Uniformed Services Section NEWSLETTER

Transcription

American Academy of Pediatrics
Uniformed Services Section NEWSLETTER
Spring 2014
http://www.aap.org/sections/uniformedservices
Letter from the Chair
CAPT Christine Johnson, MD, FAAP CAPT MC USN
Dear AAP Section on Uniformed Services Member as well as Chapter East and West
Members,
It is my pleasure to write this letter of greeting, after just returning from the American Academy of
Pediatrics Annual Leadership Forum in frigid Schaumburg, Illinois. It was an honor for me to represent the
Section as the Chairperson of the Executive Committee. We have a terrific group of leaders, Army, Navy,
Air Force, Public Health Service and a new USUHS Liaison, who are all excited and engaged to move the
Section and Chapters to the next level.
I would like to personally thank Col Mike Rajnik for his outstanding leadership as immediate PastChairperson of the Section. Mike led the section during a tumultuous time with a tremendous sense of
humor. I look forward to continuing to work with him on the many initiatives he spearheaded and to build
on those initiatives to improve the value of section membership for our uniformed, retired and civilian
section members. I would also like to thank our amazing section administrative assistant Ms. Jackie Burke
who has stuck with us through the ups and down in the recent past. Congratulations to the section for
recognition for our advocacy role in supporting military kids, with a very well received plenary session by
COL Jeff Hutchinson at the 2013 NCE in Orlando, FL.
It is my pleasure to announce that the AAP Section on Uniformed Services will be hosting a “USPS- Lite
Program” at the 2014 AAP National Conference and Exhibition right here in San Diego, California. We will
host 3 plenary lectures: “Best of the Best: Recent Advancements in Military Medicine,” “What’s
Happening with Military Medical Home,” and “An Ounce of Inspiration.” I am also proud to announce that
our Annual Scientific Awards Competition was fierce this year, with over 70 total submissions. A special
thanks to Major Cade Nylund for coordinating the competition and to our cadre of scientific
advisors and judges. Each of the winners in the Bruton, Margileth and Johnson categories will present their
research orally, and we will have poster presentations for the Hemming, as well as both the Geppert Case
and Research competitions. We will also present the Outstanding Service Award, Dave Berry Award and
the Chapter East and West Outstanding Young Pediatrician Awards during the program. Each service
Specialty Consultant/Advisor will be in attendance and will be available for networking or mentoring.
Please contact your Specialty Consultant/Advisor if you plan to travel to the AAP National Conference and
Exhibition. I look forward to seeing you all there!
Lastly, I would encourage each of you to reach out to a colleague, mentor, trainee or friend, and encourage
them to become a member of the Section on Uniformed Services. Membership in the section is free. I would
also encourage our members to join their Chapter (either East or West depending on your location as it
relates to the Mississippi River) as well as other Sections or Councils. The AAP has a tremendous amount to
offer, you just have to engage. In the near future, look for updates to our website, outreach for membership
and more information about the AAP NCE 2014 Explore New Horizons.
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Uniformed Services Section • Spring 2014 NEWSLETTER
Inside this issue:
Letter From the Chair .............................................1
2014 Uniformed Services Section
Election Results ..................................................... 2
Section on Uniformed Services
Executive Committee Roster ................................. 3
Welcome Our New SOUS Newsletter Editor ........ 4
Letters to the Editor ............................................... 4
CDC Global Launch of Online Dengue
Clinical Case Management Course ........................ 5
SOUS Guide Attending 2014 NCE .................... 6-7
Air Force Consultant Update ................................. 8
Deployment and Miltary
Medical Home Resources ...................................... 8
Welcome Comabat-Injured Families ..................... 8
Uniformed Services Chapter East
Spring 2014 Update ................................................ 9
Uniformed Services Chapter West
Spring 2014 Update ......................................... 10-11
AAP 10th Annual Leadership Forum –
Chapter West ........................................................ 12
A Weak Link in Community Medicine:
Identification of Veterans’ Children ............... 13-14
Military Values “on the Run”................................ 14
An Update on the Military
Medical Humanitarian Assistance Course ........... 15
Healthy Habits – Changes for Life! ............... 16-17
Choosing Developmental
and Behavioral Pediatrics ............................... 18-19
AAP Section on Uniformed Services
Receives Child Advocacy Award,
March 2014........................................................... 19
FDA’s Pediatric Device Consortia
Grant Program ................................................. 20-21
Val G. Hamming Simulation Center..................... 21
For more information/website ............................. 21
How Does AAP Philanthropy
Help Military Pediatric Programs? ....................... 22
We welcome newsletter contributions .................. 22
Updated Message
from the AAP Department of Membership........... 23
Be Informed! Be Involved! .................................. 23
American Academy of Pediatrics (AAP)
Section on Uniformed Services ........................... 24
2014 Uniformed Services Section Election Results
Arne Anderson MD, FAAP
Executive Committee Member – Navy
Andrea Donalty MD, FAAP
Laura Place MD, FAAP
Executive Committee Member – Air Force
New Term Begins November 1, 2014
Thank You to the 2014 Nominations Committee
Thomas Newton MD, FAAP
Christopher Foster, MD, FAAP
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Executive Committee Roster
CAPT Christine Johnson MD, FAAP
Chairperson – Navy
Navy Pediatric Specialty Advisor
cljohnsonsd@gmail.com
CAPT Arne Anderson MD, FAAP
arne.j.anderson.mil@health.mil
CDR Erin Balog, MD, FAAP
erin.balog@usuhs.edu
Lt Col Michael Rajnik MD, FAAP
Immediate Past Chairperson – Air Force
mrajnik@verizon.net
CAPT (ret) Ildy Katona, MD, FAAP
USUHS Liaison
ikatona@usuhs.edu
Dawn Muench, MD, FAAP
Newsletter Editor
dawn.muench@gmail.com
CDR Andrea Donalty MD, FAAP
andrea.donalty@med.navy.mil
Staff
Jackie Burke
Section Manager
jburke@aap.org
LTC Thomas Eccles MD, FAAP
Executive Committee Member - Army
thomas.eccles@us.army.mil
Tracey Coletta
Section Coordinator
tcoletta@aap.org
Lt Col Brian Faux, MD, FAAP
brian.faux@us.af.mil
Mark A. Krajecki
Journal Production Specialist
mkrajecki@aap.org
LTC Catherine Kimball-Eayrs
MD, IBCLC, FAAP
ckimballeayrs@gmail.com
Membership in the Section and Chapters is encouraged for all uniformed services members of the
AAP.
Col Laura Place, MD, FAAP
laura.place3@gmail.com
COL Martin Weisse, MD, FAAP
Marty.weisse@gmail.com
Maj Lauren Wolf, MD, FAAP
Laurenjwolf@hotmail.com
CDR David Wong, MD, FAAP
Executive Committee Member – Public Health
david_wong@nps.gov
Notification of desire for membership, subscription
requests and address changes should be sent to:
AAP Division of Member Service
Data & Analytics
141 Northwest Point Boulevard
Elk Grove Village, Illinois 60007
Ph: 800/433-9016 or 847/228-5005
Fax: 847/228-7035
E-mail: membership@aap.org
Visit https://fs25.formsite.com/aapmembership/
affiliate/secure_index.html for an application.
Copyright© 2014
American Academy of Pediatrics
Page 4
Welcome Our New SOUS Newsletter Editor
Dawn F. Muench, MD, FAAP
Dawn is a board-certified Pediatrician and Infectious Disease subspecialist who earned her
M.D. at the University Of Mississippi School Of Medicine. She completed her Pediatric
residency at Tripler Army Medical Center in Honolulu, HI and completed her Infectious
Disease fellowship at the National Capital Consortium in Washington, DC.
Most recently, Dawn served as the chief of Pediatric Infectious Diseases at Madigan Army
Medical Center (MAMC) in Tacoma Washington. She separated from the Army in December of 2013 after
11 years of active duty service, including two tours in Iraq where she served as a Brigade surgeon and Chief
of Inpatient Medicine and Immunizations of a split asset of the 21 CSH (Combat Support Hospital). While
at MAMC, she served on the hospital infection control and hospital immunization committees. Dawn served
as vice-chair of the IRB and was awarded the Outstanding IRB/IACUC Member Award in 2012. She was
active in teaching and research in the Pediatrics department and was awarded the Madigan Pediatrics
Faculty Teaching Award in 2012. She continues to serve on the MAMC hospital ethics committee, and
continues to be involved in student and resident education and patient care as a Red Cross volunteer in the
Pediatrics Department. She is a Clinical Assistant Professor of Pediatrics at the University of WA and an
Assistant Professor of Pediatrics at the Uniformed Services University of the Health Sciences.
Dawn is currently self-employed and working locum tenens in the Seattle area. She was accepted into the
University of AZ Integrative Medicine fellowship which she will begin in the fall of 2014 and plans to
participate in several medical mission trips on a regular basis. She is a fellow of the American Academy of
Pediatrics (member of the sections on Infectious Diseases, Uniformed Services, Bioethics and Integrative
Medicine) and a member of the Pediatric Infectious Disease Society and the Armed Forces Infectious
Disease Society. In her community, Dawn is a board member and coach of the Girls on the Run West Sound
chapter, and is active in her church and the local running community.
Dawn lives in Gig Harbor, Washington, with her husband, MAJ (P) Peter Muench.
Letters to the Editor
Have a concern about a feature or story that appeared in a past edition of the Uniformed Services Newsletter?
Just want to comment on something related to uniformed services?
We have a new feature, “Letters to the Editor.”
Please send any comments or concerns to Dawn Muench dawn.muench@gmail.com
or Tracey Coletta tcoletta@aap.org.
We will publish the letters and do our best to respond to your concerns.
Page 5
CDC Announces Global Launch of Online Dengue Clinical Case Management Course
for Healthcare Professionals
CDC is pleased to announce the global launch of the online Dengue Clinical Case Management Course for healthcare
professionals.
Please share this resource with your members and partners.
Two versions of the online course are available:
1. CME version
• 4 CME AMA PRA Category 1 credits for physicians
• 0.4 CEU ANSI/IACET credits for non-physicians
Course link: Dengue Clinical Case Management Course CME version
2. Non-CME version
For U.S. and international healthcare providers who
would like to learn about dengue but do not need
U.S. continuing medical education credits.
Course link: Dengue Clinical Case Management Course non-CME version
Course Description
This course is available online at no cost and provides physicians and other healthcare professionals world-wide the
latest information regarding:
• Clinical and laboratory diagnosis of dengue, including differential diagnosis
• How to recognize the stages of dengue and warning signs of severe dengue, as well as to understand the
mechanisms of dengue pathogenesis
• How to monitor dengue patients and best practices in fluid management
• Epidemiology of dengue, and dengue prevention and control
Audiences
This course was developed for healthcare professionals who:
• Specialize in infectious diseases and travel medicine, or
• Perform clinical care in dengue endemic areas, or
• Care for patients traveling to and from dengue endemic areas
About Dengue
Globally, dengue is a major public health problem in the tropics and subtropics. An estimated 400 million dengue virus
infections occur annually, and 40% of the world’s population lives in areas with dengue virus transmission. While there
are currently no effective dengue vaccines or antivirals, improved clinical management of patients with dengue has
been shown to reduce case fatality rates to less than 1%.
For more information on dengue, please visit CDC’s website: http://www.cdc.gov/dengue
Centers for Disease
Control and Prevention
National Center for Emerging and
Zoonotic Infectious Diseases
Saving Lives. Protecting People.
Saving Money through Prevention™
www.cdc.gov/ncezid/
Centers for Disease Control and Prevention · 1600 Clifton Road, Atlanta, GA 30333 · 800-CDC-INFO (800-232-4636)
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Air Force Consultant Update
This past year has been a very interesting one with budget issues and uncertainly, but what is amazing is that
through your diligence, an increased number of the children are now cared for in the military clinics and
hospitals. Your efforts to improve preventative care have resulted in well child and immunization rates both
increasing by 13% this year. Military pediatricians continue to provide valuable training and research with
publications by quite a few AF pediatricians. The Nurse Advice Line is now up and running which should
provide some relief to those in the middle of the night calls.
The conference approval process is becoming more automated and I will be submitting a package for the
AAP/NCE coming up in October. I anticipate approval for Air Force Pediatricians to attend. This should be a
great conference with the addition of the section on Uniformed Services Program to include military specific
lectures. I look forward to meeting many of you there. I am always available for a call or if you are in town to
meet for lunch.
Michael Stevens, Col, USAF, MC
Chief Consultant for Maternal-Child Medicine
Air Force Medical Operations Agency (AFMOA)
3515 South General McMullen, Bldg 171
San Antonio, TX 78266
(210) 395-9038, fax (210) 395-9296, DSN 969-9038, Blackberry: (210) 639-2268
michael.stevens.1@us.af.mil
Deployment and Military Medical Home Resources
Families in the uniformed services often face challenges with regards to deployment situations. The
Deployment and Military Medical Home Resources on AAP.ORG provides pediatricians, both military and
civilian, and other care providers with tools to address these needs.
Learn about this at: http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/Deploymentand-Military.aspx
Welcome Combat-Injured Families
Families OverComing Under Stress – Combat Injured (FOCUS-CI) resilience in military
families like yours. Benefits include family support, access to resources, and monetary
compensation. http://www.cifamilies.org/about-the-study/
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Uniformed Services Chapter East Spring 2014 Update
Eric Flake, MD, FAAP
Eric.flake@us.af.mil
President – Uniformed Services East Chapter, AAP
Uniformed Services East chapter is gearing up for an active upcoming academic year! We have been busy
working to fill the vacancies and administrative capabilities of our executive board. Your current chapter
East Executive Board consists of:
President: Eric Flake, MD, (LtCol, USAF, Landstuhl Germany)
Vice President: Dalila Lewis, MD (Maj, USAF, Langley VA)
Sec/Treasurer: Alex Holston, MD (LCDR, USN, Portsmouth VA)
Members-at-Large: Daniel Kramer (Civilian Medical Officer, Quantico VA)
John Campagna, MD (MAJ, USA, Ft Bragg NC)
Our new CATCH grant facilitator is Kwabena Blankson, MD (Maj, USAF, Langley VA) and we are looking
forward to informing our members of upcoming grant opportunities. In addition, Chapter East recently
submitted a proposal to be a part of the 2020 Healthy People Grant Program. We hired an Executive
Director, Mrs. Carolyn Famiglietti, who will serve as our administrative liaison with the AAP and work to
keep chapter administrative projects and initiatives afloat. Additionally, we are in the process of updating
the chapter webpage under the guidance of our new chapter webmaster, Jacob Wessler, MD (Maj, USAF,
Langley VA). Check it out soon and add it to your favorites.
Chapter leadership attended the recent AAP Annual Leadership Forum in Chicago and had the opportunity
to collaborate with the Section and Uniformed Services West. The purpose of the ALF is to allow each and
every member of the AAP to have a voice in putting forth any resolution that is felt to be integral to the
strategic objectives that the AAP addresses for the next year. These resolutions are voted on by your AAP
representatives and a top 10 list is identified to help chart the course for AAP advocacy. Additionally the
Uniformed Section and Chapters leaders will meet with the AAP to discuss specific issues affecting military
physicians. As your chapter representatives, we have many great ideas and initiatives we are working on to
help us be more productive and valuable for you, our members. In order to best do that, we are interested in
hearing about what topics you feel are most important to address for military physicians and children as we
move forward with the AAP. They are interested in supporting our needs and we are excited to share your
ideas, thoughts and initiatives with them.
Stay tune for a satisfaction survey sent to you by the AAP that will be another venue for you to speak
up about current issues that important to you as military connected pediatricians. Additionally, as you are
planning your CME for the year, we hope that you will consider joining us at the AAP NCE in San Diego in
October. You won’t want to miss the new 1 day breakout session that is dedicated to military medicine.
Every year we request nominations for the Outstanding Young Pediatrician Award (OYP). Historically we
have used chapter funds that come from your dues to allow these young physicians to travel and receive
their award in person which will now occur at the national conference this fall. To apply, please e-mail a
nomination letter and CV to eric.flake@us.af.mil or dalila.lewis@med.navy.mil by July 1. We look forward
to receiving your submissions!
We are very excited about the future of the chapter and plan to continue to closely collaborate with Uniformed
Services West chapter and the Section. Now is a great time to get involved with our chapter—we want to
hear your great ideas, suggestions on future resolutions for the AAP, and take part in the many leadership
opportunities that await!
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Uniformed Services Chapter West Spring 2014 Update
Keith M. Lemmon, MD, FAAP
President – Uniformed Services West Chapter, AAP
The USW Chapter has had a very busy and productive quarter. Here in the Pacific Northwest, spring has
arrived in full bloom and is giving us all new energy to move forward together on improving our PCMH’s to
support military kids and the pediatricians who take care of them.
Our executive board met in San Antonio on Feb 28th to develop a strategic plan for the Chapter’s future. Nearly
all members of the board were present along with our executive director. The AAP sent its director of
membership, Ken Slaw, and our district VIII vice chairperson, Dr. Martha Middlemist, as facilitators for the
planning session. The meeting was very productive and has resulted in a balanced score card (BSC) that we
will be using to guide our chapter in the years to come. The BSC is attached for you to review but focuses
mainly on improving the Chapter’s value to its members through recruitment, supporting pediatricians with
PCMH tracking and resource development, developing future talent for the AAP and the DOD, improving
chapter communications and interactions with members, creating educational material for members, etc.
The BSC is a living document that is being used as a template to keep the chapter moving forward.
The USW Chapter executive board approved sponsorship of one resident from each program in the West
Chapter again this year to attend the AAP National Convention and Exhibit (NCE) in October. The
sponsorship program was so successful last year that the board overwhelmingly voted to approve funds to
finance this resident opportunity for another year. This year the NCE is in San Diego and is featuring a
special H program sponsored by the uniformed services section. This will be an excellent opportunity for the
chosen residents to interact with other uniformed services pediatricians from across the globe. Your program
directors should have received information about eligibility and selection criteria for this
sponsorship. You are also encouraged to attend the meeting in San Diego from Oct 11-14 as the Section
works to preserve a portion of USPS heritage. There will also be a Uniformed Services West Chapter
meeting of our full membership at the NCE this year. The attendance at this year’s meeting will help
determine the way forward with future military pediatric meetings with the AAP. Please mark your calendars
and try your best to join in.
AAP/CDC HPV Grant – the Chapter received a $20,000 grant this winter to promote provider
recommendation of the HPV Immunization. The grant is being executed by adolescent medicine specialists
within the Chapter from across the Uniformed Services West region. Sites scheduled to receive HPV
Immunization evaluation and education include the Pediatric Residencies at TAMC, SAMMC, San Diego
NNMC, MAMC, as well as sites at Ft. Hood, Ft. Carson, Ft. Riley, and the military bases in Anchorage
and Fairbanks, AK. If you are a Chapter member at one of these locations and would like to be a participant
in this project, please contact the Chapter executive director for more information. For more information about
HPV Immunization and the importance of provider recommendation in improving rates of vaccination, visit
http://www.cdc.gov/vaccines/who/teens/for-hcp/hpv-resources.html.
As many of you know, April is the Month of the Military Child (MOMC). At Madigan this year we
celebrated the first week of April with special events to honor our military kids. We held education forums
for our residents, nurses, and Family Medicine colleagues, operated a MOMC booth over the lunch hour
each day with a recognition ceremony on the last Friday of the week. We also handed out special gift bags in
Continued on page 11
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Uniformed Services Chapter West Update Continued from page 10
clinic to our military kids with resources like MilitaryKidsConnect.org material. April 15th was Purple Up day
and the hospital command approved a day of wearing purple to honor military kids. Our public affairs staff
was very supportive this year and developed excellent marketing materials such as posters, hospital screen
savers, and a large banner placed at our airfield to mark the Month of the Military Child. The Madigan
Pediatrics Department developed a committee this year to help distribute the workload across many supporters.
This led to a much more coordinated and successful effort. The USW Chapter challenges everyone across
the DOD to develop a MOMC committee to celebrate this important month at your institution in the years
ahead. Also, if you have not had a chance to see the recent Future of Children article focused on military
children, please take a few minutes to review it on the Chapter Website at www.uschapterwest.org/#!
chapter-projects/c6sm (second project down on the page). Lt Col Eric Flake, Chapter East President, coauthored the article, “How Wartime Military Service Affects Children and Families”, and Lt Col Molly
Chartrand co-authored the article, “Military Children From Birth To Five Years”. Congratulations to both Eric
and Molly for their included work in this prestigious compilation dedicated to military children.
School Based Health Centers (SBHCs) across Chapter West - The concept of SBHCs are gaining great
momentum across the Chapter. Congratulations to MAJ Rachel Dawson for receiving a $12,000 Community
Access to Child Health (CATCH) planning grant from the AAP to lay the ground work to establish a
network of SBHCs in the Ft. Hood/Kileen ISD area to support military teens. Her work is ground breaking
and will likely double the number of military children receiving access to school based health care across the
Chapter. Currently, there is a SBHC at Cole Jr/Sr. High School on Ft. Sam Houston run by the Adolescent
Medicine Fellowship as well as 2 high schools and one middle school surrounding Joint Base Lewis McChord
(JBLM) operating SBHCS for military connected teens.
A recent program analysis of the JBLM schools demonstrated that from August 22, 2013 to April 10, 2014,
the SBHCs generated 655 encounters with eligible students. During this time there were 563 students
eligible for care, resulting in a 1.2 visit utilization rate for the eight month study period. Each visit at the SBHC
tallied approximately 30 minutes to complete. The result was a >80% reduction in time away from class
time compared to a visit at the alternative hospital-based clinics, where an average visit tallied 3.5 hours.
This equates to approximately 1965 student school-time hours that were protected by having access to the
SBHC. In addition, parents who accompany students generally spend an extra 60 minutes away from work
accompanying their student to attend hospital-based clinic appointments. It is estimated that the SBHCs spared
approximately 1310 military parent work hours, assuming that only one of the parents took time away from
work to bring their child in for health care (a conservative estimate). In addition, the average hospital-based
clinic no-show rate for adolescents is 12%. During the study period, the average no-show rate in the SBHCs
was 2%, a 10% decrease in unutilized clinical time. SBHCs in close proximity to military bases allow for
the provision of culturally sensitive, patient-centered care for a population that has significant barriers in
place to receiving adequate preventive and acute care. Early results indicate improved access to care, decreased
student time away from school, decreased economic burden to parents, improved system efficiency in the
form of clinic utilization, and an ability to proactively address unmet health care needs through utilization of
population health tools.
Thanks for all you do every day to take exceptionally good care of our military kids in your practices across
the globe. If there is anything the USW Chapter can do to facilitate your work with military kids or advocate
for you to the AAP, please let us know. Have a productive spring season and we hope to see you all in the
fall at the 2014 AAP NCE H Program for the Uniformed Services Section and Chapter meeting.
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AAP 10th Annual Leadership Forum – Chapter West
Amy Thompson, DO, FAAP
MAJ, FS, MC
Pediatrics and Adolescent Medicine
AAP Uniformed Services West, VP
Our chapter leadership had the awesome opportunity to represent the Uniformed Services West at the AAP
10th Annual Leadership Forum meeting in Schaumburg, IL in March. Military pediatrics was represented
not only by our chapter, but also by Uniformed Services East, and our Uniformed Services Section. Military
Pediatricians present were: CAPT Christine Johnson, LTC Keith Lemmon, MAJ Amy Thompson, Lt Col
Eric Flake, Maj Dalila Lewis, Lt Col Tom Newton. Our professional organization exists to attain optimal
health for all children and to support the professional needs of all members. Today more than ever our
children need providers who are passionately working to improve the health of kids around the world. We
are grateful to have representation for military children within the Academy. The ALF is an annual
opportunity and meeting for all of the national academy leaders at various levels to come together and
discuss the most important child health issues of interest and concern to all Pediatricians.
The AAP is made up of 62,000 members who work together in many areas to include ADVOCACY, RESEARCH,
EDUCATION, POLICY, NETWORKING, and LEADERSHIP. The top strategic issues the AAP is focusing
on this year are poverty & child health, early brain and childhood development, children adolescents and the
media, and epigenetics.
The ALF mainly focuses on advocacy efforts and discussing new resolutions that all pediatricians consider
to be most important regarding children’s health. After a couple days of discussing and debating important
health concerns brought up from pediatricians from all over the country, we voted on the top ten priorities
for this next year to be further discussed and taken to the next level within the AAP. The AAP leadership comes
up with its top priorities, such as childhood poverty, from grass roots ideas, initiative, innovation, and health
concerns that come out of a gathering like the ALF where pediatricians from all 66 chapters and 10 districts
work together and discuss how we need to improve the health of children today.
As Military pediatricians, our children have unique health needs and stressors that we can advocate for
within the Academy, and also educate our colleagues in the community about as we work together in
providing high quality care to the children of our service members. We look forward to continue serving the
Uniformed Services and bringing energy, inspiration, and opportunities from the AAP to every military
pediatrician for the benefit of children.
Top Ten Resolutions voted on at ALF to move forward in the AAP:
1) Human Trafficking Education in Medical Education and Pediatric Training
2) Risk of non-standard vaccine schedules
3) Expansion of regulation of e-cigarettes
4) AAP medical home standard and certification
5) Ratification on unconvention on the rights of the child
6) Universal paid parental leave
7) AAP policy and education regarding e-cigarettes
8) Improve Medical Student Membership
9) Staying politically neutral for universal support of children
10) Ban on marijuana advertising directed towards children
Page 13
A Weak Link in Community Medicine:
Identification of Veterans’ Children
Jeffrey L. Brown, MD, FAAP
Pediatricians are aware of the unique problems faced by children whose parents are serving in the military,
but little attention has been paid to the needs of veterans’ children - including those born after their parents
are no longer on active duty. Before taking my pediatric training, I served as a combat infantry battalion
surgeon in Vietnam. Largely as the result of personal experience as a civilian patient, I wrote an essay in
November 2012 that was published in the JAMA called “The Unasked Question.” It noted that ten percent
of the adult population has previously served in the military and that eighty percent of them get the majority
of their healthcare from civilian (non-VA) sources. Unfortunately, civilian doctors rarely ask their patients if
they are veterans. The result of this omission is that deployment-related conditions are misdiagnosed or
undiagnosed, medical and financial benefits are not received, and illness that might potentially be related to
service cannot be tracked in electronic databases.
I was subsequently asked to serve on a Military Health History Initiative of the Association of American
Medical Colleges. It had the goal of publicizing the need to teach physicians why and how to take this history.
The American Academy of Nursing started a similar initiative last year, and the National Board of Medical
Examiners has recently begun including questions about veterans’ culture and health in its examinations.
As a pediatrician, I was asked to present this topic at two Childrens’ Hospital Grand Rounds. During my
preparation for that talk, I realized how pertinent this topic is to pediatrics. Although one-third of military
personnel have children under the age of 11 years, in my own pediatric practice we never thought to identify
which of our patients’ parents had served in the military. This important Social History would have
identified children affected by their parents’ deployments who might have anxiety and school related
problems. These children are also at risk for living with parents who have medical and psychological
problems. And other risk-factors like guns in the home, marital stress, post-deployment job problems, and
child and spousal abuse might never be noted. Now that 15 percent of active duty military personnel are
women, pediatricians should also be on watch for a deployment history in the mother or spouse that might
lead to complications of pregnancy - especially exposure to toxic substances. (Men exposed to Agent
Orange dioxin in Vietnam had a higher than average chance of having offspring with spina bifida.) Again,
when military history is not routinely included in a patient’s chart, we might never make this association.
When I recently queried two pediatricians whose practice largely consisted of caring for foster children, they
never routinely asked biologic or foster parents about past military service that might affect either the
reasons for the child’s placement or the choice of placement. Children of veterans who had recent deployment
are frequently eligible for psychiatric counselling that is poorly covered by private insurance, and those with
financial hardship or service-related conditions might be eligible for medical and financial services they are
not even aware of.
I have been giving talks regularly on these problems and the need for corrective actions. They include (1)
teaching military cultural awareness and medical problems as part of CME and medical curriculum. (2)
Including basic military history in EHRs - preferably through meaningful use (3) requiring all medical
personnel and students who rotate through VA medical facilities to have this training, and (4) encouraging
veterans to tell their doctors and their childrens’ doctors that they have served.
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A Weak Link in Community Medicine: Identification of Veterans’ Children Continued from page 13
Our section members should use any available resources to publicize this important information to civilian
pediatric providers at academic centers, community hospitals, and local clinics - with special emphasis on
the need to add all parents’ military histories to pediatric electronic health records. Civilian providers don’t
ask these questions because they believe they don’t treat many military or veterans’ children (mostly
because they don’t ask), they erroneously believe the information will not be useful, and they don’t know
which follow-up questions are pertinent. So educating them becomes extremely important.
It is noted that the American Academy of Pediatrics is a member of the White House initiative, Joining Forces.
This is fortunate because the AAP’s input might help to achieve their goal of coordinating civilian and military resources. I have been a vocal advocate as a member of the AAMC, but there should be formal pediatric
representation. SOUS may wish to add this to the agenda at our next meeting. Additional information about
this subject can be obtained on my website: www.JLBMD.com/veteransadvocate.html.
Military Values “on the Run”
John Salvato, MD, FAAP
LCDR MC USNR
(Developmental and Behavioral Pediatrician)
I’d like to share a perspective on my role as a volunteer track and XC coach at a few schools in Maine and
Virginia I have had the privilege of working at.
The school staff appreciate adult volunteers especially those that have been vetted by our defense department!
The students are not used to military personnel and I don’t wear any Navy attire to suggest my affiliation.
However I weave my Navy experiences in over the course of the season and the student-athletes really seem
to enjoy the stories.
The most important message I wish to deliver is a belief in something greater than yourself, typically the
attributes of working together as a team, and the need to have values such as Honor, Courage and
Commitment. I have found the student-athletes very receptive to this message especially when I describe
something they can relate to such as; Honor means doing the right thing as if a teacher or coach is watching,
Courage means doing the best you can at practice or trying an event that you never experienced before i.e.
the 800 meter run, and Commitment means coming to practice on time every day and doing the warm up as
well as cool down drills.
I remain impressed with the young athletes as they really try to embody a belief system that works for them
and helps to achieve their goals. Over time the kids may not remember my actual values but they know how
important is to set goals for themselves, meet certain expectations and strive for perfection.
Page 15
An Update on the Military Medical Humanitarian Assistance Course
Patrick Hickey, MD, FAAP, FIDSA
LTC, MC, USA
Associate Professor of Pediatrics and Preventive Medicine
Executive Director, MMHAC
Uniformed Services University
The Military Medical Humanitarian Assistance Course (MMHAC) emerged in the aftermath of Operations
Desert Storm and Provide Comfort from the experience of deployed military pediatricians. Recognizing that
the traditional framework of medical school and graduate medical education failed to adequately prepare
physicians for the complexities of stability operations, particularly those with large, medically vulnerable,
displaced populations, the MMHAC was designed to bridge the gap. The MMHAC emphasizes a public health
approach to the major causes of mortality in complex humanitarian emergencies, helps students recognize
the unique professional and ethical dilemmas that may arise, and introduces students to the response
framework of the U.S. government and the international community, including non-governmental
organizations.
Originally sponsored by the Department of Pediatrics at the Uniformed Services University, the MMHAC is
currently supported by the Center for Disaster and Humanitarian Assistance Medicine at Uniformed
Services University (USU) and taught regularly by a diverse and dedicated faculty at USU/Walter Reed,
Madigan Army Medical Center, Tripler Army Medical Center, San Antonio Military Medical Center, Naval
Medical Center Portsmouth, and Naval Medical Center San Diego. During the fall of 2014, WrightPatterson Medical Center will restart its MMHAC program. Though some may think of the MMHAC as a
course for pediatricians, the reality is much different. The MMHAC focuses on impacting the health of those
most likely to suffer mortality and morbidity during a complex emergency; they happen to be children but
history has shown that medical providers of all backgrounds must be prepared for this challenge. Hence,
students at the courses taught today are more diverse than ever- with internal medicine, family medicine,
pediatric, and emergency medicine physicians as well as nurse practitioners, physician assistants, Special
Forces medics, and medical planners sharing the learning experience. Indeed, the MMHAC has begun to
expand well beyond its traditional domain of the major teaching hospitals. The course is regularly requested
by operational units that recognize the impact that a course focused on the “tactical” medicine aspects of
humanitarian assistance, such as the MMHAC, can have on the readiness and proficiency of deploying
personnel. Recent offerings of the MMHAC have supported contingency operation readiness training for the
Marine Black Sea Rotational Force, the USNS Comfort, USNS Mercy, and the 65th Medical Brigade,
US-Forces Korea.
Innovations to the MMHAC curriculum include updated reviews of U.S. military doctrine that underpin
stability operations, a case study in the public health based approach to the conduct of small unit stability
operations derived from lessons learned in Operation Iraqi Freedom and Operation Enduring Freedom, and
a practical exercise applying concepts and standards from the Sphere Project to a scenario derived from
Operation Unified Response. Sixteen years since the first MMHAC was taught, the course remains a vital part
of a professional military physician’s education by diversifying their skill sets to prevent and treat the
diseases of greatest burden, successfully support Joint and Multi-National operations, and effectively
engage host-nation, international, and non-governmental organizations that respond to humanitarian
emergencies. For more information about the MMHAC or to find contact information for course site
directors, please visit: http://www.cdham.org/the-military-medical-humanitarian-assistance-course-mmhac.
Page 16
Healthy Habits – Changes for Life!
Jill E. Emerick, MD
CDR MC USN
Division Chief WRNMMC Peds Endocrinology
Assistant Professor of Pediatrics, USUHS
Childhood obesity is ubiquitous in our daily pediatric practices. Although obesity rates for active duty
military are less than the general population due to biannually enforced weight for height standards, obesity
rates among pediatric and adolescent military dependents mirror our society’s obesity epidemic. A 20102011 AHLTA review of body mass index (BMI) of Army dependents ages two to eighteen showed that 15%
were overweight and 13% obese. Although we as pediatricians realize that the long term consequences of
obesity are likely to have significant chronic health effects, it is often difficult to adequately address this
medical condition in a 20 minute general pediatrics appointment, especially since often the appointment was
not made to investigate weight concerns. There are often many barriers to tackling this diagnosis. Frequently
the family does not feel the child’s weight is a problem or they don’t recognize obesity as a medical
diagnosis. In addition, discussing the treatment of obesity is difficult as it requires not only recognition of
the patient’s weight as a health risk, but also a sustained family commitment to making healthy lifestyle
changes. Counseling and providing education on a treatment plan for obesity is a very tall order for a twenty
minute appointment, which doesn’t take into account the time it takes to screen for comorbidities.
Recognizing these barriers, several colleagues and I began to brainstorm how best to create a
multidisciplinary obesity clinic that could optimally serve those families who are ready to attempt obesity
treatment. We researched techniques that were most likely to lead to sustainment of a healthier weight, and
concluded that an approach based on behavior modification was most likely to help our target population.
We developed our curriculum from a program called Body Works, created by the United States Department
of Health and Human Services to educate girls and women on healthy lifestyle choices. Using this
curriculum, with ongoing modification and updating by our Healthy Habits staff, especially our pediatric
nutritionist, we have created a ten session curriculum that is the frame work of our behavior modification
technique. Two crucial pieces in making our Healthy Habits clinic a success are support from the Pediatrics
Department at WRNMMC Bethesda, including leadership that was willing to allot the involved providers
time to participate in and plan the Healthy Habits clinic, and administrative support to ensure our patients
have easy access to the clinic, appropriate follow up scheduled, and make sure the clinic day runs as
smoothly as possible.
Currently our Healthy Habits core staff includes pediatric endocrinology, general pediatrics, adolescent
medicine, pediatric nutrition, child psychology and support from our MWR exercise staff. However, our
curriculum is written to be able to be carried out by a pediatric primary care provider such as a general
pediatrician, pediatric nurse practitioner or family practitioner, with the assistance of a health and wellness
and behavioral health provider. Our clinic model at WRNMMC includes an initial intake session and nine
monthly follow up sessions for patients ages ten to eighteen. At our intake session we do fasting lab work
and an extensive history and physical examination to screen for obesity comorbidities, as well as a typical
day recall to help verbalize daily routines and identify possible areas to implement behavior modification.
The medical visit is followed by a group session that includes a healthy breakfast, identification of healthy
and unhealthy behaviors in case based discussion, introduction to the American Academy of Pediatrics’ (AAP)
9-5-2-1-0- Let’s Go, prescription for healthy living, and finally defining and then creating SMART
Page 17
Healthy Habits – Changes for Life! Continued from page 16
(Specific, Measurable, Attainable, Realistic, and Timely) goals. The patient’s self-defined SMART goals,
developed and modified with the assistance of the Healthy Habits staff, are the basis for incorporating the
healthy lifestyle education given throughout the curriculum. Our follow up sessions are held monthly at the
base gym and include sixty minutes of group exercise, a review of height, weight and BMI growth charts
with a Healthy Habits coach, adjustment of SMART goals based on this feedback, a nutrition education
module, c behavioral health module, and a hands-on activity to put education provided at this session into
practice. For our patients with active obesity-related comorbidities, we offer medical appointments by our
Healthy Habits staff on the same day as their Healthy Habits follow up session.
Many reading this article are by now asking the “rubber meets the road” question – does this intervention
work? Thus far we have evaluated our program via a process improvement project which showed that the
accurate diagnosis of obesity and completion of the AAP recommended screening labs for overweight and
obese patients were occurring significantly more frequently since the clinic’s inception. Also, medical
follow ups for the diagnosis of obesity were recommended and occurring more often. Currently we have a
research protocol submitted to the WRNMMC institutional review board to measure both behavioral
changes and changes in BMI in patients who have completed at least 3 sessions in the clinic compared to
patients treated for obesity in the adolescent and pediatric endocrinology clinics. Without research quality
analysis of the data, from our experience, about one third of our participants improve their BMI, one third
have success maintaining their BMI and a final third continue to have an upward trending BMI. One of
the exciting aspects of this clinic is that I not only believe it helps our patients, but it does offer a setting for
further research to be performed.
Finally, since we have a curriculum easily adaptable to multiple military medicine settings, we are excited
to be able to offer a Healthy Habits Tool Kit to give other military health centers and clinics a resource with
which to develop a similar clinic that meets their patients’ needs. The toolkit can be found on the website:
www.nccpeds.com under the “resources” tab. Our Healthy Habits core staff work monthly to update
our curriculum and these updated sessions will be routinely posted. In the last year we have assisted two of
our graduated residents in developing similar programs at their initial duty stations, as well as, actively
working with our sister facility, Fort Belvoir Community Hospital, to help get a program up and running.
Successfully impacting the childhood obesity epidemic, especially in our military dependents, is a passion
for all our Healthy Habits staff and we sincerely hope our toolkit is a stepping stone for a successful program
at your institution.
This clinic could not have been made a reality without the collaboration of multiple individuals. Initial clinic
idea originator and mentor: Merrily Poth MD. Core staff since the clinic’s inception in August 2011: Noelle
Larson MD, Candace Percival MD, Susan Hawley MD, Cheryl Issa RD, Stacey Williams PhD, Ashley
Dunn MD, Harshita Saxena MD, Richard Powell MD, and Jill Emerick MD. WRNMMC leadership:
Tom Burklow MD, Margret Merino MD, Karen Vogt MD, Jeff Hutchinson MD and Katherine Kimball-Eayrs
MD. And our nurses without whom this clinic would not work: Kimberly Campbell RN and Ramona
Brady-Sanchez LPN.
Page 18
Choosing Developmental and Behavioral Pediatrics
Daniel Tolson, MD
MAJ, MC, USA
2nd year Fellow
Developmental and Behavioral Pediatrics
Madigan Army Medical Center
Nearly 7 years ago I graduated from Residency in San Antonio, Texas. With the fear that comes from doing
things on your own only barely eclipsed by the excitement of finally being able to do things on my own,
I moved to Ft. Sill, Oklahoma. Over the next 5 years I practiced as a general pediatrician, including running
a clinic, covering calls from the nursery and delivery service, the ward, the other hospital clinics and the
emergency room. We saw the full spectrum of patients. Despite the effectiveness of the EFMP program
in helping families live where there is appropriate medical care, we had patients with just about every
diagnosis you can read about in Nelson’s. This included everything from colds to cancer, from Astigmatism
to Autism, from diarrhea to Down Syndrome and from teen tantrums to Tourette’s.
Residency training prepared me for a lot of what I saw, the rest I read about or referred out. My
developmental pediatrics rotation was essentially only 2 weeks of residency being over the December
holiday period at the time. I thought I knew enough about complex medical conditions when I left
residency. I knew enough to eventually realize that I needed to know more.
On April 24th, 2008, my son was born with Down Syndrome. Thankfully he had a healthy heart and no
gastrointestinal difficulties. He developed significant lung problems and had to be hospitalized 10 times in
Oklahoma. Three times he had to be transferred to Children’s hospitals, each of those times in a helicopter.
Six of those hospitalizations occurred while I was preparing for and while deployed to Iraq. Over those next
2-3 years as he received physical therapy, occupational therapy and speech and language pathology services
and I started to learn more about how support systems for children with special needs work, my desire to
practice medicine also started to shift. I began desiring to know more about the complex conditions we as
pediatricians treat. I began understanding better how the stress of having a child with special needs truly affects
a family, a military family. I wanted to receive more training on how to take care of the patients and families
who truly need a physician and friend who can help guide their care. I applied to train as a Developmental
and Behavioral Pediatrician.
Madigan Army Medical Center runs a joint service fellowship training program is in Developmental and
Behavioral Pediatrics. This 3 year program trains board certified pediatricians in comprehensive aspects of
medical care for all patients with complex needs. Fellows are trained in all aspects of the medical care
of children with complex neuromuscular conditions to include Cerebral Palsy, Muscular Dystrophy,
and encephalopathies. We are learning about craniofacial disorders including common and rare genetic conditions that cause them to happen. We provide follow up care for high risk infants. In addition to
learning how to help families with a child with complex ADHD, autism and disruptive behaviors, we also
guide families whose children are having learning difficulties and intellectual disabilities. We often
collaborate with and lead teams of other subspecialists and support service providers. The fellowship at
Madigan, which is represented by Fellows from all 3 Military branches, also has a very close relationship with
the University of Washington Medical Center and with Seattle Children’s Hospital. We currently collaborate
with them, not only for clinical training, but for leadership experience and for research projects. The
Page 19
Choosing Developmental and Behavioral Pediatrics Continued from page 18
fellowship also offers multiple opportunities to teach medical students, pediatric and other residents, and other
fellows and staff. As the landscape of medicine changes, as more and more children with autism are identified, and as the number of children with significant medical and behavioral needs increases, there is
a growing need for more pediatricians with the training the developmental and behavioral pediatrics
Fellowship at Madigan Army Medical Center provides.
I enjoyed practicing as a general pediatrician and going back into the training environment was not
completely easy, but I am so glad I chose to do so. The training, the knowledge, the relationships among my
colleagues in the fellowship, and the relationships I have forged with my patients are all very fulfilling. If
you have ever considered or desired to apply for a fellowship in pediatrics, I encourage you to seriously consider developmental and behavioral pediatrics.
Please contact me or the Fellowship Director, Dr. Brad Hood (AF Ret) or the Fellowship Administrative
Assistant, Ms. Teresa Tucker at 253-968-3718 or 253-968-2310 with any questions about training with us.
AAP Section on Uniformed Services
Receives Child Advocacy Award, March 2014
Since 2001, about 2.3 million service men and women have been deployed to Afghanistan and Iraq. Forty
percent have been deployed more than once. Sixty percent of those deployed have family responsibility. Up
to 2 million US children have been exposed to a wartime deployment of a loved one in the past 10 years.
About half of military children (Active Duty, National Guard, Reserves) receive care from non-military
pediatricians/health care providers. To help educate the general pediatrician on the unique needs of military
families, the section on uniformed services submitted a plenary on this topic for the 2013 NCE. COL Jeffrey
Hutchinson, MD, FAAP gave a plenary talk at the 2013 AAP National Conference & Exhibition on Finding
the Military Child in Private Practice and Addressing their Unique Needs. See a recording of this standing
ovation session at: https://www.facebook.com/photo.php?v=621157257942298&set=vb.43525039983
&type=2&theater
This program was developed by Catherine Kimball-Eayrs, MD, FAAP, Program Chairperson for the AAP
Section on Uniformed Services in collaboration with the NCE Planning Committee.
The Section received an award for educational excellence for this program.
For more information, please contact Section Chairperson, Christine Johnson, MD, FAAP at Christine.
Johnson@med.navy.mil
CONGRATULATIONS SECTION ON UNIFORMED SERVICES!
Page 20
FDA’s Pediatric Device Consortia Grant Program
Linda C. Ulrich, MD, FAAP
Say I’m a busy pediatrician with a great idea for a medical device
that would help kids…. My experience and training aren’t in
engineering, device regulations, or business law—where can I go
to get practical, upfront advice on what it’s going to take to get
my product to market?
The FDA-funded Pediatric Device Consortia (PDC) are intended
to be those places— where innovators can go to receive
comprehensive expert evaluation and coaching on what it may
take to get their potential medical devices ultimately applied in
pediatric care.
The PDC consist of individuals committed to helping children,
who also bring together the technical know-how and resources
about the various aspects to be considered in advancing a product to market:
•
•
•
•
•
•
•
Intellectual property, patents and protection of ideas;
Identifying and applying to funding sources for the various stages of device development;
Prototyping;
Bench and animal testing;
Study of the device in humans;
Manufacturing; and
Regulatory requirements for medical device clearance, approval, and reimbursement.
Each Pediatric Device Consortia also understand market forces and should be able to provide a frank, up-front
assessment, as to the relation of overall costs—financial, time, and effort—to the likelihood of ultimate
commercialization of an idea or product.
The consortia support all types of potential pediatric device projects—ranging from incremental to
break-through technologies—as the practice of pediatrics could improve from a wide variety of medical device
technologies.
Since the program’s inception in 2009, more than 300 projects have been evaluated by the various consortia.
This doesn’t mean that over 300 pediatric devices are coming to the market for kids, as most of the ideas
were in the earliest phases of development—and not every idea is viable. However, it does reflect the
interest and enthusiasm of pediatric care providers, as well as innovators and general creative types, for
improving the health and well-being of children.
Through advice provided by the PDC leadership, innovators affiliated with this group have raised more
than $14 Million to support research aimed at developing medical devices for children. Additionally, the
Page 21
FDA’s Pediatric Device Consortia Grant Program Continued from page 20
consortia have been able to leverage their local community resources of volunteer time, talent, and services
to assist on various pediatric device projects.
In September 2013, the FDA held a five year cycle grant competition further supporting the development of
a national network of pediatric device consortia. Seven pediatric device consortia received funding in fiscal
year 2013 totaling $ 3.6 Million dollars. Two consortia funded under previous grant cycles remain active in
the program’s activities as well.
More information about the PDC and contact information for the various consortia can be found at:
http://www.fda.gov/ForIndustry/DevelopingProductsforRareDiseasesConditions/PediatricDevice
ConsortiaGrantsProgram
Val G. Hamming Simulation Center
I am pleased to announce that in Nov 2013, the Simulation Center at the Uniformed Services University
was re-named the Val G. Hemming Simulation Center in honor of Val Hemming, Col, USAF (ret) and Dean
Emeritus of USUHS. Dr. Hemming was instrumental in setting the vision for one of the first simulation
centers for medical students in the country and today that center has grown to over 30,000 square feet and
delivered over 38,000 hours of instruction to USUHS students, nurses, interns and residents last year. The
center is a testimony to the vision of Dr. Hemming for excellent education for our future MHS leaders. If
you are in the Washington DC area in the future, please come by and see what your tax dollars have been
doing. You will be impressed! Visit our website at: http://simcen.usuhs.edu
Joseph O. Lopreiato MD, MPH
Professor of Pediatrics
Associate Dean for Simulation Education
Val G. Hemming National Capital Area Medical Simulation Center
Uniformed Services University of the Health Sciences
joe.lopreiato@simcen.usuhs.edu
USU is “America’s Medical School”
For more information or to join the section . . . visit our website at:
http://www.aap.org/en-us/about-the-aap/Committees-CouncilsSections/Section-on-Uniformed-Services/Pages/default.aspx
Page 22
How Does AAP Philanthropy Help Military Pediatric Programs?
AAP Section on Uniformed Services provides opportunities for members to contribute to the AAP for the
benefit of Military Pediatric Programs through the Friends of Children Fund, the Section’s non-core fund,
named endowed funds, and the Tomorrow’s Children Endowment.
Through the Friends of Children Fund, the Section has received support for:
• Establishing endowed named awards in the Scientific Award Competition, including the Val G. Hemming
Award and the Andrew M. Margileth Award.
• A Friends of Children Fund Healthy People 2010 Grant for the UNIFORMED SERVICES WEST
CHAPTER. This project entitled, “Deployment Effects on Child and Adolescent Mental Health
(DECAMH),” increased awareness of and provided innovative solutions to the complex personal
and familial mental health challenges faced by children and adolescents of deployed Reserve and
National Guard (RNG) members. A training DVD was developed to help pediatricians better address
the emotional and mental well-being of children whose parents have been deployed. Presentations of
the work developed within the DECAMH project were made at more than 25 professional and school
district conferences. The US Army Medical Command provided additional funding to enhance,
reproduce, and distribute the program and continues to proactively address the important needs of
military families.
• Creating an area within the AAP Uniformed Services Section’s Web site that is devoted to promoting
available resources to members serving military children and adolescents.
• Providing educational support for pediatric uniformed services trainees (residents and fellows) by
supporting access to Pedialink for programs that cannot support dues to the AAP.
We ask that you make a donation to the AAP Friends of Children Fund for programs like these that help
military pediatrics. Your tax-deductible contribution will allow the uniformed services community to do
good work for children and the civilian and uniformed services pediatricians who serve them. Eighty-five
cents of every dollar contributed go directly to programs like the ones listed above.
To give, call the AAP at 1-888-700-5378.
If you have any questions about making a gift, creating an named award or making an estate gift, please
contact Joseph Like, Director of Individual Giving & Major Gifts, at 800/433-9016 extension 4740 or Jackie
Burke, Manager of the Uniformed Services Section at extension 4759.
We welcome contributions to the newsletter
on any topic of interest to the pediatric community.
Please submit your idea
or article to:
Dawn Muench at dawn.muench@gmail.com
Page 23
Updated Message from the AAP Department of Membership
If your AAP membership expires soon, please watch your mail for your renewal invoice. You will receive an
e-mail notifying you when your renewal invoice has been mailed. When you receive your invoice, please
review it for accuracy. If you currently hold other AAP memberships, they will be on your renewal invoice
in the following order:
•
•
•
•
National membership
Chapter Membership (Uniformed Services and State)
Section membership(s)
Council membership(s)
A couple of things to note:
1) The state chapter is added to all national renewal invoices regardless of current state chapter membership
status.
2) Uniformed Services chapter membership is added to your invoice if you are currently a member or if you
are associated with the military in the AAP database.
3) Chapter membership is not mandatory, though is strongly encouraged.
4) The Section on Uniformed Services does not charge dues. You can easily join the section online. Log on
to the Member Center, in the Member Community section click the “Join a Section or Council” link.
Please Note:
Members can pay and/or edit their membership renewal invoice online at http://eweb.aap.org/myaccount. Log
in with your AAP ID and password. Chapter, section, or council memberships can be removed from your
invoice prior to entering credit card information. If you wish to change your member type or add additional
chapter, section or council memberships please contact Member Services at 800-433-9016, ext 5897 or e-mail
us at membership@aap.org.
Thank you for your continued membership and support of our mission.
Be Informed!!
Get Involved!!
Join the Section on Uniformed Services LISTSERV® Today!
If you are interested in joining the Listserv, e-mail tcoletta@aap.org
Page 24
American Academy of Pediatrics (AAP) Section on Uniformed Services
The Section on Uniformed Services, founded in 1959, is dedicated to educating physicians on topics in
pediatrics unique to the uniformed services and to providing a forum for military pediatricians and Public
Health Service physicians. In addition, the section consults to the American Academy of Pediatrics (AAP)
Board of Directors, on request, on policy and other issues. Membership in the section is open to all Fellows
of the AAP (including those in training) in the uniformed services; civilian AAP Fellows appointed by the
surgeons general of the Army, Navy, Air Force, or US Public Health Service to act in the capacity of their
civilian pediatric consultants; and retired military officers.
The section has more than 900 members. The Section on Uniformed Services hosts educational programs at
the AAP National Conference & Exhibition and holds its organizational meetings at the Uniformed Services
Pediatric Seminar (USPS), an annual 4-day continuing medical education (CME) course sponsored by
the section. Topics addressed at past National Conference & Exhibitions have included community
pediatrics, management of complex humanitarian emergencies, sports medicine injuries, school health, and
bioterrorism. The USPS features topics in general pediatrics as well as responses to terrorism and military
medical humanitarian assistance. The section works closely with AAP Uniformed Services Chapters East
and West, the 2 AAP chapters composed of pediatricians in the uniformed services. In addition, the section
works with the surgeon generals’ Pediatric Specialty Advisors, the Uniformed Services University of
the Health Sciences, and numerous military medical facilities around the country. The section produces a
newsletter twice a year featuring updates on section, chapter, and AAP activities. The annual Scientific Awards
Competition presents the Ogden Bruton, Howard Johnson, Andrew Margileth, Leo Geppert, and Val
Hemming awards to papers in 6 areas.
The Uniformed Services Pediatric Seminar, which begun on 1965, ceased in 2013 due to government travel
restrictions. We hope to re-institute this wonderful meeting in the future, which featured the USPS were
the section business luncheon, Chapters East and West business meetings, the military training program
directors’ meeting, meetings of the 3 services with their respective surgeon general’s Pediatric Specialty
Advisors, the James Bass Challenge Bowl and a luncheon with the AAP president.
The section hosts the Ogden Bruton Lectureship and presents the Outstanding Service Award and the Dave
Berry Award.
Current goals include providing an educational forum for the discussion of challenges and discoveries
related to the global practice of Uniformed Services pediatrics, stimulating research and education in
pediatric medicine as encountered in the full practice of Uniformed Services pediatrics and disseminating
knowledge about Uniformed Services pediatrics through AAP and other channels to the medical profession
at large and respective Surgeons General.
See our webpage at http://www.aap.org/en-us/about-the-aap/Committees-Councils-Sections/Section-onUniformed-Services/Pages/default.aspx
This newsletter is the official biennial publication of the Uniformed Services Section, of the American
Academy of Pediatrics. Statements and opinions expressed in this publication are those of the authors and
not necessarily those of the American Academy of Pediatrics, the Department of Defense, or of the
Surgeons General.

Uniformed Services Section NEWSLETTER

Transcription

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