Spring/Summer 2013 District III Newsletter District III Update Spring into Read, Lead and Succeed: Happy Summer District 3, After a long winter and chilly spring, it is nice to have some sun. For those of you who have ended your residency or fellowship either to enter practice or fellowship-- CONGRATULATIONS!! Don’t forget as you make this next stage in your journey to keep the AAP as a part of these plans. If you are continuing onto fellowship you are still a member of our section, the Section on Medical Students, Residents and Fellowship Trainees (SOMSRFT); if you are going to be going onto practicing then don’t forget to join the Young Physician group. This is your opportunity to continue with an organization that continues to advocates for the needs of children. If you have any questions about how to join don’t hesitate to contact either of us. If you are new to our section as a new intern or fellowship traineeWELCOME! We will have many exciting opportunities in the upcoming months, and are here for assistance as your SOMSRFT district III leaders. As we move further into Summer we have had an opportunity to see some of the great work each of your programs have done on the national advocacy effort of increasing literacy through Read, Lead, and Succeed and also throughout our own district work. We have seen programs get more books for their clinics, some provide library cards, provide literacy info to families and so much more. Many of you also participated in our national literacy week, as seen by your posts on Facebook. Keep up the great work advocating for children! Lisa Costello Justin Schreiber District III Coordinator Assistant District III Coordinator Costello.lisa@gmail.com schreiberj@upmc.edu Contents Page 1 Introduction Page 2 ALF and Resolutions Page 3-4 Read-Lead-Succed Page 5 Upcoming Deadlines Page 6 District Work groups Page 7 Split Brain Syndrome Page 8-10 Program Updates Spring/Summer 2013 Winter 2010 District IVNewsletter Newsletter District III 2013 Annual Leadership Forum National Conference and Exhibition 2013 Over 500 chapter officers, committee, council, section chairpersons, guests and staff attended this year’s Annual Leadership Forum (ALF) held at the Renaissance Schaumburg Hotel and Convention Center on March 14-17, 2013. Eligible voters heard and voted on eighty-two resolutions covering issues related to advocacy, education, practice, healthcare finance and AAP operations. The Forum offered a variety of special topic sessions, a burning issue presentation by Andrew Garner MD, PhD, FAAP, on the topic of Toxic Stress, a variety of leadership development sessions and “how-to sessions,” and several AAP district, committee, council and section meetings. Additionally, the reference committee hearings and voting sessions resulted in the adoption of sixty-five resolutions which were referred to AAP committees, sections, councils, departments and divisions for appropriate response. For more information on the status of the 2013 resolutions debated at the ALF, please visit My AAP at http://www.aap.org/en-us/my-aap/chaptersand-districts/Resolutions/Pages/2013-Resolutions.aspx. Resolutions will be discussed at all upcoming 2013 district meetings. "Magical Moments" This year the Section on Medical Students, Residents and Fellowship Trainees had 1 resolution in the top 10 of the ALF. It was: • Physical Education in Schools – RESOLVED that the Academy advocate for legislation mandating that physical 19 activity and physical education be an integral part of elementary, 20 middle and high school curricula. October 26-29th Orlando, FL Featuring: Kathryn Sebillius (Sec of Health and Human Services), Atul Gwande (Checklist Manifeston) Network, Get educated, Enjoy the Magic Kingdom! Resolutions Resolutions are a way for members to bring issues you believe are important to the practice of pediatrics forward for discussion at the Chapter, District and National levels. The purpose of a resolution is to provide a formal mechanism whereby the members of the Academy can provide input regarding Academy policies and activities. Resolutions may be submitted pertaining to any aspect of pediatric advocacy, finance, practice, education, or AAP operations. Resolutions if adopted by our section will be sent to the AAP's Annual Leadership Forum (ALF) held each year in March. We will provide help with composing the resolution, but we want and need your ideas! We will further discuss resolutions on future conference calls and via email. How to get your own resolution to the National Conference and Exhibition Is there an issue that is important to you? Would you like the voice of the AAP supporting your advocacy efforts? Then submit a resolution for this years National Conference and Exhibition (NCE) . 1) Think of an issue that is important to you (eg. oral health, obesity) and an intervention you want the AAP to take up (eg. all children having dental coverage, no more sugary drinks at schools) 2) On our August conference call we will discuss how to fill out the resolution 3) From August to the NCE we will be available to help with resolutions and answer questions. Finished resolutions will be due before the NCE with a date TBD 4) At the NCE we will meet in our district time to vote on what resolution we would like to support to be brought before the Section on Medical Students Residents and Fellowship Trainees, where it might be approved to go before all of the AAP for adoption of one of the top 10 priorities for the AAP that year! 2 Spring/Summer 2013 Winter 2010 DistrictIII IVNewsletter Newsletter District Read. . Lead . . SUCCEED 3 Spring/Summer 2013 Winter 2010 DistrictIII IVNewsletter Newsletter District Read. . Lead . . SUCCEED Each year the AAP Section on Medical Students, Residents, and Fellowship Trainees picks a topic to focus our advocacy efforts. The 2012-2013 campaign dubbed “Read ~ Lead ~ Succeed” focuses on the importance of early childhood literacy. When researching for projects, the SOMSRFT executive committee members learned that one-third of 4th graders read so poorly they cannot complete their schoolwork successfully and children who are read to regularly are 3-4 times less likely to drop out of school. Statistics like this coupled with recent budget cuts to important programs stood out to the group and inspired everyone to try and make changes. The national SOMSRFT advocacy subcommittee has created various resources for medical students, residents, and fellowship trainees to use to advocate for childhood literacy. Resources, such as the advocacy PowerPoint, literacy calendar, and among others a prescription for reading may be found at the Read ~ Lead ~ Succeed campaign web page, http://www2.aap.org/sections/ypn/r/advocacy/Read_Lead_Succeed.html. Information is also available on the SOMSRFT Facebook page. From our District conference calls we know many of you are doing great things at your programs, and we want to know more about it! We have also created a District III advocacy workgroup that is working on collecting books to support those still recovering from SuperStorm Sandy. 4 Spring/Summer 2013 Winter 2010 DistrictIII IVNewsletter Newsletter District Deadlines/Updates To find out about upcoming deadlines and great opportunities check out http://www2.aap.org/sections/ypn/r/whats_new/ - New resources available to help address trauma. Located at www.aap.org/traumaguide - AAP Partners on New Resource on Learning Difficulties and Disabilities The AAP has partnered with the National Center for Learning Disabilities and the National Association of Pediatric Nurse Practitioners to develop the LD Navigator, a free comprehensive resource guide about learning difficulties and disabilities (LD) for pediatric health care professionals. The online hub is a unique and easily accessible way to navigate a child's LD and delivers evidence-based tools and strategies into the hands of busy pediatric healthcare professionals. Please visit http://ldnavigator.ncld.org/ to access this new resource. NEW LOOK / NEW NAME – Resident Report is Now News and Views The Section on Medical Students, Residents and Fellowship Trainees (SOMSRFT) newsletter now has a new look AND a new name. SOMSRFT Resident Report is now being called News and Views of Pediatricians in Training. Check out the updated newsletter for articles on advocating for early childhood literacy, a residents personal encounter with child abuse, environmental exposures in childhood, and funding opportunities (a.k.a. FREE MONEY). 2013 AAP Children’s Art Contest - Entry Deadline Extended! The deadline has been extended in the American Academy of Pediatrics annual children’s art contest! This year’s theme, “A World Free from Tobacco and Secondhand Smoke”, encourages children to envision a world without tobacco or exposure to secondhand smoke. Entries will be accepted from children in the US in grades 3-12 and children abroad ages 13-18. Winners can receive up to $500 and a trip to Orlando, FL, as well as a matching amount for their school. Entries must be postmarked by August 30, 2013. For full contest information, visit www.aap.org/artcontest. Healthy Active Living Grants - Deadline August 21, 2013 The American Academy of Pediatrics announces the availability of Healthy Active Living Grants for chapter/pediatric residency program pairs. These $25,000 grants are intended to build partnerships with community organizations to develop and implement sustainable strategies to support Healthy Active Living for families. Application deadline is August 21, 2013 at 2:00 p.m. CDT. Leadership Opportunities for Residents and Fellowship Trainees (Posted 07/13) Are you interested in becoming a leader in the American Academy of Pediatrics (AAP) Section on Medical Students, Residents and Fellowship Trainees? Each year the section recruits interested residents and fellowship trainees into leadership positions. The following positions are open: - District coordinator - Assistant district coordinator - Section secretary - Section vice chairperson The deadline for the above positions is September 13, 2013. Section liaisons: Committee on Federal Government Affairs (COFGA), Community on Pediatric Research (COPR) – Resident Research Grant (RRG), Committee on Residency Scholarships (CORS), Community Access to Child Health (CATCH), Council on Clinical Information Technology (COCIT) , Council on Community Pediatrics (COCP) , Medical Student Subcommittee Chair & AMSA Liaison, Section on Administration & Practice Management (SOAPM), Section on Adolescent Health (SOAH), Section on Breastfeeding (SOBr), Section on Child Abuse & Neglect (SOCAN) , Section on Early Education & Child Care (SOEECC) ,cSection on Emergency Medicine (SOEM) ,cSection on Home Care (SOHCa) ,cSection on International Child Health (SOICH) , Section on Osteopathic Pediatricians (SOOPe) The deadline for liaison positions is November 1, 2013. 5 More information can be found on our Leadership Opportunities page of the YPN. Spring/Summer 2013 Winter 2010 DistrictIII IVNewsletter Newsletter District District Work Groups These work groups were created to give residents, medical students and fellows an opportunity to get more involved in the district around issues that many have indicated are of significant importance. We hope to have at least one resident representative from each program on each work group. Notify Justin and Lisa if you want to participate. Advocacy Mentorship Chair: Dorothy Chu (dorothychu369@gmail.com) - Focus on trying to expand the mentorship opportunities in the district The advocacy work group was created this year to promote the annual advocacy project at the district level and to assist individual programs with implementation of the project. My name is Dorothy Chu and I am a third year resident from Jersey Shore University Medical Center who was chosen to chair this work group. This year is unique in that our district was impacted by Superstorm Sandy. Thus, in response, District 3 has begun work on a district wide book drive in order to give back to the victims and promote Read, Lead and Succeed. - Connect the interests of medical students, residents and fellows with other professionals in the district - If you are interested let us know!! Thank you to all who have participated in the conference calls. For those who couldn't make it, here is an update. The goal of the book drive is to collect books for donation to schools or libraries affected by Sandy. This project will run until the next AAP NCE in October. Currently, we are in the process of identifying the donation sites and there will hopefully be more updates on that topic in the coming weeks. Once we have the sites identified, we can decide what types of books we need and how many. We understand that books are hard to move, so our plan was to have more book donations from programs closer to the affected area, such as New Jersey, and more cash donations from programs further away. However, we encourage book donations at all programs to be donated to children in need in your area. One great idea that was suggested on the conference call was having attendings and residents bring books to the graduation party or a grand rounds presentation in order to collect books at your program. Membership Chair: Mahi Ekambaram (ekambarm@einstein.edu) - Making sure that the AAP provides membership oppurtunities that reflect the needs and concerns of medical students, resitdents and fellows - Increase the amount of fellows and recent graduates to participate in the AAP - Work with the District wide membership group - Contact Mahi if you want to participate!! We recognize that this is an ambitious project and we need your help to make it a success. Ideally, we would like to identify a point person at each program to coordinate donations. Please email our district coordinators or myself at dorothychu369@gmail.com if you are interested. If anyone has any questions about the book drive or implementing the advocacy project, feel free to contact me. I look forward to working with you all and changing the lives of children in our district. 6 Error!} Spring/Summer 2013 Winter 2010 District IV Newsletter Split Brain Syndrome I call it ‘Split Brain Syndrome’. It is the conflicting thoughts and perspectives that go through the mind of every health care provider. As a resident, we get excited and feel challenged when dealing with a rare/ complicated/ or even a classic case - just out of the books! We strive to, and feel lucky to have witnessed an interesting patient. It undoubtedly expands our knowledge base and experience. This is how we learn in medicine. But the other part of the brain is confronted with: how the patient and the family feels. For them it may be a life changing and traumatic experience. Their ailment might be useful for progress of medicine and its trainees. But wonder how they feel about being chosen as a guinea pig? How it feels to be poked and prodded by so many residents and students? Is good to be interesting? For the patient, definitely not! Learn from your interesting and complicated patients but also learn be sensitive and humane in every situation. - Ankana Daga. PGY 1. Einstein Medical Center, Philadelphia 7 District DistrictIII IVNewsletter Newsletter Spring/Summer 2013 Winter 2010 District III Updates: What’s Going On In Your District? Children’s Hospital of Pittsburgh Our program has several exciting projects planned to promote literacy! A group of residents have partnered with primary care clinics to complete two literacy Quality Improvement projects. Residents gave a noon conference for the pediatric residents on Reach Out and Read, literacy milestones, and ways to improve anticipatory guidance on literacy with the ROR program (giving the book at the beginning of the visit, using it in your developmental assessment & age-appropriate anticipatory guidance/expectations with regards to reading). Meghan Harper-Shanke, 3rd year resident, was able to get trained as a ROR trainer. Residents will be making a learning module for all residents which will be used at the beginning of the year. In addition, the CHP attendings are making changes where a MA will put an age-appropriate book outside of the door so that the provider will have the book at the beginning of the visit. They are also re-educating attendings on the ROR model. In addition, another CHP Resident is promoting literacy at a rural primary care office. Bookmarks will be passed out with each ROR book. The bookmarks will have age-specific information about literacy. The back of each bookmark contains information about local libraries and the hours for storytime. Furthermore, we are trying to plan a week of events for the Read, Lead, Succeed Jersey Shore University Medical Center The residents at Jersey Shore University Medical Center have found success with their research projects and case reports. Dr Dorothy Chu, the PGY-3 chief resident, presented her research "Family Centered Rounds: Pediatric Residents' Perspectives" at the New York Academy of Medicine Pediatric Trainees Night. She will also be presenting her research at the Pediatric Academic Society (PAS) meeting in Washington DC. The fourth year chief resident, Dr Gerald Almazan, will be presenting his poster on the use of our fantasy football teaching system to encourage and evaluate resident teaching of medical students at the spring Association of Pediatric Program Directors (APPD) National meeting in Memphis, TN. Finally, PGY-3 Dr Viola Cheung had her case report on a patient with Group A Strep toxic shock syndrome published in Pediatrics in Review. Congratulations to our graduating class of 2013 as they move on in their careers: Dr Puja Aggarwal, MD: Neurology at NYU Langone Medical Center Dr Anna Arcaro, MD: Hospitalist at CentraState Hospital in Freehold, NJ Dr Viola Cheung, DO: Developmental Pediatrics at Yale-New Haven Children's Hospital Dr Dorothy Chu, MD: 4th year Chief Resident at Jersey Shore University Medical Center Dr Nicole Deptula, MD: Neonatology at St Louis Children's Hospital Dr Ruth Kanthula, MD: Infectious Disease at Seattle Children's Hospital Dr Gurpreet Phull, MD: Pulmonology at Children's National Medical Center "Graduating residents (from left): Gurpreet Phull MD, Dorothy Chu MD, Viola Cheung DO, Ruth Kanthula MD (kneeling), Puja Aggarwal MD, Nicole Deptula8MD and Anna Arcaro MD standing with K Hovnanian Children's Hospital Mascot Dr Bernard. Spring/Summer 2013 Winter 2010 District DistrictIII IVNewsletter Newsletter District III Updates: What’s Going On In Your District? John’s Hopkins Our literacy efforts are closely linked with the national Reach out and Read initiative. The fundraising for our Reach out Read efforts is coordinated by the Director of Development—a position that is not filled at this moment. In the interim, some have reached out to department stores (e.g. Target) to ask if they could partially fund books to be given out in clinic. Einstein Medical Center, Philadelphia Updates: A total of 10 posters (including 6 platform presentations) by our residents have been accepted to the 2013 ESPR (Philadelphia) and 2013 PAS (Washington). The following residents will be presenting: Gosia Skarzynska, Amman Hassan, Ramiro Lizano, Meyrick Sarmiento, Monique Mondesir, Samuel Ajayi, Maheswari Ekambaram, Michelle King, Stefan Mandakovic, Hilda Kabali, Cassandra Arevalo, Imeline and Alfred Troncales, Anoop Rao and Maytham Srayyih. Read, Lead Succeed: The Reach Out and Read program has been in place in our clinic for almost a year now. All residents are excited to start their well visit with a book. For this year’s project, we will be organizing a fund raiser during graduation. We will be collecting donations and will also have a raffle draw for a prize!! The money collected will be used to conduct a “Reading day” where we plan to enroll under 5 kids from our clinic for a fun day of “Books and Chocolates”. Many residents have volunteered for this event. St Christopher’s Hospital for Children Updates: Lorena Pereira, PGY3 and the HIV QI group have made great strides to increase the number of patients who are screened for HIV. They are working to screen all patients over the age of 13 years in the inpatient, outpatient, and ED setting. Advocacy Projects: Maheswari Ekambaram is currently doing a 1 month internship with AAP department of federal affairs. She will also be attending the Legislative Conference this year (April 28-30). Residents Anna Siao, Johelin DeFreitas, and Saritha Ranabothu are working on a CATCH grant for a smoke cessation project. Read, Lead, Succeed: We are working on developing a Literacy Day to celebrate reading and a QI project to improve the implementation of Reach Out and Read. 9 District III District IVNewsletter Newsletter Spring/Summer 2013 Winter 2010 District III Updates: What’s Going On In Your District? Newark Beth Israel Medical Center Congrats to our graduating senionrs: Valerie Agbeko-Chief Resident NBI Okwudili Akarue-Primary care Mohamed Elsaid-hematology/oncology (university of wisconsin) Jazmin Foglio-GI (yale) Marianna Gagin-primary care (new hampshire) Theresa Giannattasio (primary care, nj) Myriam Spears-Primary care, nj Evita Recio-chief resident (sbmc) Suhasini kaushal- nicu (georgetown) Renjithkumar Thekkeveedu-nicu (cleveland clinic) Hongchao zhou- GI (boston children's) Eleanor Calma- nicu (loma linda) Rani Thekumparampil (nicu, albert einstein) Luis Correa (primary care, med/peds, ny/nj) Children's Hospital of Philadelphia The CHOP residents have been partnering with Reach Out and Read to develop an ambitious portfolio of projects to promote early childhood literacy in the Philadelphia community. Efforts will kick off on May 23 with a book drive at the annual CHOP Prom. Meanwhile, several residents are collaborating to develop printable patient family education materials, linked to the electronic medical record, that will enhance office-based counseling about developmentally appropriate literacy skill development, community library For the read lead succeed campaign we are initiating a book drive! Books will access, and the use of literacybe dropped off at community clinics. promoting accessible technology (such as websites and smartphone or tablet applications). West Virginia University Pediatrics and Med-Peds Update: Others are working to develop a Many pediatric and med-peds members attended the WV AAP Chapter meeting at Stonewall screening and intervention Jackson Resort in April, where they had the opportunity to network with various AAP members, pathway to identify and address including medical students, residents, young physicians, and FAAPs throughout the state. adult caregiver difficulties with Pediatrics Intern, Stephanie Sisler presented an oral case report in the Martin E. Weisse Resident literacy. Residents are also Research Competition and placed second. Med-Peds second year resident Lisa Costello also developing a multi-media spoke to the assembly about Motivating Involvement in the AAP. educational tool that will model skills that parents can use to read To support the SOMSRFT advocacy campaign, Read, Lead, Succeed, residents helped staff a with their toddlers and prebooth at the WVU Children's Hospital Health Fair. Materials to make bookmarks were provided schoolers; this tool may be used as were prescriptions for reading, literacy milestones, and a calendar of reading events. This in the clinic, at home, or at an booth was very well received that the residents have continued to offer a bookmark making Early Head Start program linked station in the clinic waiting room. to a major CHOP clinic site. Our team is also exploring Congratulations to graduating seniors: partnerships with the medical Pediatrics: school and undergraduate Jennifer Bailey, DO – Academic Primary Care West Virginia School of Osteopathic Medicine community at the University of Jan McNiel-Glassford, MD – Primary Care Pennsylvania to collect books and Chris Mercer, MD - WVU Pediatrics Chief Resident funds for Reach Out and Read M. Cody Smith, MD - WVU Neonatal Fellowship through the end of 2013. Amy Zidron, DO – Academic Primary Care- Ohio University Heritage College of Osteopathic Medicine Sarah Zirkle-Hall, MD – Primary Care Med-Peds: Kishore Bingi, MD- WVU Adult Cardiology Fellowship Kelley Gannon, MD- Medicine Chief Resident Hafiz Imran Iqbal, MD- WVU Adult Nephrology Fellowship 10