- Feb 19, 2023

Plan of the Week: Feb 19 - 25

Plays of the Week:

Play of the week goes to Drs. Nicole Martin, Elise Reddington, and the rest of the Wellness Committee for providing breakfast and planning a great wellness activity for the residents!

Submit a Play of the Week

Schedule:

Date	Event	Time and Location	Audience/Notes
Monday, 2/20 Presidents' Day	No Morning Report; Outpatient Clinics Closed
Tuesday, 2/21 Mardi Gras ✨	MR: Case & CAPS Lecture, Trotter	0745 - 0850 America 2525 B/C	All welcome
	Rising PGY-2 Schedule Selection	1900-2000 Zoom Meeting ID: 937 0287 7518 Passcode: scutdog	Rising PGY-2s Only
	Rising PGY-3 Schedule Selection	2000-2100 Zoom Meeting ID: 937 0287 7518 Passcode: scutdog	Rising PGY-3s Only
Wednesday, 2/22 Ash Wednesday	NO MORNING REPORT
	Academic Half-Day: Cardiology	1300-1500 SIM Center, 4th Floor, Heroes Bldg 3rd Deck Team report to PICU for SIM at 1300	Medical Students and Residents Only
	Housestaff Meeting	1500-1600 Allergy Conf Rm 4105, America Bldg, 4th Floor	Pediatric Residents Only
Thursday, 2/23	MR: Case and GI Lecture, Burklow	0745 - 0850 America 2525 B/C	All welcome
Friday, 2/24 National Thank a Resident Day 🎉	NO MORNING REPORT: Pediatrics Residents please report to America 2525 at 0745 for a special surprise before walking to the Thank a Resident/Fellow breakfast		Housestaff: please see the flyer below with more information regarding a FREE BREAKFAST for Thank a Resident/Fellow Day

Save the Date 🗓	Upcoming Birthdays 🎉
9MAR: Kondiles CPC	26FEB: Brian Graziose
12MAR: Daylight Savings Time	10MAR: Alexis Ghersi
13MAR: Block 10 Starts
17MAR: St. Patrick's Day
22MAR: Ramadan Begins	Do you have a birthday that you want added to the calendar? Email/text Britt

Announcements:

All Staff Updates

Black History Month Highlight:

- The theme for Black History Month 2023 is Black Resistance

- Check out the National Library of Medicine exhibit, “Binding Wounds, Pushing Boundaries” currently displayed at WRNMMC for the entire month of February. The exhibit is a series of 6 banners chronicling African-American men and women who served as surgeons and nurses during the civil war. If you don’t have the chance to visit, you can still experience the exhibit virtually. We’ve also added several additional DEI resources on the page at our library’s website (Binding Wounds, Pushing Boundaries: African Americans in Civil War Medicine: Home)

PSU Updates

The PSU is experiencing acute-on-chronic RN staffing shortages. As of Monday 27 February 2023, the PSU will only have one remaining RN staff member. To mitigate personnel challenges as well as balance continuation of mission with safe patient care, the location of sedated procedures will move from the physical confines of the PSU into the PICU, effective Monday 27 February. Ordering providers requesting sedation support of patients with medical complexity deemed by the PSU to require pediatric anesthesia support (i.e. not those suitable for sedation by the intensivist team) will be directed to utilize the Ambulatory Procedures Unit (APU).

PSU will return to its own physical space when at least 1 PSU RN new hire completes orientation. As such, we anticipate colocation with the PICU to continue for several months. Our scheduler (Ms. Angel Morton-Jones, 301-400-1594) remains first contact for new, routine priority requests. Continue to utilize our mailbox for new requests: dha.bethesda.wrnmmc.mbx.pedsedation@health.mil

Should ordering providers need to contact the intensivist team regarding ASAP studies or with time-sensitive questions, please reach out directly to PSU Service Chief, PA Susan Kline, using the following means in order of priority:

1. Email (susan.l.kline.civ@health.mil)

2. AMS Connect

3. Call the PICU Nurse’s Station (301) 400-2010

Travel Clinic Updates

Peds ID at WRNMMC offers a Pediatric Travel Clinic to provider pre-travel medical counseling and applicable vaccinations. Due to an overwhelming number of travelers impacting our access to care, the Peds Travel Clinic will NO longer see families who are PCSing to Japan or South Korea. Starting 1 MARCH 2023 no new appointments will be booked for PCS to Japan or South Korea; however we will see those who are already booked. Please see the attached MFR explaining this further.

These are low-risk travelers and the pre-travel vaccinations should be managed by the PCM - which could be done during the OCONUS clearance appointment. To aid the PCM, we have also created a one-page reference as to what vaccinations are needed for these PCS moves (see below). Please feel free to reach out to Peds ID with clinical questions/concerns or directly to me regarding our policy change.

Harvard Medical School-Fenway Health LGBTQIA+ Health Fellowship Seminars

The LGBTQIA+ Health Fellowship is offering free attendance for senior residents and fellows to their longitudinal seminars on Friday afternoons.
Session topics:
Register here: http://www.lgbtqiahealtheducation.org
Topics
- LGBTQIA+ health inequities and their drivers
- Socioecological approaches for advancing LGBTQIA+ health equity
- LGBTQIA+ health clinical program development
- LGBTQIA+ health clinical quality improvement
- LGBTQIA+ community engagement
- LGBTQIA+ health policy and advocacy
- LGBTQIA+ health professional education
- LGBTQIA+ health data collection and research
- Fundraising to support LGBTQIA+ health initiatives
- LGBTQIA+ health media training
- Mentorship for LGBTQIA+ mentees and mentors
Two webinars are currently scheduled; register below:
- March 15, 7-8pm ET: Register Here < Caution-https://us02web.zoom.us/webinar/register/WN_qGAtCbqCRrKvVF82s0h8vA >
- March 29, 4-5pm ET: Register Here < Caution-https://us02web.zoom.us/webinar/register/WN_HDSddk37TBy20_pVrZWS1Q >

MHS Genesis Updates:

Important Announcements

“Soft Go-Live”: Saturday, 25MAR
MHS Genesis Patient Portal will be replacing our Tricare Online (TOL) platform after “Go Live.”
- Set up your accounts: https://www.health.mil/Military-Health-Topics/Technology/MHS-GENESIS
WRNMMC Command reviewed and approved an updated clinical reductions plan that will now maintain only a 25% reduction in inpatient bed capacity through both the “pre-Go Live” and “Go-Live” MHS Genesis phases (24FEB-NLT 21MAY2023), as opposed to the previously planned 50% reduction during “Go Live”

Mock Go-Live Events (27FEB-3MAR): provides a hands-on opportunity to reinforce the skills acquired during training and practice end-to-end workflow

Pre-Go-Live Events (27FEB-17MAR):

Includes sign-on fair, favorites fair, and learning lab (see below for descriptions)
It is highly recommended that you attend these events to ensure you are ready to go with the roll-out
How to sign-up for the sign-on fair and favorites fair: reliaslearning.com —> Course Library —> 20433 MHS Genesis Sign-On Fair (SOF)
- You should go to the sign-on fair FIRST, followed by the favorites fair (ideally immediately after, but you can return at any point)

Sign-on Fair (SOF)

Favorites Fair (FF)

Learning Lab (LL)

Resident-Specific Updates

Transition to Practice (PGY-3s only)

Transition to Practice Page

This week's focus: ABP General Pediatrics Certifying Exam
- View the "Pre-Graduation Handbook" on the Transition to Practice webpage
- The window for registering for your boards is currently open and will close on 3/31.
Additionally, please take a minute to fill out this brief form for the AAP to let them know your plans after you complete residency training. They have membership options with different prices and benefits, and this information helps to connect you to the right path. For residents continuing to a Chief year, please let them know that as well. Thank you!