Get documents about "Newsletter Template (Read-Only) - PDF
Document Sample
California Chapter 1 AAP
http://www.aapca1.org
News Update
Issue 2008 Volume 3
July 15, 2008
News Update
Annual Leadership Forum Report over California. On Sunday morning,
By Charles J. Wibbelsman, MD March 16th, Executive Director, Errol
This year’s ALF, the Academy’s Alden, attended our breakfast and gave a
Annual Leadership Forum, was held in brief update on current affairs including a
Schaumburg near the AAP’s Elk Grove detailed discussion of the challenges of
Village headquarters. This was the 30th addressing the media on the topic of
year (4th year being called ALF) for such autism and immunizations.
Inside this issue: an annual event and over 500 AAP and There were many resolutions
staff members attended, including proposed at the ALF. This is an
District Chairs, Chapter Presidents, opportunity for all attendees
Chairs of Sections, Councils and to debate resolutions that provide advice
ALF Report 1
Committees. The Annual Leadership on the future direction of Academy
President Column 2 Forum continues to serve in an advisory policies and programs. Two resolutions
capacity to the Board of Directors, in particular were presented from our
Elections 3
providing a primary communication link Chapter. A resolution proposed by
Environmental Health 4 between membership, leadership and the neonatologist Thomas Newman,
policy-making bodies of the Academy. Opposing New U.S. Nuclear Weapons
Substance Abuse 4
In addition to a tour of the AAP and Supporting Nuclear Disarmament,
SGA Update 5 headquarters in Elk Grove Village, there was submitted to the reference
was an orientation for new attendees by committee, and after voting on the floor,
School Health Training 6 received approval after a very passionate
the Executive Board of the AAP which
Vintage Docs 8 included Executive Director, Errol and personal presentation by our former
Alden, and the current President, Renee President, Yasuko Fukuda.
Useful Links 10 Jenkins. Another resolution proposed
Did You Know? 10 There were several seminars on from our Chapter, Parental Consent for
improving leadership skills as well as STI vaccines, authored by myself and
Private Payor Advocacy 11 networking with other Academy Shannon Udovic-Constant, a proposal
members from the many different that would allow minors to obtain those
Coming Events 12
chapters and districts from all over the vaccines which may prevent STI’s,
country. Of particular interest to me was without parental consent, was adopted by
a seminar on Moving the Train Forward: the Reference Committee and was finally
Practical Approaches to Improve approved on the floor after a very
Adolescent Health presented by the AAP lengthy and somewhat contentious
Adolescent Health Partnership Project. discussion on the floor. The original age
Each morning all 4 Chapters we had proposed was ages 12 to 17
from California, District IX, had the years, then changed by the reference
opportunity to have breakfast together committee to 14 to 17 years, and then
and learn about what was happening all finally changed to “follow the minor
Page 2
News Update
News Update consent laws of the state.” This will be
Executive Director:
referred to the Executive Board of
Beverly Busher Directors and then to the Section on
68 Mitchell Blvd., #252 Adolescent Health and the Committee on
San Rafael, CA 94903
(415) 479-9200 Fax (415) 479-9202 Adolescence for follow up. Over 70
E-mail: aapbev@sbcglobal.net resolutions were discussed at this
Leadership Forum.
Physician Editors:
Mika Hiramatsu, MD Indeed, the ALF offered 4 days
20101 Lake Chabot Suite B of learning the intricacies of the AAP,
Castro Valley, CA 94546
(510) 581-1446 Fax available
meeting the Executive Board, and
E-mail: mhiramatsu@aap.org learning from colleagues and other
Chair, Editorial Advisory Board leaders how we can better serve our own
AAP News
chapters and districts and ultimately the
Mark M. Simonian, MD children that we care for.
Layout and Editor
James Crawford
681 Medical Center Drive, West President
#106, Clovis, CA 93611 President’s Column
559/325-6850 Fax: available By James Crawford, MD
E-mail: msimonian@aap.net
Now more than ever, without parental consent”. There was
California Chapter 1 pediatricians need to speak up and speak well reasoned (and lengthy) discussion
American Academy of Pediatrics out on the issues that we believe are about both of these resolutions. Both
68 Mitchell Blvd., #252
important. Our voices should be heard resolutions were ultimately adopted by
San Rafael, CA 94903
publishes News Update quarterly. both within the Academy as well as in the membership and will now be
the broader context of our local and considered by the national board of
News Update does not assume directors. I would encourage all of the
responsibility for authors’ statements national communities. The Annual
or opinions; opinions expressed are Leadership Forum in March once again membership of California Chapter 1 to
not necessarily those of News
provided an outstanding opportunity for consider submitting a resolution to next
Update or the American Academy of
Pediatrics. us as members of the Academy to offer year’s ALF if you come across an issue
input to the national leadership about the you would like to be considered by the
Articles or opinions submitted for
concerns and interests that matter to us. national leadership.
publication are subject to
modification by the editorial staff. Our chapter offered a number of
resolutions that resulted in important and As always, the national political
Deadlines for submission of articles,
announcements or chapter spirited discussion. Dr. Thomas Newman arena continues to dramatically impact
information are March 15, June 15, advocated for his resolution Opposing both pediatricians and families. 2008 will
Sept. 15 and Dec. 15. Articles
New U.S. Nuclear Weapons and undoubtedly prove to be another critical
received after these dates may be
included in a later issue. Supporting Nuclear Disarmament. The year concerning the health and welfare of
resolution called for “the Academy to the families and children we care for.
Chapter Web Site: There are currently more than 9 million
www.aapca1.org
call on the countries of the world to
affirm their commitment to a world free uninsured children in the United States.
of nuclear weapons for the protection of In California alone, there are more than
the lives and health of current and future 1.3 million uninsured children. There are
generations of children”. Dr. Charles a number of pieces of pending legislation
Wibbelsman spoke in support of the that I would strongly encourage the
resolution he co-authored Parental members of California Chapter 1 to be
Consent for STI Vaccines. This familiar with, and to speak out about.
resolution called for “the Academy to
support legislation to allow patients Thirty million children in the
according to each state’s minor consent United States depend on the Medicaid
law to obtain vaccines, which may program for access to quality health care.
prevent sexually transmitted infections, Over the past year, the Administration in
Page 3
News Update
Washington has issued several regulations, by fully funding CHGME in FY
including a Directive in August 2007, that 2009. CHGME currently provides
shift costs of this program to states, at a over $301 million annually to the
time when states can least afford them. nation’s nearly 60 independent
States estimate that these actions will children’s teaching hospitals. These
result in a combined cut in Medicaid facilities train 35 percent of all
funding of nearly $50 billion over five pediatricians, half of all pediatric
years. California will be among the subspecialists, and the large majority
hardest hit by these new regulations. HR of the nation’s pediatric research
5613 (or Chairman Rockefeller’s scientists. While children’s hospitals
Companion Medicaid Moratoria bill) that receive CHGME funding
will delay the Medicaid regulations to account for less than 1 percent of all
allow Congress to review their merit. hospitals, they provide half or more
of all inpatient care for children with
SCHIP still needs to be the most complicated medical
reauthorized. Academy members (in conditions. Eliminating this funding
particular Dr. Lisa Chamberlain, and the would be devastating to the training
CC1 Advocacy Committee) worked of future pediatricians, as well as
tirelessly to reauthorize SCHIP in 2007. critically compromise healthcare for
While an extension with $1.6 billion in children today.
new funding resulted, a five-year
reauthorization did not. Two-thirds of the I strongly encourage all
Senate, and nearly two-thirds of the members of California Chapter 1 to
House, repeatedly voted in favor of the have a voice by speaking out, by
measure. Unfortunately, they were unable speaking out loudly, about these and
to override two separate presidential all issues that impact us, and the
vetoes. Both California senators supported children and families we care for. If
reauthorization. Many of the California we don’t speak loudest on behalf of
Congressional Representatives voted in the children, who will?
favor or reauthorization as well, however
some did not. I would encourage all CC1 Announcement
members to contact their elected Chapter 1 is looking for
representatives (regardless of whether they candidates for Members at Large
have supported this in the past) and from the South Valley (Fresno, Inyo,
articulate why it is imperative that they Kings, Madera, Mariposa, Merced,
support HR 3963/S 1224 (the SCHIP Mono, Tulare counties) and San
Reauthorization Act of 2007). Mateo County. If you are interested
contact Beverly Busher, Executive
Finally, President Bush released Director (415.479.7920 or
his Fiscal Year 2009 budget earlier this aapbev@sbcglobal.net)
year. In it he puts access to health care for If you practice outside these
all children in further jeopardy by areas and would like to be
eliminating the bipartisan Children’s considered for next year’s election,
Graduate Medical Education (CHGME) please contact Beverly. Being a
Program. The Academy and California Board member is an important and
Chapter 1, urge all members to speak to fulfilling experience.
their elected representatives in Congress to
reject the request and instead demonstrate
their commitment to children’s health care
Page 4
News Update
Committee Chairs Environmental Health Resources exposures to toxic chemicals that affect
for Providers infant and child health. The Toolkit is
Advocacy endorsed by the American Academy of
Lisa Chamberlain (650) 725-8314 By Alice Brock-Utne, MD, Co-Chair
Tonya Chaffee (415) 206-3742 As wonderful as our society’s Pediatrics. This toolkit was developed by
newfound awareness of the environment PSR along with our chapter’s
Behavioral/Developmental environmental health committee and the
Pediatrics and Children with
is, for many parents it has created
Disabilities anxiety and fear. Headlines abound UCSF PEHSU. These can be found at
J. Lane Tanner (510) 428-3351 about the dangers of baby bottles, www.sfbaypsr.org.
Renee Wachtel (510) 428-3351
formula, breast milk, vaccines, and California Childhood Lead
CATCH toxins everywhere. At the same time Poisoning Prevention Branch of
Rebecca Blankenberg there are stories about the rise in Department of Public Health: Lead is
(415) 643-4310
Aparna Kota (415) 833-4953 ADHD, autism, allergies, and asthma. still a very real issue for our patients.
Naturally, many of these anxieties and Research is showing effects at lower and
Environmental Health lower levels. For lead related questions,
Alice Brock-Utne (650) 387-3415
fears make their way to the
Mark Miller (510) 622-3159 pediatrician’s office. every county in California has a branch
Where do you turn for accurate of the Lead Poisoning Prevention Project.
International Child Health A list of contacts for these programs is
June Brady (415) 206-8361 information?
Debby Miller (415) 388-3627 Handbook of Pediatric available online at www.dhs.ca.gov/
Environmental Health (also known as childlead. Also on this website you will
Medical Education find recent publications regarding effects
Nelson Branco (415) 461-0660
the Green Book): This is a fantastic
Gena Lewis (510) 428-3885x2621 reference guide to have in the office that of lead at lower levels and guidelines for
will give you basic information on the management of lead poisoning.
Nutrition
Melvin Heyman (415) 476-5892 many of the toxins that concern American Lung Association:
Molly Linehan (415) 600-2403 families. It is published by the AAP and For information on indoor and outdoor
School Health can be purchased through the AAP air quality, the American Lung
George Monteverdi Bookstore. Association is a wonderful resource at
(707) 253-8511
The Pediatric Environmental www.lungusa.org.
Renee Wachtel (510) 428-3351
Health Specialty Unit (PEHSU): This
SGA is your best resource for direct Substance Abuse Committee
Shannon Udovic-Constant
consultation on specific environmental By Seth Ammerman, MD, Chair
(415) 833-4289
health questions. They will take your The Substance Abuse Committee
Substance Abuse questions and if you have a complicated is involved in the following projects:
Seth Ammerman (650) 725-8293
or difficult question they will research • Completing a new substance abuse
Vintage Docs the answer and call you back. The curriculum. This curriculum is
Bill Feaster (650) 724-9323
Harvey Kaplan (650) 347-6702
phone number for the UC San Francisco intended for noon lectures at training
PEHSU is 1-866-UCPEHSU (827- programs as well as for anyone
Young Physicians 3478). interested in various substance abuse
Neel Patel (650) 261-3710
Reshman Thadani (510) 272-9637 Physicians for Social issues. The curriculum will be
Responsibility (PSR): For basic available on our Chapter website for
Youth
Tonya Chaffee (415) 206-3742 information on a variety of download.
Environmental Health Topics, • Official support for the bill before the
Physician’s for Social Responsibility US Congress allowing the FDA to
has a series of excellent pamphlets regulate tobacco products.
available online. As well, they have the • Publicizing the new CA law
Pediatric Environmental Health Toolkit concerning smoke-free cars.
materials. The Toolkit is a combination
• Considering new initiatives such as
of easy-to-use reference guides for
helping develop protocols for
health providers and user friendly health
pediatricians to write prescriptions
education materials on preventing
for NRT for parents; and/or
Page 5
News Update
encouraging pharmacies to stop budget deficit should not be managed
selling tobacco products. on the backs of children and that these Instructions for
• Collaborating with other Chapter cuts will further add to the problem as Submitting Articles to
committees on issues of mutual we see fewer providers accepting the Newsletter
interest. Medi-Cal in turn creating a problem
The Committee is interested in with access and driving families to • Average length 200-
recruiting 2 new members, so if you costly emergency room services. In 500 words
are interested, or know anyone who addition for each of these cuts, • Submission method is
is, please contact Seth Ammerman at: matching federal funds will be lost. attached Word file
sethamm@earthlink.net. Many feel that this can only • format – preferred
be dealt with by looking at other (*.doc), rich text
State Government Affairs Update revenue options. Governor format (*.rtf),
By Shannon Udovic-Constant, MD Schwarzenegger ran for office on a or text (*.txt)
Chapter 1 SGA representative pledge of no new taxes and he is • Please do not submit
holding on tightly to this. The articles as part of an
message that is being put forward is – e-mail message – they
if the voters knew that this is where will be returned to you
we would be, would they want him to for formatting as a
reassess and take a position that Word file or text
evolves in the best interest of Deadline dates:
California? March 15,
AAP-CA is spending the June 15,
majority of its lobbyist and staff time September 15,
on this important issue. We are and December 15
working with a 100-member coalition,
Alliance for Patient Care (APC), and
also the CMA, Children’s
Subspecialty Coalition and other
children’s advocacy groups to
California Budget – Medi-Cal intensify this important work.
cuts (edited from District IX Executive In addition AAP-CA is
Director Kris Calvin’s comments) exploring other means of addressing
As everyone is well aware this issue. In the past there have been
California is facing a $16 billion dollar successful legal challenges to block or
state budget deficit. In mid-February the delay Medi-Cal physician
Legislature passed and the Governor reimbursement cuts. Also in the past
signed into law mid-year budget cuts to legislation has been used to roll back
help with the projected state cash flow Medi-Cal physician reimbursement
problems. This included a reduction in cuts.
Medi-Cal provider reimbursement rates If you have not done so yet,
of 10% across the board beginning July please contact your State Legislators
1, 2008, as well as several actions to and the Governor’s office and let
delay payments to Medi-Cal providers, them know:
Regional Centers and counties. Further, The health and well being of
Regional Centers will see current California’s children requires
temporary rate freezes made permanent. legislative leadership and creativity
AAP-CA has been advocating on behalf of children’s health care
intensely on this before it happened and services in what we acknowledge is a
since. Our message is clear that the very difficult budget time.
Page 6
News Update
Ask your legislator to work expand children’s health insurance
with us to restore Medi-Cal rates, fully coverage through a 75 cent per pack
support California Children’s Services tobacco tax. This would make more
(CCS), and to pay promptly. children eligible through Medi-Cal and
Urge them to use AAP-CA as Healthy Families for funded coverage.
a resource to build on preventive Legislation
National Committee & Section measures that saves state dollars, As of the writing of this update
Board Members building a structural solution to the the SGA Committee is about to review
state deficit, rather than continuing hit hundreds of pieces of legislation that
and run fixes that do more harm than pertain to child and adolescent health
Committees: good. and take positions. At press time of
Tonya Chaffee: Resident
Scholarships This will be the message that this newsletter AAP-CA positions will
Greg Enns, Genetics we will be giving in Sacramento when be listed at www.aap-ca.org under bill
Lawrence Hammer: Practice and
Ambulatory Medicine
we visit our legislators April 15th for tracking.
Melvin Heyman: Nutrition the legislative leadership day. Please contact me at
Janice Kim: Environmental Health AAP-CA lobbyist – Tom Riley sudovic@hotmail.com about any state
Tom Long: Child Health Care
Financing
Tom Riley of Cal Capitol legislative issues of interest.
Mary Ann Shafer: Pediatric Group (CCG) is our new lead lobbyist
Education in Sacramento. Mr. Riley has more Emerging Opportunities in
Mark M Simonian: Council on
Clinical Information Technology than 20 years of lobbying experience in School Health Training for UCSF
J. Lane Tanner: Psychosocial healthcare and has provided legislative Pediatric Residents
Aspects of Child & Family Health and regulatory consulting services to a
Charles Wibbelsman: Adolescence By Bergen Nelson, MD
variety of healthcare organizations, Pediatricians are often asked to
Section Executive Committees: including the California Academy of address the needs of patients who are
Ronald Bachman: Genetics
Laurence Baskin: Urology
Family Physicians. He has an excellent having difficulty in school, whether
John Bolton: Seniors reputation in Sacramento, and has their struggles are related to learning
June Brady: International Child Health access to key decision-makers in the disorders, behavioral problems,
Emily Chen: Genetics
Lucy Crain: Seniors legislature, the Governor’s office and medical illness, or some combination
Bill Hennrikus: Orthopaedics on the regulatory side. In addition, Mr. of those factors. Also, pediatricians
Michael Henrickson: Rheumatology Riley and his group are excellent
Melvin Heyman: Gastroenterology may be asked to serve as consultants
and Nutrition strategists and have a superb public for community schools for a variety of
William Hoffman: Plastic Surgery relations team. Note that Mr. Riley reasons. Despite these common roles
Laura Hufford: Residents
Jane Morton: Breastfeeding
worked together with lobbyist Jackie for practicing pediatricians, surveys
James Ruben: Ophthalmology Miller on our behalf in recent years, suggest that most practitioners feel
with Ms. Miller providing our primary inadequately trained during residency
support. However, after an amicable to address school-related issues.
split in that partnership, the AAP-CA In order to supplement resident
opted to move our account to Mr. Riley training in school health, as well as to
and his new team at Cal Capitol. AAP- promote positive relationships between
CA is looking forward to working with the UCSF Pediatric Residency
Mr. Riley and his team on the critically Program and the schools in our
important issues before us, including community, we have recently piloted a
Medi-Cal reimbursement, health care developmental-behavioral assessment
reform and immunization issues. program at Starr King Elementary
Health Insurance for Children School, which is a public school in the
& Adolescents
same neighborhood as San Francisco
An initiative has been filed
General Hospital, one of the major
with the Secretary of State for the
training sites for UCSF pediatric
November 2008 ballot that would
residents. The program is a
Page 7
News Update
collaborative effort between our primary care physician. These
faculty in developmental-behavioral findings are discussed
Chapter Officers
pediatrics, Mary Coleman, collaboratively in a student
Melanie Callen, and Anda Kuo, support team forum with UCSF Chapter President
who directs the Physician in Society faculty, residents and school James Crawford, MD
Child Pretection Center
rotation, training categorical staff. Children’s Hospital & Research
residents in community engagement • The resident-faculty team from Institute, Oakland
757 52nd Street
and advocacy. Residents this year UCSF serves in a consultative Oakland, CA 94609
have participated in our new school role, with a major goal being to (510) 428-3759
outreach program during both of facilitate communication Chapter Secretary
these PGY-2 rotations. between the school and the Mark M. Simonian, MD
After a period of initial medical home in order to 681 Medical Center Dr, West #106
outreach and partnership- Clovis, CA 93611
optimize ongoing health and 559/325-6850
building, we have developed educational outcomes.
the following structured An initial curricular Chapter Treasurer
Kirk Hahn, MD
program during each of the 4- evaluation demonstrates that Pediatrics,
week rotations above: residents benefit from the 1425 So Main Street
• Residents meet with the school opportunity to work with children Walnut Creek, CA 94596
(925) 295-4200
nurse to learn about the school in the school environment, and to
and individual students receive in-depth training on a Past President
Yasuko Fukuda, MD
identified by the school as number of assessment tools, in a 3905 Sacramento Street #301
having suboptimal school setting that allows them to spend San Francisco, CA 94118
performance. more time than in the clinic. Also, 415/752-8038
• They attend a faculty-led in- we believe that the school and the Chapter Executive Director
service on relevant assessment families benefit from having such Beverly Busher
68 Mitchell Blvd., #252
tools. comprehensive consultations, and San Rafael, CA 94903
• Working in supervised pairs, hope that further evaluation will 415/479-9200 Fax 415/479-9202
residents perform reveal improved school aapbev@sbcglobal.net
developmental, behavioral, performance for struggling Members At Large
medical and psychosocial students. Challenges we have faced
include the various scheduling and Subha Aahlad, MD Foster City
assessments of these pre- 650/321-7574
identified students. time demands of residents as well Jackie Agee, MD Sacramento
as the school staff and families. 619/731-8584
• Each pair works with one Nancy Brown, MD Modesto
There is also an increased demand
student over the four-week 209/524-5343
for faculty time and collaboration, Elizabeth Gleghorn, MD Oakland
period during weekly, half-day 510/428-3058
without additional funding or
sessions, in which they perform Beatriz Mares, MD San Jose
administrative support. Goals for 408/225-1025
standardized assessments,
next year include more training for Jose Morales, MD Santa Rosa
classroom observations, a 707/566-5313
families, school staff and additional
physical exam, and interviews Edward Moreno, MD Fresno
pediatric faculty on developmental 559/445-3200
with the teacher, family, and
and behavioral issues which affect Tanya Nauenberg, MD Santa Cruz
other school personnel such as 831/428-5139
student learning, thus promoting a
the school nurse, social worker, Cam Tu Tran, MD San Francisco
sustainable practice. We’ll also 415/206-3082
and learning specialists.
incorporate residents in their PGY- Paul Wassermann, MD Chico
• At the end of each month the 1 year so that they will use the
530/891-0553
residents formulate an principles learned in the school
individualized report with their health program during their three
findings and recommendations years of residency. We are actively
for the school, family and working to address these challenges
Page 8
News Update
and meet these goals, and appreciate Eileen Aicardi , Yasuko Fukudo and
any ideas that AAP members might most importantly Beverly Busher our
have to offer. wonderfully energetic, and ever
Our ultimate goal is to create a youthful Chapter 1 Executive Director.
sustainable and mutually beneficial The 58 registrants gathered
relationship that promotes improved in Friedenrich Auditorium were
health and educational outcomes for greeted by Harvey Kaplan and Bill
children and families, as well as more Feaster, co-chairs of the Vintage Docs
effective resident training. The very and Christina Vo and Michelle Serlin,
act of school outreach and co-chairs of the Young Physicians
partnership, regardless of the specific committee. There was no charge for
activities involved, has generated chapter members and a $25 fee for
numerous rewards and exciting guests. After enjoying a lovely
possibilities for future collaborative continental breakfast, we divided into
projects. We have launched this Life Beyond Practice (LBP) and Life
program, which is off to a promising After Residency (LAR) groups to hear
start and hopefully will continue to speakers addressing the issues of
grow. We welcome ideas from concern to each group. The LBP group
members who have experience with of pediatricians heard about the Bonus
similar efforts and can suggest ways Decades the theme of the initial
we might develop and sustain this speaker Jane Hickie, JD of the
program. Stanford Center on Longevity. She
presented an interesting global
Vintage Docs overview of the mega trends of people
By Harvey S. Kaplan, MD and living and working longer hopefully in
William Feaster, MD better health and the implications for
The Life Beyond Practice medicine and society in general. The
and Life after Residency conference intimate roundtable format allowed for
was held at the Louise Packard a good discussion with give and take
Children’s Hospital on November 3, opportunity. Michael Corley Vice
2008. This was a joint venture of the President of Wachovia Securities
Vintage Docs, our Chapter I Seniors followed with a talk on financial
Committee, and the Young Physicians.
Planning for this event began after the
Vintage Doc’s committee was formed
in February 2006 with 22 chapter
members present. Our national AAP
Seniors Committee members John
Bolton and Lucy Crain convened this
gathering of vintage pediatricians in
varying stages of their lives from full
retirement to active practice, teaching
or voluntary activity. Much credit for
this inaugural Life Beyond conference
goes to the Vintage Docs and Young
Physicians planning committee
especially Bill Feaster, Lucy Crain,
Christina Vo, Michelle Serlin, Jane
Phillips, Shelly Gross, Sam Leavitt,
Page 9
News Update
planning and reviewed the 5 most problems dealing with a generally
common mistakes as you approach healthy population with episodic
retirement the first one being illness to management and
changing one’s mindset from participation in the care of children
capital appreciation to asset with chronic disease and disability
protection. Options for money and special needs. The role of
management including investment pediatricians as advocates for
portfolios, insurance, trusts and children receiving their fair share of
mortgage equity were discussed. health care resources and for equity
Bill Feaster and Michael Corley in the distribution and availability
gave a talk with a similar financial of care for all children was
theme to the Young Physicians discussed as were the barriers
group. We then had a presentation pediatricians encounter who do
on malpractice insurance issues want to provide care for these
given by Lauren Kielan and children but are impeded by
Dorothy Dukes representatives of inadequate and inappropriate
Medical Insurance Exchange of reimbursement policies. The
California (MIEC). This focused on luncheon speaker, Mr. Joe Dunn
retirement issues as tail insurance CEO of the California Medical
coverage, how to properly close a Association (CMA) offered a
practice, coverage for part time, personal, lively and insightful look
locum tenens and volunteer work into the process of political
and how to come out of retirement advocacy, a role that all
with practice protection. We then pediatricians can play throughout
very much enjoyed a thought their career. Response from
provoking presentation by Paul attendees was very positive.
Wise, Professor of Child Health The Life after Residency
and Society at Stanford who component of this meeting will be
presented his vision of pediatricians discontinued as a chapter event and
needing to prepare for the changing the separate residency programs
epidemiology of children’s health will handle this activity. A future
seniors event should seek a wider
Page 10
News Update
chapter participation geared to meet With a regular backup of the entire
the needs of mid-career pediatricians system.
as well as those beyond practice who You may ask why we need to retain
are re-defining themselves in new and so many documents. As a nonprofit
imaginative ways ( e.g.: see Michael organization we are required to keep
Cohen’s article Reach Out and Read in Board minutes and other documenta-
California Pediatrician, Spring 2006) . tion in order to maintain our nonprofit
Many other good suggestions for status. To ensure that our records are
advocacy or others subjects of interest accurate, we have participated in an
to seniors can be found on the AAP IRS audit which gave us the highest
website www.aap.org/seniors. The rating for compliance with IRS
Vintage Doc’s committee will query regulations.
our senior members as to suggestions
of how to remain active and vital, both As an accredited provider of continuing
as advocates for children and in our medical education, the chapter is re-
own lives. We will also seek to share quired to document all aspects of each
our life experience with other chapter CME meeting for the audits by the
members and advocacy groups. Institute for Medical Quality of the
California Medical Association. As you
Useful Links can imagine, this involves a great deal
Caring for Children With Autism of paperwork. Add to this all of our
Spectrum Disorders: A Resource various committees, strategic planning
Toolkit for Clinicians: materials, financial records, special
http://eweb.aap.org/pub39227) projects records, district and national
events, and you have enough paper to
Management of Children With Autism completely fill the office to its ceiling.
Spectrum Disorders: One of the benefits of cleaning out
http://aappolicy.aappublications.org/ storage is that it gave me a chance to
cgi/content/full/pediatrics;120/5/1162 revisit some of the projects accom-
plished by the chapter and to learn
And the AAP website on vaccines: more about the chapter prior to my
http://www.cispimmunize.org. working with the AAP.
Did You Know? Do you know who was Chapter
Chair in 1968?
Your chapter has been making Ian B. Johnson, MD
changes in how we store data. Since I
began working with Chapter 1 in the Where did the chapter hold its
early 1970’s the primary method of CME meeting each spring?
retaining data was to keep folders in Yosemite Lodge
boxes which were stored outside of the
office due to the large amount of
information being retained. This
method of data retention has now
begun to be exchanged for a more
modern approach. The Executive
Office now has a scanner and we scan
all our documents onto the computer,
Page 11
News Update
What was the function of the Who was elected District Chair
Pediatric Council of Chapter 1 in and Alternate District Chair in
1969? This year marked the first 1970?
year the chapter assisted in Dr. Saul Robinson & Dr. Leo
reviewing all bills relevant to Bell
medical care in California, along
with the California Medical When did the National AAP
Association. open its advocacy office in
Washington, DC?
When did the CMA first seek July 1, 1970
lobbying assistance from the AAP?
In 1969 the CMA asked Dr. Carl When did Chapter 1 win the
Erickson to participate in Outstanding Chapter Award from
reviewing legislation and lobbying National AAP? 1970
in Sacramento.
More memorial dates in Chapter
What was one of the topic history in the next newsletter.
priorities for the Chapter relating
to child health care disparities? The
distribution of physicians in
California was felt to be focused
primarily on large cities, with Free Preview of the PediaLink
rural areas having many fewer module on Contract
physicians available. The Negotiations with Payers
suggested solution to this problem A free preview is now available of
was to have the pediatric training the PediaLink module on Contract
programs extend their training to 3 Negotiations with Payers. The preview
years, plus 1 year internship. The may be accessed on the AAP Member
third year would be spent in a Center, private payer advocacy page
supervised type of practice in under What’s New - requires member
poverty and rural areas. login).
Who was Chair of District IX The Contract Negotiations With
in 1969? Dr. Wendell Coffelt Payers module presents techniques and
processes to confidently conduct success-
How often did the Executive ful negotiations. Key topics include
Committee meet in the 1960’s? technical considerations, model
Every two months for an entire contracts, negotiation styles, and a
day long program. 4-phase negotiation process model. The
module features an interactive case study
How many members were as well as a negotiation coach and links
there in Chapter 1 in 1970? to several resources on negotiations.
Fellows: 441
Affiliates: 80
On Leave: 4
Emeritus: 17
California Chapter 1 AAP
http://www.aapca1.org Coming Events
District AAP Las Vegas The Neonate and the
California Chapter 1 Conference General Pediatrician
American Academy of Nov 20-23, 2008 Saturday, Dec 6, 2008
Pediatrics Caesar’s Palace Hotel Samuel Merritt College.
68 Mitchell Blvd., #252 Fontaine Auditorium
San Rafael, California 94903 To register on-line or obtain more Oakland, California
Phone: 415-479-9200 information, visit the District Spearkers include:
Fax: 415-479-9202 website at: www.aap-ca.org Vinod Bhutani, MD
E-mail: aapbev@sbcglobal.net
Susan Boiko, MD
Rachel Gilgoff, MD
Tara Greenhow, MD
Phuong Huynh, RD
California Chapter 1 Nonprofit Organization
American Academy of Pediatrics US Postage Paid
68 Mitchell Blvd., #252 Novato
San Rafael, California 94903 Permit # 65
Related docs
