Pediatric Section Meeting

SCCM February 22,2004

 

Pediatric Advisory Board Members:

Michele Moss, M.D.  Chair

Stephanie Storgion, M.D. Chair elect

Ed Conway, M.D.

Vicki Montgomery, M.D.

Bruce Greenwald, M.D.

Rich Brilli, M.D.

 

The meeting was called to order at 1640h by Michele Moss.

1. A survey on pediatric intensivist workforce was distributed.
2. Budget:
1. Balance of $2142.51 as of 1/31/2004. 
2. Of this 4450 were donations to the section and the SCCM contributed $500. 
3. The PAB designated $800 contribution to the PedsCCM website.
3. Elections:
1. PAB recommended

                                                     i.     Ed Conway, M.D. as pediatric section chair elect

                                                      ii.     Mohan Mysore, M.D. as at large member

                                                        iii.     Jeff Burns, M.D. as fellowship director chair

2. Motion made to accept nominations and passed unanimously
3. Reports:
1. Council: Alice Ackerman, M.D.

                                                     i.     Council turned down request for pediatric section dues.

                                                      ii.     Discussion occurred on SCCM wording change from “intensivist led” to “multidisciplinary team” as the model for critical care delivery.

                                                        iii.     Council has changed focus to allow it to function as a strategic planning body

                                                        iv.     Tom Green, M.D. pediatric section representative to SCCM Council

                                                      v.     Rich Brilli, M.D. and Alice Ackerman, M.D. are at large members on the SCCM council

2. Pedatric Critical Care Medicine Journal: Pat Kohanek, M.D.

                                                     i.     The bimonthly journal is increasing  in numbers of submissions, circulation and languages

                                                      ii.     Submissions have increased from 181 in 2002 to 350 in 2004.

                                                        iii.     Circulation is now between 2100-2400 with expected to be over 2500 by year end.

                                                        iv.     Tex Kissoon, M.D. is the WFPICS representative to the journal and is working on block subscriptions from the Latin and European societies

                                                      v.     Languages added: Italian and Portugese

                                                        vi.     Kudos to Pat Kohanek from Margaret Parker, M.D. SCCM president on the success of this journal

3. ACCM: Tim Yeh, M.D.

                                                     i.     Guideline status:

1.     Admission/discharge criteria for PICU up for renewal and revision; process beginning

2.     Admission/discharge criteria for Intermediate Care Units through the SCCM, AAP, ACCM and CCM with publication planned in May or June of 2004 in Pediatrics and CCM

3.     Levels of PICU care document turned down at council 1 year ago.  Rerouted through pathway due to substantive changes and has been approved by the AAP.  Now at Council and CCM review with results pending.

4.     Discussion held on  value of joint statements from AAP, SCCM, ACCM with joint publication however current process results in a 3 year lag time in getting guidelines published.  AAP has developed a fast track process. Presented to SCCM Council but no response at this time.

4. AAP Section on Critical Care : Michele Moss, M.D.

                                                     i.     Practice management course: Alice Ackerman, M.D., chair: scheduled for  Sat. Oct. 2, 2004 in NYC immediately following the Critical Care Colloquium

                                                      ii.     Plan to develop a life long learning program for recertification using the Pedilink model as does PREP.  The curriculum would match the ABP guidelines.  The  SOCC has started to work with the AAP on this proposal.

5. 15^th Critical Care Colloquium: Kathy Biagis, M.D. and Bruce Greenwald, M.D.

                                                     i.     Will be held in NYC Sept.30-Oct. 2, 2004 at the Park Central Hotel.  Flyers were distributed and information is available on line at http://ColumbiaCME.org

 

5. Committee Reports:  
1. Resident Education: Mohan Mysore, M.D.

                                                     i.     Mary Lieh-Lai,M.D. and Ken Tegtmeyer, M.D. will be taking over as co-chairs of this committee: the committee will meet Tues. 7-830 to discuss the 80 workweek and the impact on education in the PICU

                                                      ii.     PICUcourse.org has been transferred to SCCM and is available either from the website or through PICUcourse.org.  The SCCM will maintain the data base and the exam will be updated with a third exam planned for the summer of 2004.  An abstract on this will be presented at these meetings.

                                                        iii.     Mohan Mysore will be moving on to chair the SCCM residency education committee and was applauded for all the work he has done on the pediatric project.

2. Refresher course: Tom Shanley, M.D. and Ken Tegtmeyer, M.D.

                                                     i.     Attendance was 279 far beyond the preregistration of 156.

3. Advanced Practice Nurses: Maureen Madan and Alice Ackerman

                                                     i.     Over 25 attended the committee meeting most being APNs . Requested additional physicians to attend the meeting. 

                                                      ii.     Will be electing 2 new co-chairs as both have ended their term

                                                        iii.     Hope to have the acute care PNP exam by fall, 2004

                                                        iv.     Working on developing education standards and core competencies. Requesting physician input.

4. VPICU: Randall Wetzel: to meet on Tues.
5. Fellowship Committee: Stephanie Storgion,M.D.

                                                     i.     New chair is Jeff Burns, M.D.

                                                      ii.     Match results were shared and discussion about the importance of continuing this process.

                                                        iii.     ACGME competencies and 80 hour workweek were discussed and strategies shared.

                                                        iv.     ABP new fellowship requirements discussed and strategized on programs developing scholarship oversight committees for all fellow trainees in pediatric subspecialties

                                                      v.     Discussion by Jeff Burns on Boston’s recent experience with a medical error, lessons learned and impact on trainees.  Same shared with the pediatric business meeting

6. Coding and Reimbursement: Bruce Greenwald, M.D.

                                                     i.     Agenda based around workforce issue

7. Patient Safety Committee: Vicki Montgomery, M.D.

                                                     i.     Two current projects:

1.     Safety Issues in the PICU: Sherry Landers at UK

2.     Looking at nursing work/taks/hours and affect on medical errors.  Trying to develop a standard acuity system under the guidance and assistance of NACHRI

                                                      ii.     Response to JCAHO issues on Rule of 6 for drip calculations.  Letter to be sent to JCAHO requesting a reevaluation of their postion on the Rule of 6. 

6. Pediatric Cardiac Intensive Care Society:  Harris Baden
1. Open meeting for the development of a fellowship curriculum to be held on 2.22 at 10am.
2. A discussion was entertained on the value of such a training experience and the overall issue of cardiac critical care

There being no further business the meeting was adjourned at 1800h.