Per I Natal August 11

SECTION ON PERINATAL PEDIATRICS
NeWSleTTeR - SUMMeR eDITION, 2011

www.aap.org/perinatal
Toward Improving the Outcome of Pregnancy III: Opportunities to Improve the care of High-Risk Neonates
Scott Berns, MD, FAAP
In the early 1970s, a report from Canada showed that neonatal mortality was significantly lower in obstetric facilities with neonatal intensive care units (NICUs) compared to those without. This finding emphasized the importance of an integrated system that would promote delivery of care to mothers and infants based on the level of acuity. The concept prompted the March of Dimes, in 1976, to publish Toward Improving the Outcome of Pregnancy (TIOP I). Leaders in perinatal health collaborated on this effort and introduced a model system for regionalized perinatal care, including denitions of levels of hospital care, which led to the template for perinatal regionalization and improved perinatal outcomes. Endorsement of this document by key professional organizations ensured the implementation of the concepts advanced by TIOP I. Regionalization of care, along with evidenced-based therapeutic interventions (assisted ventilation, antenatal corticosteroids, etc.), contributed to the marked improvement in neonatal survival rates during the ensuing two decades. To further these efforts, in 1993, the March of Dimes published TIOP II, which emphasized the importance of the perinatal continuum of care, from preconception through infancy. TIOP II appeared just when the importance of quality improvement in U.S. health care was gaining attention. In December 2010, Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III) was published by the March of Dimes and picks up where the rst two volumes left off, specifically in the arena of perinatal quality improvement. It is not meant to be a comprehensive textbook on perinatal health, but rather an actionoriented monograph of thirteen chapters that highlight proven principles and methodologies,
Perinatal News AT A GlANce

lynne D. Willett, MD, editor Toward Improving the Outcome of Pregnancy Getting to KnowHoward Kilbride View From the Chair 2012 Spring Workshop 2011 NCE Section Program Apgar Awardee: Alan Jobe Education Awardee: John Hartline Landmark Awardee: Ola Saugstad Committee Reports TECaN ONTPD Coding Membership Practice NANN Research NeoReviews Salutes Jayant Shenai History: ROP Late Preterm Birth Rate District News Executive Committee Roster AWARDS: Call for Nominations District Grants Russian Neonatology Dr Forrest Bird - 2010 Pioneer Award The Section in Action! 5 9 10 11 12 13 14 15 16 16 17 28 30 32 33 34 35 1 2 3 4 4 6 8 9
Vivian Thorne, Design/Production
Printing and mailing of this issue supported through an educational grant from Abbott Nutrition.
NeWSleTTeR - SPRING eDITION, 2011
as well as selected safety initiatives and quality improvement programs, that providers and health systems can implement now that may significantly improve perinatal outcomes. While the entire 140-page report contains important information for all perinatal providers, Chapter 8, Applying Quality Improvement Principles in Caring for the High-Risk Neonate, is most specifically targeted to providers in the NICU. Chapter 8 authors include neonatologists Jeffrey Gould, Edward Donovan and Ann Stark. This chapter describes four aspects of NIcU care - measurement, reducing variation in process and outcome, safety and individualized care - that with appropriate attention can result in signicant improvements in outcomes within a 1- to 2-year period. A few of the recommendations in Chapter 8 include: Quality Improvement initiatives should include measurable, time-bounded goals, timely feedback, transparency, evidence-based practices, as well as attention to individualized care of patients and their families. As part of improvement efforts, neonatal care providers should embrace concepts of patient- and familycentered care, encouraging active participation of women and families in their health care decisionmaking. NICU budgets should include support for outcomes measurement and at least one ongoing, active quality improvement initiative. A copy of TIOP III has been included in this edition of Perinatal Section News. The TIOP III monograph as well as a companion Executive Summary document can be downloaded from www. marchofdimes.com/tiop. Many individuals and organizations came together to produce TIOP III, including a Steering Committee comprised of experts from the American Academy of Pediatrics, The American College of Obstetricians and Gynecologists, the Association of Womens Health, Obstetric and Neonatal Nurses, The Joint Commission, the National Committee for Quality Assurance, and the March of Dimes. Also, an Advisory Group, made up of 25 additional organizations, have committed to assisting with dissemination of the ndings of TIOP III. Special recognition and appreciation goes to TIOP III Steering Committee Chair William Oh, as well as TIOP III Steering Committee members Deborah Campbell and Ann Stark for so ably representing the Academy. The March of Dimes is confident that TIOP III will serve as a blueprint to improve pregnancy outcomes through collaborative perinatal quality improvement efforts in the years to come. As you read through the report, it is our hope that you will find the inspiration, along with the tools, to take perinatal quality improvement to new heights in your institution.
Getting to Know...
Howard Kilbride, MD, FAAP District VI Representative
Medical School: University of Washington (Seattle) School of Medicine Pediatric Residency: University of Colorado, Denver Childrens Hospital Fellowship: Fitzsimmons Army Medical Center Years in Practice: 23 Current Position: Neonatology Section Chief Vice Chair for Perinatology Childrens Mercy Hospital, University of Missouri Kansas City School of Medicine Family: Married with 3 daughters. My wife, Suzi, is a special education teacher who has worked for over 20 years with visually impaired children and is currently a vision consultant for a metropolitan school district. Megan, married with 2 children, Will (2 years old) and Justin (4 months). She is a Cornell University graduate in geology with a masters degree in public health from University of Kansas and worked as a county public health officer until Justin arrived. Ashley, married to Brett, a hospital administrator, is an elementary school teacher for the past 10 years and completed two post graduate degrees in education at University of Missouri-Kansas City. She is in administration at an urban charter school with the goal to be a principal. Sara graduated from Kansas University in biology, received a BSN from Rockhurst University and worked as a nurse in pediatric dermatology for 2 years; currently she is in her 3rd year of medical school at Kansas City University of Medicine and Biosciences. How do you keep calm?: I try to find time each day to run. The physical exertion and quiet help me refocus and prioritize my thoughts for the day. Favorite vacation: Getting away with my family to the quiet beaches of St. John, USVI Favorite books: Wooden: a Lifetime of Observations and Reflections On and Off the Court (John Wooden and Steve Jamison); Beyond the Question of Intent: A Great American Battle with a Deadly Industry (David Kessler); and any Alex Cross novel by James Patterson. What was the last app you bought? Monterey Wine Country app Who would you like to swap lives with for a day? Bill Self, Kansas University men's basketball coach Recent career highlight? 2011 opening of the Fetal Health Center at Children's Mercy Hospital with capability of delivery of women with anticipated serious birth defects within our children's hospital The best piece of advice you've been given? Live in the moment!
View from the chair

DeWayne Pursley, MD, FAAP
Although I look forward to communicating with section members in this twice annual column, I do hope to have an opportunity to greet you personally at the Section on Perinatal Pediatrics (SoPPe) program at the annual AAP National Conference and Exhibition (NCE) in my professional backyard (Boston) on October 14-16. The NCE SoPPe program planning, which is chaired by Howard Kilbride (profiled in this newsletter issue), has brought together an exceptional group of speakers in sessions that will address current understanding and future directions in the prevention and treatment of chronic lung disease and in newborn resuscitation. After the close of the Organization of Neonatal-Perinatal Training Program Directors (ONTPD) meeting on Friday, the NCE will open with the annual Merenstein Lecture. This year, Donna Ferriero, will discuss Future Strategies for Neuroprotection and Neurotherapeutic Interventions in Newborns. The annual Cone History Lecture, featuring Eduardo Bancalari speaking on The Evolution of BPD and Mechanical Ventilation, scientific abstract presentations, an update from the Committee on Fetus and Newborn, and the section member forum are included among the many offerings in the weekend program. The program concludes on Sunday afternoon with three concurrent skills workshops on resuscitation simulation, pulmonary function testing for the neonatologist, and a billing/coding review and update. Each year at NCE we pause to formally recognize major contributors to newborn medicine, research, and education. This year, Ola Saugstad will receive the Landmark Award, which recognizes individuals for landmark contributions in a specific area of neonatology. John Hartline will receive the Education Award, which recognizes neonatologists for outstanding educational contributions for health care students, professionals, and the public. Finally, Alan Jobe will receive the sections highest honor, the Apgar Award. This is presented annually to an individual whose career has had a continuing influence on the well-being of newborn infants. Congratulations to each of you and thank you for all you have done for babies. I would like to now provide a brief summary of several active issues of interest to the neonatology community. One of the most hotly debated issues relates to the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program and specifically, its part 4 requirement. MOC is required of all specialties, not just pediatrics and its sub-specialties. All 24 specialty boards of the American Board of Medical Specialties have agreed to a four part process to measure its six core competencies. In Part 4, Practice Performance Assessment, physicians must demonstrate their ability to assess the quality of care provided compared to peers and benchmarks and then apply evidence or consensus recommendations to improve that care using follow-up assessments. In neonatology, acceptable means for completing this requirement include the completion of patient improvement modules, participation in approved collaborative quality improvement projects, and the publication of an approved QI implementation or
methods manuscript. Many concerns have been raised about how the utilization of these means in neonatology: Do these activities meet the objective of practice performance assessment? Are these activities appropriate in a team-based, systems-focused practice like neonatology? Do the currently available patient improvement modules support meaningful quality improvement activity? Are there opportunities to capture the meaningful quality improvement activities that are already taking place, so that those participants are not re-directed to less meaningful activities that meet the current part 4 standard? What can be done to support those neonatologists who do not have access to significant quality improvement resources that others, through large institutions or groups, may have available to complete the requirements? The sections executive committee is committed to help address these issues, and a group (including Carl Bose, David Burchfield, Patrick Carroll, Dmitry Dukhovny, Dick Powers, and DeWayne Pursley) is working actively to engage and inform the ABP with the goal of identifying solutions that will lead to achievable and meaningful assessment and improvement of practice performance. Well report on progress in this space in the next issue. Another hot issue relates to the proposal for revised requirements for pediatric residency training that was recently circulated by the Accreditation Council for Graduate Medical Education (ACGME). Among the proposed changes of relevance to neonatal-perinatal medicine are a minimal requirement of two months of neonatal intensive care; a 10-16 month range of inpatient care; and elimination of the endotracheal tube placement technical core competency (replacing it with understanding the indications, contraindications, and complications of the procedure requirement; bag-mask ventilation and umbilical venous catheter placement remain core competencies). This proposal has many potential implications for requisite knowledge and skills in both neonatal and pediatric care and could potentially impact the future supply of both neonatologists and pediatricians. Neonatal intensive care training in residency provides core training in resuscitation and stabilization of sick newborns and experience in discerning sick from transitioning newborns- both essential to general pediatric care. NICUs also provide essential experiences in multi-disciplinary team-based care, complex care, prioritization and problem solving, and the communication of bad news. While the proposal continues to support time for career exploration and tracks, there is the potential for less preparation for neonatal-perinatal fellowship training. From a workforce perspective, less inpatient time may reduce the perceived value of pediatric residents in training hospitals, resulting in fewer funded positions with the possibility of future pediatrician shortages. The Section, ONTPD, and the Council on Pediatric Subspecialists, among other organized bodies, are preparing responses in the mandated comment period. Finally, Im certain that all of you who continue to provide neonatal intensive care have experienced critical drug shortages in your units. These shortages, which affect all specialties, are well documented on two websites: the FDA (http://www.fda.gov/Drugs/DrugSafety/DrugShortages/default.htm) and the American Society of Health-System Pharmacists (http://www.fda.gov/Drugs/DrugSafety/DrugShortages/default.htm) both track them. The shortages basically come down to supply (raw materials, manufacturing problems, recalls, etc) and demand (new
Continued on Page 4

View from the Chair (contd)
indications, shortage of other products in same therapeutic class, stockpiling, etc.) issues. There are also clearly business factors, such as small margins and impending patent expirations, which will have an impact on supply. Our units experience shortages of varying common neonatal therapeutics and include everything from parenteral trace elements to prostaglandin E. Specific shortages depend on how much supply pharmacies keep on inventory, other demands within the hospital, factors that impact our hospitals' or networks' specific buying groups, etc. So, what can be done about it? The AAP Committee on Drugs has made this a priority and, with the support of the AAP. There is a federal bill, "Preserving Access to Life Saving Medications Act", that would provide the FDA with the authority and information to assist in preventing further drug shortages. We anticipate that there may be opportunities to intervene with policy proposals to improve the functioning and authority of the FDA Office of Drug Shortages, which currently can only circulate information about drug shortages but doesnt have the authority to prevent or manage them. The FDA is currently planning a fall meeting on drug shortages, and a strong presence will be mobilized for this. We have offered our support in these activities. This is an important area of advocacy for the section. It couldn't hurt to have the backing of the physicians caring for the sickest, smallest, and most vulnerable patients.... As with the other issues described above, I would appreciate any thoughts or input you may have on this critical issue.
Spring Workshop 2012

March 30 - April 1, 2012 Scottsdale, AZ
The Workshop on Perinatal Practice Strategies (the Scottsdale meeting) continues to grow and evolve. We will meet next year March 30-April 1, 2012 at the Paradise Valley resort in Scottsdale. Our theme is GPS for the Neonatologist: Finding Leadership Everywhere, continuing our focus on facilitating leadership skills, along with sessions on coding and reports from our Section and Academy leaders, from the Committee on the Fetus and Newborn, and from the Trainee and Early Career Neonatologists Group (TECaN). Plenary sessions will feature presentations by Alan Jobe (epigenetics), elena Fuentes (Hispanic disparities in perinatal care) and carl Hunt (caffeine and neurodevelopment), while breakout sessions will address a variety of topics ranging from clinical to financial and advocacy aspects of neonatology in a rapidly changing health care environment. Most importantly, this workshop provides many opportunities to network with colleagues in a relaxed and stimulating setting. You will leave feeling informed and empowered to create positive change in your practice, your patients, and yourself. Save the date, and watch for a detailed agenda with registration information by October!
What is Happening in the Section for 2011-2012 DeWayne Pursley, MD, Section Chair 11:30-11:45 AM 11:45-12:00 landmark Award - Ola Saugstad, MD education Award - John Hartline, MD
2011 AAP Nce

Section on Perinatal Pediatrics Program Boston, MA Friday, October 14, 2011 (Boston Convention Center)
10:00-5:00 PM 5:15-6:00 PM Organization of Neonatal-Perinatal Training Program Directors (ONTPD) Merenstein lecture Future Strategies for Neuroprotection and Neurotherapeutic Interventions in Newborns Donna Ferriero, MD Poster Session and Opening Reception Poster Walk Discussions with Authors
6:00-8:00 PM
Joint Section Program: Perinatal Pediatrics and Pediatric Pulmonology Overview of Neonatal chronic lung Disease: Prevention and Treatment
1:00-1:40 PM Pulmonary care and Adjunctive Therapies for Prevention and Amelioration of chronic lung Disease Roger Soll, MD Developmental Biology and Injury to the Preterm lung and Airway: Implications for long-Term Pulmonary Outcome Richard Martin, MD The Vascular Bed and chronic lung Disease: evaluation and Treatment of Pulmonary Hypertension and cor Pulmonale
Saturday, October 15, 2011 (Seaport Hotel Plaza Ballroom)

8:00-10:45 AM 10:45-11:15 AM Scientific Abstract Presentations John Zupancic, MD, Moderator cone History lecture The Evolution of BPD and Mechanical Ventilation eduardo Bancalari, MD Section Member Forum 1:40-2:20 PM
2:20-3:00 PM
11:15-11:30 AM
SECTION ON PERINATAL PEDIATRICS TecaN
Steven Abman, MD 3:00-3:05 PM 3:20-4:00 PM Young Investigator Awards Presented by: John Zupancic, MD lung Imaging and Pulmonary Function Testing: can We Tailor Therapies for clD With More Information? Robert Castile, MD Protracted BPD: Impact of Airway Injury, Interventions, and Outcome Howard Panitch, MD Apgar Award Presentation: Alan Jobe, MD Sponsored by Abbott Nutrition TecaN Social Hour (Seaport Trade center) Sponsored by Abbott Nutrition
4:00-4:40 PM
5:20-5:45 PM 6:00-7:30 PM
TECaN, the Trainees and Early Career Neonatologists group, has very exciting news to share with the Section membership. Over the past year, TECaN has grown steadily and has engaged in many activities and endeavors to advance both the Perinatal Section as well as the field of Neonatology. In the last few months, TECaN members been working hard to inform trainees and early career neonatologists about the benefits of AAP and Section membership. They have done so by attending many of the regional educational conferences, the national conferences, and even a few of the international conferences to spread the word about TECaN, the AAP, and the Section. TECaN is proud to announce that over 90 new members have joined the AAP and the Section on Perinatal Pediatrics over the last year because of these efforts. While Section membership fees are waived for trainees, we feel strongly that extending benefits to fellows during their training will gain attention for what the Section offers and create life-long relationships with the Section. In addition to TECaNs work on membership, the group has representation on both the Perinatal Section Executive Committee and ONTPD, as well as on some of the planning committees for Section sponsored meetings, such as the Spring Perinatal Practice Meeting. The Section leadership has extended their willingness and desire to have TECaN members as active participants in the Section and have followed through by creating these positions. In return, we hope to continue our recruiting and educational efforts to encourage active Section membership. TECaN has also created an active presence on many social media platforms, including Facebook, Twitter, and Linked-in. These platforms allow dissemination of neonatology-related news, articles, and other important information. They also allow communication and networking among trainees and early career neonatologists to improve knowledge, a sense of community, and possibly even quality of care. These are only some of the accomplishments that TECaN members have to their credit. Moving forward, TECaN plans to continue these efforts and expand to other areas. One of our goals is to expand the benefits of membership. Currently, in conjunction with the Committee on Practice, TECaN is working to help update and maintain the Exploring and Evaluating Practices in Neonatal-Perinatal Medicine. We have added references and educational
Sunday, October 16, 2011 (Seaport Hotel Plaza Ballroom)

8:00-8:30 AM Sneak Preview: Whats Going to be New in the 2012 Guidelines for Perinatal care Presented by: Lu Ann Papile, MD Chair, Committee on Fetus and Newborn
Joint Section Program: Perinatal Pediatrics and Neonatal Resuscitation Program Understanding Transitional Neonatal Physiology: Providing care Appropriately for the Newborn in the First Moments of life
8:30-8:35 AM 8:35-8:55 AM Introduction: Chris Colby, MD Top evidence-Based changes in Neonatal Resuscitation Jane McGowan, MD Monitoring Oxygen Delivery: The Physiology of Oxygenation During Transition; What are the Standards for O2 Monitoring John Kattwinkel, MD Distending Pressure in the Delivery Room: New Tools, New Approach Noah Hillman, MD
8:55-9:25 PM
9:25-9:55 PM
10:15-10:45 AM cV Support in the Delivery Room can We Do It Better? Myra Wyckoff, MD 10:45-11:10 AM Impact of Resuscitation Management on cerebral Blood Flow Implications for Outcome Shahab Noori, MD Postresuscitation care: Temperature Management Marilyn Escobedo, MD NRP Recommendations in the Future: What Questions Remain? Ola Saugstad, MD
11:10-11:35 AM
11:35-11:50 AM
11:50A-12:30 PM Panel Discussion/Audience Questions 12:30-1:30 PM Neonatal career Development Seminar: Tips on Transitioning - Fellow to colleague John Hartline, MD and Marilyn Escobedo, MD
NCE Schedule continued on Page 7
TECaN report continued on Page 6
TecAN NeTWORKING eVeNTS AT THe 2011 Nce

Poster Walk & Reception Friday, October 14th, 5:15-8 pm TecaN Reception, Saturday, October 15th 6pm, following the Apgar Award No NCE registration needed for this event. All trainees and early career neonatologists in the area are invited. Neonatal career Development Sunday, October 16th, 12:30 - 1:30 pm Free box lunch for attendees. Come learn about how to find a job and what to do with it when you get it! TECaN Report (contd) the benefits of membership. Currently, in conjunction
with the Committee on Practice, TECaN is working to help update and maintain the Exploring and Evaluating Practices in Neonatal-Perinatal Medicine. We have added references and educational materials relevant to starting a career after training, such as salary information, important points to consider, negotiation skills, and other related topics to the TECaN website at www.aap.org/TECaN. We also plan to continue to participate in planning meeting programming that will be beneficial to those early in their careers as well as trainees. We feel that these, along with some of our other ongoing projects, will benefit the AAP, Section, and Neonatology in general. TECaN will be holding a reception for trainees and early career neonatologists on Saturday, October 15th immediately following the Apgar Award presentation at the NCE in Boston. Please join us for food, drinks, fellowship and learning. There will be an informal educational lecture on the use of social media in medicine as well as several members of the Perinatal Section present for networking and questions. If you are eligible for membership in TECaN, please feel free to contact us for membership information, or visit the TECaN website at www.aap.org/TECaN. You may also contact Drs. Judy Aschner or Linda Van Marter, the groups advisors, or Dr. Christopher Young, TECaN Chair at cyoungmd@gmail.com Christopher M. Young, MD TECaN Chair and District X Representative
2011 APGAR Awardee Dr. Alan Jobe

Alan H. Jobe, MD, PHD is the 2011 recipient of the Virginia Apgar award, conferred by the Academy to an individual whose career has had a direct impact on the health and wellbeing of newborn infants. This honor recognizes the career of an extraordinary physician, scientist, teacher, and thought leader. Alan continues to impact the practice of perinatal pediatrics and inform our understanding of respiratory in neonatal and obstetrical physiology. His work has been seminal to our understanding of pulmonary maturation, the physiology and biochemistry of pulmonary surfactant, surfactant inactivation, and the hormones and infectious diseases that influence pulmonary maturation in preterm infants. Alan has authored or co-authored more than 300 peer review publications and 172 chapters, reviews and editorials. His research in published consensus statements have provided the basis for multidisciplinary dialogues regarding the optimal use of antenatal glucocorticoids for the prevention of neonatal respiratory distress syndrome, the best practices for surfactant replacement therapy, the role of post-natal corticoid steroids for management of neonatal chronic lung disease, and the role of chorioamnionitis in preterm labor, fetal inflammation, and lung maturation. Alan has the uncanny ability to focus directly on the key issues affecting perinatal pediatrics and clearly articulate the most logical strategy toward solving these challenging problems. Alan has received continuous support from the National Institutes of Health for more than 34 years. Innovative thinking and lucid presentation distinguish his work. Alans research contributions have been central to the evolution of Neonatal-Perinatal Medicine as a modern pediatric subspecialty. His early studies defined fundamental principles of pulmonary surfactant metabolism, the effects of lung injury and capillary leak on the inhibition of surfactant. This work provides the basis for our current practices to limit lung injury in the perinatal period. Alans research has provided fundamental finding regarding pulmonary maturation, surfactant physiology, biochemistry and function, the use of antenatal steroids in clinical practice, synergies between surfactant replacement and pre-natal steroid treatment, the physiology and treatment of bronchopulmonary dysplasia, and the importance of therapies to minimize neonatal lung injury.
His work on early delivery room intervention, resuscitation, perinatal infection, has improved our understanding of their influence on the pathogenesis of neonatal lung disease. Alans deep understanding of perinatal lung biology and the practice of clinical neonatology led to his leadership in the design of the U.S. clinical trials to assess the efficacy of surfactant replacement. He worked closely with investigators and manufacturers to develop and conduct sound testing and validation of surfactant replacement treatments. Alans testimony before the FDA regarding clinical trials, safety, and efficacy of surfactant replacement therapy directly led to its approval for routine clinical use for the treatment and prevention of respiratory distress syndrome in the United States. Alans innovative approach to scientific investigation includes the use of novel animal models, most notably fetal and preterm lambs. His work is the basis for much of our current knowledge regarding effective delivery room resuscitation, appropriate modes of mechanical ventilation, and surfactant physiology. It is important to note that Alans research activities are typically characterized by robust collaborative interactions. His approach to scientific investigation inevitably enhances the productivity of all who have the opportunity to work with him. Alan has been an outstanding mentor to residents, medical students, fellows, and scientists throughout the world. Many of his trainees are leaders in neonatal and perinatal medicine today and established independent careers to improve the care for preterm infants. Alan is a respected and sought-after teacher not only locally at Cincinnati Childrens Hospital Medical Center, but throughout the United States and overseas. He is a regular contributor to the Ipocrates Seminar Series, which provides state of the art information for investigators and clinicians in Europe, Asia, and South America. He is a sought after speaker at international symposia and provides important related service activities for international organizations. These include service as chair of the NICHD Global Neonatal Research Network and the DSNC for the NHLBI Toll Surf Clinical Trial. He is a regular participant in the NIH consensus conferences and strategic planning. He has been an active participant in planning for programming at national meetings including the American Thoracic Society, the American Pediatric Society, and the Society for Pediatric Research. Alans contributions as a thought leader also extend to editorial work. He has served as associate editor for Pediatric Research and the Journal of Pediatrics. The latter responsibility includes review of all neonatology submissions, a role he has served since 1997. Alan remains an active investigator, clinician, and teacher. He is principle investigator of an NICHD program to study lung injury and repair following resuscitation in the preterm infant and serves as the Cincinnati PI for the Prematurity and Respiratory Outcome Program (PROP), a multi-center program funded by the NICHD to identify biomarkers for
BPD. He serves as a consultant for the Gates Foundation, looking to identify opportunities to employ novel technology to improve maternal and infant outcomes in the developing world. It is important to note that Alan is a gifted bedside clinician, serving as a Cincinnati Childrens attending physician for the University of Cincinnati Newborn Intensive Care Unit. His clinical acumen and judgment engender profound respect and appreciation from patient care, staff and families. Alan clearly enjoys the opportunity to work at the bedside. He exemplifies the notion of the true physician scientist, moving between the clinical realm and laboratory with ease. Alans academic achievements have not gone unrecognized. He received the Mead Johnson Award for research in pediatrics and the Academy of Pediatrics in 1988, and more recently was the recipient of the Arvo Yippo medal from the Pediatric Academics Societies of Finland, and the 2010 Thomas Hazinski Distinguished Service Award. In 2007 Alan was elected to the Institute of Medicine, one of only two active neonatologists in the United States with membership in that distinguished body. Alans achievements as a scholar, clinician and leader, while exemplary, do not tell the whole story. I would be remiss if I did not also recognize Dr. Jobes extraordinary personal qualities. Despite a hectic schedule and an unending list of commitments, Alan remains the quintessential physicians physician. He is easily approachable by all who interact with him from the newest trainee and the most senior clinician. Alans extraordinary character testifies to his commitment to the creation of new knowledge and applying the most rational and effective care for our vulnerable patient population. I find that all who wish to partake of his expertise will have that opportunity. I am privileged to call Alan my colleague and will always be grateful for his ongoing friendship and collaboration. This year Alan joins a distinguished list of Virginia Apgar award recipients. I am delighted that Alans name is included among that venerable cohort and look forward to his ongoing contributions to the health and wellbeing of newborns throughout the world. James M. Greenberg, M.D. NCE Schedule (contd)
1:30-4:30 PM 1:30-2:45 PM CONCURRENT SKILLS WORKSHOPS A. Debriefing in the Simulator, Delivery Room, and NIcU: What, When, Where, Why, and How? Workshop Leader: Lou Halamek, MD B. Pulmonary Function Testing for the Neonatologist Workshop Leaders: Robert Castile, MD; Howard Panitch, MD; Stephen Abman, MD c. coding Workshop Workshop Leaders: Gil Martin, MD, Stephen Pearlman, MD 3:00-4:15 PM Repeat of Concurrent Workshops A, B, C
SECTION ON PERINATAL PEDIATRICS 2011 educational Award

John Hartline, MD
John V. Hartline, M.D. will be the recipient of the 2011 American Academy of Pediatrics, Section on Perinatal Pediatrics National Neonatal Educational Award.
John first began his focus on education by organizing the Kalamazoo Symposium for Michigan Neonatologists in 1975 and continued this state of the art interactive conference for 31 years. His innovative, futuristic approach to education utilized an audience response system as another method to educate. He was among the first to use this approach, which is now state of the art in the education process. Dr. Hartline participated in the initial organization of the National Perinatal Association in 1975 where he promoted multidisciplinary participation in education, policy development and research. He first served on the board of NPA, became president, and was responsible for their educational meetings for many years. Since its inception in the early 1990s, he has been a member of the planning and advisory group for the Developmental Environment of the NICU Project. This project, fostered by former Apgar Awardee Dr. Stanley Graven and now chaired by Robert White, M.D., has stimulated scientists throughout the world to explore evidence relating to the impact of the nursery environment on subsequent neonatal development. There have been several Journal of Perinatology Supplements on this topic. Dr. Hartline continues to coordinate the scientific abstracts which are presented each year at the annual meeting. As a member of the executive committee on the Section of Perinatal Pediatrics, Dr. Hartline is Chair of the Committee of Practice Management and was the lead author on the publication Understanding a Practice Venue (J Perinatol (2002;22:supplement 1). He is currently the Editor of the updated Evaluating and Exploring Practices in Neonatal Perinatal Medicine which is published on the Periatal Sections website. These materials contribute to the education of neonatal fellows, introducing them to the spectrum of neonatal practices, demographic issues, and non-clinical areas important within practices. He has presented seminars for fellows at Perinatal Section sessions at the NCE, at District perinatal meetings, and at the PAS meeting. Dr. Hartline chaired the Planning Group for the Sections Perinatal Workshop from 2002 through 2005. Under his leadership this meeting has involved to incorporate the concepts of unit directorship, leadership, changemanagement, business skills, coding proficiency, and interprofessional and interpersonal skills with the clinical challenges in the NICU. He continues to work with the Perinatal Workshop planning group to link the workshop program into the Section website.
Dr. Hartline was a member of the inaugural planning committee for NeoPrep and served on its planning committee for six years, laying the groundwork for one of the Sections most successful educational activities. He also served on the National Conference and Exhibition Planning Group from 2000 through 2010. With his experience in the use of audience-response technology, he supported the expanded use of ARS at the NCE as a means to promote education through audience engagement. Since 1999, Dr. Hartline has served on the PediaLink Advisory Board. In addition he is one of the Editors of NeoReviews Plus. His responsibilities, in addition to writing questions, include medical-editing of questions submitted by other authors, organizing the order of publication, and participating in the periodic peer-review sessions with the entire editorial panel. NeoReviews Plus has been recognized as a means to fulfill Part II of the new American Board of Pediatrics Maintenance of Certification Program in Neonatal Perinatal Medicine and provides case-based material for discussions among trainees. In addition as a member of the Board of the National Perinatal Information Center, John has developed a program for patient data, quality improvement and outcomes analysis which has been accepted by the American Board of Pediatrics in its Part 4 Maintenance of Certification Program. John presented at USAID-sponsored perinatal care conferences in Russia in May 2010 and March 2011 regarding the educational role of regional centers for perinatal care. He also hosted a delegation from Russia to the NCE conference in 2010. Dr. Hartline has been married for 46 years to Ginny, a now retired school principal. They have three children, John Jr., Doug and Susan and eight grandchildren. If John has any free time he enjoys traveling with Ginny to find new places to explore and old haunts to relive memories. It is in keeping with his character and commitment, that after retiring from clinical practice he has immersed himself in AAP and Perinatal Section activities, becoming the only volunteer physician of the AAP to be given his own office space at the American Academy of Pediatrics Department of Education. In summary, Dr. Hartlines educational activities demonstrate a comprehensive interest in education as the foundation for personal and professional growth, excellence in care, and incorporation of the resources and opportunities within the AAP and the Perinatal Section. John Hartlines commitment to education over the past 37 years proves that he is well deserving of the 2011 American Academy of Pediatrics, Section on Perinatal Pediatrics National Neonatal Educational Award. Gilbert I. Martin, M.D.
2011 landmark Award

Ola Saugstad, MD
During the last 30 years Dr. Ola Saugstads outstanding research has most essentially contributed to our current knowledge on the role of oxygen radicals in diseases of preterm and term infants as well as on ischemia-reperfusion injury in neonates. Utilizing various in vitro systems and animal models, Dr. Saugstad has provided impressive and fundamental data on basic physiology, biochemistry and molecular biology of the mechanisms responsible for reoxygenation injury. Thirty years ago, Dr. Saugstad established hypoxanthine as a new biochemical system for the diagnosis of perinatal hypoxia. Years later, he was the first to propose that hypoxiareoxygenation injury is caused by an excess of free toxic oxygen radicals generated during reoxygenation. By now, there is increasing evidence that oxygen radicals play a crucial role in the pathogenesis of acute and chronic pulmonary and non-pulmonary diseases of preterm and term infants. Besides his continuous basic research, Dr. Saugstad has tested the hypothesis of ischemia reperfusion injury and on oxygen toxicity in several clinical studies, including prospectively designed controlled multicenter trials. The scientific background provided in his exceptional basic research work is most essential for a proper understanding of the pathophysiological mechanisms of oxygen radical diseases in preterm infants. Moreover, Dr. Saugstads clinical research is of greatest relevance since it offers the unique opportunity to define means by which acute and chronic disorders of preterm and term infants may be prevented or even effectively treated. The current concept of resuscitation with 100% oxygen has been seriously questioned by Dr. Saugstads data, and his fundamental work has finally been accepted by the medical community: Resuscitation of preterm and term infants will no longer be performed with 100% oxygen. Dr. Saugstad is an outstanding scientist with a distinguished research career who has achieved outstanding international stature in his field by virtue of his original, independent, and focused creative contributions. He is internationally well known for his brilliant, didactically exceptional and humorous presentations, as well as for his kindness and his warm and modest character. He is definitely one of very few European scientists and clinicians who have received the highest level of recognition and appreciation by the international scientific community reflected by numerous invited lectures which he has presented at scientific meetings in all parts of the world. In addition, his leading role as basic scientist and clinical researcher is impressively documented by his active and dominant role in international scientific societies. In the view of many European and American neonatologists and scientists, Dr. Saugstads service to international neonatal medicine and to medical science is unique and outstanding.
From the ONTPD chair

Rita M. Ryan, MD, FAAP
Hi all we are in the process of choosing the next Council members. I am happy to announce that Sue Aucott will be the new ONTPD Chair starting after the fall ONTPD meeting. Our new Council members (in a close vote) are Ward Rice, Cincinnati Childrens Medical Center; cathy Bendel, University of Minnesota; and christiane Dammann, Tufts University. Plans for the ONTPD meeting at the 2011 NCE are shaping up and will take place on Friday, October 14th in Boston, MA. We are going to do a pay as you go dinner on Thursday, October 13th, at legal Seafood on long Wharf. Dmitry Duchovny has made reservations for 8pm at the Legal Seafood right across from the aquarium. Please RSVP at ryanr@musc.edu. Starting July 1st, there are more specific statements in the common program requirements about QA /QI project involvement: IV.A.5.d).(4) systematically analyze practice using quality improvement methods, and implement changes with the goal of practice improvement; VI.A.3. The program director must ensure that residents are integrated and actively participate in interdisciplinary clinical quality improvement and patient safety programs. I received this information from Joe Gilhooly (soon to be Chair of the Peds RRC): VI.A.3. The new common requirements that go into effect 7/1 are pretty clear. Active participation means having a major role in a projectbut this can be a group project tied to unit/dept/institutional QI activities. It does not mean a project they do solo or in isolation. We connect our fellows with different projects on our QI Dashboard (that are usually tied to outcomes from our VO data). A faculty member is also connected to these unit activities and they mentor the fellow in the process. Nce 2011 We will have a session Friday morning with two speakers from 10-12 (at the Boston Convention Center, room 52A). Our usual meeting will be on Friday 1-5pm at the same location. Stephen Pearlman, MD on Making the NICU Safer: Teach Your Children Well and Munish Gupta, MD on Implementation of a Fellowship QI Module in Your Program. Again, please consider supporting the Section (they support ONTPD) by attending the great meeting planned (detailed information available on the Section website at http://www.aap.org/perinatal) for longer than just our meeting on Friday. See the detailed Section program schedule in this newsletter. Match Heartburn if you have concerns or questions relating to the match please do not hesitate to contact me (ryanr@musc.edu 843-876-1684).
SECTION ON PERINATAL PEDIATRICS coding committee Report

Physicians at Teaching Hospitals (PATH Guidelines)
There are specific guidelines published by Centers for Medicare and Medicaid Services (CMS) which detail the requirements for physician supervision of residents or students. This supervision typically occurs in either a teaching facility or in a physicians office. These guidelines can be found on-line at www.aap.org/pubserv/codingforpeds. In the past several years there has been a larger number of community hospital NICUs involved in the teaching of trainees. Medical schools today are encouraged to offer their students a wide variety of clinical experiences. As hospital budgets are developed, financial consideration must be given to the time involved in supervising trainees. There are certain circumstances when teaching/supervising physicians can bill for their services. They may bill for services only if they: 1. Personally provide service 2. Are present during the key or critical part of the service performed 3. Have independently seen the patient and reviewed the management plan with the resident/fellow or advanced practice nurse. The first and third criteria are fairly clear. The second one is a little more nebulous. It states that the supervising physician performs the essential components with the resident/fellow or personally observes when these critical components are accomplished. What is meant by observe? Was hands on care provided by the supervising physician? Was the physician only physically present in the room and not close to the resident/fellow? What is considered the critical portion of the service? Coding for Pediatrics 2011 states, the selected key or critical portion of the visit is at the discretion of the physician. It is clear that this statement is very broad and subject to interpretation. CPT codes reflect the various levels of billed services. These services are dependent on the complexity of the
coding committee
Stephen Pearlman, M.D. Gilbert I. Martin, M.D. David Bolam, M.D. William engle, M.D. charles Hoffmeister, M.D. David Kanter, M.D. edward liechty, M.D. Richard Molteni, M.D. Tove Rosen, M.D. Ted Rosenkrantz, M.D. Stuart Weisberger, M.D. Scott Duncan, M.D. David Wells, M.D.
work performed and the documentation provided. As in most situations, the documentation becomes paramount. Many years ago, a simple countersignature was the norm, but this is now unacceptable. As time progressed, statements such as I agree with the above or I reviewed the note with the resident/fellow and agree with the material in the progress note came into vogue but now these too are unacceptable. There are now documentation guidelines which have been provided by CMS. Supervision of non-physician Allied Healthcare Professionals (AHPs) is even more complex. Some states have their own policies regarding non-physician provider (NPP) billing. These policies are called Incident-To Requirements and these are outlined in Transmittal 1776 (www.hhs.cms.gov). It is interesting that payments for these non-physician providers are usually about 85% of the physician payment schedule. The supervision of AHPs is more complicated since many states have scope of practice laws which govern what AHPs are allowed to do without direct supervision. The non-physician provider may also have their own National Provider Identifier (NPI) allowing them to bill for their services. As you can imagine there are often times split or shared E/M services that are provided by both the physician and the AHP. In this case, documentation of each individuals portion is necessary and the progress note should include the amount of time spent by each provider. Whether the AHP is employed by the physician group or the hospital will impact whether the fees can be split. The documentation requirements by the physician are greater when billing for care by AHPs as compared with a residents or fellows. The physician must be familiar with their own state guidelines and also the payers guidelines when AHPs are part of the healthcare team Physician supervision of trainees has become a very involved issue. It is clear that physicians practicing in a teaching environment need to be familiar with the regulations that are part of the PATH guidelines so that they will bill appropriately for the services that they have actively supervised. Stephen Pearlman, M.D. Gilbert I. Martin, M.D
e-mail Address
spearlman@christianacare.org gimartin@pol.net dlbolam@unmc.edu william.engle@utsouthwestern.edu choffmeister@peacehealth.org david_kanter@pediatrix.com eliecht@iupui.edu rmolteni@comcast.net tsr1@columbia.edu Rosenkrant@nso1.uchc.edu stujes@aol.com scottd.duncan@louisville.edu (retiring in November 2011)
District
III IX VI VII VIII X V VIII II I I IV
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committee on Membership
Ivan Hand, MD, FAAP
The Perinatal Section is the largest section within the American Academy of Pediatrics with about 3000 members, including international and affiliate members. Some of the fastest growing groups in our section are our post residency training members and our affiliate members. TECaN, the Trainees and Early Career Neonatologists group is our fastest growing group with over 90 new members joining in the past year. This group includes trainees, whose membership fees are supported by the Section, as well as early career neonatologists within the first 7 years of graduation from fellowship training. The TECaN group has quickly become an integral part of our membership, participating in many of our planning committees as well as the Executive Committee and the ONTPD. Membership in our section allows a new generation of neonatologists to learn, share experiences and improve care for our patients and their families. A second membership group that has grown over the years are our affiliate members. This group represents the allied health professionals who work side by side with us every day in our intensive care units. The section offers all the membership benefits we enjoy to our affiliates and enables them to participate in the rich array of educational and practice based opportunities we offer. Membership benefits include access to members-only web sites including neonatology directories, Vermont-Oxford QI, the 2010 CPT/ICD CM Coding Toolkit and the Journal of Perinatology. As always, additional benefits include reduced rates to the Fall NCE meeting, the Spring Perinatal Practice Workshop and NeoPrep. Your membership in the section and active encouragement of your colleagues; be they seasoned neonatologists, recent fellowship graduates or allied health professionals, strengthens our profession and enables the section to continue its work on your behalf.
coding Question An 1190 gm infant at 29 weeks gestation is born at 1 AM. The delivery is attended by a neonatal nurse practitioner (NNP) who is employed by the hospital but works under the supervision of the neonatologist. The infant has respiratory distress and is intubated in the delivery room and given surfactant. The infant is admitted to the NICU and soon is extubated to CPAP. You are called by the NNP and informed about the delivery and the infants condition. Management of the infant is discussed. You initially see and examine the infant at 7 AM, at which time the infant is now in an oxyhood in 40% oxygen. A peripheral IV is in place and the infant is receiving antibiotics. The proper CPT code(s) is: a. 99464, 99468 b. 99465, 31500-59, 99468 c. 99477 Look for the answer on page 27.
CAN/AAP District IX Section on Perinatal Pediatrics 18th Annual Conference

Current Topics and Controversies in Perinatal and Neonatal Medicine coronado Island Marriott Resort San Diego, cA March 2-4, 2012 For more meeting information: http://www.cme.ucla.edu or http://www.canneo.org
AAP District VIII Section on Perinatal Pediatrics 36th Annual Conference

Red Rock Resort las Vegas, NV May 31 - June 3, 2012 For more information: www.district8perinatal.org 11
SECTION ON PERINATAL PEDIATRICS committee on Practice

Whats your experience with the eMR?
since birth, with ability to track specified results over time. Review of physiologic monitoring data using reference ranges appropriate for the patient, including but not limited to heart rate, respiratory rate, blood pressures (mean, systolic, diastolic), temperature, oxygen saturation, etc. Nutritional calculations of (parenteral, enteral, and combined) intake, with determinations of daily inputs f for calories, protein, carbohydrates, vitamins, minerals, trace elements all referenced against age-appropriate standards Growth calculations and automatic charting on the most patient-appropriate charts [with desired benchmarks] Reporting formats allowing for summary information needed for day-to-day rounds, consultations, discharge summary, and transmittal of patient data into the records used in the medical home Automated incorporation of selected data fields into collaborative databases for quality improvement, with full protection of patient (and family) confidentiality Ability to create project specific data retrieval as needed for quality improvement (e.g. infection control). ___________________________________ leT US KNOW does this list cover the needs? Which ones work, or need only minor (read: inexpensive) changes in existing systems? Which need major revision to be SAFE and EFFICIENT? Which, in their adult-oriented formats, are dangerous? How has use of the EMR affected the TIME required for record-keeping or for direct patient care? The Committee needs your input. Our goals: to give all our colleagues yet to confront the EMR the support they need to adapt to the EMR in the safest and most-efficient manner; to eventually have EMR examples which allow computers to give us more time with our patients and more time to use integrated data for quality improvement. How to respond? Contact committee members, or send your response to Jcouto@aap.org with EMR ideas in the subject line. The Committee on Practice: John Hartline & DeWayne Pursley [Co-chairs]; Claudia Alleyne, Steve Block, Bob Cicco, Gil Martin, Scott Snyder, Michelle Walsh, Bob White.
The Committee on Practice spent its April meeting considering approaches to facilitate the incorporation of safe and efficient electronic medical records in the NICU environment. As was again and recently illustrated by the Illinois case wherein a transcription error led to a massive (and fatal) overdose of sodium chloride [presented on the front page of the Chicago Tribune!], safety and efficiency could be enhanced if the various information systems of the modern NICU were adapted for the neonatal patient and integrated so as to avoid human error! While all that is evident to us, the health care system has yet to embrace our needs in a systematic fashion, requiring many institutions neonatologists to evolve their own adaptations to the otherwise adult-oriented records. In response to these needs, the Sections Committee on Practice is now exploring the potential of creating a recommended standards for electronic medical records used in neonatal intensive care document [similar to the documents on recommended standards for NICU design]. Underlying the committees thinking is SAFETY! As the front-page garnering cases often show, a safer system is needed and human error is often implicated. Using this foundation, review the ideas below and give us feedback based on your experience and ideas. A preliminary listing of recommended standards for the EMR as applied to the NICU could include the following: Integration with obstetrical data (mothers chart and delivery record) to import relevant data fields needed for newborn care Convenient and efficient means to enter periodic notes, observations, conclusions, and diagnoses. For intensive care, this functionality would need to allow for multiple notes and observations per day. o The issue of notes by trainees (residents, fellows) would need to be addressed o Procedure notes/entries should be standardized against evidence-informed care packages, noting that check-lists are used and the actual performer of the procedure Consultation requests and recommendations need to be readily accessible Ready access to actual images (e.g., radiography, ultrasonography, MRI scans), with note space for interpretation used for clinical care as well as date/time of official interpretations Computerized Order Entry with dose and timing reviews based on infants gestational age, size, age since birth, and pharmacokinetic data Laboratory data retrieval using reference ranges appropriate for infants gestational age, size, and age
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National Association of Neonatal Nurse Practitioners (NANN)

Debra A. Sansoucie, edD, APRN, NNP-Bc
NANNP Position Statements for Review/Revision, Development for 2011 DNP Position Statement (2008) Review/Revision NNP Fatigue and Shift Length Position Statement (2007) Review/Revision NNP Workload Position Statement (New) Position Statements (2010) Revised 3/10: Prevention of Bilirubin Encephalopathy and Kernicterus in Newborns Reviewed 2/10: ICU Nurse Involvement in Ethical Decisions (Treatment of Critically Ill Newborns) Revised 1/10: Requirements for Advanced Neonatal Nursing Practice in Newborn Intensive Care Unit Guidelines 2011 5/2011: Evidence-Based Guideline for Management of Hypotension in The Very-Low-Birth-Weight Infant, coauthored by Dr. Lyn Vargo and Dr. Istvan Seri. Endorsed by AAP Perinatal Section. Available on NANNP website and to be published in Advances in Neonatal Care, August 2011. Guidelines 2010 New 1/10: Education Standards & Curriculum Guidelines for Neonatal Nurse Practitioner Programs (NANNP) Reviewed 5/10: Pain Assessment & Management Guideline for Practice, 2nd edition Reviewed 5/10: ABCs of Genetics, 2nd edition Publications 2010 Resource Guide: High Frequency, Jet and Oscillatory Ventilation (NANNP) Resource Guide: Cardiac Care of the Newborn Infant (NANNP) Competencies and Orientation Tool Kit for Neonatal Nurse Practitioners (NANNP) Understanding Clinical Research: A Guide for the New Researcher (NANNP) Developmental Care of Infants and Newborns, 2nd Edition Publications for release in 2011 Neonatal Nursing Scope & Standards of Practice, 2nd Ed Transport Guidelines, 2nd Edition NANN Guidelines for Neonatal Nursing Policies, Procedures, Competencies, and Clinical Pathways, 5th Ed NNP Preceptor Manual (new) NNP Workforce Survey The NNP workforce survey, which is the first comprehensive survey of the NNP workforce, has recently
been completed. We received approximately 550 completed surveys which represents ~12% of the workforce. Data is currently being analyzed. An executive summary of the report will be published on our website and in Advances in Neonatal Care, the NANN journal. A complete report will be available for a fee. NANNs 27th Annual educational conference, "exploring the Science and Practicing the Art of Neonatal care, September 14-17, 2011 in Orlando, FL.
Advocacy, Hot Topics

AAP/cOID changes to Red Book Regarding RSV Prophylaxis of Preterm Infants Since the RSV immunoprophylaxis guideline revisions published by the AAP Committee on Infectious Diseases (COID) in 2009, NANN and NANNP have advocated for a critical appraisal of the evidence related to RSV prophylaxis of vulnerable infants. Due to concerns expressed by the National Perinatal Association, the National Medical Association and many others, the CDC Advisory Committee on Immunization Practices (ACIP) formed an RSV Workgroup whose stated goals were to "develop evidencebased recommendations for RSV prophylaxis. We recently learned that the RSV Workgroup had been disbanded by the ACIP despite growing national concern from both the health care and public sectors regarding the long term impact of the new dosing recommendations. In response to this action, a resolution was introduced at the 2011 AAP Leadership Forum calling for a multidisciplinary review of the guidelines prior to their reissue/modification for 2012. Despite a broad base of support for this resolution, including the AAP Committee on Medical Liability and Risk Management, the AAP Section on Pediatric Pulmonology, and the Idaho Chapter of the AAP, it was defeated 70-30 in general session. NANN/NANNP appreciates the support of Dr. Pursley, who spoke in favor of the resolution at the reference committee. NANN/NANNP continues to support a multidisciplinary review of the guidelines and despite this recent defeat, has sent a letter to the AAP President and Executive Director to ask that they convene such a task force to evaluate the COID guidelines for RSV prophylaxis. Implementation of the lAce Model of the APRN consensus Model: LACE is the implementation mechanism for the APRN Consensus Model which calls for standardization among states in all areas related to licensure, accreditation, certification, and education as follows: The APRNs legal scope of practice to diagnose, treat and prescribe Recognized roles and titles of APRNs Criteria for entry into advanced practice Certification examinations that are accepted for entrylevel competence assessment Implementation target date is 2015. NANNP fully supports implementation of this model and is part of the LACE implementation task force.
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SECTION ON PERINATAL PEDIATRICS Research committee Report

Klaus Awards for 2011-12
lisa c Bain, MD Factors Associated with Inadequate Screening for Retinopathy of Prematurity in California University of California San Francisco Mentor: R. Adams Dudley, MD
interleukin 6 (IL-6). We are studying how preterm birth suppresses neurogenesis and pro-inflammatory cytokines mediate this effect. Our approach is to assess neurogenesis and pro-inflammatory cytokines in autopsy materials from premature infants and to evaluate the effect of pro-inflammatory cytokines on neurogenesis in a slice culture model from prematurely delivered rabbit pups. Sabrina Malik, MD is currently a third year fellow at Maria Fareri Childrens Hospital in Valhalla, NY. Prior to fellowship, she completed her pediatric training at University of Medicine and Dentistry, Newark NJ. During her fellowship she has worked in the Neuroscience Department under the mentorship of Praveen Ballabh, MD who is a NIH-funded investigator studying the effects of IVH and white matter injury in a premature rabbit pup model. Sabrina is looking forward to a career in neuroscience and her long term goals are to develop mechanism based treatment strategies to prevent brain injury in premature infants. Mariya Spasova, MD Anti-Inflammatory Interventions to Attenuate Ischemic Brain Damage in Fetal Sheep Women and Infants Hospital Mentor: Barbara S. Stonestreet, MD I am a second year fellow in neonatal-perinatal medicine at Women and Infants Hospital and the Warren Alpert Medical School of Brown University. I received my medical degree from the Medical University, Sofia, Bulgaria, and PhD from the University of Rostock, Germany. My current proposal is complementary to the work that I accomplished during my PhD regarding the growth-promoting effects of cytokines on stem cells in the injured brain. The focus of my work is immunomodulary regulation of cytokines in the brain of the ovine fetus. I would like to pursue a career in academic medicine, with a research focus on neurodevelopmental brain injury. The overall goal of this proposal is to develop a novel effective therapeutic intervention to prevent and/or attenuate ischemia-related brain damage in the immature fetal brain using a naturally derived immunomodulator, Inter-Alpha Inhibitor Proteins (IAIPs). IAIPs recently have been demonstrated to effectively down-regulate proinflammatory cytokines, including TNF- and IL-6, in several experimental animal models of newborn and adult systemic inflammation and in models of inflammationinduced premature labor. Not only do these proteins have beneficial immunomodulatory effects, but they also inhibit several known destructive serine proteases secreted by immune cells. We hypothesize that systemic administration of IAIPs or their cleavage products reduce the production of pro-inflammatory cytokines and prevent/or attenuate the development of ischemia-reperfusion injury in the premature brain.
Retinopathy of prematurity (ROP) is one of the major complications facing infants born prematurely. It is a leading cause of blindness in children and accounts for up to 10% of childhood blindness in developed countries. Early identification of ROP and subsequent therapy can prevent many of these infants from becoming blind. The American Academy of Pediatrics has issued guidelines that identify infants at risk for ROP, and criteria for screening for this disease. While many neonatal intensive care units (NICUs) have systems in place to ensure that this screening takes place, it is unknown if these systems are effective, and what the actual rates of screening are across hospitals. We will use the California Perinatal Quality Care Collaborative (CPQCC) database to assess the variability in ROP screening rates across hospitals and to identify patient and hospital level factors associated with inadequate ROP screening. These results will form the basis for a future survey of NICU leadership, in which we will test the relationship between the systems-level factors and ROP screening rates. Those systems-level interventions shown to improve screening rates can then be adopted as standard operating procedure to impact screening rates among neonates at risk for ROP. Lisa is a first year Neonatology fellow at UCSF. She also received her MD from UCSF, and traveled to Boston for her residency training at the Massachusetts General Hospital for Children. Prior to medical school, she worked at The National Quality Forum (NQF), a nonprofit organization in Washington D.C. She lives in Palo Alto, CA with her husband Alex, her son Oliver, and their cat Furio. Sabrina K Malik, MD Effects of Preterm Birth on Neurogenesis New York Medical College Mentor: Praveen Ballabh, MD My project examines how preterm birth affects neurogenesis. Premature infants develop infection, hypoxia-ischemia, intraventricular hemorrhage and systemic inflammatory response. These insults contribute to inflammatory brain injury. Early birth has an influence on brain development and timing of neurobiological processes, including neuronal development, migration and differentiation through proinflammatory cytokines, including tumor necrosis factor-alpha (TNF-a), interleukin 1-beta (IL1-B), and
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Neonatal-Perinatal Research Mentorship Grant Award

The Neonatal-Perinatal Research Mentorship Grant Award is currently a concept without resources and funding to promote this initiative and to provide the necessary infrastructure to administer. Consequently, it may be helpful to review and to recommend the well-established NIH Fogarty International Center Program http://www.fic.nih.gov/Pages/Default.aspx, which has funding and collaboration opportunities for new foreign investigators as a mechanism to support the concept for the development and sustained mentorship of junior faculty in developing countries.
NeoReviewsPlus Salutes
Jayant Shenai, MD, FAAP
NeoReviewsPlus, the online neonatology review selfassessment course sponsored by the AAP, enters its 9th year in 2012. It is complementary to the online journal NeoReviews, first published in 2000. As we enter our 9th year, we'd like to recognize Jayant Shenai, MD, FAAP founding editor, mentor, writer, and conscience of NeoReviewsPlus. After earning his "wings" writing questions and critiques for PREP-SA, Jay, with co-editor John Hartline, MD, FAAP, was asked to develop a similar self-assessment exercise for neonatologists. NeoReviewsPlus was the first subspecialty self-assessment program and has set an especially high bar for subsequent subspecialties to follow. Under Jays oversight, the well-tested format and style of PREP-SA was modified to include an expanded critique of the possible answer choices; this modification has been very well received by learners. Members of the NeoReviewsPlus writers group have benefited immensely from Jay's modeling and mentoring. As of the end of 2011, NeoReviewsPlus will have published 960 questions and critiques covering all 20 of the American Board of Pediatrics major content areas for Neonatology. Each of these questions has been improved directly and indirectly by Jay: for questions he has personally written, he has modeled exceptional writing and clarity; for those he has edited, he has added precision and accuracy; and for those we critiqued during face-to-face editorial board meetings, he has demanded evidence-based responses, accuracy in critiques, and clarity of thought. He has served as a leader, partner and mentor to eleven colleagues (including ourselves) on the editorial board during the last eight years and as he transitions to other projects, he has taken the responsibility to orient 4 new writer/editors in the Shenai edition of question and critique writing this year. Jay, many many thanks! Please accept the gratitude of our colleagues whose fellowship training, self-directed education, teaching, garnering of Part 2 MOC credits, success on the boards, and, most importantly, improvement in our practices of neonatology has been due in part to your commitment to NeoReviewsPlus. William A Engle and John V Hartline Medical Editors, NeoReviewsPlus JoDee Anderson, Dara Brodsky, Jeff Garland, Igor Gladstone, Diane Marshall, Ron Poland, Beena Sood, Lynne Willett, and Terry Zach Current or former members, NeoReviewsPlus Editorial Board
Toolkit for the Follow-up care of the Premature Infant

We are pleased to announce that the Toolkit for the Follow-up Care of the Premature Infant became available in May 2011. You may access the Toolkit at www.preemietoolkit.com. The Toolkit for the Follow-up Care of the Premature Infant is a multidisciplinary, electronic, interactive toolkit with a web-based interface, which has been developed over the last five years by MedImmune. The National Initiative for Childrens Healthcare Quality (NICHQ) conducted the beta testing of this Toolkit and was involved in its further development. The Toolkit is organized into 6 sections: Introduction, Discharge Planning, Outpatient Follow-up Care, Parent/Caregiver, Tools, and References. It has been developed for healthcare providers to assist in the transition of the premature infant from hospital to outpatient care, to facilitate accurate transfer of pertinent patient information and to help provide evidence-based practical measures for consideration in the care of the premature infant. The Toolkit provides age-specific information that highlights what is unique for the premature infant from birth to 12 months corrected age. The goal is to help improve the care and outcomes of premature infants. The Toolkit can help facilitate care of the premature infant by general pediatricians and other healthcare providers. These tools are intended to complement the healthcare providers care; however, the Toolkit is not intended to be a substitute for or an influence on the independent clinical judgment of the healthcare professional. This Toolkit is a live site and we encourage you to begin sharing this website (www.preemietoolkit.com) and information with your institutions, community pediatricians, and other local groups who will find the information useful. Were also exploring the possibility of linking to the toolkit from the AAP and Perinatal Section websites. Please send all questions and feedback regarding this Toolkit to: Doris Makari, MD at makarid@medimmune.com Veena Kumar, MD at kumarve@medimmune.com Ron Ariagno, MD at rla@stanford.edu John LaBella, MD at Jjlabella@aol.com
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SECTION ON PERINATAL PEDIATRICS History
Self experimentation in the extreme: The First Human cardiac catheterization and its ReDiscovery for clinical Application
Tonse N. K. Raju, MD, DcH Pregnancy and Perinatology Branch Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health, Bethesda, MD Ground-breaking scientific discoveries are seldom eureka moments. Rather, major discoveries are often ignored, forgotten, or misinterpreted by contemporary scientists, only to be rediscovered decades later. The story of the first human cardiac catheterization and its eventual rediscovery is a good example of the complex nature of discoveries and their translations into practice. Early attempts to understand the mysteries of the heart led to experiments by Stephen Hales, who in 1727 inserted a glass tube into the carotid artery of a horse to measure blood pressure, and Claude Bernard, who in 1844 measured blood temperature by inserting a mercury thermometer, also into a horse's carotid artery. Interest in injecting drugs (e.g., chemotherapy) into the circulation in the early 20th century led to attempts to catheterize the heart in living subjects. In 1929, Werner Forssmann (Figure 1), a 25-year-old surgery resident in Berlin, first experimented in animals and cadavers, and then did one of the most daring selfexperimentations in medical history. With the help of an unsuspecting operating room nurse, Forssmann dissected a vein of his own forearm, and as the horrified nurse looked on, inserted a 65 cm-long, welllubricated ureteral catheter into his own right atrium under fluoroscopic guidance, looking Werner Forssmann at a mirror reflection of the image.
(1904-1979)
adapted it to study cardiac function in normal and diseased humans and in animals. Their work led to cardiac catheterization as a life-saving diagnostic and therapeutic procedure. In 1956, Cournand, Richards and the allbut forgotten Forssmann shared the Nobel Prize in Physiology and Medicine for their discoveries concerning heart catheterization and pathological changes in the circulatory system.
The title page of Forssmanns paper in Klin Wschr 1929:8, 2085-7
Moral of the story: good work eventually gets recognized, some later than others. Such stories from medical history continue to educate us about the complex relationship between discoveries and their translation.
late Preterm Birth Rate

The National Child and Maternal Health Education Program Coordinating Committee (NCMHEP) of NICHD has launched a website and education material to address the national issue of rising late preterm births. The following URLs offer CME regarding this issue for your own use or for you to recommend to your healthcare colleagues. Raising Awareness: Late Preterm Birth and Non-Medically Indicated Deliveries Prior to 39 Weeks http://www.medscape.org/viewarticle/736635_tran script?src=emailthis[cid:image005.jpg@01CBEFC 4.FCD83F50] http://www.nichd.nih.gov/ncmhep/index.cfm The NICHD's National Child and Maternal Health Education Program http://www.nichd.nih.gov/ncmhep/index.cfm NCMHEP provides a forum for reviewing, translating, and disseminating new research in the field of maternal and child health through a coalition of the nation's most prominent health care provider associations, federal agencies, nonprofit maternal and child health organizations, and other partners. Marilyn Escobedo,MD, FAAP
With the catheter in place, both of them walked to the x-ray room and obtained the first x-ray of a catheter in a living human heart (Figure 2). In a short paper, he published his findings (Figure 3), which became a sensational news item in local newspapers. Upon learning of his self experimentation, Forssmanns superiors were furious and they promptly fired him. Forssmann left cardiology and studied surgery. After World War II, he moved to a small border town in Austria, where he settled, practicing urology.
The first X-ray with a catheter in a human heart; please note the tip of the ureteral catheter Forssmann used is in the right atrium.
In the 1940's, Andre Cournand, Himert Ranges and Dickinson Richards, explored methods to study the heart, and re-discovered the forgotten paper by Forssmann. They
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SECTION ON PERINATAL PEDIATRICS District News

DISTRIcT I: John Zupancic MASSAcHUSeTTS Beth Israel Deaconess Medical Center The Department of Neonatology welcomed Jonathan litt, a graduate of the Harvard Neonatal-Perinatal Medicine Fellowship Program, to its core faculty. The next Neonatal Quality Improvement collaborative of Massachusetts (NeoQIc) meeting will be held on September 22, 2011 in conjunction with the annual Griffin Symposium at the Best Western Royal Plaza Hotel in Marlborough, MA. If youd like more information, please contact Munish Gupta at mgupta@bidmc.harvard.edu. Childrens Hospital Graduating fellows of the Class of 2011 of the Harvard Neonatal-Perinatal Medicine Fellowship Program were honored at a gala dinner on June 8, 2011. Alpna Aggarwal has joined the neonatology group at Cohen Childrens Medical Center of New York. chaitanya chavda has joined a neonatology practice in Dallas. Jenny Yu has joined the faculty of Johns Hopkins University. Marlin Touma will be on faculty at Mattel Childrens Hospital at UCLA. Childrens Hospital welcomed Jonathan litt and Molly lacy to the Harvard Division of Newborn Medicine. The Harvard Neonatal-Perinatal Medicine Fellowship Program welcomed the Class of 2014, including eileen cowan, emoke Deschmann, Mayya Geha, Kyoung Joung, eniko Sajti, and Saila Ghanta. U. Mass Memorial Medical Center The New england Association of Neonatology/Braden Griffin Symposium will be held September 23, 2011 at the Best Western Royal Plaza Hotel & Trade Center in Marlborough, Massachusetts. The Symposium, entitled Moving into the 21st Century, will include the following sessions: Morning session: William cochran, MD - An Iconoclast Looks Back: Were the Battles Worth it? Robert Insoft, MD - Evolve or Dissolve: A Roadmap for Success in Neonatal Transport for the 21st Century Alan Walker, MD - Pre-and Probiotics in Prematures: Have They Reached Primetime? Afternoon session: Richard Martin, MD - Apnea and GE Reflux clara Song, MD Social Media in the NICU District One Business Meeting VeRMONT The Vermont Oxford Network 2011 Annual Meeting and Quality congress will be held on December 3-4, 2011 in Washington, Dc. The meetings will include plenary presentations, interactive workshops, and a learning fair with videos, and posters. Topics will include:

Kudos
Vermont Oxford Network Data and Plans Retinopathy of Prematurity The Value Equation for NICUs NICU Improvement Stories Nurse Staffing Global Neonatology Discharge Management Measurement for NICU Improvement Opinion and Evidence-Based Medicine Quality Improvement for Chronic Lung Disease Qualitative Data for Improvement .. And much more. Meeting information and on-line registration are available at the Vermont Oxford Network website: www.vtoxford.org. DISTRIcT II: Sergio Golombek NeW YORK New York State Regional Perinatal Care Centers and New York State Department of Health The New York State Perinatal Association (NYSPA) held its annual conference on June 9th -10th at the Crowne Plaza Hotel in Albany, NY. This years conference theme was: Twenty Five Years in Perinatal Health: looking Back, Moving Forward. For more information about the conference or NYSPA please visit the NYSPA website at www.nysperinatal.org. Cohen Children's Medical Center of New York (CCMC) (formerly Schneider Children's Hospital) Dr. Richard Schanler, Chief of NeonatalPerinatal and Associate Chairman of Pediatrics at Cohen Childrens Medical Center of New York at North Shore University Hospital, was an invited speaker at the National Neonatology Conference in Sao Paulo, Brazil, March 17-19, 2011, where he gave several lectures on neonatal enteral and parenteral nutrition. In May, at the Pediatric Academic Societies meeting in Denver, CO, his group presented their research with fellows Kiran Bhat, John ciannella, and with resident Max Kirtsman. In June, Dr. Schanler will speak at the IPOKrATES meeting on Neonatal Nutrition in Jerusalem. Dr Schanler is excited to announce the opening of the new womens hospital at North Shore University Hospital for early June. He is anxious to determine the effect on breastfeeding now that all maternal-infant dyads have private rooms. Stay tuned! Maria Fareri Childrens Hospital at Westchester Medical Center/New York Medical College Sergio Golombek (together with John Hartline), moderated the Historical Perspectives session at the PAS meeting in Denver. Praveen Ballabh chaired (together with Donna Ferriero) the PAS Topic Symposium Novel mechanisms in perinatal brain injury.
Congratulations to our current Chief Fellow, Sabrina Malik, MD, on receiving the prestigious Marshall Klaus Perinatal Research award for her project: Effect of preterm birth on neurogenesis Kiran Dwarakanath won the award for the best platform presentation and Jonathan Mintzer won the award for best poster presentation on Real-time cerebral, splanchnic, and renal NIRS in very low birthweight neonates at the New York Perinatal Societys 34th Spring Meeting. Congratulations and the best of luck to our six graduating fellows: Jonathan Blau, Divya chhabra, Nejla Kirtok, Venkata Majjiga, Raja Senguttuvan, Kiran Dwarakanath! Every year, the Committee on the Fetus and Newborn of NY Chapter 3 holds an annual Perinatal Day symposium. The theme for this year was Gut injury, nutrition and outcomes in the high-risk infant; held at the Maria Fareri Childrens Hospital on May 12, 2011. We were fortunate to have illustrious speakers, such as Drs Richard ehrenkranz from Yale School of Medicine, camilia Martin from Harvard University, Dan Thomas from University of Southern California, Satyan lakshminsurimha from SUNY Buffalo School of Medicine and edmund laGamma from New York Medical College share their vast knowledge and outstanding works in research. Attendance exceeded our expectationsthere were a total of 194 attendees, doctors, nurses, and respiratory therapists, medical and nursing students from the trisate area. Plans of running the symposium for next year are well under way. We wish to congratulate Tara Randis, MD on being selected as a John M. Driscoll, Jr., MD Children's Fund Scholar. Dr. Randis has also been awarded a second grant as a recipient of a 2011 Irving Institute/Clinical Trials Office Pilot Award Columbia University Medical Center. On March 20, 2011, the Taiwan Society of Neonatology celebrated the twentieth anniversary of the founding of the Society. Three physicians were awarded for the outstanding contribution for the society. Dr. Jen-Tien Wung was highly honored to be one of them. Dr. Richard Polin has been named the Program Chair for the NICHD Neonatal Research Network. NYU 5th Annual Neonatal Nursing Conference on June 28th continues to be a joint collaboration with NYU Neonatal Nursing and Dr. Martha caprio, Clinical Director of the Tisch RPC and has been a huge regional success in educating neonatal nurses in the tristate area. Research (new grants/studies): Ikaria- Inhaled Nitric Oxide and Retinopathy of Prematurity- AM curatola PhD and KD Hendricks-Munoz. MD, MPH Activity in Division Research presentations: The Division welcomes Dr. Michael espiritu who joins us after finishing his fellowship training at Cornell.
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Women & Children's Hospital of Buffalo Faculty Comings and Goings: With Dr. Ryan leaving to be Chair of Pediatrics at MUSC, Satyan lakshminrusimha, (slakshmi@buffalo.edu) will take over as Chief of the Division of Neonatology. Vasanth Kumar and Bobby Mathew will take over as Director and Associate Director respectively of the Fellowship Program. Research (new grants/studies): The University at Buffalo (UB) Neonatology Division, joined together with the University of Rochester (UR) Neonatology Division, and were honored to be chosen as one of the NICHD Neonatal Research Network (NRN) Centers. The URUB joint Center PI and Alternate PI will be carl DAngio (UR) and Satyan lakshminrusimha (UB). Site alternate PIs will be, in Buffalo, Anne Marie Reynolds, MD, MPH, and, in Rochester, Ronnie Guillet, MD, PhD. catalina Bazacliu will be graduating from our fellowship program and will be joining the division of Neonatology in Augusta, GA. She and Jayasree Nair presented at the PAS meeting in Denver. Satyan lakshminrusimha presented an overview of the changes in the neonatal resuscitation guidelines and chaired a session on the physiologic basis of the new NRP guidelines with Dr. Patrick McNamara from the University of Toronto. Winthrop University Hospital The March of Dimes has awarded Dr. Nazeeh Hanna, Chief of Neonatology at Winthrop University Hospital, Prematurity Research Initiative grant entitled: Carbon Monoxide as a Novel Therapy for Preterm Labor. The major goal of this project is to investigate a new therapeutic application of very low dose nontoxic inhaled carbon monoxide (CO) as a potential therapy for preterm labor. The Division of Neonatology sponsored the 18th annual "Issues in Neonatology" Conference held at Garden City Hotel in Long Island NY, on March 17th, 2011. Dr. Hanna was the co-chair and the organizer for the symposium attended by 280 Neonatologists/Nurses/Obstetricians from the greater New York region. Dr. Hanna was invited to participate in the NICHD Scientific Vision Workshop on Pregnancy and Pregnancy Outcomes, February 22-23, 2011, Bethesda, MD. Also Dr. Hanna was a study section reviewer for the American Diabetes Association (ADA) Research Grant Review Committee (RGRC), May 2011. The Division of neonatology welcomes Dr. Phyllis Wan-Huen as a staff neonatologist joining the academic group at Winthrop University Hospital. Dr. Wan-Huen completed her training at the Morgan Stanley Childrens Hospital of New York Presbyterian, Columbia University Medical Center, New York, NY. Dr. Hanna was the co-chair for post-graduate course for the International American Society of Reproductive Immunology annual meeting, held in Utah, May 2010 and was selected a Co-Chair for the annual meeting, to be held in Hamburg Germany, May 2012.
DISTRIcT III: endla Anday WASHINGTON, Dc Childrens National Medical Center Mariam Said graduated from fellowship in Neonatology at Childrens National Medical Center. Miriam will remain at Childrens National Medical Center as an attending neonatologist, Nickie Niferatos also graduated from the neonatology fellowship and will be the first trainee of the Fetal Medicine Fellowship program at Childrens National Medical Center New fellows at Childrens National Medical Center are: launice Melbourne from Jacobi Medical Center, NYC; Natalia Andrea Isaza Brando from Albert Einstein Medical Center, Philadelphia lamia Soghier will also join the Neonatology staff at Childrens National Medical Center. She comes from Montefiore Hospital in New York City. Michal Young applied for and was awarded a grant for a visiting speaker. louis Bartoshesky from A.I DuPont Hospital for Children was invited to educate genetics trainees and to give a lecture for pediatricians. The March of Dimes and United Healthcare also supported this program. MARYlAND Johns Hopkins University Graduating fellows are: colleen Hughes-Driscoll will be joining the Division of Neonatology at University of Maryland; Alison chapman will be joining the Division of Neonatology at Virginia Commonwealth University Current fellows: Amit Agrawal is serving as the TECaN District III fellow representative Faculty: Renee Boss received a K23 Mentored Research Grant regarding parent-provider decision-making for high risk newborns. She has also been appointed as Associate Faculty at the Johns Hopkins Berman Institute for Bioethics. Maureen Gilmore, elizabeth cristofalo, Pamela Donohue and Marilee Allen completed an NIH sponsored evaluation of the existing literature regarding iNO in preterm infants which was presented at the NIH consensus conference and published in Pediatrics. christoph lehmann was appointed director of the Child Health Informatics Center for the AAP, and joined the National Quality Forums newly formed advisory committee on health information technology Susan Aucott is currently serving as council member for the ONTPD, and will serve as chair of the council beginning this fall. University of Maryland Medical System The Center for Infant and Child Loss is sponsoring the 21st Annual Verizon WirelessSIDS Golf invitational to be held Monday, October 3, 2011 at Turf Valley Resort. To learn more, call: 1-800-808-SIDS (7437) or 410-3284642 or visit the website at: www.infantandchildloss.org
cynthia Bearer convened the 3rd annual Baltimore-Washington and now Virginia Perinatal club, focusing on training fellows on research presentations. Attendees included senior and junior faculty and fellows from the seven area neonatology programs. Jocelyn leung was initiated in the Society for Pediatric Research at the Annual PAS meeting. UMD welcomes the following New Faculty and Staff: elias Abebe is a graduate of the University of Maryland NeonatalPerinatal Fellowship Program and will join the University of Maryland as an Assistant Professor of Pediatrics. colleen Driscoll is a graduate of the Johns Hopkins University Neonatal-Perinatal Fellowship Program. Sara Mola is a graduate of the Medical University of South Carolina Neonatal-Perinatal Fellowship Program. Dina el Metwally finished her neonatal-perinatal fellowship training from Brown University. Dina has been working in Egypt and the Suez establishing new neonatal services and programs. Grants and Awards: Rose Marie Viscardi was awarded a five year R01 grant by the National Institutes of Health (NIH). This grant will fund a multicenter trial of Azithromycin to Prevent BPD. Brenda Hussey-Gardner, Assistant Professor of Pediatrics, was awarded a $211,389 grant from the Baltimore City Health Department to continue Marylands PRIDE2 which includes the Maryland's Premature Infant Developmental Enrichment Program and the Pediatric Referral for Infant Developmental Enrichment programs. Maryland's PRIDE2 is a collaborative endeavor between the Department of Pediatrics at the University of Maryland School of Medicine and the Baltimore City Infants & Toddlers Program (BITP). The purpose of Maryland's PRIDE2 is to provide a collaborative effort of identification, evaluation, and service coordination for infants in the University of Maryland Hospital for Children (UMHC) Neonatal Intensive Care Unit (NICU), who attend the UMHC NICU Follow-Up Clinic, or who receive primary health care at Pediatrics at the Harbor (PATH) who are eligible to receive early intervention services through the BITP. Gail cameron, a first year fellow, was awarded a $4,500 grant from Mead Johnson Nutrition for her research study entitled: Assessment of Pediatric Residents Performance During Difficult Conversations with Simulated Parents in a NICU Setting. laToya Bates, Director of the Center for Infant and Child within the Division of Neonatology was awarded a grant from First Candle to compare the grieving in families who lose an infant in the NICU to families who lose a baby to SIDS. This information will help her tailor interventions appropriate to the grieving process. extra special News!! The University of Maryland Childrens Hospital is designing and building a new NICU: The 52 bed single room unit will be environmentally green, provide developmentally appropriate care, and be based in family centered care. A parent will
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be able to room in with their infant at all times. To accommodate this new unit, UMB will be hiring three additional academically oriented Neonatologists in the coming year. To apply for a position, contact Dr. Cynthia Bearer, M.D., Ph.D. by email, cbearer@peds.umaryland.edu NEW JERSEY Cooper Hospital Regional Medical Center Gary Stahl was elected into the American Pediatric Society. MidAtlantic Neonatology Associates (MANA) and Goryeb Childrens Hospital in Morristown Gaines Mimms has organized the 4th New Jersey neoForum that was held June 10, 2011 at the Fiddlers Elbow Country Club in Bedminster, NJ. This highly successful meeting is sponsored by the MidAtlantic Neonatology Associates and Atlantic Health (MANA) in conjunction with the March of Dimes and the AAP Section on Perinatal Pediatrics through a District III grant. Speakers at the June Forum included: eduardo H. Bancalari, Richard A. ehrenkranz, Neil N. Finer, and Kristi l. Watterberg.The fifth Annual New Jersey neoForum will be held Friday, June 8, 2012 MANA has established a Regional Neonatal Biobank, under the direction of chris eckman and Amy Presti. They will assess the usefulness of several biochemical markers of CNS injury in predicting long term neurologic outcomes of high risk neonates. elizabeth eckman, Director of Preclinical Research at MANA, has been awarded two R01 grants from the NIH to study neurodegenerative disease. Ben lee has been awarded a grant to study the potential utility of stem cells in the mitigation of ischemic brain injury in neonatal mice. John ladino has been awarded a grant to examine the influence of a variety of methylxathines in a rat model of neonatal stroke. PeNNSYlVANIA Childrens Hospital of Pittsburgh of UPMC and Magee-Womens Hospital of UPMC Amy Urban joined the faculty in July 2010 and has been appointed Director of the NICU Bereavement Program at Magee Womens Hospital/Childrens Hospital of Pittsburgh. Jen Kloesz is collaborating with the National Perinatal Information Center on a QI project at Magee Womens Hospital to reduce the hospital readmission rate of late preterm infants. Sean Frederick has been appointed Assistant Chief Medical Information Officer at the Childrens Hospital of Pittsburgh. Toby Yanowitz is the site PI on the NIH funded grant entitled Prophylactic Phenobarbital after Resolution of Neonatal Seizures. Abeer Azzuqua has developed the UPMC NICU Survival Pocket Cards for use by Neonatology Fellows, Pediatric Residents and Neonatal Nurse Practitioners at Magee Womens Hospital and The Childrens Hospital of Pittsburgh. Kalyani Vats is the founder and yearly sponsor of the Sona Award to help poor and needy high school graduates to attain and complete a college education in Pelling,
Gayzing and Sikkim, India. charles Bender is enrolled in the Masters in Jurisprudence in Health Law Program at Loyola University in Chicago. Barbara cohlan is a coinvestigator in the clinical research study entitled Correlation of Neonatal Brain Imaging and Neurocognitive Assessment funded by NINDS, NIH and The Childrens Hospital of Pittsburgh/UPMC. Burhan Mahmood was an invited speaker at the 3rd Annual ECMO Educational Conference at The Childrens Hospital of Pittsburgh. He also presented at the platform presentation at the ECMO and the Advanced Therapies for Respiratory Failure: 27th Annual CNMC ECMO Symposium, Keystone, Colorado. Rick Telesco was an invited speaker at the Pittsburgh Chapter of Neurology Nursing Organization where he presented a lecture entitled: Induced Hypothermia for Neuroprotection in Newborn Infants at risk for Hypoxic Ischemic Encephalopathy. William Mccarran is supervising the medical student education program for the Division of Newborn Medicine. Congratulations to the graduating fellows: Misty Good received the SPR David G Nathan Award in Basic Research and SPR Fellows Basic Research Award at the PAS/SPR meeting held in Denver in May 2011. She was also the subject of a highlight in the AAP Perinatal Spotlights. Misty will be joining the Magee and Childrens Hospital of Pittsburgh faculty in July 2011. Melissa Riley will join the Magee and Childrens Hospital of Pittsburgh faculty in July 2011. Kristin Suhrie was awarded the Best Trainee Presentation at the annual meeting of the Society for Inherited Metabolic disorders. She will be joining the Neonatology faculty at UPMC Hamot in Erie, Pakarin Johnson will be joining Pediatrix in Elmira New York in July 2011. Kendra Ardell will be joining our faculty as a Junior Attending in July 2011. She graduated from the Neonatology Fellowship program at the University of Vermont and rotated for several months during her fellowship in the NICUs at Magee Womens Hospital and The Childrens Hospital of Pittsburgh. The Childrens Hospital of Milton S. Hershey Medical Center Penn State Childrens Hospital charles Palmer is pleased to announce that the Fellowship program is expecting the addition of three new fellows in the upcoming academic year. charles Palmer and Kim Haidet are beginning work involving infant massage and newborn stress as part of a large grant procured in conjunction with the Department of Immunology & Microbiology and the Department of Human Development at Main Campus. Timothy Palmer was elected to a four year term on the Penn State University Faculty Senate. Kristin Glass received a Childrens Miracle Research Grant for her work, Oropharyngeal Administration of Colostrum for Immune System Stimulation for VLBW. Fellowship notes: Deborah Reed-Thurston has
accepted a position on staff at Central Baptist Hospital in Lexington, KY. Asha Ittoop has accepted a position on staff at Harrisburg Hospital in Harrisburg, PA. The Childrens Hospital of Philadelphia The Division of Neonatology at The Childrens Hospital of Philadelphia was ranked #1 in the 2011-2012 U.S. News and World Report. Phyllis A. Dennery was appointed: Reviewer, NIH New Innovator Awards, 2011 and Member, NIH Study Section CHHD-A, 2011. Jacquelyn evans, Chair of the Childrens Hospital Neonatal Consortium Database, released its first set of data from 25 quaternary Childrens Hospital NICU's at a national meeting in St. Petersberg. The Childrens Hospital Neonatal Consortium is holding a 2-day Conference in Kansas City September 26-27, 2011 entitled, Staffing, Scheduling, Education and Training in Children's Hospitals NICUs which is open to all interested academic neonatologists. For a brochure and further information contact: evans@email.chop.edu. Susan Guttentag served as the Respiratory Cell and Molecular Biology Assembly Program Chair for the American Thoracic Society 2011 Annual Meeting in Denver, CO. Susan is stepping down as Program Director for the Neonatal-Perinatal Medicine Training Program at CHOP effective June 30, 2011. Scott lorch has been appointed Program Director for the Neonatal-Perinatal Medicine Training Program at CHOP effective July 1, 2011. Kevin Dysart has been appointed Assistant Program Director. Barbara Schmidt has been appointed to: Protocol Review Subcommittee, Eunice Kennedy Shriver NICHD Neonatal Research Network, NIH; Chair, Concurrent Research Subcommittee, Eunice Kennedy Shriver NICHD Neonatal Research Network, NIH. Mark Ogino was recently appointed to: Chair of ELSO, ECMO Specialist Credentialing Task Force; Director of ELSO Adult VV ECMO for Respiratory Failure course and Simulation Workshop in San Antonio TX. Mark produced a training video High Fidelity ECMO Simulation Training Guide with the Hanuola ECMO Program of Hawaii. Jason Stoller was elected Treasurer of the Eastern Society for Pediatric Research. Kerry Weis and Sharada Gowda have been appointed to the attending faculty in the NICU at Princeton University Medical Center. Saima Aftab and Maria Fraga who just completed their Neonatal-Perinatal Fellowship Training Program at CHOP are joining the CHOP faculty as Assistant Professors of Pediatrics. 1st year Fellows include lori Ann christ from CHOP, Hitesh Suryakant Deshmukh from SUNY, Buffalo, erik A Jensen from Columbia University, NY, Shaon Sengupta from SUNY, Buffalo, and Dan Swarr from Baylor. Graduating Fellows: Saima Aftab will be an Assistant Professor of Pediatrics at CHOP/Penn. Maria Fraga will be an Assistant Professor of Pediatrics at CHOP/Penn. Jay Patel will be joining the Division of Neonatology
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at Phoenix Childrens Hospital, Arizona. Kevin Sullivan will be joining the Division of Neonatology at Virtua Hospital in Voorhees, NJ. Ruth Seabrook will be staying at CHOP as an attending neonatologist/PL-7 completing her T32 research project. The following Neonatologists were named TOP DOCS-2011 in Philadelphia Magazine: Anne Ades, Phyllis Dennery, Hallam Hurt, and David Munson. The following Neonatologists were named by Castle Connollly, LTD as the Top Doctors who Specialize in Neonatal-Perinatal Medicine2011: Anne Ades, Phyllis Dennery, William Fox, Hallam Hurt, Janet lioy, and David Munson. The following Neonatologist were named to CHOPs Resident Teaching Honor Role: Mary cay Harris, Hallam Hurt, Haresh Kirpalani, David Munson, and Michael Posencheng. Michael Posencheg won the 2010-2011 Istvan Seri, MD, PhD Faculty Teaching Award voted by the Neonatal Fellows. Mariel Giannetta won first place at the Public Health Poster Session of The College of Physicians of Philadelphia, Section on Public Health and Preventive Medicine. Sara DeMauro and Annie Giaccone won the Patient-Oriented Research Award at The Childrens Hospital of Philadelphia 2011 Research Day. Janet lioy is the recipient of the following awards:Joanne Decker Memorial Work Life Balance Mentor Award given by CHOPs graduating residents class of 2011, and Outstanding Leadership Award Sudden Cardiac Awareness-AED Program, St. Andrew Catholic Education Center. Rebecca Simmons received the following awards: Boyd Orr Award from the Royal Nutrition Society of the United Kingdom and the American Diabetes Association Research Award. Jason Stoller received the 2011 Faculty Young Investigator Award from the Eastern Society for Pediatric Research lakshmi Srinivasan received the Junior Investigator Pilot Grant Program (JIPGP) award for her research. This award is jointly funded by the Clinical and Translational Research Center (CTRC) and the Institute for Translational Medicine and Therapeutics (ITMAT) Jeffrey Gerdes served on the faculty for the Evidence Based Neonatology Conference in Stockholm, Sweden. Phyllis Dennery was an invited guest lecturer at the Pediatric Academic Societies meeting 2010. Vancouver, BC Barbara Schmidt was an invited speaker at the National Institutes of Health Consensus Development Conference: Inhaled Nitric Oxide Therapy for Premature Infants. Bethesda, MD and Evidence-based neonatology - today and tomorrow, Stockholm, Sweden. Michael Posencheg was a guest lecturer at the 2nd International Symposium of Neonatal Medicine Respiratory and Intensive Care, Guangzhou, China and the 3rd Annual Workshop for Neonatal Respiratory Disease, Guangzhou, China. Jacquelyn evans was a guest lecturer at the
following: Grand Rounds at Sheik Khalifa Medical Center in Abu Dhabi and the Al Wasl Childrens Hospital in Dubai and invited participant at the National Medicaid and Medicare Service Symposium to improve perinatal mortality in the U.S. Haresh Kirpalani presented the following lectures: QI Webinair sessions of the Vermont Oxford Network and Hot Topics in Neonatology, Quebec City. Mark Ogino was an invited lecturer at SEECMO conference, Edmonton Alberta Canada John chuo received a grant from Artann Laboratories for his research project, Endotracheal Tube Monitors for Neonates. John received a grant from the PA Department of Public Welfare for his project entitled, Overcoming workflow barriers to medication. Sara DeMauro received a grant from The Thrasher Research Fund for: Systemic hypotension following patent ductus arteriosus (PDA) ligation: the role of adrenal immaturity (a multicenter study). Barbara Schmidt was awarded a multi-center grant from the NICHD, Clinical Center for NICHD/Neonatal Research Network and serves as the PI. Rebecca Simmons was awarded an RO1 from the NIH for her research entitled, Epigenomic, physiological and transgenerational consequences of BPA. Fellows Awards: Annie Giaccone was selected by Penn Medicines ITMAT [Institute for Translational Medicine and Therapeutics] for the Junior Investigator Pilot Grant Program. Daphne Remy and elif Ince were awarded the Mary E. Groff Charitable Trust Fellowships in Clinical Research Methods. elizabeth Foglia has been accepted into the Pediatric Hospital and Outcomes Research Training (PHEOT) Program, 2011-12. Annie Giaccone received an award for her research entitled, Quality of Reporting in Neonatal and Infant Randomized Controlled trials at CHOPs Poster Day. Thomas Jefferson University Hospital This spring the Division of Neonatology at Thomas Jefferson welcomed two new faculty members: Zubair Aghai - Director for Research. He received his neonatal fellowship training at Cornell University and came to TJUH from Cooper University Hospital-Robert Wood Johnson Medical School where he served both as the director of research and the site fellowship program director. His research interests are the role of inflammatory mediators, transcription factors and epigenetics in the development of chronic lung disease, noninvasive detection methods for GER, and non-invasive ventilation Ursula Nawab - came from the University of Texas-Houston. Her interests lie in quality improvement processes and will serve in her new capacity as Medical Director of the ICN at Jefferson. St. Christophers Hospital for Children
Maria Delivoria organized the 14th Annual A Day with the Newborn, held January 28, 2011 at St. Christophers Hospital for Children. The keynote speaker was eduardo Bancalari, from the University of Miami Miller School of Medicine who enlightened the audience with his talk entitled, Automation of Respiratory Support: Fact or Fiction? Other speakers at the symposium were endla K. Anday,Janet e. larson, Jean-Michel Hascoet, Isabelle Hamon, Daniel H. conway, and Suzanne M. Touch. Yanick Vibert was accepted at the Harvard University School of Public Health for The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy. Yanick received a scholarship for the accelerated MPH program. She will be in Boston for 9 months and will return to St. Christophers after obtaining her degree. Yanick has been active in helping the victims of the Haitian earthquake where she applied the skills she learned from becoming a Master Trainer for Helping Babies Breathe. Heather French in collaboration with Anne Ades from the Childrens Hospital of Philadelphia have organized the second annual Neonatology Fellows Boot Camp held in July for all 1st year fellows in Neonatal-Perinatal Medicine for District III. A total of 31-32 fellows are expected to attend this years session which is a 2-day training and educational experience including simulation and formal didactic teaching. The program was funded in 2010 and this year with a District Grant from the AAP Perinatal Section Nick Obiri is graduating from the SCHC neonatology fellowship program and will be joining the faculty at St. Christophers, Drexel University College of Medicine as Assistant Professor. In May 2010, the Section of Neonatal-Perinatal Medicine at St. Christophers Hospital for Children, DUCOM, presented 13 abstracts and platform presentations at the Society for Pediatric Research in Denver, CO. OnSite Neonatology David Hoffman has been selected to become a 2011 Medtronic Global Hero sponsored by the Twin Cities In Motion and the Medtronic Foundation. This program was started five years ago to celebrate runners who, with the help of medical technology, have continued to lead a full, active life and whose courage and zest for life serve as an example and an inspiration to others. David is one of 24 applicants chosen from more than 150 applicants from around the world. He will be running the Medtronic TC 10 Mile on October 2, 2011 in the Twin Cities of Minneapolis and St. Paul. DISTRIcT IV: William Walsh KeNTUcKY The Kentucky Perinatal Association held its annual meeting June 5-7 at Lake Cumberland State Park in Jamestown, KY. Speakers
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Health NICU at Forsyth Medical Center. lisa Washburns research on antenatal steroids and blood pressure of very low birth weight adolescents has received another 5 years of funding from NICHD.

Gainesville) and Gauthaum Suresh (Dartmouth-Hitchcock Hospital). The TIPQC membership has been engaged in multiple successful statewide QI projects including: (1) Sustainment of the NICU Admission Temperature Project, (2) CLABSI reduction in the NICU demonstrating a 75% statewide reduction in CLABSI; (3) Human Milk 4 NICU Babies Project (4) OB Reducing Elective Deliveries before 39 Weeks Project; (5) OB Breastfeeding Awareness. TIPQC is lead by Peter Grubb, Medical Director, Brenda Barker, Projects Manager, Susan Drummond, RN, OB Initiatives Manager and MK Key, PhD, Quality Consultant. The Monroe Carrell Jr. Childrens Hospital at Vanderbilt Congratulations are extended to claudia Florez, Maria Gillam-Krakaeur and erin Plosa on completion of their fellowship training in Neonatal-Perinatal Medicine at Vanderbilt. We also welcome our new first year fellows: Melissa leedy and Anamika Mukherjee, both from Vanderbilt and Benjamin Mackowiack from University of Washington, Seattle. The Vanderbilt Division of Neonatology was honored to have as visiting professors in the first half of 2011: lu-Ann Papille (Baylor College of Medicine/Texas Childrens Hospital), John Benjamin, (University of Alabama, Mobile), Ricki Goldstein (Duke University), Ann Stark (Baylor College of Medicine) and Patti lin (Emory University) The Vanderbilt Division of Neonatology is very pleased to welcome to its faculty Maria GillamKrakauer and erin Plosa who are both completing their fellowships in NeonatalPerinatal Medicine at Vanderbilt. We are also excited about the addition of four NICU hospitalists to our faculty ranks: Drs Patrick Holmes, Sally Monahan, Dupree Hatch and Hunter Butler. Congratulations go to the following Vanderbilt Neonatology Faculty and Fellows for their accomplishments, awards, and honors: Meg Rush was promoted to Professor of Pediatrics and is serving as Acting Chair of the Department of Pediatrics (as well as maintaining her role as Chief of Staff at the Monroe Carell Jr. Childrens Hospital at Vanderbilt). Jeffrey Reese has been awarded tenure as Associate Professor of Pediatrics at Vanderbilt. Judy Aschner is Principal Investigator of a new 5 year T-32 fellowship training grant from NHCHD entitled Preventing Prematurity and Poor Pregnancy Outcomes". Nathalie Maitre is the recipient of a 3rd year of support on the NIEHS Institutional K12 award. The Division bids a fond farewell and congratulates Mario Rojas in his new role as the Medical Director of the NICU at The Sara Lee Center for Womens Health at Forsyth Medical Center. Mario will be leaving us to join the faculty at Wake Forest University Health Sciences in September 2011. The Mildred Stahlman Division of Neonatology was ranked 11th in the nation by US News and World Report in 2011. The 83 bed NICU and academic programs of the division are supported by 30 division faculty, including 8
included David H. Adamkin, University of Louisville; Karen DApolito, Vanderbilt University; Ira H. Gewolb, Michigan State University, Don T. Granger, University of Kentucky; John D. Morrison, St. Elizabeth Healthcare (Edgewood KY); Allana Oak, St Elizabeth Healthcare (Edgewood KY); John OBrien, University of Kentucky; edward ONeill, University of Louisville; and Ruth Ann Shepherd, Kentucky Cabinet for Health and Family Services. Additionally, Amy Snell, BSN, University of Kentucky, completed her 2-year term as President of the Kentucky Perinatal Association. Pam Hodges, Western Baptist Hospital, Paducah KY, moved to the office of President and eric Reynolds, M.P.H, University of Kentucky, was elected to the office of PresidentElect. John OBrien, University of Kentucky, was elected Treasurer, the office vacated by Dr. Reynolds. Don Granger, M.P.H., University of Kentucky, completed his Masters of Public Health Degree. His capstone project was titled: Components of a Successful Model for Statewide Neonatology Quality Improvement Collaboration. eric Reynolds, M.P.H., presented his research at the Southern Society for Pediatric Research Annual Meeting. Thitinart Sithisarn, Tonia Reid, and Nino Solomon, University of Kentucky, presented their research at the Southern Society for Pediatric Research Annual Meeting, and at the PAS-SPR Annual Meeting. In May, Scott D. Duncan, MHA, Assistant Professor Division of Neonatal Medicine completed and received a Master's Degree in Healthcare Administration through the Gillings School of Global Public Health at the University of North Carolina - Chapel Hill, In April, Scott D. Duncan was inducted into the Theta Chapter of Delta Omega (Honorary Society in Public Health) for scholarship, and in July, he was promoted to Associate Professor, Division of Neonatal Medicine, Department of Pediatrics, University of Louisville School of Medicine. NORTH cAROlINA Wake Forest After 35 years of serving babies and families in northwest North Carolina, Robert Dillard, founding Section Chief of the Neonatology Section at Wake Forest, has announced that he plans to retire in June 2011. Locally, Bob established the Wake Forest regional neonatal transport team, the Infant Follow Up Program, and the NICU at the Forsyth Medical Center. Bobs service to mothers and children throughout North Carolina included tenure as the Chair of the Forsyth County Board of Health and serving as the Chair of the Governors Commission for the Reduction of Infant Mortality. In his honor, the Neonatology Section has established the Robert G. Dillard Resident Award which will be awarded to the pediatric resident at Wake Forest School of Medicine who best exemplifies Bobs commitment to familycentered care of hospitalized neonates. Mario Rojas, MPH, will be joining the faculty of Wake Forest School of Medicine in September 2011. Rojas will assume the role of Medical Director at The Sara Lee Center for Womens
Michael OShea is a new member of the Data Safety Monitoring Committee for the NICHD Neonatal Research Network. He recently completed the Helping Babies Breathe Master Training. He is the Co-Principal Investigator for the NIH-funded ELGAN-2 Study. Five Wake Forest faculty lisa Washburn, Jennifer Helderman, Qing Yang, Peter Porcelli, and Michael OShea - presented research findings at the Pediatric Academic Societies 2011 Meeting in Denver, CO. laura Raynor, a former ECU resident, joined us as our newest faculty member last July, having completed her fellowship in Charlottesville, VA. Danielle Walsh, from Jacksonville Fl, will be joining us as our 2nd Pediatric surgeon this July. June 14th was the groundbreaking ceremony for the new James and Connie Maynard Childrens Hospital, following their recent gift of $9 million to the project and an additional $1.5 million for an endowed chair in pediatrics. This fall we will continue our collaboration with Harvard on a continuation of the multi-center ELGAN trial, which recently received a 5-year award from the NIH. Our neonatal-perinatal fellowship program continues to thrive. This year we graduated three senior fellows, one of whom will be staying on to complete his pediatric residency. In addition, following last winters site visit, we received a full 5-year re-certification from the ACGME, with not a single concern, warning, or citation! TeNNeSSee The Mildred Stahlman Division of Neonatology at Vanderbilt University will host the 31st annual neonatology symposium - Advances and Controversies in Neonatal Medicine. This years conference will be held on Thursday and Friday, November 3-4, 2011 at the Hilton Garden Inn in Nashville, TN. Please join Course Directors Jayant Shenai and Steven Mcelroy and a distinguished invited faculty, which includes camille Fung (University of Utah School of Medicine), Alistair Philip, (Stanford School of Medicine) Richard Schanler (Hofstra University School of Medicine), Ronald Sokol (University of Colorado School of Medicine), Jeffrey Whitsett (University of Cincinnati College of Medicine) for what promises to be an outstanding educational program. Tennessee Initiative for Perinatal Quality Care (TIPQC) hosted its 4th Annual Meeting, attended by nearly 300 stakeholders from across TN and surrounding states. Our featured speakers this year included the former Governor of TN, Phil Bredesen, Dr. Robert lawrence (Shands Hospital, University of Florida,
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NIH-funded investigators with over $14 million in extramural grant support. DISTRIcT V: Michele Walsh INDIANA University of Indiana, Riley Childrens Hospital The First Annual Indiana University Neonatology Symposium was held in conjunction with the 46th Annual Riley Hospital for Children Pediatric Conference in Indianapolis on May 24th. The conference included presentations by Dr. Steven Abman from the University of Colorado, Dr. Robert White from Memorial Hospital in South Bend, Indiana, and Drs. Men-Jean lee and Brenda Poindexter from Indiana University. A variety of workshops were also offered including simulation in Neonatology and non-invasive ventilation techniques in the NICU. The Section of Neonatal-Perinatal Medicine at Indiana University is thrilled to welcome two new faculty members. Dr. Shawn Ahlfeld and Dr. liz Wetzel will both be joining the Section in July. Dr. Ahlfeld completed his fellowship training at IU during which he was the recipient of the Morris Green Research Fellowship and the Midwest Society for Pediatric Research Metcoff Award. Shawn has secured a K12 award to continue his studies investigating the arrest of alveolar development in neonatal lung disease. Dr. Wetzel completed her fellowship training at Cincinnati Childrens; she will continue her research in use of simulation to improve outcomes in the NICU. MIcHIGAN University of Michigan The Holden NICU at C.S. Mott Childrens Hospital joined the NICHD Neonatal Research Network as a satellite site to Wayne State University, and began enrolling patients in November 2010. Neonatology Faculty: Mohammad Attar will be promoted to associate professor in September. Karl Desch was recently promoted to assistant professor. Steven M. Donn was: Course co-director, 19th Annual Middlesbrough International Neonatal Conference and Advanced Ventilatory Workshop, and Visiting Professor, The James Cook University Hospital, University of Durham, England; re-appointed Chair, AAP Committee on Medical Liability and Risk Management; and appointed as alternate Medical Specialty representative to the National Practitioner Data Bank. New faculty: Kate Stanley (Sheridan Healthcare of New Mexico, Lovelace Womens Hospital, Albuquerque, New Mexico) was appointed to the position of Clinical Assistant Professor in June 2011, following recent faculty additions Rachel chapman (09, from Yale University, associate professor), Naomi laventhal (09 from University of Chicago, lecturer), and Rebecca Vartanian (10 from University of Michigan, lecturer). Graduating neonatal fellows: Win Boon will be joining the neonatology practice at Parkview Hospital in Fort Wayne, Indiana. Aaron
Swenson will be joining Minnesota Neonatal Physicians P.A. at Childrens Hospitals and Clinics of Minnesota-Minneapolis and Abbott Northwestern Hospital. Senior fellow Scott Schachinger will graduate in June of 2012. NICU hospitalists: Jessica Fealy, Aimee leyton, Anna little, Arika Gupta, and Katherine Auger (RWJ Clinical Scholars Program) will join Amanda long (head neonatal hospitalist), Sana Ahmed, and christine Stahle as faculty this summer. Sara Smith will be relocating this summer and continuing work as a pediatric and adult hospitalist at the University of Illinois at Chicago. Children's Hospital of Michigan and Hutzel Women's Hospital; Wayne State University Fellow Graduates for Wayne State University 2011: Nimisha Gupta, MD, Namrata Sud, MD, Roopali Bapat, MD Participants are invited to attend the 2011 Society of Michigan Neonatologists Conference, on September 28, 2011, at Crystal Gardens Banquet Center, Brighton MI. The Guest Speaker will be Richard Polin, MD. We will also sponsor the 9th Annual Enrique Ostrea Lectureship, on Nov. 3-4, 2011, at Hutzel Women's Hospital and Children's Hospital of Michigan, Detroit, MI. Guest Speaker David Adamkin, MD will speak on Adult Outcomes of Early Neonatal Nutrition. OHIO Columbus Pediatrix Medical Group Dr. Juli Richter is the most recent addition to the 11 neonataologists in the Columbus Pediatrix Medical Group Practice. She finished her neonatology fellowship at the Nationwide Children's Hospital in the summer of 2010. Later this summer, the practice will also be welcoming Dr. Joshua Goldberg, who will also be out of Nationwide Children's, and Dr. chrissy Sarlone who is finishing her fellowship at the Cincinnati Children's Medical Center Neonatology Program. Dr Randy Miller continues as the Medical Director of the Nationwide Children's NICU at Mt. Carmel St. Ann's. Dr. John Seguin continues as the Medical Director of the Nationwide Children's SCN at Dublin Methodist Hospital. Dr. Patrick Wall, though curtailing some of his clinical responsibilities, will be continuing on as the Medical Director of the Nationwide Children's NICU at Riverside Methodist Hospital. Dr. Nancy Hansen is stepping down from her post as the Chair of Pediatrics at Riverside Methodist Hospital. She will be replaced by another member of the practice, Dr. Margaret Davis. Nationwide Childrens Hospital In May 2011 Nationwide Childrens Hospital was one of four hospitals to receive recognition for successful improvement projects by the Child Health Corporation of America (CHCA). The Neonatal Services Teams entry in the Waste Reduction Category, Neonatal Care Collaborative to Decrease Length of Stay received Honorable Mention for their efforts in decreasing length of stay in the Neonatal Intensive Care Unit (NICU). Central Ohio Newborn Medicine
Anthony Theile D.O., recently trained neonatologist from Louisville, will be joining the practice of Central Ohio Newborn Medicine in Columbus, Ohio beginning July 1, 2012. The current physicians in the group are craig W. Anderson M.D., Richard Moraille, M.D., Barry Halpern M.D., Apurwa Naik M.D., Andrew Barden M.D., Beth Baisden M.D. and Sarah corriveau M.D. Rainbow Babies & Childrens Hospital Richard Martin, holder of the DrusinskyFanaroff Endowed Chair in Neonatology at Rainbow is stepping down as Division Chief at Rainbow after serving in that role for 13 years and previously as Division Co chief since 1985! He will continue to play an active mentorship role at Rainbow, provide leadership for the NIH funded respiratory neurobiology research program, and be a role model grandparent. At the international level he co-chairs the annual Bangkok International Neonatology meeting, and in 2012 has been an invited speaker in Portugal, Egypt, Italy and Germany. He is delighted that his colleague of many years Michele Walsh is assuming the role of Division Chief of Neonatology at Rainbow and looks forward to many more years of a productive collaboration. The Division at RB&C is also pleased to have welcomed the following faculty: Moira crowley, MD Dr. Crowley graduated from fellowship at Childrens Hospital of Philadelphia and joined the faculty where she will focus her career as a clinician-educator. Mary elaine Patrinos, MD joins the division from New Mexico. Dr. Patrinos will join our clinical practice and serve as Co-Director of NNPs. Prasad Achanti, MD joins RBC as Director of Western Neonatology Operations. Dr. Achanti most recently practiced at The Cleveland Clinic Foundation Fairview Hospital. Peter McFarland, PhD has joined the faculty as a Researcher in our Respiratory Neurodevelopment core. Dr. McFarland recently completed his post-doctoral training at University of Wisconsin in Madison. The division bids farewell to Dr. Kara Driver who will return home to University of Mississippi in Jackson where she joins the faculty as an Assistant Professor and will focus on Neonatal Outcomes. Toledo Childrens Hospital Howard Stein, M.D. presented on Neurally Adjusted Ventilation (NAVA) in the Neonate at the 'Spanish Pediatric Intensive Care Congress' in Salamanca, Spain in May 2011. Howard Stein, M.D. and Kim Firestone, BS, RRT from Akron Children's Hospital NICU presented a NAVA symposium at the 'White Nights Neonatal Conference' in St Petersburg, Russia in May 2011. ONTARIO McMaster University Saroj Saigal was awarded the 2011 Douglas Richardson Award at the Pediatric Academic Society Meetings for her ground breaking
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IOWA Mercy Medical Center, Des Moines

was appointed Vice Chair of Perinatal Services, Department of Pediatrics. Felix Okah was appointed Assistant Dean of Career Advising at the University of Missouri Kansas City School of Medicine in 2011. Gary Pettett was selected as president of the Missouri State Medical Association (MSMA) for 2011-12. Winston Manimtim was a guest lecturer in Spring 2011 in the Philippines, invited by the Society of Newborn Medicine. Vydehi Murthy and Kimberly Thornton are the two new neonatology/perinatology fellows at CMH, beginning in July 2011. Danielle Reed will be completing fellowship and will join the neonatology faculty at CMH in October 2011. NeBRASKA Children's Hospital and Medical Center, Omaha Children's Hospital and Medical Center in Omaha will host "New Frontiers in Neonatal Medicine on October 7. Guest speakers will be Jay Goldsmith and Joel Frader. Registration and conference information can be obtained by e-mailing solsen@childrensomaha.org Nicole Birge will finish her fellowship in Minnesota and join the University of Nebraska and Children's Hospital and Medical Center Neonatology group in July. WIScONSIN University of Wisconsin The Division of Neonatology at the University of Wisconsin-Madison, and the Meriter Hospital NICU, are pleased to welcome new neonatologist, Jamie limjoco, who is joining after completion of fellowship at the University of Southern California and Children's Hospital of LA. DISTRIcT VII: William engle The AAP District VII Perinatal Section met on February 18, 2011, at the InterContinental Hotel, New Orleans, LA in conjunction with the Annual Meeting of the Southern Society of Pediatric Research (SSPR). This meeting was entitled the 10th Annual Red Hot "Chili" Topics Symposium. The purpose was to offer an educational and informational meeting for AAP Perinatal Section District VII members and guests. The theme for the 2011 meeting: No Guts, No Glory: Prevention and Treatment of Neonatal Short Bowel. Akil Maheshwari, M.D., University of Illinois at Chicago spoke on Necrotizing Enterocolitis: A Fresh Perspective and enrico Benedetti, M.D., FAcS, University of Illinois at Chicago presented Living with a Short Gut: Options for Intestinal Rehabilitation and Transplant. This Meeting is supported through a restricted educational grant from Abbott Nutrition, Abbott Laboratories, Inc. and by funding from the AAP Perinatal Section. In addition, attendees were given an update of the current events of the Perinatal Section and were given the opportunity to discuss or present items relevant to Perinatal Care and/or District VII business
contributions to Neonatal Outcomes Research particularly Quality of Life Assessments from the viewpoint of the surviving VLBW. Reg Sauve was awarded the 2011 Distinguished Neonatologist Award from the NeonatalPerinatal Section of the Canadian Pediatric Society. DISTRIcT VI: Howard Kilbride SAVe THe DATe: DISTRIcT VI PeRINATAl PeDIATRIcS MeeTING: Controversies in Neonatal Clinical Care to be held at the Hyatt Regency in Chicago, Illinois, on September 1617, 2011. Friday morning concurrent sessions will include the fellows session: Neonatology: The Long View and Mapping a Career in Neonatology (John Hartline and Kathleen Weatherstone), and Billing and Coding Update (ed leichty), with Maintenance of Certification: The View from SoPPe (DeWayne Pursley). At the Friday luncheon, DeWayne Pursley will discuss Section activities nationally, including opportunities and benefits of membership, and Joshua Petrikin will discuss the formation and evolution of the District VI Association of Neonatologists. Afternoon topics will include an update on PPHN and HIE and Therapeutic Cooling (Robin Steinhorn), and an overview of iNO Use in Preterms (William Truog). Saturday sessions will focus on topics related to neonatal nephrology, early onset GBS infection, human milk banking, breast feeding preterms, palliative care in the NICU, and NRP guideline updates. Speakers include Joel Frader, Tarah colaizy, Kumar Praveen, Jennifer Jetton. The Saturday luncheon will offer a debate between Bill Meadow and Joel Frader, moderated by John lantos, on Reviving the Slow code in the NICU. For more information and registration, visit www.medpubinc.com IllINOIS University of Illinois at Chicago Dharmapuri Vidyasagar, Prof Emeritus Dept. of Pediatrics, University of Illinois at Chicago, has been awarded a Fulbright-Nehru Visiting Lecturer grant for 4 months (October 2011- Jan 2012) to teach at Science Health Allied Research Education (SHARE) Hyderabad, AP India.The Fulbright-Nehru grant is jointly funded by the United States and Government of India. His activity and lectures will focus on development of regional perinatal programs, postgraduate education, and development of research programs. He has invitations to visit several medical institutions, including AIIMS in Delhi, PGI in Chandigarh, JIPER in Pondichery, BJ Medical College in Ahmedabad, Indira Gandhi Institute of Child Health in Bangalore, KLES University in Belgaum, India. Northwestern University at Chicago Molly Ball, third-year fellow at Northwestern, won the Fellow's Basic Science award at the PAS meetings this year. Her study was entitled: Smooth Muscle Knock-Out of HIF-1 in the Pulmonary Circulation Attenuates Vascular Remodeling and RV Hypertrophy in Chronic Hypoxia. Coauthors were Robert W. Dettman and Paul T. Schumacker.
Teri Wahlig has left and Joan Nold joined the practice at the Variety Club NICU at Mercy Hospital in January 2011. Dr. Nold completed pediatric residency at the University of Iowa and neonatal fellowship at the University of Minnesota. KANSAS Stormont-Vail Healthcare, Topeka Sue Hall is author of a book entitled FOR THE LOVE OF BABIES: One Doctors Stories About Life in the Neonatal ICU, published by WorldMaker Media, and available on amazon.com and barnesandnoble.com. The book relates 16 compelling stories about individual babies and their families as they journey through the NICU, and also provides more than 100 references from the medical literature that help to provide context and depth to the medical, social, and ethical topics which are woven into the stories. In addition, numerous web resources are presented for parents or professionals who wish to learn more or who wish to connect with others around specific topics. More information on her web site: www.suehallmd.com. MINNeSOTA University of Minnesota The University of Minnesota Amplatz Children's Hospital moved into a new home in April 2011 featuring all-private, 390-square-foot rooms in a state-of-art building housing the medical, surgical, PICU, CVICU, and BMT wards. The University of Minnesota added two new neonatal faculty members in 2010. erin Stepka completed her fellowship in neonatal-perinatal medicine at Rainbow Babies and Children's in Cleveland, OH in 2005. She then joined the NICU staff at Fairview Hospital, a Cleveland Clinic facility, and was there until 2010 when she joined the faculty at Minnesota. Erin joins Mary Pylipow and Nancy Fahim to make up the core clinical team for the NICU program at two affiliated hospitals, North Memorial and Maple Grove. Sara Ramel joined the faculty in November 2010 after completion of her neonatal-perinatal medicine fellowship at the University of Minnesota. MISSOURI Childrens Mercy Hospitals & Clinics, Kansas City Childrens Mercy Hospital was selected to participate as a clinical center in the NICHD Neonatal Research Network, beginning April 2011. Bill Truog is site principal investigator. For the third consecutive period, the Children's Mercy ECMO program has been awarded the ELSO Excellence in Life Support Award, effective until 2012. Jean Pallotto is the neonatology medical director of ECMO at CMH. The Fetal Health Center (FHC) at Childrens Mercy Hospital initiated delivery service within the childrens hospital for pregnant women with identified serious fetal anomalies in March 2011. Howard Kilbride is co-director of the FHC, and
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with Perinatal Section Representative(s). ARKANSAS University of Arkansas for Medical Sciences/Arkansas Childrens Hospital, Little Rock Ashley S. Ross, NPM Fellowship Director, won the University of Arkansas for Medical Sciences 2011 Residency Educator of the Year Award. The award is given annually to a fellowship and residency program that demonstrates excellence in graduate medical education. Jeffrey R. Kaiser was invited to speak at the Shaare Zedek Medical Center, Division of Neonatology, in Jerusalem, Israel in October, 2010. Dr. Kaisers mentee, Xiawei Ou, PhD, recently won the prestigious International Society for Magnetic Resonance in Medicine, Seed Grant for Combining Diffusion Tractography and fMRI. elizabeth Kim, NPM fellow, won the Best Abstract Award at the 2011 UAMS Department of Pediatric Fellows Day which is an opportunity to highlight scholarship of pediatric fellows across the Arkansas Childrens Hospital campus and is supported by the UAMS Department of Pediatrics and the Arkansas Childrens Hospital Research Institute. The following NPM fellows received grant support for their research: Dawn Reeves and Amy Brunt. New faculty in the Section of Neonatology starting July 1st include: carrie Brown, Assistant Professor, Medical Home/Palliative Care; elizabeth Kim, Assistant Professor, Neonatologist; and Jennifer Purvis, Assistant Professor, General Pediatrician lOUISIANA Winston Koo has joined LSU Health Sciences Center, Shreveport in April 2011 as Chief of Neonatology and Professor of Pediatrics. His expertise includes bone mineral and vitamin D metabolism in neonates. He is a member of the Society for Pediatric Research, Pediatric Academic Society and several nutritional and bone societies. He was the past president of the American College of Nutrition, and medical Director at Hutzel Hospital at Wayne State University in Detroit, MI prior to joining LSUHSC-S. MISSISSIPPI Jack D. Owens of Newborn Associates in Jackson notes that the Mississippi Perinatal Association, a multidisciplinary perinatal health advocacy/education organization, has been reestablished. This organization had been active in the past, but became inactive and shut down about 10 years ago. A well attended single-day conference was held in March within 6 months of getting the organization up and running. This was accomplished with an educational grant from MedImmune and organizational/ administrative help from St Dominic's Hospital, in Jackson. The group seeks membership enrollment from perinatal and primary health care professionals, public health professionals, parents and parent advocates, health care industry leaders, academicians and community professionals, public and private practitioners,
etc. Dr. Owens is the president and contact person for those interested in joining (owens92@bellsouth.net; alternative contact: Monie Weeks, MPA Secretary, mbgmonie@comcast.net). OKlAHOMA Newborn Specialists of Tulsa Newborn Specialist physicians have been reappointed as teaching faculty for the Department of Pediatrics and OB/GYN at the Oklahoma University College of Community Medicine and Department of Pediatrics at Oklahoma State University Center for the Health Sciences. Members of the group are craig Anderson, Rachel Davis-Jackson, Michael R. Gomez, Angela Karathanos, Robert lawson, Michael lenhart, Shamim A. Malik, lisa Owens, Raymond Sanders, and Parker Simon. All are Adjunct Clinical Assistant Professors at Oklahoma State University. The Eastern Oklahoma Perinatal Center at Saint Francis Hospital in Tulsa, OK, has moved into its new 50 bed single patient room NICU and has been re-named The Henry Zarrow NICU at The Childrens Hospital at Saint Francis. The NICU recently unveiled a plaque honoring the support and philanthropic work of Mr. Zarrow at the Childrens Hospital. The unit has an 8 bed transitional nursery making the total bed capacity 58. The NICU includes active transport, inhaled nitric oxide, ECMO, CV surgery and body cooling programs. The Hillcrest Neonatal Intensive Care Unit in the Peggy Helmerich Womens Center, directed by lisa Owens, has expanded its treatment capabilities to include the use of inhaled nitric oxide and whole body cooling. Parker Simon joined Newborn Specialists. Newborn Specialists is an active participant in the clinical trial of Inhaled Nitric Oxide to Prevent BPD in Extremely Preterm Infants (NEWNO) with Michael R. Gomez serving as the Principle Investigator, Raymond Sanders as Co-Investigator and Jennifer lorton, MSN, ARNP as Clinical Research Coordinator. Newborn Specialists has assumed responsibility for staffing the Freeman Health System NICU in Joplin, Missouri, which was established and directed by Dr. Michael Porte for the last 17 years. Dr. Porte is relocating to another position in Ohio and his hard work and dedication are greatly appreciated. University of Oklahoma Arlen Foulks and Hala chaaban are new faculty this academic year. Dr. Foulks completed his Fellowship at both the OU Health Sciences Center and the University of Texas Medical Branch. He completed his Residency at Oklahoma State University Center for Health Sciences. In August 2011 Dr. Chaaban will join the team following the completion of her residency at the University of Maryland Medical Center. She completed her Fellowship at Brown University. Marjorie Markoni starts July 1 as a Fellow, following her residency at the University of Toledo. Dr. Marilyn escobedo was invited to speak on
Evidence-based Neonatal Pain Management at Evidence-based Neonatology Today and Tomorrow, Stockholm, Sweden, June 2011. She also served as an external examiner at the United Arab Emirates University Medical School at Al Ain, June 2011. Mary Anne Mccaffree served as Chair, and Coordinator of the first Child Health Plan for the State of Oklahoma, 2011. Rita Raman was invited to speak on five nutrition related topics at the First Annual MEAP Congress, Dubai UAE, April 2011. She was also an invited speaker on Rule of Nutrients in Tolerance, Barranquilla, Columbia; Cali, Columbia; Medellin, Columbia, February 2011. New grants include an NIH COBRE award, The Role of SP-A in Oxygen Induced Retinopathy awarded to Faizah Bhatti (PI); and OUHSC College of Medicine Alumni Association grant, A Pilot Study Evaluating Biomarkers in Necrotizing Enterocolitis awarded to Shelly lawrence (PI). TeXAS Baylor College of Medicine Vivek Vijayamadahavan (Third year NPM fellow) and Krithika lingappan (Second year NPM fellow) were awarded PAS Travel Grants. Xanthi couroucli presented at The 26th Asia Pacific Academy of Ophthalmology Congress, Sydney, Australia, March 2011. Angela Flores received the Arnold J Rudolph Award for outstanding 3rd year NPM Fellow. Bhagavatula Moorthy was awarded Grant 2R01ES009132-09A2 06/23/11-02/29/16. Molecular mechanisms of cytochrome P4501A1 expression. The major goals of this project are to determine the mechanisms of sustained induction of CYP1A1 in liver and other tissues by polycyclic aromatic hydrocarbons. Other activities included a keynote lecture at the International Conference and Exhibition on Pharmaceutical Biotechnology, Hyderabad, India, June 2011 lucille A. Papile has retired from her position at the College. Danielle Rios received the Thrasher Research Fund Early Career Award. Alina Saldarriaga, a graduating fellow from the Baylor Neonatal-Perinatal Fellowship program, was appointed Assistant Professor of Pediatrics, Baylor College of Medicine as of July 1, 2011. Michael e. Speer was elected President-elect of the 45,000 member Texas Medical Association (TMA) on May 14, 2011. Dr. Speer will assume the Presidency of TMA May 2012. In the capacity of President-elect he was a participant in the 6th Annual Border Caucus meeting in Washington, DC, June 21-23, 2011. leonard Weisman received the Alkek Award for Pilot Projects in Experimental Therapeutics. He also presented at the European Society for Pediatric Infectious Diseases Meeting, in Hague. Netherlands, June, 2011. UT Houston eric eichenwald has joined the faculty as an Associate Professor. In July he gave the keynote address at the REASON Conference in
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A review group, December 7-9, 2010.

The following Fellows in NPM have received grant support: Vishal Kapadia, Nathan Sundgren, John eric Sparks, and Michel Mikhael. Dr. Kapadia was selected for platform presentation at Perinatal Pediatrics 77th Perinatal Developmental Medicine Symposium Nov 11-14, 2010 Dr. Kapadia, Dr. Sparks, Maria Afandor, Tara DuPont, and Joshua Frankfurt all gave excellent presentations at the 2010 South Central Conference on Perinatal Research, Austin, TX. Dr. Afanador was selected as one of the TECan spotlight trainees. The Parkland NICU Resuscitation Team was honored as Annual Health Care Heroes by The Dallas Business Journal. The ARCH program was recognized as Service Excellence Champions by Childrens Medical Center. The Sibling Visitation Program in the Parkland NNICU was featured on the local NBC affiliate. DISTRIcT VIII: Renate Savich AlASKA The NICU at The Childrens Hospital at Providence Alaska received the John M Eisenberg award for patient safety & quality by the National Quality Forum and the Joint Commision for its innovative work on eliminating catheter related blood stream infections in the NICU. ARIZONA Diamond Children's Medical Center/University Medical Center at the University of Arizona Diamond Children's is the only academic children's hospital directly related to a College of Medicine in Arizona. We have been very active in recruitment and have a stellar group of young energetic faculty. On board for a year, Ranjit Kylat joined us from the University of Tennessee - Memphis. This past January, Joe livingston who recently completed fellowship at the University of New Mexico moved to Tucson. This April, Mo Bader joined our faculty after completing fellowship at the University of Connecticut. And to round out our group, Rachel Garner will be joining us this July from the University of Florida. The Section continues to be very active in NIH funded activity in the pathogenesis of neonatal necrotizing enterocolitis. cOlORADO liz Thilo was recently been named to the NeoReviews Plus Editorial Board. Thank you to the Colorado Chapter of the AAP for their support of her nomination to this endeavor! Dan Satterwhite, Amy MacRitchie, and Jan Paisley provide Neonatology Coverage for Poudre Valley Health System (PVHS)in Northern Colorado. In late June the University of Colorado Hospital signed a non-binding letter of intent with Poudre Valley Health System to develop a joint operating agreement for their hospitals. The arrangement could have great benefits not just for patient care but for the research and education that are additional foci of the medical school. Poudre Valley Health
Coventry, England on Prevention of Central Line Associated Infections and in December he spoke on Adjunctive Therapies to Prevent BPD and Cardiopulmonary Interactions in Difficult to Ventilate Newborns at the Federation of Asian and Oceanic Perinatal Societies in Delhi, India. Dr. Eichenwald will be assuming the role of Division Director, Neonatal-Perinatal Medicine on July 1, 2011. Also, he has also been named Assistant Dean for Children's Health Care Quality at UTHealth. He was an invited speaker at the 4th Annual Neonatology Symposium sponsored by the Colombian Neonatology Society in Bogota, Colombia in June, 2011. Ursula Nawab is a recent graduate of the UTHouston Quality and Safety Academy. Polina Gelfer is a recent graduate of the UTHouston Quality and Safety Academy. Susan e. Denson was recognized as the Medical Honoree at the March of Dimes Signature Chefs Gala in Houston. Dr. Denson will be retiring at the end of this academic year after more than 35 years of service to the University, Childrens Memorial Hermann Hospital, and the American Academy of Pediatrics. She was honored at a retirement gala attended by colleagues, former trainees, friends, family and former patients and their families at the hospital in June, 2011. Amir Khan is President-elect of the SSPR. Jon Tyson was presented with the Presidents Scholar Award for Teaching in April, 2011, the highest academic honor for faculty at the medical school. Kathleen Kennedy spoke on Use and Misuse of Subgroup and Secondary Analyses in Clinical Trials at the NIH Consensus Conference on Inhaled Nitric Oxide Therapy for Premature Infants in October, 2010. Patrick Jones was presented the 2010 - 2011 Dean's Teaching Excellence Award for his teaching of fellows and residents at UT Houston. John chapman and chiamaka Aneji, both graduates of the UT Houston Neonatal-Perinatal Medicine Fellowship Program, will be joining the faculty in July, 2011. Dr. Chapmans interest is in Information Technology and electronic medical records, and Dr. Aneji will be devoted to the educational program in neonatology for the UT Houston pediatric residents. UT Southwestern, Dallas We are welcoming five new members of the NPM Division in 2011: James Moore (Emory), Venkatakrishna Kakkilaya (LSU Shreveport), J. Wells logan (UNC), Natalie Frost (UTSW) and Vishal Kapadia (UTSW). Dr. Moore will serve as Director of the Childrens Medical Center NICU (the CMC NICU opened several years ago and recently was ranked 19th best in the country by US News & World Report). The UTSW Neonatal Research Network grant received funding for another 5 years. Congratulations to Pablo Sanchez, luc Brion, Roy Heyne and many others. liz Heyne completed the extensive requirements for her doctoral program. charles Rosenfeld served as grant reviewer for the Canadian Institute of Health Research, Clinical
Kaili Stehel was voted Chair-Elect of the Board of Directors for the International Board of Lactation Consultant Examiners (IBLCE). Also, she is Chair of the Examination Committee, responsible for the creation of the IBLCE examination. IBLCE is the global authority that determines the competency of practitioners in lactation and breastfeeding care and is celebrating its 25th year in 2010. In addition, Dr. Stehel was selected to be Co-Chair of the Texas Pediatric Society Fetus and Newborn Committee. Myra Wyckoff gave a workshop Basic simulation set-up and facilitation NRP Current Issues Seminar, and an address Delivery room management and initial stabilization of the ELBW infant both at the 2010 NCE AAP held in San Francisco, CA in October 2010. In June 2011 she was elected Co-Chair of the American Academy of Pediatrics Neonatal Resuscitation Program Steering Committee. Also, she was chosen as one of the two Faculty Mentors of the Year by the CMC Housestaff for 2010-11. Dr. Wyckoff and Rashmin Savani were awarded a grant from Ikaria to study iNO in piglet asphyxia. Rashmin Savani received the 2010 Perinatal Physician Excellence Award from March of Dimes. Pablo Sanchez gave presentations at the XXII Curso Internacional de Pediatra, Via del Mar, Chile, September, 2010, II Congreso Internacional de Infectologa Peditrica y Vacunas, Buenos Aires, Argentina, and the XX Brazilian Congress of Perinatology, Rio de Janeiro, Brazil, November 21010. Philip Shaul, Divisions of Neonatal-Perinatal Medicine and Pulmonary and Vascular Biology (PVB) and chieko Mineo (PVB) recently authored two important manuscripts in The Journal of Clinical Investigation.The Dean of UT Southwestern Medical School awarded Dr. Shaul an endowed chair, entitled: Associates First Capital Corporation Distinguished Chair in Pediatrics Dr. Shaul spoke at the NIH Consensus Development Program, Bethesda, MD, Oct, 2010, was a keynote speaker for the 30th Annual Pratt Lectures, Cincinnati Childrens Medical Center, and Boston Childrens Hospital, Harvard Medical School, Research Poster Symposium, June 2011. Victoria Ulrich, a graduate student in the Integrative Biology Program and a trainee in Dr. Shauls lab, was selected as a recipient for the 42nd Annual Sigma Xi abstract honor. Julie Mirpuri was awarded a CCRAC (Childrens Clinical Research Advisory Committee) Grant for 2 years. In addition, she was awarded the Childrens Health Research Career Development Award (K12). emily Osier received a grant from UT System for Patient Safety and Medical Education. The focus is on improving patient handoffs between the residents and evaluating if improved handoffs can decrease adverse events for patients. Bill engle was re-elected to the Executive Committee of the Section on Perinatal Pediatrics.
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System is made up of two acute-care hospitals (Poudre Valley in Fort Collins and Medical Center of the Rockies in Loveland, which itself has a partnership with Regional West Health Services in Scottsbluff, Neb.) and a network that provides care across a 50,000-square-mile area that encompasses northern Colorado, Nebraska and Wyoming. HAWAII Kapiolani Medical Center for Women & Children Kenneth Nakamura was recently named the Chair of Pediatrics, University of Hawai'i, John A. Burns School of Medicine. Dr Nakamura will continue his role as Chief Medical Officer of Kapi'olani Medical Specialists. Venkataramam Balaraman has stepped down as Division Head of Neonatology to begin his new position as Vice Chair of Pediatrics, John A. Burns School of Medicine, University of Hawai'i charles Neal has been named the new Division Head of Neonatology at Kapi'olani Medical Center for Women and Children and the Department of Pediatrics, University of Hawai'i, JABSOM. He will continue his role as Medical Director of the NICU at KMCWC. The University of Hawaii School of Nursing along with UCSF successfully completed a two year NeoRisk program funded by a HRSA grant to train NNP's. The three regional NICU's on Oahu were the primary clinical site for training of the students in addition to UCSF. There were a total of four graduates of the program last year with two of them now working at Kapiolani Medical Center for Women and Children with a third graduate just completing her certification requirements and will join the KMS medical group in September. Tripler Army Medical Center Sherreen Batts and Thornton Mu have completed their Neonatal-Perinatal Medicine training at the joint Fellowship Program at Tripler Army Medical Center and Kapi'olani Medical Center. Batts will be a staff neonatologist at Womack Army Medical Center, at Fort Bragg, NC. Mu will remain at Tripler Army Medical Center as a staff neonatologist. In addition, Mu was elected to serve as the AAP Uniformed Services Chapter West Community Access To Child Health (CATCH) Grant Facilitator NeW MeXIcO Upcoming meeting: 2011 Amazing Newborns Conference Optimizing Outcomes for Late Preterm Infants: A Little Baby with Big Needs November 9-11 2011 Albuquerque Marriott Uptown Dale Alverson is continuing to work internationally to develop programs incorporating telehealth that can address United Nations Millennium Development Goals #4 and #5 to decrease significantly children's mortality under age 5 and decrease maternal mortality. They are seeing increasing interest and sophistication in addressing neonatal issues as well as demonstrated by this photo from a hospital in Nepal foothills of the Himalayas outside Kathmandu. Dr Alverson notes As you know there are opportunities to share
knowledge and expertise between many countries in the global community using the telehealth technologies. Janell Fuller was appointed Interim Division Chief of Neonatology at the University of New Mexico. Ron Poland is continuing as a member of the editorial/writing board of NeoReviewsPlus. Renate Savich has received NIH grant support for 4 formative research projects related to the National Childrens Study. Dr. Savich is one of the Co-Investigators for the University of New Mexico Study Center. She was also appointed to the editorial board of NeoReviews. Kristi Watterberg was faculty for the 2011 Salzburg Columbia Seminar in Maternal & Infant Health May 15 - 21 (sponsored by the Open Medical Institute, a program of the American Austrian Foundation), and presented topics on prenatal inflammation; postnatal steroid use; relative adrenal insufficiency; treatment of hypotension. Dr. Watterberg has stepped down as Division Chief for the Division of Neonatology at the University of New Mexico. In addition, the Fellowship program had 3 graduating senior fellows: Allison livingston, now at the Tucson Medical Center in Arizona, Joseph livingston, now at Arizona Health Sciences Center in Tucson, and Ken Richardson, now at Utah Valley Regional Medical Center in Provo. Tara DuPont will be joining the faculty at the University of New Mexico, after finishing fellowship at University of Texas. OREGON Eugene Douglas leonard continues to expand the simulation-based NRP training at Sacred Heart Riverbend and at our referral centers through outreach. Igor Gladstone received the Osternig award from the University of Oregon for clinical teaching in human physiology. WASHINGTON John Mulligan, the founder of the Level III NICU at Tacoma General Hospital, Tacoma, WA has retired as of June 24th after 34 years of practice in Tacoma. Dr. Mulligan opened the NICU in 1977 where it was located in 1 room. The NICU is the regional referral center for southwest Washington with an active transport team and has grown to average 800 admissions/year. For 20 years the neonatologists practiced as an independent group but in 1997 became part of Pediatrix Medical Group of Washington. Dr. Mulligan was the NICU Medical Director for 31 years. DISTRIcT IX NeWS Richard J. Powers California Perinatal Quality Care Collaborative (CPQCC) The Perinatal Quality Improvement Panel of CPQCC recently completed its second multicenter collaborative project, the Neonatal Breast Milk Nutrition Quality Initiative in May 2011. Its third multi-center collaborative project, Delivery Room Management of the Newborn Infant
recently began with the first learning session in June 2011. These collaboratives follow the format of the Institute for Healthcare Improvement which has been highly successful in demonstrating results for participating centers. CPQCC will continue to sponsor such projects linked to the development of evidence based toolkits posted on the website. There are 10 toolkits currently available, and these are revised on an ongoing basis, every 3-5 years. A new format for quality improvement, NICU QI, was introduced this year, also based on the toolkits but geared more for the individual center rather than a collaboration of multiple sites. Thirty-seven centers in the State are participating in the NICU QI Delivery Room Project in addition to 25 centers in the Collaborative. A prospective trial is underway to measure outcomes with both formats compared to control centers from the CPQCC database. In addition to the prospective delivery room management QI trial, CPQCC has numerous ongoing collaborative research projects using CPQCC's multiple datasets. Projects include safety attitudes, whole body cooling, genetics of BPD and variations in PDA management. California Association of Neonatologists (CAN) The annual CAN/District IX scientific meeting, Current Topics and Controversies in Perinatal and Neonatal Medicine was held again in San Diego in March. This was the most successful meeting yet in the 17 year history of this conference. There were over 200 registrants with the theme being controversies in care of ELBW infants. Our outgoing CAN president, Vijay Dhar, was the program director and driving force behind this year's fantastic program. The official meeting was preceded by a day of workshops, which included "Life After Fellowship," organized by Andy Hopper, the CPQCC Workshop, "Best Practices in Maternalfetal Care and Quality Improvement", directed by Paul Sharek and Paul Kurtin and the "Neonatal CPT Coding Update" by Gil Martin. Dates for the meeting next year are March 2-4, 2012 and the location will be the same, Coronado Island Marriott Hotel. The planning committee is finalizing another outstanding program of national and international speakers. Vijay Dhar of Childrens Hospital Orange County stepped down as CAN president and Andy Hopper took over the leadership of our organization in March. Steve Goldman was elected Vice President and President-elect. Bob Kahle, remains as the Secretary Treasurer of CAN. CAN is faced with some major challenges this year keeping up with the rapidly changing healthcare environment on the national and state level. In addition to its educational misson, CAN is the representative body of over 500 neonatologists in the State of California with a mission of improving the outcome of pregnancy and the care of newborn infants. This has become quite a challenge in the environment of healthcare reform where most models are geared toward the provision of healthcare for adult patients. Fortunately, with the advocacy of CAN's government advisory committee, the Children's Specialty Care Coalition, the AAP District IX Leadership and Washington-based Department of Federal Affairs of the Academy we can provide a voice for neonates and the physicians who provide their care.
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Loma Linda University

Foundation for Mechanisms of CTGF-induced lung fibrosis. Two fellows, Dr. luis Felipe Miranda and Dr. Deepthi Alapati were awarded 2010 Advancing Newborn Medicine Grants sponsored by the Ikaria Company. Emory Regional Perinatal Center announces the retirement of J. Devn cornish, MD. Dr Cornish, the former Department Acting Chair/Chair of Emory Pediatrics from 1994-2003 made incredible contributions to Emory and to perinatal medicine, highlighted by establishing the ECMO service at Childrens Healthcare of Atlanta at Egleston. Devn will continue his extraordinary service not as a neonatologist; but as Elder in The Church of Jesus Christ of Latterday Saints. His immediate plans include moving to Santo Domingo, Dominican Republic with his wife and son to share ecclesiastical and service for Church activities in all of the Caribbean as well as some areas in South America. Also Emory announces that Jim Moore, MD is moving to Dallas as the new NICU Medical Director at Childrens Medical Center in Dallas. As we embark in changes with members leaving we are excited about Ravi Patel, MD graduating from our fellowship program and joining the division where we expect his career will be highlighted by quality improvement initiatives. Sowmya Mohan, MD will also be joining the faculty this academic year. She graduated from our fellowship program in 2010 followed by an intensive, productive year in basic science research under the mentorship of lou Ann Brown, PhD and Theresa Gauthier, MD. And our exciting third addition, Heidi Karpen, MD, comes to us from Baylors Texas Childrens Hospital, Houston, TX. Dr Karpens area of interest includes nutrition and liver injury as well as education. She will also be assistant director of the fellowship program. Theresa Gauthier, MD has been named the new fellowship director since the departure of Dr Moore. She has also been awarded from the 2011 Emory Childrens Pediatrics Research Center Pilot Grant for her research in Alveolar macrophage functioning in the neonatal CF lung. And finally another graduation occurred this spring. Ira Adamchapman, MD completed her MPH which will further advance the depth of our Developmental Progress Programs initiatives. The University of Florida hosted Georg Simbruner, MD, the founder of IPOKRaTES, as its 18th Annual Donald Eitzman Visiting Professor in Neonatology on April 28-29 where he spoke on: The Development of IPOKRaTES. Joe Neu, MD was appointed to the Mucosal Immunology Study Section at NIH. He was also named as an associate editor for NeoReviews and PLOS1, a new openaccess resource from the Public Library of Science. David Burchfield, MD was named a member of the NICHD Peds Subcommittee study section. chris Young, MD, a June 2011 graduate of the University of Florida training program, will continue serving as the Chair of TECaN and represent District X on this committee.
Additions to the faculty starting this year include: Adrian lavery, MD, Dr. Lavery completed his neonatology fellowship in Cincinnati Childrens Hospital in 2008. Dr. Lavery comes to Loma Linda from Georgia where he has worked with the Neonatology Associates of Atlanta from 2008 until 2011. Tabitha Solomon, MD, who recently completed her neonatology fellowship at Loma Linda University Medical Center in 2011. Giang Truong, MD, who did her pediatric resident training at Loma Linda University, where she also completed her neonatology fellowship training in 2011. Gil Martin, MD, was designated Clinical Professor of Pediatrics, at Loma Linda Medical Center. In addition, he was the Guest Editor in a recent Festchrift supplement issue of the Journal of Perinatology honoring the career of Phillip Sunshine. The Division of Neonatology at Loma Linda University Medical Center has lost a very dear friend and colleague. On May 15th, 2011, Janet (emery) Ninnis passed away following a long illness. Dr. Ninnis joined the Department of Pediatrics and Division of Neonatology in 1985. Janet was instrumental in the development of many of the neonatal programs for which the institution is renowned. These included such programs as the Neonatal Infant Heart Transplantation program, Nurse-Managed Infant Transport Program, and the development and support of the Neonatal Nurse Practitioner program. Janet was a consummate teacher and a dedicated, conscientious physician. She was committed to the education of nurses, nurse practitioners, medical students, pediatric residents, and neonatology fellows. Her care of sick infants was characterized by empathy and thorough attention to detail. Her energy, smile, and friendship will be deeply missed by all who were blessed to know her. UCLA UCLA is a new member of the Neonatal Research Network (NRN) grant starting January 2011. Uday Devaskar is the PI.Dr. Sherin Devaskar was named the Chairman of the Department of Pediatrics at UCLA starting February 2011. Stanford Dr. Ron Ariagno attended the 16th Congress of Federation of Asia and Oceania Perinatal Societies (FAOPS) Conference Dec. 13-18th in New Delhi, India to learn more about global Neonatology/Perinatology practices and to network with neonatology leadership about his, Dr. lou Halameks, and Dr. Jeff Goulds Helping Babies Breathe (HBB) proposal which will focus on the impact of the effectiveness of HBB training on neonatal outcomes. A Festschrift to honor Dr. Philip Sunshine was published in Journal of Perinatology in April 2011 (Volume 31, Supplement 1). Dr. Gilbert Martin is the Editor of this Supplement. Dr. Ron Ariagno and Dr. Philip Sunshine were also honored at the Stanford Medical Staff Gala on May 7th, 2011. Dr. Ariagno was recognized for "clinical excellence and the art of compassionate care" and received a honorary lifetime Medial Staff appointment. Dr. Sunshine was honored among the few currently active faculty or staff who had been recipients of
lifetime clinical excellence awards, including the Rambar-Mark Award, which Dr. Sunshine received in 2010. Dr. David Stevenson received the Maureen Andrew Mentor Award at the Pediatric Academic Societies Annual Meeting in Denver, CO in May 2011. This highly prestigious award honors individuals who have served as exemplary mentors for trainees and junior faculty who have successfully developed investigative careers in the field of child health research. Dr. William Benitz was an invited speaker addressing the PDA treatment dilemma at the Hot Topics Conference in Washington D.C., December 2010. He was also an invited speaker on this topic at the annual CAN-AAP Conference March 4-6, 2011 at the Coronado Island Marriott in Coronado, California. Dr. Susan Hintz (Stanford University) was an invited speaker at the Vermont Oxford Network Annual Meeting in Washington D.C. in December 2010 where she presented data on long-term outcomes of premature infants with NEC, and discussed the ongoing NICHD Neonatal Research Network Necrotizing Enterocolitis Surgery Trial (NEST), which is currently enrolling. Dr. Hintz also was an invited speaker at the annual regional neonatology research conference at the Universidade Federal do Rio Grande do Sul and Hospital de Clnicas in Porto Alegre, Brazil in April 2011.
DISTRIcT X: David Burchfield Congratulations to Alan Spitzer, MD, Senior Vice President for Research, Education, and Quality for Pediatrix Medical Group, who was appointed by Secretary of Health and Human Services, Kathleen Sibelius, to serve on the National Advisory Council for Healthcare Research and Quality of the Agency for Healthcare Research and Quality. This appointment will be for three year term. On November 3, 2010, the 34th Annual International Conference, Miami Neonatology 2010, kicked off with its Advances in Neonatal Respiratory Care Workshop at the Fontainebleau Resort on Miami Beach. The following day over 900 doctors, nurses, and respiratory therapists representing 37 different countries, attended the most successful conference to date since its inception in 1973. The one day workshop and three day conference featured ten of the most renowned pediatric, perinatal, and neonatal doctors from around the world, as well as 19 University of Miami faculty and the two original program codirectors, Dr. eduardo Bancalari and Dr. charles Bauer. Plans are already underway for the 35th Annual International Conference to be held October 27th 29th, 2011. Also from Miami, Dr. Karen Young was awarded the Micah Batchelor Award for Excellence in Childrens Health Research at the University of Miami Miller School of Medicine for Importance of c-kit in lung development and repair. Dr. Shu Wu was awarded a grant from the Marta Marx Fund of Scleroderma
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executive committee Roster 2010-2011 DeWayne M Pursley MD MPH FAAP Chairperson Beth Israel Deaconess Medical Ctr Dept of Neonatology 330 Brookline Ave Rm RO-318 Boston, MA 02215-5400 Phone: (617)667-3276 Fax: (617)667-7040 dpursley@bidmc.harvard.edu Term: 10/31/2010-10/31/2012 carl l Bose MD MPH FAAP Immediate Past Chair University of North Carolina Hospitals Div of Neonatal/Perinatal Medicine 101 Manning Dr, CB #7596 Chapel Hill, NC 27599-7596 Phone: 919/966-5063 Fax: 919/966-3034 cbose@med.unc.edu Term: 10/31/2010-10/31/2012 David J Burchfield MD FAAP DISTRICT X, Chairperson Elect Univ of Florida College of Medicine Dept Pediatrics/Neonatology PO Box 100296 Gainesville, FL 32610-0296 Phone: (352)273-8985 Fax: (352)273-9054 burchdj@peds.ufl.edu Term: 11/01/2010-10/31/2012 John A F Zupancic MD ScD FAAP DISTRICT I, Exec Comm Member Beth Israel Deaconess Medical Ctr Dept Of Neonatology, Rose 318 330 Brookline Ave Boston, MA 02215-5400 Phone: (617)667-3276 zupanci@bidmc.harvard.edu Term: 11/01/2009 - 10/31/2012 Sergio G Golombek MD MPH FAAP DISTRICT II, Exec Comm Member Regional Neonatal Center Maria Fareri Childrens Hospital Pediatrics/Neonatology 100 Woods Road Valhalla, NY 10595-1530 Phone: (914)493-8488 Sergio_golombek@nymc.edu Term: 11/01/2010-10/31/2013 endla K Anday MD FAAP DISTRICT III, Exec Comm Member St Christopher's Hospital for Children Div Neonatology E Erie Ave at Front St Philadelphia, PA 19134 Phone: (215)427-5202 endla.anday@drexelmed.edu Term: 11/28/2005 - 10/31/2012 William F Walsh MD FAAP DISTRICT IV, Exec Comm Member Vanderbilt Children's Hospital Div Neonatology 2200 Children's Way Nashville, TN 37232-0005 Phone: (615)322-0545 bill.walsh@vanderbilt.edu Term: 11/01/2006 - 10/31/2012 Michele c Walsh MD FAAP DISTRICT V, Exec Comm Member 5500 Prestwick Lane Highland Heights, OH 44143-1971 Phone: (216)844-3759 Fax: (216)844-3380 michele.walsh@cwru.edu Term: 11/01/2005 - 10/31/2011 Howard W Kilbride MD FAAP DISTRICT VI, Exec Comm Member 614 W 57th St Kansas City, MO 64113-1126 Phone: (816)234-3596 Fax: (816)234-3590 hkilbride@cmh.edu Term: 11/01/2006 - 10/31/2012 William D engle MD FAAP DISTRICT VII, Exec Comm Member University of Texas Southwestern Medical Center / Neonatal-Perinatal 5323 Harry Hines Blvd Dallas, TX 75390-9063 Phone: (214)648-3906 Fax: (214)648-2481 William.Engle@utsouthwestern.edu Term: 02/10/2009 - 10/31/2012 Renate D Savich MD FAAP DISTRICT VIII, Exec Comm Member UNM Health Science Center Pediatrics/Neonatology ACC 3rd Fl / MSC 10 5590 Albuquerque, NM 87131-0001 Phone: (505)272-3967 Fax: (505)272-1539 rsavich@unm.edu Term: 11/01/2006 - 10/31/2012 Richard J Powers MD FAAP DISTRICT IX, Exec Comm Member Good Samaritan Hospital Neonatology 2505 Samaritan Dr, St 304 San Jose, CA 95124 Phone: (408)559-2261 Fax: (408)559-2685 drrjpow@yahoo.com Term: 11/01/2007 - 10/31/2013
Avroy A Fanaroff MD FAAP Of-Counsel; History Committee Chairperson Case Western Reserve University Div Neonatology / RBC 3100 11100 Euclid Ave Cleveland, OH 44106-1716 Phone: (216)844-3387 Fax: (216)844-3380 aaf2@case.edu AAP SecTION lIAISONS Ronald l Ariagno MD FAAP Chairperson, Research Committee Stanford University Medical Center Neonatal & Developmental Med 750 Welch Rd Ste 315 Palo Alto, CA 94304-1510 Phone: (650)723-5711 Fax: (650)725-8351 rla@stanford.edu Judy lynn Aschner MD FAAP Co-Leader Strategic Plan (Leadership) TECAN Mentor Professor of Pediatrics Vanderbilt University Medical Center Rm 1111 Doc Off Tower 2200 Childrens Way Nashville, TN 37232-005 Phone: (615)322-3476 Fax: (615)343-1763 Judy.aschner@vanderbilt.edu Dilip R Bhatt MD FAAP Database Committee Chairperson 732 Via San Simon Claremont, CA 91711-1570 Phone: (909)427-5848 Fax: (909)427-5206 dilip.r.bhatt@kp.org Vinod K Bhutani MD FAAP Committee on Fetus and Newborn Stanford University Medical Center Div of Neo/Dev Medicine 750 Welch Rd Ste 315 Palo Alto, CA 94304-1510 Phone: (650)723-5711 Fax: (650)724-7724 bhutani@stanford.edu John V Hartline MD FAAP Subcommittee on Practice Co-Chairperson 1259 Prestwick Ln Itasca, IL 60143-1975 Phone: (630)773-0036 Fax: (630)773-0048 johnvhartline@aol.com
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www.aap.org/perinatal Sonia Obermeyer Imaizumi MD FAAP Liaison, Section on Home Care 604 Conshohocken State Rd Penn Valley, PA 19072-1437 Phone: (856)342-2265 Fax: (856)342-8007 imaizumi-sonia@cooperhealth.edu George little, MD, FAAP NRP Liaison and Chair, Global Health Committee Dartmouth-Hitchcock Clinic Dept of Pediatrics Childrens Hospital at Dartmouth Lebanon, NH 03756 Phone: (603)653-6063 Fax: (603)653-3585 George.a.little@dartmouth.edu edward e lawson MD FAAP Editor, Journal of Perinatology Johns Hopkins University Div Neonatology 600 N Wolfe St Nelson 2-133 Baltimore, MD 21287-0005 Phone: (410)955-5259 Fax: (410)955-0298 elawson@jhmi.edu Gilbert I Martin MD FAAP Chair, Coding Committee 415 S Mannington Pl West Covina, CA 91791-2254 Phone: (626)332-8981 Fax: (626)813-3720 gimartin@pol.net Stephen A Pearlman MD FAAP Chair, Coding Committee 462 Baneswood Circle Kennett Square, PA 19348 Phone: (302)733-2410 Fax: (302)733-2602 spearlman@christianacare.org Ann R Stark MD FAAP Chair, Education Committee 6 Braeswood Ct. Houston, TX 77030-4360 Phone: (713)661-4009 annrstark@gmail.com linda J Van Marter MD MPH FAAP Website Committee Chair TECaN Mentor Childrens Hospital Newborn Medicine/Hunnewell 4 300 Longwood Ave Boston, MA 02115-5724 Phone: (617)355-6027 Linda.vanmarter@childrens.harvard.edu Bob White MD FAAP Perinatal Workshop Planning Group Chairperson Memorial Hospital of South Bend 615 N. Michigan St South Bend, IN 46601-1033 Phone: (574)647-7351 Robert_white@pediatrix.com lynne D Willett MD FAAP Newsletter Editor Childrens Hospital and Med Center 8200 Dodge St Omaha, NE 68114-4113 Phone: (402)955-6140 ldw923@gmail.com christopher Young MD FAAP TECaN Chair 2501 North Patterson Street Valdosta, GA 31602 Phone: (352)372-8635 cyoungmd@gmail.com ORGANIZATION lIAISONS Wanda Barfield MD MPH FAAP Liaison, Centers for Disease Control (CDC) 4770 Buford Highway NE, MS K-22 Atlanta, GA 30341 Phone: (770)488-6231 Wjb5@cdc.gov Scott D Berns MD MPH FAAP Liaison, March of Dimes 1275 Mamaroneck Ave White Plains, NY 10605-5201 Phone: (914)997-4290 sberns@marchofdimes.com
executive committee Roster 2010-2011 Garrett K lam MD Liaison, Society for Maternal-Fetal Medicine UT Chattanooga 902 McCallie Ave Chattanooga, TN 37403 Phone: (423)664-4460 lam@rocob.com Tonse N K Raju MD DcH FAAP Liaison, National Institutes of Health 281 Shadow Glen Ct Gaithersburg, MD 20878-7417 Phone: (301)402-1872 Fax: (301)496-3790 rajut@mail.nih.gov Rita M Ryan MD FAAP ONTPD Chairperson Medical University of South Carolina Chair and Professor, Pediatrics Pediatrician-in-Chief, MUSC Childrens Hospital 135 Rutledge Avenu Charleston, SC 29425-5610 Phone: (843)8761684 Fax: (843)876-1435 ryanr@musc.edu Debra A Sansoucie edD APRN NNP-Bc Liaison, NANN 3663 Whippoorwill Blvd Punta Gorda, FL 33950-7670 Phone: (631)444-3298 Fax: (631)444-3136 dasansoucie@optonline.net AAP STAFF Jim couto, MA Director, Division of Hospital and Surgical Services American Academy of Pediatrics 141 Northwest Point Blvd Elk Grove Village, IL 60007 Phone: (847)434-7656 Fax: (847)434-8000 jcouto@aap.org Vivian Thorne Division of Hospital and Surgical Services American Academy of Pediatrics 141 Northwest Point Blvd Elk Grove Village, IL 60007 Phone: (847)434-7669 vthorne@aap.org
Mitchell Goldstein MD FAAP Liaison, National Perinatal Association 1175 Campus St, Suite 11121 Loma Linda, CA 92354 Phone: (909)558-7448 mgoldstein@llu.edu Krista Jangaard MD FRcPc Liaison, Canadian Pediatric Society IWK Health Centre 5850/5980 University Ave PO Box 9700 Halifax, Nova Scotia B3K6R8 CANADA Phone: (902)470-6643 Krista.jangaard@dal.ca
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2012 VIRGINIA APGAR AWARD IN PERINATAL PEDIATRICS

CALL FOR NOMINATIONS Deadline: March 16, 2012 the american academy of Pediatrics Section on Perinatal Pediatrics is now accepting nominations for the 2012 Virginia apgar award. this award is given annually to an individual whose career has had a continuing influence on the well being of newborn infants. all aaP fellows interested in Perinatal Pediatrics are invited to submit nominations. the nominee need not be a member of the aaP. the nomination should include a cover letter and a curriculum vitae of the nominee. a second letter in support of the nomination is required and up to four support letters will be accepted. Candidates who have been previously nominated but not selected may be re-nominated by a letter indicating renewal of their prior nomination. it is not necessary to resubmit all the paper work, as long as the original nomination package was complete. The nominations must be received by March 16, 2012. Please send all nominations to: Jim Couto, Ma Director, Division of Hospital & Surgical Services american academy of Pediatrics 141 n.W. Point Blvd elk grove Village, il 60007 jcouto@aap.org 847/434-7656
The Apgar Award is sponsored by a grant from Abbott Nutrition and will be presented at the meeting of the Perinatal Section during the 2012 National Conference & Exhibition of the American Academy of Pediatrics in New Orleans, LA.
Hot Topics
in neonatology
December 4-6, 2011 Omni Shoreham Hotel Washington, Dc

For over 30 years, Hot Topics has been THE premiere neonatal conference, with more than 1,000 neonatologists and perinatologists attending each year. Scheduled topics include: late effects of Anesthesia in Infants Prenatal Surgery for Spina BifidaMOMS Trial cord Blood Storage Stem cells for H.I.e. Telemedicine Brain cooling
For details on the conference, submitting an abstract, or exhibiting, visit www.hottopics.org
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2012 NATIONAL NEONATAL EDUCATION AWARD

CALL FOR NOMINATIONS Deadline: March 16, 2012 the aaP is now accepting nominations for the Section on Perinatal Pediatrics national neonatology education award. this award will be given annually to an individual who has made outstanding contributions to education in neonatal-perinatal medicine. the recipient will receive a cash award. the candidates contribution may be one of innovative education technique; original concept; seminal event; an exemplary, effective, high impact program; or a substantial long-term contribution to the highest ideals of education. Preference will be made to educational efforts that have had a demonstrable effect on clinical care. the recipient is chosen each year at the Perinatal Spring Workshop, which will be held on March 30 - april 1, 2012 in Scottsdale, arizona. Final aaP Board of Directors approval will be granted in June of 2012 and the recipient will be notified at that time. if you wish to nominate an individual, or yourself, please submit: a letter of interest including justification as to why this individual should receive the award; the candidates curriculum vitae; two supporting letters from two members of the Section on Perinatal Pediatrics if you are interested in re-nominating an individual, please contact Jim Couto before submitting any materials. all inFoRMation MUSt Be CoMPlete BeFoRe Mailing in yoUR noMination. Please send all materials no later than March 16, 2012 to: Jim Couto, Ma Director, Division of Hospital & Surgical Services american academy of Pediatrics 141 n.W. Point Blvd elk grove Village, il 60007 jcouto@aap.org 847/434-7656
The Neonatal Education Award is sponsored by a grant from Mead Johnson Nutrition and will be presented at the meeting of the Perinatal Section during the 2012 National Conference & Exhibition of the American Academy of Pediatrics in New Orleans,LA.
2011 NEONATAL LANDMARK AWARD

CALL FOR NOMINATIONS Deadline: March 16, 2012 nominations are now being accepted for the Section on Perinatal Pediatrics landmark award. this award will be presented at the 2012 aaP national Conference & exhibition in new orleans, la, october 20-23, 2012. awarded for a seminal contribution, which has had a major impact on neonatal-Perinatal practice. not necessarily the original description or publication but recipient could be the individual responsible for dissemination and acceptance within/by the professional and/or lay community. to be eligible the event must have occurred at least 15 years ago, and the nominee must not have received the Virginia apgar award. the award can be awarded posthumously. the recipient is chosen each year at the Perinatal Spring Workshop, which this year is on March 30-april 1, 2012 in Scottsdale, arizona. Final aaP Board of Directors approval will be granted in June of 2012 and the recipient will be notified at that time. if you wish to nominate an individual, or yourself, please submit: a letter of interest including justification as to why this individual should receive the award; the candidates curriculum vitae; two supporting letters from two members of the Section on Perinatal Pediatrics all inFoRMation MUSt Be CoMPlete BeFoRe Mailing in yoUR noMination. Please send all materials no later than March 16, 2012 to: Jim Couto, Ma (see address under other awards)
The Landmark Award is supported by Mead Johnson Nutrition.
NeoReviews & NeoReviews Plus Section member special rate: $172/year State of the Art Reviews
Case Presentations & Images Self-assessment vignettes based on ABP knowledge specifications! CME plus Part 2 MOC credit (NeoReviews Plus) Subscribe TODAY at http://eweb.aap.org/journals 31
SECTION ON PERINATAL PEDIATRICS SOUTHEASTERN ASSOCIATION OF NEONATOLOGISTS

26th Annual Conference May 24 - 27, 2012 Marco Island Marriott Resort and Spa Marco Island, Florida www.southeastneo.org
This activity is jointly sponsored by grants from: Mead Johnson Nutritionals American Academy of Pediatrics ~ Perinatal Section (District X)
Guest Faculty Robert Christenson, MD Cami Martin, MD Laura Riley, MD
The Section on Perinatal Pediatrics offers grants for educational or organization purposes within the individual perinatal districts of the Academy. The grant award is up to $4,000 per district. Applicants must be members of the Section on Perinatal Pediatrics. The following guidelines should be followed when submitting for funding: 1. Focus of the grant must be on perinatal pediatrics. 2. The purpose of the grant may be educational, organizational or both. 3. District-wide programs directed toward general and subspecialty pediatricians will be prioritized. 4. Grants may be used jointly by neighboring districts. 5. Grant applications must include title, purpose, specific objectives, target audience, proposal/program content and budget. 6. Applications should be discussed with your District Representative on the Sections Executive Committee prior to submission. 7. The planned activity should not conflict with the Sections spring workshop (March 30-April 1, 2012) or the AAP s National Conference (October 20-23, 2012) 8. Following the sponsored program, a copy of the brochure, number of people attending and their professional affiliations and program evaluations results should be submitted as soon as possible after the meeting or by June 30, 2013 to Jim Couto, MA, Director, Division of Hospital & Surgical Services, 141 Northwest Point Blvd., Elk Grove Village, IL 60007. The submission deadline is March 15, 2012. Proposals should be sent to Jim Couto, MA at the above address. A letter of support from the District Representative on the Executive Committee of the Section on Perinatal Pediatrics is recommended and should be forwarded with the proposal.
Michael Kaplan, MB, ChB Richard Martin, MD Fernando Moya, MD
SAN Contact person: Barry D. Chandler, M.D., President Phone: (954) 838-2628 E-mail: bchandler@shcr.com The Florida Society of Neonatologists and AAP District X Perinatal Section will also hold their meetings during this conference.
CME Credits: Registration is for physicians only.

Norton Healthcare designates this continuing medical education activity for 17 credit hours in AMA PRA Category 1 Credits. For more information related to CME, please email at: Carol.Fout-Zignani@nortonhealthcare.org
Register online at: www.southeastneo.org
calendar of events
District VI conference Chicago, IL September 16-17, 2011 AAP Nce Boston, MA October 14-18, 2011 NeoPReP course New Orleans, LA January 21-27 2012 cAN/District IX conference Coronado Island, CA March 2-4, 2012 2012 Spring Workshop on Perinatal Practice Strategies Scottsdale, AZ March 30 - April 1, 2012 32
Russian Neonatology and Perinatal Section links continue

After the initial participation in the first Russian Conference on Regionalization in Tver, Russia [May 2010] and the successful visit of the delegation from Russia to the 2010 NCE, two additional contacts between the Section and our Russian colleagues have followed, both sponsored by the United States Aid for International Development [State Department] through University Research Company, LLC, Bethesda MDproject director Nicole Simmons. Many thanks to Nicole for her collegiality and competence in negotiating these visits. In May, John Hartline and Ann Stark of the Section and Michael Greene from ACOG were invited to participate in the Second Conference on Regionalization of Perinatal Care in Russia held in Ivanovo, about 200 miles from Moscow. Ivanovo serves as the Regional Perinatal Center for its local area. Presentations included didactic topics and discussions of challenges faced in a multilevel perinatal system and visits to the Perinatal Center, local community hospitals, and prenatal clinic.
[Picture 1: Drs. Stark, Greene, and Hartline with the Perinatal Center Staff, Ivanovo Russia] On their return to Moscow, Drs. Stark and Greene addressed colleagues at the Kulakov Center in Moscow followed by tour of their facilities, including a neonatal intensive care unit founded in 1974. Of interest, its director related similar shifts in mortality for very low birth weight babies over the past 35 years as we have seen here in the United States. Dr. Hartline presented a draft umbrella agreement from the AAP to the Kulakov Center, which we hope will foster formal agreements in education and in investigation.
At the end of the Moscow visit and capitalizing on previous contacts made with neonatologists from the Russian State Medical University, Drs Stark and Hartline visited their facilities, including a newly-built state-of-the-art simulation center with separate facilities for newborn, pediatric, and adult simulation Continued on Page 34
The truly remarkable thing about this course is the quality of the faculty, they are all acknowledged leaders in the field of Neonatology.
Steven C. Barkley Barkley, MD, FAAP
An Intensive Review and Update of Neonatal-Perinatal Medicine

Sponsored by the AAP Section on Perinatal Pediatrics and the American Academy of Pediatrics (AAP)
New Orleans, Louisiana January 21-27, 2012

Sheraton New Orleans Hotel
REP? What is NeoPR NeoPREP is a 7-day intensive review of neonatal-perinat tal medicine that emphasizes the process of evidence-based clinical decision making and focuses on the scientific basis for the clin nical practice of neonatology. The course is de esigned to meet a variety of d i l needs, d including i l di preparation i for f educational the initial subspecialty certifying examination in neonatal-perinatal medicine administered by the American n Board of Pediatrics (ABP).
The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 50.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Register onlin online ea at t www.pedialink.or www.pedialink.org/cmefinder p g/cmefin g nder or call toll-fre toll-free, e, 866/ 866/THE-AAP1 6/ /THE-AAP1 (866/ (866/843-2271) 6/843-2271)
33

Russia continued
NeWSleTTeR - SPRING eDITION, 2011 anesthesia arena are just a few other major contributions to the initiation of the era of current medical practice and intensive care.
training. After presenting a case-simulation, students and faculty discussed the introduction of simulation into their training. Lou Halamek, MD, FAAP, [Stanford University], a major innovator and experienced teacher of simulation with international experience, traveled to Moscow in June to participate in simulation for education sessions hosted by the Kulakov Center and sponsored by USAID. This second contact expanded on the introductory sessions on simulation held at the 2010 NCE and demonstrated when the Russian delegation visited Woman and Infants Hospital in Rhode Island. Russian colleagues are interested in exploring additional opportunities for collaboration in education, publications, training, and research. The AAP, through the Perinatal Section and International Office, continues contacts in Russia. Several Russian pediatricians and neonatologists participate in the International Pediatric Association, whose Executive Director is Perinatal Section member and Apgar Awardee William Keenan. Section members interested in these opportunities or others, should contact John Hartline [AAP Department of Education & Perinatal Section], Jon Klein [AAP International Office], Deb Campbell [AAP Perinatal Section], Bill Keenan [IPA], or Jim Couto, Perinatal Section Manager. Submitted by John Hartline, MD, FAAP
Significantly equal inventions and patents in the aviation and pneumatic tool industry make Dr. Bird one of the most prolific and eclectic inventors in not only our time, but essentially for all time. Current endeavors in care of chronic lung disease, including Cystic Fibrosis, with his IPV (Intermittent Percussive Ventilation), and neonatal, pediatric and adult intensive care with his high frequency VDR (Volumetric Diffusion Respirator) make it look like the age of 90 is just another milestone in a very long and fulfilling career. His 90th birthday event was held at the Bird Museum of Aviation and Invention, near Sandpoint, ID. An eclectic collection of military aviator, civil aviation, medical invention, including a working Emerson Iron Lung, and general inventions of significance is housed in this free, open to the public, fantastic museum collection. I am attaching several pictures from the day at Dr. Bird's. It was a gorgeous day in North Idaho and over 50 aviators showed up to land on the Bird air strip and join in the celebration of his 90th birthday. The event must have had a turn out of over 400! The Pioneer Award presentation went well and was hugely well received by Dr. Bird and the entire audience. Acknowledgement of Dr. Bird's contribution to the health of children world wide was absolutely appropriate for his 90th birthday! I believe he was truly touched by this award, having received awards from various Presidents of the United States and others, this is the first based on his huge role in the care of newborns and children. The museum has a major goal of education and inspiration of children and Forrest now spends some of his time teaching and inspiring kids at the museum. I think the circle is becoming fulfilled! Carl J. Bodenstein, MD
Dr Forrest Bird
2010 Pioneer Award Winner
Dr. Forrest Bird turned 90 years old earlier this month and celebrated his birthday with a large bash inviting the entire community of Sandpoint, Idaho, about 50 US and Canadian aviators, members of the military, and enough physicians to staff a medium size urban hospital. Beginning his medical career with innovations in high altitude airplane respiratory support during WWII, Dr. Bird is best known in Pediatrics for his invention of the Baby Bird Ventilator, first distributed widely in 1970. With ubiquitous distribution world wide and still in use in areas of Russia and China, this inexpensive but robust little green unit, exclusively pneumatic powered, has saved endless neonatal and pediatric lives since its first venture into neonatal intensive care. Bird adult capable ventilators, like the Mark 7, first introduced in 1955, and entries into the
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THE SECTION LEADERSHIP IN AcTION!

AT T H E S P R I N G W O R K S H O P
Thanks to our photographer, Clara Song
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www.aap.org/perinatal 141 northwest Point Blvd elk grove Village, il 60007-1098
The AAP Section on Perinatal Pediatrics would like to thank Abbott Nutrition for supporting the following Section activities: NeoReviews Plus Perinatal Section Newsletter Virginia Apgar Award Thomas cone Jr History lectureship l. Joseph Butterfield lectureship Perinatal Spring Workshop Perinatal/Neonatal Fellows conference Trainees and early career Neonatologists (TecaN)

Per I Natal August 11

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SECTION ON PERINATAL PEDIATRICS

NeWSleTTeR - SUMMeR eDITION, 2011

Perinatal News AT A GlANce

Vivian Thorne, Design/Production

SECTION ON PERINATAL PEDIATRICS

NeWSleTTeR - SPRING eDITION, 2011

SECTION ON PERINATAL PEDIATRICS

NeWSleTTeR - SPRING eDITION, 2011

View from the chair

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Spring Workshop 2012

2011 AAP Nce

Saturday, October 15, 2011 (Seaport Hotel Plaza Ballroom)

SECTION ON PERINATAL PEDIATRICS TecaN

NeWSleTTeR - SPRING eDITION, 2011

Sunday, October 16, 2011 (Seaport Hotel Plaza Ballroom)

NCE Schedule continued on Page 7

TECaN report continued on Page 6

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TecAN NeTWORKING eVeNTS AT THe 2011 Nce

2011 APGAR Awardee Dr. Alan Jobe

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NeWSleTTeR - SPRING eDITION, 2011

SECTION ON PERINATAL PEDIATRICS 2011 educational Award

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2011 landmark Award

From the ONTPD chair

SECTION ON PERINATAL PEDIATRICS coding committee Report

NeWSleTTeR - SPRING eDITION, 2011

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CAN/AAP District IX Section on Perinatal Pediatrics 18th Annual Conference

AAP District VIII Section on Perinatal Pediatrics 36th Annual Conference

SECTION ON PERINATAL PEDIATRICS committee on Practice

NeWSleTTeR - SPRING eDITION, 2011

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National Association of Neonatal Nurse Practitioners (NANN)

Advocacy, Hot Topics

SECTION ON PERINATAL PEDIATRICS Research committee Report

NeWSleTTeR - SPRING eDITION, 2011

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NeWSleTTeR - SPRING eDITION, 2011

Neonatal-Perinatal Research Mentorship Grant Award

Toolkit for the Follow-up care of the Premature Infant

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The title page of Forssmanns paper in Klin Wschr 1929:8, 2085-7

late Preterm Birth Rate

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