2016 - May Edition

Paula J. Whiteman, MD, FACEP, FAAP

President, AAP-CA2

Representative, AAP-District IX CFMC

Welcome to the May 2016 edition of our monthly e-Newsletter.

FEATURE ARTICLE

Our feature article is Tonsils: Take 'Em or Leave 'Em written by Nina L. Shapiro, MD, FAAP, FACS, Professor of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Director of Pediatric Otolaryngology, Mattel Children's Hospital UCLA.

AAP-CA2 ELECTIONS for the 2016-2018 TERM

Our AAP-CA2 elections take place this month for the 2016-2018 AAP-CA2 elected positions. The AAP-CA2 executive board is composed of 5 officers: president, vice president, secretary, treasurer, and the immediate past-president. The AAP-CA2 executive board is joined by appointed area representatives from our various counties and elected members-at-large to form the AAP-CA2 Board of Directors. Both the president and vice president must be a Fellow or Specialty Fellow of the American Academy of Pediatrics. During the two-year term, the vice president also serves as the president-elect, becoming the Chapter President the following term.

Therefore, our 2016-18 incoming President is Ed Curry, MD, FAAP (current AAP-CA2 vice president).

Our candidates running for the position of vice president are: Alice Kuo, MD. PhD. Med. FAAP (current AAP-CA2 treasurer) and Chris Landon, MD, FAAP, FCCM, CDM (current AAP-CA2 secretary).

Our AAP-CA2 secretary candidate is Susan Wu, MD, FAAP (current AAP-CA2 member-at-large).
Our AAP-CA2 treasurer candidate is Cori Cross, MD, FAAP (current AAP-CA2 member-at-large).
Candidates running for AAP-CA2 members-at-large are: Cindy Baker, MD, FAAP, Danny Bruckner, MD, FAAP, Grant Christman, MD, FAAP, Mona Patel, MD, FAAP, Ken Saul, MD, FAAP, Chris Tolcher, MD, FAAP, Claudia Wang, MD, FAAP, Tracy Zaslow, MD, FAAP.

You may click this link to view the current 2014-16 Board of Directors as shown on our website.

Chapter Elections - 2016-18

Please click here for the biographies of all 2016-18 candidates. Candidates are listed in alphabetic order.

The voting ballot will be emailed separately tomorrow, Monday, May 2^nd to all voting members.

Be sure to look for it and please vote this month. The voting period is 30 days. The election results will be reported in the June newsletter.

CONFERENCE RECAP

Our 27th Annual Southern California Postgraduate Conference: Advances In Pediatrics 2016 held on April 16th at the Universal Sheraton Hotel was a resounding success. We had over 100 attendees with 21 exhibitors. Attendees should have received their CME certificates via email. Please contact the chapter if you have not yet received it. A total of 39 physicians have taken their MOC Post-assessment. MOC credit will be applied on the ABP portal starting May 16th. Please see below for highlights and photos from our event.

MEETING with SB277 co-author SENATOR BEN ALLEN from the 26th District

The Californians for Patient Protection hosted a 'meet and greet' event with Senator Ben Allen, who was a co-author on SB277 with Dr. Richard Pan. Please see more about this event below.

UPCOMING EVENTS AND TOWN HALLS

May 13, 2016. - 3^rd Annual Updates in Developmental-Behavioral Pediatrics. (CHLA Event).

May 18th - CHLA will generously sponsor an AAP-CA2 Town Hall to be held at Bistro Garden in Studio City. Our Members-At-Large hosts are Cindy Baker, MD, FAAP, and Daniel Bruckner, MD.

June 2nd - First 5 San Bernardino will sponsor a Town Hall in Victorville hosted by AAP-CA2 San Bernardino High Desert area representative Damodara Rajasekhar, MD, FAAP.

June 8, 2016. - Town Hall in Santa Barbara, with host, AAP-CA2 Santa Barbara area representative Brian Santacrose, MD.

June 9, 2016. - Town Hall in Claremont, with host, AAP-CA2 Vice President Ed Curry, MD, FAAP.

June 15, 2016. - Town Hall in Woodland Hills, with host, AAP-CA2 member-at-large Ken Saul, MD, FAAP.

Please see our link to our donor wall, as well as our Member Spotlight page highlighting some of our members.

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

Feature Article

Tonsils: Take'Em or Leave'Em


	Nina Shapiro_ MD_ FAAP

Nina Shapiro, MD, FACS, FAAP

For those who grew up during or before the 1960's, tonsillectomy was a rite of passage in childhood. Millions of children underwent tonsillectomy/adenoidectomy surgery, and in the first half of the 1900's, it was the most frequently performed surgical procedure in the United States. With improved antibiotic availability, and lowered risk of post-streptococcal complications, the incidence of tonsillectomy dropped by over 50% in the 1970's and '80's. However, with the decline in tonsillectomy surgery for throat infections came an increased awareness of adenotonsillar enlargement contributing to sleep disorders in children. Over the past 35 years, ... Read more Bio

Advances in Pediatrics 2016 - Recap

April 16, 2016 - The 27th Annual Southern California Postgraduate Pediatric Conference

Advances in Pediatrics 2016

Featuring the S. Michael Marcy Memorial Lecture

(Top left) Dr. Pickering and Dr. Reyes focus as Dr. Kuo responds to the audience during the morning Q&A panel.
(Top right) Dr. Ken Saul engages the afternoon panelists, Dr. Hohl, Dr. Freedman, and Dr. Danielpour, after taking questions from attendees.       
(Bottom left) Volunteers, Dana, Cynthia, and George, registering attendees.

The 2016 Advances in Pediatrics conference took place for the second year in a row in the beautiful Starview Room on the 21st floor of the Sheraton Universal Hotel. We had a total of 106 in attendance, six brilliant speakers, 21 exhibitors, and a raffle. Both CME and MOC were offered. Thank you to those who attended.

We would also like to thank our on-site AAP-CA2 volunteers, Dana Anderson, Cynthia Schwieters, and George Schwieters, our behind the scenes AAP-CA2 CME/MOC staff, Marta Betancourt and Marge Gates, and all our exhibitors for participating.

________________________________________________________

We started the day with "Mindfulness in the Morning"

Dr. Alisa Dennis led a complimentary mindfulness session with elements of tai chi, in the form of warm-up and gentle stretching exercises. She led attendees through a body scan and guided meditation. This was followed by a brief Q & A session with sharing of reflections about mindfulness practices. The focus was on tension reduction and rejuvenating the mind & body. Despite the early hour, there was excellent attendance. Attendees left feeling invigorated and energized.

The main conference began with lectures by Dr. Carlo Reyes, who is an emergency medicine physician, pediatrician, and lawyer. Some of the main take-home messages from his talks were to be aware of the pitfalls of how the electronic medical record can get you in trouble; Document what you do and why; Include patients and their parents in shared decision making. He also discussed the appropriate use of black-box medications and how to weigh the risks and benefits.

Larry Pickering, MD, FAAP, FIDSA, past senior advisor to the National Center for Immunization and Respiratory Diseases of the Centers of Disease Control and Prevention (CDC) and past Executive Secretary of the Advisory Committee on Immunization Practices (ACIP), encouraged us to sign up for the free Morbidity and Mortality Weekly Review (MMWR) resource from the CDC. www.cdc.gov.mmwr His count down of the top 5 nationally notifiable diseases was entertaining.

AAP-CA2 treasurer, Alice Kuo, MD, Phd. Med, FAAP, Professor of Pediatrics, Internal Medicine and Psychiatry at the David Geffen School of Medicine at UCLA, discussed autism and the Social Determinants of Health.
She recommended www.autismtransition.net and reminded us that our patients are children with autism, not austistic children.

Dr. William Hohl, Chief of Pediatric Orthopedic Surgery, Harbor-UCLA Medical Center, stated that overuse injuries are associated with increased hours of sports participation, such that young athletes should not engage in more hours of exercise than two times their age in years, per week. An examination pearl is that children with potential

slipped capital femoral epiphysis (SCFE) externally rotate their affected hip as they flex. He also stated that children do not have shoulder dislocations unless there is an underlying collagen-vascular process, such as Ehlers-Danlos syndrome.

Dr. Andrew Freedman, Director of Pediatric Urology, Cedars-Sinai Medical Center, stated that pre-puberty, 60% of testicular pain is from torsion of the appendix testis. Patients with testicular torsion commonly present with nausea and vomiting.

Dr. Moise Danielpour, Director of Pediatric Neurosurgery, Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, discussed the statistical difference in outcome when having a pediatric neurosurgeon treating a child with a brain tumor as opposed to a general neurosurgeon, as well as highlighting advancements in that field.

(Left) Conference attendees filled the Starview Room on April 16. Dr. Milton Kolchins, Dr. Barry Brooks, and Dr. Steve Feig are focused on the introduction of the next speaker. (Top right) AAP-CA2 President, Paula Whiteman, MD, FACEP, FAAP, introduces the fourth speaker of the day, (Bottom right) William M. Hohl, MD, FAAOS, who spoke on pediatric sports injuries.

(Top left) AAP-CA2 Member-At-Large, Ken Saul, MD, FAAP, with Mohammad Malekzadeh, MD, FAAP and conference speaker Carlo Reyes, MD, JD, FACEP. The conference was an opportunity for friends to reunite, attendees to learn from six different speakers, and a raffle drawing opportunity at the end of the afternoon break. (Bottom left) Dr. Huffer, the winner of the Pediatric Dermatology book, receiving her prize. Right (top) Dafna Ahdoot, MD / Gwen Huffer, MD FAAP, and (bottom) Vincent Haynes, MD, FAAP, listen attentively.

(Top, from left) Dr. Pickering presents his talk on vaccines, commemorating the 2nd Annual S. Michael Marcy Memorial Lecture. AAP-CA2 Vice President and Chair of the CME Committee, Ed Curry, MD, FAAP, provided a Chapter update during the lunch hour. (Bottom, from left) Dr. Freedman and Dr. Danielpour engaged in discussion with the audience during the afternoon Q&A panel. (Bottom, right) AAP-CA (District IX) CEO, Kris Calvin, addressed the audience during lunch and provided an overview of the District's advocacy efforts.

Congratulations to our Raffle winners:

ICON SHOES Mid-Size Tote w/Adjustable Straps, Paul Klee's "Aunt & Child" Winner: James Weidman, MD

Pediatric Dermatology: A Quick Reference Guide, 2nd edition
(courtesy of Paula Whiteman, MD, FACEP, FAAP) - Winner: Gwen Huffer, MD

iPad Mini 2 - Winner: Maria R Gopez, MD

Two LA Galaxy Tickets (courtesy of Tracy Zaslow, MD, FAAP, CAQSM) - Winner: Claudia Ramos, MD, FAAP

1/2 off AAP-CA2 chapter membership - Winner: Cindy Baker, MD, FAAP

$99 special rate for the 28th Annual Southern California Postgraduate Conference: Advances in Pediatrics 2017

Winners: Janelle Bohl, MD, FAAP, and Danelle Fisher, MD, FAAP

Meeting with SB 277 co-author Senator Ben Allen

Meeting with Senator Ben Allen

On Thursday, April 28th, AAP-CA2 President Paula Whiteman, MD, FAAP, FACEP and AAP-CA2 Executive Director, Tom�s Torices, MD joined the Californians Allied for Patient Protection (CAPP) reception held at Windsor Gardens Convalescent Hospital for Senator Ben Allen. Senator Allen represents the 26th District, which includes the Westside, Hollywood and the South Bay communities of Los Angeles County. He was a co-author with Senator Richard Pan on SB 277.

Senator Allen's personal interest in vaccine preventable diseases came from his grandfather, a pediatrician. His grandfather contracted polio as a child just prior to the introduction of the polio vaccine.

Senator Allen continues to be a strong supporter of the Medical Injury Compensation Reform Act, (MICRA). In 2014, MICRA came to the forefront as part of the now defeated ballot measure, CA Proposition 46.

Representatives from various other organizations were in attendance, such as the Los Angeles County Medical Association, the California Academy of Family Physicians, the Hospital Association of Southern California, and the Los Angeles County Osteopathic Medical Association.

(From left) AAP-CA2 Executive Director, Tom�s Torices, MD, California State Senator Ben Allen, and AAP-CA2 President, Paula Whiteman, MD, FACEP, FAAP, at a recent reception held at Windsor Gardens Convalescent Hospital of Los Angeles, hosted by Californians Allied for Patient Protection.

Coming Events - Save the Dates!

May 13, 2016. - 3^rd Annual Updates in Developmental-Behavioral Pediatrics Conference

Speakers: Brad Peterson, MD & David Schonfeld, MD

Location: CHLA - John Stauffer A and B

Time: 9:30 AM - 3 PM

RSVP: Please email Kelly Clancy Grogan to save your seat. Click to view/print FLYER


	Daniel Bruckner, MD Member At Large


Cindy Baker, MD, FAAP Member At Large

May 18, 2016. - Town Hall in Studio City, with hosts AAP-CA2 members-at-large Cindy Baker, MD, FAAP, and, Daniel Bruckner, MD - Sponsored by Children's Hospital Los Angeles (CHLA)

Topic: Orthopedics for the General Pediatrician

Speakers: Rachel Goldstein, MD, MPH & Curtis Vandenberg, MD

Location: Bistro Garden (Time: 6:30 PM

RSVP: Please email the Chapter to save your seat.

June 2, 2016. - Town Hall in Victorville, with host, AAP-CA2 San Bernardino/High Desert Area Representative, Damodara Rajasekhar, MD, FAAP - Sponsored by First 5 San Bernardino.


	Dr. Rajasekhar, MD, FAAP Area Representative San Bernardino/High Desert

Join AAP-CA2 San Bernardino Area Representative, Dr. Damodara Rajasekhar, MD, FAAP, as he brings Reach Out And Read, and other exciting opportunities at no cost to practices, in a partnership between AAP-CA2 and First 5 San Bernardino.

Topic: Reach Out And Read, PLUS Developmental Screening

Speakers: Special guests from First 5 San Bernardino (Exec. Dir. Karen E. Scott), IEHP, and more

Location: Victorville, CA (specific location TBA)

Time: 6:30 PM

RSVP: Please email the Chapter to save your seat.

June 8, 2016. - Town Hall in Santa Barbara, with host, AAP-CA2 Santa Barbara Area Representative, Brian Santacrose, MD - Sponsored by AbbVie.


	Brian Santacrose, MD Santa Barbara Area Representative

Please join AAP-CA2 Santa Barbara Area Representative, Brian Santacrose, MD, as he hosts an evening of professional development and networking at Bouchon. Dr. Norman Lavin, MD, PhD, FACE, FAAP, will present on the diagnosis and treatment of precocious puberty.

Topic: Central Precocious Puberty

Speaker: Norman Lavin, MD, PhD, FACE, FAAP

Location: Bouchon (Restaurant) -

Time: 6:30 PM

RSVP: Please email the Chapter to save your seat.

June 9, 2016. - Town Hall in Claremont, with host, AAP-CA2 Vice President, Edward Curry, MD, FAAP - Sponsored by Pfizer.


	Edward Curry, MD, FAAP Vice President, AAP-CA2

Please join AAP-CA2 Vice President, Edward Curry, MD, FAAP, as he hosts an evening of

professional development and networking in Claremont. A guest speaker will present on the research, indications, and outcomes of the use of the meningococcal group B vaccine, sponsored by Pfizer.

Topic: Meningococcal Group B Vaccine

Speaker: TBA

Location: In Claremont, CA (specific restaurant TBA)

Time: 6:30 PM

RSVP: Please email the Chapter to save your seat.

June 15, 2016. - Town Hall in Woodland Hills, with host, AAP-CA2 Member At Large, Ken Saul, MD, FAAP - Sponsored by Alcon.


	Ken Saul, MD, FAAP Member-At-Large

Topic: Treatment of Ophthalmic Allergies and Infection.

Speaker: Raffi Tachdjian, MD, MPH

Location: Roy's, on 6363 Topanga Canyon Blvd, in Woodland Hills.

Please note: This is a location change from the usual restaurant.

Time: 6:30 PM

RSVP: Please email Dr. Ken Saul to save your seat.

Attention San Bernardino Pediatricians - High Desert

First 5 San Bernardino - Reach Out And Read

First 5 San Bernardino committed an investment of $250,000 to support San Bernardino County practices in making reading "doctor-recommended". In partnership with the American Academy of Pediatrics, California Chapter 2, First 5 San Bernardino will hold the second outreach event, this time in the High Desert, to offer physicians to implement Reach Out and Read in their practices - distributing books to children and valuable information to parents. This opportunity is still open for all San Bernardino pediatricians. The event will take place on June 2nd as noted above.

Stay tuned for a formal invitation in the mail.

Training Opportunities

Community Emergency Response Team (CERT) Training

Following a major disaster, police, fire, and fire department medical support, such as 911 services, may not be immediately available. People will need to rely on each other to meet immediate life saving and life sustaining needs. Physicians are encouraged to promote community disaster preparedness.


	Millicent Wilson, MD

AAP-CA2 Disaster Preparedness Committee Chair, Millicent Wilson, MD, would like to invite the community of Altadena, CA, to participate in a Community Emergency Response Team (CERT) Training, presented by the Los Angeles County Fire Department. Click to register for CERT Class in Altadena. (View/print flyer)

You must attend all 3 sessions to receive certification. Classes open to everyone!

Attendance is FREE, but you must pre-register to attend!

Date: Three consecutive Saturdays: June 4^th, June 11^th, June 18^th

Time: 9:00 AM to 4:00 PM

Location: Aveson Charter School, 575 West Altadena Drive, Altadena, CA 91001

Developed through FEMA, the LA County Fire Department 21-hour training program, provides basic training in safety and life saving skills for the public. The courses are free. The modules include: disaster fire suppression, emergency medical operations & first aid, and light search & rescue.

Firefighters will teach residents how to prepare and respond in the event of a major disaster. Learn from the experts how take care of your family and neighbors during an earthquake or other emergencies.

Go to www. fire.lacounty.gov to find a local CERT class in your area. Upcoming classes in Burbank and Pasadena.

Sexual and Reproductive Health

California Family Health Council

CFHC offers Sexual and Reproductive Health training opportunities.

AAP-CA2 members can use the code AAP2016 when registering for any of the online courses or live webinars to receive 25% off. The code does not apply to in-person trainings or on demand webinars (which are only $10). The code is good until 12/31/2016.

Please see below, or visit their website, CFHCLearning.org

Featured Trainings

May 11 LIVE Webinar	Meeting the Sexual + Reproductive Health Needs of Patients with Developmental Disabilities This webinar will explore tools and resources to provide high quality, patient-centered care to developmentally disabled patients. Register Now!

May 5 + 6 Santa Barbara July 25 + 26 Los Angeles Sept 19 + 20 Los Angeles	Family Planning Health Worker Certification Training 2-day certification training for health care staff and educators who want to provide high-quality contraceptive counseling or education "This is a very complete and interactive program. I highly recommend it to anyone who counsels others or teaches about birth control, STDs and sexual health." Register for a course near you or book a private training for a group
New Online Courses	Best Practices in Birth Control Education* Review best practices in birth control education that school and community-based health educators can easily implement. Learn effective interactive teaching techniques to use when instructing others on the most effective methods, how to obtain them, and their health benefits. Includes free CEUs. Register Now! Encouraging Family Communication About Healthy Sexuality* On-going communication between parents and youth allows for more open and honest discussions about harm-reduction topics of STD, abuse and pregnancy prevention and a broader range of sexuality and relationship topics. This online course covers strategies for how educators can encourage family conversations about healthy sexuality. Includes free CEUs. Register Now! See other trainings in our new Course Catalog: Recommended Courses for Sexuality + Health Educators and Teachers*
On-Demand Webinars	Gender-Based Violence + STIs: Intersections and Implications for Providing Quality Clinical Care This FREE on-demand webinar outlines the intersection of gender-based violence and STI/HIV transmission and describes how providers can respond to violence and support the safety of their patients through the use of evidence-based educational resources and harm reduction strategies. Watch Now! LARCs and More: A Comprehensive Contraceptive Update This on-demand webinar reviews the latest developments in contraceptive practice, including a description of FDA-approved methods and emergency contraception. It covers how to utilize a tiered effectiveness counseling approach when introducing patients to all of their contraceptive options in a time-sensitive manner. Watch Now!

See All Course Offerings

CDC Updates & LAHAN Alerts

Join the CDC Listserv

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