Transcription
SECTION ON NEONATAL-PERINATAL MEDICINENEWSLETTER - Summer 2019www.aap.org/perinatalThe National NeonatologyCurriculum – An Introduction andWork-In-Progress ReportAllison Payne MD, MS, FAAP and HeatherFrench MD, MSEd, FAAPEvery Neonatal-Perinatal Medicine (NPM) fellowshipprogram faces the same mandate from the AmericanBoard of Pediatrics (ABP): To train the nextgeneration of neonatologists who can provideevidence-based clinical care; critically appraiseinformation; problem solve; and of course, pass theABP NPM board exam. Older methods of teaching,including the ever-present narrated PowerPointpresentations, are not optimally meeting the needs ofNPM fellowship trainees and create a significantfaculty time burden to create and/or update. At thefall 2016 ONTPD meeting, the National NeonatologyCurriculum Committee (NNCC) was formed by likeminded program directors and associate programdirectors to address shared concerns surroundingthe development, maintenance, implementation, andeffectiveness of educational materials for NPMfellowship training. The NNCC seeks to streamlineeducational efforts nationally by developingstandardized, high-quality, peer-reviewed educationalmaterials to meet ABP educational mandates.The NNCC has two missions: (1) Improve the quality,consistency, and efficiency of neonatology educationby creating freely accessible, peer-reviewed, adultlearning-grounded, ABP content-focused educationalmaterials. (2) Create a collaborative of academiceducators who will advance the science of teachingand learning to improve the quality of neonatal care.The NNCC is currently developing a physiologycurriculum using flipped classroom (FC)methodology. FC is an educational strategy alignedwith adult learning theory that is associated withimproved learner acceptance, engagement,satisfaction, and knowledge acquisition. The NationalNeonatology Curriculum employs pre-class onlinevideos and in-class faculty-facilitated groupContinued on Page 2Perinatal News “At a Glance”Mary Nock, MD, FAAP, EditorVivian Thorne, ProductionNational Neonatology Curriculum . . . . . . . . . . . . . . . . . . . . . . . . .1NANN Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Getting to Know Brian Hackett District IV . . . . . . . . . . . . . . . . .4ONTPD Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5MidCaN Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Book Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6Section Sponsored Fellow Conferences . . . . . . . . . . . . . . . . . . . .7Women in Neonatology (WiN) . . . . . . . . . . . . . . . . . . . . . . . . . . . .8WECaN – In Sickness and in Health . . . . . . . . . . . . . . . . . . . . . . .92019 Spring Workshop Summary . . . . . . . . . . . . . . . . . . . . . . . . .9SoNPM Program at the 2019 NCE in New Orleans . . . . . . . . . . .10View from the Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Coding Question . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Trainees and Early Career Neonatologists (TECaN) Update . . . .122018 Landmark Awardees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Today’s NeoPREP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14In Memoriam Billy Andrews . . . . . . . . . . . . . . . . . . . . . . . . . . .14Eliminate Preventable Deaths from Unplanned Extubations . . . .15Rapid Whole Genome Testing: Precision Medicine forNeonatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162019 Apgar Awardee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Executive Committee Roster 2019 . . . . . . . . . . . . . . . . . . . . . . .17District News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18Coding Answer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402019 Avroy Fanaroff Education Awardee: Ned Lawson . . . . . . .422019 Landmark Awardee: Ronald I. Clyman . . . . . . . . . . . . . . . .432019 Pioneer Awardee: Jacqueline Evans . . . . . . . . . . . . . . . . .44Essentials for Research Meeting Abstracts . . . . . . . . . . . . . . . . .45Focus on Global Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462019 AAP NCE Section Program Schedule . . . . . . . . . . . . . . . .46Unique Opportunity for District VII Fellows. . . . . . . . . . . . . . . .492019 Marshall Klaus Award Recipients . . . . . . . . . . . . . . . . . . . .49Printing and mailing of this issuesupported through a grant fromAbbott Nutrition.
SECTION ON NEONATAL-PERINATAL MEDICINESummer 2019www.aap.org/perinatalBonachea, Melissa Carbajal, Patty Chess, Alison Falck,Lindsay Johnston, Heidi Karpen, Allison Payne, andMargarita Vasquez. Fellow members are Carly Gisondoand Annamarie Arias-Shah.TThe National Neonatology Curriculum - An Introduction andWork-In Progress ReportContinued from Page 1discussions of clinical cases highlighting physiologicconcepts taught in the videos. Rather than a passivedidactic lecture, class time is spent actively analyzing andapplying learned concepts to clinical cases, providingclinical context and relevance of physiological principles.In the FC, active learner engagement promotesdevelopment of higher level cognitive skills which arecritical for lifelong learning in medicine.The NNCC welcomes faculty and mentored fellowsinterested in authoring or editing modules to contact itsCo-Chairs Dr. Heather French (frenchh@email.chop.edu) orDr. Megan Gray (graym1@uw.edu) with specific contentareas of interest/expertise. This is an excellent opportunityfor national education involvement and scholarship.Our pilot data, collected from five participating institutionsand published in 2018 (PMID 30087455), showed that 91%of fellows felt that the FC modules were superior or farsuperior to their traditional didactic activities. Both learnersand educators found the educational materials to berelevant and the class discussions engaging. Learnersreported compliance with completion of pre-class activitiesand educators noted a decrease in time required toprepare for class. Currently, a randomized controlled trial,which enrolled 63 US NPM fellowship programs and 500fellows, is comparing knowledge retention andlearner/educator preference for FCs versus standardizeddidactic lectures. This RCT will complete data collection inSeptember 2019. Additional efforts are underway toidentify best practices in FC facilitation to aid faculty withengaging in and adopting this educational modality.National Association of NeonatalNurses (NANN) and NationalAssociation of Neonatal NursePractitioners (NANNP) ReportErin Keels DNP, APRN-CNP, NNP-BCParent/Family EducationThe NANN website offers a variety of parent and familyeducational and support resources. Baby Steps to Home isthe first standardized, evidence-based discharge pathwaydesigned for nurses. This free online resource is availableto all hospitals across the country:http://babystepstohome.com/. NANN also has resourcesfor neonatal families as part of the Advances in NeonatalCare: Family Teaching ucts/familypatient-education-products. An extensive list of topics areincluded such as newborn jaundice, preventing RSVinfection, guide for breastfeeding your premature baby andmany others.The National Curriculum educational materials are freelyavailable online at www.mededonthego.com (search term“Neo Flip”). Each physiology topic contains short videos aswell as a downloadable transcript, slide set narrated by aneonatologist, and FC learner and facilitator guides. Todate, the NNCC has published 18 respiratory physiologymodules. Educational materials covering GI/Bilirubin topicscurrently being used in the RCT will be made publiclyavailable in October 2019. MFM and ECMO materials areunder development and recruitment for Neurology,Nutrition, Genetics, QI, Nephrology, andNeurodevelopment topics is starting. A complementarysimulation curriculum is also under development toreinforce important physiological concepts for learners andis expected to be available fall of 2019. The NNCC intendsto provide educational materials covering all areas of theABP NPM Educational Content Outline over the next fewyears and interested neonatologists are always welcome tojoin the effort. Additional information is available on theONTPD’s website.Additionally, the following links and other resources areavailable through the NANN website: Hand to Hold matches seasoned parents of preemieswith those in need of support. Becoming a Parent in the NICU, developed by Marchof Dimes, is a resource for parents during and after theNICU stay. March of Dimes: The Newborn Intensive Care Unitoffers an overview of the NICU experience for newneonatal parents. Support for NICU Parents, developed by the NationalPerinatal Association, provides parent and professionalresources for digital NICU family support. Preemie Parent Alliance is a network of organizationsoffering support to families of premature infants. Abbott Nutrition Health Institute houses informationand professional education materials on nutrition andother related neonatal topics. Baby First, supported by Draeger, is an education andinformation resource for parents and clinicians in manyaspects of neonatal care.The NNCC is especially grateful for the support of theExecutive Committees of ONTPD and SoNPM. The NNCChas partnered with NeoReviews and Drs. Dara Brodskyand Camilia Martin to use some of their publishededucational materials to augment the National Curriculum.Members of the NNCC are Heather French (Co-Chair),Megan Gray (Co-Chair), Rita Dadiz (Vice Chair), MariaGillam-Krakauer (Vice Chair), Susan Izatt (Vice Chair), Liz2
www.aap.org/perinatalSECTION ON NEONATAL-PERINATAL MEDICINE Mead Johnson Nutrition Nurse Connections is anutrition related professional education and patienteducation toolSummer 2019Policies, Procedures, and Competencies for NeonatalNursing Care: Second Edition furthers NANN’scommitment to evidence-based nursing and providesstrong support to neonatal nurses and neonatal nursepractitioners as they seek to give the highest quality ofcare to vulnerable patients. For more tember2018/product-spotlightNeonatal Nurse Education and Clinical ResourcesThe 2019 NANN Research Summit was held in Scottsdale,AZ, March 26-28, 2019. Approximately 20 neonatal nursesand APRNs participated in this program to share and gainfeedback on their research and quality improvementprojects. For more information about the 2020 -summitEssentials of Neonatal Nursing Orientation Lecture Series provides a comprehensive orientation to neonatal nursingcare that helps new nurses identify basic elements of theNICU patient’s physiology and pathophysiology and applynecessary nursing interventions. For more ly2018/productspotlightThe Small Grants Mentee/Mentor Program acceptsapplications from NANN members interested in developingtheir research skills and/or initiating their own researchstudy or evidence-based practice (EBP) project. For moreinformation: cacyNANN provides education and support for neonatal nursesand APRNs to engage in legislative advocacy throughthese helpful toolkits:Interested in submitting a research survey? NANNmembers can distribute surveys to thousands of neonatalnursing professionals by reviewing this link for instructionsand completing the application form for approval:http://nann.org/uploads/Education/2019 Research SurveyInstructions and Application Form.pdf. Disclaimer:NANN is not an active sponsor nor participant of approvedresearch surveys. NANN does not collect nor monitorsurvey data related to approved research surveys. It is thesole responsibility of the researcher to collect the data forhis/her survey. In addition, NANN is unable to sharemember contact information with researchers.http://nann.org/uploads/About/1.5.3.1 Federal Health Policy Advocacy Toolkit.pdfhttp://nann.org/uploads/About/1.5.3.2 State Advocacy Toolkit.pdfNANN, partnering with the Nursing Organizations Alliance,sponsored two NANN members to attend the three-dayNurse in Washington Internship program in Washington,DC, March 24-26, 2019. For more s/NIWI-Nurse-inWashington-InternshipThe 34th Annual NANN Education Conference was held onOctober 17-20, 2018 in Anaheim, CA. Some of the 2018conference topics may be purchased individually or as abundle of four topics together. Available topics include oneCNE contact hour each: Minimally Invasive Fetal Surgeryfor Neural Tube Defects, 2018 Neonatal Evidence-BasedSkin Care Guidelines, The Surprising Value of a PhysicalAssessment in the Age of Technology, The GenomicsEnabled NICU of the Future.NANN is monitoring and supporting a number of legislativeissues such as the MOMMA Act, the future of theAffordable Healthcare Act, the Home Health Advocate Billand the National Nurse Act of 2017.Professional DevelopmentNANN has developed a customizable collaborativepractice template that can be modified to meet the needsof each academic healthcare partner and lications/enews/2018/Collaborative Practice Guideline.pdfBest of NANN session recordings make a great groupeducational opportunity for unit learning, lunch and learns,or chapter events. For special group pricing, contactNANN Member Services at (800) 451-3795 orinfo@nann.orgNANN/NANNP is developing a national guideline for APRNstaffing in NICUs. The goal is to create a staffing guidelinethat will describe NICU patients the APRN (NNP, PNP, FNP)may care for based upon the education, certification anddegree awarded in their population focus area. Thisdocument will contain the necessary information neededby an APRN when deciding to accept a position thatincludes providing care to the NICU patient, and will assistadministrators in making staffing decisions.The 35th Annual Educational Conference will be held inSavannah, GA, October 9-12, 2019. Topics include:Incorporating EBP into Clinical Practice, Addressing theNeeds of LGBTQ Families in the NICU, Diversity in NNPs,How Trauma and Bias Impact Communication in the NICU,and new and/or revised clinical practice policies orguidelines such as Early Onset Sepsis. For moreinformation: ting3
SECTION ON NEONATAL-PERINATAL MEDICINESummer 2019www.aap.org/perinatalGetting to Know Brian Hackett MD, PhD, FAAPDistrict IV RepresentativeMedical School and Training: I completed a PhD in biology at Boston Collegebefore attending medical school at St. Louis University School of Medicine. Mypediatric residency was at St. Louis Children’s Hospital followed by neonatalperinatal medicine fellowship at Washington University School of Medicine.Current Position: I am currently a Professor in the Department of Pediatrics atVanderbilt University Medical Center (after 25 years on the faculty at WashingtonUniversity School of Medicine). I am Associate Division Director in the MildredStahlman Division of Neonatology, the Neonatal-Perinatal Medicine FellowshipProgram Director, and the acting Medical Director of the NICU at Vanderbilt.Family: I have three wonderful children: Alice who will be starting a pediatriccardiology fellowship in July, David who does something in IT that I don’t understand, and Rachel who does publichealth research.What Would People Be Surprised to Learn About You? My PhD thesis work was on the hormonal regulation of leafsenescence.Favorite Vacation of All Time: It is hard to pick a favorite, but one that always seems to come to mind is on BlockIsland (off the coast of Rhode Island) with family and friends.If You Weren’t a Neonatologist, You Would Be A plant biologist.Best Advice for Early Career Neonatologists: Find mentors who can help you navigate the early stages of yourcareer. We want you to succeed!What Book(s) Are You Reading Right Now? The first volume of Robert Caro’s biography of Lyndon B. Johnson:The Years of Lyndon Johnson, The Path to Power. Lyndon Johnson was such an amazingly complex and interestingfigure, combining the most ruthless political ambition with a progressive vision.Most Important Thing You Have Learned in Your Career: Always listen to the nurses and mothers.Best or Favorite Childhood Memory: The waves and the dunes at Marconi Beach in Wellfleet, MA with my parentsand brother.Your Hidden Talent: It’s so hidden, even I haven’t found it yet!The Best Thing About Where You Live: Nashville has every type of live music (not just country) that you could everwant to listen to. Ryman Auditorium is the best place to hear live music.I’ve Recently Been Inspired By I’m always inspired by the families in our NICU.Favorite Movie: Hard to name just one but let’s say The Big Lebowski. I laugh out loud no matter how many timesI’ve seen it and it’s endlessly quotable. “You’re not wrong Walter.”Favorite Way to Relax After a Hard Day: Watching an old movie or listening to music.Do You Collect Anything? I’m not sure I collect anything but I sure do seem to have a lot of books and recordalbums around the house.4
www.aap.org/perinatalSECTION ON NEONATAL-PERINATAL MEDICINESummer 2019Organization of Neonatal-PerinatalTraining Program Directors (ONTPD)Updatecompetency and more. If you have not completed thissurvey or need access, please contactLindsay.Johnston@yale.com. We hope to share the resultsat the annual fall ONTPD meeting.Kris Reber MD, FAAPDates to Remember: All will take place in New Orleans inconjunction with the 2019 AAP NCE this fall. Agendas andmeeting locations will be sent out soon.We had great attendance for our ONTPD meeting at thePediatric Academic Societies meeting in Baltimore. Thismeeting provides a forum for program directors to discussinnovative scholarly activity opportunities for trainees. Weheard updates related to research in large network andquality improvement databases (Children’s HospitalNeonatal Database and Vermont Oxford Network),simulation research (InSpire) and global health. We willcontinue some of these discussions during our annualmeeting at the AAP NCE in New Orleans this fall.Annual Neonatal-Perinatal Fellowship PD/APD Bootcamp,October 24th, 3pm-6pmAnnual ONTPD Reception, October 24th, 6pm-9pm(immediately following Bootcamp)Sponsored by Abbott NutritionONTPD Annual Meeting, October 25th, 9am- 4pmMidCaN UpdateOur ONTPD sub-committees remain active and continue towork on initiatives to support our ProgramDirectors/Associate Program Directors (PD/APDs):Dena K Hubbard MD, FAAPThe Mid-Career Neonatologists (MidCaN) subgroup ofSoNPM met in Scottsdale on the Friday morning of theWorkshop on Neonatal Perinatal Pediatrics. This was aworking meeting and our growth and development is righton track. Thanks to the SoNPM leadership for theircontinued support.National Curriculum (Chair Heather French) Thiscommittee has been very active in the development ofcurriculum using the flipped classroom approach includinga randomized control trial including many neonatalfellowship programs. Please see a complete update in aseparate article in this SoNPM Newsletter.The focus area for MidCaN in 2019-2020 will beleadership development. MidCaN will be hostingquarterly webinars starting August 13th with our inauguralwebinar, “Setting Career Goals and Defining YourSuccess” presented by Steve Olsen and Mary AnneJackson. Many mid-career neonatologists are feelingcomfortable. Fellowship is over, the board exam has beenpassed, and the work schedule of a neonatologist hasbecome routine. But looking toward the future, some mayfind themselves struggling with work
minded program directors and associate program directors to address shared concerns surrounding the development, maintenance, implementation, and e fc t iv n s odu alm rNPM fellowship training. The NNCC seeks to streamline educational efforts nationally by develop
