Paula J. Whiteman, MD, FACEP, FAAP 
President, AAP-CA2
Representative, AAP-District IX CFMC 

Welcome to the June 2015 edition 
of our monthly Newsletter

 

June marks the beginning of summer, and the end of my first year as AAP-CA2 president. This has been quite an adventure and marks many milestones for our chapter. Looking back over the past year, we documented our chapter's accomplishments in our now monthly eNewsletter, upgraded our chapter website, reactivated our Facebook page, and created our first ever AAP-CA2 video outlining some of our projects. Our video was one of only three presented at the AAP Annual Leadership Forum (ALF). We have offered CME and MOC part 2 at our Advances in Pediatrics CME conference, and PI CME and MOC part 4 through our CQN4 Asthma project. We established the S. Michael Marcy Memorial Lecture, and we are extremely thankful to the many donors for their generosity. Our chapter, in concert with our District (AAP-CA), has engaged in advocacy on behalf of our members and the children we represent, and participated in Legislative Days in Sacramento and Washington DC. We were pleased to be considered for the AAP Outstanding Very Large Chapter Award and proud that several of our members received AAP special achievement awards.

 

Following my authorship of the 2014 ALF number 1 resolution, I was honored to be elected to the position of Chapter Forum Management Committee (CFMC) representative for District IX. We awarded both Resident Research Awards and Annual Medicine-Biological Sciences Scholarships. I hope you have enjoyed reading our eNewsletters as much as we have enjoyed preparing them for you.   

At this time, the halfway point of our term, I would like to personally thank the members of our Executive Board, Members-At-Large, Area Representatives, Past President Advisory Board, Committee Members, and our Executive Director, for their invaluable contributions which have led to the success of our chapter. Lastly, I would like to thank you, our members, for your continuing support. I look forward to the year ahead.

 

We still have vacancies for Area Representatives in the Counties of Santa Barbara and San Luis Obispo.

 

As summer means more outdoor time, this month's feature article is a case report involving an electrocution due to contact with a loose live wire and a wet surface near the family pool. We thank the family for providing their personal photos included with the article.

 

Heide Woo, MD, FAAP, former AAP-CA2 secretary (2012-2014), has provided us with an update regarding Pediatric Research in Office Settings (PROS).

 

Disaster Preparedness
On June 11th, the LA County EMS Agency, under the guidance of our disaster committee chair, Dr. Millicent Wilson, will host a mock LA County wide disaster drill called the Pediatric Surge Project in an effort to potentially double the number of pediatric hospital beds in the time of a disaster. That morning, hospitals will receive virtual patients from the Medical Alert Center.

 

Save The Date
Please mark your calendars now for next year's Advances in Pediatrics conference on Saturday, April 16, 2016 at the Sheraton Universal Hotel.  Next year, our S. Michael Marcy Memorial Lecture speaker will feature Larry K. Pickering, MD. FAAP from the CDC. Click to read about Dr. Pickering 

In addition, we will have Carlo Reyes, MD, MS, Esq., FACEP, who is an emergency medicine physician, pediatrician, and lawyer, to speak regarding Healthcare Risk Management. Click to read Dr. Reyes' Bio

 

Please take a moment to email the chapter with topic or additional speaker suggestions. 

This month we have three town hall meetings hosted by our Members-At-Large, Ken Saul, MD, FAAP, Tracy Zaslow, MD, FAAP, and our San Bernardino Area Representative, Damodara Rajasekhar, MD, FAAP. Please look for specific topics, dates, and locations in the "Coming Events" section. 

Awards and Recognition

We would like to congratulate Christopher Harris, MD, FAAP, for his new AAP appointment to the Committee on Pediatric Workforce, and AAP-CA2 Area Representative for San Bernardino County (High Desert) Damodara Rajasekhar, MD, FAAP for his new position as secretary with the San Bernardino County Medical Society. Please read below for details under "Awards and Recognition", which also includes the three High School students who were selected as our chapter's recipients of the 2015 AAP-CA2 Medicine-Biological Sciences Scholarship Award. 

 

Generous Donation
We would like to thank Mark H. Sawyer, MD, FAAP, our 2015 Inaugural S. Michael Marcy Memorial Lecture speaker, for his generous contribution to the S. Michael Marcy Memorial Fund.

 

Those wishing to make contributions to the chapter may do so by sending a check made out to: AAP-CA Chapter 2 mailing it to: AAP-CA2, P.O. Box 94127, Pasadena, CA  91109. You may also specify in the memo line a particular project to which you would like to contribute, for example, the High School Scholarship Fund, the Resident Research Award Fund, or the S. Michael Marcy Memorial Fund.

 

Please feel free to get involved locally by contacting our chapter 2 executive director.
As always, I welcome your comments and suggestions.

 


Sincerely,


Paula Whiteman, MD, FACEP, FAAP
President, AAP-CA2
Representative, AAP-District IX CFMC

 

Please visit us on the web: aapca2.org 

 

Pediatric Research in Office Settings
Heide Woo, MD, FAAP

Pediatric Research in Office Settings ( PROS ) met in the Spring to discuss new studies in development and also to review the studies recently completed.

The Study BMI2, Brief Motivational Interviewing to reduce BMI, was published in the April issue of Pediatrics and demonstrated that interventions by pediatricians and nutritionists using MI was able to affect BMI in overweight children over a 2 year period.  Due to its success, a pragmatic trial is under development to study if use of MI by pediatricians can reduce BMI in populations of patients in the practice. 


 

Dialogue Around Respiratory illness Treatment (DART) is a study looking at communication strategies used by pediatricians for antibiotic prescribing and parent satisfaction, and studying antibiotic usage feedback reports and its effect on antibiotic choice and prescribing for respiratory illnesses.  This study should be starting later this year. 

Two other studies under development are looking at strategies to improve vaccination rates for HPV and influenza.  The first looking at office change strategies, and the second using text messaging to parents to complete the two dose influenza vaccine in a timely manner for infants and children in their first vaccination season. 


 

Even as the AAP is highlighting Poverty and the effect on children, PROS is working on a study, WE CARE, to screen and address basic family needs during Well Child Visits. 

And for those of you who are interested in joining short, quick, easy studies, PROS is working on developing a PROS Panel of pediatricians who can do just that.


 

We encourage you to JOIN PROS, even though we are not actively recruiting currently for studies, joining now will allow PROS to offer opportunities to join in an upcoming study or the PROS Panel as soon as it begins.

And PROS wants to hear from you!  We are interested in study ideas and your thoughts about practice based research .  The main email is PROSops@aap.org or email me, your PROS Chapter Coordinator, at hwoo@mednet.ucla.edu.  


Pediatric Cardiac Arrest After Electrocution 

Paula J. Whiteman, MD, FACEP, FAAP
 

Electrical Injuries are relatively common with approximately 3,000 electrical shock survivors being admitted annually. These events are usually accidental having a bimodal distribution, such as adults in the work-place and children at home, primarily involving electrical outlets and cords. Patients, such as the one described in this case, who are successfully resuscitated after cardiopulmonary arrest tend to have a favorable prognosis.  However, predicting patient outcome for those patients having sustained an electrical shock can be difficult as the full degree of injury is not always readily apparent. 

 

Summer is upon us with poolside activities, I present this case from the files of Emergent Medical Associates (EMA).

 

Awards and Recognition

Appointment to Committee on Pediatric Workforce
Dr. Harris

 

AAP-CA2 would like to congratulate Dr. Chris Harris, MD, FAAP, on his appointment to the AAP Committee on Pediatric Workforce. The AAP, and AAP-CA2, appreciate his willingness to serve on this important committee. 

Dr. Harris also serves as the Asthma Expert for our CQN4 Asthma Collaborative.  

  

 


Dr. Rajasekhar

Newly Elected Officer - San Bernardino County Medical Society

 

AAP-CA2 would like to congratulate our San Bernardino County Area Representative (High Desert), Damodara Rajasekhar, MD, FAAP, for his accomplishments with the San Bernardino County Medical Society (SBCMS). Dr. Rajasekhar will initiate his 2015/2016 term as Secretary with the SBCMS on June 17. View all SBCMS 2015/2016 Officers. Dr. Rajasekhar was also the recipient of the 2014 San Bernardino County Medical Society Presidential Award.

 

 

 

Three Santa Barbara County Students Selected 

 

Now in its 16th year, the AAP-CA2 rotates the Annual High School Medicine-Biological Sciences Scholarship Program award through all of the AAP-CA2 counties. This year's turn was Santa Barbara County. Three high school students were selected for their high achievements and scholastic excellence.

Congratulations to:

Jonathan Cleek

Yvette Elsie Rivera Rojas

Elizabeth Smith


Each High School graduate will receive an award on June 19th during a ceremony hosted by AAP-CA2's Vice President and Scholarship Committee Chair, Ed Curry, MD, FAAP. Additionally, each awardee will receive their scholarship upon completion of their first quarter of college or university.

 

Advertisement

 

Primary Pediatric Psychopharmacology (PPP) Mini-Fellowship

July 31 - August 2, 2015 in Los Angeles, CA 

 

Join The REACH Institute for its Primary Pediatric Psychopharmacology (PPP) Mini-Fellowship. This innovative program increases clinicians' comfort with assessing, diagnosing, and treating pediatric mental health concerns. Participants can earn up to 28.25 AMA PRA Category 1 Credits™ by completing the mini-fellowship components: 

  • A dynamic three-day, 15-hour interactive course focused on building skills and confidence in diagnosing and treating pediatric behavioral health problems.
  • A six-month, case-based distance-learning program. Learners join 12 bi-monthly, 1 hour group conference calls with national primary care and child/adolescent psychiatry experts to learn how to manage pediatric mental health issues encountered in daily practice.

REACH CEO Peter Jensen, MD will lead the PPP mini-fellowship. All participants will receive custom-designed toolkits with guides, assessment instruments, dosing and side effect charts, medication comparison tables, and handouts for patients and parents.

Course Goals

In order to effectively use medications for pediatric behavioral health problems, participants learn to:

1. Correctly identify and differentiate among pediatric behavioral health problems such as childhood depression, ADHD, bipolar disorder, anxiety states (including PTSD), oppositional and conduct disorders, and psychosis.

2. Effectively manage psychopharmacology: selecting medications, initiating and tapering dosages, monitoring improvements, and identifying and minimizing medication side effects.

3. Create and implement a treatment plan by mobilizing existing resources like family members, school personnel, and other professional caregivers.

The course will take place in Los Angeles USC University Center for Excellence in Developmental Disabilities (UCEDD) at Children's Hospital Los Angeles. Please register. If you have any questions, please contact Lisa Khan-Kapadia, PPP Program Director, at 1-212-947-7322 ext. 223or email ppp@thereachinstitute.org            Click to view printable version

 

Reducing Diagnostic Errors - QI Project

The Practice Improvement Network is still requesting your participation in a project called Reducing Diagnostic Errors in primary Care Pediatrics (Project RedDE!), which is being conducted by the Practice Improvement Network, part of the Quality Improvement Innovation Networks (QuIIN) at the American Academy of Pediatrics and is funded by a grant from the Agency for Healthcare Research and Quality. As you know, diagnostic errors (missed, delayed or incorrect diagnoses) cause significant morbidity and mortality in children. Limited pediatric focused research on diagnostic errors highlights this problem: 54% of pediatricians report making diagnostic errors at least monthly and 45% report making harmful diagnostic errors at least annually. Project RedDE! will provide practicing physicians and their staffs with strategies, tools, and resources necessary to reduce diagnostic errors and patient harm in primary care. 

 

 

Attend a Press Conference - Use of Smokeless Tobacco

The Campaign for Tobacco-Free Kids is hosting a press conference with LA City Councilmember Jose Huizer to announce legislation to eliminate smokeless tobacco in LA. AAP-CA2 members are invited to attend and participate in the press conference next Tuesday, June 9 at 9am. Councilmember Jose Huizar will announce legislation to prohibit the use of smokeless tobacco products at all baseball venues in Los Angeles, both to set the right example for America's youth and for the health of the players.

RVSP to derekjansen@gmail.com

Significant media coverage is anticipated, including TV cameras and photos in the newspaper, and we are seeking supporters to join the press conference to show support from the medical and public health community, tobacco-control advocates, kids, and anyone who wishes to show their support for this important legislation.

WHAT: Press Conference to launch legislation to eliminate tobacco use at baseball venues in Los Angeles

WHEN: Tuesday, June 9, 2015
            9 a.m. (please arrive by 8:45 a.m.)

WHERE: Los Angeles City Hall, 1st Street Steps
              200 N Spring St, Los Angeles, CA 90012

RSVP: derekjansen@gmail.com or (415)834-8725

 
 

 

CQN4 Asthma QI Project - Update
Improvements as Practices Implement QI Measures in Asthma Management


Eleven practices continue participating in the AAP Chapter Quality Network Asthma Phase 4 Project. Four months into the project, reports show an improvement in the number of patients receiving Optimal Asthma Care, a measure consisting of four components:

  1. Assessment of asthma control
  2. Stepwise approach used to identify treatment options or adjust therapy
  3. Asthma action plan
  4. On a controller medication if a persistent asthmatic.   
From 29 to 61%
The image below shows data representing the eleven practices as a group. As a group, a total of 378 patient encounters were uploaded onto the National Asthma Registry. Upon project start, only 29% of patients were receiving Optimal Asthma Care. Four months in, on May 31, data showed a marked improvement at  61%   -   QI at work!  The goal for this metric is for 90% of patients to be receiving Optimal Asthma Care by December 2015.

 

Congratulations to the following practices:

  

Cesar Chavarria, MD, Inc.
Loma Linda University Health Care
Los Angeles Christian Health Center
Mandalay Bay Medical Group
Mission Pediatrics
Pediatric Diagnostic Center
Santa Paula West Pediatric Clinic
Sierra Vista Family Medical Clinic
Santa Barbara Asthma Consortium

Cottage Children's Hospital

Sansum Clinic -  Allergy/Pulmonology

Sansum Clinic - General Pediatrics 



 
Next CQN4 Event: Learning Session 3 (LS3) - Friday, July 24th from 8AM to 5PM at Providence Tarzana Medical Center.


 
 


 

 

New CQN Quality Improvement Opportunity for Practices 

 

The American Academy of Pediatrics (AAP) through its Chapter Quality Network (CQN) is offering a Practice Improvement to Address Adolescent Substance Use (PIAASU) learning collaborative.  The purpose of the PIAASU project is to improve care for adolescents with substance use and mental health concerns.  The AAP will collaborate with 4 chapters to increase the use of validated screening tools, successful brief intervention techniques, and referral to treatment for substance use and mental health concerns among pediatric practices. This program, like our CQN4 asthma project, would offer both American Board of Pediatrics Maintenance of Certification (ABP MOC) Part 4 credit and 20 credits of Performance Improvement Continuing Medical Education (PI CME). Please note that this would be a 2 year project . We would need to have a commitment from 10-15 pediatric practices to move forward and apply for this grant. 
 
Please contact the chapter if this means of obtaining both MOC and CME interests you.

 

ASK Caimpaign - Speaker Requested

The AAP Department of Public Affairs is requesting a local pediatrician to attend a Los Angeles event on Sunday, June 21st  (Father's Day) to speak on the topic of Gun Violence Prevention.

 

Event is held by the ASK (Asking Saves Kids) Campaign, and the speaker is requested by the Brady Center to Prevent Gun Violence.

 

Event: National ASK Day

Date: June 21, 2015 (Father's Day)

Time may be 11 AM, but also TBD.

Location TBD. 

 

Read full email here

For more information about ASK Day, please visit askingsaveskids.org

 

Click here to email the chapter if you are interested, or can recommend someone else.

 

Coming Events
Dr. Saul
June 10, 2015 - Town Hall Meeting, hosted by Ken Saul, MD, FAAP - AAP-CA2 Member-At-Large
 
Location: Maggiano's in Woodland Hills.

The Importance of Vaccination Against Serogroup B Meningococcal Disease


Dr. Zaslow
June 16, 2015 - Town Hall Meeting, hosted by Tracy Zaslow, MD, FAAP - AAP-CA2 Member-At-Large

 

Presented by the AAP-CA2, in Collaboration with 
California Psychcare and L.A. Care Health Plans

Free CME!

 

Register by email: DrSadeghi@Calpsychcare.com


 


 


June 17, 2015 - Quarterly Board of Directors Meeting
Valley Presbyterian Hospital - Auditorium
Time: 6:30 - 9:00 PM


Dr. Rajasekhar
June 24, 2015 - Town Hall Meeting in Victorville, hosted by Damodara Rajasekhar, MD, FAAP - AAP-CA2 Area Representative for San Bernardino County (High Desert).

 

Topics for presentation:

 

1) Management of Hyperlipidemia in Children with Obesity - Is There a Role for Statins?"


 

Kevin  Shannon, MD


 

Guest Speaker: 

Kevin M. Shannon, MD 

Professor, Division of Pediatric Cardiology 

UCLA School of Medicine. 

 

 

 

2) "IEHP - Payments, and other updates" 
      Guest Speaker: Brad Gilbert, MD, CEO, IEHP.

 

When: Wednesday - June 24th, 2015 @ 6.30pm

Where: Mimi's Café
12032 Amargosa Road
Victorville, CA 92392 Tel:(760)244-6888

 

RSVP to:

dRajasekharMD@gmail.com 

 

July 31 - August 2, 2015 
Primary Pediatric Psychopharmacology (PPP) Mini-Fellowship

The course will take place in Los Angeles USC University Center for Excellence in Developmental Disabilities (UCEDD) at Children's Hospital Los AngelesPlease register. If you have any questions, please contact Lisa Khan-Kapadia, PPP Program Director, at 1-212-947-7322 ext. 223 or email ppp@thereachinstitute.org            Click to view printable version

See advertisement section above for details.

Save The Date - 2016

 

April 16, 2016

The 27th Annual Southern California Postgraduate Pediatric Conference

Advances in Pediatrics

 

At the Sheraton Universal Hotel

 

Dr. Pickering
Dr. Reyes

Please mark your calendars now for next year's conference on Saturday, April 16, 2016.


 

Next year, our S. Michael Marcy Memorial Lecture speaker 

will feature Larry K. Pickering, MD. FAAP from the CDC.

 

Carlo Reyes, MD, MS, Esq., FACEP, who is an emergency medicine physician, 

pediatrician, and lawyer, to speak regarding Healthcare Risk Management.


Submitting Articles for Publication in Our Newsletter


 

Have you written original clinical work you would like to share?

Do you have any news you that would like to publish in our newsletter?


AAP-CA2 invites you to submit your ideas, accomplishments, news, pictures...

For article submission guidelines, please click here.

If you are interested in advertising, please email the Chapter.

 

AAP-CA2 Video: We Are The AAP-CA Chapter 2
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Thank you for your support
Sincerely,
AAP-CA2
PO Box 94127 Pasadena, CA 91109
(818) 422-9877
Please visit our website at http://aapca2.org/