Plays of the Week:
Play of the week goes to Drs. Alex Mauro and Rob Crutcher on their promotions to LCDR! Congratulations!
Play of the week also goes to Dr. Amy Davis and her Ward work room decorating with an Under-the-Sea theme for Block 3
Play of the week to Dr. Jack Goetzman, who did a great job advocating for a patient discharge. We had a patient with an extended hospital stay who was tolerating PO medication therapy. Jack was able to speak up for the patient and family who desperately wanted to go home and follow up outpatient for infusion appointments. Way to keep the patient first!
Play of the week also goes to the Heme-Onc team and leading a fantastic academic half-day session. Thank you to Drs. Hepps, Cole, Greenwald, Smith, and Toro for covering the inpatient services while the teams were away.
Time and Location
MR: Sleep and Fatigue Mitigation Workshop
0745 - 0850
America 2525 B/C
Tuesday, 8/30 Kevin Westbrook's Birthday 🎉
MR: Case & DKA/Endo Emergencies, Reynolds
0745 - 0850
America 2525 B/C
MR: Case & Disorders of Energy Sources Part 2, Schacht
Thursday, 9/1 First Day of Childhood Cancer Awareness Month
MR: Case & Lessons Learned from Poland, Schacht
0745 - 0850
America 2525 B/C
Friday, 9/2 Theresa Kiefer's Birthday 🎉
MR: Case & Sepsis, Kicker
0745 - 0850
America 2525 B/C
Saturday, 9/3 Nicole Martin's Birthday 🎉
Save the Date 🗓
Upcoming Birthdays 🎉
5SEP: Labor Day
14SEP: Marianna Caballero's Birthday
16SEP: Resident Fall Retreat
20SEP: Bailey Howard's Birthday
18SEP: Air Force Birthday ✈️
19SEP: Broughton CPC
Meet our Rotating Medical Students!
All Staff Updates
Code Green Drill (and activation of Crisis Action Team) this week
It will be unannounced and will occur after hours; it is anticipated to last approximately 30 minutes
NEW Relaxation Room: have you checked out the Peds relaxation room in America Room 4569? The room has a massage chair, aromatherapy, and more! Sign up for a slot using the binder outside the room (see pictures above).
RSV Season and Synagis
For the second year in a row, RSV season is early and we have already seen RSV in some of our patients. As many of you know, palivizumab (Synagis) is a monoclonal antibody that we give as immunoprophylaxis to infants at high risk for severe disease from RSV, to include hospitalization. We use the 2014 AAP Palivizumab Guidance (attached) to determine eligibility. In general, Synagis is given during the patient’s first RSV season only, but there are a few situations where it is given during the second season.
In the past, Synagis is administered in Oct but will start early this year to provide protection while RSV is high.
If you have a patient that meets criteria, please let Dr. Allison Helfrich and Ramona Sanchez-Brady know and they will confirm eligibility then schedule their visit with us.
When placing an SLP referral for WRNMMC SLP Clinical Swallowing Evaluation (CSE), please also place a RAD order. If the patient needs an MBS, it streamlines the process to ensure that the patient can get scheduled swiftly. In addition, if you want to just let the families know when you do your spiel, please ask them to bring foods that are challenging or problem foods/drinks and ones that the child readily accepts." Stop by the Chief office for a badge buddy with the IDDSI guidelines if you don't already have one!
Please view the info from DoD on Dobbs Decision and the following comprehensive list of walk-in Contraception Services available at WRNMMC for our patients.
Transition to NEW Email Domain: @mail.mil to @health.mil will occur no later than 30SEP
Back-up current mailbox and save desired files from MS Teams to local share drives and desktops.
Residents -- please be aware that parents may call regarding PSU patients (sedated earlier in the particular day). If this occurs, please look up their sedation notes from that day to assist in any questions the family may have. If their concerns require redirection to the ED, please notify the family as well. Follow up any PSU-related questions with NP Susan Kline (email@example.com) with a quick email after the conversation, so she can follow up the next business day. Please view the standard PSU discharge instructions below.
Library Website Feedback Survey
The library is conducting a usability study (PI/QI) to identify any pain points users may have with using the library's website. The library really wants to learn more about how users experience the site and ensure that it is user-friendly and organized in the most helpful manner.
This 2-minute survey is anonymous and designed to inform us of the tasks we should focus on in the usability study. The deadline to complete is Friday, 2SEP
Hospital Committee Sign-Ups
- Participation in hospital committees is an excellent way to make a difference in your hospital. GME input is critical to the success of our patient care mission. - Attached is a list and brief description of all hospital committees with a Survey Monkey link below the name of each committee. - Take a moment to sign up for a committee by clicking on the appropriate link and filling in your information. Please ensure you sign up even if you are already participating on the committee. When you sign up, be sure to double-check the spelling of your name and email address to ensure that leadership will be able to find you in Outlook. - You will have until 9/6/2022 to make your selections. If a committee has no more slots available, you will receive a message from Survey Monkey stating that the survey is closed. Simply return to the attached document and pick another committee. Your commitment to your selected committee is very important. Remember that committees can only have a specific number of housestaff representation, and other housestaff may not be able to be a committee member because you committed to participate in that committee. Understand that your involvement can make a difference! - The final list of assignments will be distributed on 9/7/2022.
PGY2/3s: calling for assistance! As you are aware, MHS faculty and trainees greatly value and depend upon Point of Care References (POCR) to make clinical decisions and assist in education. There are two main ones currently available in the MHS: DynaMed (DM) and UpToDate (UTD). GME has been asked to assist in defining the requirements. We'd like to see if the theme of "nuanced expert recommendations for atypical presentations or management beyond specialty society guidelines, algorithms, and/or published studies" is indeed what is important to you. To that end, we'd like a few examples from you where you found an answer to a clinical question in one POCR but not the other. Note that measurement here is whether or not the clinical question is answered in this circumstance. For the examples you provide us, the patient encounter and clinical question must be from August 2022.
Formatting: 1) BRIEF summary--less than a paragraph, 2) Clinical question, 3) Search in one POCR with link that answers the question, 4) Search in the other POCR with link that does not.
Please email the examples to Britt Bumgardner
PI/QI: Next Session is 6SEP
A3 Steps 3-5 should be complete; eIRB submission deadline is 15SEP
Please notify your stakeholders prior to the next meeting
Please view your project-specific template and assign the resident team lead for the remaining year
BG Protocol: firstname.lastname@example.org
Discharge Appts: email@example.com
Patient Education: firstname.lastname@example.org
CATCH Grant Program District Resident Liaison Application (PGY-1 and PGY-2s Only)
Community Access to Child Health, CATCH supports pediatricians in their efforts to collaborate within their communities to advance the health of all children. If you are unfamiliar with the program, you can look at their website (https://www.aap.org/CATCH).
Reach out to Alex Mauro if you have any questions or are interested
The application deadline is August 30th. Take a look at the attachment for more info! The application can be found here: https://www.surveymonkey.com/r/2022CATCHDRL
USU Teaching Opportunities
Clerkship Round Robin
Contact Dr. Sebastian Lara (email@example.com) if interested
Tentative Dates and Times:
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.
Reproduction and Endocrinology Module: September 22, 26, 29th
Adolescent Psychosocial Interview: September 27th 1000-1230
Contact Dr. John Berry (firstname.lastname@example.org) if interested
The medical students get two lectures that morning (intro to HEADSSS and Adolescent-Specific care in the military system). The students then see a modeled HEADSSS exam and then break into virtual groups (2 per room) and take turns role-playing as the patient and provider in 2 different adolescent scenarios. The students then come back together to discuss lessons learned from performing the HEADSSS exam. Teaching in this session would entail facilitating the debrief small groups of 12-15 students.
Bushmaster: October 10th and 19th
Contact Dr. Sara Bibbens (email@example.com) if interested
Field exercise in Fort Indian Town Gap, Pennsylvania. The resident would have the option to get funded to drive up the night before and stay overnight in the barracks or could drive up early morning on the same day. MREs provided.
Introduction to Clinical Reasoning (ICR) “Neonatal Transitions”: Date TBD - usually 3rd week in January
Contact Dr. Brian Hughes (firstname.lastname@example.org) if interested
3 consecutive 60-minute ICR sessions with approximately 7-10 students in each group focused on discussing common clinical presentations in the neonate transitioning from the intrauterine to extrauterine environments.
Contact Dr. Sebastian Lara (email@example.com) if interested
Co-facilitate a variety of multi-disciplinary health humanities activities. Past sessions include painting, comics design, dance, art of observation with National Gallery of Art, improv in medicine, narrative writing.
Dates: 6MAR (0800-1300), 8MAR (0800-1300), 10MAR(0800-1300)
Research Opportunities & Upcoming Conferences
Next SOCR meeting: October 18th
APPD Mid-Atlantic Regional Fall Meeting (Virtual): September 23rd, 2022
Spotlights on Innovations: do you have an innovative idea within DEI, community health, or virtual recruitment and want to present at the conference? Contact Britt Bumgardner if interested. Submissions are due by Friday, August 26th.
Conference on Military Perinatal Research (COMPRA): November 4-6, 2022
The 41st Conference on Military Perinatal Research (COMPRA) will be held from November 4-6, 2022 in San Antonio, with the theme of "Periviability: Ethics and Outcomes."
AMSUS Annual Meeting 2023: February 13-16th at the Gaylord National Resort & Conference Center, National Harbor, MD
AMSUS is currently accepting poster abstracts at https://www.amsus.org/2023-poster-submission-information/
The first 100 approved submissions will be invited to present at the in-person Poster Session on Wednesday 15 February. Space is limited; early submissions have the greatest chance of acceptance. The submissions portal will be disabled as soon as the first 100 submissions have been approved—long before the 15 October hard deadline. REMINDER: Before submitting your abstract to AMSUS, be sure to get USU presentation approval through ServiceNow
AMSUS honors the contributions of outstanding federal healthcare professionals each year through the Awards Program. Fifteen awards are available. The AMSUS Awards portal is now open! Visit https://www.amsus.org/professional-development/amsus-awards-program/ to learn more about the AMSUS Awards and begin the nomination process. The Awards portal closes on October 15.
Registration rates for the 2023 AMSUS Annual Meeting will be posted on the AMSUS website by mid-August. The registration portal will open in mid-September. If you have any questions, please contact the USU POC for AMSUS, Ms. Tiffany Helling firstname.lastname@example.org
Pediatric Academic Societies (PAS) Conference 2023: April 27-May 1st in Washington, DC
Open call for scholarly sessions, workshops, SIGs, ancillary events, and volunteers
The Army is transitioning to a new Integrated Personnel and Pay System-Army (IPPS-A); please back up your IPERMS using the following steps below to ensure that nothing is lost with the new transition:
1) Go to this site and log on with your CAC: https://iperms.hrc.army.mil
2) Towards the top, there is a ribbon with announcements, documents, reviews... Click the documents tab.
3) In the bottom left, there is a Download button as shown in the picture. Click it and it will download a zip file to your computer.
All Soldiers and DA Civilians require Transgender & Retaliation Training NLT 21 September 2022: view below for more information on how to sign-up
PGY3s: please reach out to COL Craig with any special circumstances, interests, and intentions for after graduation!
Planning on going on leave? You can find the most updated leave forms here: https://www.nccpeds.com/army-leave
To schedule a test at Walter Reed, please contact SSgt Talia Johnson (email@example.com). Please allow a few business days for a response.
If there is no availability at WRNMMC, you must test at Andrews AFB. Contact Ms. Laurie Creel (firstname.lastname@example.org)
Complete an updated Travel Assessment for any leave requests and send to Brittany Bumgardner or Dr. Zanetti for signature.
Upload the signed TRA to your LeaveWeb request, and designate Brittany Bumgardner and Dr. Zanetti 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: Fill out TRA, send to fellowship director/specialty chief for signing, submit leave to Maj Mary Hoffman and backup is AF personnel within specialty
- Residents: designate Brittany Bumgardner (under "Civilian Approvers", UIC 00168) as your watchbill coordinator in NSIPS
- PFA dates:
- 8 Aug - 2 Sep 2022: All-Hands PRT
- 6-9 Sep 2022: Late/Make-Up PRT
BUMED Directed TBI Trainings: 30 SEP 2022.
FACE TO FACE GMTs DUE BY 30 SEP 2022: offered weekly each Friday at NOON via MS TEAMS LINK:
Month of August Online GMT Due:
-DON: Prevention of Sexual Harassment (POSH)
Operational Trainings POCs:
- For HMSB/TCCC Registration and Training Credits contact: HM2 Borst (TCCC) and HM2 Roman (HMSB) at email@example.com
- For BLS/ALS/PALS Registration contact: firstname.lastname@example.org
- For GMT inquiries or certificate approvals, please contact your Directorate Training LPO and state your Directorate at email@example.com
All trainings are assigned to each Sailor via the Relias Learning Management System which will allow for timely and early completion of all trainings.
You can access the Relias LMS here: https://dha20433.training.reliaslearning.com/
If you do not see assigned trainings in your profile, please email your name and Directorate to: LT Talab at firstname.lastname@example.org
In the event that you do not have a Relias account email LT Talab, NMRTC Relias Administrator: email@example.com
-Sailors are individually responsible for completion of all GMT requirements per the attached command and BUMED instructions. Assigned GMTs are due each month to allow for timely completion by the end of the Fiscal Year.
-Separate to GMTs, all Sailors are required to maintain current readiness certifications and reflected in FLTMPS in accordance with their rate, corps, and specialty codes to include:
BLS, TCCC, HMSB, ALS, ATLS, PALS, TNCC. Please see the attached applicable Instructions for further guidance. Identified personnel have been assigned through Relias LMS.