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February 14, 2000; 4:30-6:00 PM
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Section Chair Daniel Notterman called the meeting to order. Approximately 100 section
members were present. The minutes of the previous year's meeting, held in San Francisco, were
approved as posted on the Section's web-site.
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A slate of nominations for membership on the section executive committee was presented
to the section membership for vote. The slate noted below was approved by acclamation
vote.
Section Chair: Richard Brilli (2000 - 2002)
Section Chair-Elect: Michelle Moss (2000 - 2002)
At-Large members re-elected: Brahm Goldstein, Brett Giroir (2000 - 2002)
New At-Large member: Ed Conway (2000 - 2002)
Fellowship Director Section: Stephanie Storgion (2000 - 2003)
Communication Officer: Lou DeNicola
Past Section Chair: Dan Notterman (2000 - 2002)
The section also approved the selection of Brett Giroir and Peter Cox to Co-Chair the
Pediatric Review Course at the next Symposium in San Francisco.
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The Section Executive Committee will develop a nomination committee, chaired by
Brahm Goldstein, to develop a methodology for bringing nominations forward to the
section and executive committee. The Section Chair-Elect (Brilli) will develop a set of
criteria for members who wish to be nominated for membership on the executive
committee of the section.
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Dr. Notterman indicated that the Section has $3175.29 as of 9/30/99. $1280.00 as section
contributions, beginning balance of $3051.61 from 10/01/98, and Net expenses over the
fiscal year of $1156.32. Specific details of expenditures are available from the SCCM
office or through the Section Chair. As a result of the SCCM austerity plan, the standard
$500 contribution to the section from the SCCM will be waived for the coming fiscal
year.
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Dr. Richard Brilli provided the Council Report. (1) A summary of the current status of
the Pediatric Critical Care Medicine Journal was presented. A search committee for
journal editor has been established. It is hoped that a new journal editor will be appointed
by summer 2000; (2) A description of the implications to the section regarding the SCCM
move to Chicago was presented including the austerity plan set forth by the Society.
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Dr. Alan Fields presented the College report. He noted that new practice guidelines,
sponsored by the College, will require peer review before publication and that work will
continue to complete the guidelines in a timely fashion. A major role of the College will
continue to be the establishment of the aforementioned guidelines.
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No report was presented.
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No staff report was presented at this meeting.
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Dr. Nichols (Chair, ABP) presented the report from the Board. Sub-Board pass rate
continues to be about 70%. There is a very strong correlation between pass rate and those
fellows who have completed a first author manuscript. New Board members were
announced (Ackerman, Giroir). Other Board members include Drs. Rubinstein, Dean,
Kochanek, Lister, and Fiser.
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The ABP continues to struggle with the research component of the training program
process and its implication for certification. Preliminary discussion has included the
possibility of clinical track fellowship and / or a combined research & clinical training
track.
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Pediatric Internet Working Group. Dr. Markovitz updated the Section on the Peds
CCM web-site. They continue to express desire for obtaining the latest announcements of
the section and requested that members participate in the journal club on the site. The
new website URL is pedsccm.org.
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Approximately 1500 individuals currently subscribe to the PICU Net List. It is likely that
the PICU list will be administered by a commercial company in the near future as support
from the Wisconsin group is decreasing.
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Resident Committee. Committee Chair Mohan Mysore presented the report. The
committee has established a mission statement, goals and objectives, and will work to
establish some curriculum guidelines for pediatric resident rotations in the PICU. The
resident exam is still going to be provided to those PICU's participating.
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Fellowship Directors Committee. Richard Brilli provided the report. All programs,
except one, are participating in the Match. Match Day for 2001 is November 2000. Dr.
Brilli reminded the group about the new ACGME requirements for accreditation of
programs will go into effect July 2000. Stephanie Storgion was elected as the new Chair
of this section/committee. Additional information regarding this section report is
available on the Peds Section SCCM Website.
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Regionalization Committee. The work of this committee is completed and the guideline
has been published. The committee is disbanded.
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Sepsis Committee. No report was provided. Publication of a manuscript describing the
hemodynamic management of pediatric sepsis is nearly complete. Dr. Carcillo is the
Chair of this committee.
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Managed Care / Reimbursement Committee. Dr. Bruce Greenwald presented the
report. The committee name for the future will include the following language: "managed
care and reimbursement committee". David Jaimovich introduced information about
changes in the definition of the neonatal code (99295) that is now present in the newly
published AMA CPT 2000 Coding Manual. Discussion by the section membership took
place. Dr. Tim Yeh also noted that the AAP is also discussing the changes to the
definition. A resolution was proposed as follows: Dr. Jaimovich will advocate to the
AMA and HCFA for the change in definition back to at least 12 months of age as the
definition for the neonatal code. He will advocate for a larger definition of the physician
directing a team as the standard model of pediatric ICU practice for children up to 18
years of age. Dr. Jaimovich is officially designated to represent the pediatric section of
the SCCM on these issues.
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Guidelines Committee. No official report was presented. The Committee Chair is David
Rosenberg. Work continues on the update of the policy describing the Levels of PICU
Care. Work is nearly complete.
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Hospitalist Committee. No report was presented. Should this committee be disbanded ?
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Reports were not received from the PCCSG or the Clinical Practice Guideline
Committee.
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Advanced Practice Nurse Committee. Tom Bojko and Judy Verter (Co-Chairs),
presented the work of the committee. A survey was sent to advanced practice nurse
members of the society and their supervisors. Data from 40 respondents is being
analyzed. All respondents are mastered prepared nurses, some are supervised by nursing
administration and some are supervised by the medical staff in the ICU.
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Inhaled Nitric Oxide Issues
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Brahm Goldstein is developing a letter for promulgation to the FDA describing the
concerns of the medical practitioners regarding the new costs associated with the delivery
of inhaled NO gas. Dr. Goldstein will send a copy to the Pediatric Section Chair and the
executive committee for review. The Section is likely to support this advocacy and the
letter to the FDA.
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Project Impact - NACHRI - VPICU Database
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SCCM is not developing a competing pediatric database. The NACHRI and VPICU
database are in beta-testing and full distribution to NACHRI hospitals is expected by
summer. Further discussions with Dr. Pollack regarding PRISM III are necessary to get
potential input of the PRISM III scoring system into the NACHRI -VPICU database.
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Members may contact Richard J. Brilli, Section Chair, by sending e-mail at: brilli@chmcc.org.
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There being no additional business, the meeting was adjourned.
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Respectfully submitted,
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Richard J. Brilli, M.D. (brilli@chmcc.org)
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Secretary, Pediatric Section (Chair, Elect)
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Society of Critical Care Medicine
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