July Newsletter

Here is a summary of what has occupied the DEO office in July:

Invited Speakers

  • Dr. Julie Spicer, PhD, Assistant Profession, Division of Behavioral Medicine, Department of Psychology, Columbia University Medical Center
    • “Health Neuroscience of Stress:  A Lifespan Approach from the Prenatal Period through Adulthood”

Update from Dr. Ed Bell, Vice Chair of Faculty Development

The following promotions have been awarded:

  • Dr. Alex Bassuk to Professor
  • Dr.  Polly Ferguson to Professor
  • Dr. Nancy Bonthius to Clinical Associate Professor
  • Dr. Jennifer Jetton to Clinical Associate Professor
  • Dr. Marguerite Oetting to Clinical Associate Professor
  • Dr. Kelly Wood to Clinical Associate Professor
    • Congratulations to these faculty members.

Education

  • I met with Dr. Rahhal and Dr. Stier to discuss our Resident Recruitment process.
  • I met with Dr. Bassuk, Dr. Vyas, Dr. Rahhal and Dr. Ferguson to discuss ways to enhance fellow research.
  • Cat Pinnaro and Lindsay Blick, our new Chief Residents have taken over their duties.  We have held our first meetings and I have had the pleasure of rounding with Dr. BlickDr. Pinnaro will be off for a period of time as she welcomed a new baby girl last week.  Congratulations, Cat!!
  • I am enthusiastic regarding the new academic year.  Each year we continue to improve our program and this year we have added two additional Intern slots for a total of 15.
  • The Education  leadership and Chief Residents were provided a tour of the Children’s Hospital this month.  They are beginning to formalize their plans for our learners once the new hospital is in use.  They were quite impressed with what they saw on the tour.  Here is a photo of us up on the 12th floor roof garden.CH Ed Team

Recruitment

  • Faculty recruitment continues. I met with the candidates for positions in the following divisions in July:
    • One candidate for the  Director of Pediatric Anesthesia
    • One candidate for Developmental and Behavioral Pediatrics
    • Recruitment for Director of the Division of Adolescent Medicine and Director of the Division of Infectious Diseases continues.

Faculty

  • Annual meetings with the Chair were held with the following faculty members in July:  Dr. Jason Misurac, Dr. Erin Howe, Dr. Katie Larson-Ode, Dr. Eyad Hanna, Dr. Erica LeClair, and Dr. Arunkumar Modi.
  • All of the routine one on one meetings with Division Directors and Vice Chairs continue to take place.
    • New Faculty in July:

E. PetersonEmily Peterson, MD- Division of General Pediatrics

Dr. Peterson joins the Stead Family Department of Pediatrics after receiving her MD and completing her Pediatric Residency at the University of Iowa Carver College of Medicine

K PatrickKatherine Patrick, MD – Division of General Pediatrics

Dr. Patrick completed a Pediatric Hospital Medicine Fellowship at Rainbow Babies and Children’s Hospital/Case Western Reserve University in Cleveland, Ohio

TewarShruti Tewar, MD – Division of Developmental and Behavioral Pediatrics

Dr. Tewar comes to us after completing a fellowship in Developmental and Behavioral Pediatrics at Cincinnati Children’s Hospital Medical Center

BadhekaAditya Badheka, MD – Division of Critical Care

Dr. Badheka has returned to the University of Iowa after completing Cardiac Critical Care Training at the Children’s Hospital of Philadelphia.

CaryAna Cary, MD – Division of General Pediatrics

Dr. Cary also returns to the Stead Family Department of Pediatrics after receiving her MD at Iowa and completing her residency here.  She has most recently been in private practice in Valencia, California.

Research

  • I look forward to announcing our improved NIH grant funding rank at the State of the Department address in September.  I am proud of the increase in grant funding we have experienced this past year.  Thank you to everyone involved in bringing increased research dollars to the Department.

Clinical Programs

  • Renovation of the PSC continues as does work regarding scheduling and optimization of services.  The short term inconveniences will be far outweighed by the future improvements to the PSC.
  • Monthly meetings to discuss our satellites in Bettendorf and Waterloo continue.
  • Development of our Adolescent and Young Adult program is moving forward. Expansion of our expertise in this area will be very positive for our institution and our patient population.

Meetings with Chairs of other Departments

  • Dr. Weigel and I held our routine monthly meeting.
  • A multi-disciplinary group which includes Critical Care, Surgery, Quality, Nursing, and Burn Treatment staff, has met a number of times to improve processes and care for pediatric burn patients.  As a result we will be rolling out new policies and procedures to ensure that children in the burn unit receive the highest standard of safety.
  • The Department of Anesthesia continues to work closely with the Department of Pediatrics to develop best practices and structure as we look toward moving to the new space.  Additionally, Dr. Wong has met with me as well as Dr. Law, Dr. Turek, and Dr. Weigel to continue improvements in the area of anesthesia as it pertains to our cardiology patients.
  • Taryn Kuntz, UIHC Foundation, Executive Director of Development for the Children’s Hospital meets with me on a monthly basis.  Taryn’s office represents the Pediatric programs within the Foundation.  The efforts of the Foundation staff on behalf of the Children’s Hospital are important to our success and are greatly appreciated.

Administrative Meetings

  • In addition to my routine meetings with Dr. Robillard, Ken Kates, Scott Turner, Dr. Brennan, and Jody Kurtt, I attended the following meetings:
  • UIP
    • Practice Management
    • Executive Committee
    • Board Meeting
  • Marketing Meetings regarding the following topics:
    • Introduction of new faculty to the community
    • Adolescent and Young Adult Program
    • CH Marketing and Communication
  • HAC/DEO Meeting
  • Budget and Schedule UICH Executive Oversight Committee
  • CH Steering Committee
  • Meeting with Dean Winokur
  • Scenario Planning – I participated in a group of DEOs, Hospital Administration and others which met with an outside consulting firm who facilitated four days of scenario building and strategic planning for the future of UIHC.

Children’s Hospital
My role as Physician-in-Chief of the Children’s Hospital is expanding to help us achieve our goal of being a best-in-class Children’s Hospital as we prepare for the opening in December.  To achieve this goal we need to better integrate Department activities with those of the Children’s Hospital and identifying areas of opportunity to elevate our services. I will be working closely on this goal with other hospital leaders, including Scott Turner (Executive Director and co-COO), Teri Brennan (CMO) and the new CNO to, among other things, jointly:

  • Develop an annual operating plan for the children’s hospital
  • Optimize clinical quality, patient safety, and service excellence in the children’s enterprise
  • Oversee the provision of and coordination of services within the children’s enterprise, including pain, palliative care, sedation, child protection, anesthesia, surgery, radiology, pathology, emergency medicine, outreach services, and nursing
  • Appoint UI Children’s Hospital Medical Directors, Quality and Safety Officers, Infection Control Officer, and Antimicrobial Stewardship Officer
  • UIHC is also updating the Children’s Hospital administrative structure to ensure that we are able to consistently deliver the highest levels of family-centered patient care, clinical quality, patient safety, and service excellence—all of which contribute to our recognition as Iowa’s only nationally-ranked children’s hospital. We are creating a Children’s Hospital Executive Committee and a number of Children’s Hospital subcommittees made up of pediatric providers and administrators who live and breathe every day in the pursuit of the care of children and who are dedicated to creating a patient and family centric experience. We will be engaging with many of you in this effort as the committee structure develops. Please let me know if you have an interest in participating in a specific subcommittee.
  • The new Organizational Chart can be viewed at:   https://medcom.uiowa.edu/theloop/wp-content/uploads/2015/12/CH-Admin-Structure-07.14.16-1.pdf

Final thoughts:

  • Service Excellence – We are the patient experience:
    • Moments of Truth – A moment of truth is defined as any time an interaction occurs between a patient or family member and anyone they identify as staff, which can leave a lasting, positive or negative impression on a patient.  Patients often experience their first moment of truth well before they come to our campus when they make a phone call to schedule an appointment, the ease or frustration they experience with that first point of contact can set the tone of their entire experience and the moments of truth just roll on from there – ease of finding parking, ease of finding the appropriate point of care, friendliness of the person who checks them in, whether the people they meet in the corridors are smiling and friendly.  By using our senses to hear, see, smell, feel what our patients experience, we will be assured we are providing an excellent patient experience to every patient, every time.

Hirsch~Raphael

Raphael Hirsch, M.D.
Joel and Jay Stead Chair for Leadership in Children’s Medicine Professor and Chair, Stead Family
Department of Pediatrics University of Iowa Carver College of Medicine
Physician-in-Chief, University of Iowa Children’s Hospital

June Newsletter

The month in review

Here is a summary of what has occupied the DEO office in June:

Invited Speakers

With Frontiers Seminars on hiatus for the summer, only two guest speakers presented this month:

  • Dr. Puneet Opal, Northwestern University Feinberg School of Medicine: “Giant Axonal Neuropathy:  How a Rare Disorder can have a Major Impact”.
  • Dr. Susan Woolford, University of Michigan, Child Health Evaluation and Research (CHEAR) Unit, Department of Pediatrics and Communicable Diseases: “A Diamond in the Rough:  A Tale of Text Messaging and Mobile Technology in Pediatric Weight Management”

Education

  • Resident Graduates
  • Fifteen individuals graduated from the Residency Program this year. I am very pleased to share that five of those fifteen will remain at the University of Iowa in the following capacities:
  • Nour Akil – Pediatric Pulmonology Fellowship
  • Lindsay Blick – Pediatric Chief Resident
  • Catherina Pinnaro – Pediatric Chief Resident
  • Emily Peterson – Hospitalist
  • Patricia Watkins – Neonatology Fellowship
    Three Residents will begin fellowships at other institutions and five have elected to begin their careers in General Pediatrics or as Hospitalists in other institutions or practices.
  • Fellow Graduates
  • Ten individuals completed their Fellowships this year and I am equally pleased to announce that two of those individuals will remain at UIHC:
  • Dimah Saade – Division of Child Neurology (Neuromuscular) – Fellowship
  • Lindsay Harshman –Division of Pediatric Nephrology – Faculty Member

Note from Riad Rahhal, MD, MS – Vice Chair for Education

A few months ago, most of our graduate medical educational programs were informed of their expected participation in the ACGME-required self-study. The new process replaces the prior one that depended heavily on generating large documents (PIF forms for those who recall). We are now expected to examine each of our programs in great detail, analyze its data in a SWOT analysis format delineating strengths, weaknesses, opportunities and threats, describe the data gathering/review process and generate a plan to improve our programs and reach their set aims. The deadline to finalize our work and submit the required data to ACGME is the end of October, 2016. We will expect a visit by ACGME approximately 12 months following the submission. This is a critical step to maintain the accreditation of our core residency and subspecialty programs. Many of you are involved in this process and I thank you greatly for your time, effort and feedback to make this a meaningful, smooth and successful process.

Recruitment

  • Faculty recruitment continues. I met with candidates for positions in the following divisions in June:
  • One candidate for Interventional Cardiology
  • One candidate for Endocrinology and Diabetes
  • One candidate for Neurology

Faculty

AllareddyDr. Veerajalandha Allareddy

Dr. Allareddy arrived in June as the Medical Director of the Division of Pediatric Critical Care Medicine.  His office is located at 770B JPP and his phone number is 356-4817.  Please take a moment to welcome Veera when you see him.

calhounDr. Amy Calhoun
Dr. Calhoun arrived in late June as a new member of our Division of Medical Genetics.  Her office is located at W114 GH.  Please take a moment to welcome Amy when you see her.

  • Annual meetings were held in June with Dr. David Gordon and Dr. Meredith Fishbane-Gordon to discuss their career development.
  • All of the routine meetings with Division Directors and Vice Chairs continue to take place.
  • The group Division Directors (twice monthly) and Vice Chairs (monthly) meetings provide an opportunity for discussion of ongoing issues, opportunities, and wins of the Department as a team.

Note from Ed Bell, MD – Vice Chair for Faculty Development

  • SPR and APS Memberships – Each spring, I help to identify potential new candidates for membership in the Society for Pediatric Research and the American Pediatric Society, two of the societies that organize the annual Pediatric Academic Societies meeting. This year, with the help of the other vice chairs and members of the Promotions Advisory Committee, I identified four candidates for each society and recruited society members to nominate and second each candidate.
  • When the nominations for SPR were submitted, we were surprised to learn that four of the individuals nominating or seconding candidates were not eligible to do this because they were not active members in good standing. When I investigated further, I learned that 12 of our 36 SPR members had let their membership lapse. Several APS members are also behind in their dues payments. In some cases, this undoubtedly represents a conscious decision to spend the funds in other ways, but I suspect some of you simply forgot to renew your membership. For those who did not want to spend the funds, the cost is $350/y for active members (<55 y of age) including subscription to Pediatric Research; $145 for senior members (55-65); and $0 for emeritus members (>65). It is an honor to be selected for membership in SPR or APS. These societies, along with the Academic Pediatric Association, organize and manage our annual meetings and provide tremendous opportunities for our trainees and junior faculty members. If you have the honor of being admitted to either of these societies, I hope you will support them by maintaining your membership and participating in the societies throughout your career.

Research

Activity surrounding submission of grants has been extremely busy as is typical near a submission deadline.  Please remember that all items which require my signature concerning grants (including IRBs) are to be submitted to Donna Friel, Research Support Manager.  Donna reviews the documents to ensure everything is in order prior to submitting to me for signature. By following the process established we optimize efficiency.

Clinical Programs

  • PSC:  Renovation of the PSC continues as does work regarding scheduling and optimization of services.  PSC New Provider orientation is receiving attention. With the help of committee members analyzing how this orientation can be improved, we will be developing the orientation process further so that it becomes more robust and beneficial to providers as they begin their service in the PSC.
  • Pediatric Associates:  Monthly board meetings allow us all to remain better informed regarding issues that arise and improvements we may be able to initiate.  An outcome of the most recent meeting is discussion with orthopedics regarding pediatric orthopedic transfers.  Dr. Boscaljon will represent Pediatrics Associates at a meeting with those involved in orthopedics and the Children’s Hospital to assure improvement in the transfer process.
  • Satellite Clinics:  Monthly meetings to discuss our satellites in Bettendorf and Waterloo continue.  These meetings are well attended and a Skype component has been added to the meeting to allow those who are unable to attend the meeting in person to participate by phone.
  • Pediatric Provider Council:  The most recent Pediatric Provider Council meeting was held this month and was well attended. Along with the 21 providers attending from the Stead Family Department of Pediatrics, there were 24 providers from outside the University; including pediatricians from the Burlington, Bettendorf, Cedar Rapids, Davenport, Fairfield, Iowa City/Coralville, Moline, Waverly, and Waterloo. Dr. Andy Peterson presented an update on concussion in children. The purpose of this Council is to bring together pediatric providers to discuss issues of common interest with the goal of improving the quality and coordination of care for children in our communities.

Meetings with Chairs of other Departments

  • Dr. Abel (Chair of lnternal Medicine) and I held our monthly meeting to remain in communication to further the collaborative environment between our departments.
  • Dr. Weigel (Chair of Surgery) and I held our routine monthly meeting.  A multi-disciplinary group including Critical Care, Surgery, Quality, Nursing, Burn Treatment staff, Internal Medicine, etc. met to discuss pediatric burn care.  A follow-up meeting has been scheduled to further develop the document created to address burn care for our pediatric patients.
  • I also met with Dr. George Richerson, Chair of the Department of Neuroscience to discuss Sleep Medicine.
  • Dr. Wong (Chair of Anesthesia) is working with me and two different groups of faculty regarding pediatric cardiology anesthesia opportunities and the structure of how anesthesia will be handled in the new Children’s Hospital.  We are also working on joint services to improve sedation and pain management.

Children’s Hospital

  • Scott Turner provided an update regarding progress at the Children’s Hospital at a Faculty Lunch in June.  He was pleased to share that at the time of his presentation, everything is on schedule for completion and opening of the Children’s Hospital on December 10th.
  • The Children’s Hospital Executive Oversight Committee and Routine Transition Activation Planning meetings continue and are very important as we move closer to completion of the CH.

Patient Experience

With the opening of a brand new, state of the art children’s hospital will come an even higher expectation from our patients and their families to receive state of the art, world-class service when they are under our care.  Patients and their families will experience beautiful spaces, the most up-to-date technology, and more and better amenities than we have ever been able to provide; but what will stay with our patients, and truly form their perception of their care is the empathy, compassion and respect with which we treat them.  I am privileged to work with faculty and staff that understand this, and I see evidence every day that the patient experience is as important to you as it is to our patients.   Thank you.

Hirsch~Raphael

Raphael Hirsch, M.D.

Professor and Chair, Stead Family Department of Pediatrics

 

 

 

 

May Newsletter

The month in review

Here is a summary of what has occupied the DEO office in May:

Pediatric Academic Societies (PAS) Annual Meeting was held April 30th through May 3rd.  I am happy to say that the Stead Family Department of Pediatrics was very well represented with more than 30 posters and presentations and over 33 faculty, fellows, and residents participating.  Thank you to all who attended and presented.

I plan to host a reception on behalf of the Stead Family Department of Pediatrics at next year’s PAS to provide an opportunity for networking and connecting with colleagues.

Invited Speakers

We were fortunate to have a number of guest speakers in May.  We were hosts to the Carl Gillies Visiting Professor Lecturer as well as the Filer Lecturer.  The list of guest speakers included:

Speakers

Dr. John Racadio, Children’s Hospital Medical Center, Cincinnati – Gillies Visiting Professor LecturerPediatric Interventional Radiology:  Technology Research, and Clinical Care
Dr. John Lantos, Children’s Mercy Bioethics Center, University of Missouri – Filer Lecturer:  Should Pediatricians “Fire” Vaccine-Refusing Parents
Dr. Stephen Tsang, Columbia University, New York:  Of Mice and Men:  Precision Pathways in Pediatrics
Dr. James Gern, University of Wisconsin, Madison:  Childhood Asthma from Bench to Bedside:  “Do Viral Wheezing Illnesses in Infancy Cause Asthma”
Dr. Michael Seidman, National Institute of Health – DNA Damange, Replications Stress, and Genome Stability:  Lessons from Fanconi Anemia

Education

  • Chairman’s Rounds continued in May with residents presenting a number of very interesting cases.  I encourage faculty and fellows to participate in these great opportunities for learning and enrichment.
  • I meet monthly with the Chief Residents and round with them once per month.  Tracey Morgan-Harris and Kathryn Newby have done an outstanding job with the program as Chief Residents this past year and will soon be passing the baton to our new Chief Residents, Catherina Pinnaro and Lindsay Blick.
  • You will begin to hear and see efforts underway in preparation for the LCME (Liaison Committee on Medical Education) site visit in 2017 which is a major step in the reaccreditation of the school of medicine.  Please provide assistance if asked to supply information or feedback by those involved in these efforts.

Recruitment

Faculty recruitment continues as the department continues to grow in our clinical and research missions.  I met with a number of candidates for positions in the following divisions in May:

  • Four candidates for Interventional Cardiology
  • Two candidates for Infectious Diseases
  • One candidate for Endocrinology and Diabetes
  • One candidate for Allergy and Pulmonology
  • One candidate for Director of the Division of Infectious Diseases was also interviewed.


Dr. Julie Sommerfield

Dr. Sommerfield arrived in May as a new member of our Cardiology Division.  Her office is located at 1010-22 Boyd Tower.  Please take a moment to welcome Julie when you see her.

 

Research

Dance Marathon and CMN held their spring allocations meetings at which $50,000 pilot studies were awarded. These include:

Dance Marathon Awards:

  • Anjali Sharathkumar: Novel Mechanisms of Thrombogenesis in Pediatric Acute Lymphoblastic Leukemia
  • David Gordon: Targeting DNA Replication Stress in Ewing Sarcoma Tumors
  • Bill Terry:  The Role of Genetic Testing in Clinical Decision Making for Pediatric Cancers

Children’s Miracle Network Awards:

  • Joe Turek:  Multilevel interactions between CaMKII and TRVP 1 Contribute to Aortic Aneurysm Progression
  • Anthony Fischer:  Initial Bacterial Attachment in Cystic Fibrosis Airways
  • Christina Cifra:  Missed Diagnosis of Pediatric Sepsis:  Analysis of a Large Population Based Sample
  • Stacey Kern (Neonatology Fellow):  The Effects of Milk Oligosaccharides on Intestinal Development and Subsequent Injury Potential.

Faculty

My annual meetings with each faculty member continued in May.

One on one monthly meetings with each Vice Chair and Division Director continue to take place.  In addition to the one on one meetings, the Division Directors meet as a group with me twice per month and the Vice Chairs meet as a group with me once per month.  These meetings ensure that all Divisions have ample opportunity to bring their concerns and ideas to me so that we can continue moving toward our goal to be amongst the best pediatric departments in the nation.

Clinical Programs

  • PSC:  Dr. Bishop provided a presentation at the May 2nd Faculty Lunch regarding the renovation and expansion of the Pediatric Specialty Clinic presently underway.  The clinic space will be increased from the present 36 exam rooms to 56 exam rooms and will be structured more like the IRL, in four pods with a central staff area surrounded by exam rooms.  The renovation and expansion will be completed in two phases with Phase 1 scheduled for completion in July, 2017, and Phase 2 in late summer of 2018.
    We held a monthly routine meeting to discuss PSC workflow improvement as well as a monthly routine meeting to discuss PSC scheduling improvement.
  • Pediatric Associates held its monthly board meeting.
  • Satellite Clinics: Monthly meetings to discuss our satellites in Bettendorf and Waterloo continue.

Meetings with Chairs of other Departments

  • I meet monthly with Dr. Weigel, Chair of the Department of Surgery and Dr. Dale Abel, Chair of the Department of Internal Medicine.  This is a great way for us to identify ways to collaborate across departments and also provides us with a venue to discuss any opportunities that may have occurred since our last meeting.
  • I also schedule meetings with other Department Chairs when there is an opportunity to improve or enhance service between Departments.  In May I met with Dr. Nugent, Chair of the Department of Emergency Medicine and Dr. Marsh, Chair of the Department of Orthopedics to discuss ways to improve referral of children to orthopedics.

Children’s Hospital

  • The Children’s Hospital Executive Oversight Committee met to discuss progress of the new hospital.
  • Routine Transition Activation Planning (TAP) meetings continue in preparation for the move to the new hospital next year.
  • I had the opportunity to view rough cuts of the new marketing campaigns for the Children’s Hospital which will be introduced prior to the opening.
  • At the very end of October, orientation to the new building will begin and various public events, dedication, etc. will begin the first week of November.  This will be a very exciting and busy time for the Department.

Final Thoughts

As we near the end of the school year, I want to wish safe travels to those planning a family vacation or other getaway, and to everyone in the Stead Family Department of Pediatrics, A GREAT SUMMER.

 

April Newsletter

The month in review

Here is a summary of what has occupied the DEO office in April:

Medicaid Upper Payment Limit (UPL) initiatives

As a major Medicaid provider, the Stead Family Department of Pediatrics is benefiting from the UPL payments coming to UIP for the purpose of advancing quality, care coordination, and access to care for Medicaid patients. The first round of Innovation Projects has been approved by UIP and the College of Medicine and we are currently working to implement them. They include the following (Responsible individuals indicated in parentheses):

  • Clinic Scribes Pilot (Bishop)
  • Insurance Authorization Central Support (Whisler)
  • Improved Care for the Adolescent Population (Hirsch)
  • Expand Pediatric Pain and Palliative Care Access (Benson)
  • Outpatient Chronic Pain Clinic (Mathews/Bishop/Ferguson/Benson)
  • Improved Care Coordination by embedding social workers, care coordinators, and psychologists into the clinics (Tsalikian/Bishop/Cooper Brown)
  • Improved dietary/social worker support for Cystic Fibrosis Center (McCray)
  • Subspecialty Fellowships (Rahhal)
  • eConsult (Brophy/Wacker/Scholz)

Education 

I held a number of Chairman’s Rounds with the residents. Chairman’s Rounds are held most Tuesdays at 12:15 pm in Zellweger Conference Room. The residents present a patient currently in the hospital who represents either a diagnostic or a management challenge (sometimes both). Nate Price and Jason Misurac have been regular faculty participants and I want to encourage faculty and fellows to attend these interesting discussions even if you are not involved in the care of the patient because it enriches the discussion and adds to the educational experience of the residents and students.

Recruitment

The second of two finalists for Director of Adolescent Medicine was here for his second visit, along with his spouse. We are currently in discussion with the finalist for this position.

Two candidates for Infectious Diseases clinical faculty were here for interviews. We are moving forward with the finalist for this position. I also spoke with a candidate for Director of the Division who will be coming for a visit in May.

A candidate for Director of the Division of Allergy/Immunology and Pulmonary Medicine was here for a first visit.

Two candidates for Interventional Cardiology faculty were here for interviews.

Research

The Department held its annual Research Day on April 8th. It was an outstanding day filled with great talks, posters, and data presentations.

Faculty

I meet annually with each member of the faculty. In April I met with John Dagle, Erik Edens, and Tony Fischer to discuss their career development.

I held my monthly one on one meetings with the Vice Chairs and Division Directors as well as my monthly Vice Chair group meetings and biweekly group Division Director meetings.

Clinical Programs

Psychology: Linda Cooper Brown, Lane Strathearn, Dave Wacker and I met to discuss expansion of the clinical psychology program. We are planning an external review of this program with the goal of expanding services into our pediatric primary and specialty clinics to better serve the needs of our patients.

PSC: We held a monthly routine meeting to discuss PSC workflow improvement as well as a monthly routine meeting to discuss PSC scheduling improvement.

Satellite Clinics: We held a monthly Children’s Hospital satellite meeting to discuss our current satellite in Bettendorf as well as our planned satellites in Waterloo, Dubuque, and Cedar Rapids.

Pediatric Associates held its monthly board meeting.

Children’s Hospital

The Children’s Hospital Executive Oversight Committee met to discuss progress of the new hospital. Routine Transition Activation Planning (TAP) meetings continue in preparation for the move to the new hospital next year.

In my role as Physician-in-Chief of the Children’s Hospital I met with Terri Brennan, the UIHC Chief Medical Officer, to discuss common issues and initiatives.

Note from Ed Bell, Vice Chair for Faculty Development

  • Mentorship

By now, all junior faculty members should have submitted their updated CVs and 3-year career plans. First-year junior faculty members should have submitted the names of their primary mentors and mentoring committee members. We hope you will find our mentorship system helpful. We provide the framework, but it only works if you do your part. The system was created for you. Please take advantage of our mentorship system, and pass along your ideas for improving it.

  • Promotion

The Promotions Advisory Committee has met and identified promotion candidates for this year’s review. If you are an assistant professor or associate professor and have not heard from us, you are not among the promotion candidates we identified. If you wonder whether we might have overlooked you, come and see me and we can discuss this. The Promotions Advisory Committee will give you our best advice, but you should also be aware that you have a right to initiate a formal promotion review even if the Committee advises you to wait. The deadline for letting us know if you want to be reviewed for promotion this year is June 1.

Hirsch~Raphael

Raphael Hirsch, MD

Chair, Stead Family Department of Pediatrics

Month in Review – February/March, 2016


The Month in Review

Here is a summary of what has occupied the DEO office in February/March:

Incentive payouts

Incentives to faculty for calendar year 2015 will be paid out in April. I am pleased to report that incentives for the 2015 calendar year will total $433,610, a record high incentive payout for the Department. Since initiating the incentive plan 3 years ago, the Department has been able to add a total of $1,158,859 to faculty compensation by means of the incentive plan. Faculty from the divisions of Cardiology, Endocrinology, GI, Gen Peds, Genetics, Heme/Onc, Neonatology, Nephrology, Neurology, Critical Care, and Rheumatology will be receiving incentives for 2015.

Medicaid Upper Payment Limit (UPL) initiatives

As a major Medicaid provider, the Stead Family Department of Pediatrics is benefiting from the UPL payments coming to UIP for the purpose of advancing quality, care coordination, and access to care for Medicaid patients. Following discussion with the Division Directors who then engaged their faculty, a number of suggestions were submitted to the department. We are currently in discussion with UIP and the College of Medicine for approval of these initiatives for this first UPL cycle.

Education

The Residency Program expansion has been approved by the hospital and we will be adding two additional interns per year beginning this summer.

The match results are in and we have an outstanding class of interns for July.

I held a number of Chairman’s Rounds with the residents. Chairman’s Rounds are held most Tuesdays at 12:15 pm in Zellweger Conference Room. The residents present a patient currently in the hospital who represents either a diagnostic or a management challenge (sometimes both). Nate Price and Jason Misurac have been regular faculty participants and I want to encourage faculty and fellows to attend these interesting discussions even if you are not involved in the care of the patient because it enriches the discussion and adds to the educational experience of the residents and students. And we have a lot of fun.

Recruitment

I want to update you on our very busy faculty and leadership recruitment efforts. I encourage everyone to review the details below. You can help us with these efforts. If you know outstanding faculty candidates from other institutions for any of these positions please let me know:

Allergy/Immunology: We are recruiting a Director for Allergy in order to meet the current and growing demand for clinical services. We anticipate that, upon successful recruitment of this individual, Allergy/Immunology will become a section within the Division of Allergy Immunology and Pulmonary Medicine.

Pulmonary Medicine: We are recruiting a Division Director. We have had a number of candidates visiting us these past 2 months.

Cardiology: Julie Sommerfield will be joining the faculty in May. She is currently a practicing cardiologist at  Children’s Hospital of Michigan. We have 3 active recruitments, including a Director of Cardiac Imaging, an Adult Congenital Heart Disease Specialist, and a Diagnostic Cardiologist. A number of candidates for these positions visited us these past 2 months and we are finalizing offers.

Developmental and Behavioral Pediatrics/Psychology: Shruti Tewar will be joining the faculty in July after completing her DBP fellowship at Cincinnati Children’s. Shruti is Arun Modi’s wife. We are recruiting for another Developmental and Behavioral Pediatrics faculty member. We are also planning an expansion of our psychology services to better meet the needs of our outpatient clinics as well as inpatient services such as Pain and Palliative Care. We are recruiting both research and clinical psychology faculty.

Pediatric Critical Care Medicine: Marcelo Auslender joined the Department in February as the new Division Director. Previously Marcelo was at Rainbow Babies and Children’s Case Western Reserve in Cleveland. With his arrival the Division is larger than it has ever been, with 8 faculty. By this summer we are anticipating 10 faculty, including Veerajalandhar Allareddy who has been recruited as Medical Director for the PICU, as well as the return of our former fellow, Adi Badheka, who is completing a one year cardiac critical care fellowship at Children’s Hospital of Philadelphia. By this summer we will have 4 faculty who have completed specialized training in cardiac critical care. This, along with the new recruitments into our Division of Cardiology, will enhance our children’s heart program.

General Pediatrics and Adolescent Medicine: Beth Tarini arrived from University of Michigan at the end of March as the new Division Director.

We are recruiting a Pain and Palliative Care faculty to allow us to continue to expand the outstanding service that Becky Benson has developed and that has grown beyond her capacity to manage alone.

We have recruited 2 hospitalists who will join us this summer: Emily Peterson is currently completing her residency with us. Katherine Patrick will join us from Rainbow Babies and Children’s Hospital where she is completing a one year hospitalist fellowship.

Ana Cary, a former medical student and resident here, will be returning this summer from private practice in Valencia, CA to join our primary care pediatrics group.

We have not had a full-fledged adolescent medicine program in our Department. We need to address this deficit. We are therefore recruiting a Director of Adolescent Medicine. I anticipate that the new Director will build an adolescent medicine program that will include an expanded clinical service addressing the totality of the needs of adolescent patients, a teaching component leading ultimately to a fellowship program, and a research program. We have 3 outstanding candidates for this position who have visited in February and March and interest is high. We are also recruiting for a more junior Adolescent Medicine faculty.

Genetics: Amy Calhoun arrives in May from the University of Minnesota where she has been on the faculty for a number of years. Amy is the sister of Katie Larson-Ode.

Infectious Diseases: We are recruiting an Infectious Diseases faculty. I also spoke with an outstanding physician-scientist who has expressed interest in the Division Director position.

Neonatology: Brady A’Hearn Thomas arrives in July from Children’s Hospital of Philadelphia where she is currently completing a neonatology fellowship.

Nephrology: Lyndsay Harshman is joining the faculty as a physician-scientist in July after completing her fellowship here.

Neurology: Aaron Boes is joining the faculty as a physician-scientist in July after completing a fellowship at Harvard. We are also recruiting an epileptologist.

Research

Yatin Vyas (Vice Chair for Research) and the rest of our research leadership team are preparing for a wonderful Research Day on April 8. Everyone is encouraged to attend. Fellows are expected to be released from their duties in order to participate.

Faculty

I meet annually with each member of the faculty. In February/March I met with Linda Cooper-Brown, Mike Ciliberto, Diana Bayer, Tarah Colaizy, Jane Brumbaugh, Nancy Bonthius, Vanessa Curtis, Ben Darbro, and Melinda Coro to discuss their career development.

I held my monthly one on one meetings with the Vice Chairs and Division Directors as well as my monthly Vice Chair group meetings and biweekly group Division Director meetings.

Ed Bell and I met to review faculty candidates being considered for promotion in the next cycle.

I met with Ed Bell, Eva Tsalikian, and Erik Edens to discuss how we can help our faculty complete their MOC part 4 requirements. Erik will be taking the lead on submitting quality improvement projects to the ABP that our faculty are already engaged in so that they can receive credit for these activities.

Clinical Programs

  • PSC: We held a monthly routine meeting to discuss PSC workflow improvement as well as a monthly routine meeting to discuss PSC scheduling improvement.
  • Satellite Clinics: We held a monthly Children’s Hospital satellite meeting to discuss our current satellite in Bettendorf as well as our planned satellites in Waterloo, Dubuque, and Cedar Rapids.
  • Pediatric Associates held its monthly board meeting.

Children’s Hospital

The Children’s Hospital Executive Oversight Committee met to discuss progress of the new hospital. Routine Transition Activation Planning (TAP) meetings continue in preparation for the move to the new hospital next year.

In my role as Physician-in-Chief of the Children’s Hospital I met with Terri Brennan, the UIHC Chief Medical Officer, to discuss common issues and initiatives.

I met with Cheryl Hodgson from Marketing and Communications along with hospital leadership to sign off on the new Children’s Hospital rebranding materials which includes a new logo. I also met with Lewis Communications who are developing the marketing materials for the new Children’s Hospital roll out. We reviewed the video and radio ads that will be rolled out this year and next.

Final thoughts:

As you can see from all of the above activity, the Department continues on its trajectory of growth. I am looking forward to welcoming our new faculty this summer. We will be doing so, as well as celebrating another successful year, at our annual faculty reception. Jodi and I have previously held this reception at our home in January. This year the reception will be in September, in response to a number of you who suggested we gather in the fall so we can enjoy the outdoors.  The date of the reception will be September 11, 2016, with full details to follow as the date approaches.

Hirsch~Raphael

Raphael Hirsch, MD

Chair, Stead Family Department of Pediatrics

New Director of General Pediatrics

Beth Tarini_CHEAR photo_lawquad

It is my pleasure to welcome Dr. Beth Tarini as the new Director of the Division of General Pediatrics and Adolescent Medicine beginning March 30, 2016. Dr. Tarini is a nationally renowned health services researcher whose interests focus on the organization and delivery of care following positive newborn screening results, risk communication with parents about genetic testing for their children, and the effect of genetic testing on parental behavior.  She maintains a highly productive research program and publication record. She has grant funding from the Agency for Healthcare Research and Quality (AHRQ), Health Resources and Services Administration (HRSA), and the Robert Wood Johnson Foundation (RWJF), and has received past funding from the Cystic Fibrosis Foundation, the Genetic Alliance, the National Human Genome Research Institute, and the National Institute of Child Health and Human Development. Dr. Tarini has consulted for a variety of national organizations on newborn screening. In addition to her research accomplishments, Dr. Tarini has maintained an active clinical practice of more than 300 patients and has been recognized as Outstanding Educator of the Year in General Pediatrics. She brings a research, clinical, and academic perspective to the division that will elevate it to national prominence.

Dr. Tarini earned her medical degree at Albert Einstein College of Medicine. She completed pediatric residency at the University of Washington, Seattle as well as a Masters in Health Services and a Robert Wood Johnson Clinical Scholars fellowship.  She was also a health policy fellow at the Center for Healthcare Research and Transformation at the University of Michigan. Prior to coming to Iowa, Dr. Tarini was Co-Director of the Pathway of Excellence in Health Policy Program at the University of Michigan Medical School.

I look forward to Dr. Tarini’s contributions and leadership towards our goals of enhancing our general pediatrics programs and creating a national center of excellence in pediatric health services research. Please join me in congratulating her on her new role and welcoming her to Iowa.

New Director of Pediatric Critical Care

Auslender, Marcelo

It is my pleasure to welcome Dr. Marcelo Auslender as the new Director of the Division of Pediatric Critical Care Medicine. Dr. Auslender will begin his appointment in February 2016. Dr. Auslender is nationally recognized as a leader in pediatric critical care medicine as well as in cardiac critical care. Dr. Auslender’s major research interests lie in heart failure in patients with congenital heart defects, the use of nitric oxide in the post-operative management of right ventricular dysfunction in the absence of pulmonary hypertension, heart rate control in postoperative cardiogenic shock, the use of beta blockers in acute/decompensated heart failure and the development and implementation of postoperative clinical pathways.

Dr. Auslender has broad clinical, educational, and administrative leadership experience and is recognized as an outstanding leader and educator. During his tenure at NYU between 1996-2012, he was Director of the Division of Pediatric Critical Care, Director of Pediatric Cardiac Intensive Care, Medical Director and Interim Director of the Division of Pediatric Cardiology as well as pediatric cardiology fellowship director. More recently, at Rainbow Babies and Children’s Hospital he has served as Director of Pediatric Cardiac Intensive Care and Director of Pediatric Cardiac Inpatient Service.

Dr. Auslender earned his medical degree at the Facultad de Ciencias Medicas, University of Buenos Aires, Buenos Aires, Argentina. He completed pediatric residency training at Maine Medical Center. He completed fellowship training in both pediatric critical care and pediatric cardiology at Rainbow Babies and Children’s Hospital/Case Western University and a fellowship in pediatric cardiac intensive care and intervention catheterization at the University of Michigan.

I look forward to Dr. Auslender’s contributions and leadership towards our goal of creating a national center of excellence in Pediatric Critical Care Medicine. Please join me in congratulating him on his new role and welcoming him to Iowa.

New Pediatric Ophthalmologists Join UI

Two new pediatric ophthalmologists have joined the UI.

Dumitrescu Alina 2015

Dr. Alina Dumitrescu received her medical degree from Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. She completed Pediatric Ophthalmology and Pediatric Genetics Fellowships at University of Iowa Hospitals & Clinics before doing ophthalmology residency training at the University of Kansas Hospital – KU Eye Center in Prairie Village, Kansas. Dr. Dumitrescu specializes in the treatment of inherited eye disorders, retinopathy of prematurity and strabismus. She sees patients at the main hospital Eye Clinic and at the UI Health Care-Iowa River Landing facility in Coralville.

Kemp_Pavlina

Dr. Pavlina Kemp  received her medical degree and ophthalmology residency training at the University of Iowa Carver College of Medicine. She pursued a fellowship in Pediatric Ophthalmology at Massachusetts Eye and Ear Infi rmary in Boston. She specializes in pediatric ophthalmology and adult strabismus and pediatric cataract. Research interests include strabismus outcome studies, resident education and pediatric optical coherence tomography. Dr. Kemp will treat patients at the main hospital Eye Clinic starting in January 2016.

Both have secondary appointments in Pediatrics in recognition of their anticipated clinical and research collaborations with faculty members in Pediatrics and their contributions to the education of trainees.