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 (firstname.lastname@example.org) 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: email@example.com
Discharge Appts: firstname.lastname@example.org
Patient Education: email@example.com
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 (firstname.lastname@example.org) 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 (email@example.com) 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 (firstname.lastname@example.org) 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 (email@example.com) 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 La