Plays of the Week:
Play of the week goes to MS4 Erinne Salo for her first art stick, 6 mL of blood! First stick, nailed it.
Play of the week also goes to Capt Sidney Zven, who was named the Company Grade Officer of the Quarter for the 316th HCOS.
Schedule:
Date | Event | Time and Location | Audience/Notes |
Sunday, 4/9 Easter 🐣 | | | |
Monday, 4/10 Block 11 Starts | MR: Case & Orient to Service | 0745 - 0815 America 2525 B/C | All welcome |
Tuesday, 4/11 Maggie Hasler's Birthday 🎉 | MR: Case and Pituitary Lecture, Jiang | 0745 - 0850 America 2525 B/C | All welcome |
| COL Sterbis: State of Army GME | 1300 - 1500 Memorial Auditorium | |
| DEI Meeting | 1800 - 1900 Zoom Only Meeting ID: 991 8204 8002 Passcode: 761497 | |
Wednesday, 4/12 | MR: SIM & Skills (Communication) | 0730 - 0850 SIM Center (4th Floor Heroes Bldg) | Medical students and residents only |
| USU Allyship & Journal Club: Language of Diversity (Facilitated by Dr Elizabeth (Beth) Steinbach) | 1400 - 1500 Zoom Only Passcode 252255 | Materials: 1) The Dangers of English as Lingua Franca of Journals opinion article from Inside Higher Education 2) Is there or is there not linguistic injustice in academic publishing in English? Blog post from CONSORTIUM FOR DEMOCRATIZING ACADEMIC PUBLISHING AND KNOWLEDGE |
Thursday, 4/13 Purple Up for Month of the Military Child 💜 | MR: Ortho Casting Clinic | 0745 - 0850 Ortho Cast Room America Bldg 2nd Floor | Medical students and residents only; please wear scrubs or PT gear |
| Everbridge Recall | 1900 | Answer your phones!! |
Friday, 4/14 | MR: Case & Thalassemia Lecture, Rees | 0745 - 0850 America 2525 B/C | All welcome |
Save the Date 🗓 | Upcoming Birthdays 🎉 |
18APR: Tax Day 💵 | 2MAY: Amy Davis |
21-23APR: Spring Retreat ☀️ | |
26APR: Military Child Health Research Symposium & Adolescent Academic Half-Day | |
27APR: Martin Journal Club, Start of PAS | |
28APR: Anniversary of USS COMFORT (T-AH 6) Kamikaze Attack 1945 | Do you have a birthday that you want added to the calendar? Email/text Britt |
Announcements:
All Staff Updates
Resident Retreat Ward Coverage
I am still looking for a volunteer to cover the ward overnight (1700-0600) on 23APR during the resident retreat. Email me (brittany.bumgardner@nccpeds.com) if you are interested!
Thank you to Drs. Hepps, Whiteway, Friedman, Urbina, Schulz, Groomes, Drumm, and Ahmed, for volunteering!
DEI Religion in Medicine Panel
We will be having our second annual DEI Committee Religion in Medicine Panel during morning report on May 23. We hope to have several religious leaders present for the discussion. To ensure this remains a valuable session for residents and faculty, we are collecting questions and topics of interest prior to the panel. Please email your questions and ideas to Emily Ferraro (emily.ferraro@nccpeds.com) NLT 03 MAY 2023. Thank you!
MHS Genesis Updates:
Important Announcements:
MHS Genesis Provider Handbook
PDF:
Important items to keep in mind:
In order for an encounter to be closed out completely, the provider must both complete the charges (coding) and sign the note. When viewing your appointments in List mode, this will result in a completely Gray bar next to the encounter. If there is a white section over the Gray bar, then something is still missing and needs to be completed for the encounter to be finalized. See the attached PDF highlighting what this should look like.
If a provider does not complete their note and sign it on the same day as the appointment, then during the final step of signing that note, they should change the date stamp to the date of the appointment (and not the default date of the signature). Otherwise the tracking mechanism we have will still show that encounter as being open, even though the provider signed the note. (This is for billing purposes only, as I’m told that when the note is printed or viewed later, the actual date stamp on the signature will still reflect the date that it was actually signed.)
Radiology Orders:
Order radiology exams under a clinical encounter (DO NOT order radiology exams under the “LIFETIME” or “HISTORY” encounters
For routine exams, tell the patient not to contact radiology for 48 hours after entering an order. This allows for normal protocoling and/or modifications to occur and radiology MSA staff to proactively schedule.
For inpatient teams, enter the radiology order PRIOR to calling for an add-on request. This will allow our residents to protocol or modify the study immediately while also collecting necessary information for our radiology-specific iPASS system.
Until August, if an ordering provider places an incorrect order, the radiologist will change the order for the ordering provider that will require a co-signature in order to educate the ordering provider. After August, if an incorrect order is placed, the radiologist will cancel the order with a notification to the ordering provider.
Lab Orders:
All labs must be FUTURE orders for lab to see them. If you order labs just as routine but not future, they route to “inpatient flow” and say order dispatched and lab CANNOT see them to draw. Lab cannot fix the order. So if you see “order dispatched” when you place a GENESIS lab order, you know it was ordered incorrectly and lab cannot draw it.
If you want SAME DAY labs when you hit FUTURE order, you MAY need to do an extra step. Future orders automatically date for next day – see Slide 10 on attached for exactly how to fix the “grace period” and date so that the lab can see and draw same day labs. I say you may have to fix them b/c I have had lab draw some day labs that I have not done the steps in slide 10, so I have asked lab for clarification.
MHS Genesis Patient Portal will be replacing our Tricare Online (TOL) platform
Set up your accounts: https://www.health.mil/Military-Health-Topics/Technology/MHS-GENESIS
Safety Reports
If you identify a patient safety issue related to Genesis, please report this issue to your Super User and complete a PSR form. Paper PSR forms will be available in your work areas to complete, but below is the PDF version that you can print out
Resident-Specific Updates
PEDIATRICS Pediatric Trainee Feature Essay Contest
A call for trainee essays on ACEs. Here is an excerpt from the PDF (attached below):
We encourage trainees to reflect on one or more of the following questions when crafting their essays:
How can we, as pediatric trainees foster resilience among our patients experiencing ACEs?
How have ACEs you personally experienced shaped your career path and identity as a physician?
How can pediatricians recognize and mitigate these issues during patient encounters, in training programs, and at the policy level?
The essay deadline is April 14th.
Walter Reed Research Symposium Due Dates
4/17: Non-research finalists draft 5-min poster talk; send electronic poster to R&I Committee
4/24: Research finalists draft 10min PPT slide talk
Transition to Practice (PGY-3s only)
This week's focus: End of Tour Awards Update
Check out the Awards Section in the Pre-Graduation Handbook for updates on End of Tour Awards
Educational/Teaching Opportunities
3rd Annual Partnership for Military Child Health Symposium: April 26th from 1300-1630
Overview of Topics for Live Event
8 – 9 a.m. ET | S01: " Assessment and Treatment of Pediatric Obesity” (Navy Capt. Jill E. Emerick MD, FAAP, DABOM, Staff Pediatric Endocrinologist, Walter Reed National Military Medical Center, Associate Professor of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD) 9:10 – 10:10 a.m. ET | S02: "Concussion Mythbusters: Management & Evidence-Based Practices” (Air Force Maj. Elvira Chiccarelli, M.D., F.A.A.P., F.A.B.O.M, Staff Physician, Adolescent Medicine, Jennifer Moreno Primary Care Clinic, Chief, Obesity Multi-Disciplinary Clinic, Air Academy Liaison Officer, Fort Sam Houston, Texas)
10:20 – 11:20 a.m. ET | S03: “Diversity, Equity, and Inclusion in Pediatric Medicine-An Ethical Discussion” (Gabrina L. Dixon, MD, MEd, FAAP, Attending Physician, Associate Medical Education Director, Howard Medical Student Inpatient Rotation Director, Hospital Medicine Division, Children's National Hospital Associate Professor of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC)
11:30 a.m. – 1230 p.m. ET | S04: “Promoting Positive Childhood Experiences in Military Children” (Binny Chokshi, MD, Med, Associate Professor of Pediatrics, Division of Military Child and Family Research, Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD)
1:30 – 3 p.m. ET | S05: “Identifying and Addressing Food Insecurity in Military Members and Families: A Panel Discussion” (Air Force Lt. Col. Heidi L. Clark, M.S., R.D. Chief, Nutritional Medicine Clinical Support Service, Defense Health Agency, Falls Church, Va.) (Arletta Etheridge Thompson, M.A., Health Promotion Coordinator, Joint Base Pearl Harbor Hickam, Hawaii (Elizabeth Hisle-Gorman, M.S.W., Ph.D., Associate Professor, Director, Division of Military Child & Family Research, Department of Pediatrics, Uniform Services University of the Health Sciences, Bethesda, MD) (Air Force Capt. Sidney Zven, M.D., PGY-3 Pediatric Resident, Walter Reed National Military Medical Center, Bethesda, MD)
3:10 – 4:10 p.m. ET | S06: “Integrating Trauma Informed Care into the Patient Care Model Across the Health Professions Serving Military Children and Youth” (Komkwuan Paruchabutr, DNP, FNP-BC, Assistant Professor, Daniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences, Bethesda, MD)
4:20 – 5:20 p.m. ET | S07: “Evaluation and Management of Mental Health Emergencies in Children and Adolescents” (Navy Cmdr. Robyn M. Treadwell, M.D., Assistant Professor, Uniform Services University of the Health Sciences, Plans and Policy Officer, Office of the Medical Corps, Bureau of Medicine and Surgery, Falls Church, Va.)
Continuing Education
The DHA, J-7, Continuing Education Program Office (CEPO) awards the credits which are limited in scope to health care providers who actively provide care to U.S. active-duty service members, reservists, National Guardsmen, military veterans, and their families.
Participation
To register for the Apr. 27, 2023, CCSS Live Event visit the following link: https://www.dhaj7-cepo.com/apr2023ccss
Promoting Child Health: from Environmental Challenges to Pandemic: April 27-28th
At the old WRAMC campus, or virtual
More info here: https://ctsicn.org/about-us/special-projects/niaid
*Note that you may have to use a personal device to register, as the site is currently blocked through WRNMMC computers.
USU Teaching Opportunities
Clerkship Round Robin (recurring throughout the year)
Contact Dr. Brian Hughes (brian.hughes@usuhs.edu) if interested
Tentative Dates and Times:
3May2023 1300-1700*
30Aug2023 1300-1700*
Able to interact with students of the class who have their Peds rotation coming up in the subsequent 3 months. Designed to mimic a clinic half day, each faculty member will be in an MDL room with your particular case. The students have 30 minutes with you to go through the case/skills. Then there is a 10-minute buffer between rooms. The students will move. You stay put and will deliver the same content 5 times. There are 9-10 students per group.
Research Opportunities & Upcoming Conferences
Upcoming Conferences:
2023 Helfer Annual Meeting: April 16-19th in Tucson, Arizona as well as virtually
The Ray E. Helfer Society Annual Meeting Scholarship was established by the Helfer Society to encourage trainees to consider a career dedicated to the care of maltreated children. The Annual Meeting of the Helfer Society is a mid-sized meeting that promotes exposure to cutting-edge research dedicated to Child Abuse Pediatrics, as well as the opportunity to network with early, mid-career, and senior mentors. The meeting will be held April 16-19, 2023, at the Loews Ventana Canyon Resort, in Tucson, Arizona. Helfer will be having a hybrid meeting with live presentations and virtual attendance option as well. This scholarship is intended to support travel costs and meeting fees for a trainee to attend the Annual Meeting with the goal of increasing commitment to a career in Child Abuse Pediatrics by talented physicians.
Partnership for Military Child Health Research Symposium: April 26th
The USU Department of Pediatrics and Division of Military Child Family Research is hosting the annual Partnership for Military Child Health Research Symposium on April 26th.
This event brings together DoD health care professionals, military family advocates, and researchers to advance care and advocacy for military connected children and families.
We are looking for research on military connected children for poster and oral presentation.
This is an opportunity to highlight recent research (including quality improvement projects) focused on the health and well-being of military children, and to highlight the experiences of military connected children and families within the larger military care and advocacy community. Previously submitted/presented research is eligible for consideration in addition to anything that you might be submitting for upcoming conferences including PAS, which will be in DC April 27-May 1.
Please contact Dr. Beth Hisle-Gorman (elizabeth.hisle-gorman@usuhs.edu) and Dr. Binny Chokshi (binny.chokshi@usuhs.edu) if interested in participating.
Pediatric Academic Societies (PAS) Conference 2023: April 27-May 1st in Washington, DC
Military Health System Research Symposium
2023 MHSRS Call for Abstracts opened on 9 January 2023 and closes on 19 February 2023.
The MHSRS is the Department of Defense's premier scientific meeting. It provides a collaborative environment for military medical care providers with deployment experience, DoD scientists, academia, and industry to meet and exchange information on the unique medical needs of the Warfighter.
Go to the MHSRS website (https://mhsrs.health.mil/) to review the titles and descriptions of the 2023 scientific breakout sessions, to submit an abstract, and to access Frequently Asked Questions concerning the Call for Abstracts process.
(1) DHA CAC Users: Signing in with a CAC is the most secure/desirable method since it uses two-factor authentication.
Go to https://mhsrs.health.mil/submissions/ and click 'Sign In with CAC'. If you have trouble accessing the site with your CAC, please register for a member account.
(2) All Others must have a username and password to access the site and to submit an abstract. If you have forgotten your previously issued username and password, email:
usarmy.detrick.medcom-usamrmc.list.usamrmc-web-team@health.mil for assistance. DO NOT re-register. If you have never registered on the MHSRS website (e.g., are a new abstract submitter), go to https://mhsrs.health.mil/Members/Register.aspx to register for a new member account and receive a username and password.
The 2023 MHSRS will be an in-person meeting (meeting approval, date, and location of the meeting are pending). This information will be posted on the MHSRS website and communicated via a mass e-mail to those registered on the MHSRS website when it is available.
2023 Section on Uniformed Services (SOUS) Scientific Awards Abstract Competition (SAC)
SUBMISSION DEADLINE: April 14, 2023
Submission Types: Case Report, Original Research, or Quality Improvement (may be eligible for MOC 4 credit).
Abstracts will be considered within six scientific award topics to be given to honor research efforts by Uniformed Pediatricians. The awards are:
The Ogden Bruton Award (certificate of merit): for the best paper by a Uniformed Pediatrician on either basic science research or research on the development, evaluation, or application of an emerging technology in pediatrics.
The Andrew Margileth Award (certificate of merit): for the best pediatric paper by a Uniformed Pediatrician documenting clinical findings or assessing clinical diagnostic studies, therapeutic regimens, and outcomes leading to improved quality of health care for children.
The Howard Johnson Award (certificate of merit): for the best paper by a Uniformed Resident (of any specialty) on a pediatric topic.
The Leo Geppert Innovation Award (certificate of merit): for the Uniformed Pediatrician with the best paper outlining a Quality Improvement or Patient Safety innovation affecting the care of pediatric patients.
The Leo Geppert Case Award (certificate of merit): for the best case report by a Uniformed Pediatrician. It is the only category that accepts case reports.
The Val G. Hemming Award (certificate of merit and a travel award per individual command's approval): for the USUHS, HPSP, or ROTC medical student submitting the best paper on a pediatric-related topic in clinical or basic science research.
Your submission will only be considered under one award topic. If you are unsure which topic to submit under, please contact Michelle Kiger, MD atmichelle.e.kiger.mil@health.mil for assistance.
Formats: Posters and oral presentation for top paper in Buton, Johnson and Margileth categories. Abstracts limited to 450 words. Prior IRB approval will be required for submissions involving human or animal subjects research.
Publication: Abstracts can be previously presented but not previously published.
Awards: Certificates for top 3 abstracts in each category. Top winner only for Hemming award.
Announcement of first place during SOUS educational program during AAP National Conference.
Sponsorship: Submitters will NOT need a sponsor. Membership not required.
Questions: For questions about abstract submission guidelines, contact Jackie Burke atjburke@aap.org. If your abstract is accepted for presentation, at least 1 author must register for the NCE. The 2023 Abstract Chairperson is Michelle Kiger, MD.
Meeting: AAP National Conference is scheduled for October 20-24, 2023 in Washington, DC.
Withdrawal: To withdraw your abstract, email your request to abstracts@aap.org no later than September 8, 2023.
ARMY (NEW!)
MANDATORY IPPS-A Personal Asset Inventory (PAI) starting next week Monday- Friday 10-14 April 0830-1530, with one early morning day Wednesday (12 April) starting at 0630-1530. All SM’s assigned or attached to A Co. will report to the A Co. orderly room bldg. 14 with their Common Access Card (CAC) and verify their information is correct on the IPPS-A Personnel Readiness Roster.
AFCT Rodeo Pick Times are now available:
Click here: Book an Appointment with HHC, Troop Command (Medical/Troop Command, WRNMMC) | Picktime
After Clicking the link please select the following options.
ACFT sign-up
TC-WRNMMC ACFT RODEO
ALPHA TROOP COMMAND
SELECT THE DATE AND TIME YOU WOULD LIKE TO ATTEND
The A Co. Command Team will be hosting an ACFT Preparation event every Wednesday @0630 on the MWR field. The target audience are those individuals wanting to practice all ACFT events, and improve their ACFT scores while learning proper form and standards for each event. The purpose is to allow Soldiers to prepare for the upcoming ACFT in April. Every Wednesday, A Co. will set up the equipment needed to conduct all the events on the ACFT, there is no signup required just show up in full PTs (down grade as you deem appropriate).
IPPS-A pand ORB Updates
There are many changes being implemented and continuously coming to the S1-Human Resources processes here at Alpha Company and Troop Command. In an effort to comfortably and efficiently transition to IPPS-A, Troop Command has put together instructional “HOW-TO” classes in the coming weeks to facilitate this change. EVERYONE will attend one of these blocks of instructions and yes it is available through TEAMS. However, I highly recommend going in-person in case you have additional questions. I have attached the class schedule.
The point of this correspondence is to tell the masses that there are NO LONGER Officer Record Briefs (OER) or Enlisted Record Briefs (ERB). They have all transitioned to Soldier Talent Profiles (STP). One of the noticeable changes in this switch is that awards are no longer viewable on the STP. They are viewable in your Personnel Profile. The information that IPPS-A uses was pulled from other systems that include iPERMS. Please stay tuned as more information is sure to follow.
Planning on going on leave? You can find the most updated leave forms here: https://www.nccpeds.com/army-leave
AIR FORCE
Training Reports:
Drafts are due to Dr. Zanetti by 1May.
Please view the original attachments in the email sent on 23FEB.
We have transitioned to the ALQ, which does away with bullets and changes to a narrative format without abbreviations which is much simpler.
For PGY2/3, take a look at your last 2 training reports (if you need a copy let me know and I can send you).
In general you could address the following items (if you have them) in the academic/training and professional qualities sections
Awards at conferences/meetings
Presentations at academic meetings/ conferences (need the official title)
PI/QI project title and your involvement
Journal club presentation (with title of article)
PT score
MEDRETE, humanitarian missions... with dates and what you did (also don't think we had any of these)
Papers, abstracts, posters, publications, etc
Precepting medical students (e.g. ICR at USU)
CPC title (for 3rd yrs)
Committee involvement
Care metrics (number of RVUs/cost of care delivered) – note when I compiled these they are cumulative for your residency, to get a reasonable estimate divide them by your PGY year so it reflects only this year.
The “Other Comments” section is generally a more vague statement about how you are doing – see examples in email
Laurie Creel is on extended leave; please forward any questions/concerns to Dr. Zanetti or Britt Bumgardner
PT Tests:
To schedule a test, please contact the following individuals:
TSgt Wilson: jonathan.a.wilson41.mil@health.mil
Every Thursday @1400
SSgt Starr: cody.j.starr2.mil@health.mil
Mondays and Fridays @1400
Leave
When submitting leave request from now through at least May: please put in the request that “Walter Reed Physician, leave is authorized”.
Andrews is not allowing their people to take leave without commander signoff during genesis roll out, but we are exempt. This will prevent your leave from getting denied.
Send a LeaveWeb request, designate Dr. Zanetti and Brittany Bumgardner as your primary and backup approver.
If you have a negative balance, submit requests to Col Rieker.
Ensure you are up to date with your Individual Medical Readiness
For Fellows: Submit leave to Maj Mary Hoffman and backup is AF personnel within specialty
NAVY (NEW!)
Navy PFA - 2023 Cycle 1: Starts Monday April 17th
Complete PARFQ and request waivers (if needed) now (deadline for waivers is 13APR)
Complete PARFQ (electronically preferred, if your PDHA/PHA/PDHRA date is not updated in prims, provide a copy of your PARFQ and IMR when you come to weigh in). There is no “Validating” this cycle so please plan to participate.
If needing a waiver, please schedule appt and have Treating provider sign BOTH Waiver and PARFQ form.
Once signed, waivers/PARFQs will be routed to the PRT office (person/email) then taken to the CO for final review.
Pregnant or Post-Partum SM will provide a copy of their pregnancy statement to dha.bethesda.j-11.list.prt@health.mil if they haven’t already.
TAD/PCSing prior to command cycle please coordinate with our team to schedule a PRT.
SKILLBRIDGE or SEPARATING will require a special request chit to the CO if the desire is to be omitted from the cycle.
Division 4 BCA ("Weigh-Ins”): 24-28 April 2023 in the Physical Readiness Office (Building 17A, 1st Deck, across from the CAC office); valid for 45 days; late BCA requests require DMS documentation
PRT: 1 May-2 Jun 2023; late PRT is case-by-case 5-9 Jun 2023
Training Schedule
