Pediatric Section of the Society of Critical Care Medicine

Business Meeting

February 12, 2001; 5:30 - 7:00 PM
San Francisco, California

Section Chair Rich Brilli called the meeting to order. Approximately 100 section members were present. The minutes of the previous year's meeting, held in Orlando, were approved as posted on the Section's web-site.

Dr. Brilli noted that Dr. Tim Yeh was running for a position on the Board of the American College of Critical Care Medicine whose annual meeting was occurring concurrently, therefore this Peds Section Business meeting would be briefly interrupted for members of the ACCM to go vote.

By-Laws

A by-laws change was suggested to change the term of the Fellowship Director from two years to two years with the option to be re-elected one time . It was moved and seconded to make the above change. The vote carried.

Elections / Committee Leaders

The process for nominations for members of the Pediatric Advisory Board was suggested. The chair of the section would appoint a nominations committee who will provide the suggested names of persons to serve on the PAB and provide names to run for the designated Council Seat for Pediatrics. The PAB membership outlined below will vote on the slate submitted by the nominations committee, as outlined in the Section By-Laws.

Brahm Goldstein was named chair of the nominations committee. The committee will also include the following members: Michelle Moss, Brian Jacobs, Vicki Montgomery, Bruce Greenwald, Charles Schleien.

Currently the members of the Pediatric Advisory Board include the following:
Section Chair: Richard Brilli (2000 - 2002)
Section Chair-Elect: Michele Moss (2000 - 2002)
Second term At-Large members: Brahm Goldstein, Brett Giroir (2000 - 2002)
First term At-Large member: Ed Conway (2000 - 2002)
Fellowship Director: Stephanie Storgion (2000 - 2002)
Communication Officer: Lou DeNicola
Past Section Chair: Dan Notterman (2000 - 2002)

The section also approved the selection of Peter Cox and Adrienne Randolph to Co-Chair the Pediatric Review Course at the next Symposium in San Antonio. This information will be forwarded to the SCCM Council for final approval.

Treasurer's Report

Dr. Brilli indicated that the Section has $2,528.58 as of 1/16/01.

The beginning balance (10/01/00) Total income(as of 10/01/00)
Income from dues contributions
Income from fund raising Income (from 10/01/99 til present)

Total expenses (as of 10/01/00)
Symposium expenses
Awards
Misc.
Expenses since 10/01/00

Total balance 1/16/01

$2,216.29
1,734.00

$1,614.00
$120.00
275.00

$ 196.71 $ 500.00 $1000.00

$1,696.71

0.00

$2,528.58

The Pediatric Advisory Board voted at their meeting the previous night to continue to give $1,000 to the PedsCCM web site, payable to Washington University.

Committee Information

Dr. Goldstein reported he will gather information regarding the SCCM Committee structure including the participation by Pediatric Section members on those SCCM Committees. Additionally similar information will be gathered concerning the AAP Section and Committees as well as the American Board of Pediatrics.

Council Report

Dr. Richard Brilli provided the Council Report. He reported that the move to Chicago was so far successful. The move is viewed as positive because of the proximity to multiple other medical organizations and the larger workforce involved in medical society administration. The Critical Care Education and Research Foundation is being launched at the Symposium. The initial focus of the Foundation will be "Patient Safety". This is viewed as an organization that can collect contributions from members and industry. Dr. Brilli noted that Dr. Ann Thompson, a member of the Pediatric Section, is becoming the new president of the SCCM.

Dr. Tom Green, another member of the SCCM Council, noted that Dr. Brilli was working hard on Council to give attention to Pediatric issues.

ACCM Report

Dr. Tim Yeh was elected to the Board of the ACCM. Dr. Alan Field is the incoming Chancellor. No other report given.

AAP Report

Dr. Michele Moss reported that the AAP Section on Critical Care had been working on the proposed CPT code for Pediatric Critical Care in children 31 days to 2 years. Additionally, a workforce survey was under construction by Dr. Harold Amer to evaluate time spent performing pediatric critical care by practitioners and their compensation for that time. The Fall Program for the Annual Meeting will include 2 half-day sessions on Pediatric Neuro-intensive Care. Nominations for the annual career award are due in March and applications for the research grant are due May 1^st.

SCCM Staff Report

No staff report was presented at this meeting.

ABP Report

Dr. Nichols (Chair, ABP) presented the report from the Board. Starting in July, 2001 a new Pediatric Research Pathway would be available to persons holding MD and PhD degrees. They would receive credit for 12 months out of 36 months of their residency toward research but an additional year of subspecialty training would be required.

Dr. Nichols presented information regarding plans in the future for maintenance of certification. This process would cover 6 areas including medical knowledge (the proctored examination), patient care, lifelong learning, professionalism, skills and system based practice. How these areas will be monitored and evaluated has not been determined.

Symposium Report

Dr. Hector Wong will be the chair of the SCCM Scientific Symposium for 2002. He requested feedback regarding suggestions for the symposium. He said they will try to continue to have one

pediatric sessions each morning and afternoon. The categories for abstract submissions will change to basic science and clinical categories.

Pediatric Critical Care Journal

Dr. Pat Kochanek, the Editor-in-Chief of the journal Pediatric Critical Care Medicine , introduced staff members working on the journal. He reported that there are currently 700 subscribers, which is less than anticipated. This was felt to be due in part to confusion about this being an automatic subscription for members of the section. He clarified that it was not automatic and the additional cost was only $35 per year. His goal is 2002 subscribers by year 2002.

Pediatric Critical Care Medicine is owned jointly by the SCCM and the World Federation of Pediatric Critical Care Societies. The Editorial Board is composed of 67 editors from 30 countries.

Dr. Kochanek noted the journal was not yet on Medline and would not be eligible until 18 months after the 6^thissue. Electronic submission of articles was available.

Committee Reports

Pediatric Internet Working Group. Dr. Markovitz updated the Section on the Peds CCM web- site. They continue to express desire for more participation in the evidence based journal club. They continue to appreciate the support from the Section.

Virtual PICU.Dr. Randall Wetzel reported on the development of the Virtual PICU. He stated the goal was an inexpensive, versatile database tool. It is to be in a modular design so modules can easily be attached in the future as they are developed. The software will be distributed for free to those who have signed up on the web ( www.picu.net). A manual will go with the software but currently there is not funding for a help desk. NACHRI may be able to provide that support but for a charge estimated to be about $100 per hour. Database management is still being worked on.

Resident Committee. Dr. Lou DeNicola reported for Committee Chair Mohan Mysore that the committee was working on placing six resident lectures on the Peds CCM web site. Ultimately the resident test will also be available on the web.

Fellowship Directors Committee. Dr. Stephanie Storgion provided the report. The programs who participated in the match responded to an informal survey she performed and 74% said they would participate in the match again. She also polled residents who participated in the match and got a 45% response rate. She noted that 89% were happy with their selection, 64% liked the match, 69% recommended continuing the match. At the Residency Directors meeting the previous day it was decided that a letter to pediatric residency directors and medical directors of PICUs would be drafted and sent to explain the match. An item of specific interest that will included in the letter is the fact that the match is weighted in favor of the applicants' choices and

therefore the applicant should rank the programs in the order of interest by the applicant, but not based upon which program the applicant believes he or she is most likely to get into.

She also noted that for Pediatric Critical Care fellowships there was a 6.7% dropout rate which was "in the middle" compared with other subspecialties. Also she noted that currently 30% of fellowship slots are taken by foreign medical graduates.

Managed Care / Reimbursement Committee.Dr. Bruce Greenwald presented the report. He said the committee discussed the need to educate state medicaid offices regarding what pediatric critical care is. Dr. Alice Ackerman is working on a statement describing pediatric critical care that may serve that purpose.

Dr. David Jaimovich reported on the results of a meeting with the AMA CPT Editorial Board concerning the pediatric critical care code. The code was tabled until the May meeting of the Editorial Board. The proposed infant code will not make it into the 2002 CPT Book. The transport code for physicians in attendance during transport was passed and will be evaluated by the RUC in the spring.

Advanced Practice Nurse Committee.Tom Bojko (Co-Chairs), presented the work of the committee. They are working on getting certification established for Pediatric Critical Care Nurse Practitioners.

Dr. Brilli led a discussion of the current nursing shortage as an issue of patient safety. A task force was developed who will examine the scope of the problem and develop an action plan. One focus will be on patient outcomes as related to nurse to patient ratios. The task force will include (but not limited to) the following members:Tim Timmons, Tom Rice, Michele Moss, Martha Curley, Randall Wetzell, Gabby Hauser, and Maureen Madden.

Dr. Adrienne Randolph reported that the NICHD has established a collaborative network including pediatric trauma, critical care and rehabilitation. They currently are recruiting a program officer.

Members may contact Richard J. Brilli, Section Chair, by sending e-mail at: brilli@chmcc.org. There being no additional business, the meeting was adjourned.

Respectfully submitted,

Michele Moss, M.D., FCCM

Secretary, Pediatric Section (Chair, Elect)

Society of Critical Care Medicine