatrics
Columbia University Medical Center
Project title: "Dual food and energy insecurity and the onset of adverse child behaviors and health."
Mentor: Melissa S. Stockwell, MD, MPH
Chair: Lawrence Stanberry, MD, PhD

The 2015 RAPID Scholars were chosen by the RAPID National Advisory Committee (NAC), six highly accomplished and nationally renown researchers and mentors, along with the RAPID Director and Co-Director. The RAPID NAC members are:

Benjamin Caballero, MD, PhD
Professor of International Health and Population,
Family, and Reproductive Health
Johns Hopkins Bloomberg School of Public Health

Michael DeBaun, MD, MPH
Professor of Pediatrics and Medicine
J.C. Peterson Chair in Pediatric Pulmonology
Director, Vanderbilt-Meharry Center
for Excellence in Sickle Cell Disease
Vanderbilt University School of Medicine

Elena Fuentes-Afflick, MD, MPH
Professor and Vice Chair of Pediatrics
Professor of Epidemiology and Biostatistics
University of California, San Francisco
Chief of Pediatrics, San Francisco General Hospital

Rafael Perez-Escamilla, PhD
Professor of Epidemiology (Chronic Diseases)
Director, Office of Community Health
Yale University School of Public Health

Elsie Taveras, MD, MPH
Chief, Division of General Pediatrics
Director, Pediatric Population Health Management
MassGeneral Hospital for Children
Associate Professor of Pediatrics
Harvard Medical School

Jason Wang, MD, PhD
Associate Professor of Pediatrics
Director, Center for Policy, Outcomes and Prevention
Division of General Pediatrics
Stanford University School of Medicine

Congratulations to 2015 class of APA RAPID Scholars!

APA RAPID Holds Second Annual Fall Mentoring and Career Development Conference
RAPID held its 2nd annual Fall Conference in Grapevine, Texas, on December 9-10, 2014. This exciting conference included a panel discussion on keys to success for young investigators, a speed-mentoring session, a reception and dinner, research presentations by the 2014 RAPID Scholars, one-on-one mentoring sessions, and a hot topic presentation and discussion, led by the young investigators. In addition to the three 2014 RAPID Scholars, conference attendees included seven additional talented and accomplished young investigators (including three residents and several faculty) from across the country chosen by the RAPID NAC from a strong application pool of candidates. Conference attendees included:

-Ashaunta R. Tumblin Anderson, University of California, Riverside
-Aisha Barber Davis, George Washington University School of Medicine
-Michelle K. Escala B., University of Oklahoma College of Medicine-Tulsa
-Kofi D. Essel, Children's National Medical Center
-Whitney Haddix, University of North Carolina Hospitals
-Brian G. Hall, University of Oklahoma College of Medicine-Tulsa
-Charron M. Johnson, Nationwide Children's Hospital
-Suzanna Martinez, University of California Office of the President (2014 RAPID Scholar)
-Thao-Ly Phan, Nemours Al DuPont Hospital for Children (2014 RAPID Scholar)
-Jennifer Woo Baidal, Boston Children's Hospital (2014 RAPID Scholar)

(Photo: 2014 RAPID Fall Conference attendees, including young investigators, 2014 RAPID Scholars, RAPID NAC members, and the RAPID Director and Co-Director.)

A post-conference survey revealed uniform agreement that the conference was valuable for young investigators.

The 2015 RAPID Fall Mentoring and Career Development Conference will be held in December 2015 in Grapevine, Texas. Eligible attendees include junior faculty, fellows, and residents who are members of an underrepresented minority group, disabled, or from a socially, culturally, economically, or educationally disadvantaged background, and who are committed to a career in academic general pediatrics. The Call for Nominations for the 2015 RAPID Fall Conference will be issued in October 2015, with a November 2015 deadline for submission of nomination materials. For more information, please contact Marina Seyon at Marina@ACADEMICPEDS.ORG.

2014 RAPID Scholar Jennifer Woo Baidal, MD, and RAPID NAC member Elsie Taveras, MD, MPH, recently authored a Perspective in the New England Journal of Medicine:
Woo Baidal JA, Taveras EM. Protecting progress against childhood obesity--the National School Lunch Program. N Engl J Med. 2014;371(20):1862-5.

2014 RAPID Fall Conference attendees Michelle K. Escala, MD, and Brian G. Hall, MD, and RAPID Director, Glenn Flores, MD, have an editorial in press in the Journal of Pediatrics:
Flores G, Escala M, Hall B. Dead wrong: The growing list of racial/ethnic disparities in childhood mortality. J Pediatrics 2015; In press.


Glenn Flores, MD
APA RAPID Director

Fernando Mendoza, MD, MPH
APA RAPID Co-Director

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Task Forces
Global Health

AAP Endorses Faculty Competencies for Global Health

The American Academy of Pediatrics (AAP) has announced its endorsement of the APA Global Health Task Force consensus statement on faculty competencies for global health. The statement was produced by APA Global Health Task Force members from the APA, the Association of Pediatric Program Directors, the AAP, the Canadian Paediatric Society, and the Programme for Global Pediatric Research. The Faculty Competencies for Global Health also received endorsement from the APA Board of Directors, the Canadian Paediatric Society, and the Programme for Global Pediatric Research. For more information and to review the competencies please Click Here.

Contributed by
Ruth A. Etzel, Chair

APA Global Health Task Force

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Region I

Region I

As skates and skis get put away until the end of the year, it is time to let you know what a terrific region meeting we had on March 16th at Boston Children's Hospital. We as region chairs give special thanks to our APA site contact Dr. Joanne Cox, and to Yvonne DeJesus, for working out the logistics in Boston. The meeting had a different turnout than we have had in recent years, in that the meeting was comprised of a majority of trainees at all levels-students, residents and fellows. Our meeting theme this year was "The Future of Pediatric Education".

It was a great privilege to have Dr. Mark Shuster, MD, PhD and APA President, address us at his home institution. The keynote address was delivered by Dr. Leslie Fall, Vice-chair for Education and Associate Dean for Faculty Development at the Geisel School of Medicine at Dartmouth. Dr. Fall told the story of how the idea that she and Dr. Norman Berman had for online clinical pediatric education tools developed from an idea, to a reality, to a non-profit company that now serves hundreds of thousands of students across all areas of medical education.











The day continued with seven research platform presentations. This year we were able to award an abstract platform winner with a small scholarship to support travel to the PAS meeting in San Diego. Dr. Eli Sprecher, general academic pediatric fellow, won this year's award for his presentation, "Utilization of patient navigators in an urban pediatric practice."

We arranged lunch around themed tables for discussion, about different areas in medical education. Sixteen research posters were attended by their authors during lunch time and during breaks between sessions.

After lunch we had a short workshop to help all the participants build their skills in narrative clinical evaluation writing. We had many attendees who could provide updates on the activities of the APA research networks. Dr. Mark Vining from UMass updated us on the first two publications from the Better Outcomes through Research for Newborns (BORN) network, and on the next project on vitamin K refusal. Dr. Lise Nigrovic gave an update on PECARN, while Dr. Chris Landrigen presented on PRIS.

Finally, we solicited interest in nominees for the next region one co-chair, as Dr. Alison Holmes will be stepping down at the PAS meeting this year after a three-year term. Though anyone can apply, it would be great to get representation from Boston or from one of the three northern New England states.

Region 1 Co-chairs,
Alison Holmes, Dartmouth

Matthew Sadof, Baystate

Mark Cicero, Yale

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Region II/III

The annual APA Region II/III meeting took place on March 6, 2015, and despite the inclement weather the day before, there were approximately 100 attendees! The joint Region II/III meeting was held for the first time at the Children's Hospital at Montefiore in the Bronx, NY, and attendees were welcomed with opening remarks by Judy Aschner, MD, Chair of the Department of Pediatrics at the Albert Einstein College of Medicine. Heather Forkey, MD, from the University of Massachusetts Medical School, gave a thought-provoking key note address on "Taking on Toxic Stress - Exploring the Science and Medicine of Trauma". Participants were able to choose from three workshops: "Interns as Teachers: Challenges and Strategies" (led by Rachel Katz, MD), "You've Done So Much... Be Proud Of It!... Strategies to Share Your Scholarly Work" (led by Suzette Oyeku, MD, MPH and Nora Esteban-Cruciani, MD, MS), and "Quality Improvement for HPV Prevention: Doing Better at Doing Good" (led by Kristin Oliver, MD). A total of 27 posters were on display during the poster session. The lunchtime networking session was led by a group of esteemed mentors, including:

Judy Aschner, MD
Susan Bostwick, MD, MBA
Nora Esteban-Cruciani, MD, MS
Arthur Fierman, MD
Katie Lobach, MD
Alan Mendelsohn, MD
Cindy Osman, MD, MS
Suzette Oyeku, MD, MPH
Lee Pachter, DO
Ian Paul, MD, MS
Steve Selbst, MD
Mark Schuster, MD, PhD
Nancy Spector, MD
Ruth Stein, MD

Table topics spanned from mentorship to policy to funding opportunities for early stage investigators. At the Business meeting, Mark Schuster, MD, PhD, APA President, gave a brief update and overview about what is going on in the APA. The day concluded with a platform session composed of 8 impressive presentations. We are excited to announce that Leslie Maness, MSIV (NYU School of Medicine, mentor: H. Shonna Yin, MD) received the highest ratings for her presentation and has been recognized with the 2015 APA Region II/III Meeting Best Platform Presentation by a Trainee Award.

We are looking forward to seeing Region II members at the upcoming PAS meeting in San Diego! Our APA Region II breakfast will be held Monday, April 27th from 7:00 - 8:00 AM in the Hilton Bayfront Hotel (Aqua 311B).

If you are interested in helping us plan Region II activities, or have any comments, suggestions, or questions, please e-mail us!

Region II Co-Chairs:

Rachel S. Gross, MD, MS

Sylvia W. Lim, MD

H. Shonna Yin, MD, MS

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Region IV

Dear Region IV members,
We are happy to report another successful regional meeting in Charlottesville in February! While we were on track to have record attendance this year, one of this winter's relentless storms had other plans. Nonetheless, many of our hardy regional members made it to Charlottesville and we still had excellent attendance. Thankfully, no one was hurt during their travels. We enjoyed the chance to (re)acquaint and network with our colleagues - albeit sometimes through the recounting of harrowing tales of slippery roads. If you weren't able to make it to the meeting, you missed out on learning about Cap'n Crunch flavored e-cigarettes from Dr. Ii-lun Chen from FDA and the chance to provide input on the AAP & APA's plan for an educational insert on HPV vaccination messaging as presented by Dr. Sharon Humiston. You also missed the many great original research presentations that ranged from - to cover just a fraction of the topics--innovative methods for teaching students and residents, ideas to make inpatient rounds more family-centered, and ideas to curb obesity by limiting infant bottle size.

Congratulations to all the presenters including the 2015 APA Region IV Meeting Research Awardees:
Fellow Research Award: Dr. Callie Brown, University of North Carolina
Title: Parental Perception of Weight During the First Year of Life
Authors: Brown CL, Skinner AC, Yin HS, Rothman RL, Sanders LM, Delamater AM, Ravanbakht SN, Perrin EM

Resident Research Awards:
Dr. Kaitlin Brandstadter, University of North Carolina
Title: Maternal Self-Efficacy and Obesogenic Behaviors in Infants (15)
Authors: Brandstadter KM, Skinner AC, Yin HS, Rothman RL, Sanders LM, Delamater AM, Ravanbakht SN, Perrin EM

Dr. Katherine Ottolini, Walter Reed National Military Medical Center
Title: Reducing Unnecessary Radiation Exposure in Children Presenting to a Military Emergency Department with Head Injury - A Resident QI Project
Authors: Ottolini KM, Lim M, Kurlantzick R

Medical Student Research Award:
Ms. Carolyn Arnold, Johns Hopkins School of Medicine
Title: Urban Children with Poorly Controlled Asthma Disagree with Caregivers and Clinicians on Reasons for Not Using Controllers
Authors: Arnold CM, Bixenstine PA, Cheng TL, Tschudy MM

Looking forward to PAS in San Diego and hope to see you at the APA Region IV Breakfast scheduled on Monday, April 27th from 7:00-8:00 AM in the Hilton Bayfront Hotel (Aqua 310A - Conference Room). Please join us if you can. Looking even further ahead, mark your calendars and send us ideas for the 2016 Region IV meeting! We already have the conference rooms booked at the Omni in Charlottesville for Saturday, February 20 to Sunday, February 21, 2016.

APA Region IV Co-Chairs,
Megan Tschudy, Carl Seashore & Linda Fu / /

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Region V

Greetings and Happy Spring from Region V! We hope everyone survived the long winter!

The Region V Annual Meeting, held in Cincinnati on February 27 and 28 was a huge success. We had almost 50 participants (including 30 trainees) attend sessions on the treatment of the febrile infant, what's new in residency education, and how to be a better advocate for your patients. Tom Dewitt, MD, developed an eloquent keynote address reflecting on his career in academic pediatrics. We also had updates from the National APA office as well as Regional update on activities. We also were treated to two fantastic trainee poster sessions, as well as platform presentations from our trainee abstract and case report winners. Thanks to all who attended and made the meeting a huge success!!

If you are planning on attending the PAS meeting in San Diego this year, please plan on attending the Region Breakfast. This year's breakfast will be held on Monday April 27 from 7-8 am. It will be held at the Hilton Bayfront Hotel, Indigo Ballroom D. In addition to an update on Region activities, we will have our overall trainee and case report winning abstracts presented, along with some trainee posters. It is a great way to hear about what is going on in the Region, and to network with your peers.

Finally, we are seeking an incoming Region Co-Chair to join us beginning this summer. Merrilee Cox will be rotating off as Region Co-Chair after PAS. Being a Region Co-Chair is a great way to get involved in the APA. Region Co-Chairs serve a three year term and are responsible for planning the activities of the Region (quarterly webinars, annual meeting, PAS Region Breakfast). Region Co-Chairs are also invited to attend the APA Board Meeting at PAS. We would be happy to discuss this opportunity to anyone who is interested (and you can self-nominate). Please let one of us know if you are interested or have questions.
We hope to see all of you at PAS in sunny San Diego!

Region V Co-Chairs:
Merrilee Cox

Chris Peltier

Jawad Javed, MD

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Region VI

PAS is quickly approaching!
The Region VI Breakfast is Monday, April 27, 2015 at 7 a.m. at the Hilton San Diego Bayfront, in Indigo Ballroom E. Please plan on attending to hear updates from around the Region, meet new colleagues, and learn about plans for the coming year.

Also while at PAS, keep an eye out for posters, platforms, and workshops from Region VI (Saskatchewan, Manitoba, North Dakota, South Dakota, Minnesota, Wisconsin, Iowa, Nebraska, Kansas and Missouri). All can benefit from feedback, and everyone has worked hard to present at PAS, so take a few minutes and learn about what they are working on.

Save the Date for 2015 Fall Regional meeting: Friday, September 25, 2015 in Kansas City, MO
Our very own President-Elect Maryellen Gusic, MD will be our featured speaker during a full-day meeting that will be designed with something for everyone. Please put this date on your calendar and plan to attend along with others from all over the region.

Promotion Reviewers
Dr. Timothy Fete, Chairman of the Department of Pediatrics at the University of Missouri, has developed a list of associate and full professors within Region VI who are willing to serve as referees for faculty members from other institutions within our region. The list will be maintained by the Region VI Co-Chairs and is available only to Region VI members. The focus is on strengthening our region: individuals, programs and departments. Please contact one of the Co-Chairs for the list.

Institutional Liaisons
As noted in the last newsletter, to increase information exchange and member involvement, institutional liaisons have been re-instituted this year. These are individuals who have agreed to represent their institution through regular interactions with the Region VI co-chairs. Liaisons are self-nominated or institution-determined and serve for 3 years.
Duties include:

    1. Representing their academic institution as the "Go To" person, that the Region VI co-chairs may approach to ask for member help with projects or requests from the national APA office.
    2. Providing information about member activities/achievements at their institution such as awards and projects.
   3. Assist with promotion of regional and national activities including membership, identifying volunteers for committees, projects, etc.

Please consider becoming an institutional liaison. If you are interested in this position, contact the co-chairs.

New Region VI Co-Chair
Please welcome Mitzi Scotten, MD, Associate Professor of Pediatrics, from the University of Kansas School of Medicine as our new Co-Chair. Mitzi is the Director for the Medical Student Clerkship and also the Director of the Pediatric Cystic Fibrosis Clinic at University of Kansas Medical Center in Kansas City, Kansas. She brings tremendous experience, particularly regarding medical student education, assessment and simulation, to our group. Following PAS, Mitzi will be taking over for Donna D'Alessandro, who for the last three years has brought tremendous leadership, guidance and resolve in working to further and strengthen Region VI. Thank you Donna for all of your hard work and dedication!

The Region Spotlight
Please see below some of the great work our members have been doing in the last few months. So don't be shy to contribute your own information or look around and see what other APA members at your institution you can shine the spotlight on. Information can be submitted at any time for inclusion in the next newsletter.

News from University of Iowa Children's Hospital:
After many years as an outstanding pediatrician, educator, leader and mentor, Jerry Woodhead is retiring in April from the University of Iowa. Jerry originally came as a fellow in nutrition and nephrology and decided to make Iowa City his home.  Among his many accomplishments has been APA Regional Chair, President of the State of Iowa AAP Chapter and the President of COMSEP. His contributions as the Division Director will also be sorely missed by the Division and Department of Pediatrics. We wish Jerry very well in retirement.

News from Children's Mercy Hospital (CMH) and the University of Missouri-Kansas City:
Jennifer Dilts, D.O., has been selected to become part of the next APA Educational Scholars Program cohort.

Kadriye Lewis, EdD led two workshops at the Annual ACGME meeting this year in Feb. She was assisted by Jane Knapp, MD in the workshop on Collaborative Technologies:  Adopting Wikis in Medical Training Programs. Kadriye worked with Susan Hathaway, PhD in the workshop on Performance-based Assessment:  Common Appraisal Errors and Flaws during the Evaluation Process.

The CMH Chief Residents (Nick Clark, Ashley Hiatt and Kayla Heller) will have a poster at the APPD meeting in Orlando entitled: Residents Experiencing Secondary Trauma (REST): program intervention at a tertiary academic pediatric hospital

Med/peds resident Kirstin Hirni published two commentaries recently as a result of her Pediatric Ethics and Palliative Care elective. They are:

Hirni K, Carter B. Hearing others' perspectives when we hear, "Do everything!"  JAMA Pediatrics. 2015 Mar 16. doi: 10.1001/jamapediatrics.2014.3699. [Epub ahead of print]

Hirni K, Carter B.  White flag.  Ann Intern Med. 2015;162: 453 - 454.

News from SSM Cardinal Glennon Children's Medical Center (CGCMC) and Saint Louis University:
Donna Halloran, MD, MSPH has been elected to the FLOURISH St. Louis (Initiative for Healthy Babies & Families) Cabinet. The vision of FLOURISH is to have a substantial and sustained reduction in infant mortality throughout St. Louis City and County.

Matthew Broom, MD has accepted the position of Medical Director for Danis Pediatric Center. Danis Pediatric Center is the SLUCare practice associated with CGCMC and the medical home for over 10,000 patients in the St. Louis area.

Drs. Halloran and Broom recently published work on the use of text messaging among mothers coping with postpartum depression:

Broom MA, Ladley AS, Rhyne EA, Halloran DR. Feasibility and perception of utilizing text messages as an adjunct therapy for low-income, minority mothers with postpartum depression. JMIR Mental Health 2015;2(1):e4. doi:10.2196/mental4074

Remember to submit your own or your colleague information to the region co-chairs at any time.

Other Important Information
Newsletter items including Region Spotlight items can be submitted to the national office or the regional co-chairs at any time. Nominations for regional co-chair - nominate yourself or someone else by contacting the region co-chairs.

Region Co-Chairs:
Matthew Broom

Donna D'Alessandro

Anita Moonjely

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Region VII & VIII

Regions VII and VIII hosted their annual regional meeting in New Orleans, February 26-28, 2015 during the Southern Regional Meetings. The meeting featured outstanding original science and clinical case presentations as well as the opportunity for poster mentoring.

We were also thrilled to have Dr. Mark Schuster, MD, PhD and APA President, present. He addressed attendees prior to the APA Workshops with an APA update, including new APA programs and awards, and future directions for the APA.

Dr. Schuster's remarks were followed by two APA sponsored workshops: The first one was "Enjoying Life: Managing Stress and Burnout," presented by Annamaria Church, University of Tennessee COM-Chattanooga and Monique Naifeh, University of Oklahoma COM. The second workshop was "Time Management: Living Life Fully and Productively" by Steve Whitney, Jen Fuchs and Dana Foradori, Baylor College of Medicine.

APA Regions VII and VIII joined forces to give awards for case presentations in the Pediatric Clinical Case Symposium. All presentations were by trainees and all presenters were eligible for the awards. Congratulations to the winners:

1st Place (with a cash award of $300) was Gabriella Lamb, University of Texas Southwestern, "Primary HIV Manifesting as Acute Pancreatitis in an Adolescent, Symptom of a Larger problem?"

2nd Place (with a cash award of $200) was Emily Pierce, Georgia Regents University "Self-Resolving Ortner's Syndrome in a Term Neonate."

3rd Place (with a cash award of $100) was Jonna Marret, Tulane University "A Lung Mass in a teenage Male with Asthma."

We hope to see you at the PAS Meeting in San Diego, CA, April 25-28. If you do attend, be sure to come to your regional breakfast scheduled on Monday, April 27 from 7:00-8:00AM at the Hilton Bayfront Hotel - Aqua 311A and the Region VIII breakfast will also be at the Hilton Bayfront - Aqua 303. If you have not yet registered for PAS Click Here.

Region VII Co-Chairs:
Jennifer Andrews

Monique Naifeh

Adam Wolfe

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Region IX & X
                                   Region 9 and 10 Members

Region IX and X joined together once again for the annual Community, Advocacy, Research and Education (CARE) Conference in sunny, Monterey, CA. The meeting was held on January 31 and February 1, 2015 at the beautiful historic naval Post Graduate School. We had a terrific (and possibly record) turnout of over 75 faculty and presenters. During the two day conference, attendees had a chance to network, exchange ideas and support one another. This year, twenty six abstracts and thirteen "works in progress" were presented by medical students, pediatric residents, pediatric fellows, faculty and public health researchers. Topics covered a wide range of interests that included resident education, infant, child and adolescent health, children with special health care needs, as well as local, regional and international advocacy efforts.

APA President Dr. Mark Schuster, MD, PhD provided an update on APA activities and his perspectives on opportunities to get involved in the APA. Dr. Schuster also shared insight into ongoing national efforts to establish quality measures with his talk: "Quality Measurement in Pediatrics".

The second day of the conference was highlighted by three excellent, engaging workshops on "Common Biostatistical Errors" led by Andrea Wickremasinghe and Thomas B. Newman; "Developing quality improvement projects in a large academic practice with medical students and residents" by Leah Kern and Janet Crow; and "Primary care curriculum development: Creative methods and meaningful assessment" by Daniel Nicklas and Julia Brant. The workshops provided skills and techniques to incorporate in research, quality, and education. Attendees included several luminary academics in our regions, including but not limited to: Carol Berkowitz, Becky Blankenburg, Greg Blaschke, Janine Bruce, Lisa Chamberlain, Paul Chung, Tumaini Coker, Fernando Mendoza, Thomas Newman, Megumi Okumura, Lee Sanders, Peter Szilagyi (editor of Academic Pediatrics), John Takayama, and Paul Young - all of whom served critical roles as abstract judges and critquers.

There were two winners of the Paul Young Travel Award to this year"s Pediatric Academic Societies Meeting in San Diego, California. Lisa Mondzelewski, MD, MPH from University of California San Diego for her talk "Timing of circumcision and breast feeding initiation among male newborns" and Maya Ragavan, MD from Stanford University for "Health after surviving intimate partner violence: Women and adolescents" perspectives". The winners will receive funds to support their travel and will present at our Regional Breakfast on Monday, April 27, 2015 at the annual PAS Meeting.

Also, mark your calendars! We hope to see Region IX and X members at the Regional Breakfast at the PAS Meeting in San Diego on Monday, April 27, 2015 from 7:00 - 8:00 AM at the Hilton Bayfront Hotel - Aqua 310B!

We are planning on a brief update on the regional meeting held in January, followed by presentations by the winners of the Paul Young Travel Award. Lisa Mondzelewski, MD, MPH will present her talk "Timing of circumcision and breast feeding initiation among male newborns" and Maya Ragavan, MD"s talk "Health after surviving intimate partner violence: Women and adolescents "perspectives" will be presented. The winners will also receive their certificates.

We look forward to seeing you all in lovely San Diego!

Finally if you are interested in taking on a region co-chair position, please let us know. You may self-nominate or nominate a colleague!

Region IX and X Co-chairs,
Larry, Gina, Mandy, Tamara, and Dean

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Special Interest Groups
Culture, Ethnicity, and Healthcare

This year at the annual PAS meeting in San Diego we will have a combined meeting of the Culture, Ethnicity, and Healthcare SIG and the Serving the Underserved SIG on Sunday, April 26, 12:00 - 3:00 PM. The combined session will focus on how we, as pediatricians, can act on our growing knowledge about the social determinants of health. The session will include a screening of parts of "The Raising of America" documentary, and presentations by Dr. Renee Boynton-Jarrett and Dr. Jeffrey Colvin. Dr. Boynton-Jarrett, a Boston-based pediatrician who is featured in the documentary, will discuss her work as a clinician and researcher in identifying and addressing social determinants and adverse childhood experiences among the families she serves. Dr. Colvin, MD, JD will discuss how medical-legal partnerships play a role in acting on social determinants and how providers can identify families’ needs. Attendees will also have the opportunity to learn about, and provide feedback for, the AcademyHealth and Child and Measurement Health Initiative on the development of a research and action agenda on to address adverse childhood experiences (ACEs) in our changing health care landscape. Please join us for this informative and engaging session.

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Dear Ethics SIG members,
We are excited to be in San Diego for the 2015 PAS Meeting!

Our meeting is scheduled on Monday, April 27 from 8:30 to 11:30 AM at the Hilton Bayfront Hotel in Aqua 300A.

Ethics SIG Meeting Agenda:

II.Announcements of first APA Ethics SIG essay contest winners
III. Panel discussion-"End-of-life decision making and cultural differences." 

Objectives: 1. Appreciate a wide range of cultural differences in the approach to end of life decisions. 2. Improve our understanding of rationing scarce resources in underdeveloped countries. 3. Improve cultural awareness regarding the end of life.

Ryan Coleman: "Time to Move on - Understanding Death and Distribution of Resources in an African Hospital"
Lama Charafeddine: "Closing the loop in end-of-life decisions: NICU experience in a multicultural setting"
Michael Schimmel: "End-of-life from the beginning: Experience of a multicultural, large NICU service in Jerusalem"
Eduard Verhagen: "Pediatric euthanasia in Netherlands, how and why are the Dutch different?"

IV. Closing/comments

Looking forward to seeing you sunny San Diego!

Warmest wishes,
Ethics SIGs Co-chair,

Diane Plantz, MD
Children's Mercy Hospital
Zeynep Salih, M.D.
Riley Hospital for Children
Adrian Lavery, MD, MPH
Children’s Hospital

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Evidence-Based Pediatrics

The leadership of the APA EBP SIG asked the staff at APA to conduct a second call for nominations for co-chair. We had at least two nominations, one of which disappeared. As soon as that process is completed, we will hold an election of the SIG membership for co-chair to join Rachel Boykan, MD. The terms are three years and staggered by at least a year and renewable for a second term of three years. Bob Jacobson is completing his second term and will rotate off this May, 2015.

We have a full program for our annual meeting on Saturday, April 25 at PAS 2015 in San Diego. The meeting runs from 2:45 to 4:45 PM and features a number of talented speakers including Martha S. Wright MD, M.Ed. of Case Western, Robert Johnson, MLIS of University of Southern California, Manish I. Shah, MD of Texas Children's, and Patricia G. McBurney, M.D., MSCR of the Medical University of South Carolina. The program will end with a brief business meeting where we will discuss among other things our SIG's submission to the APA Small Grant RFA to improve HPV vaccination and our SIG's current research effort with a survey of residency programs.

The presentations include topics relating EBM to Pediatric Milestones, incorporating information resources into clinical workflow, disseminating Evidence-based protocols for emergency medical services in the US, and running an EBM subcourse in a pediatric clerkship.

We've recently updated our web pages and encourage you to check the new links and offer additional resources you've been using. Feel free to download quiz and test questions from our test library at our wiki site. And we encourage you to use our ListServ anytime you want to start a discussion or seek advice.

Rachel Boykan, MD
Bob Jacobson, MD

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Health Literacy

We are looking forward to seeing Health Literacy SIG members at the upcoming 2015 PAS meeting in San Diego! We would like to highlight a few events at PAS for our members:

The Health Literacy SIG meeting will be held on Saturday, April 25, 2:45-4:45 PM (Hilton Bayfront Hotel - Sapphire 410A). We will have a special guest speaker, Ivor Horn, MD, MPH, and Medical Director for the Center for Diversity and Health Equity at Seattle Children's Hospital, who is an NIH-funded investigator focused on health communication and child health disparities. She will be sharing her work on social media and mobile health (mHealth) technology how they can be used to address health disparities. Participants at the SIG meeting will also have an opportunity to get feedback on their current and planned health literacy projects (in research, education and policy realms) and network with others interested in health literacy issues.

There will be two APA Health Literacy SIG-sponsored workshops at PAS:

Sunday, April 25, from 12:00-3:00 PM - "Health Literacy from ‘Bench' to Bedside: Verbal, Written, and Technological Tools for Clear Communication in Clinical Practice and Research" [Hilton Bayfront Hotel ~ Aqua 310B] and,

Monday, April 26, from 8:30-11:30 AM - "Doctors are from Mars, Patients are from Venus: Teaching Health Literacy Strategies Across the Medication Education Continuum to Close the Communication Gap and Keep Patients Safe and Well" [Hilton Bayfront Hotel ~ Aqua 310B].

We also wanted to announce that our HL SIG was selected to receive a APA SIG Small Grant HPV Vaccination Award for the proposed project "A Health Literacy Initiative to Improve Provider-Parent HPV Vaccine Communication" (Co-PI's: Rosy Chaabra, PsyD, H. Shonna Yin, MD, MS; co-I's Barbara Bayldon, MD, Iman Sharif, MD, MPH, MS, Deena Chisolm, PhD, Maheen Quadri-Sheriff, MD, MS). The grant will fund a multi-step educational initiative which will include: (1) performing a HL-informed evaluation of existing HPV counseling tools (e.g. grade level, suitability assessment), (2) identifying parent/provider barriers to HPV vaccination; (3) developing HL-informed educational materials in partnership with families and providers; and (4) evaluating the clarity of the HL-informed tools and provider and family acceptability. We welcome the participation of other APA SIG members - please contact the SIG chairs if you are interested in becoming involved!

APA Health Literacy SIG Chairs

Barbara Bayldon

Lee M. Sanders

H. Shonna Yin

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This year's SIG will focus on hot topics in obesity research and motivational interviewing with an emphasis on translating applications into your practice and community. Presentations will include "Xenobiotics, Transgenerational Effects, and Obesity," by David Collier, MD, PhD and "Motivating Adolescents with Technology to CHOOSE Health," by Suzanne Lazorick, MD, MPH, both from the East Carolina University Pediatric Healthy Weight Research and Treatment Center. Then, learn about the evidence and feasibility for incorporating motivational interviewing (MI) in community and academic settings to address childhood obesity.  Presentations will include "Brief MI Office Visits - Does this Really Work to Reduce Child BMI?" by Sarah Armstrong, MD, Duke University; "Implementing Lifestyle Screening and MI for Obesity Prevention and Treatment in Pediatric Clinics," by Matthew Haemer, MD, MPH, University of Colorado; and "Training Residents in Behavioral Approaches to Address Childhood Obesity" by Stephen Gillaspy, PhD, University of Oklahoma Health Sciences Center.


Ashley Weedn, MD, MPH
Department of Pediatrics
University of Oklahoma Health Sciences Center

Patient and Family Centered Care

Please join us for the Patient and Family Centered Care SIG at PAS Saturday at 2:45 PM

"PFCC - strengthen the center" will highlight ways to promote participation in PFCC across organizations by showcasing programs that focus on patient, family, and provider development. Our session will include a presentation from Chrissie Blackburn, a parent on staff at UH Hospitals-Rainbow Babies and Children's Hospital.  She will share a structure for engaging patients and families across an organization, including strategies for engagement and education at the bedside and a reporting model for hired parents on staff.

But wait-there's more:  We also have an exciting panel of physician discussants and Family/Parent Faculty with experience in family engagement and small group exercises that will help participants develop Family Faculty in their institution. We will provide examples of teaching tools and resources to actively train both families and providers in PFCC and PFCR.

We will also have poster session, a great way to network with others who are interested in PFCC.  Please come and bring your ideas, experiences and questions. We hope to continue to grow our network to further collaboration and research in PFCC!

See you in San Diego!

Co-Chairs, Patient- and Family Centered Care Special Interest Group
Kristin Voos, Nena Osorio, Heather Toth, Mike Weisgerber, & Michelle Kelly

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Pediatric Tobacco Issues

We are excited to present the agenda for the APA Pediatric Tobacco Issues SIG meeting at the 2015 Pediatric Academic Societies' meeting in San Diego, California. We will be discussing a variety of topics that cover issues important for clinical medicine, public health and policy. We are delighted to have Dr. Dean Sidelanger, Child Health Medical Officer for the County of San Diego Health and Human Services Agency (HHSA), discuss the development of local e-cigarette policies and regulations in San Diego. Dr. Susan Walley from the Division of Hospital Medicine at University of Alabama at Birmingham will lead a discussion about inpatient tobacco cessation interventions. Lastly, Drs. Ruth Etzel and Karen Wilson, co-chairs of the AAP Provisional Section on Tobacco Control, will also present a Preview of the AAP Tobacco Policy Statement. We hope to have an interactive and informative session and welcome students and trainees! If you have any questions, or suggestions for the SIG, please email us.

Deepa Camenga (
Kevin Nelson (

Teaching in Community Settings

The Teaching in Community Settings SIG is the home and voice in the APA for the community academic pediatrician. We represent all facets of community pediatricians who teach, regardless of setting (private practice, community health center, community hospital, and anyone else who teaches outside of the traditional medical school affiliated academic center). We view our role as providing community context to all facets of academic pediatrics. We aid different interest groups and individuals in academic pediatrics in assuring that teaching across all community settings is high quality and beneficial to learners at all levels including medical students, residents (both pediatric and family medicine) and nurse practitioner students. One of the benefits and goals of having quality teachers and role models in the community setting is that learners exposed to these settings will be more likely to pursue a career in community pediatrics.

The Advocacy Training SIG and the Teaching in Community Settings SIG has teamed up to offer a dynamic SIG program for PAS 2015. This year's SIG program will take place on Sunday April 26 from 8:00 - 11:00 AM, in the Sapphire Ballroom E, located at the Hilton Bayfront Hotel. The focus of this year's program is teaching how to be successful advocates in a community based setting. To set the stage, the session will begin with a presentation on Advocacy 101. Next, examples of successful community based advocacy projects implemented in small, medium and large settings will be presented. A Q&A session with all of the presenters will follow. After a short break, trainee poster and plenary presentations will highlight the advocacy efforts taking place in training programs, with an emphasis on community based projects. We hope you will join us for this fantastic program.

Please contact us with any questions or suggestions for future programs and initiatives.

Teaching in Community Settings SIG
Scott Krugman

Chris Peltier

Scott Vergano

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Qualitative Research

We are pleased to hold our annual Qualitative Research SIG on Saturday, April 25 from 8:30-11:30 AM at the Hilton Bayfront Hotel's Sapphire Ballroom I. Please join us! What we have learned from past years is that people want hands-on experience working on their qualitative research methods. In addition to a short business meeting, the bulk of the session will be time to visit consultation tables. Come learn strategies for running focus groups, conducting in-depth interviews and collecting observational data. We will also have a short segment where we do hands-on coding with a debrief. It can also serve as an opportunity to hear what others are working on and to network and form new collaborations. Any level of experience is welcome, from novice to expert and everything in between. Hope to see you in San Diego!

Eve Colson
Janice Hanson
Terry Kind

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Welcome a New SIG: Healthcare Value SIG

The APA is happy to announce the addition of a new SIG!

The new Healthcare Value SIG Co-chairs are Alan R. Schroeder, MD and Ricardo Quinonez, MD.

The goals of the SIG are

 -To support and recruit APA members who are working on issues relating to value (defined as health and healthcare outcomes/cost) in pediatric healthcare
 -To develop a national curriculum on healthcare value for pediatric trainees
 -To facilitate discussions and projects within the field of pediatrics surrounding the financial crisis affecting US healthcare

This new SIG will not be meeting at PAS this year, but the co chairs encourage you to attend the following meetings to get a taste of what this new SIG will focus on:

Saturday April 25th, 2:45-4:45 PM: Medical Student Education & Quality Improvement SIG Combined Session: "Teaching Value and Patient Safety to Medical Students." Part of this combined SIG meeting will focus on talking about a value curriculum for residents.

Monday April 27th, 3:30 PM Workshop: "High-value Cost-Conscious Medicine: Teaching Residents to Safely Do Less"

If you are interested in being on this new SIG’s listserv, please contact the APA office.
Finally, if this sparks your interest in starting a new SIG, please review this article written in a previous newsletter that describes the process for creating a new SIG. (See previous SIG Newsletter featured in January 2015 edition.)

Darcy Thompson, MD
NCS and SIGs Chair
Academic Pediatric Association

CDC/APA HPV Immunization Grant Activities

APA SIG Grant Awardees
We are excited to update you on the awardees for the APA SIG Small-Grant HPV Vaccination Award!

Continuity SIG
Resident to resident: improving your HPV vaccine messaging (John Olsson and Sue Feigelman)

Health Literacy SIG
A Health Literacy Initiative to Improve Provider-Parent HPV Vaccine Communication (Rosy
Chhabra and Shonna Yin)

The purpose of the SIG small grant award is to develop creative mechanisms to improve HPV vaccination rates across the US. They are one component of a larger grant APA received from CDC to improve HPV vaccination rates among adolescents, which are extremely low throughout the US.

We are very impressed with the multiple excellent-quality applications the APA received. We regret we could only fund two grants in 2015, and encourage SIGs to consider applying when the 2016 RFA is announced. Thank you.

Grant Announcements

Grand Rounds: We are offering a Grand Rounds to (1) explain the importance of HPV vaccination and describe current rates, (2) discuss the rationale for vaccinating at 11-12 and for vaccinating boys (3) provide useful communication strategies to inform parents about HPV(4) to develop a plan to increase your practice's HPV vaccination rate, and (5) to help providers locate resources that are relevant to current immunization practice. If interested in having a Grand Rounds in your location, please email

SIG RFA: An RFA was recently announced to fund 2 SIGs (up to $5,000/project) to perform projects to strengthen provider recommendations and effectiveness of healthcare settings in delivering HPV vaccinations. For more information, contact

CORNET Recruitment: CORNET is very excited to be working on this project to improve HPV vaccine delivery. We are beginning the recruitment phase for this exciting QI project. Invitations to participate will be sent out soon, so please let us know if you are interested. For more details, contact Community-based practices that are part of the National Improvement Partnership Network (NIPN) will also be recruited to participate in these QI project activities.

Cindy Rand, MD, MPH
University of Rochester Medical Center

Interested in Medical Decision Making Research or Decision Sciences?

Join us for an informal get together at PAS. Four years ago, pediatric researchers presenting at the Society for Medical Decision Making got together and formed a pediatric interest group. This group brings together researchers involved in diverse areas from modeling to utilities assessment to decision psychology. The group was established to connect researchers focused on child health within any of area of decision sciences and help us address the challenges that are similar in all our fields. Such challenges include: the family context of pediatric decision making, be it related to utilities assessment or clinical decision making; a relatively limited pediatric evidence-base; and the ways the dynamic development of children impacts both policy and clinical decision making. Many of us are also active members of the APA and regular attendees at PAS.

Each year we meet for an early morning coffee during PAS. When our numbers get large enough we will consider becoming an official SIG, but until that time we'll continue our coffee tradition. We invite anyone interested in decision modeling, health economics, shared decision making, decision psychology or related fields to join us. We'll meet Sunday April 26 at 7:00 AM in the lobby of the Marriott Marquis and Marina; feel free to bring your coffee. If you have questions or want to be added to our e-mail list, contact Ellen Lipstein at Thank you.

The PAS Is Annual Meeting Coming Up

With the 2015 Pediatric Academic Societies Annual Meeting coming up on April 25-28, I'd like to talk about just a few of the exciting events in store for attendees. As always, there will be a plethora of interesting and informative platform and poster sessions on critical issues that affect child health, but here are some specific events that I highly recommend:

Friday, April 24 at 8:00am: The 5th Annual Quality Improvement Science for Children's Health Care Research Conference will focus on barriers and facilitators to the development, extension, and use of state-of-the-art methodologies and research methods for health care quality improvement research. This conference gets great reviews each year. Sign-up!

Saturday, April 25 at 1:00pm: The APA Speed Mentoring Luncheon is a fantastic avenue for getting advice from and making connections with more senior colleagues.

Sunday, April 26 at 11:00am: For those looking to get more involved in APA activities or to just learn more about our current initiatives, check out our committee meetings: Education, Research, Public Policy and Advocacy, and Health Care Delivery.

Sunday, April 26 at 3:45pm: The APA Business Meeting will include the APA Debate, which is always an entertaining event. This year's debate topic is "Resolved: It's Time to Take the Pediatrician out of Primary Care Pediatrics." I am also excited about all of this year's award winners, many of whom will receive their awards during the business meeting.

Monday, April 27 at 7:00am: Don't miss the APA regional breakfasts, which are a great way to connect with local colleagues.

Monday, April 27 at 1:30pm: The APA Presidential Plenary will feature presentations on a range of timely and important topics in general pediatrics, from quality improvement to global health to advocacy. The accompanying Armstrong Lecture will be given by pediatrician Neal Baer, MD, AM, EdM, former executive producer of the television shows ER and Law & Order: Special Victims Unit, among others. For the Presidential Address, I will be speaking about the importance of supporting and facilitating parent engagement in pediatric practice.

APA Special Interest Groups (SIGs) are scheduled throughout the meeting and cover 41 different topics, so consider dropping in on a SIG that aligns with your interests, because there probably is one.

In addition, keep in mind the many alumni receptions in the evenings, which are great for networking, sharing ideas, and catching up with old friends.

Once again, I look forward to learning about all of the exciting work everyone is doing and to returning home yet again inspired by our awesome membership.

Earn While They Learn: MOC for Residents has Arrived!

Residents in ACGME-approved training programs can now earn Maintenance of Certification (MOC) Part 4 credit during residency, which will be "banked" for them and will apply to their first MOC cycle once they pass their initial certification exam.

How it Works
Residents register for their ABP Portfolio after their first in-training exam any time from November of their PL1 year onwards. To register, a resident will go to the ABP website, click on "Log In" and click on "New User" and fill out the registration form - this will automatically generate their portfolio.

Once a resident has a Portfolio, she or he will have full access to all ABP-developed activities, including Self-Assessment (Part 2) and Quality Improvement (Part 4) activities. However, residents can only earn bankable credit for Part 4 activities.

Like all diplomates, residents can earn Part 4 credit by:
   -Leading or participating in an ABP-approved QI project (and they can propose their own!)
  -Participating in online ABP Performance Improvement Modules (PIMs), or other approved online modules    (such as AAP EQIPP)
   -Authoring a QI article or a peer reviewed poster or platform session at a national meeting

Fellows in an ACGME-approved fellowship program who have not yet passed their initial General Pediatrics certifying exam are also eligible to participate in MOC for Residents program. Fellows who have passed the general pediatrics exam are already certified and all MOC activities will earn credit.

At the same time that MOC for Residents was launched, the ABP also launched a new Performance Improvement Module (PIM) on Motivational Interviewing. MI uses specific strategies to influence patient behavior and promote healthier actions with the intent of reducing chronic and preventable diseases. This PIM is designed to be done in dyads (such as a resident and a faculty member) who observe each other as they sharpen their MI skills. Using feedback from patients, parents and observers, this particular PIM offers a streamlined, electronic data collections process.

It's a great opportunity for faculty and residents to work together to build motivational interviewing skills and earn MOC credit! Its unique design also uses observer assessment tools that incorporate items to address four of the pediatric competencies and their milestones.

A corresponding Motivational Interviewing Self-Assessment (Part 2) Activity is also available. These two activities can be used individually or together.

If you have any additional questions, please feel free to email We look forward to residents enjoying this exciting opportunity!

UW-Madison Develops Toolkits for Improving Family-Centered Rounds

Family-centered care has many benefits, including improved clinical outcomes, increased patient and family engagement and satisfaction, and more effective use of health care resources.

In the hospital setting, one way to achieve these benefits is through family-centered rounds (FCR) at the bedside. In fact, the American Academy of Pediatrics recommends FCRs as part of its policy statement on the pediatrician's role in patient-and family-centered care. Click Here to View.

Despite their benefits, FCRs can be challenging to operationalize at the institutional level. That's why a multidisciplinary group of family representatives, pediatric health professionals at American Family Children's Hospital (AFCH), and University of Wisconsin-Madison researchers have developed toolkits that outline how to implement FCRs effectively and sustainably.

Two versions of "The Family-Centered Rounds Toolkit" are available: one for clinicians/health care organizations and one for researchers.

The toolkit for clinicians includes the FCR checklist, a training curriculum and supporting materials, data collection tools for performance assessment, and a model for offering maintenance of certification (MOC) credit.

The toolkit for researchers includes methodological information about the development and implementation of the FCR checklist. It's also useful for organizations that wish to identify their own specific needs with regard to FCR implementation.

Experience at AFCH, where the FCR checklist and supporting curriculum was first implemented, clearly demonstrates the toolkits' effectiveness. For example, AFCH teams that used the FCR checklist were significantly more likely to read back orders for the child's care that hospital day, ask the family for questions, and ask their colleagues for questions, compared to teams that did not use the checklist.

This increase in engagement with families has implications for the quality and safety of care for hospitalized children, because when prompted, 51% of families and 33% of healthcare teams had at least one question about the child's care.

The toolkits are the product of an Agency for Healthcare Research and Quality-funded study on family-centered rounds (principal investigator: Elizabeth Cox, UW-Madison Department of Pediatrics).

To access the toolkits, Click Here. Registration is required, but there is no charge for the toolkits. Those who register will also get access to other toolkits for health system change and the option to receive updates when new materials, FAQs, or videocasts are available.


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