Question #10. What can the Section do to better serve Section members who are not neonatologists? 1. statement regarding care of NICU graduates. e.g. Nutrition, immunization and follow up 2. Not sure that this is necessary. 3. more ceu's 4. nurture research on outcomes in surgical patients 5. ? 6. hope that they can become one. 7. Be kind to them. 8. Same 9. Continue to provide educational materials 10. Don't know. 11. Communicate, work together. 12. Education regarding follow up ELBW ROP screening etc.. 13. ? 14. Encourage more people to get the neoreviews 15. n 16. Didn't know there were any 17. Understand why they became members and what they are most interested in gaining by becoming a member 18. Have interdisciplinary sessions. 19. Conitinue to work closely with APN organizations. 20. n/a 21. Strengthen interactions between neonatologists, other subspecialists and general pediatricians 22. I can't think of any 23. offer Q&A format for questions on neonatal management 24. not qualified to comment 25. ? 26. Malpractice issues Quick access to newer information on care of infants esspecially NICU graduates. 27. ? 28. work with the neonatologist in the community who will share their knowledge with the other Pediatricians. 29. education 30. Education on NRP, managing infectious issues at birth and in the first 48 hrs of life 31. Provide forum for non-neonatologists to express their ideas. 32. education of issues that are important to us and incorporate ( eg. foster communication with OB's, subspecialists 33. increase opportunities for collaboration with neonatologists/perinatologists 34. X 35. maybe the web-based CME list 1 Question #10. What can the Section do to better serve Section members who are not neonatologists? 36. 6,7 37. The section needs to continue to support pediatricians with education and training to prepare them for care that is appropriate for them to provide, but also help pediatricians to access our specialized care when that is appropriate. 38. sponsor education online and at meetings 39. Continue Neo-prep 40. educational aids 41. Address their concerns jointly with neonatologist 42. Keep them informed of activities and value their input in decision-making. 43. Not sure...maybe cheaper pricing for Neoreviews. 44. not sure 45. relationship between pediatricians and neonatologists 46. find out what they are doing in our section. 47. unknown 48. Invite them to speak 49. n 50. Need to ask them 51. Don't know. 52. No Answer 53. AT REGIONAL LEVELS, INVITE THEM 54. the same 55. Educational programs for pediatricians and physicians-in-training who are less well prepared in neonatal resuscitation and care. 56. --- 57. ? 58. Bring affiliated services into committee memberships. 59. By involving them in the decision making process 60. Better advocates for ancillary healthcare providers and more effective advocacy for children and families. 61. act like you care what nurses, RT's, social workers, pharmacists, and NNP's think 62. I don't have any suggestions. 63. Provide educational opportunities. 64. No suggestions at this time. 65. unclear the obligation, beyond informationa dn dialogue. 66. I cannot speak for colleagues in other areas. 67. see above 68. Ask them. Also, work with the national organizations that represent these individuals to provide complementary programs within their meeting structure. 69. not sure 2 Question #10. What can the Section do to better serve Section members who are not neonatologists? 70. - 71. I am not sure that the Section should focus on members who are not neonatologists 72. Training in neonatal issues for the primary care pediatrician 73. keep them informed 74. 1. continuous review and enhancement of NRP 2. advocate with JCAHO to allow use of standing orders for admission of newborns to the transition/NBN until the pediatrician can see the infant rather than requiring telephone or written admission orders each time. 75. More educational resources - update the website 76. ?? 77. should serve section members as the primary role 78. ? 79. yes 80. N/A 81. support NNPs who are being forced out of our field due to ridiculous education requirements 82. Clinical education and guidelines 83. I have not been a member long enough to have an answer 84. offer networking and information sharing opportunities, educational opportunities encourage membership at national and local levels 85. increase joint activities 86. none 87. let them fully participate in our programs encourage subgroups with special interests and support their ability to meet by financial and other tangible means 88. ? 89. proactive statements on medico-legal "experts" who lie about standard of care 90. education 91. Be an advocate, supportive, offering more CME online 92. provide more services directed toward non neonatologists 93. N/A 94. See comments for 9 95. Help with the Jacho ISSUE and quit having everyone woken up in the middle of the night for nonsense 96. nothing 97. provide them with more voice and more of a role within the section. NNP's now question why pay extra money to a Medical organization when my benefits are limited and influence is even less. 98. no recommendations 99. Education 100. Recognize that the largest segment of perinatal care is not provided to sick babies. 101. education about management of transient neonatal problems and about care of NICU graduates 102. ?? 3 Question #10. What can the Section do to better serve Section members who are not neonatologists? 103. Ask them what they need from the Section! 104. Same 105. access to latest evidence-based practice and research 106. no clue 107. Let them know what you are doing and encourage them to interact with section membership. 108. education 109. Support their participation in educational programs. 110. Not sure what they want. 111. Continue encouraging their participation in our section (ie.NNPs) 112. unsure 113. same 114. see 7 & 8 115. No suggestions 116. education 117. More education workshop, conference and printed materials 118. Educate them about the benefits of the section and need to combine the Neoreviews payment with the annual dues. 119. not sure 120. ?? 121. Unsure 122. ?more NNP involvement? 123. Build on a collaborative team effort to care for babies and families 124. doing a fair job 125. Ensure regular Neonatal publications contain articles at intervals aimed at the non-neonatologist members. 126. Not a clue 127. Better inform them of activities, guidelines and policies; find a role for participation (my wife is an associate member who is a NNP with a PhD; she is in academics) 128. Seek support and guidance on treatment of critically ill newborns. 129. why do we need to address that? 130. unsure 131. Continue to establish clinical guidelines. Continue with publications. Fight for reimbursement. 132. See #7 133. Not be so critial of real world community practice and help make academic neonatolgists be less critical of folks faced with real world situations 134. Establish better tools for communication. 135. keep them well informed 136. no idea; are you talking about pediatricians, or nnp's or RN's. Nurses have their own national organizations. 4 Question #10. What can the Section do to better serve Section members who are not neonatologists? 137. same as #9 138. same education issue as above 139. Not sure. I believe the org is primarily for neonatologists. i value and honor others in the field, but there are organizations ie NANN and others that is their primary base of representation 140. more representation and sessions focusing on their field or subspecialty 141. don't know 142. Actively solicit membership. Have neonatologists encourage NNP's to become members. 143. Need to include hospitalists whose primary practice is normal newborns in the section 144. Answered #5,6,7,8 and 9 on the survery I turned in yesterday before # 4 was corrected 145. not sure 146. Advocate increased study of premature labor - its causes and mechanisms 147. educated on role/value of neonatology 148. Acknowledge the value of a multidisciplinary team approach. 149. encourage them by other members 150. ???????? 151. education and advocacy 152. ? 153. Contiued updating of NRP 154. Developement of educational program 155. What is good for neonatologists should also serve those with whom we work--keep up an ongoing dialogue among professions 156. . 157. CME/CEU over the internet 158. Educate 159. Educational opportunities including practical workshops. 160. Through education: web, meetings, printed materials, etc. 161. Educational Programs 162. include presentations by and for them at meetings. 163. increase non physician education 164. Increase awareness of Neonatologist's commitment to the general mission of the AAP 165. Probable need to ask a non-neonatologist :) 166. n 167. I'm not sure who these people are. 168. none 169. Not sure, but I suspect that the NNPs are a little alienated from the neonatologists at the AAP level. Increasingly, general pediatricians are no longer doing newborn care. 170. assist with continuing education; outreach to all newborn care providers 171. assist with continuing education; outreach to all newborn care providers 5 Question #10. What can the Section do to better serve Section members who are not neonatologists? 172. Don't know 173. Keep them current with info regarding newborns and low birth weight babies via web based or lecture series in community hospitals. 174. no comment 175. co-ordinate efforts to avoid duplication 176. encourage them to attend neonatal cme 177. Explain to them that neonatology is not a religion. They can be happy and fulfilled doing what they are doing (even if they don't make as much). 178. Didn't know that there were non-physician members 179. Nothing 180. Conferences 181. not sure 182. i don't know 183. Education 184. see #8 More neonatal ICU exposure for Peds residents 185. integrate into section educational activities; support their advocacy/pofessional needs where feasible/appropriate 186. set minimal "optimal" standards of care 187. Disseminate neonatologist viewpoints more openly 188. Incorporate them in the education programs much as the NPA has done over the last 20 years 189. no opinion 190. No suggestion. Should ask those members. 191. ? 192. on line list serve and email communications 193. education 194. no answer 195. Advocate for digital techology. Work with CMA to roll back the licensure requirements in every state so that out of state consultation is easier. Need soem reciprocity. 196. Not sure 197. Publicize that the Section is open to nurses, etc., and then offer educational topics of joint interest where collaboration is needed. 198. who do you mean? 199. Not sure 200. I have no idea 201. extension to the community 202. / 203. Not clear who those people are. Perhaps better recognition so the neonatologists are aware of other members. 204. ask 6 Question #10. What can the Section do to better serve Section members who are not neonatologists? 205. help our colleagues understand what each neonatologist faces in the care of our NICU patients so that there is better continuity of care of these most fragile infants. Post-NICU grad courses, i.e., on how to care for these infants. 206. Not sure who these are? Specialists? 207. Enhance scope of educational programs. 208. Reach out to NNPS, NICU nurses. Help hospital administrations understand the complexities of NICU care. 209. Education 210. Written in previous version of survey 211. See question 6 and 8. 212. Continue to make educational offerings valuable to non-neonatologists 213. See what their issues are and address their concerns. 214. educating the pediatricians- NRP, compentency in the delivery room 215. uncertain 216. not sure 217. Encourage those groups to have simultaneous meetings in same locale. 218. allow us to become more involved, including participation on committees, ability to vote 219. Not certain - no ideas. 220. CME activities. 221. Address issues involving the care of infants who do not require intensive care including how to bridge the gap between hospital of birth and outpatient care 222. Don't know, ask them. 223. Keep them on board. Ask them what they need and try to provide it. Do more with NNPs and NANN-teamwork is essential in nearly every NICU. Do more with OB/MFM doctors-keep it cordial and cooperative. Educate them in what they no longer learn in their training programs. 224. ? 225. Be inclusive of them 226. NNPs/neonatal PAs should be members and have access to the educational benefits, etc. of membership. 227. Discussion of topics common to them and neonatologist 228. I don't know. 229. n/a 230. unsure 231. Improve internet access to information on job availability for trainees coming out of fellowship 232. see above, advocate for pediatricians so that hospital care is not so burdensome that they are driven out of hospitals 233. ? 234. education 235. Print "Special Articles" (viz. NEJM model) on Topics of Interest in Journal of Perinatology 236. Involve them in concensus building 7 Question #10. What can the Section do to better serve Section members who are not neonatologists? 237. Focus on issues common to general practitioners as well as specialists 238. Collaborate with Nurse Practitioners organizations. 239. can't think of anything 240. don't know 241. Continue to develop strategies for communication and collaboration with obstetricians, MFM, and down stream post-NICU providers in order to provide our patients with optimal care both pre-natally and after NICU. 242. No answer. 243. . 244. Outreach education to other specialties (Family Practice) who provide care to infants. 245. ? 246. NA 247. not sure 248. do not know 249. Education. 250. Programs aimed at the practicing pediatrician related to neonatal care. 251. Begin a committee that focuses on the needs of our Neonatal Nurse Practitioner colleagues who are vital to the livelihood of many neonatal practices today. 252. Advocate for SCHIP 253. education at regional and national meetings maintain dialogue with other organizations with similar goals and over care issues. 254. n/a 255. Include these members in more of our activities. 256. ?? 257. Allow more exchange of ideas between different AAP Sections 258. I don't know that we need to serve them but we need to get them to join the ranks 259. Make it more like District VIII perinatal section 260. ? 261. More opportunities to collaborate with NP/PA 262. I don't know 263. who would that be? 264. liaison 265. N/A 266. continue the good educational efforts; continue and perhaps more widely disseminate NRP for practicing general pediatricians 267. Coordinate interests, communication and education with neonatologists. 268. don't irritate half the neonatologists through political stances 269. Ask this question of those members. 270. More realistic approach to NRP utilizing innovative techniques such as simulation. For example, 8 Question #10. What can the Section do to better serve Section members who are not neonatologists? residents who are recently out of training have difficulty with intubation. 271. develop guidelines 272. unsure. 273. no answer 274. include topics of interest to them at national meetings 275. Continue to regard them as fully participating members of the section. 276. . 277. support physicians who are providing neonatal care and put aside the economic competition that undermines community efforts 278. don't know enough about this group.... who are they, what are their specialties 279. See above 280. cannot answer as I have been unable to be active participant over past couple of years. 281. No suggestions. 282. No answer 283. xx 284. Why are there section members who are not neonatologists? 285. online education 286. ? 287. better communication, as a large portion of neonatology is based in the community and not at the universities, involvement of nonacademic physician would be key. 288. keep up the good work 289. education 290. continue to update NRP 291. COllaboration and communication 292. provide guidelines 293. Expand on normal newborn care as an area of focus. Clearly an area being delegated to nonphysician providers as it evolves and incorporation of evidence based medicine and quality are leaving this population behind. 294. Same as 9 295. work with legislation for malpractice reforms 296. Provide a support network that will help them keep current in their area of expertise. 297. In this regard, I think the Section is doing as well as it can. 298. No idea 299. support our NNPs who are losing their ability to join our profession by continuing elevation in the academic requirements 300. Professional educational materials linked to the AAP website 301. improve or lengthen resident's exposure to NICU practice 302. If anyone is a section member who is not a neonatologist and practice neonatology, only those individuals can answer this question 9 Question #10. What can the Section do to better serve Section members who are not neonatologists? 303. SUPPORT PATIENTS RIGTHS 304. Foster collaboration between disciplines and locations for research 305. No comment. 306. ? 307. don't know. 308. Education regarding the status of our profession, outcomes and expectations 309. See above 310. Not applicable 311. Education 312. n 313. ask them 314. Incorporate them into the NCE at the APP meeting. 315. N/A 316. Establish relationships with neonatology extender groups, eg, NNPs, etc. Jack Widness, Univ of Iowa 317. educate general pediatricians about routine neonatal problems, such as dehydration in breastfed babies 318. Establish local chapters to identify these needs. 319. n/a 320. no idea 321. They should look to serving its membership first. 322. More education and training. 323. More outreach to neonatal nurse practitioners. Your ranking question #4 - I pick 1, 6, 12, 13 and item 14 324. Organize forums for enhanced collaboration across disciplines 325. No opinion 326. Educate, educate, educate 327. None 328. Be gracious; regularly ask for their concerns; respond to the most frequently-cited among these. 329. education 330. not sure 331. don't know 332. ?1 333. . 334. am one, don't know BTW, Q#4 didn't allow but one choice. cg 335. Additional practice guidelines geared for the Pediatrician today who has limited residency training in neonatal-perinatal medicine. 336. interactive sessions 337. Recognize the role of the hospitalists who deliver newborn care 10 Question #10. What can the Section do to better serve Section members who are not neonatologists? 338. ^ 339. Don't have an answer but question #4 above asks for ranking 5 topics from a list of 15. Each time I click on a second choice the first one disappears and the question does not take numbers only check marks. 340. giudelines specific for pediatricians and rfamily practice physicians for care for high risk infants 341. NRP, NRP, NRP! 342. Doing well 343. not necessary as most have their own advocacy organization 344. provide educational resources for them 345. Help important bridge between developmental pediatrics -so many of the neonates ultimately have developmental problems and need of follow-up which is being denied as a health issue instead seen as mental health 346. Provide more forum 347. Not any different to those for neonatologists 348. no opinion 349. Same 350. don't know 351. education opportunities 352. Not sure. 353. encourage a great working relationship; improve communication with more standardized forms 354. Publish their names in the Perinatal section news 355. Not sure. 356. By linking there concerns and interests with the Neonatologist so we can be aware of each others concerns, and where possible join efforts. 357. education 358. More programs regarding "follow-up" of NICU graduates and long term outcome and challenges these children and families face. 359. An avenue for active participation of non neonatologist members 360. enhanced treatment guidelines 361. n/a 362. Best answered by those who fit that category 363. no suggestions 364. Show benefit in the association! 365. N/A 366. clincal guideline statements 367. more research dollars 368. Run medical education training seminaars 369. * 370. same 11 Question #10. What can the Section do to better serve Section members who are not neonatologists? 371. Educate them about the importance Section palys. Regarding Q 4: I can not select more than one answer. 372. Continue educational publications 373. . 374. Not sure 375. not sure 376. na 377. 378. Educational offerings, communication forums /J:_Newborn.PRI/VanMarterAssistant/AAP/MemberQuestionairre/Perisurvey#10 12