2015 - December Edition
Paula J. Whiteman, MD, FACEP, FAAP 
President, AAP-CA2
Representative, AAP-District IX CFMC
Welcome to the December edition of our monthly e-Newsletter.
We wish everyone well this holiday season! 
However, our hearts go out to the community of San Bernardino for their recent tragedy.
Our feature article is on the non-operative management of acute appendicitis by Steven L. Lee, MD, FACS, FAAP. I recruited Dr. Lee to write this article after reading his interesting poster presentation at the AAP NCE 2015.
Heide Woo, MD, FAAP has a PROS update for us.
Recognizing our members, we are excited to announce the recent appointment of Jeffrey S. Upperman, MD, FAAP, FACS, as the new Associate Dean for Faculty Diversity at USC Keck School of Medicine. Be sure to read the details below.
Also, we recognize the lifelong service of Dr. Richard Orr as the Vice-Chair of CAMTS.

Fernando Stein, MD, FAAP
We congratulate AAP President-elect, Fernando Stein, MD, FAAP of Houston.  Dr. Stein
Stuart Cohen, MD, FAAP
follows Benard P.  Dreyer, MD,FAAP, of New York, who assumes the office of AAP president Jan. 1, 2016 . Dr. Stein takes over as president on Jan. 1, 2017 .

We also congratulate our District IX Chairperson, Stuart A. Cohen, MD, MPH, FAAP on his successful re-election. Dr. Cohen's term will be three years.


Our district has 23 of the 132 resolutions presently scheduled to be debated at the 2016 Annual Leadership Forum. We appreciate all the enthusiasm and hard work that went into this process. There were a variety of topics presented, which should make the discussions lively and interesting.
Please mark your calendars for our 27th Annual Southern California Postgraduate Conference: Advances In Pediatrics 2016, which will once again be held at the Universal Sheraton on April 16, 2016.  Dr. William M. Hohl of Cedars-Sinai will be one of our speakers and discuss common pediatric sport related injuries.
The Chapter Quality Network Phase 4 Asthma project (CQN4 Asthma) has come to a conclusion. You may read about its year-end report below.
In the "Community" section, you will find the details and photos from our November Town Hall event in Studio City, hosted by our members-at-large, Cindy Baker, MD, FAAP and Daniel Bruckner, MD. 
AAP-CA2 has partnered with First 5 San Bernardino to deliver the Reach Out And Read (ROAR) program throughout practices in San Bernardino County.  On November 5th., San Bernardino pediatricians attended the kick-off event, an informational dinner hosted by AAP-CA2 Vice President, Edward Curry, MD, FAAP.  Please look for the pictures of that event below, as well as details on how to still take advantage of this opportunity in San Bernardino County.
AAP-CA2 is a 501(c)(3) non-profit organization. As we approach the end of the year, please consider tax-deductible charitable donation to one of our many programs. Please see our link to our donor wall.
  • 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.
Please, also remember to visit  our new Member Spotlight page, highlighting videos of some of our members.
As always, I welcome your comments and suggestions. 

Paula Whiteman, MD, FACEP, FAAP
President, AAP-CA2
Representative, AAP-District IX CFMC

Please visit us on the web:  aapca2.org

Feature Article

Steven L. Lee, MD, FACS, FAAP,
Non-Operative Management of Acute Appendicitis in Children 
Steven L. Lee, MD, FACS, FAAP

Acute appendicitis is the most common surgical emergency in children.  The standard treatment for acute appendicitis has been appendectomy.  However, non-operative management with antibiotics of acute, non-perforated appendicitis has emerged as a treatment alternative to traditional appendectomy.   Read more       Bio

PROS Update
Heide Woo, MD, FAAP
PROS Chapter Coordinator for AAP-CA Chapter 2

PROS has been busy with transitions in the network with new leadership in transition, growth of ePROS, the subset of PROS doing studies based on electronic health record data, and development of a PROS Panel, a subset of PROS members to do longitudinal "rapid response" survey and studies.
PROS has publications, abstracts, and presentations from completed studies:  BMI2 looking at brief motivational interviewing to reduce BMI, CEASE, looking at pediatrician intervention to promote parental smoking cessation, and Teen Driving Study, looking at translating a known effective intervention to use in the pediatric office.  Several ePROS studies have also resulted in manuscripts and presentations.  Click to access the complete list.


Jeffrey S. Upperman, MD, FAAP, FACS

Jeffrey S. Upperman, MD, FAAP, FACS
On November 23, 2015, USC Keck School of Medicine announced the appointment of 
Jeffrey S.  Upperman, M.D., FAAP, FACS, Associate Professor of Surgery, as the new Associate Dean for Faculty Diversity, effective November 1, 2015.  AAP-CA2 would like to congratulate Dr. Upperman for his extraordinary accomplishment.
In this role, Dr. Upperman will serve in the Office for Faculty Affairs and will work with the Vice Dean and Faculty Affairs staff on Diversity issues. He will also represent the Keck School of Medicine at the University as the Faculty Diversity Liaison. His position has been created in recognition of the importance and relevance of diverse points of view and experience in providing a fundamental level of excellence among the faculty at the Keck School of Medicine. 
Please click here to view the official announcement.

The Commis sion on Accreditation of Medical Transport Systems (CAMTS) met on October 18, 2015 for their 25th.  Anniversary Reception aboard the Queen Mary, in Long Beach, CA.   CAMTS is an organization of non-profit organizations dedicated to improving the quality and safety of medical transport services, with 21 current member organizations, each of which sends one representative to the CAMTS Board of Directors.  

Dr. Richard Orr, MD, FAAP, is Vice Chair of CAMTS, and has been the AAP liaison to CAMTS as a Board Member since 1991. AAP-CA2 would like to thank Dr. Orr for his lifelong service to improving the transportation standards of children.

"The AAP was one of the original member organizations that joined CAMTS in 1991 and has been extremely supportive of the accreditation process since that time.  It has been yet another venue in which the AAP has been an effective advocate for infants and children in the transport environment, where quality medical care and safety has not always been optimal. I very much appreciate the confidence the Academy has had in me in allowing me to serve in this important role". Dr. Richard Orr.

The Commission believes that the two highest priorities of an air medical or ground inter-facility transport service are patient care and safety of the transport environment.   Originally developed through an extensive public comment process and published in 1991, revised every 2-3 years, the Accreditation Standards address issues of patient care and safety in fixed and rotary wing services as well as ground inter-facility services providing critical care transports. Each standard is supported by measurable criteria to measure a program's level of quality.
From left: Eileen Frazer, CAMTS Executive Director; Richard Orr, MD, FAAP, CAMTS Vice-Chair; and Tom├ís Torices, MD, AAP-CA2 Executive Director, aboard the Queen Mary during CAMTS 25th Anniversary reception.

In The Community
Town Hall/Dinner Meeting - Studio City

AAP-CA2 pediatricians met for a Town Hall meeting on November 18th. hosted by Members At Large, Cindy Baker, MD, FAAP, and Daniel Bruckner, MD.    Guest speaker Jacob Offenberger, MD,  presented an excellent overview of asthma and allergic rhinitis management, while entertaining the audience with interesting stories of cultural and historic interest.
This event took place at Bistro Gardens, in Studio City

David Epstein, MD, FAAP, intensivist at CHLA, spoke about his new pediatric urgent care facility.
Claudia Kerns, PT, CIIM, NTMTC, spoke about tummy time strategies and techniques. 
We thank Meda Respiratory for sponsoring this event.

Pictured below, AAP-CA2 Members-At-Large and event hosts (top left) Daniel Bruckner, MD and (Top right) Cindy Baker, MD, FAAP.

Town Hall/Dinner Meeting - San Bernardino

On Thursday, November 5th, First 5 San Bernardino partnered with AAP-CA2 and presented the opportunity for practices to implement Reach Out And Read (ROAR), with Free books. The event was a great success!
Eleven practices have signed up, with several in the process of obtaining more information. If you are still considering this opportunity, there's still time to participate in Reach Out And Read, or in any of the programs offered through First 5 San Bernardino.   Click Here to view a detailed description of all programs.
Image below
(Top center right) Karen Scott, First 5 San Bernardino Executive Director, and (Top center left) Edward Curry, MD, FAAP, AAP-CA2 Vice President, presented compelling facts supporting the benefits of reading to children before the age of five.
Congratulations to the following for signing up to participate in Reach Out And Read
Edgar Alfaro-McField, MD
Marti Baum, MD
Jennifer Cobanov, MD
Roshunda Coleman, MD
Mohammad Kanakriyeh, MD
Ariane Marie-Mitchell, MD
Suzanne Moser, CPNP
Harsha Sheth, MD
Rainilda P. Valencia, MD
Elliot Weinstein, MD
Amy Young, MD
Why is implementing ROAR such an asset to your practice? Please  visit ROAR San Bernardino  or call (909) 368-7706 for more information.   You may also contact AAP-CA2 by calling (818) 422-9877, or via email at chapter2@aap-ca.org  
Helping practices make reading, doctor recommended!

Focus Group - Pediatricians Needed

Pediatricians Needed for Focus Groups or Key Informant Interviews

We are creating a tool to address barriers to developmental screenings based on the American Academy of Pediatrics recommendations.
We need your input!

Participants will take part in a focus group or key informant interview to tell us their experiences (barriers, successes, etc.) with developmental screenings. 
Incentives provided !  View the brochure for more information
What is Learn the Signs. Act Early?
A program delivered by the CDC that aims to improve early identification of children with autism and other developmental disorders to help families get the services and supports they need.
Fran Goldfarb , MA, MCHES, CPSP
Director of Family Support
(323) 361-3831 

Save the Dates!
March 29. -  33
rd Annual Conference on High Frequency Ventilation and Critical Care of Infants, Children & Adults

Location:  Snowbird, Utah
When:  March 29 - April 2, 2016
Registration details: click to view page
AAP-CA2 Contact: Mitchell Goldstein, MD, FAAP

Visit the Perinatal Advisory Council on Facebook
April 16, 2016  - The 27th Annual Southern California Postgraduate Pediatric Conference
Advances in Pediatrics

Infectious Diseases
The 2016 S. Michael Marcy Memorial Lecture speaker  will feature Larry K. Pickering, MD. FAAP from the CDC.  
Carlo Reyes, MD, MS, Esq., FACEP, emergency medicine physician,  pediatrician , and lawyer, will speak regarding Healthcare Risk Management Read Bio
Pediatric Urology
Andrew L. Freedman, MD, FAAP, Director of Pediatric Urology at Cedars Sinai, will speak on pediatric urologic emergencies .         Read Bio. 

Alice Kuo, MD, PhD, FAAP, is Chief of Medicine-Pediatrics and Director of the Medicine-Pediatrics Comprehensive Care Center at UCLA.  Dr. Kuo will speak on autism, and the social determinants of health.  

Pediatric Sports Medicine
William M. Hohl, MD, of Cedars Sinai Medical Center, will speak on common
pediatric sport related injuries.

April 16, 2016
  At the Sheraton Universal Hotel
CQN4 Asthma QI Project - Update
The  AAP-CA2 Chapter Quality Network Asthma Phase 4 Project (CQN4) concluded on a high note.  Eleven practices, represented  by 26 physicians, participated in this yearlong project. With an initial assessment of 29% of patients receiving optimal asthma care, as a group, the collaborative reached a high 68% at the culmination of the project. Participating physicians received both CME and ABP MOC Part IV credit.
AAP-CA2 would like to congratulate the following practices for participating in this project, and for their  commitment  to excellence while providing optimal asthma care to their patients.
Cesar Chavarria, MD, Inc.
Loma Linda University Health Care
Los Angeles Christian Health Center
Mandalay Bay Medical Group
Mission Pediatrics
Pediatric Diagnostic Center
Santa Paula West Pediatric Clinic
Sierra Vista Family Medical Clinic
Santa Barbara Asthma Consortium
Cottage Children's Hospital
Sansum Clinic -  Allergy/Pulmonology
Sansum Clinic - General Pediatrics 

We would like to reiterate our appreciation to Providence Tarzana Medical Center for their generous support during CQN4 Asthma Learning Sessions 1 and 3.

And lastly, we thank our Chapter CQN4 team (pictured below) for their leadership in this project.

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