2016 - September Edition
Welcome to the September 2016 edition of our monthly e-Newsletter.
Edward Curry, MD, FAAP President, AAP-CA2
Summer break is now over and kids are back in school. This means that busy times in the office loom on the horizon. At AAP-CA2, w e are continuing to work very hard with our promise to deliver useful and meaningful activities to you, our valuable AAP-CA2 member. 

The series of Developmental Screening and Autism talks began last week on Sept 8th at Bistro Garden. Larry Yin, MD, MSPH, FAAP shared priceless information that incorporated real videos of children with different degrees of developmental delay. Also in attendance were Patricia Herrera, MS, Developmental Screening Project Director for 211 LA County, and Ruel Nolledo, MPA, Policy Program Officer for First 5 LA. With over 35 local pediatricians in attendance, everyone's active participation created a synergy that was evidently felt in the room, as we all learned from each other's contributions. The next event in Santa Monica has been filled to capacity. We still have seats for the October 18 event in Pomona, as well as a November event, with specific date TBA, to be held at the AltaMed headquarter offices in
East Los Angeles. Dr. Larry Yin's talk is one you don't want to miss.

Along the lines of developmental screening, please take a look at a survey brought to us by  Silicon Valley Community Foundation's Center for Early Learning. Data collected will help in planning and developing comprehensive policies and services that support children and families in California to grow and thrive. There's even a chance to win several prizes. Details below.

Also as part of our promise, we have an amazing talk on sexual and reproductive health, by Diane Tanaka, MD, on October 13th at the Raddison Midtown at USC, near the Los Angeles Coliseum. This event, sponsored by the California Family Health Council, will begin at 6:00 PM with dinner. CME credit for this event is pending approval. 

This month's issue has an interactive article on malnutrition. Take the challenge and see how you score.

AAP-CA2 Immediate Past President, Paula Whiteman, MD, FACEP, FAAP, wrote a follow-up article describing her second trip to Sacramento, representing AAP-CA during the California Dental Board (CDB) board of directors meeting. Pediatric anesthesia during dental procedures is in the spotlight. Read about the AAP-CA's request for a moratorium on the single operator dental procedure anesthesia model.

There are various interesting additions in this issue, including a United Way video featuring our very own Member-At-Large, Chris Landon, MD, FAAP, FCCP, CDM, and an interactive game of Triage called "SurgeWorld" brought to us by Disaster Preparedness Committee Chair, Millicent Wilson, MD.

Be sure to look at the upcoming events and sign up to attend our Town Halls and CME learning sessions.
Thank you for supporting our Chapter.  
Edward Curry M.D.  F.A.A.P
President, AAP-CA2

Feature Article 
Malnutrition in Our Community - A Growing Issue
Linda Heller, MS, RD, CSP, CLC, FAND
Clinical nutrition and lactation manager
Children's Hospital Los Angeles (CHLA).
Linda Heller, MS, RD, CSP, CLC, FAND
Early identification of and intervention for undernourished and malnourished children in the primary healthcare setting can mitigate the need for longer and costlier hospitalizations. 2,3,4 
One challenge in tackling pediatric malnutrition has always been how to identify those at greatest risk and avoiding the consequences of undernutrition. How do you determine when a child is malnourished?

Read full article

ACIP Recommends to Discontinue LAIV for 2016-17

Jane Pezua, MPH
In June, the Centers for Disease Control and Prevention's (CDC's) Advisory Committee on Immunization Practices (ACIP) passed an interim recommendation that live attenuated influenza vaccine (LAIV), also known as the "nasal spray" flu vaccine, should not be used during the 2016-17 flu season. ACIP continues to recommend annual flu vaccination, with either the inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV) for everyone 6 months and older. The recommendation was based on data showing lower effectiveness of LAIV from 2013 through 2016. 
According to the CDC, LAIV accounts for up to 14 million of those doses (about 8% of the U.S. supply of flu vaccine). Providers who have purchased or pre-ordered vaccine will need to consult with the manufacturer or vaccine distributor. Based on manufacturer projections, it is expected that supplies of IIV for the 2016-17 season should be sufficient to meet demand. Nonetheless, providers may need to check more than one supplier or purchase a flu vaccine brand other than the one they usually select.

Health Educator, Information & Education Section
VIP Program Coordinator
Immunization Branch, Division of Communicable Disease Control
California Department of Public Health
850 Marina Bay Parkway
Building P, 2nd Floor
Richmond, CA 94804

State Advocacy
Paula Whiteman
Paula J. Whiteman, MD, FACEP, FAAP   CFMC Representative, AAP-District IX
Immediate Past President, AAP-CA2 
AB-2235 (Thurmond) CA Dental Board Pediatric Anesthesia Study Report - Part 2 
Paula J. Whiteman, MD, FACEP, FAAP
CFMC Representative, AAP-District IX  
Immediate Past President, AAP-CA2 
Back to Sacramento... AAP-CA requests a moratorium.
The California Dental Board (CDB) Stakeholder's meeting in July 2016 was followed up with the CDB, Board of Director's meeting in August. This was a two day meeting held in Sacramento. On the second day, they discussed the 'Pediatric Anesthesia Study (PAS).' This section of the CDB meeting was started with a PowerPoint presentation, which provided a brief overview of the history of dentistry and anesthesia from the late 1880s to present time as well as providing highlights of the PAS. Dr. Witcher from the CDB concluded by saying that these adverse events are rare; however, they would like them to be rarer. Next, they took comments from the public. 
In advance of this meeting, Kris Calvin, CEO for AAP-CA sent a letter to the CDB reviewing our recommendations. The main point from all groups, including ours, was asking them to change the model of one clinician performing both the dental procedure(s) as well as the sedation with airway management to a team approach with a second trained provider for the anesthesia component. With this, the AAP-CA added a new request. Given the lengthy timeline for this working document for the final conclusions and eventual recommendations from the CDB, the AAP-CA had a new request. The AAP-CA urged that during this time, the CDB call for a moratorium on these single practitioner procedures.
My experience in Sacramento was amazing.  As people began to speak during the public comment period, the CDB began to enforce a 3 minute time limit. Click to read full article.
  You may view Sacramento's ABC 10 report, 

In The Community
AAP-CA2 President visits AltaMed Headquarters

AAP-CA2 President, Edward Curry, MD, FAAP, met with AltaMed's  Medical Director of Health Education & Wellness, Ilan Shapiro, MD, FAAP, at the AltaMed headquarter offices in City of Commerce this past 23rd of August. Located in the heart of East Los Angeles, part of AltaMed's vision is to to eliminate disparities in health care access and outcomes in the Latino, multi-ethnic and underserved communities, something they have been doing since the early 1970s. In a synergic partnership, AAP-CA2 and AltaMed have joined forces in a quality improvement project aimed at improving immunization rates (with MOC part IV), adding to the existing partnership by which AltaMed, and First 5 Los Angeles have been delivering a series of lectures by Larry Yin, MD, MSPH, FAAP, that focus on developmental screening and early detection of Autism.

AltaMed is committed to servicing its diverse community, metaphorically represented by its eclectic collection of authentic artwork that adorns every wall, on every floor inside its facility.

Larry Yin, MD, MSPH, FAAP provides key concepts during Town Hall

AAP-CA2 Members-At-Large, Mona Patel, MD, FAAP and Daniel Bruckner, MD inaugurated the series of four lectures by Larry Yin, MD, MSPH, FAAP on the topic of Developmental Screening and Early Detection of Autism for the General Pediatrician. The first event in its series took place on August 8th at Bistro Garden, in Studio City. In attendance were over 40 local pediatricians. Dr. Yin provided concise pearls, emphasized on the utilization of standardized developmental screening tools, and shared real patient videos depicting children with evident developmental delay and behaviors suggestive of Autism. Please look below under "Coming Events" if you are interested in attending this highly informative and educational event.
Each event in this series is approved for  1.5 AMA PRA Category 1 Credits™.

Help us by completing this survey
Participate In  A New Survey On Developmental Screening Practices
AAP chapters throughout California are teaming up with Silicon Valley Community Foundation's Center for Early Learning to learn more about your views and practices regarding early childhood development services. Please help by completing an online statewide survey* that includes questions about the developmental screening attitudes and practices of your office -the data collected will help in planning and developing comprehensive policies and services that support children and families in California to grow and thrive.

Click on this link to access the survey: Begin Survey
The deadline to complete the survey is Wednesday, September 28, 2016. As thanks for completing the survey, you can enter a drawing to receive one of a range of prices including $15 or $20 Starbucks gift cards or one of the 30 FREE Nexus 7 Tablets. If you have any questions about this survey, please feel free to contact Michelle Sioson Hyman at mshyman@siliconvalleycf.org.

*Only one survey should be submitted on behalf of your practice. Any staff member who is familiar with the developmental screening practices of the office may fill out the survey, including physicians, nurse practitioners, nurses, and medical support staff.  Please ensure that the person who completes the survey is sufficiently informed about office attitudes and practices to respond to every question.  All individual results will remain confidential; only aggregate results will be reported.  

Joint District Meeting 2016
Each year, the AAP hosts rotating joint district meetings to allow leadership from different areas to meet, resulting in a more effective leadership collaboration. Last month was the AAP Joint District meeting for Districts IX & X, in San Diego. District X is composed of: Alabama, Georgia, Florida, and Puerto Rico. Excitingly, for the second year in a row, we received the "Chapter of Excellence" Award at this meeting, which was announced at the March 2016 ALF.

(Top) Representatives from the four California Chapters (District IX) with representatives from Alabama, Georgia, Florida, and Puerto Rico (District X) after an afternoon of team-building exercises and mindfulness.

(Image on Left) AAP CEO Karen Remley, MD, FAAP welcomes attendees, along with District IX Chair Stuart Cohen, MD, MPH to her right, and AAP President Benard P. Dreyer, MD, FAAP to her left, and provided an overview of the AAP agenda for children for the 2016-2017 fiscal year.   (Image on Right) From left, AAP National Nominating Committee Representative for District IX, Bill Mason, MD, MPH, FAAP; AAP-CA2 Vice President, Alice Kuo, MD, PhD, Med., FAAP; AAP-CA2 Immediate Past President, Paula Whiteman, MD, FACEP, FAAP; and AAP-CA2 President, Edward Curry, MD, FAAP, listening attentively.

Attendees  had an opportunity to meet with AAP President-Elect Candidates Colleen A. Kraft, MD, FAAP and Micheal T. Brady, MD, FAAP.  It was nice to get to know them better and hear their inspirational ideas to move the AAP forward.
Colleen A. Kraft, MD, FAAP                                                             Micheal T. Brady, MD, FAAP

(From left) AAP-CA2 President, Edward Curry, MD, FAAP, presented an overview of District IX's budget and financial goals. AAP-CA (District IX) CEO, Kris Calvin, provided an overview of the status of the Las Vegas Symposium. Pictured on right, Ken Hempstead, MD, FAAP from Kaiser Permanente in Northern California, presented a program he co-created called "Vaccine Communication without Confrontation" which focuses on the benefits of immunizing rather than reacting to objections.

Member Spotlight
United Way of Ventura County - Video

In a partnership with United Way, Ventura County Medical Center (VCMC) will be providing dental care in a community where over 58,000 children have not been receiving such essential care. Watch VCMC Director of Pediatrics and AAP-CA2 Member-At-Large, Chris Landon, MD, FAAP, FCCP, CDM, as he describes this wonderful new program in Ventura County. 

Click to watch  Dr. Landon's segment

AAP-CA2 member for AAP National Nominating Committee
National Nominating Committee (NNC) Representative Nominee - District IX
AAP-CA2 member, Steve Feig, MD, FAAP

Concurrent with the election for AAP president-elect will be the election for the District IX National Nominating Committee Representative. AAP-CA2 is pleased to
Steve Feig, MD, FAAP
announce that one of the district's candidates for office is our very own, Steve Feig, MD, FAAP, recent recipient of the 2015 Job Lewis Smith Award, which recognizes outstanding career service in community pediatrics, presented at the 2015 NCE in Washington, DC. Please click here to see the video of the award's ceremony.

Dr. Feig has been in practice in Los Angeles for 42 years. A member of the AAP-CA2 since 1973, he has held a number of positions within the chapter leadership, including serving as  AAP-CA2 VP, followed by AAP-CA 2 president from 2000 to 2002. He served 12 years as Chairman of the AAP-CA2 Legislative Committee. He served on the State Government Affairs (SGA) Committee for the AAP-District IX from 1988 to 2016.  He was an inaugural member of the SGA Committee, proudly representing AAP-CA2 for almost 20 years.

He still serves on the AAP-CA2 CME committee, for which the chapter presented him with a special recognition award for his work and dedication at our AAP-CA2 2015 Advances in Pediatrics CME conference (Next year's to be held on April 22, 2017 once again at the Universal Sheraton Hotel).
Dr. Feig states he would like the opportunity to continue his involvement with the academy. "I know the principles and have insight on the qualities needed, and knowledge of the people involved".
Please consider Dr. Feig's overwhelming qualifications during the October election and please remember to vote for him for District IX NNC nominee during the election when you cast your vote during AAP president-elect election.

Ready to Play?  Simulation game allows users to experience a hospital surge of pediatric patients.
"SurgeWorld" A Triage Learning Platform
By - Millicent Wilson, MD - Chair, AAP-CA2 Disaster Preparedness Committee
SurgeWorld is a web-based pediatric disaster triage learning platform designed to enhance the triage skills of any who dare to play.  The project was developed by Children's Hospital Los Angeles in collaboration with the Los Angeles County
Emergency Medical Services (EMS) Agency. Funding was provided through the Hospital Preparedness Program.  SurgeWorld will especially benefit clinicians  who are unaccustomed to caring for a large number of pediatric victims.
The goal is simple - to improve the Pediatric Triage skill of any healthcare provider and to do the  'most good for the greatest number' of victims.
SurgeWorld has two modules: Triage and Logistics.
Each module, has a training mode to help players understand how to play the game.  In the 'Triage' module, the practitioner must quickly triage patients into one of four categories--green, yellow, red or black.
The practitioner is guided along the algorithm for START or JumpSTART and is provided immediate
feedback to foster self-improvement within only a few rounds of play.
In the 'Logistics' module, the practitioner is challenged to prioritize resources that are available:
space, staff, and stuff-equipment and supplies, while managing a surge of patients.
This form of web-based learning provides an innovative way to teach, learn and acquire new knowledge.
If you would like to play the modules within SurgeWorld, simply go to http://surgeworld.lachildrenshospital.net/ . You will need to either use Internet Explorer or Firefox as your browser. The system will prompt you to download "Unity Player". You can either play "offline" or we encourage you to register, which allows us to understand how the training is being utilized so that improvements can be made.
If you have questions, please contact Millicent Wilson, MD at milwilson@dhs.lacounty.gov or  (562) 347-1609.

District IX Chapter Forum Management Committee
Paula Whiteman
Paula J. Whiteman, MD, FACEP, FAAP   CFMC Representative, AAP-District IX
Immediate Past President, AAP-CA2 
Chapter Forum Management Committee (CFMC)
Paula J. Whiteman, MD, FACEP, FAAP
CFMC Representative, AAP-District IX  
Immediate Past President, AAP-CA2 

If you are passionate about a particular idea or topic that you feel should be a priority for the National AAP, then please consider writing a resolution. Here's how!!!

Please Click here to view the full report, including Submission Deadline (November 15, 2016), Sponsorship, and Late Resolutions.

AAP-CA2 Events - Save the Dates!
September 22, 2016. - Town Hall in Victorville, with host, AAP-CA2 San Bernardino/High Desert Area Representative , Damodara Rajasekhar, MD, FAAP
Damodara Rajasekhar, MD, FAAP     San Bernardino High Desert Area Representative

When:  Thursday, September 22, 2016 @ 6.30pm
Where:  Thai Dawn Bistro (14317 Bear Valley Road, Victorville, CA 92392

Topics for presentation 

1)"Bright Futures Guidelines". Speaker: Ed Curry, MD, FAAP.,  President, AAP CA2 .
2)"Bright Futures -  CHDP Billing". Speaker: Reme Turner,  Medi-Cal Regional Rep.

Please RSVP by contacting Dr. Rajasekhar or by emailing the Chapter:  chapter2@aap-ca.org

October 5, 2016. - Town Hall in Woodland Hills , with host, AAP-CA2 Member At Large, Ken Saul, MD, FAAP - Sponsored by Sanofi.

Ken Saul, MD, FAAP

RSVP: Please  email Dr. Ken Saul  to save your seat. 
Please note:  We are back at Maggiano's.


October 13, 2016 - Town Hall in Los Angeles,  with speaker Diane Tanaka, MD.

Diane Tanaka, MD

AAP-CA2 and the California Family Health Council (CFHC) invite you to an evening of professional development in the area of sexual and reproductive health. Dinner will be provided. Please be sure to RSVP for this fabulous event.

CME Accreditation: Continuing Education pending approval

Topic: Integrating Sexual + Reproductive Health into Primary Care
Date & Time: Thursday, October 13th, 6:00 PM-8:00 PM
Presenter:  Diane Tanaka, MD - Children's Hospital Los Angeles

Location:   Radisson Midtown at USC ( 3540 South Figueroa St, Los Angeles, CA, 90007)

What will you learn?
This presentation will provide evidence-based clinical and operational strategies for integrating quality sexual and reproductive health services into primary care. Participants will learn how to identify and address the unique sexual and reproductive health needs of patients, with an emphasis on STD screening and treatment, during a primary care visit. Dr. Tanaka will also discuss strategies for adapting clinic workflow processes, including elements of billing practices, to maximize efficiency and reimbursement. Current national sexual and reproductive health guidelines, practical tools, and resources will be discussed and utilized throughout.

RSVP required. Click Here  to view on calendar and reserve your seat for October 13th.
Please note that this event begins at 6:00 PM.

More CME !
October 18, 2016 in Pomona    |   November in East Los Angeles (date TBA)
Town Hall / Dinner Meeting

Note: The September 28 event in Santa Monica is full. Registration for that event is closed.

Developmental Screening and Early Detection of Autism for General Pediatricians
Larry Yin, MD, MSPH, FAAP

Please join AAP-CA2 Member-At-Large, Mona Patel, MD, FAAP, as she hosts a series of educational session on the topic of Developmental Screening. 

CME Accreditation: 1.5 AMA PRA Category 1 Credits™.

This event is to promote the use of validated, standardized screening measures to identify children at risk for developmental delay and autism, as well as an overview of community resources to address identified developmental delays. It will be an exciting overview of validated screening measures that can be easily incorporated into the general pediatrics visit.
  1. Pitfalls of using non-standardized developmental screening tools
  2. Overview of available developmental screening measures
  3. Review of American Academy of Pediatrics developmental screening guidelines
  4. What to do if your patient screens positive? 
  5. Review of community resources available to address developmental delay and autism
Presented by Larry Yin, MD, MSPH, FAAP.  Dr. Yin studies disparities among the underserved populations, developmental disabilities, screening and intervention at Children's Hospital Los Angeles.

October 18 at the Pomona Valley Mining Company, in Pomona, CA.
Time: 6:30 PM
RSVP required. Click Here  to view on calendar and save your seat for October 18th.

Other Events
September 19-23, 2016 in Chicago - Specialty Review in Pediatric Cardiology

Sponsor | American Academy of Pediatrics Section on Cardiology & Cardiac Surgery in collaboration with Society of Pediatric Cardiology Training Program Directors
For more information, go to: pediatriccardiology2016.com

September 23 & 24, 2016 - Kaiser Permanente 58th Annual Pediatrics Symposium

Location:  Hotel Del Coronado, San Diego, CA.
More details will be provided in our next issue.

Click to view the AGENDA     Click to visit the event WEBSITE


CDC Updates & LAHAN Alerts
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Charitable Donations
AAP-CA2 is a 501(c)(3) non-profit organization. Please consider a tax-deductible charitable donation to one of our many programs
  • The Medicine-Biological Sciences Scholarship Program, which awards scholarships to exceptional high school students each year.
  • The Committee on Service, Education, and Mentoring, which awards scholarships to pediatric residents for outstanding research projects. 
  • The S. Michael Marcy Memorial Lecture, which helps sponsor a portion of our annual Advances in Pediatrics Conference in his honor.

AAP-CA2 Video: We Are The AAP-CA Chapter 2 -  2016

Thank you for your support
PO Box 94127 Pasadena, CA 91109
(818) 422-9877
Please visit our website at  http://aapca2.org/