CA4AAP
American Academy of Pediatrics
California, Chapter 4

Quarterly Newsletter                                                                                                                            April 2007
In This Issue
Current Advances in Pediatrics
Save the Date
PE4ME
Connected Kids Goes to School
Pediatric Research in Office Settings (PROS)
National AAP President -Elect Candidates
Cover the Uninsured Week
CMA/AAP-CA Legislative Day
E-Newsletter Based on Children with Special Needs
Job Bulletin
Old Red Books?
Immunization Health Fairs
Quick Links
 
 
 
Current Advances in Pediatrics 2007
Mark your calendars; Current Advances is going to be in beautiful Newport Beach this year!
 

NPBeach#1

Date: October 12-14, 2007

Location: Hyatt Regency

                 Newport Beach, CA

 
More information to come
 
Save the Date: Upcoming Conferences & CME Events
CA4AAPCalifornia Chapter 4, AAP Quarterly Dinner Meeting

Date: June 19, 2007

Location: Turnip Rose

Time: 6:15- 9:00 p.m.

Speaker: TBA

 
California Chapter 4, AAP CME Events/Save The Dates

Date: May 19, 2007

Topic: ADHD

Location: Mile Square Golf and Country Club, Fountain Valley

 

Date: June 14, 2007

Topic: GERD

Location: Mile Square Golf and Country Club, Fountain Valley

 

National AAP Conference

Date: October 26 to 30, 2007

Location: San Francisco, CA

                  Headquarters at the San Francisco Marriott

                  55 Fourth Street

                  San Francisco, CA 94103

                 View National AAP  website for additional hotels and travel

                  arrangements

 

29th Annual Las Vegas Seminars

Date: November 15 to 18, 2007

Location: Venetian Hotel

                  Las Vegas, Nevada

                  CA Chapter 1, 2, 3 & 4 AAP Pediatric Updates

                  310-540-6240

                  meetings@aap.ca.org

 

The Future of Pediatrics: Community Pediatricians, Medical Home and Beyond, American Academy of Pediatrics

Date: June 29 to July 1, 2007

Location: Hilton in the Walt Disney World Resort

                  Orlando, Florida

                  Pedialink-CME Finder

 

AAP Safer Healthcare for Kids April Webinar

Mark your calendar now to participate in the next live Webinar:

The Role of Health Information Technology in Medication Safety

Date: Wednesday April 25, 2007

Time: 12:00 - 1:00 p.m. EDT

 

This activity has been approved for AMA PRA Category 1 Credit. Hurry! Registration deadline is April 24. For more information, and to register, go to PediaLink.orgPlease direct any questions about this Webinar or the Safer Health Care for Kids program to saferhealthcare@aap.org

 
PE4ME Expands in Preschool Age Group                       Michael Weiss, DO
PE4ME continues to be active in 9 middle and high schools (approximately 300 participants). Data from last year were analyzed and showed a maintenance or decrease in BMI in most participants as well as an increase in self esteem. We received an AAP CATCH Grant and will be expanding the program into the preschool age group in the upcoming months. We are looking for a part-time Medical Director and Program Coordinator to take over the program's day to day operations. Anyone interested please contact Dr. Weiss at mweiss3@cox.net. Refer to the program website for more information.
 
Connected Kids Goes to School
Title: CONNECTED KIDS GOES TO SCHOOL

Phyllis Agran, MD, MPH
1,2, Jyoti Trueman, MPH1, Amy Dale, MPH1, Bethi Luu, BA1, Jamie Mc Donald, MPH1, Debra Hill3, Joey Van Camp, RN CPNP3, Carolyn Moser, MD1,2 and Annelee Gallegos, BS1. 1Injury and Violence Prevention Program, California Chapter 4, American Academy of Pediatrics, Garden Grove, CA, United States, 92840; 2Emergency Medicine and Pediatrics, University of California Irvine, Orange, CA, United States, 92868 and 3Westminster School District, Westminster, CA, United States.
 

Background
Connected Kids (CK), an AAP violence prevention program for anticipatory guidance, was adapted for use in school. The pilot program, Connected Kids Goes to School, reaches children 11 - 14 years, who visit the pediatrician less often than younger children. Collaboration was established with the multi-ethnic, socioeconomically diverse Westminster School District to expose children to CK messages.
 

Setting/population
School professionals, community organizations and law enforcement participated at the School District.
 

Program activities
A focus group with 13 multidisciplinary school nurses, counselors, psychologists, teachers and after school program educators was conducted to introduce and determine how to adapt CK within the school environment. Data were used to plan a workshop; adapt the Clinical Guide and determine priority CK topics. Follow-up includes an electronic survey to determine if/how CK is used, follow-up meeting, and school-based additions to the Clinical Guide.
 

Results
Priority CK topics were Bullying, Talking to Your Teen and Staying Cool. CK brochures in Spanish and Vietnamese were requested and adapted with focus group testing. 38 multidisciplinary participants attended the workshop. They will incorporate CK into parent/teacher/nurse conferences, after school programs, parent nights, team sports, newsletters and peer mediator training. Brochures will be displayed in school and community settings. Evaluation outcomes included requests for additional workshops and collaboration with CA4, AAP, and additional CK brochures. School District leadership will conduct additional focus groups, use brochures and involve community partners in CK. Requests for community trainings were also generated.
 

Conclusions and Implications
The CK Goes to School pilot was successful in capturing the enthusiasm of school professionals who identified the need for CK brochures and recognized the value of consistent messages and integrating CK in the school environment. The School District will continue implementation and use of materials. Schools have the advantage of dealing with children/families on a daily basis and are excellent partners for AAP chapters.
 
Pediatric Research in Office Settings (PROS)         Harry Pellman, MD, FAAP
 

Pediatric Research in Office Settings (PROS):

Providing the Evidence For New Guidelines on Very Young Febrile Infants

Harry Pellman, MD, FAAP

How does participation in Pediatric Research in Office Settings (PROS http://www.aap.org/pros), the AAP's practice-based research network, enhance pediatric practice and improve care for children? Here's one way.

Do you remember all those young infants you saw during your training who presented to the emergency department who presented with fever? Nearly all of those children were admitted, worked up for sepsis, and placed on antibiotics pending culture results. That management strategy was based on guidelines which, in turn, had been based on evidence from pediatric emergency departments.1 Those of you have been in general pediatrics practice for a few years know by now that this management strategy is not followed uniformly by practicing pediatricians, who see a different spectrum of patients. The PROS Febrile Infant Study demonstrated that practicing pediatricians using management strategies less aggressive than those suggested in the guidelines can achieve good outcomes in very young febrile infants.2

Thinking that a new practice guideline might be created that took into account these new data, PROS tapped Febrile Infant Study principal investigator Bob Pantell to spearhead an effort to get the AAP behind creation of a new guideline. He did so, and the AAP in turn nominated Febrile Infants < 3 Months Old to the Agency for Healthcare Research and Quality (AHRQ) for new guideline development. Recently, we learned that one of AHRQ's Evidence-Based Practice Centers is beginning work on a new guideline. This new guideline ultimately will benefit both practicing pediatricians, who no longer will risk being "hung out to dry" for less aggressive management of young febrile infants that is supported by existing evidence (developed by PROS practitioners), and selected young infants and their families, who will safely avoid unnecessary testing, treatment, and hospital admission.

Want to help develop evidence that leads to a change in pediatric practice? Consider joining PROS. Any pediatric practice or clinic with at least one AAP member is eligible to join PROS.For more information, please contact me at hpellman@earthlink.net, or contact PROS Central at 800/433-9016, extension 7623.

 

Reference

1. Baraff LJ, Bass JW, Fleisher GR, Klein JO, McCracken GH Jr, Powell KR, Schriger DL. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Ann Emerg Med 1993; 22:1198-1210.

2. Pantell RH, Newman TB, Bernzweig J, Bergman DA, Takayama JI, Segal M, Finch SA, Wasserman RC. Management and outcomes of care of fever in early infancy. JAMA 2004; 291:1203-1212. 

 
 

National AAP President-Elect Candidates

The AAP National Nominating Committee has named James E Shira, MD, FAAP and David Tayloe, Jr., MD, FAAP as candidates for AAP President-elect. As part of the election campaign,candidates are asked to respond to a question posed by the National Nominating Committee specifically for use by chapters and sections in their newsletters. Click here to view the candidates responses.

 

This year, the question the candidates have been asked to respond to is: "What would you say to pediatricians who look at the cost of membership and wonder whether being a member of the AAP is really worth it?"All candidates questions and responses will be posted on the homepage of the AAP Web site Member Center under "What's New." After clicking on this, click on the link that reads "2007 National Election Information."

 
2007 Cover the Uninsured Week: A Focus on SCHIP
This focus will take place April 23-29, 2007 in communities across the country. The American Academy of Pediatrics is once again a national supporting organization. This year, volunteers and groups like the AAP will focus on covering America's children and demonstrate broad, public support for reauthorizing the State Children's Health Insurance Program (SCHIP).

 

Cover the Uninsured Week staff is available to assist organizations and volunteers planning activities. In addition, free planning guides and materials are available for individuals interested in planning events in their communities. Visit CoverTheUninsured.org for free guides, materials, additional information and updates.

 

For more information on AAP involvement in Cover The Uninsured Week, contact Marjorie Tharp, AAP Dept. of Federal Affairs, 800-336-5475 ext.3303 or mtharp@aap.org.

 
CMA/AAP-CA Legislative Day 2007

Tuesday, April 24th

Sheraton Grand Sacramento

For information and registration visit, www.aap-ca.org

 

Legislative Updates: AAP-CA has recently sent support letters for the following bills:

AB 93 (Garcia) Food:trans fats

AB 57 (Soto) Highways: Safe routes to School construction program

AB 606 (Galgiani) Medi-Cal: reimbursement rates

SB 7 (Oropeza) Smoking in vehicles with minor passengers

 
New California Based E-Newsletter on Children with Special Needs
A new electronic newsletter with a focus on children with special health care needs in California can be found at CaCSHCNews. It is being distributed by the USC University Center for Excellence in Disabilities at Childrens Hospital Los Angeles in collaboration with partners from Health Resources and Services Administration grant aimed at improving the system of care for children and youth with special needs in California. It will come out quarterly, and include state and national news and resources about and for this population.
 

For more information you can contact Laura Schweers at:

laschweers@chla.usc.edu
 
Job Bulletin
Pediatrician Needed to Join Local Practice

This is an opportunity for a pediatrician to practice in a clinic and hospital setting at Millers Children's Hospital, Long Beach, CA

Contact Information: Nasir Tejani, MD, FAAP

711 Peppertree Lane

Long Beach, CA 90815

Ph: 562-20-8576

Fax: 562-420-9092

n.tejani@verizon.net

 
Orange County Regional Center: Employment Opportunities

Job Title: Director, Health Resources, Health Resources Group           

Date: March 21, 2007

Job Title: Physician, Health Resource Group
Date: March 21, 2007
For more information, please visit www.aapca4.org
 
Do you have an extra Red Book?
Dr. Bai, a pediatrician in Riverside is requesting that anyone with old Red Books donate them to her so she can take these books to China in July.  If you have an outdated Red Book please call the AAP to make arrangements to donate your old Red Book (714) 971-0695.
 
Immunization Health Fairs

The AAP is participating in the upcoming Immunization Health Fairs scheduled from April 26th through June 9th.  We are looking for physicians to help at these Health Fairs to provide information for the parents on the immunizations needs of their children and to possibly be available as a medical home if the family is in need.  Whatever amount of time you can provide at these health fairs is greatly appreciated.

 

The next health fair is scheduled for April 26th in the Placentia-Yorba Linda Unified School District and if you are available to help, please contact the AAP chapter office (714) 971-0695.  The other health fairs currently scheduled are:

 

Ocean View                            May 11th                      2:30 - 4:30 pm

Savannah                                 May 12th                         10am - 2pm

Santa Ana                                May 12th                         10am - 1pm

Westminster                             May 16th                      TBD

Irvine                                       May 19th                      TBD

Newport-Mesa                        May 19th                      10am - 1pm

Capistrano                               May 30th                      10am - 1pm

Centralia                                  June 2nd                        10am - 2pm

Huntington Beach                     June 9th                        10am - 1pm

 

 

Thank you for your help in providing immunizations for the children of Orange County.

 
Nancy Donnelly
California Chapter 4, American Academy of Pediatrics