January/February 2015

Transcription

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
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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
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™
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.
2
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™
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: [email protected]
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
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™
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
4
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 [email protected], 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™
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.
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
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™


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
[email protected]. 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.
6
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 –
[email protected]
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™
7
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™
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
[email protected]
[email protected]
[email protected]
March 27, 2015
1:00-5:00pm
ADHD Conference Registration
OU Developmental-Behavioral Pediatrics
Focus on ADHD Continuing Education
By mail or email at
[email protected]
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.
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™
Amy Prentice
Executive Director
[email protected]
Phone: 918-858-0298
Toll Free: 866-664-4301
9

January/February 2015

Transcription

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