Plays of the Week:
Plan of the week goes to Dr. Nicole Martin, who absolutely crushed an intubation of a sick sick term baby in the NICU!! The infant was on 100% FiO2 and despite a laryngospasm, she was able to give her team good instructions to help her pass the tube like a pro!
Just a reminder that today is THE LAST DAY to RSVP to the Hail & Farewell!
Schedule:
Date | Event | Time and Location | Audience/Notes |
Sunday, 5/21 JDRF Walk | | | |
Monday, 5/22 | MR: Education/Reverse Education | STAFF: 0730 - 0850 (America 2525 B/C) RESIDENTS: 0745 - 0850 (Allergy Conf Rm 4105) | Academic/Military Advisors, Rotation Supervisors, Residency Leadership Only Pediatric Residents Only |
| PFCCS | 0700 - 1730 | Pre-identified residents only |
| Pediatric Hematology/ Oncology Bake Sale 🍰🧁 | 1100 - 1300 America Bldg, Canyon Conf Rm | All welcome; the bake sale is to raise funds for Peds Resiliency (on a donation basis) |
Tuesday, 5/23 | DEI: Religion in Medicine Panel | 0745 - 0850 America 2525 B/C | All welcome |
| PFCCS | 0715 - 1645 | Pre-identified residents only |
| USU Walter Reed Surgery Grand Rounds: "Evolution of and Advances in Transgender Surgical Care," Roberto Travieso, MD | 1200 - 1300 USU C2 Lecture Hall | All welcome |
Wednesday, 5/24 | NO MORNING REPORT | | |
| Academic Half-Day: NICU | 1300 - 1500 Heroes Bldg (Bldg 5), Fourth Floor, HEAT Classroom 4008/4009 | Medical Students & Residents Only |
| PI/QI Brainstorming Session | 1500 - 1600 Heroes Bldg (Bldg 5), Fourth Floor, HEAT Classroom 4008/4009 | Pediatric Residents Only; see the PI/QI section below for more details |
| Resident Happy Hour | 1630 Tommy Joe's | Residents and Medical Students Only |
Thursday, 5/25 | MR: Case & Operational Medicine Lecture, O'Meara | 0745 - 0850 America 2525 B/C | All welcome |
Friday, 5/26 | MR: Wellness | 0745 - 0850 America 2525 B/C | All welcome |
I will be on leave 19-28MAY. For any acute call/morning report issues, please reach out to the following:
19-21MAY: Capt Sidney Zven (732) 325-5248
22-26MAY: CPT Brian Graziose (516) 710-1483
27-28MAY: Capt Billy Bennett (401) 378-0357
Save the Date 🗓 | Upcoming Birthdays 🎉 |
29MAY: Memorial Day | |
30MAY: Sukenaga Journal Club | |
1JUN: Rahman CPC | |
5JUN: Block 13 Starts | |
10JUN: Hail & Farewell | 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
Genetics Coverage: 20-26 May
Dr. Schacht will be out of town from 20-26 May. The Genetics consult phone (301-646-9017) will still be answered and can be used. You will still be able to put in consults via Genesis as well.
The CNMC team has agreed to cover for any abnormal newborn screens while he is on leave. If there is an urgent metabolic consult, please call the CNMC call number at (202) 476-5000 and ask for the metabolic team.
Alexander T. Augusta Military Medical Center (ATAMMC)
Fort Belvoir Community Hospital (FBCH) will now be the Alexander T. Augusta Military Medical Center (ATAMMC), in honor of Dr. Alexander T. Augusta, the first African-American Physician in the US Army.
The hospital will colloquially be called A.T. Augusta (akin to how WRNMMC calls itself 'Walter Reed').
For a quick read but concise biography on Dr. Alexander T. Augusta, feel free to check out this link
Pharmacy MHS Genesis Updates
Use AMS Connect to engage directly with Pharmacy team in outpatient and inpatient settings to clarify medication types/doses/needs for individual patients
An update that Q Anywhere 2.0 is in the works and will allow for further identifying new meds plus allowing for patient comments (i.e. I have to pick up a new medications but I also need these refills..)
Ensure you are "launching" a new order for medications as opposed to adding new medications in the "Document Medication History" section when reconciling medications
If a provider is unsure if a particular medication is in stock, they should contact the outpatient pharmacy via AMS Connect before ordering and sending the patient to the pharmacy
When changing instructions on a prescription, ensure to update the "Instructions for Patients" section and avoid placing in "Comments" section (the pharmacist can't see all lines in the Comments section)
Peds ID Travel Clinic Updates
Just a friendly reminder that Peds ID Travel Clinic is NOT seeing patients who will be PCSing to Japan or South Korea. Please review the attached guidance regarding vaccinations recommended prior to PCS that can be ordered by the PCM.
You may have also heard about the Tick-Borne Encephalitis (TBE) vaccination that was recently FDA approved and available in our immunizations clinic. Peds ID travel clinic has created a single-page handout as guidance to determine who may be eligible. Note this is a 3 shot series so will take up 6 months before truly effective. It can be ordered by PCMs (does not require Peds ID / Travel clinic referral) but there are very few children who would qualify for this series.
Ordering Spacers in MHS Genesis
When ordering – just pick any spacer based on the general type (without a mask or with a mask and specific size).
The pharmacy staff will see the order, and rewrite it to fill the order with whatever is currently the brand in stock (which may change over time).
In the pharmacy location “Send to” box it will say “Do Not Send: Route to Federal Pharmacy” – and this will be visible to any DOD pharmacy.
Please remind patients if you put an order in for a spacer so they can be sure they get it.
Faculty Leadership Position opening for AAP Chapter East
The American Academy of Pediatrics Uniformed Services Chapter East is looking for motivated pediatric clinicians to fill upcoming vacancies on the executive board. The Vice President assists in program development, district initiatives, planning for the annual gathering at the national meeting. The Member at Large aids in special projects with involvement time scalable to the member’s bandwidth. The treasurer manages fund dispersal, as well as annual taxes. The treasurer role is also joined with the secretary to aid in minutes during chapter meetings.
Being a part of the executive board affords an opportunity to learn about national AAP governance, as well as collaboration with district and section partners. Travel, when recommended, is funded by the AAP. Although not required, travel opportunities include the annual leadership forum each spring, the district meeting each summer, and the national conference each fall. The spring and summer meetings are in Itasca, which is near Chicago. The fall conference rotates in location each year. For any questions please reach out to Lt Col Nitasha Garcia (mailto:nitasha.d.garcia.mil@health.mil), immediate past president or Maj Caitlin Hammond (mailto:caitlin.e.hammond.mil@health.mil), current president. Thank you!
Hail & Farewell Coverage
We are looking for 1-2 volunteers to cover the ward Saturday 10JUN (0600-0600) to allow our hardworking residents to attend the NCC Peds Hail & Farewell. Below are the available shifts (this can either be two 12-hour shifts, or one 24-hour shift). A BIG thank you to the NICU team and their already planned coverage.
Saturday, 10JUN 0600 – 1700
Saturday, 10JUN 1700 – Sunday, 11JUN 0600
Email Britt (chief.resident@nccpeds) if you are interested!
Resident-Specific Updates
PI/QI Projects
24MAY: Project Brainstorming Session
This will take place of our usual housestaff meeting following the NICU AHD
Review the new AY23-24 PI/QI calendar and requirements document on the PI/QI webpage
Review and add to the following brainstorming google doc: https://docs.google.com/document/d/1dDkBuD8sJ0Z-jphMpE4osSxQX3tBX4qZN9sMEKIng_U/edit
6JUNE: Final Presentations
Each group should finalize their A3 Slides in order to present a summary of Steps 1-8.
You will have 10 minutes for your presentation.
If you haven't done so already, please ensure that one of the members of your group can present on 6/6.
Transition to Practice (PGY-3s only)
This week's focus: Privileged Provider/ EOT Documentation
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.
Research Opportunities & Upcoming Conferences
Upcoming Conferences:
6th annual Architecture of High Value Health Care: October 12-14th in Baltimore, MD
Abstract submissions are due by April 30th 2023 at 11:59pm EST. Abstract submission site
Abstract submission categories:
Improving equitable delivery of high value care (Health Equity Award)
Reducing out of pocket costs for patients (Costs of Care Affordability Award)
Improving appropriateness of diagnostic or screening services
Improving appropriateness of treatment/interventional services
Clinical care pathways to improve quality & reduce unwarranted practice variability
Optimization of patient care setting to reduce avoidable ED visits & hospitalizations
Improving the discharge process and other care transitions
Preventive medicine and evidence-based screening for early disease detection
Effective cost transparency for patients
Provider behavior modification (comparative effectiveness of interventions)
Information technology innovations
High value care educational curricula (medical school, GME, CE, CME)
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.
Community Pediatrics Updates:
Asian Pacific American Heritage Month Spotlight:
DHA PI 6025.15 for Gender Affirming Care
Please see the attached DHA PI 6025.15 for Gender Affirming Care has been officially signed by the DHA Director. Keynote is FFS, voice training, and hair removal in preparation for GAS (gender affirming care) are now officially considered medically necessary and may be provided in the MTF.
AAP Advocacy Guide
Explore the AAP Advocacy Guide, Resources for Pediatricians
The Academy's new digital Advocacy Guide provides AAP members with the information, tools and resources they need to be effective child health advocates. The guide offers an in-depth look at different advocacy skills, from choosing an issue and crafting an effective advocacy message to communicating with lawmakers or using the media to amplify your efforts.
The guide is designed for advocates at all levels - with interactive tools and practical guidance to help shape your own advocacy journey. Advocates can navigate the guide's main sections using the icons on the homepage, choosing to start at the beginning or focusing on a specific advocacy skill.
ARMY NEW!
The leave process has changed (again)!
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
AIR FORCE
Laurie Creel is on extended leave; please forward any questions/concerns to Dr. Zanetti or Britt Bumgardner
PT Tests:
To schedule a test, please contact the following individuals:
TSgt Wilson: jonathan.a.wilson41.mil@health.mil
Every Thursday @1400
SSgt Starr: cody.j.starr2.mil@health.mil
Mondays and Fridays @1400
NAVY
For graduates, please see the recent email correspondence regarding your Fitreps.
Navy PFA - 2023 Cycle:
PRT: 1 May-2 Jun 2023; late PRT is case-by-case 5-9 Jun 2023
Training Schedule
