Mar 5, 2023

Plan of the Week: Mar 5 - Mar 11

Updated: Mar 6, 2023

Plays of the Week:

Play of the week goes to Dr. Sebastian Lara for his return from Guam! See above for some pictures from Guam.

Play of the week also goes to the Girl Scouts and COL (ret.) Peterson for their generous cookie donation on Friday.

Congratulations to the following for their PAS 2023 presentation acceptances:

- Alex Mauro: "Naloxone Co-Dispensing for High-Risk Opioid Prescriptions in the Pediatric and Young Adult Population"

- Emily Ferraro: "Trends of Cardiac Complaints In Pediatric and Young Adult Populations During the COVID-19 Pandemic."

Congratulations to all of the finalists for 15th Annual NCR Research and Inquiry Competition! Peds snagged 43% of the finalists' spots, making it the 3rd year in a row to represent over one third of the finalists.

Paul Florentino Patient– and Family–Centered Care (2 total finalists)

• CPT Sidney Zven, MC – Pediatrics

o Food insecurity and the impact of WIC enrollment in Military families

• CPT Janet Jang, MC- Pediatric Gastroenterology

o Improving outpatient pediatric endoscopy counseling through utilization of an educational patient handout

Quality/Performance Improvement (4 total finalists)

• Capt Amy Davis, MC - Pediatrics

o Combating food insecurity: Increasing WIC enrollment in the Military

• Capt Sidney Zven MC - Pediatrics

o Development and implementation of a novel abscess trainer in graduate medical education

Evidence-Based Practice (1 total finalist)

• Maj Nathan Kolasinski, MC – Pediatric Gastroenterology

o Evaluation of a novel, evidenced-based, pediatric nutrition status screening protocol at a tertiary care military medical center

Case Report - Interns & Residents (12 total finalists)

• LT Robert Crutcher, MC - Pediatrics

o IgA anti-platelet antibodies in breast milk contributing to neonatal autoimmune thrombocytopenia

• CPT Elizabeth Rahman, MC - Pediatrics

o When salmonella surprises – Progression of pyomyositis to osteomyelitis and brodie’s abscess following NTS infection

• Maj Sharen Wilson, MC - Pediatrics

o Pyruvate dehydrogenase deficiency in a newborn with congenital absence of the corpus callosum

• CPT Sidney Zven, MC – Pediatrics

o VACTERL-L: A unique presentation of VACTERL association with pulmonary manifestations

• Capt Amy Davis, MC – Pediatrics

o Open your eyes to a new variation of ethylmalonic encephalopathy

Case Report - Fellows & Staff (7 total finalists)

• CPT Janet Jang, MC – Pediatric Gastroenterology

o Two cases of blau-like syndrome successfully treated with tumor necrosis factor (TNF) inhibitors

• CPT Elena Crecelius, MC – Pediatric Infectious Disease

o Itching to get to the cause of a case of urticarial vasculitis

• MAJ Christopher Stark, MC – Perinatology-Neonatology

o Massive fetomaternal hemorrhage warranting novel use of tandem therapies

Robert A. Phillips – Laboratory

• Fellows & Staff (2 total finalists)

• MAJ Sarah Anisowicz, MC – Pediatric Endocrinology

o Parity increases corticosterone response to restraint-induced stress after mild blast traumatic brain injury in mice

Robert A. Phillips – Clinical

• Interns & Residents (5 total finalists)

• CPT Emily Ferraro, MC – Pediatrics

o Trends of cardiac complaints in pediatric and young adult populations during the Covid-19 pandemic

• Fellows & Staff (5 total finalists)

• CPT Sarah Jiang, MC - Pediatric Endocrinology

o Can preschool BMI changes flag children at highest risk for adolescent obesity?

• CPT Janet Jang, MC - Pediatric Gastroenterology

o Association between celiac disease and pneumococcal infections in hospitalized pediatric patients within the United States

Bailey K. Ashford – Laboratory – (3 total finalists)

• MAJ Sarah Anisowicz, MC – Pediatrics Endocrinology

o Parity increases corticosterone response to restraint-inducted stress after mild blast traumatic brain injury in mice

Bailey K. Ashford – Clinical (4 total finalists)

• CPT Theresa Urbina, DO - Neonatal Perinatal

o Salivary sampling as a noninvasive method of monitoring gentamicin levels in neonates

• LCDR Charles Groomes, MC – Neonatal Perinatal

o Ru'ach: Mastery learning tele-training to ensure effective ventilation in neonatal resuscitation

Submit a Play of the Week

Schedule:

Date	Event	Time and Location	Audience/Notes
Monday, 3/6	MR: Case & Alternative Birth Practices Lecture, Schulz	0745 - 0850 America 2525 B/C	All welcome
Tuesday, 3/7	MR: Case & PI Working Session	0745 - 0850 America 2525 B/C	All welcome
Wednesday, 3/8 Holi 🕉	SIM/Skills: Suturing (Zanetti), Abscess I&D (Bumgardner), and Foreign Body Removal (Patterson)	0745 - 0845 SIM Center (4th Floor Heroes Bldg) 3rd Deck Team report to the PICU	Medical students and residents only; Before the session, please review the related modules here OR go to www.classroom.google.com and enter the class code xwe5vzj
Thursday, 3/9	MR: CPC, Kondiles	0745 - 0850 America 2525 B/C	All welcome
Friday, 3/10 Alexis Ghersi's Birthday 🎉	MR: Board Review, Bumgardner	0745 - 0850 America 2525 B/C	Medical students and residents only
	USU/Dept. of Medicine Grand Rounds: *“This is Baltimore. Historical Structural Racism and its Impact on Health,"* Chuck Callahan, DO Vice President of Population Health University of Maryland Medical Center, Baltimore, MD	1200 - 1300 Zoom Only: https://usuhs.zoom.us/s/99514184123 Webinar ID: 995 1418 4123	All welcome

Save the Date 🗓	Upcoming Birthdays 🎉
12MAR: Daylight Savings Time	25MAR: Sidney Zven
13MAR: Block 10 Starts	27MAR: Dr. Hepps
17MAR: St. Patrick's Day ☘️	11APR: Maggie Hasler
22MAR: Ramadan Begins
25MAR: Genesis Go-Live	Do you have a birthday that you want added to the calendar? Email/text Britt

Announcements:

All Staff Updates

Patient Education QI Survey

PCMH faculty and residents, please complete the following survey: https://www.surveymonkey.com/r/53D2TZX

Update your ID Card Profile

Prior to 31 March, please update your profile on the DHA ID Card Online website (https://idco.dmdc.osd.mil/idco/) by following the instructions below. Because you have to log in with your CAC, you’ll need to be on a government CAC-enabled computer. This will ensure you’re appropriately mapped to the correct location and assist with CAC issues, delinquency lists, etc. Thanks for your cooperation with this.
Please pay particular attention to ensuring your Duty Sub Organization is “Walter Reed National Military Medical Center” (per the instructions below). You have to scroll quite a way down the list to find it.

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:

Email (susan.l.kline.civ@health.mil)
AMS Connect
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.

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”

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

Don't forget to reach out to your Block 10 Rotation Supervisors regarding your schedule. View the attachment below for the most up-to-date contact information.

PEDIATRICS Pediatric Trainee Feature Essay Contest

A call for trainee essays on ACEs. Here is an excerpt from the PDF (attached below):
We encourage trainees to reflect on one or more of the following questions when crafting their essays:
- How can we, as pediatric trainees foster resilience among our patients experiencing ACEs?
- How have ACEs you personally experienced shaped your career path and identity as a physician?
- How can pediatricians recognize and mitigate these issues during patient encounters, in training programs, and at the policy level?
The essay deadline is April 14th.

Transition to Practice (PGY-3s only)

Transition to Practice Page

This week's focus: End of Tour Awards
- View the "Pre-Graduation Handbook" on the Transition to Practice webpage
- Brag sheets (attached below) should be uploaded to your MedHub portfolio by COB 17MAR
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!