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Plan of the Week: June 25th - July 1st

  • Jun 25, 2023
  • 6 min read

Updated: Jun 28, 2023



Plays of the Week:


Play of the week to Dr. Nicole Martin for enthusiastically joining the NICU team for an overnight resuscitation and admission while covering the ward. She did a phenomenal job throughout!


Play of the week goes to the 2023 Graduation Award Recipients:

- Lieutenant Neil Holland Award: CPT Brian Graziose

- Major General Lewis A. Mologne Award: Capt Sidney Zven

- WRNMMC Staff Physician Teacher of the Year: Lt Col Richard Zanetti

- Lieutenant General Clair L. Chennault Award: COL Brent Lechner

- Innovative Curriculum Award: CAPT Joseph Lopreiato (Ret.)

- WRNMMC Faculty Leader in Diversity, Equity, and Inclusion: NP Janice McGirt


Additionally, it's been an amazing year being your Chief Resident. Big thanks to all of you for the hard work and the unforgettable memories. It's time to pass it off to your new Chief Resident, Jack Goetzman, who will officially start July 1st!


And finally, a warm welcome to our new intern class as they OFFICIALLY start this Saturday!!


Schedule:

Date

Event

Time and Location

Audience/Notes

Monday, 6/26

MR: Case & Dysautonomia Lecture, Cook

0745 - 0850 America 2525 B/C

All welcome

​

Peds Dept Welcome Lunch 🥳 - Introduction of the Class of 2026 & Returning GMO

- Presentation of the Labow Award

- Presentation of the Screener of the Year Award

- Presentation of the Faculty Teaching Honor Roll

1200 - 1300 Canyon Conf Rm MSTeams Link

All welcome

Tuesday, 6/27

MR: Case & Cardiology Lecture, Mulreany

0745 - 0850 America 2525 B/C

All welcome

Wednesday, 6/28

NO MORNING REPORT

​

​

​

Pulm Academic Half-Day

1300 - 1500 Meet at the Allergy Conference Room

Residents and Medical Students Only

​

Housestaff Meeting

1500 - 1600

Pediatric Residents Only

​

PCMH Potluck

1230 - 1600

PCMH welcome

Thursday, 6/29 Taylor Meyer's Birthday 🎉

MR: Case & Aggression Lecture, Patterson

0745 - 0850 America 2525 B/C

All welcome

​

WRB Code Green

0730 - 1100 Radiology Lobby

See below for details

​

Candidate Recruitment Day

0900 - 1200 Canyon Conf Rm

Residency recruitment team and visiting MSIVs

​

Medical Student/Resident Mixer

1730 - 2000 World of Beer

Residents and Medical Students Only

Friday, 6/30

MR: Case & Clotting and Hypercoagulability Lecture, Smith

0745 - 0850 America 2525 B/C

All welcome

​

Intern Shadow Day

0745 - 1600

Incoming interns/residents

​

Lt Col Susan Whiteway's Promotion Ceremony

1430 Clark Auditorium Bldg 10, 2nd Floor

For more information and to RSVP


Save the Date 🗓

Upcoming Birthdays 🎉

3JUL: Block 1 Starts 🎉

4JUL: Kayla Sallander

4JUL: 4th of July 🇺🇸 🎆

8JUL: Samantha Hanciles

13JUL: Resident/Med Student Mixer

19JUL: Connor Liggett

24JUL: Block 2 Starts 🎉

​

26JUL: Adolescent Academic Half-Day

Do you have a birthday that you want added to the calendar? Email/text Britt


Announcements:


Meet our Rotating 4th Year Medical Students!


All Staff Updates


NCCPeds merchandise is here! Click the link below to order jackets, vests, drinkware, etc before 5JUL!


Urbina Family Donations

We wanted to send a MASSIVE thank you for all of your incredible generosity. Your donations went straight to the Urbina family, providing much-needed support in this challenging time. They're overwhelmed with gratitude, as are we. Your kindness has truly made a tangible impact. Thanks again for stepping up when it mattered most.



WRB Code Green: 29JUN

  • This EXERCISE will be called overhead, will incorporate simulated casualties, and is a longer time commitment.

  • Units stood up: Triage Unit, Immediate and Delayed Care Units, and Minor Care Unit

    • PRIME, SUBS, and 3rd DECK all send full compliments of personnel (see below)

  • Work-area mustering of all staff SHOULD occur, and then assigned (or pre-designated) personnel should immediately report to the Radiology lobby or Surgery clinic as noted below.

  • Here is a work-area-based breakdown of the procedure we are to follow -and people we are to send- when a Code Green is called overhead during working hours (again, only EXERCISES and REAL Code Greens are called overhead and require mustering, DRILLS do not):

    • PRIME CLINIC:

      • All personnel muster in your waiting area

      • Senior Officer present sends 2 staff/attending providers, 1 RN and 1 HM/medic to the Radiology Lobby

      • Arrange for coverage for remaining patients

    • SUBS CLINIC:

      • All personnel muster in your waiting area

      • Senior Officer present sends:

        • 1 staff/attending provider & 1 LPN to Surgery Clinic

        • 1 RN to Radiology Lobby

      • Arrange for coverage for remaining patients

    • 3rd DECK:

      • 3rd Deck Senior Resident notifies the team he/she is leaving, and reports to Radiology lobby

      • Back-up coverage is called-in, if needed

    • 6th DECK:

      • ***No longer expected to provide personnel.***


Office of Special Needs EFMP Podcast


Genesis: New Newborn Orders Available

  • Please use "Bilirubin, Total and Direct" order and the updated glucose gel order from now on

  • Take a moment to re-download one of the following PowerPlans or reference the picture below for the correct orders

    • Dr. Greenwald's “PED Well Newborn Admission” or Dr. Weber's updated “WRNMMC PED Well Newborn Admission”



Peds Sedation Unit Reminder


Healthy Habits Clinic

  • If you're not familiar with Healthy Habits, it is a virtual clinic provided to eligible pediatric patients ages 6-18 with stage 1 obesity who are motivated and ready to make changes. Eligible participants and their families should be able to participate in virtual group exercise and in a classroom environment.

  • Here are 3 Important Changes

  • In order to align ourselves with the 2023 AAP Guidelines on management of Pediatric Obesity, which recommends at least 26 hours of IHBLT, the Healthy Habits Program now meets twice monthly for 90-minute virtual group health behavior and group exercise sessions. Sessions are offered on the 2nd and 4th Wednesday of every month beginning at 1515. Each session is unique and interactive.

  • For patients 6-18 years of age with overweight or stage 1 obesity (BMI at the 85% to ≥ 120% of the 95%) , please consider the following:

    • Step 1: SMART goals set with PCM and plans for in person follow up with PCM every 3-6 months to track change, assess for weight related co-morbidities and formally reassess goals. Step 2: Referral to the Healthy Habits Program for Intensive Health Behavior and Lifestyle Treatment

    • For patients 6-18 years of age with severe obesity ( ≥ 120% of the 95%) or stage 1 obesity and a comorbidity including: hyperlipidemia, concern for PCOS, or concern for pre-diabetes, please consider the following:

    • Step 1 and Step 2 as outlined above

    • Step 3: Refer to Pediatric Endocrinology at WRNMMC for further evaluation and treatment of severe obesity and metabolic sequela

  • To refer to the Healthy Habits Program, create a message to Ms. Ramona Sanchez-Brady within Genesis. Search Sanchez,Ramona in messaging and use the dot phrase "..HH" which will auto populate the following message:

    • Ms. Sanchez-Brady, I would like to refer _______________________ to the Healthy Habits Program. A good contact number for this family is ________________________ and they would prefer to receive information about upcoming Healthy Habits sessions at the following email: _____________________________________.


WRNMMC ED Communication

  • Please continue to communicate with the ED team anytime you know/believe there is a patient headed their way (the ED’s use of “pre-arrival notes” has helped the workflow tremendously, both to expedite & focus any workup the patient is coming in for), particularly complicated ones.

  • Also send a message to the 3rd Deck Team (AMS Connect: Pediatric Ward Resident) to make them aware of a patient the child would benefit from a Peds Consult.


Peds Travel Clinic

  • Referrals are no longer required for Peds ID Travel Clinic but the travelers must be Tricare-eligible. We request that you screen the patient’s destination to determine if travel clinic is required. Please see the information below:

  • Pediatric Infectious Disease Clinic at WRNMMC offers Travel Clinic appointments for Tricare-eligible families traveling overseas. Due to limited appointment availability, priority is for PCS and high-risk travel. Please note these appointments are NOT for PCS clearance (which should be completed by the PCM).

  1. PCM determines if Travel Clinic is needed. Look at the destination of travel:

2. If Travel Clinic is needed, instruct the parent/guardian to have the following information ready and call Peds Subspecialty Clinic to book.

  1. Destination(s) of travel

  2. Travel Dates

  • Note that patients should be seen at least 2 weeks prior to departure (ideally 4-6 weeks) but also NO earlier than 2 months prior to departure. Peds ID clinic schedule is available 3 months in advance and will be strict with this timeline/window for travel clinic appointments.

  • Families MUST CALL the Peds Subspeciality Clinic to schedule their appointment at 301-319-4959. Please advise families to be patient when calling as the Peds Subspecialty Clinic front desk manage many subspecialities and also check in patients while managing the phone.

Resident-Specific Updates


Block 1 Schedules

  • Don't forget to reach out to your Block 1 Rotation Supervisors regarding your schedule. View the attachment below for the most up-to-date contact information.

  • Additionally, check MedHub and review updated goals & objectives for your upcoming rotation!


MHS Genesis Message Center/Proxy Workflow

  • Please review the update message center and proxy workflow document.


Resident Appointment Binder

  • We have a new follow-appointment binder for residents that will be kept at the front desk . If a residents wants a pt to follow-up add the name in the binder if that resident doesn’t have any open appts.

  • If a pt calls and wants an appointment with a certain resident add the name to the binder if that resident doesn’t have any open appts. Ms. Holly/Ms. Tamarta (Blue Team) will call the patient when the slots become available or will talk to Dr. Goetzman/Dr. Carr to come up with a solution if the resident is totally booked. Residents can also send messages to PEDS TEAM Blue Messaging Scheduling in MHS Genesis if they want pts to have follow-up appts with them.


Blood Type Ordering in the NICU

  1. When ordering things in the NICU I highly recommend the residents use the NICU quick orders panel (highlighted and shown in the image below). That way they aren’t scrolling through numerous order options to chose the correct combination of STAT, nurse collect etc.

  2. For blood type in the NICU if it comes from the cord please select cord blood profile (this will give you ABO/Rh and DAT status)

  3. If it is not from the cord (for example you need a blood type prior to administering blood products) please use the ABO/Rh (<4mth) also as highlighted below

  4. These blood type orders are also in the NICU admission powerplans. However, the admission power plans also include “type and screen”. Do not order this on babies <4months.


Educational/Teaching Opportunities


USU Teaching Opportunities

Clerkship Round Robin (recurring throughout the year)

  • Contact Dr. Brian Hughes (brian.hughes@usuhs.edu) if interested

  • Tentative Dates and Times:

    • 30Aug2023 1300-1700*

  • 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 Small Group Teaching Opportunities

  • Sign Up Genius Link

  • 19SEP: Developmental Delay ICR (1300-1630)

  • 21SEP: Peds Growth ICR (1300-1630)

  • 25SEP: Pediatric Issues ICR (1300-1630)

  • 26SEP: HEADSS Exam Debrief (1100-1430)

Research Opportunities & Upcoming Conferences


Upcoming Conferences:

APPD: Mid-Atlantic Annual Meeting: Wednesday, Sept 20 at CNMC

More details to come soon. Along with this meeting, we will be continuing our annual scholarship competition. The call for proposals is attached and should be shared with your trainees. We are seeking proposals that have a focus on education, community health and advocacy, and cultivation of an inclusive work force and clinical learning environment. We are excited to be able to offer several $1000 grants, so please encourage participation.



6th annual Architecture of High Value Health Care: October 12-14th in Baltimore, MD


AAP NCE 2023: October 20-24th in Washington, DC

Registration and hotel reservations will open for AAP members on May 2 at 10AM CDT and open for all on May 9 at 10am CDT. The conference schedule will be released on May 2.


https://aapexperience.org/

Community Pediatrics Updates:


LGBTQ+ Pride Month:


USU Spectrum Pride Events


ARMY NEW!

  • Alpha Company PAI: 26-28JUNE 0800-1100 and 1300-1500

    • Lobby of BLDG 19

    • Bring dog tags and CACs

  • Alpha Company Orderly Room Hours Update

    • A CO ORDERLY ROOM HOURS on THURSDAYS

      • OPEN for NORMAL BUSINESS 0830-1200

      • LUNCH 1200 -1300

      • CLOSED for SERGEANT’S TIME TRAINING 1300-1600 (Open for In-/Out-Processing and Emergencies Only)

  • Maternity convalescent leave

    • CLARIFYING GUIDANCE ON MATERNITY CONVALESCENT LEAVE FOLLOWING CHILDBIRTH AND MILITARY PARENTAL LEAVE, 2 JUN 23. From the Secretary of the Army: The Army is committed to ensuring that birth parents have ample time to recover from giving birth and that birth and non-birth parents are able to care for their child or children. As such, maternity convalescent leave following childbirth and military parental leave are two separate non-chargeable periods of absence. DTM 23-001, Expansion of the Military Parental Leave Program, dated 4 Jan 23 and ALARACT 018-2023, Expansion of the Military Parental Leave Program (MPLP) Implementation Guidance, dated 6 Mar 23 do not change the intended purpose of maternity convalescent leave, which is limited to a birth parent after a qualifying birth event. Maternity convalescent leave is intended to provide the birth parent time for appropriate recovery from giving birth. Parental leave should not be considered by the medical provider when determining the appropriate time for recommending maternity convalescent leave for the birth parent. Six weeks remains the appropriate amount of time for recovery from childbirth. Additional maternity convalescent leave may be authorized when specifically recommended, in writing, by the medical provider to address a diagnosed medical condition and when approved by the commander. See the memo for additional information. https://www.milsuite.mil/book/docs/DOC-1258635

  • Current leave process

    • Please use IPPS-A for all leave/absence requests; go to https://myaccess.dmdc.osd.mil/identitymanagement/app/login and login with your CAC

    • Make sure you change your email in order to receive email notifications -> My Profile -> My Current Profile -> down arrow next to name -> Personal Details -> Contact Details

    • Submit leave

      • Continue to submit DA31s to Britt for signature

      • Once your DA31 is reviewed and signed, follow these instructions:

      • Click My Absences in the home page

      • Complete the appropriate information, an example of chargeable leave is below:

      • Absence Type: 1-Chargeable Absence

      • Absence Name: Absence

      • Absence Reason: 01- Annual (Ordinary) Absence and complete the remainder of the page

      • Enter Start and End Dates

      • For supervisor ID: direct it to 1SG Michael Leinweber

      • Complete address information with the location of where you are going

      • Attach your DA31 with my signature at the bottom

      • Click submit

    • Make sure you continue to send leave dates and locations to the Peds Leave Listserv: dha.bethesda.j-11.mbx.pediatric-alpha-co-leave@health.mil

    • See the powerpoint below for instructions


AIR FORCE

  • Laurie Creel is on extended leave; please forward any questions/concerns to Dr. Zanetti or Britt Bumgardner

  • PT Tests:

NAVY

Training Schedule

**Pending AY 23-24**


 
 
 

1 Comment

jennifer.hepps
jennifer.hepps
Jun 25, 2023
•

Wonderful final POTW! Thanks for keeping us so well-informed this year. We will miss your Sunday morning updates.

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