COMMITTEE REPORTS

EDUCATION COMMITTEE
SIGS/WORKSHOPS
HEALTH CARE DELIVERY COMMITTEE
RESEARCH COMMITTEE
PUBLIC POLICY & ADVOCACY COMMITTEE
MEMBERSHIP/REGIONS


EDUCATION COMMITTEE
Mary Ottolini, MD, MPH
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Connie Baldwin led a well attended Education Committee Meeting at PAS in Toronto on Sunday May 6th. Dr. Baldwin updated the committee on several important APA ongoing initiatives.

The Educational Scholars Program a three year program is designed to teach faculty how to develop, implement, evaluate and disseminate educational interventions or evaluation methods by a creative, planned and rigorous process. Forty scholars representing institutions across the country, and a spectrum of disciplines including general and community-based pediatrics, med-peds, emergency medicine, neonatology, critical care, and infectious disease met for a full day mini-course at PAS on May 8th. Each Scholar has a project facilitator as well as a home mentor. The long-term plan is to add 10 scholars/year, but it is a very labor-intensive program and there is an ongoing need for more mentors. To help scholars track their assignments and achievements, Baldwin developed the Virtual Learning Platform and Educator’s Portfolio that could benefit anyone trying to track educational scholarship at their institution. Descriptions and examples of these products will be posted on Med-Ed Portal in the near future.

An article entitled “Academic General Pediatric Fellowships: Curriculum Design and Educational Goals and Objectives,” contains the core curriculum and goals and objectives documents generated by the Academic General Pediatrics Fellowship Accreditation Project and will be published in Ambulatory Pediatrics in July 2007. The project members successfully completed the pilot phase, reviewing 7 fellowships ranging from community/general pediatrics to a hospitalist fellowship program. Next steps include developing a website to disseminate curriculum development documents, including goals lists. With APA support, a voluntary accreditation and/or consultation program will be launched on a larger scale.

Over 89% of US residency programs have used the APA Educational Guidelines. An evaluation paper has been produced by the project leaders and submitted to Ambulatory Pediatrics. Plans for updating with guidelines will role out over the next couple of years, but members who feel that a topic needs to be refined now should contact the project team manager Diane Kittredge.

Lee Pachter provided an update to the Committee concerning the APA New Century Scholars Program, which is a 3-year training initiative, meant to encourage pediatric residents from underrepresented minority backgrounds to pursue academic careers. Six scholars are recruited each year and paired with mentors and supported to come to the APA meeting.
Diane Kittredge provided updates for the Residency Review and Redesign in Pediatrics Project (R3P) – The project is sponsored by the American Board of Pediatrics with input from other key stake-holders in pediatric education to achieve consensus about the competencies needed for the practice of pediatrics now and in the future, as well as any changes in residency training necessary to achieve those competencies. Diane will consider a process via email/web to allow us to provide relevant input. For more information please go the website: http://innovationlabs.com/r3p_public/. Diane also reported that the AAP Committee on Pediatric Education (COPE) is assessing international educational opportunities, cultural and diversity issues, e-learning platforms, and related faculty development efforts.
Jack Pascoe provided an update on the Child Health Equity Curriculum, an effort led primarily by our UK colleagues to focus on Child rights, including those children with special health care needs. APA members can get involved in one of 6 workgroups: 1) Competencies, 2) program development, 3) Faculty development, 4) Methods, 5) Concept mapping, 6) Assessment and evaluation. Any one interested can contact Dr. Pascoe.

Emanuel Doyne our AAP liaison shared six copies of the “Starter Kit” for community preceptors. Members of the APA have provided input to this handbook. Copies are available at the AAP’s website to members who are also members of the Council on Community Pediatrics Education and Training or CPET. We will establish a link with the APA’s Continuity Clinic SIG.

The following Education Award Winners were recognized:   

  • Teaching Award: Ray Baker and colleagues, Cincinnati Children’s Hospital Medical Center for their fantastic faculty development program.
  • Miller-Sarkin Mentoring Award: Lewis First, University of Vermont received the second annual award in honor of our two colleagues.
  • Helfer Award: (two recipients identified this year!)
    - Michael G. Gaies, MD, MPH, Teaching Procedural Skills to Pediatric Residents: A Randomized Interventional Trial
    - Elwyn Chomba, MDCHB, CRCP-IRE, Effects of the World Health Organization Essential Newborn Care Training Course on Early Neonatal Mortality by level of Maternal Education
  • Community-based Physician Award: Denice Cora-Bramble, Washington D.C.

This year’s Education Committee Sponsored Workshop was entitled: Fanning the Flame of Educational Scholarship When It Flickers presented by F. McCurdy, L. Lane, V. Niebuhr, L. Fall, and M. Offring.

The vote for this year’s sponsored workshop was a workshop that could be entitled “Rescuing Chestnuts from the Fire” or how to deal with rejection and learn from the mistakes of others in trying to publish educational scholarship. Anyone interested in participating should contact Mary Ottolini.

Following the PAS meeting a conference call was held with leaders from the APA, AAP, COMSEP and APPD to discuss the utility of holding an “Educational Summit”, focused on the process and content of pediatric education across a continuum including students, residents, fellows and attendings. The project is in the early planning stage. Workshops focused on developing strategies to bridge gaps in curriculum, evaluation and process are also encouraged for PAS in 2008!
 
The Education Committee is an open committee to all APA members. Anyone interested in education activities is encouraged to join. Please contact Mary Ottolini at Mottolin@cnmc.org. We specifically need volunteers for:
§ Reviewing abstracts for presentation; typically due by early January
§ Reviewing for APA Awards; typically two week period in winter, specifically
- Helfer Award
- Miller-Sarkin Mentoring award
§ Participation with the Educational Scholars Program (ESP) Task Forces, Research Groups, and faculty/preceptor roles


SPECIAL INTEREST GROUPS / WORKSHOPS
Steven Selbst, DO
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At the annual PAS meeting in Toronto, the Research Committee had an exciting meeting focusing on plans for the upcoming year. The Executive Committee of the Research Committee meets (by conference call) throughout the year and has moved the committee’s agenda ahead. The Research Committee has been chaired by Benard Dreyer for the past year. Other members of this past year’s hard-working Executive Committee are Peter Szilagyi, Bill Cooper, Ruth Etzel, Mark Schuster, David McCormick, Donna Halloran, Janet Serwint, and Jim Guevara. Here are some of the highlights of the past year and plans for the future:

Young Investigator Grants (YIG)
The Committee has put together NIH-style study sections to review all submitted proposals. This year these study sections shepherded the almost 50 applications through a two-step process that led to the acceptance of six proposals. After initial short proposals were reviewed by a study section, 18 applicants were chosen to submit longer proposals. The proposals are split into two groups for consideration: general grants supported by APA funding, and health services research grants funded with support from AHRQ. The general grant proposals were then reviewed by a study group led by Benard Dreyer, and the AHRQ grant proposals were reviewed by a study group led by Bill Cooper, with active involvement of AHRQ’s Denise Dougherty. We are grateful to Shari Barkin, Michael Cabana, Matt Davis, Simon Hambidge, Bob Jacobson, Bruce Lamphear, Danielle Laraque, Lee Pachter, Scott Shipman, and David Wood, who, in addition to members of the Executive Committee and Denise Dougherty, were reviewers in these study sections. The winners, in alphabetical order, are:

General Grants:
Amanda Dempsy: “Evaluating risk fact-based strategies for HPV vaccination”
Helene Greves: “Measuring the impact of school physical activity policies: can we identify best practices through behavior outcomes?”
Najah Musacchio: “Text message reminders to improve adolescent clinic attendance”

Health Services Research (AHRQ) Grants:
Srilakshmi Gnansekaran: “Child health policy and asthma: a multilevel analysis”
Stephen Pont: “Healthcare encounters due to diarrheal illness in children”
Sheela Sathayanarayana: “Is ambient air pollutant exposure associated with preterm and small for gestational age birth in the Puget Sound air basin?”

Congratulations to all! We encourage all young investigators to apply in the coming year’s cycle. Look out for the announcement early this fall!

Evaluation of the PAS Abstract Review Process
The Research Committee has begun a multi-year evaluation of the PAS abstract review process. The last time we reviewed the process of scoring and selecting abstracts for presentation at the PAS meetings was in 1996. We are looking at the reliability of the scoring, opportunities to improve the process, and planning for next year’s abstract submissions. Stay tuned for information regarding this results of this evaluation.

APA Research Award
The committee oversees the process of nominations and selection of the awardee for the annual APA Research Award. A review committee, made up of previous APA Research Awardees, evaluates the nominations. This year’s awardee was Tracy Lieu, who gave a great speech at the PAS meetings! Tracy is Professor of Pediatrics and Ambulatory Care and Prevention and Harvard Medical School, and the Director of the Center for Child Health Care Studies at Harvard. She also directs the Children’s Hospital of Boston site of the Harvard Pediatric Health Services Research Fellowship Program.

We encourage all APA members to consider nominating an outstanding researcher for the APA Research Award for 2007.

Academic General Pediatrics Fellowship Consultation and Certification
The APA has been working on the development of a process of consultation for and certification of academic general pediatric fellowship programs. Members of the Research Committee have been active in this process. We will report on progress in this important endeavor as the year progresses.

Educational Scholars Collaboration
Congratulations to Connie Baldwin and the Education Committee for establishing the PAS Educational Scholars Program in the APA. The Research Committee has been collaborating in designing research projects coming out of this effort as well as evaluation of outcomes of the program.

Research Networks
The Research Committee has a formal bi-directional link with CORNET, directed by Janet Serwint. We are actively involved in working with the CORNET steering committee and beginning to work with other research networks such as PRIS (Pediatric Research in Inpatient Settings). PRIS is led by Chris Landrigan. See the report on CORNET on Page XX.

Membership
If you have an interest in joining our committee, please contact me! All APA members are invited, from trainees to senior faculty. Our yearly meeting at PAS was well attended this past May, and we are excited about the increased interest in and participation in our activities. We have a monthly conference call during the year for our Executive Committee, which is open to anyone interested in year long involvement!
If you are interested, or have any questions, contact me at bpd1@nyu.edu


RESEARCH COMMITTEE
Benard Dreyer, MD
BACK

At the annual PAS meeting in Toronto, the Research Committee had an exciting meeting focusing on plans for the upcoming year. The Executive Committee of the Research Committee meets (by conference call) throughout the year and has moved the committee’s agenda ahead. The Research Committee has been chaired by Benard Dreyer for the past year. Other members of this past year’s hard-working Executive Committee are Peter Szilagyi, Bill Cooper, Ruth Etzel, Mark Schuster, David McCormick, Donna Halloran, Janet Serwint, and Jim Guevara. Here are some of the highlights of the past year and plans for the future:

Young Investigator Grants (YIG)
The Committee has put together NIH-style study sections to review all submitted proposals. This year these study sections shepherded the almost 50 applications through a two-step process that led to the acceptance of six proposals. After initial short proposals were reviewed by a study section, 18 applicants were chosen to submit longer proposals. The proposals are split into two groups for consideration: general grants supported by APA funding, and health services research grants funded with support from AHRQ. The general grant proposals were then reviewed by a study group led by Benard Dreyer, and the AHRQ grant proposals were reviewed by a study group led by Bill Cooper, with active involvement of AHRQ’s Denise Dougherty. We are grateful to Shari Barkin, Michael Cabana, Matt Davis, Simon Hambidge, Bob Jacobson, Bruce Lamphear, Danielle Laraque, Lee Pachter, Scott Shipman, and David Wood, who, in addition to members of the Executive Committee and Denise Dougherty, were reviewers in these study sections. The winners, in alphabetical order, are:

General Grants:

  • Amanda Dempsy: “Evaluating risk fact-based strategies for HPV vaccination”
  • Helene Greves: “Measuring the impact of school physical activity policies: can we identify best practices through behavior outcomes?”
  • Najah Musacchio: “Text message reminders to improve adolescent clinic attendance”

Health Services Research (AHRQ) Grants:

  • Srilakshmi Gnansekaran: “Child health policy and asthma: a multilevel analysis”
  • Stephen Pont: “Healthcare encounters due to diarrheal illness in children”
  • Sheela Sathayanarayana: “Is ambient air pollutant exposure associated with preterm and small for gestational age birth in the Puget Sound air basin?”

Congratulations to all! We encourage all young investigators to apply in the coming year’s cycle. Look out for the announcement early this fall!

Evaluation of the PAS Abstract Review Process
The Research Committee has begun a multi-year evaluation of the PAS abstract review process. The last time we reviewed the process of scoring and selecting abstracts for presentation at the PAS meetings was in 1996. We are looking at the reliability of the scoring, opportunities to improve the process, and planning for next year’s abstract submissions. Stay tuned for information regarding this results of this evaluation.

APA Research Award
The committee oversees the process of nominations and selection of the awardee for the annual APA Research Award. A review committee, made up of previous APA Research Awardees, evaluates the nominations. This year’s awardee was Tracy Lieu, who gave a great speech at the PAS meetings! Tracy is Professor of Pediatrics and Ambulatory Care and Prevention and Harvard Medical School, and the Director of the Center for Child Health Care Studies at Harvard. She also directs the Children’s Hospital of Boston site of the Harvard Pediatric Health Services Research Fellowship Program.

We encourage all APA members to consider nominating an outstanding researcher for the APA Research Award for 2007.

Academic General Pediatrics Fellowship Consultation and Certification
The APA has been working on the development of a process of consultation for and certification of academic general pediatric fellowship programs. Members of the Research Committee have been active in this process. We will report on progress in this important endeavor as the year progresses.

Educational Scholars Collaboration
Congratulations to Connie Baldwin and the Education Committee for establishing the PAS Educational Scholars Program in the APA. The Research Committee has been collaborating in designing research projects coming out of this effort as well as evaluation of outcomes of the program.

Research Networks
The Research Committee has a formal bi-directional link with CORNET, directed by Janet Serwint. We are actively involved in working with the CORNET steering committee and beginning to work with other research networks such as PRIS (Pediatric Research in Inpatient Settings). PRIS is led by Chris Landrigan. See the report on CORNET on Page XX.

Membership
If you have an interest in joining our committee, please contact me! All APA members are invited, from trainees to senior faculty. Our yearly meeting at PAS was well attended this past May, and we are excited about the increased interest in and participation in our activities. We have a monthly conference call during the year for our Executive Committee, which is open to anyone interested in year long involvement!
If you are interested, or have any questions, contact me at bpd1@nyu.edu

HEALTH CARE DELIVERY COMMITTEE
Cynthia Minkovitz, MD, MPP
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We enjoyed stimulating presentations and lively discussions at the May meeting of the committee. The theme was engaging trainees in the delivery of mental/behavioral health services, particularly in primary care settings.  The interest in trainees reflects activities of many APA members, the push to ‘do more in less time’ for each clinical encounter, and the recognition that exposures and skills acquired during training influence activities once pediatricians are established in their careers. Presenters included: Sue Feigelman, (University of Maryland), Lynn Garfunkel, (University of Rochester) joined by Jenni Linebarger, Sara Horstmann, , and Heather Paradis, David Link, (Cambridge Health Alliance; Harvard Medical School), and Francis Rushton, (Beaufort Pediatrics). We are greatly appreciative to each of the presenters for their contributions to the meeting. Over the next year, the committee will refine its goal of identifying effective strategies to care for vulnerable children. If you are interested in learning more, please contact Cynthia Minkovitz (cminkovi@jhsph.edu), Chair of the Committee.

Health Care Delivery Awardee

Congratulations to the Yes We Can, Urban Asthma Partnership at San Francisco General Hospital/UCSF. Yes We Can is the recipient of the 2007 APA Health Care Delivery Award and is directed by Shannon Thyne, Nannette Maddon, and Andrea Marmor. The program addresses asthma among disadvantaged, urban youth and is a multidisciplinary collaboration of San Francisco State University, City College of San Francisco and the UCSF Department of Pediatrics at San Francisco General Hospital (SFGH). The program at SFGH has served over 700 children to date. Highlights of the services offered include medical evaluations, social interventions, and integrated activities including patient education, social support and community outreach. Early evaluation results highlight increased prescribing of controller meds, use of action plans and mattress covers, and decreased asthma symptoms. The partnership, in operation for 8 years, involves academic and community partnerships. Originally supported by foundation pilot funds, the initiative has been institutionalized and now is supported by the Department of Public Health.

©2008 Academic Pediatric Association. All Rights Reserved.