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.

 

Month in Review – August 2015

Here is a summary of what has occupied the Chairman’s office in August:

Education

Riad Rahhal and I met to discuss the Education Program. We also held meetings to review the proposal for expansion of the Residency Program by two residents per year as we prepare for the move into the new hospital next year. This proposal for expansion is driven by a number of factors, including a work force analysis indicating a shortage of pediatricians in Iowa, our ability to provide an outstanding education experience to more trainees, and the increasing census in the Children’s Hospital.

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 (or sometimes both). I want to make a plea to faculty and fellows to attend these interesting discussions even if you were 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

August was a very busy month for leadership recruitment:

Developmental and Behavioral Pediatrics: I am pleased to report that Lane Strathearn, MD, PhD has accepted the position of Division Director of Developmental and Behavioral Pediatrics and the Physician Director of the Center for Disabilities and Development (CDD). Dr. Strathearn is one of only a handful of NIH-funded developmental pediatricians in the nation. He is internationally-known for his studies on the effect of maternal stress and adversity on mother-infant bonding. He brings a research and academic perspective to the division that will elevate it to national prominence. Dr. Strathearn will be arriving from Baylor in September.

Pediatric Critical Care Medicine: Three finalists for the Division Director of Pediatric Critical Care Medicine were here for their second visits. We are currently finalizing the recruitment of our final candidate.

General Pediatrics and Adolescent Medicine: A finalist for the Division Director of General Pediatrics and Adolescent Medicine was here for a second visit.

Infectious Diseases: Four candidates for Division Director of Pediatric Infectious Diseases visited our Department. Each of them gave a Frontiers in Pediatric Research Seminar.

In other recruitment news:

A faculty candidate for the Program in Pediatric Research was here for his 3rd visit. We are working on a recruitment offer.

A faculty candidate for genetics was here for a first visit.

I spoke this month with a faculty candidate about a position in our Adolescent Medicine Program which is one of the programs I would like to see expand in the coming year. A second faculty candidate for adolescent medicine was here for a second interview.

We are recruiting 3 hospitalists for next year. This month we interviewed one of the candidates.

Finally, we interviewed a faculty candidate for Director of Cardiac Imaging.

Research

I held a meeting with Polly Ferguson, Alex Bassuk, and Donna Friel to review our Department’s NIH K12 grant. This grant provides support to 3 junior faculty on the research track who have not yet received their own NIH grant. We will be developing a more proactive approach to the career development of our Physician Scientist Training Program (PSTP) fellows to position them to qualify for K12 support.

Divisions

I held monthly meetings with each Division Director and each Vice Chair to review their programs. I also held a monthly meeting with Anita Moonjely, the General Pediatric Clinic Medical Director at Iowa River Landing (IRL).

Faculty

I meet annually with each member of the faculty. This week I met with Liuska Pesce, Resmiye Oral, Alvaro Serrano Russi, Lori Christiensen, and Robert Roghair to hear about their activities.

Eighteen new faculty are arriving this summer. This week I met with the following to welcome them to the Department: Patrick McCarthy is a new Clinical Assistant Professor in our Hospitalist Program. He arrived from Madison where he completed residency training. Pat has an interest in medical education and hopes to complete a Masters in Medical Education during the next few years. Luis Ochoa is a new Clinical Assistant Professor in Cardiology. Luis was a cardiology fellow here before leaving last year for Duke University where he completed a year of specialized training in cardiac electrophysiology (EP). He will be joining Ian Law in our EP program. Princy Ghera is a new Clinical Assistant Professor in Pulmonology. She completed her training at Nationwide Children’s Hospital in Columbus, OH. In addition to providing clinical services in the Pediatric Specialty Clinic (PSC) Princy will hold a weekly pulmonary clinic in Waterloo. Cody Tigges is a new Clinical Assistant Professor in Critical Care. He arrives from the University of Tennessee, LeBonheur Children’s Hospital in Memphis following completion of fellowship training. Cody has an interest in medical education. He is also interested in expanding outreach in our Critical Care program to support communities around Iowa.

A reception was held by the Carver College of Medicine (CCOM) for newly promoted professors. Pam Trapane was honored for her recent promotion.

The CCOM Executive Committee responsible for appointments and promotions held an introductory meeting. Mike Tansey and I have been appointed as new members of this committee for a 3 year term.

Clinical Programs

Child Health Specialty Clinics (CHSC): A series of meetings were held to transition the leadership of the CHSC following the recent departure of Deb Waldron to the Maternal and Child Health Bureau in Rockville, MD. CHSC houses Iowa’s Title V program. Rami Boutros will serve as Interim Director and Tom Scholz will be Associate Director. A search for a permanent director will begin shortly.

PSC: I had a series of meetings with Rami Boutros and Scott Turner to discuss the status of our specialty clinics at IRL. Because of the tremendous growth in our outpatient specialty clinics these past few years, we have outgrown our space in the PSC and the hospital recently approved a plan to move approximately 10,000 visits per year to IRL. It has been challenging to hire enough MA’s to staff these IRL clinics which has delayed their start. We discussed alternative staffing options that could allow us to move forward with opening these clinics. We also held a monthly routine meeting to discuss PSC workflow improvement as well as a monthly routine meeting to discuss PSC scheduling improvement. Scheduling is showing progress. Nine new schedulers have now been hired and are in training for deployment in the coming weeks to assist divisions with their needs. In addition, a process has been initiated to identify and correct scheduling errors.

Neurology: We held a series of discussions this month on our Epilepsy Program, its potential growth based on unmet need in the state of Iowa, and the possible recruitment of an additional pediatric epileptologist. Cheryl Hodgson met with Charuta Joshi, Mike Ciliberto, and Matt Howard to inform Cheryl about the exciting pediatric epilepsy initiatives and programs that exist here so that Cheryl can help promote and advertise these programs.

Cardiology: The IC3 committee met to discuss the Children’s Heart Program. This committee brings together the leadership of the Pediatric Intensive Care Unit (PICU), Cardiology, and Cardiothoracic Surgery with department and hospital leadership with the goal of advancing the program and addressing the needs of the program. Among other things, we discussed the upcoming heart program retreat. In addition, a number of leadership meetings were held on the Pediatric Heart Surgery Program and its needs.

Satellite Clinics: We held a monthly Children’s Hospital satellite meeting to discuss our 3 current and planned satellites in Bettendorf, Waterloo, and Cedar Rapids. Construction has begun on the expanded new space we are leasing at our Lincoln Road satellite in Bettendorf and it is due to be completed by the end of this calendar year which will allow us to add new providers and services. A lease for an expanded Waterloo satellite is still under negotiation, as are discussions for a location for a Cedar Rapids satellite. We also discussed the possibility of opening a 4th satellite in Dubuque.

Genetics: The Division of Medical Genetics is housed in the Stead Family Department of Pediatrics and provides genetic services to the entire health system. Discussions were held with hospital leadership on the growing role of genetic counselors in the genomic era and the best model for providing this service across the institution.

Other: Keri Harris and Chad Fye presented to our administrative leadership a draft of an improved and more informative way to report clinical activity at each of our clinic sites. We hope to role out this improved report to faculty on a monthly basis in the near future.

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.

Jodi and I hosted the annual Children’s Hospital Council summer social at our home to thank the Council members for all they do to support the pediatric program.

Administrative

In order to better support the needs of a growing and more complex department, we are in the process of reorganizing our administration. We have created an Administration Leadership Committee that will meet weekly to discuss key department priorities. Members of the committee include myself, Melissa Whisler (Clinical Department Administrator – CDA), Kim Fuhrmeister (Associate CDA), Robin Marshall (Director of Finance), Stefanie Perkl (Director of Human Resources), Donna Friel (Research Support Manager), Paul McCray (Executive Vice Chair), and Vicky Curtis (Committee Secretary). This committee held its first meeting this month. I will be sharing with the entire Department an overview of our strategic priorities on October 2 at the annual State of the Department Grand Rounds.

Final thoughts:

I hope everyone has had a great summer and enjoyed time with family and friends. School has started and there is a hint of fall in the air. In September we will be starting a new year of Grand Rounds, as well as Division Director and Vice Chair meetings. I look forward to another successful and rewarding year for our Department.

Hirsch~Raphael

Raphael Hirsch, MD

Chair, Stead Family Department of Pediatrics