ACH Pediatric Grand Rounds
Pediatric Grand Rounds at All Children's Hospital are held Fridays in the Education & Conference Center from 12:30 to 1:30 p.m. Lunch is available for $5. Grand Rounds presentations are not streamed via live webcast, but archived presentations are available at, usually within 72 hours of the presentation.

Friday, January 6

Temporary Hearing Loss from Loud Noise or Concerts is NOT Harmless
Charles Berlin, Ph.D.
Clinical Coordinator, Auditory Neuropathy Spectrum Disorders, ACH

Friday, January 13

Journal Quest VII—An Interactive Review of Recent Pediatric Medical News
Joseph Scarano, M.D.
Clinical Assistant Professor of Pediatrics, FSU College of Medicine

Friday, January 20
Update on Type 1 Diabetes Mellitus in Children
Pallavi Iyer, M.D.
Medical Director, Diabetes & Endocrinology
All Children's Specialty Physicians

Friday, January 27
Kawasaki Disease
Grace Freire, M.D.
Pediatric Cardiologist
All Children's Heart Institute
All Children's Specialty Physicians

Wednesday Pediatric Grand Rounds from Baltimore
In addition to our Friday Pediatric Grand Rounds at ACH, we are pleased to provide an another weekly educational opportunity:

Pediatric Grand Rounds Videoconferenced Live from
The Johns Hopkins Children's Center in Baltimore

Wednesdays, 8:30 – 9:45 a.m.
ACH Outpatient Care Center Classrooms A&B

A 15-minute "warm-up" discussion precedes a 60-minute presentation; topics may not be available until the morning of the presentation. You must attend this live program and sign in each time to receive CME credit from Johns Hopkins Medicine.

Archived presentations are made available on BeACH and and can be viewed at

Home for the Holidays? Catch up on CME
There are many opportunities to keep current at home by viewing archived Grand Rounds presentations at Archived Pediatric Grand Rounds from ACH include topics that fulfill state of Florida maintenance of certification requirements. Archived Pediatric Grand Rounds from The Johns Hopkins Children's Center in Baltimore also are available for viewing.

Paul B. Rothman, dean of the Carver College of Medicine at the University of Iowa, will be the next dean of The Johns Hopkins University School of Medicine and chief executive officer of Johns Hopkins Medicine. All Children's Hospital became a fully integrated member of Johns Hopkins Medicine in April 2011.

Trained as a rheumatologist and molecular immunologist, Rothman will succeed Edward D. Miller, who will retire next June after 15 years as both the School of Medicine's 13th dean and the first CEO of Johns Hopkins Medicine.

Ronald J. Daniels, president of The Johns Hopkins University, says the next dean/CEO has a "ferocious appetite" for excellence. "Paul Rothman is a visionary leader with a deep and highly sophisticated understanding of the challenges facing health care and academic medicine today. Instead of being daunted by those challenges, he sees them as opportunities to do better, to serve our patients in ways that improve clinical outcomes while also improving our employment of scare health care resources and enhancing the education of the next generation of physicians and researchers."

Click here to read more about Dr. Rothman and to view a video of his visit to Baltimore for the December 19th announcement.
Advocacy is one of the central tenets of All Children's mission, and the Hospital is engaged in advocacy on the local, state and federal levels. This column is intended to keep you aware of our efforts and encourage you to share input and ideas.

Due to the statutory requirement for redistricting in the year ahead, the 2012 Florida legislative session will begin on January 10 rather than in March. In addition to many healthcare issues, the Legislature may address gambling, Internet sales tax and education. Coupled with redistricting and a projected budget deficit in excess of $1.5 billion, the 2012 session is expected to be especially challenging.

All Children's typically monitors more than 200 bills that may affect children's healthcare, physician services and/or the hospital. The primary focus will be on: Medicaid reimbursement, Medicaid reform, safety net funding, other funding priorities, and any additional regulations that make it more difficult to care for children. We will also monitor possible legislation dealing with scope of practice, booster seat legislation, autism, trauma, 340b language, medical liability and tort issues, Kidcare, "docs and glocks," prescription drug abuse (particularly as it impacts neonates), and any other relevant bills that may arise.

If you would like to receive regular email updates on these issues or if you have specific questions, please contact Amy Maguire at Please also contact her if you will be traveling to Tallahassee or would like to travel to Tallahassee to testify on any of these issues.

To become a voice for All Children's and the families we serve by contacting legislators on issues concerning children's health, safety and access to care, visit
Flora Howie, M.D.
Congratulations to Flora Howie, M.D., who received a Community Partner Award last month for her outstanding community service, presented by the Department of Children & Family Studies in the College of Behavioral and Community Sciences at the University of South Florida.

Over the years, Dr. Howie has partnered with faculty in the Department of Child & Family Studies on projects relating to services and support for children with autism and their families. "With the supportive atmosphere fostered by Dr. Mary Pavan, I was able to invite the Center for Autism and Related Disabilities (CARD) to All Children's Early Intervention Program about 10 years ago to provide training in the use of positive behavior support for problem behaviors in autistic children," says Dr. Howie. That collaboration led Dr. Howie to take part in the Autism System of Care project at USF-CARD, a sponsored research project that developed recommendations for best practices and training modules for medical providers. In addition, Dr. Howie served on the advisory group for the Positive Family Intervention Project at USF.

In these and other efforts, Dr. Howie has worked collaboratively toward delivering quality care to Florida's children with autism spectrum disorders. She will serve as Medical Director of the Autism Center now being developed at All Children's Hospital.
At the December 1st Pinellas Signature Chefs Auction/Dinner, the Tampa Bay Division of the March of Dimes honored ACH neonatologists Tony Napolitano, M.D., and Carine Stromquist, M.D., for their commitment to saving the lives of children. The parents of Madeline Reese Nobles, the 2011 Ambassador Child for Tampa Bay March of Dimes, nominated both physicians for this award. Maddie was admitted to the All Children's NICU in 2010 for persistent pulmonary hypertension, and there were many difficult moments when her care team and her family feared she would not pull through.

Erin Robles, Maddie's mom, described the compassionate care exemplified by these two physicians. Here are excerpts from her remarks:

"I truly believe that Dr. Stromquist's ability to assess Maddie's condition and make quick and appropriate decisions about the best course of care is a large part of why Maddie is neurologically intact today. Over those many weeks that we spent in the NICU, Dr. Stromquist was a frequent presence: rounding with residents, coming by to check on Maddie, coordinating and holding interdisciplinary team meetings, which she made sure we were part of. But as wonderful as Dr. Stromquist was for us, I know that Maddie was not her only patient....and I know that she has applied the same level of intelligence, professionalism, and caring to each child whose life she has impacted."

"I first met Dr. Napolitano on February 28, 2008 when my daughter, Delia, was born. Delia was also born with birth defects and did not survive beyond a few hours. In the critical time before her death, he treated my family with the sensible compassion for which he is so well known. And Dr. Napolitano again came into my family's life during Maddie's hospital story, as an Attending who cared for her during her eight-week hospitalization. Dr. Napolitano was always kind, always honest, and always skillful. He was a calming presence on the unit and it was clear to us that he had the utmost respect of the residents, nurses and other practitioners."

In accepting these awards, Dr. Stromquist and Dr. Napolitano said that saving Maddie was a team effort and thanked all the members of the NICU team-clinical, administrative and support staff-for their efforts. They also noted that several of the lifesaving treatments Maddie received while in the NICU, including nitric oxide therapy and lung surfactant, are available because of early research support from the March of Dimes.
Wheelchair and Equipment Evaluation Services are provided by the ACH outpatient occupational and physical therapy programs at several locations. All Children's Outpatient Care, Sarasota now offers this service on the third Friday of each month.

The Wheelchair and Equipment Evaluation Team works with patients from infancy through age 21 and includes a pediatric occupational therapist and pediatric physical therapist trained in the most up-to-date advances and technology in seating and mobility. The team assists the patient, family and physician with recommendations for custom manual wheelchairs, custom power wheelchairs and/or other positioning equipment needs.

To schedule a Wheelchair Team appointment in St. Petersburg, Tampa, Lakeland or Sarasota, call 727-767-4360.

To schedule an appointment at All Children's Outpatient Care, Ft. Myers, please call 239-931-5700.