Section Chair Debby Fiser called the meeting to order. Approximately 165 section members were present.
Thomas Green, section secretary, presented proposed changes in the section bylaws for approval. A motion was made and seconded to approve the revised bylaws. The motion passed unanimously. A copy of the bylaws is appended to these minutes.
David Jaimovich presented the recommendations of the PICU Admission and Discharge Criteria Committee. A nearly final form of the report had previously been sent to the section membership for review. A motion was made and seconded for the section to endorse the report. The motion passed unanimously. Dr. Jaimovich reported that the College will require a change in format of the report to conform with similar guidelines. Following these revisions, the statement will be reviewed by the Advisory Committee and then forwarded to the College for their approval. A parallel process will proceed within the AAP to develop the endorsement of this report as a joint effort. The report will now go to the College for endorsement. Dr. Jaimovich also related the committee's desire to continue with the development of admission and discharge criteria for intermediate care units. Dr. Fiser asked them to proceed.
William Perloff presented the report of the regionalization committee. This committee, which he co-chairs together with Judith Brill, distributed their draft report to the section membership by mail prior to the meeting. A motion was made and seconded to endorse the report. Some discussion ensued from members who did not remember receiving the report. Polling of attendees revealed that this was a very small fraction. The motion passed with an approximate handcount vote of 120-10. Dr. Perloff said that the intention of the committee was to send the report to the Committee on Pediatric Emergency Medicine (COPEM) of the AAP. Following joint development, the product will be returned to the Advisory Committee and, pending approval, to the Society Council or to the College.
Bruce Greenwald reported on the activities of the Quality Measures committee. This group continues their work on standardized indicators including accidental extubation, ICU readmissions, and central venous catheter complications. Greenwald anticipates that final versions of these documents will be posted on the PICU-net for section members to review.
The Clinical Practice Guideline committee report was presented by Mark Swanson. This group has finished a new draft of the guidelines for acute respiratory failure. Copies were distributed at the meeting for review, and Dr. Swanson requested comments returned to him. He anticipates a final draft to be available at the Colloquium in September.
A slate of nominations were presented to the membership from the nominating committee. The nominees were: Chair - Thomas Green; Secretary and Chair-elect - Dan Notterman; Advisory Committee members at large - Curt Steinhart, Michele Moss, Richard Brilli. No further nominations were offerred from the floor. A motion was made to elect the slate, which was seconded, and unanimously approved.
David Steinhorn was nominated by the Section Advisory Committee to serve a two year term as co-chair of the Current Concepts in Pediatrics Course. Aaron Zucker has one more year remaining in his term.
Richard Brilli presented the Fellowship Director report. Dr. Brilli presented the results of his survey of recent graduates highlighting aspects of their training that were positive and negative. Most of the fellowship directors meeting centered on a discussion of the number of pediatric intensivists in practice and the number of annual trainees produced by our training program. Dr. Brilli reported David Jardine's analysis that projected a surplus of intensivists into the future. A retreat was proposed at the Colloquium to examine this concern and address the issues.
The report of the committee on resident education was presented by Ed Conway. The need for a document outlining goals for resident education in the PICU was highlighted. Dr. Conway related that his committee would also establish connections with the Neonatology community to develop common issues regarding the overall limitation of ICU time (NICU and PICU) during residency to six months. The committee was also considering the development of a template for a standard resident evaluation form.
Ann Thompson reported on issues from the SCCM Council . Project Impact has reached the point of clinical application for adult ICU's. Participation of section members was requested in order to develop a product for PICU's. Discussion ensued as to the overlap and compatibility with the PCCSG-net database. The Fundamentals of Critical Care Medicine Course is continuing. Contact and communication is occurring between the Council and the JCAHO. Attention was drawn to the significant public policy work underway by the Society.
Greg Stidham gave the report from the PCCSG. Several publications have appeared this year with the PCCSG as author and coordinating agency. Additional projects are either in process or under consideration by the Protocol committee. Dr. Stidham reported that the Executive committee is planning a retreat to evaluate the group's progress to date and to consider future goals and process.
Barry Markowitz reported on the development of both the PICU-Net and the Home Page for Pediatric Critical Care Medicine. A motion was made and seconded that the section create a task force to plan a web page for its membership. The motion passed unanimously. The attendees were polled to determine how many have access to the PICU-net. All but three attendees reported accessing the list server.
Dr. Fiser reported that the section had about $1500 in assets. The membership was reminded that funds for the section's operation comes only from voluntary contributions. Contributions are typically made with Society membership renewal.
Dr. Fiser gave a brief recap of the year and thanked the section for their support and hard work during her term as chair. She then turned the podium over to the new chair, Dr. Green. He noted Dr. Fiser's accomplishments during her tenure and conveyed the unanimous thanks of the section. Her new position as the first Pediatric Intensivist to assume the chairmanship of a medical school department of pediatrics was noted, as well.
A motion was made to adjourn, was seconded, and passed unanimously.
Respectfully submitted,
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