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Plan of the Week: June 19 - 25

Play of the Week:

Play of the week to Dr. Jack Goetzman and Dr. Elise Reddington for their exemplary teamwork, positive attitude, and selfless service on the ward and PICU over the past two weeks. Through a variety of challenges with staffing, they stepped up and rendered excellent, patient-centered care. An additional shout-out to Dr. Reddington as the acting-PGY3 for the block for delivering thoughtful morning report cases that have stimulated robust clinical discussions.


In addition, NCC Peds has had a stellar few weeks! Our department chief got promoted; congratulations, COL May! Our PGY3s and third year fellows officially graduated at the first in person ceremony since the pandemic started; congratulations to you all! We both hailed our new intern class and farewelled our graduating residents/fellows as well as those PCS-ing this summer at our Hail and Farewell!






 

Weekly Schedule:

Please note that the PGY3's Transition to Practice Schedule is included in the calendar below, highlighted in light blue. This schedule pertains only to the graduating PGY3's and the faculty who are delivering their lectures.

Date

Time and Location

Topic and Speaker

Audience

Monday, 6/20


Juneteenth (Observed)

No morning report or lecture

Interested in learning more about Juneteenth and how it has historically been honored? Check out this article.

Tuesday, 6/21

Education Meeting Cancelled - No morning report or lecture





0745 - 0850

Desert Conference Room (America 2301)

PEC meeting

PEC representatives and Leadership Team ONLY

0900 - 1200


Canyon Conference Room (America 4238)

Library Resources and EndNote Session (Ms. Mason-Coles)

Graduating PGY-3s ONLY- please bring your personal laptops!

1300 - 1600


SIM Center (Heroes, 4th Floor)

Procedure Boot Camp

Graduating PGY-3s ONLY

Wednesday, 6/22


**NO MORNING REPORT**


Please attend the USU joint pediatric surgery/pediatric medicine lecture at 0900!

0900 - 1100

USU Joint Pediatric Surgery/Pediatric Medicine Grand Rounds: Gastroesophageal Reflux Disease in Infants and Children, presented by Dr. Shawn St. Peter (Children's Mercy, Kansas City) and Dr. Rachel Rosen (Boston Childrens')

All welcome for this virtual session. Options to join include:

(1) Google Meet (click here to join)

(2) Attend the live-streamed lecture in America 2525 B/C

(3) Join by phone- 650-466-0780 (PIN: 160470133)

0900 - 1400 (break from 1130 - 1230 for lunch)


Canyon Conference Room (America 4238)

Board Review Sessions


0900 - 1000: Biostats (Dr. Penney)

1000 - 1130: Genetics (Dr. Schacht)

1230 - 1400: Cardiology (Dr. Hughes)


Graduating PGY-3s ONLY

Thursday, 6/23

0745 - 0850


America Room 2525 B/C**

MR Case and Dr. Caballero's Journal Club



All welcome

1000 - 1400


Forest Conference Room (America 5218)

Board Review Sessions

1000-1100: Endo Board Review with Dr. Reynolds

1100-1200: Break

1200-1400: ID Board Review with Dr. Maranich

Graduating PGY-3s ONLY

Friday, 6/24



0745 - 0850


America 2525 B/C

Housestaff Meeting

Pediatric Residents ONLY

Please be advised that morning report has returned to in-person only. There will no longer be an option to join the session via ZoomGov. Plan accordingly, and join us for the in-person sessions!


If you are presenting a case or lecture: please save your presentations to the ShareDrive in the folder corresponding to the year and month of your presentation: \\WRNMDFPISISMBD1\DeptShares$\Dept1\_Pediatrics\MorningReport Lectures.


Continuity Clinic: Continuity Clinic Jeopardy

 

Announcements:


All Staff:

  • A CODE WHITE EXERCISE is scheduled for this week during business hours. It is an active shooter drill and will last for approximately 15 minutes. Please shelter in place per unit protocol during this drill.

  • COVAX 6mo-4yr vaccinations - the FDA's Vaccine and Related Biological Products Advisory Committee (VRBPAC) voted unanimously on Wednesday to recommend authorization of both the Moderna and Pfizer COVID-19 vaccines to ages 6mo to under 5 years. It is now anticipated that the FDA will grant EUA for the vaccines, and that the CDC will endorse as soon as this weekend. Our COVAX team is prepared to rollout vaccines as soon as authorized and pediatric shipment is received. At this time, we will only be administering Pfizer vaccine product, and it will consist of a 3-dose series: 0, 21d, and 8 weeks, per the current EUA instruction. Messaging through PAO is being finalized, and we anticipate rollout by mid-next week if no delays in the above approval timeline.

  • PRIDE month event - Secretary of Transportation, Mr. Pete Buttigieg, will be here on Wednesday, 29JUN, from 1000-1045 in Clark Auditorium for a special PRIDE month event.

  • Interested in obtaining free CME credits and learning more about Postural Orthostatic Tachycardia Syndrome (POTS)? Mark your calendars for July 17, during which a free virtual CME session will be hosted by Stony Brook Medicine and Dysautonomia international.

    • If you know any physicians, nurse practitioners, physician assistants, registered nurses, physical therapists, occupational therapists, psychologists or graduate students in any of these disciplines who may be interested in attending the July 17th CME course on POTS, please ask them to complete this complimentary registration form: https://forms.gle/ivdf5F4taNbpEfXT7. They must use a current university, hospital, or clinic/work email address to register for this complimentary pass.

    • See flyer below for details on the course agenda.

  • Please be advised of new pharmacy operations, which were made effective Monday, June 6, 2022:

    • (1) The PEDIATRICS PHARMACY within the peds PCMH is closed.

    • (2) For NEW prescriptions:

      • Providers MUST enter new prescriptions to the America or Arrowhead Pharmacy.

      • Families may not have their children’s DoDID numbers memorized, so please write this down for families on the business card or on their checkout sheet before they leave.

      • Advise families to complete the following steps to have prescriptions filled:

        • Text 833-201-9306 with “get in line,” and respond to the next prompts for DoDID#, etc. It may take some time to receive a confirmation message from the pharmacy, which will begin with a “Q” ticket number. The check-in process is NOT complete until the “Q” ticket number is received.

        • Wait in the peds lobby for their prescriptions. The family will receive a text from pharmacy when the prescriptions are ready.

        • Proceed to the pharmacy lobby, then text “I am here.” The family should NOT text “I am here” until they are physically in the pharmacy lobby.

        • Note that this process applies to NEW prescriptions only.

    • (3) For REFILLS: same-day refills will no longer be filled.

      • Refills must be picked up at the NEX pharmacy or Drive-Thru pharmacy, and must be activated 48 hours in advance of the requested pick-up time. To activate a refill, patients can utilize one of the options below:

        • Online Prescription Activation Form

        • Tricare Online

        • Automated Call-In Refill Line (800-377-1723)

        • Call center (301-295-2123)

        • In-Person Paper Drop-Off Requests (dropped off to the Drive Thru pharmacy or the NEX pharmacy)

      • Note that the Drive-Thru pharmacy (parking lot of 85T) is open Mon-Sat from 0900 – 1600, and the NEX pharmacy (1st floor of NEX) is open Mon-Sat from 0900 – 1730.

    • (4) FOR STAFF:

      • Use your CAC for new prescriptions or refills, which will be filled within 2 hours, using a CAC-enabled computer and the following link: https://apps5.capmed.mil/StaffPharmacyRefills/Home/Index

      • Prescriptions will be ready within 2 hours at America or Arrowhead and you will receive a text when they are ready. When you arrive to the pharmacy, pick up a ticket at the kiosk that says "MTF Staff" to bypass the line and be issued your prescriptions.

  • Utilize the business cards below in clinic to walk families through the new pharmacy process and to jot down the patient's DoDID number.

  • Check out the updated WIC eligibility tool!

  • Join Spectrum, USUHS LGBQTIA+ affinity group, in their educational offerings pertaining to PRIDE month!! Check out the flyer below.

  • Need to find contact information for staff or a department within the NCR medical facilities? Check out the electronic Scutdog here, or stop by the Chief Office (America Bldg, 4th Floor, Room 4560) for a print copy.


Resident-Specific:

  • For urgent, after-hours, or weekend issues, please call/text the Chief On-Call, listed in Amion.

    • Leela Patel: on-site, but busy ward attending!

    • Sam Rowe: 6/19 - 6/26, out with COVID :( teleworking until return to the office on 6/22.

  • Graduating PGY3s:

    • Please take note of the TTP schedule included in the Weekly Calendar, above. Your attendance at all morning reports and all of the sessions is required, unless you have an excused absence.

    • Attend your End of Training PD Meeting with Dr. Hepps. Ensure that you have the following items prepared:

      • End of Training Documents:

        • DHA165- residents sign on 6/16, Dr. Hepps signs on 7/1, Dr. Hepps sends to Mr. Harvey

        • Reference Form- obtain from Academic Advisor, residents upload to CCQAS

        • Privileging Form- pre-filled example attached, Dr. Hepps to sign, residents upload to CCQAS

      • Procedure Verification Form: attached- this will be completed with Dr. Hepps; pleasure ensure that your Procedure Log in MedHub is up to date. Your procedure log will determine which procedures you are credentialed to perform as staff!

      • Other Certifications: Confirm BLS, NRP, PALS, STABLE status; Confirm state licensure

      • Residency Academic Requirements: Confirm that Program Coordinators have a copy of your Journal Club (PGY1) and CPC (PGY3)-- we will contact you if we're missing anything

      • Military Training Reports: Review with Dr. Hepps/Dr. Zanetti

        • FITREPs: submitted

        • Air Force Training Reports: Dr. Zanetti will have ready to sign by 7/1

        • OERs: Completed and reviewed by S1! Ready to sign! (2 wks prior to thru date)

      • Out-processing Checklists: Review HERE

  • Please schedule your End of Year PD meeting with Dr. Hepps using this link.

    • Within the block of availability, ADD a new 30-minute block with your name and preferred meeting time.

    • Do NOT delete or type over the "Dr. Hepps PD Meeting Slots" blocks.

    • Ensure you are entering your meeting slot into the "NCC Peds PD Meeting Calendar" (not your personal calendar).

    • For the rising seniors, prepare for your meeting by:

      • Updating your Individualized Learning Plan (ILP) on Pedialink. Please contact the program coordinators if you are having trouble accessing the website. You can also complete the attached Word doc version, instead

      • Update your Procedure Log on MedHub. See below for the Procedures handbook section as a reminder of which procedures need to be logged.

      • Start building your Resident Portfolio on MedHub. Please see the attached "How-To" PDF with screenshots. We are adopting a "Digital Portfolio", rather than a hard-copy binder moving forward, with the goal of "Going Green" and cutting down on the number of emails you have to field from the PCs and CR and vice versa. The portfolio should be a "One Stop Shop" for all of your Residency Requirements & Accomplishments that we will refer to throughout your residency.

      • Theresa and Lauren may email you requesting updates about your Certifications & Licensure (BLS, NRP, PALS, unrestricted state license, training license). Please reply to them!

  • For resident scheduling in clinic:

    • When you are preparing for your continuity clinic for the week and notice logistical issues with your schedule (i.e., two patients booked in the same slot, siblings booked with you but in non-consecutive time slots, complex patients booked into short appointment times, etc), please complete the following steps, ideally no later than the night before your clinic:

  • Looking for information on credentialing, duty hours, and procedure logs? Please see below:

Feeling sick? Please click the arrow to the left for step-by-step instructions:

 

Research:


Calling all NRP-trained providers! You are invited to participate in an educational research study evaluating a new infant resuscitation skill-sustainment bundle. This short training focuses on the most critical components of neonatal resuscitation; it is designed to be non-threatening and delivered virtually. The study’s eventual aim is to help NRP providers maintain skills in remote and low-volume settings. If you would like to learn more or are interested in participating, please contact Chase Groomes at Charles.L.Groomes.mil@mail.mil or NRPSkills@gmail.com. Participation is voluntary and is expected to require 1-1.5 hours during a time convenient to you.


Interested in Neonatology? 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."


The call for abstracts for COMPRA began on June 8, 2022, and the deadline for submission is Friday, August 5, 2022. Applicants will be notified of selection for attendance and presentation of abstracts by August 19, 2022. See below for submission guidelines and further details.


  • ARM: All senior residents MUST have a SOCR-approved project to receive 2 ARM days per block. Senior residents must update SOCR every 6 months to maintain their second ARM day.

  • RESEARCH ELECTIVE: Senior residents must present a plan to Dr. Kolasinski and Dr. Zanetti for any research elective time 3-6 months prior to their rotation start date.

  • Resources are in the "SOCR formerly RROC" ShareDrive folder, and check out page linked above for further information!

 

Military Specific:

ARMY

AIR FORCE

NAVY

 

Wellness and Feedback:

Wellness Resources Table- this contains a comprehensive listing of behavioral health resources accessible to trainees in our program.

Physician Wellness Resources Library- this site lists open-access online resources that promote physician wellness.

Feedback Venues Table- this table details the various avenues through which trainees can give feedback and the degree of anonymity conferred by each.

 


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