University of Washington School of Medicine
Children's Hospital and Regional Medical Center
Department of Pediatrics Newsletter

DATE : 2007-01-02

ITEMS COVERED IN THIS NEWSLETTER:

Important Dates
Faculty News
Faculty Publications
Work-Life Balance update


Important Dates

2007 Mandatory/Non-Mandatory Promotion Information:

If you are being considered in 2007 for promotion (to be effective July 1, 2008), you, your Division Head and your Division Head's assistant MUST attend one of two following meetings:

January 31, 2007, 7:30-8:30 AM, G-1027

February 15, 2007, 5:00-6:00 PM, G-1026

The purpose of the mandatory meetings is to make sure that each faculty member being considered for promotion understands the promotion process and can begin to assemble his/her promotions packet in a timely manner. Conversely, the Promotions Committee does not want faculty members to be disadvantaged by trying to put together an outstanding packet at the last minute. For more information, please contact Diane Wade (dmw@u.washington.edu).

SAVE THE DATE: The next Faculty meeting will be held on February 5, 2007, 5:30-6:00 PM-buffet dinner; 6:00-8:00 PM-Program in Sound Cafe, CHRMC. Presentations will be given by Ben Wilfond, MD, Chief of the Division of Pediatric Bioethics; Sihoun Hahn, MD, PhD, Head of Biochemical Genetics; Ellie Graham, MD, MPH and Fred Rivara, MD, MPH on work/life balance. In response to recommendations from the Work/Life Balance work group, the Department is making a concerted effort to provide onsite or "near-site" child care for the Faculty meeting on February 5th. We expect that for this initial offering of child care, we will be limited to 15 children between the ages of 3 - 12. If you know at this time if you would plan to use the on-site child care, please RSVP so to Diane (dmw@u.washington.edu). Respondents who indicate they need this child care will receive an email at a later time with more details.

SAVE THE DATE: Wednesday, April 25, 2007, FELLOWS RESEARCH DAY with keynote speaker Joseph St. Geme, MD. Joseph St. Geme, MD is Chair of the Department of Pediatrics at Duke University Medical Center. Dr. St. Geme is a nationally recognized expert in basic research and clinical treatment for pediatric infectious diseases. He has been recognized for his research into the genetic and molecular basis of virulence by Haemophilus influenzae, and has been involved in efforts to create a pediatric vaccine to prevent these widespread infections, which are often fatal in developing countries. More information and abstract submission forms will be forthcoming!

Faculty News

Carmen M. Herrera, MD, NIH K-23 Award, "Weaning preterm infants from mechanical ventilation"

Sandra Juul, MD, PhD, Principal Investigator, RoFAR 6585564942 “Mechanisms of Erythropoiet in mediated neuroprotection”. ($160,797) 2007-09

Kim Heintz, an undergraduate student working in the lab of Dr. Amanda Jones, has been awarded a Research Scholarship funded by the Mary Gates Endowment to support her participation in research during the next academic year.

Carolyn McCarty, PhD was accepted into the Society for Pediatric Research.

Faculty Publications

John McLaughlin, MD: The Effect of Dynamic Ankle Foot Orthoses on Function in Children With Cerebral Palsy. Kristie F. Bjornson, PhD, PT, PCS, Gregory A. Schmale, MD, Amy Adamczyk-Foster, CPO, and John McLaughlin, MD J Pediatr Orthop & Volume 26, Number 6, November/December 2006

Nigel Bamford, MD: Bamford, N.S., Joyce, J.A., Palmiter, R.D., Presynaptic Dopamine D2 Receptors Selectively Excite or Inhibit Striatal Glutamatergic Neurotransmission. Ann Neurol, 2006. 60(S10): p. S139.

Samuel H. Zinner, MD: Tourette Syndrome in Infancy and Early Childhood. Infants & Young Children. 19(4):353-370, October/December 2006.

Megan Moreno, MD:

Moreno MA, Shaffer DW. Intakes Conference: Understanding the Impact of Resident Autonomy on a Morning Report Conference. Teaching and Learning in Medicine. 2006;18:297-303.

Moreno MA, Smith MS. Anorexia in a 14-year-old girl: why won't she eat?

J Adolesc Health. 2006 Dec;39(6):936-8.

Richard Wennberg, Clinical Professor, Division of Neonatology:

Roca L, Calligaris S, Wennberg RP, Ahlfors CE, Malik SG, Ostrow JD, Tiribelli C. Factors affecting the binding of bilirubin to serum albumins: validation and application of the peroxidase method. Pediatr. Res. 2006; 60:724-728.

Wennberg RP, Ahlfors CE. A different view on bilirubin binding. Pediatrics 2006; 118:846-847.

Wennberg RP, Ahlfors CE, Bhutani VK, Johnson LH, Shapiro SM. Toward understanding kernicterus: a challenge to improve the management of jaundiced newborns. Pediatrics 2006; 117:474-485.

Jane Burns, MD:

Book chapter: Burns, J.L.: Antibiotic resistance of Burkholderia spp., IN: T. Coenye and P. Vandamme (eds.), Burkholderia: Molecular Microbiology and Genomics, Horizon Scientific Press, Norwich, UK, January 2007.

Comparison of Biophysical and Biologic Properties of a-Helical Enantiomeric Antimicrobial Peptides. Yuxin Chen, Adriana I. Vasil, Linda Rehaume, Colin T. Mant, Jane L. Burns, Michael L. Vasil, Robert E. W. Hancock and Robert S. Hodges Chem Biol Drug Des 2006; 67: 162–173

Helén L. Dichek, MD: Kun Qian, Nalini Agrawal, and Helén L. Dichek "Reduced Atherosclerosis in Chow-Fed Mice Expressing High Levels of a Catalytically Inactive Human Hepatic Lipase Atherosclerosis" accepted in the journal Atherosclerosis

Catherine Karr, MD:

Effects of Subchronic and Chronic Exposure to Ambient Air Pollutants on Infant Bronchiolitis. Catherine Karr; Thomas Lumley; Astrid Schreuder; Robert Davis; Timothy Larson; Beate Ritz; Joel Kaufman American Journal of Epidemiology 2006; doi: 10.1093/aje/kwk032

Catherine Karr also serves on the AAP Committee on Environmental Health. The new tech report and policy statement on mold: Spectrum of Noninfectious Health Effects From Molds Committee on Environmental Health PEDIATRICS Vol. 118 No. 6 December 2006, pp. 2582-2586 (doi:10.1542/peds.2006-2828) http://pediatrics.aappublications.org/cgi/content/abstract/118/6/2582

Bonnie Ramsey, MD: Sucharew H, Goss CH, Millard SP, Ramsey BW; Cystic Fibrosis Therapeutics Development Network. Respiratory adverse event profiles in cystic fibrosis placebo subjects in short- and long-term inhaled therapy trials. Contemp Clin Trials 2006;27(6):561-70.

Sandra Juul, MD, PhD:

McPherson RJ, Demers EJ, Juul SE. Safety of High Dose Recombinant Erythropoietin in a Neonatal Rat Model. Neonatology 91:36-43, 2007

Juul SE, Aylward E, Richards T, McPherson RJ, Kuratani J, Burbacher T. Prenatal Cord Clamping in Newborn Macaca nemestrina: a model of perinatal asphyxia. Developmental Neuroscience In press 2007

McPherson RJ, Gleason CA, Mascher-Denen M, Chan M, Kellert B and Juul SE. A New Model of Neonatal Stress Which Produces Lasting Neurobehavioral Effects in Adult Rats Neonatology. In press 2007

Juul SE. Erythropoietin as a Neonatal Neuroprotectant: Basic and Clinical Studies. Haematologica Reports, 2 (10):98-102, 2006.

Juul SE and Felderhoff-Mueser U. Epo and other hematopoietic factors. Seminars in Fetal and Neonatal Medicine. In press, 2007.

Janet A. Englund, MD and Kathleen Neuzil, MD, MPH: Effectiveness of School-Based Influenza Vaccination. N Engl J Med 335;24 2523. James C. King, Jr., M.D., Jeffrey J. Stoddard, M.D., Manjusha J. Gaglani, M.B., B.S., Kristine A. Moore, M.D., M.P.H., Laurence Magder, Ph.D., Elizabeth McClure, M.D., M.P.H., Judith D. Rubin, M.D., M.P.H., Janet A. Englund, M.D., and Kathleen Neuzil, M.D., M.P.H.

Brian D. Johnston, MD, MPH: Understanding Shared Injury Risk on the Family Farm. Arch Pediatr Adolesc Med. 2006;160:1180-1181.

Rupin R. Thakkar, MD, Michelle M. Garrison, PhD and Dimitri A. Christakis, MD, MPH: A Systematic Review for the Effects of Television Viewing by Infants and Preschoolers. Pediatrics Vol. 118 No. 5 November 2006, pp. 2025-2031 (doi:10.1542/peds.2006-1307)

Linda Quan, MD: Quan L, Crispin B, Bennett E, et al Beliefs and practices to prevent drowning among Vietnamese-American adolescents and parents. Inj Prev 2006; 12(6): 427-429.

Work-Life Balance update

It’s been two months since our symposium on “Creating Institutional Change for Work/Life Balance in Pediatric Careers.” Attached is the Work/Life Balance Implementation Committee’s bi-monthly progress report which summarizes accomplishments to date around this issue.

Bi-Monthly Work/Life Balance Progress Report

A lot has happened since the Symposium on Work/Life Balance on October 11th, 2006. The following is a report of progress on each issue raised by the work groups.

Family Support Structures:

On-site Childcare at CHRMC: James Hendricks, Vice President for Research, and Pat Hagan, COO for Children’s, are looking into the creation of new daycare facilities. Currently, there seems to be a consensus that the best site for a new daycare will be at the new research facility downtown.

Who can use the daycare? Anyone who works at Children’s can use the daycare. If you are a CUMG or UW employee it doesn’t matter. There is no preferential wait-list treatment for Children’s employees. The daycare is also open to the community but only after Children’s employees get all the slots they need. Of the 80 or so children in daycare, there are three children from the community in the oldest age group served. There will never be community infants in the infant room. They are keeping that available to Children’s employees only. Scholarships, however, are only available to Children’s employees and not available to CUMG or UW employees. It’s a complex compliance issue.

Childcare for After Work Hours Meetings: Patty Adams is looking into the logistics of providing childcare for the faculty meeting in February. This will be a trial run to see if physicians will use this service.

Lactation Rooms at Children’s: Lactation rooms at Children’s are called “pump rooms.” Staff is allowed to use these as well as patients and they are available on a first come, first served basis. Rooms can be found at the following locations: T-1223, G-2056, G-3016, and G-4016. Rooms have a comfortable chair, a sink, a pump, and instructions for cleaning the pump. There is also a sign-out sheet for a portable breast pump—this looks like is primarily used by patients’ mothers. Staff should store their milk in a non-patient care refrigerator.

Lactation Rooms at Harborview: There is information re: lactation rooms available at the UW Wellness website: http://www.washington.edu/admin/hr/
benefits/wellness/lactationsvc.html
or one can search “Lactation Station” on the UW main page. Specifically at Harborview, 7E Clinic Room 1 is secured 24 hours/day with a key punch pad. Please contact Kathy Maher with Employee Health Services at 206-731-3081 to schedule an orientation and obtain access. She is available Monday – Friday 7:00 a.m. to 4:30 p.m. You may use the rooms on a first-come, first-served basis. If overlapping occurs, a scheduling process will be implemented. Usage is limited to 20 minutes. This is a privacy room complete with a sink and microwave. HMC also has an electric lactation pump available for check-out through the central processing desk, which is open 24/7: call 731-4154 for more information. Moms need to buy their own collection kits to utilize the electric pump.

Collaborate with UW Work/Life Office: Kalisha Phoenix, Rewards and Recognition Specialist, and Charles Sims, HR Director III, are taking the lead in coordinating with the UW Work/Life Benefits Office. They believe that there are three points to look at around this issue: (1.) The UW is further down this road than Children’s is with their Work/Life Office, (2.) faculty are UW not Children’s employees, and (3.) Dr.’s lifestyles are unique and they may need more niche services than other employees. He sees that there is a strong recognition of the importance of the work we have done around this issue.

The plan is to really look at the effort already in place at the UW and to make parallel choices here at Children’s. Children’s would help facilitate the UW but the UW would own the family support structure responsibility. Charles feels that there could be some budgetary collaboration. It is clear that the first step is for HR to become familiar with what the UW already has and ensure that information is disseminated to faculty. This office would support faculty, fellows, and residents.

Offer Physician Oriented Work/Life Workshops/Seminars at CHRMC: Charles Sims, HR Director III, will discuss the possibility of ongoing discussion groups that could be offered jointly with UW on a monthly or quarterly basis to keep physicians apprised of issues.

Academic Advancement:

Share best practices with SOM: Bruder Stapleton has presented what the Dept. of Pediatrics is doing to the other department chairs at the request of the Dean.

Clearer Guidelines/examples for National/International reputation for promotion esp. clinician-educator: Fred Rivara reviewed the promotion guidelines for all departments in the SOM; all have a requirement for a national reputation. Fred has scheduled a meeting with a work group to review the clinician-educator guidelines on 11/29. He will do this for other tracks as well.

“Acting.” Fred Rivara and Bruder Stapleton will discuss the meaning and use of the term “acting” with the Division Chiefs at the December 11th faculty meeting.

Mentoring needs assessment: Bruder suggests that the Implementation Task Force conduct this survey.

Add mentoring excellence to promotion criteria: Bruder has noted that this is already part of the annual progress report and is part of the evaluation of teaching for promotion.

Establish annual mentoring award: This idea was discussed at the Division Heads meeting on November 27. Division Chiefs agreed that this was a good idea and they will proceed to establish it.

Financial incentives for MD’s: Melissa Parisi is a physician representative on the Rewards and Recognitions Committee run by Kalisha Phoenix. Melissa is also looking into the possibility of the possibility of a matching option for a State GET account as tuition assistance for physician’s families. Bruder has already stated that the University is not amenable to providing tuition for employee’s children.

Flexible Training and Work:

Clear resident maternity/paternity leave: Richard Shugerman and Heather McPhillips are working on putting this information together and will make it available to residents.

Clear definition of part-time vs full-time work: Bruder has noted that there is a report on the number of faculty who are part time in the annual state of the department presentation.

Evaluate job burn-out, overwork, and job flexibility: Bruder suggests that we conduct an annual survey, potentially as part of Children’s faculty climate survey.

Faculty Development (formerly Facilitating Mid-Life Career Changes):

Standardize faculty orientation: Faculty orientation to family support benefits and job development training has not been well organized. The university just developed a good faculty development resources web site, http://depts.washington.edu/facdev/ and Fred Rivara is now developing one that will be specific for the Department of Pediatrics. Fred is also taking on a role of overseeing faculty development and academic advancement for our Department.

Facilitation of mid-life career change: Bruder suggests that we establish a small workgroup to provide mentorship to people considering this move.

Faculty development skills training: Bruder suggests that the Implementation Task Force conduct this survey.

Additional Progress:

Progress of Private Practice Physicians: Private practice pediatricians have formed a task force of representatives from 10 practices in the Puget Sound area. They will have an initial meeting on January 25th to share information about work/life balance best practices in their organizations and develop a framework for rating and sharing information about these practice features. It is hoped that increasing awareness about family support and work/life balance features already offered will allow non-academic pediatric practice settings throughout the state to learn from each other and improve the services to their providers and staff. Interested persons should contact Jane Lester jlester@everettclinic.com for more information.

Rewards and Recognition: A new group for Rewards and Recognition has been created at Children’s. Here is their link [intranet site] : http://child/staff_resources/reward_recognition/. Kalisha Phoenix, Reward and Recognition Specialist, has been keeping us apprised of changes. She is also putting together a committee to ensure the process continues: Melissa Parisi, Margot Kravette, and Tony Avellino are representing physician’s interests on this committee.

*Please let us know of your latest publications, awards, and honors by emailing Brooke Freed (brooke.freed@seattlechildrens.org).