January/February 2015
AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS In This Issue EHDI Systems: Part 4 Resident in the Spotlight EBOLA Prevention Call Hospital Breastfeeding Outcomes Becoming Baby Friendly Summit 1 2 2 4 5 OK Breastfeeding Hotline Children’s Executive Function Skills PedFacts ICD-10: Road to 10 In the Headlines 5 6 7 8 9 January/February 2015 OK Pediatrician Knowledge, Attitudes, and Practices of Physicians about EHDI Systems: Part 4 – Confidence in Explaining Newborn Hearing Screening Process Mark Your Calendar - 2015 Medicine Day: Feb. 17th, 5:00PM Annual Leadership Forum (ALF) – March 12-15 Focus on ADHD Workshop - March 27 41st Annual Advances in Pediatrics - April 17-18 OKAAP Chapter Meeting & Dinner - April 17 Dist. VII & II Meeting- June 11-13 NCE – October 24-27 - Chicago and the follow up steps that are needed. According to Knowledge, Attitudes and Practices of Physicians in Oklahoma study, over 55% of Oklahoma physicians indicated their training prepared them to meet the needs of infants with permanent hearing loss. Only 57.7% of Oklahoma physicians say they are very confident in explaining this process, 38.7% say they are somewhat confident, and 3.6% say they are not confident. These have improved since 2006 but are still not where they need to be. Continued on page 3 In 2012-2013, the Oklahoma Newborn Hearing Screening Program (NHSP)/Early Hearing Detection and Intervention (EHDI) system partnered with the National Center for Hearing Assessment and Management (NCHAM) at Utah State University, Boys Town National Research Hospital, and the University of Oklahoma Health Sciences Center – Department of Communication Sciences and Disorders to conduct a nationwide survey with state specific information to understand what physicians think, know, and feel about newborn hearing screening and follow up. Results from the survey have been analyzed to develop resources for physicians and their patients related to newborn hearing screening/follow up. Explaining the process of newborn hearing screening and the issues that arise from this process is one of the most important steps in newborn hearing screening. Physicians must be able to clearly and accurately explain what is happening OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ OKAAP | OK Pediatrician 1 AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS Oklahoma’s Resident in the Spotlight Pre-Kindergarten before starting medical school. Even though it was undeniably one of the most difficult jobs she had ever experienced, it was also the most rewarding. As a teacher, she was able to identify late development in gross motor and psychosocial skills and use those findings to better help her students and their families. After receiving her undergraduate degree, she started medical school at UNT Health Sciences Center, Texas College of Osteopathic Medicine in Fort Worth. She quickly began to love the unique primary care focus of the school, as well as the faculty and her peers. As a native Texan, Fort Worth was a perfect fit. During medical school she understood the importance of exploring other specialties, but in the end she knew she was going to be a pediatrician. During her search for the right residency program, Emily knew one thing for sure - she wanted a program that would nurture her passion in becoming a general pediatrician. She was not expecting to become an OU Sooner. However, after visiting Oklahoma City and the OU Medical Center, her decision became crystal clear. She is so thankful for the opportunity to train at such a great program. The close personal relationships she has already developed with everyone from the chairman, program directors, “attendings,” fellows, fellow residents and nurses have only reaffirmed her path toward becoming a general pediatrician. In Emily’s free time, she enjoys spending time with her family, boyfriend (who is a family medicine resident) and her beFirst year intern, Emily Buescher knew she wanted to be a loved dogs, Henry and Tino. She also enjoys exploring differdoctor from a young age. Now she is making her childhood ent places in Oklahoma City, snow skiing, being on the water dream a reality at The University of Oklahoma Children’s Hos- and traveling to new places. pital’s residency program. Emily grew up in Plano, Texas where she met her first role model in the medical field, her pediatrician Dr. Minsky. Unlike other children, Emily loved going to the doctor and looked forward to seeing Dr. Minksy and asking various questions, especially when it concerned her younger four siblings. In high school she was selected to participate in “clinical rotations,” a program that allowed her to shadow her pediatrician and further solidified her future plans in medicine. After graduating from Plano West Senior High School, Emily began a new adventure as a longhorn at the University of Texas in Austin. Although being Pre-Med was an obvious choice, Emily was at a loss as to what she would major in. It was around this time that Emily had the opportunity to attend a lecture featuring a local pediatrician who had been named “Austin’s Best Doctor of 2005.” This particular physician made a huge impact on Emily and her decision to become a pediatrician. She eventually decided to major in Early Childhood Development in the School of Natural Sciences, which blended her passion in both medicine and children. In order to fully immerse herself in early childhood development, Emily taught OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ Ebola Preparedness for Pediatrics Audio Call Listen to the archived Ebola Preparedness Audio Call that was conducted earlier this month. This call provides updates from the CDC on the Ebola response, information on AAP resources, and reports from two hospitals on pediatric cases where Ebola was ruled out. The information is provided to assist individuals and institutions in their preparedness efforts, in the event that Ebola is considered in pediatric cases in the US. You can read more about Ebola and the AAP FAQ’s at this website. Go directly to the archived Ebola Preparedness call here. The AAP continues to monitor the outbreak. OKAAP | OK Pediatrician 2 AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS EHDI Systems continued... ASK THE EXPERTS: Hearing Screening Methods in PCP Office Dr. Miranda Seal (Audiologist) “Hearing screening has become a routine procedure for new- borns. When parents learn that further testing is indicated, however, it can be difficult and anything but routine. The baby's pri- mary care physician is often the first professional to see the family following discharge, and is expected to provide parents with guidance, but not all physicians are familiar with hearing loss and the information parents need to obtain appropriate and timely follow-up for their children.” (The ASHA Leader, 2011) The question is: Are primary care providers accurately explaining the Newborn Hearing Screening and follow-up process? According to the above mentioned study approximately 60% of physicians claim to use noise makers and questionnaires as a form of hearing screening. Both of which are outdated and unreliable ways of screening. If physicians are using outdated ways of screening then they may be passing along outdated information. Even though hearing loss is a common birth defect, most Physicians will rarely see patients with hearing loss. This leads to less practice and knowledge on the subject. Parents desperately need guidance and support after a diagnosis of hearing loss. A majority of physicians say they are somewhat to very confident in talking about issues such as: causes of hearing loss, unilateral and mild hearing loss, follow up steps and bilateral moderate to profound hearing loss. But they report they are not as confident talking about communication methods and cochlear implant candidacy. Physicians are not expected to know all the information but they should know the basics. They should most importantly know when to refer to specialists to get more information. More information at http://nhsp.health.ok.gov The ASHA Leader (2011). What Parents Want From Physicians: Audiologist Bridge the Information Gap for Families of Infants with Hearing Loss. (2011, September 20). Retrieved from http://www.asha.org/publications/leader/2011/110920/what-parentswant-from-physicians.htm. Dr. Miranda Seal is a member of the Oklahoma Audiology Taskforce and serves as the Audiology Manager for Chickasaw Nation Department of Health. OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ OKAAP | OK Pediatrician 3 SAVE THE DATE APRIL 17-18, 2015 41ST ANNUAL ADVANCES IN PEDIATRICS Sponsored by: NEW FRONTIERS IN GENETICS KEYNOTE SPEAKER: KELLY E. ORMOND, MS, LCGC STANFORD UNIVERSITY SCHOOL OF MEDICINE Earn up to 10 AM A P R A Category 1 Credits For more information contact: ruth-mccollough@ouhsc.edu Accreditation Statement: The University of Oklahoma, College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Oklahoma, College of Medicine designates this live activity for a maximum of 10 AMA PRA Category 1 Credits™. should claim only the credit commensurate with the extent of their participation in the activity. Physicians AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS Hospital Efforts to Improve Breastfeeding Outcomes: Becoming Baby-Friendly in Oklahoma Excerpted from: Mannel R, Bacon N. Hospital Efforts to Improve Breastfeeding Outcomes: Becoming Baby-Friendly in Oklahoma. J Oklahoma State Medical Association, Sept/Oct 2014, Child Health Issue. Oklahoma currently ranks 44th in overall health according to the 2013 America’s Health Rankings1, and 43rd in infant mortality, based on the latest National Center for Health Statistics data.2 Improving Oklahoma's breastfeeding outcomes is a key component of Preparing for a Lifetime (PFL), an initiative of the Oklahoma State Department of Health (OSDH) to improve infant outcomes and reduce infant mortality. The evidence is well-established on the short and long-term positive health impact of breastfeeding and lactation on both infant and mother. 3,4 Many factors have been shown to positively impact breastfeeding initiation and duration rates. Prenatal education, evidencebased hospital policies and practices during the birth hospitalization5, health care provider training in basic breastfeeding management, paid maternity leave, workplace policies, and family and community support are all critical elements in helping a mother successfully breastfeed her child. The OSDH Maternal and Child Health Service and Women, Infant and Children (WIC) Service have supported a variety of statewide efforts over the past decade to address some of these factors. A new initiative, the Becoming Baby-Friendly in Oklahoma project, was launched in 2012 to support hospitals to achieve designation as a Baby-Friendly hospital. The Baby-Friendly Hospital Initiative (BFHI) was launched worldwide in 1991 by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to recognize hospitals that provide best practice in their maternal/newborn care. The designation program officially began in the United States in 1996 with the formation of Baby-Friendly USA (BFUSA).6 The Baby-Friendly Hospital Initiative (BFHI) was launched worldwide in 1991 by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) to recognize hospitals that provide OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ best practice in their maternal/newborn care. The designation program officially began in the United States in 1996 with the formation of Baby-Friendly USA (BFUSA).6 Baby-Friendly hospitals comply with the evidence-based Ten Steps to Successful Breastfeeding and do not market formula products directly to patients.7,8 After 20 years, solid evidence exists demonstrating that BabyFriendly hospitals increase breastfeeding duration rates and improve those rates across racial and ethnic groups.9-11 Babies born in a BFHI designated hospital are significantly more likely to meet the medical recommendation to exclusively breastfeed for six months.10 In light of the challenges women face in successfully breastfeeding and the evidence to support the BFHI, the US Surgeon General, CDC, American Academy of Pediatrics (AAP) and American Academy of Family Physicians (AAFP) have called on hospitals and healthcare providers to implement 4, 12-14 the best practices of the BFHI. MISCONCEPTIONS Common misconceptions about Baby-Friendly included cost and patient choice. Because the BFHI requires hospital compliance with the WHO Code of Marketing of Breast Milk Substitutes, hospitals must pay fair market value for any formula products used. This does not mean hospitals cannot have formula; rather they cannot accept free products from formula companies and distribute those free products to their patients, a practice that has a negative impact on both breastfeeding and formula-feeding families.15 Accepting free products from industry is a practice also discouraged by the medical profession. 16 Inaccurate assumptions are also made about the potential hospital formula cost for any formula-feeding newborns. While hospitals accept the cost of feeding all other patients, adult or child, the specter of paying to feed a newborn infant for 2-3 days is perceived to be costly when in reality it is only a few dollars. And as a hospital proactively supports breastfeeding and improves its breastfeeding rates, the usage of formula significantly declines. One study published in Pediatrics found no significant difference in cost/patient, based on labor and delivery DRGs, between hospitals that were Baby-Friendly designated and those that were not.17 Another recent publication highlighted one hospital’s process in determining fair market value for formula and actually showed a cost savings.18 Another misconception relates to patient or maternal choice. Common myths include “If we become Baby-Friendly certified, we will have to make mothers breastfeed.”; or “What about the mother who can’t or chooses not to breastfeed?” When BabyFriendly practices are fully implemented, mothers are empowered and educated to make informed decisions about how to feed their babies, how they might make breastfeeding work in their life circumstances, and what support will be available to help them reach their breastfeeding goal. Regardless of how the mother chooses to feed her baby, a Baby-Friendly environment is family-friendly. All healthy newborns should have skin-toskin bonding time with their mothers (and their mothers’ partners) and should not be separated... Continued on page 5 OKAAP | OK Pediatrician 4 AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS Hospital Efforts to Improve Breastfeeding continued… Oklahoma Breastfeeding Hotline 877-271-MILK (6455) from their mothers unless medically indicated. All mothers should have access to knowledgeable and supportive staff who can teach them safe, effective, cue-based infant feeding, whether formula or breastfeeding. And families, at the vulnerable time of welcoming a new baby, should experience healthcare free of commercial industry marketing. The Oklahoma Breastfeeding Hotline is a free 24/7 resource for your patients with breastfeeding issues that arise from any maternal and infant challenges. Mothers, family members, clinic staff and physicians from any part of the state of Oklahoma can call and speak with an International Board Certified Lactation Consultant (IBCLC). Callers leave a message and receive a call back during business hours for non-urgent questions, urgent questions will be called back within one hour. Hotline IBCLCs have access to current information on medications during lactation, resources for mothers (such as breast pumps) and community resources around the state. Funded with a grant from the Oklahoma State Department of Health and operated through the University of Oklahoma Health Sciences Center. Download flyers for your patients in English and Spanish. Gaining support of senior hospital administration, nursing leadership, and physicians is key to achieving the goal of increasing the number of Oklahoma infants born in Baby-Friendly hospitals, increasing breastfeeding duration, and ultimately improving maternal and child health outcomes across the state. For more information, contact Becky Mannel, Department of OB/ GYN at the University of Oklahoma Health Sciences Center at (405-271-4350) office, or email rebecca-mannel@ouhsc.edu, or website www.oumedicine.com/breastfeeding. REFERENCES 1. America’s Health Rankings 2013. http://www.americashealthrankings.org/ Accessed April 9, 2014. 2. National vital statistics reports; vol 61 no 4. Hyattsville, Maryland: National Center for Health Statistics. 2013. 3. American Academy of Pediatrics. Section on Breastfeeding. Breastfeeding and the Use of Human Milk. Pediatrics; originally published online February 27, 2012; DOI: 10.1542/ peds.2011-3552. 4. U.S. Department of Health and Human Services, The Surgeon General’s Call to Action to Support Breastfeeding. www.surgeongeneral.gov/topics/breastfeeding/ Accessed April 9, 2014. 5. AAP Sample Hospital Policy. 2009. Available at: https://www2.aap.org/breastfeeding/ curriculum/documents/pdf/Hospital%20Breastfeeding%20Policy_FINAL.pdf Accessed June 2, 2014. 6. Baby-Friendly USA. http://www.babyfriendlyusa.org Accessed April 9, 2014. 7. World Health Organization. Evidence for the Ten Steps to Successful Breastfeeding. Geneva, Switzerland: World Health Organization; 1998. http://whqlibdoc.who.int/ publications/2004/9241591544_eng.pdf Accessed April 9, 2014. 8. World Health Organization. International Code of Marketing of Breast-Milk Substitutes. Geneva, Switzerland: World Health Organization; 1981. http://www.who.int/nutrition/ publications/infantfeeding/9241541601/en/ Accessed April 9, 2014. 9. Kramer MS, Chalmers B, Hodnett ED, et al; PROBIT Study Group (Promotion of Breastfeeding Intervention Trial). Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus. JAMA. 2001; 285 (4): 413–420. 10. Centers for Disease Control and Prevention. Breastfeeding-related maternity practices at hospitals and birth centers—United States, 2007. MMWR Morb Mortal Wkly Rep 2008; 57: 621–625. 11. Declerq E, et al. Hospital Practices and Women’s Likelihood of Fulfilling Their Intention to Breastfeed. Am J Pub Health 2009. V 99: 5; 929-935. 12. Centers for Disease Control and Prevention. CDC Vital Signs: Hospital Support for Breastfeeding. 2011. http://www.cdc.gov/vitalsigns/breastfeeding/ Accessed April 9, 2014. 13. American Academy of Pediatrics. Ten Steps Endorsement Letter. 2009. https:// www2.aap.org/breastfeeding/files/pdf/TenStepswosig.pdf Accessed April 9, 2014. 14. American Academy of Family Physicians. 15. Rosenberg K, et al. Infant Formula Marketing Through Hospitals: the Impact of Commercial Hospital Discharge Packs on Breastfeeding. Am J Pub Health 2008. V 98:2; 1-6. 16. Rothman D, et al. Professional Medical Associations and Their Relationships With Industry, A Proposal for Controlling Conflict of Interest. JAMA 2009. V 301: 13; 13671372. 17. DelliFraine J, et al. Cost Comparison of Baby Friendly and Non Baby Friendly Hospitals in the United States. Pediatrics 2011;127;e989-e994; originally published online Mar 21, 2011. 18. Srinivas G, et al. Eradicating Reliance on Free Artificial Milk. J Hum Lact 2014, published online 6 October 2014. OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ 3rd Annual Becoming BabyFriendly in Oklahoma Summit Friday, February 20, 2015 in Oklahoma City - A free summit that brings together leadership teams from all Oklahoma birthing hospitals to learn about the BBFOK project and other ways to achieve Baby-Friendly Hospital designation. Sponsored by the University of Oklahoma Health Sciences Center and funded by the Oklahoma State Department of Health and Oklahoma Health Care Authority, the 2015 summit’s keynote speaker is Lori Feldman-Winter, MD, Professor of Pediatrics at Cooper Medial School of Rowan University. Dr Feldman-Winter is involved nationally with the Baby-Friendly Hospital Initiative and well-published in the lactation field. Hospital teams are given a travel stipend and encouraged to include both physician and nursing leaders. To register, go to: Becoming Baby-Friendly in Oklahoma Summit BBFOK 2015 Summit Reducing Racial and Ethnic Inequities in Breastfeeding Reducing Inequities: February 19 - New conference this year! For more information, go to: www.oumedicine.com/breastfeeding. OKAAP | OK Pediatrician 5 MEDICINE DAY 2015 MEDICINE DAY LEGISLATIVE RECEPTION Tuesday, February 17th 5:00 PM—7:00 PM Oklahoma State Medical Association 313 NE 50th St., Oklahoma City With the support of physicians like you, Oklahoma’s medical community has made great strides at the State Capitol in areas such as lawsuit reform, scope of practice and reimbursement. But now is the time to keep the heat on our lawmakers to support physicians and their patients in Oklahoma. Please join us for our annual Medicine Day Legislative Reception. It’s a great opportunity to meet with your state lawmakers and your fellow physicians. Your attendance will help us send a message to policymakers that the House of Medicine is united in its drive to improve the health of all Oklahomans, but we need their support. Please mark your calendar and plan to join us for this fun but important event. PRESENTED BY SPONSORED BY AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS Children’s Executive Function Skills By Pathways.org Require further evaluation. There are many reasons children display discrepancies in executive function abilities. Difficulty with executive functions could be a sign of Autism, OCD, traumatic brain injury, ADHD, or other illness/condition. Doctors can discuss strategies with parents to help children with executive function difficulties stay on task such as: Executive function is a mental process that allows us to understand our past experiences with present action. As you know, the brain uses this skill to guide behavior toward accomplishing a goal, prioritizing tasks, controlling impulses and focusing our attention. Doctors can explain to parents that children are born with the potential to gain these abilities through their experiences with caregivers, family members, teachers and other influential persons impacting their development.1 Executive functions are evaluated in children based on their behavior in non-routine situations that require them to use their own degree of judgment.2 Children may show differences in working memory, emotional control, and the ability to think flexibly and engage in self-monitoring.3 If a child has difficulty with executive functions he/she might: Be disorganized. For example, may forget to hand in school assignments or prioritize tasks with calendars. Struggle with time management. Have difficulty with open-ended tasks, including assignments with little direction, or cannot switch from the planning phase of a project to its implementation. Have difficulty starting tasks independently. For example, may not know the length of an appropriate break before beginning homework after school. Be unable to complete tasks efficiently. Struggle reviewing over school work without direction or guidance. 4 Have rigid routines and dislike change. Become easily frustrated or intolerant of criticism Forget rules easily. Display difficulty memorizing or retrieving items from memory.3 Appear impulsive, have uncontrolled impulses,1 or an inability to mange emotions.4 When children do not demonstrate appropriate executive function skills, they may show signs of learning differences that OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ Checklists. This provides kids with manageable steps to complete tasks. Parents can create a list of things that must be completed before the child leaves the house in the morning or a list of steps that are related to completing an assignment in school. Checklists can guide children to independence gradually. Set time limits. It may be helpful to assign certain tasks time limits to help children understand how long each task should take. Explain the importance of a new process or technique. Children should understand why checklists and guidelines are important and related to their successful changes in behavior. They will feel more committed to meeting expectations. Stick to Routines. A child should know what is expected of them when they return home from school, such as their break time before beginning homework and eating dinner.6 Help children build social connections with adults. Children need a reliable presence that they can trust and healthy relationships with adults will keep them engaged in creative play, and guide them toward gaining better executive function skills.5 Doctors can inquire about children’s executive function abilities during their yearly check-up. Because a child’s difficulty with executive functions may be an indication of other learning differences, it is important for doctors to refer the child for an evaluation as soon as possible. For more information about issues related to childhood development, please visit www.pathways.org or email friends@pathways.org. Founded in 1985, Pathways.org empowers parents and health professionals with free educational resources on the benefit of early detection and early intervention for children’s motor, sensory, and communication development. [1] Key Concepts: Executive Function. Center on the Developing Child Harvard University. www.developingchild.harvard.edu/. Accessed 19 Nov 2014. [2] Banich M. Executive Function: The Search for an Integrated Account. Current Directions in Psychological Science. 2009; 18(89); 89-94. [3] Morin A. 9 Terms to Know If Your Child struggles With Executive Functioning Issues. National Center for Learning Disabilities. www.ncld.org. Accessed 6 Nov 2014. [4] The Executive Function and School Performance: A 21st Century Challenge. National Center for Learning Disabilities. 2010. www.ncld.org. Accessed 6 Nov 2014. [5] In Brief: Executive Function Skills for Life and Learning. Center on the Developing Child Harvard University. www.developingchild.harvard.edu/. Accessed 19 Nov 2014. [6] Ehmke R. Helping Kids Who Struggle with Executive Functions. Child Mind Institute. 2012. www.childmind.org. Accessed 2014 Nov 6. OKAAP | OK Pediatrician 6 AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS PEDIATRICIAN OPPORTUNITY AVAILABLE AT SANFORD CHILDREN’S –DUNCAN, OK Pediatric First Aid for Caregivers and Teachers (PedFACTs) PedFacts, developed by the dedicated Pediatrician members of the AAP, is a course for caregivers, teachers and others who care for children. The PedFACTs course focuses on what to do if a child in these individuals’ care suddenly becomes ill or gets injured. It is easy to implement, affordable, and based on the Caring for our Children standards. Sanford Children’s is seeking two BE/BC General Pediatricians who share our philosophy of establishing strong relationships with the patients, their families and relates well to referring physicians and colleagues. Current providers consist of: 1 full-time pediatrician and 1 full-time certified pediatric nurse practitioner. Practice Details: The practice is a full-scope inpatient and outpatient general pediatric practice Inpatients average 0-5 per day Nurse triage takes first call after clinic hours Attending C-sections is required We offer a competitive salary and comprehensive benefits package, paid malpractice and relocation assistance. Duncan, OK offers a high quality of life, affordable living, culture and education. Go to: http://www.sanfordhealth.org/Careers/ PhysicianOpportunities for a listing of all of our opportunities. For More Information Contact Mary Jo Burkman, DASPR, Sanford Health Physician Placement 605.328.6996 or 866.312.3907 – OR – Mary.Jo.Burkman@sanfordhealth.org As pediatricians with local practices, we appreciate your promotion and endorsement of this AAP resource in the communities where you practice. Some ways that you can raise awareness of the course include the following: Community events, such as health fairs, at which you provide clinical guidance Consultation with school and park districts Talks you are invited to give about first aid and health promotion After completing the course, participants will be able to do the following: Recognize an ill or injured child. Identify specific types of medical problems and give appropriate first aid care. Know when to call emergency medical services (EMS). Know how to perform cardiopulmonary resuscitation (CPR). Understand what an automated external defibrillator (AED) does. Know what to do when a child is choking. Give rescue medication for a breathing problem. Given an epinephrine auto-injector for a severe allergic reaction. The PedFACTs course can be offered in two formats - Onsite and Hybrid: Onsite Course Students take an online pretest before the course. Students attend a 4-hour classroom course. All content is presented by a PedFACTs instructor. Students take a written final examination. Hybrid Course Students take an online pretest before the course. Students learn course content via self-directed online modules (about 2 hours). Students take an online final examination. Students attend a 2-hour classroom course for hands-on skills practice and instructor interaction. To learn more about PedFACTs, visit the website at www.PedFACTsonline.com. On the site you will be able to find an instructor or locate a course, as well as learn about the qualifications to become an instructor to teach the course. OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ OKAAP | OK Pediatrician 7 AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS 41st Annual Advances in Pediatrics New Frontiers in Genetics Keynote Speaker: Kelly E. Ormond, M.S., LCGC Director, Human Genetics and Genetic Counseling Professor of Genetics, Stanford University School of Medicine Date: April 17-18, 2015 Location: Samis Education Center 1200 Children’s Ave. Oklahoma City, OK 73104-4652 Earn up to 10 AMA PRA Category 1 CreditsTM Register Online Now! Download the brochure Here Your Practice's ICD-10 Transition is in Good Hands. Yours. It’s official: October 1, 2015 is the new ICD-10 compliance date. To help your practice with this transition, we’re excited to introduce the Centers for Medicare & Medicaid Services’ (CMS) new Road to 10 Program at http://www.roadto10.org. Developed in collaboration with small practice physicians, Road to 10 provides free and actionable tools, information, and training to support your ICD-10 journey. Whether you are just getting started or have your transition underway, Road to 10 will help you navigate your path to ICD-10 compliance. Get Started Today! The resources available through Road to 10 will help you: Understand the basics of ICD-10, the differences between ICD-9 and ICD-10, and the opportunities associated with ICD-10. Explore common codes, primers for clinical documentation, clinical scenarios, and physician perspectives broken out by specialty Create a customized action plan, personalized by specialty and practice details To learn more about ICD-10 and the Road to 10 Program, please view this brief video introduction. Visit http://www.roadto10.org to get started. OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ OKAAP | OK Pediatrician 8 Bonus Content: During the Focus on ADHD workshop you will learn about the Developmental-Behavioral Pediatric Physician Consultation Service offered by the physicians and nurse practitioner at the Child Study Center & available to all physicians in the state of Oklahoma. Find out more at: www.dbp2doc.org American Disabilities Act Statement: For accommodations on the basis of disability, call: 405/271-5700 x45123 The University of Oklahoma is an Equal Opportunity Institution. The mission of the Section of Developmental and Behavioral Pediatrics is to maximize the potential of children, particularly those with developmental disabilities or those exposed to maltreatment, by strengthening the child, family, and community through scientific discovery, advancement of evidencebased practices, and direct care. Developmental- Focus on ADHD Disclaimer Statement: Statements, opinions and results of studies contained in the program are those of the presenters/authors and do not reflect the policy or position of the Board of Regents of the University of Oklahoma (“OU”) nor does OU provide any warranty as to their accuracy or reliability. Continuing Education Every reasonable effort has been made to faithfully reproduce the presentations and material as submitted. However, no responsibility is assumed by OU for any claims, injury and/or damage to persons or property from any cause, including negligence or otherwise, or from any use or operation of any methods, products, instruments or ideas contained in the material herein. Commercial Support: This activity has no commercial support. Policy on Faculty and Presenters Disclosure: It is the policy of the University of Oklahoma College of Medicine that the faculty and presenters disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Disclosure Report: Course Director-Mark Wolraich, MD has no financial relationships or affiliations to disclose. Planning Committee Members: Laura McGuinn, MD; Ami Bax, MD; & Neha Patel, DO; Don Hamilton, MD; Carrie Geurts, CNP; Kecia Huff, Course Contact have no financial relationships or affiliations to disclose. l For Information or questions: 1100 N.E. 13th Street Oklahoma City, OK 73117 405/271-5700 Kecia-Huff@ouhsc.edu Carrie-Geurts@ouhsc.edu Crystal-Duggins@ouhsc.edu March 27, 2015 1:00-5:00pm ADHD Conference Registration OU Developmental-Behavioral Pediatrics Focus on ADHD Continuing Education By mail or email at Kecia-Huff@ouhsc.edu March 27, 2015 at OU Children’s Hospital Friday, March, 27, 2015 1:00-5:00 p.m. Speaker: Mark L. Wolraich, MD Conference Content One of the major changes in the DSM-5 are the guidelines for diagnosing and treating ADHD in children and adolescents. CMRI Shaun Walters Professor of Pediatrics & the Edith Kinney Gaylord Presidential Professor Chief, Developmental & Behavioral PediatricsOUHSC. Location: OU Children’s Hospital Samis Education Center 1200 Children’s Avenue Oklahoma City, OK 73104 Name:____________________________ Address: __________________________ ___________________________________ Ph number________________________ Sooner Care ID ____________________ NPI _______________________________ Mail a check for $150 payable to OU Child Study Center to: OU Child Study Center 1100 N.E. 13th Street Oklahoma City, OK 73117 Attn: Kecia Huff In this workshop participants will Learn evidence-based procedures for diagnosing ADHD in preschool and school-age children, and adolescents The most recent best practice in treating ADHD in preschool and school-age children, and adolescents based on evidencebased treatments How to make referrals for behavioral therapy for children in the state of Oklahoma Receive course materials in hard-copy and electronic form Have access to monthly conference call for case presentations for six months after course Objectives: Upon completion of this activity, participant will be able to: 1. 2. 3. Use evidence based procedures in diagnosing ADHD in preschool , elementary school, and adolescent patients. Employ evidence based medication to treat children and adolescents. Arrange referrals for behavioral therapy for children with ADHD. CME: 3.5 AMA PRA Category 1 Credits™ Accreditation Statement The University of Oklahoma College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Oklahoma College of Medicine designates this live activity for a maximum of 3.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Conflict Resolution Statement The University of Oklahoma College of Medicine, Office of Continuing Professional Development has reviewed this activity’s speaker and planner disclosures and resolved all identified conflicts of interest, if applicable Conference Agenda: This is not your typical CME course! This interactive course is divided into modules that cover the diagnosis & treatment of preschool, school age, & adolescent patients. Table exercises and role playing are included to approximate real world situations. This will be an active process with materials to read beforehand. Each module will be lead by experts in the field, as well as fellows specifically trained in the new DSM-5 procedures. Open to All Medical Providers including MD, DO, PA, NP COST: $150.00* includes the days activities, course materials, and access to monthly conference calls for six months and 3.5 AMA PRA Category 1 Credits. *Free to SoonerCare Providers, unless CME credit is desired. SoonerCare Providers who desire CME pay the $100 CME fee, only. AN E-NEWSLETTER FROM THE OKLAHOMA CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS IN THE HEADLINES Teens & “Light Smoking” Pediatricians & Children’s Oral Health While the vast majority of American teens say heavy daily smoking is a major health hazard, many others mistakenly believe that "light" - or occasional - smoking isn't harmful. Read More Young children often see a pediatrician more frequently in the first years than they would a dentist, putting pediatricians in a unique position to provide oral health counseling. Read More Measles Cases & Outbreaks Florida Illegally Deprived Kids of Healthcare From January 1 to January 30, 2015, 102 people from 14 states were reported to have measles. Most of these cases are part of a large, ongoing multi-state outbreak linked to an amusement park in California. Learn More A federal judge declared Florida’s healthcare system for needy and disabled children to be in violation of several federal laws. Read Article AR Governor to Detail Medicaid Expansion Plans Arkansas Gov. Asa Hutchinson says he's still finalizing the health care plan he'll detail to lawmakers later this month that will include his decision on the future of the state's compromise Medicaid expansion. Learn More Short Checkups May Miss Autism The 10 to 20 minutes of a typical well-child visit isn't enough time to reliably detect a young child's risk of autism, a new study suggests. Learn More Oklahoma Chapter AAP 6840 S. Trenton Ave. Tulsa, OK 74136 www.okaap.org More Flu Deaths in the U.S. In the week that ended Jan. 10, 8.5 percent of deaths reported to the Centers for Disease Control and Prevention were due to pneumonia and influenza, up from 7 percent the previous week. Learn More Decline in Birth Defects Due to Folic Acid The number of babies born with a type of serious birth defect has fallen 35% since the USA began fortifying grains with a B vitamin called folic acid in 1998, a new report shows. Learn More Eve H. Switzer, MD, FAAP President Laura J. McGuinn, MD, FAAP Vice President Dwight T. Sublett, MD, FAAP OKlahoma Chapter™ American Academy of Pediatrics, Inc. DEDICATED TO THE HEALTH OF ALL CHILDREN™ Amy Prentice Executive Director aprentice@upal.com Phone: 918-858-0298 Toll Free: 866-664-4301 OKAAP | OK Pediatrician 9
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