Pediatric Section of the Society of Critical Care Medicine
		Business Meeting January 25, 1999; 4:30-5:30 PM
			San Francisco
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 Antonio, were approved as posted on the Section's web-site. Elections No nominations or elections occurred during this meeting. The section also approved the selection of Jeffrey Fineman and Brett Giroir to Co-Chair the Pediatric Review Course at the next Symposium in Orlando. Treasurer's Report Dr. Notterman indicated that the Section has $3051.61 as of 9/30/98, with $1202.50 as section contributions and beginning balance of $2379.11 from 10/01/97. Specific details of expenditures are available from the SCCM office or through the Section Chair. Council Report Drs. Ann Thompson, Tim Yeh, and Richard Brilli provided the Council Report. (1) Discussion regarding the Societies support for the Peds version of Project Impact took place. A majority of Section members present noted that they would be interested in participating in the use of the Peds version of PI, though more details would be necessary; (2) There is reason to be optimistic that the Society might support a pediatric version of COMPACCS; (3) Dr. Thompson announced that the SCCM and the World Federation of Pediatric Intensive Care Specialists are close to final agreement regarding the publication of a Pediatric Critical Care Journal. This journal would be published by the SCCM and come under the overall direction of Critical Care Medicineand Joe Parillo (editor). A separate pediatric editor would also be appointed. This Associate Editor arrangement is similar to that for New Horizons. ACCM Report Dr. Alan Fields presented the College report. He noted that new practice guidelines that are sponsored by the College would require peer review before publication.

AAP Report

The admission and discharge criteria for the PICU are nearly ready for simultaneous publication in Critical Care Medicineand Pediatrics. Regionalization guidelines are in the hands of the College & AAP for final approval prior to publication.

SCCM Staff Report

No staff report was presented at this meeting.

Committee Reports

Pediatric Internet Working Group. Drs. Markovitz & DiCarlo 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. They noted that approximately 1500 individuals currently subscribe to the PICU list. They described the Interactive Journal, and asked for scholarly contributions. Drs. Day & DiCarlo described the Pediatric Critical Care Textbook Initiative. Examples of the type of information available were provided. They requested scholarly contributions or summary articles for placement into the textbook. Admission/Discharge Committee. Final drafting of the guideline is complete. Publication date is pending. Resident Committee. Committee Chair Ed Conway presented the report. He noted that the third exam is in process. He announced that the new chair of the committee would be Mohan Mysore. Fellowship Directors Committee. Richard Brilli provided the report. Randall Wetzel continues to work on an outline for a research curriculum. The ACGME is asking for final input regarding the revisions of the accreditation guidelines for PCCM fellowships. The fellowship directors voted by majority to institute a match for PCCM fellowship training. Drs. Baden and Brilli will discuss the details of implementation with the NRMP. Full details of the deliberations of the fellowship directors are available under the fellowship director's section on this web-site. American Board of Pediatrics. Dan Notterman, Chair of the Sub-board, announced that the certifying examination for Pediatric Critical Care Medicine would next be offered in 2000. He indicated that the Sub-board was continuing to emphasize the need for program directors to assure that their trainees meet the published criteria for "meaningful accomplishment in research."Fellows not meeting these criteria are at risk for being declared ineligible to sit for the certifying exam.

Regionalization Committee. Prior to this meeting, Dr. Perloff, Chair of the Regionalization Committee, advised Dan Notterman that the final revisions to the regionalization document were complete. The AAP Committee on Pediatric Emergency Medicine, our co-author, had requested revisions. This document is ready for publication by the Pediatrics& Critical Care Medicine. The document now stands approved by the section. Sepsis Committee.Dr. Carcillo presented the status of the written guideline for the hemodynamic management of pediatric patients with septic shock. This document is nearing completion and will soon be submitted to the ACCM for review. Managed Care Committee.Dr. Bruce Greenwald presented the report. Please note the attached (appendix) draft statement that the committee provided. The section will need to comment and vote upon a final draft, for presentation at the next meeting. Hospitalist Committee.No report was presented. Dr. Richard Metz is the committee chair. Dr. Notterman to address with Dr. Metz whether there is further work for this committee. Reports were not received from the PCCSG or the Clinical Practice Guideline Committee.

New Business

Pediatric Critical Care Journal As noted previously, the SCCM in conjunction with the World Federation is working to jointly publish a pediatric specific critical care journal. Dr. Thompson and Barker and Steve Seekins (CEO of the SCCM) presented the current status of this project. For additional details please see Council report noted above. New Working Groups or Committees A new working group (The Virtual PICU Working Group) led by Dr. Randall Wetzell was established and he gave a brief summary of their activity. The goal of the group is to establish a common interactive database for use by all PICU's around the US and internationally also. The group intends to collaborate with the SCCM and the National Association of Children's Hospitals and Related Institutions (NACHRI) in establishing the aforementioned network. An additional working group was discussed pertaining to the use of nurse practitioners in the PICU. Members interested in participating in this project should contact Dan Notterman for further committee assignment. A committee Chair was not established.

Members may contact Dan Notterman, Section Chair, by sending e-mail to him at: Dnotterman@molbio.princeton.edu
There being no additional business, the meeting was adjourned. Respectfully submitted, Richard J. Brilli, M.D. (brilli@chmcc.org) Secretary, Pediatric Section (Chair, Elect) Society of Critical Care Medicine

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Appendix - Draft Statement on Managed Care
			"DRAFT"
	Statement of the Pediatric Section of the Society of Critical Care Medicine
		Committee on Finance
The members of the Pediatric Section of the Society of Critical Care Medicine are dedicated to providing the highest quality care for critically ill infants and children. Pediatric critical care medicine is a subspecialty of pediatrics that evolved out of the need for the most medically vulnerable and technology dependent pediatric patients to be cared for by physicians with special expertise. Pediatric critical care physicians, by virtue of subspecialty training and clinical experience are uniquely qualified to coordinate and implement diagnostic evaluations and complex therapeutic interventions for children in intensive care environments. Medical decision making, the development of management pathways and protocols, measurement of outcomes, and quality improvement initiatives must be conducted and supervised by pediatric critical care physicians.

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