- Feb 26, 2023

Plan of the Week: Feb 26 - Mar 4

Plays of the Week:

Play of the week goes to Dr. Ben Jack, for his outstanding work during his 2-week sedation elective. Dr. Jack helped place PIVs in over two dozen patients, masked ventilated patients during nitrous oxide, discussed sedation plans with families and led procedural timeouts. He performed a foley catheter placement in a little infant, and he consistently stepped up when the team was busy, even so far as removing the foley and PIV to prepare the child for discharge. Lastly, he expertly calmed a child with a soft lullaby, as noted by a staff member. His contributions were extremely well-received amongst the PSU team! Great job, Ben!

Play of the week also goes to Dr. Amy Davis, for an impressively detailed medical student evaluation. The time you dedicated to the evaluation and feedback is very appreciated!

Play of the week also goes to Dr. Connor Liggett, who presented results of our infant hip study at the Academic Pediatric Association meeting in Charlottesville, Virginia Saturday to over 100 attendees. Represented Walter Reed Bethesda very well!

Congratulations to the following for their PAS 2023 presentation acceptances:

- Sidney Zven: "Exploring Food Insecurity and WIC Enrollment in Military Families" Poster Presentation

- Anthony Lucido: "QI 1: Improvement Science Research Methods & Evaluation of QI Educational Interventions" Poster Presentation

- Colin McNamara: "Hole" Exome - Phenotyping to Fill the Holes in Whole Exome Sequencing" Poster Presentation

- Brian Graziose: "Using an Innovative Model to Improve Performance of the Infant Hip Exam" Platform Presentation

Congratulations to the following for their recent post-graduation assignments/fellowships:

- Capt Peter Broughton: Langley AFB (71st Fighter Squadron)

- CPT Elise Reddington: CNMC Cardiology Fellowship

Submit a Play of the Week

Schedule:

Date	Event	Time and Location	Audience/Notes
Sunday, 2/26 Brian Graziose's Birthday 🎉
Monday, 2/27	Education/Reverse Education	Faculty: 0730 - 0850 America 2525 B/C Residents: 0745 - 0850 Allergy Conf Room, Room 4105	Rotation Supervisors, Military/Academic Advisors, Residency Leadership ONLY Pediatric Residents ONLY
Tuesday, 2/28	MR: Case & Audiology Lecture, Feleppelle	0745 - 0850 America 2525 B/C	All welcome
Wednesday, 3/1 First Day of Women's History Month	Grand Rounds: "Is Flying During Pregnancy Associated with Adverse Pediatric Outcomes?" Matthew Royall, MD	0745 - 0845 Room A3, Bldg A, USUHS and Virtual Zoom Platform Meeting ID: 999 6780 8867 Passcode: 7271775	All welcome; in-person attendance is STRONGLY encouraged
Thursday, 3/2	MR: Case and Vector-Borne Diseases Lecture, Helfrich	0745 - 0850 America 2525 B/C	All welcome
Friday, 3/3	MR: Case and Chorioamnionitis Lecture, Drumm	0745 - 0850 America 2525 B/C	All welcome

Save the Date 🗓	Upcoming Birthdays 🎉
9MAR: Kondiles CPC	10MAR: Alexis Ghersi
12MAR: Daylight Savings Time	27MAR: Dr. Hepps
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

Immunization Clinic Hours Change

Please note that the Immunizations Clinic will be closed daily between 1200-1300 from now on.

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.

MFR Peds Travel Clinic Limitations 2023

.pdf

Download PDF • 909KB

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!