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Pediatric Sub-Group (PSG) of the CWG November 20, 2008 Minutes Attendees: Larry Rosen (New Jersey) Kathi Kemper (Wake Forest) Sunita Vohra (U of A) Hsing Jou (U of A) Sandy Newmark (Arizona) Tim Culbert (Minneapolis) Amy Moen (U of A) Time of Call: 12:00-1:00 MT Topic: Creating sustainable/green work places: facilitated by Dr Larry rosen Item # Discussion Action Items 1 -Billing practices: Canada vs USA Open -Increasing visibility Amy to ask discussion -Post-Pangea Consortium about increase visibility and increasing access to taped part of call to other networks across N.America – facilitated call etc only to be shared within consortium 2 Please access the Facilitated facilitated part of our Discussion: discussion by dialing: Larry Rosen 1-866-854-2507 Passcode: 200849 3 -Please send your Member preferred outcome REMINDERS measures to firstname.lastname@example.org to share with members Please send your preferred websites and resources that you give to parents to email@example.com to 1 share with members - Amy to continue sending out Clinical table once a month separately from minutes -Amy to send out outcome measures and suggested websites/ resources for parents and professionals 2009 Tele- The 2009 conference calls are as conference follows (all calls take place from meeting 12:00-1:00 MST), dates/times January 22: Open call-future topics February 26: TBA March 20: TBA April 23: TBA May 21: TBA June 25: TBA July - No meeting August - No meeting September 24: TBA October 22: TBA November 19: TBA December – No meeting Pediatric Sub-Group (PSG) of the CWG October 23, 2008 Minutes Attendees: Michelle Bailey (Duke) Kathi Kemper (Wake Forest) Sandy Newmark (Arizona) Rachel Workman (Denver) Sunita Vohra (U of A) Amy Moen (U of A) Time of Call: 12:00-1:00 MT 2 Topic: Education in Pediatric Residency-Facilitator: Michelle Bailey Item # Discussion Action Items 1 Review of Clinical table questions: Open What can we do to make the table - Amy to send out Clinical discussion more usable? Currently no table once a month systematic way to keep track separately from minutes -Kathi’s new book :Mental Health -Amy to send out Naturally” : outcome measures and http://www1.wfubmc.edu/phim/MHN. suggested websites/ htm resources for parents and professionals 2 -Michelle to send Facilitated spreadsheet set-up after Discussion: permission and Amy will Michelle distribute Bailey: Please access the Education in facilitated part of our Pediatric discussion by dialing: Residency 1-866-854-2507 Passcode: 865418 3 -Please send your Member preferred outcome REMINDERS measures to firstname.lastname@example.org to share with members Please send your preferred websites and resources that you give to parents to email@example.com to share with members 2008 Tele- The next meeting dates for the conference remainder of 2008 are as follows (all meeting calls take place from 12:00-1:00 dates/times MST), Last call for 2008: November 20, 2008: Dr Larry Rosen topic: Creating sustainable/green workplaces 3 Pediatric Sub-Group (PSG) of the CWG June 26, 2008 Minutes Attendees: Lonnie Zeltzer (UCLA) Kathi Kemper (Wake Forest) Hilary McClafferty (North Carolina) Hsing Jou (U of A) Sunita Vohra (U of A) Amy Moen (U of A) Time of Call: 12:00-1:00 MT 4 Topic: (Facilitator: Dr Lonnie Zeltzer) Research Topics and Research Collaboration Item # Discussion Action Items 1.0 Open Topics: Discussion of new resident -Discuss research ideas discussion interest in PIM (would like to have for Pediatric residents hands on experience) and how to who is taking PIM turn into a research project? electives potential Suggestion brought up of what journal: BMJ and would work for new resident to do Pediatric Medical (barriers and opportunities) Education -idea for new resident: take notes, reflect and then describe plus document for others to follow in foot steps 2.0 Please access the Facilitated Please visit the CAHCIM website for facilitated part of our Discussion: more information www.imconsortium.org discussion by dialing: Topic- 1-866-854-2507 Research Passcode: topics and 451183 research collaboration (Dr Lonnie Zeltzer) Clinic table Sunita’s PIM clinic in Edmonton has Please let us know if update added in a few extra columns you have added in any including: MYMOP Symptoms #1, extra columns to your score, MYMOP Symptoms #2, PIM clinic Clinical table score, MYMOP Activity, score, (firstname.lastname@example.org) MYMOP Wellbeing and score. Reminder of - Please let us know if member you are using the action items Clinical table (attached), if not, why? - please send your preferred outcome measures to share with 5 colleagues 2008 Tele- - Members please send conference The next meeting dates for the your preferred websites meeting remainder of 2008 are as follows (all that you give to parents dates/times calls take place from 12:00-1:00 + preferred MST): professional resources July –no meeting (ie resources they like August –no meeting to use) September 25, 2008: OPEN CALL NO FACILITATOR (MOVING TO A DIFFERENT DATE: Creating sustainable green workplaces, facilitated by Dr Larry Rosen) October 23, 2008: Education in Pediatric Residency, facilitated by Dr Michelle Bailey November 27, 2008: Currently awaiting a facilitator Please send any questions for the facilitator in advance of the call to email@example.com Pediatric Sub-Group (PSG) of the CWG May 22, 2008 Minutes Attendees: Hilary McClafferty (Chapel Hill) Kathi Kemper (Wake Forest) Michelle Bailey (Duke) Sunita Vohra (Facilitator, U of A) Amy Moen (U of A) 6 Time of Call: 12:00-1:00 MT Topic: Mentorship (Facilitator: Kathi Kemper) Item # Discussion Action Items 1.0 Open Topics: -Amy to ask discussion Enhancing trainee roles with Jeannie/Jolene to please consortium and other PIM initiatives highlight new access eg AAP SCHIM number -Kathi to share information regarding Integrative Medicine nursing carts, contact info 2.0 Please access the Facilitated Please visit the CAHCIM website for facilitated part of our Discussion: more information www.imconsortium.org discussion by dialing Topic- 1-866-854-2507 Mentorship, -Michelle Bailey described teaching Passcode: 870686 facilitated by activities at Duke Kathi Kemper Reminder of - Members please use member the clinical table for action items next 6 months - please send your preferred outcome measures to share with colleagues 2008 Tele- - Members please send conference The next meeting dates for the your preferred websites meeting remainder of 2008 are as follows (all that you give to parents dates/times calls take place from 12:00-1:00 + preferred MST): professional resources June 26, 2008 (ie resources they like July 24, 2008 to use) August 28, 2008 7 September 25, 2008 October 23, 2008 November 27, 2008 Pediatric Sub-Group (PSG) of the CWG April 17, 2008 Minutes Attendees: Hilary McClafferty (Chapel Hill) Larry Rosen (NJ) David Becker (UCSF) Michelle Bailey (Duke) Sunita Vohra (Facilitator, U of A) Amy Moen (U of A) Time of Call: 10:00 MT (12:00 ET) 8 Topic: Multi-center trials (logistics, who is interested, relevant skills/expertise) Item # Discussion Action Items 1.0 SV-CPSP study and AAP Pros-have Open begun a joint study to access discussion frequency (expect small) of adverse events -Pod cast idea- -PIM Interviews, have re-emailed Unfortunately, unable to HM-Completing Post grad directors pod cast only tape and survey-academic directors listen in for 30 days afterwards (Amy) 1A SV-Very collaborative, interlinking AAP: topics to contribute: Sydney with different groups around the Synopsis: a couple of Update world paragraphs about -Commitment for Minneapolis Sydney (Connie at 2009, May12 will be PedCAM day CARE) as well Norway 2010 (Spring)(organization will occur from EU for PedCAM day) LR-PANGEA November 14/15, 2008 in New York (Promotion of wellness) 1B -APP billing workshop Future Topic idea: Insurance/ Coding, certain areas hard to code. Insurance billing Reimbursement 2.0 -Research ideas brought up at Facilitated CAHCIM Discussion: 1) Mystudy.com-allowing for re: Multi consumers to put money into Centre what they personally support DESCRIPTION BELOW Research (cap of $100) 2) Model based on Vermont Oxford-research and quality assurance (submit data to VON, compare and send back): financially self sustainable -PI for each, and each pitches own idea-discussed at general meeting SV’s study-40 sites but 90 signed up, so reason for funding -went there to pitch multi- centre idea and ended up forming Steering committee 9 from right there -Ideas to add to PedCAM day in Minneapolis in 2009: Symposium/workshop: models of multi-centre Research, ex: 1)Patient Registries 2)Clinical Trials 3)AAP Pros office based approach SV: Perhaps add to PedCAM day in Minneapolis 2009 as content? -Idea to put together as workshop? 3.0 DB-agreement to add columns to -Take out all acronyms Clinical Table personalize table and abbreviations -use for next 6 months (members please email if started use, would like to hear about it) Reminder of - Members please use member the clinical table for action items next 6 months - please send your preferred outcome measures to share with colleagues 2008 Tele- - Members please send conference The next meeting dates for the your preferred websites meeting remainder of 2008 are as follows (all that you give to parents dates/times calls take place from 12:00-1:00 + preferred MST): professional resources May 22, 2008 (ie resources they like June 26, 2008 to use) July 24, 2008 August 28, 2008 September 25, 2008 October 23, 2008 November 27, 2008 Mystudynow – APRIL 2008 UPDATE 10 Financial The Website serves as the portal to collect information and donations from interested individuals and to disseminate research progress and findings. At the initial meeting, it was agreed that the website would be designed, hosted and managed by Planetree. Planetree is currently going through a number of personnel changes and is presently hiring additional staff. The web deliverable is currently on hold until this new person is on board and their skill set and priorities are determined. It was originally proposed that Planetree would manage finances and as the website grew, a separate 501 c(3) organization would be developed to keep Planetree and “mystudynow” finances separate. After discussing the plan with the internal legal counsel at Griffin Hospital, it was decided that additional legal expertise was needed. The goal is for the financial component of the plan to be a transparent process, beginning with the declaration that initially, 5% of the funds collected would go to administrative fees. While the actual amount might change over time depending on needs, those changes would be openly presented. As presently conceived the flow of monies would be from Donor website escrow account administered by Planetree Trialist teams. It is also hoped that “Mystudynow” would be able to keep the indirect costs at a reasonable level. To accomplish this, there will be a review of the indirect rates charged at the institutions currently involved in the CAHCIM, and the policies of major funding organizations followed by a discussion of the flexibility of institutions around these rates, with the hopes that a maximum indirect cost percentage e.g.. 26% can be arrived at. Indirect costs will be built into all budgets. Individual donations will be limited (proposed limit = $100) to preclude an individual donor from setting the “mystudynow” agenda. A number of issues have yet to be discussed and policies will need to be created around the following: a. Means to work with large donors. b. Whether the basic costs can be estimated for categories of trials (Placebo controlled pilot study/sham procedure controlled study. Definitive study (R01 budget) to be followed by a full detailed budget once a threshold of funds was reached. c. How the revenues that are generated will be distributed. Will the trials be separated and funds divided into separate buckets? d. How an advisory group will advise action under special circumstances. e. What the relationship will be between Planetree and CAHCIM FAQs What happens if there isn’t enough money for a particular study? Donors will be given these options: 1) After a set amount of time (i.e. 1 year), funds will go to the mystudynow general fund. 11 a. Donors can specify specific research domains that they are interested in. This can be a write-in option. For example, donors can choose to give to „acupuncture‟ studies or „headache‟ studies which would allow some fluidity to funds. 2) After a set amount of time (i.e. 1 year), funds will be refunded. 3) A „wish list‟ of studies will be created by the research working group of the CAHCIM. These are high-priority studies, based on the assessment of the RWG, but funding is not readily available. It is possible that funds can be diverted to a particular high-priority study. Who decides what is studied? 1) The advisory board will propose a list of 10-20 high priority ideas that need funding . a. Once these ideas are formulated, either preexisting budgets can be modified for mystudynow. PRC staff can also create sample budgets and sample-size calculations for proposed studies. b. Based on the state of the science, a clinical trial isn‟t always necessitated. We need to decide whether other types of research will be funded besides clinical trials. 2) Donors will be able to propose ideas based on a mix-and-match condition-treatment matrix. 3) The advisory board (CAHCIM members) will serve as peer-reviewers and assess whether a trial is feasible or not. What will the decision process for deciding which site runs a study? a. Expertise b. Past record c. Facilities TASKS 1. Populate list of clinical trialists. 2. Define the universe of acceptable study topics. 3. Coordinate funding for initial startup costs and website development. 4. Create advisory board. 5. Discuss initial governance issues. The mystudynow team is comprised of: David L. Katz, MD, MPH Ather Ali, ND, MPH Sheryl Horowitz Kiefer, PhD 12 BACKGROUND: PRESENTED NOVEMBER, 2007 Mystudynow – Project Proposal The mystudynow project is a web-based method of allowing the general public to direct and fund CAM-related research studies that they are personally committed to. There will be a list of conditions and treatments, and people will be able to select what they feel is most pressing. They will commit a small amount of money ($10-$50) to fund the trial. When a critical mass is reached (250-500K/study) in a particular area, a group of qualified preselected researchers will be able to begin the trial in a relatively short period of time (1-2 months). It is expected that the CAHCIM will play a key role in the implementation of this project by providing research capacity, publicity, and an advisory board. The innovative aspects of this process are many: 1. Clinical research can now be focused in areas that actual patients are interested in rather than dictated by the priorities of conventional funding agencies and foundations. 2. The timeframe from conception to implementation is drastically shortened. 3. Patients feel responsible and part of the research process. 4. It is an extension of the 'patient-centered care' movement to 'patient-centered research.' 5. Provides an outlet for necessary CAM research without budgetary and bureaucratic constraints of NCCAM. The project is expected to be self-sustaining after startup costs need for website development and promotion/PR. Items (1) and (2), below, are first priority. Item (3) requires discussion among the advisory board. 1. Clinical Trialist Team The clinical trial team will be comprised of CAHCIM-affiliated academic health centers with demonstrable research capacity in integrative medicine. These study teams will be on „standby‟ to perform clinical trials as needed. At minimum, the team should include a Principal Investigator with clinical trial experience, preferably in CAM domains, a study assistant, relevant clinical facilities and experts, and an institutional review board. The following criteria are being considered to evaluate potential sites: Experience with and demonstrated ability to recruit subjects in CAM clinical trials Federal funding IRB capacity Multicenter trial experience Data management capability Relative autonomy within institution 2. Website The domains www.mystudynow.com, www.mystudynow.org, www.mystudynow.net, and www.mystudynow.info have been registered. The site will be interactive and allow potential 13 donors to choose condition/treatment pairs of their interest. The website team needs to search for possible models and discuss possibilities with web designers. 3. Governance The governance structure needs to be determined. This may involve incorporation, nonprofit status, or for-profit. RFP: Model to Facilitate Collaborative Research within the Consortium (DRAFT) Request for Proposals: The Research Working Group is launching an exciting new initiative to help PIs disseminate information about their planned research projects that would benefit from collaborators at other Consortium schools. This initiative is to help you identify which other Consortium schools or individual members may be interested in participating in your multi-site study or collaborative research. TIMELINE - MAJOR ACTIVITIES 2008 April 30 RFP sent out to Consortium members May 30 Abstract of proposal due back to Consortium office June 1-30 Peer Review July 15 Review committee decisions will be communicated to all applicants. August 1 Revised abstracts (where appropriate) due back to Consortium office. September 1 Abstracts disseminated to Consortium September 15 Power point and text presentations of selected proposals due to Consortium office October 15 Review committee comments/suggestions on pp and text presentation back to PIs November 1 Revised pp and text (where appropriate) due back to Consortium office November Presentations at Annual Meeting and meetings with interested parties 11/12 NOTE: Annual Meeting will be at The Crossings in Austin, Texas More detailed description: 14 1) Each study must have a PI who will prepare a synopsis of 750 words or less of the study’s goals and methods. Study population and intervention must be in sufficient detail so that attendees can determine if the study/collaboration is appropriate for their site and/or their interests. If this is not a clinical trial, description should indicate what sort of collaboration is desired. Please include information on approximately how many sites/individuals you are looking for and what is your projected/preferred timeline and target (e.g. specific private organizations or government institutes) for submission. This 750 word or less abstract is due May 30, 2008. 2) All proposals will be reviewed by an RWG-convened peer review group. You may request specific reviewers within the Consortium that you feel have appropriate expertise. These individuals will be invited to review your proposal in addition to the basic group. Identification of a maximum of 5 proposals for presentation at the Consortium Annual Meeting will be made by June 30, 2008. 3) Review with constructive feedback and suggestions will be provided for all proposals. There may be an opportunity to revise and resubmit your proposal if it is not initially accepted, if less than 5 proposals are selected in the first review round. 4) The intent is to facilitate and foster collaboration within the Consortium and provide peer review and feedback, while supporting a high standard of quality to the proposals being presented. 5) If your proposal is accepted, you will have the opportunity to give a power point presentation and brief Q and A (probably 10 minutes), as well as time slots to meet with interested sites/individuals at the Annual Meeting in November 2008 (timing and structure to be determined). 6) In addition, abstracts of the selected proposals will be sent to the Consortium prior to the meeting to facilitate dissemination to interested parties and best use of Annual Meeting time. Criteria for peer review of 750 word study summaries: 1) Is the study question clearly stated? (score out of 5) 2) Is the study population clearly stated? (score out of 5) 3) Is the study intervention clearly stated? (score out of 5) 4) Is the study outcome clearly stated? (score out of 5) 5) Does this study require multi-site collaboration in order to be feasible? (score out of 5) 6) Are the requirements for participating sites clearly stated? (score out of 5) 15 7) If you have concerns that this summary is not appropriate for presentation at the Annual Meeting, please outline them clearly here (this feedback will be shared with the applicant, so please focus on constructive criticisms) (open text box) FAQs 1. Q: I’m a PI within the Consortium. Do I have to use this new mechanism to identify collaborators? A: No, this is entirely voluntary. Some PIs may prefer to identify colleagues through other channels. This new initiative is being developed facilitate the process of finding collaborators or other sites to participate in their research studies or multi-center trials. 2. Q: I’m a PI with a published study I’d like to present to the Consortium. Is this initiative a new way for me to disseminate this information? A: No, this initiative is for those who are planning studies, not for completed research. The Consortium would be pleased to help you share your published work with Consortium colleagues through other means. 3. Q: If my proposal is not accepted this year, does that mean that the Consortium will not help me find collaborators? A: Unfortunately, due to time and space constraints at the Annual Meeting, only five proposals can be accepted. The RWG is delighted to help all PIs through disseminating their request for collaboration through Consortium listserv(s) and by posting such invitations on the Consortium website. 4. Q: As the PI, can I invite non-Consortium schools to participate in my research as well as Consortium schools? A: As the PI, you hold ultimate authority for the study. The Consortium is pleased to help you but does not require that you limit your study to only Consortium schools. 5. Q: If my 750 word abstract is accepted for presentation, does that mean that the Consortium will help fund my research idea? A: Unfortunately, the Consortium cannot fund your research project. Our primary goal for this initiative is to help you be successful with funding agencies by helping you find the 16 collaborators you may need to have a feasible study (e.g. due to sample size requirements, many clinical studies need to bring together multiple sites to be successful; identifying these sites can be challenging and this is where we’d like to help). 6. Q: It seems that this initiative may be most helpful for clinical researchers. What is the Consortium doing to help other classifications of research, such as basic science or education? A: We have tried to structure this to be broadly helpful. We do appreciate that different kinds of research demand different kinds of approaches to be successful. We are happy to help support Consortium scientists. If this model is not a good fit for your kind of research, we welcome your suggestions re what approach would help you more. We hope that Consortium members will also make full use of the member database soon to be on the website for finding collaborators. This initiative was initially proposed and is being championed by Sunita Vohra, MD FRCPC MSc, Associate Professor, Dept of Pediatrics, Faculty of Medicine, University of Alberta. It is sponsored and being implemented through the Consortium’s Research Working Group. 17 Pediatric Sub-Group (PSG) of the CWG March 13, 2008 Minutes Attendees: Sunita Vohra (Facilitator, U of A) Michelle Bailey (Duke) Hsing Jou (U of A) Amy Moen (U of A) Time of Call: 1:00 MT (3:00 ET) Topic: Plans for 2008 (survey results and new members) Item # Discussion Action Plan 1.0 Experiential: Open call Duke educational events: -touchstone integrative medicine health fair for fourth year medical students -Chair MT -hypnosis trance USA Schools-18 out of 18 top -SV to email Kathi and schools in the USA have CAM Larry re: particular email services that contains this information (done) 2.0 -attachments seen as helpful Attachments -new day and time are fine -Agreement to tape and taping of facilitated part of call calls only, open part will not be 18 taped -Amy to check with Jolene with regards to taping call (1/2 of call to be taped beginning April 17, 2008) 3.0 -Volunteer facilitators and preferred -Amy will distribute Topics dates of future CAHCIM calls schedule with topic choices based on member feedback (sent out Mar 26) -SV will request facilitators if no volunteers 4.0 -intended for computerized data -Amy to re-create table Clinical Table collection at each institution without as an excel file with tabs patient ID –send out prior to April -allows for sharing between call institutions once tracking column removed Table is used for quality assistance NOT research, a comparison Reminder of - Members please use member the clinical table for action items next 6 months - please send your preferred outcome measures to share with colleagues 2008 Tele- - Members please send conference The next meeting dates for the your preferred websites meeting remainder of 2008 are as follows: that you give to parents dates/times April 17, 2008 May 22, 2008 June 26, 2008 July 24, 2008 August 28, 2008 September 25, 2008 October 23, 2008 November 27, 2008 19 Pediatric Sub-Group (PSG) of the CWG January 24, 2008 Minutes Attendees: Sunita Vohra (Facilitator) David Becker (USF) Kathi Kemper (WF) Hsing Jou (U of A) Deepika Mittra (U of A) Subhadra (UCLA) Time of Call: 9:00 MT (11:00 ET) Topic: Catch-up on previous action items from 2007; plan for 2008 calls Item # Discussion Action Plan 1.0 -Minutes were helpful, - we will continue to minute and Minutes from good resources, useful distribute to all members of November for communication subgroup so as to facilitate communication - minutes accepted without change - no objections were - permission to tape calls will be Taping of calls voiced sought in upcoming electronic survey of PSG members 2.0 - suggested to add - suggestion will be adopted into Table to assess identifier to keep track of table clinical pts, e.g. date, MD initials, - everyone agreed NOT to conditions and and University capture pt identifying info (e.g. outcomes of name) pediatric 20 integrative - may be challenging to - agreement that table interventions identify single diagnosis should reflect single major as each pt is usually problem/diagnosis and complex (multiple related goal FOR THAT diagnoses, multiple active VISIT, also document problems/goals) intervention, outcome - will mean that one pt may have several rows within the table (limitation of this approach) - Action item: will amend table and send out to PSG for review 3.0 - MYMOP is well- SV to f/u with C. Patterson Potential use of liked/easy to use (originator of MYMOP) to see if other outcome because you can we can make this modification measures personalize - Suggestion: prefer 0-10 scale (MYMOP is 0-6) since this is more common in clinical settings (e.g. pain scale) 4.0 e.g. newsletters, - encouraged and supported circulation of websites, or other to promote communication/ documents patient relevant collaboration (we’re all between documents happy to help each other) schools e.g. Grand Rounds - if people have documents initiative that was they want to share within successful in Canada PSG, please send to (slides attached) firstname.lastname@example.org and use subject heading “for - KK: all programs are PSG” – we will include it in invited to submit materials future emails to post on AAP SCHIM - we will send Grand Rounds website (send to slides to AAP SCHIM email@example.com and cc website Kathi) 5.0 KK: List serves can be - unfortunately this is not within Ideas for 2008 overwhelming too many PSG mandate, but should be calls ideas, brands – how to offered as advice to those who help organize for ease of manage listservs recall? - member ideas for 2008 calls will KK: Idea: group be solicited in upcoming collaboration and PSG electronic PSG member survey 21 helping - timing: current time - timing will be assessed in 6.0 slot seems to be upcoming electronic PSG Timing/structure challenging as our member survey (noticed of monthly calls numbers have many members cannot grown yet very few attend – hope that better can join calls time slot may help) - structure: ½ the - structure will not change call is to a predefined dedicated topic (ideally with expert facilitator) – PSG members determine these topics - other ½ of call is unstructured, open opportunity for members to talk to each other, share new ideas, ask each other questions, etc. - general support for the call structure was voiced Member action (follow up from previous - pls review the clinical table items calls) and advise if you would be comfortable using it to document pts you see for the next 6 months - pls send your preferred outcome measures to share with colleagues - pls send your preferred websites that you give to parents 2008 - NB this is subject to change Teleconference The next meeting dates based on member feedback (ie meeting for the remainder of 2008 after we get the results of the dates/times are as follows: electronic survey with preferred February 28, 2008 days of the week/time of day) March 27. 2008 April 24, 2008 May 22, 2008 June 26, 2008 22 July 24, 2008 August 28, 2008 September 25, 2008 October 23, 2008 November 27, 2008 December 18, 2008 23
"Pediatric Sub-Group _PSG_ of the CWG"