NCC Pediatrics Residency at Walter Reed-Bethesda

NCC Pediatrics Residency at Walter Reed-Bethesda

Located at the Walter Reed National Military Medical Center in Bethesda, the NCC is the largest and only tri-service military pediatric training program.

The National Capital Consortium Pediatrics Residency is the pediatric graduation medical education program located at the Walter Reed National Military Medical Center. It is the only tri-service military pediatrics training program, offering training for Air Force, Army, and Navy physicians. The program offers 12 internships each year - 4 for the Navy, 3 for the Air Force, and 5 for the Army. The Walter Reed Army Medical Center in Washington, DC and the National Naval Medical Center in Bethesda, MD have offered pediatric residency training since 1949 and as a combined program since 1995. The programs have a distinguished track record of training pediatricians who have become leaders in military medicine, academic medicine, the civilian community, and in the American Academy of Pediatrics.

Congratulations to our pediatric researchers - another strong showing at the National Capital Region Research Symposium hosted at Walter Reed National Military Medical Center

[05/06/20]   Two new publications by our faculty this week - both highlighted on the Military Pediatrics page. Check them out.

Add the DHA Antibiotic Stewardship App to your virtual doctor's bag. Developed by DHA Connected Health, the DHA ASP workgroup, and others, this is a very professional, nimble, and usable app!

DHA just dropped the Antimicrobial Stewardship App!

On your smartphone, go to mobile.health.mil/asp/#/ and click 'Add to Home Screen' when prompted. Acts like an app and works off-line. Inpatient & outpatient treatment guidelines, antibiograms,and more. COVID-19 protocols too!

Bravo Zulu to DHA Connected Health, the DHA ASP Workgroup, and everyone involved in developing this resource.

Thumbs up right back at ya, LCDR Lara!

Navy Lt. Cmdr. Sebastian Lara, who recovered from COVID-19, donates plasma April 22 in the Armed Services Blood Bank Center at WRNMMC.

(Photo: Bernard S. Little, WRB Command Communications)

Military Pediatrics

Many military pediatricians contributed to the COVID-19 Toolbox (https://covid19toolbox.com/cpg). Kudos to Drs. Carandang, Edwards, Helfrich, Hartstein, Hickey, Hsieh, Sutter, Zabrocki, and others for the toolbox's pediatric considerations and protocols.

Watch alumna Dr Katherine Shedlock talk about how to keep kids safe at home during the pandemic on her local ABC affiliate. Note the NCCPeds graduation plaque on the wall to her left!

https://www.abc27.com/good-day-pa/keeping-kids-safe-during-quarantine/

Congratulations to NCC Pediatric Gastroenterology, Hepatology, and Nutrition fellow and NCC Pediatrics alumna Dr. Claire Witmer - who was inducted into the gamma chapter of the Alpha Omega Alpha Honor Society. Bravo Zulu!

How often do you attend a journal club on something so life-changing it inspires our patients to get a tattoo of its molecular structure?

Intrigued? Journal club tomorrow on Elexacaftor-Tezacaftor-Ivacaftor for CF w/ a single DeltaF-508 Allele (NEJM 381:19, 2017) on the zoom platform (see POW or contact Chief Resident for access info)

NCC Pediatrics: join in this Thursday if you can.

Lots of interactions are going virtual; why not get some CME this week with the help of the DHA virtual learning experts?

The Defense Health Agency J-7 Clinical Communities Speaker Series all-day session on Advanced Practices for the Pediatric Health Care Provider is this Thursday, March 26th. Sessions will address topics such as telehealth, vaping, children with special health care needs, ethical issues, eating disorders, HPV immunization, and special pharmacy issues. Register at the link below.

https://www.dhaj7-cepo.com/content/clinical-communities-speaker-series-children-and-youth-advanced-practices-pediatric-health

Telemed resources - including recording of LTC Roach's brief - online now.

Telemedicine resources - including a recording of a brief by LTC Roach - are now available at nccpeds.com/telemedicine/

#readymedical #medicallyready

hhs.gov

Notification of Enforcement Discretion for telehealth

hhs.gov Notification of Enforcement Discretion for telehealth remote communications during the COVID-19 nationwide public health emergency

Post about a former Bethesda pediatric intern - LT Laurel Clark (later CAPT).

Has there ever been a pediatrician in space? The answer is Yes!

The spring Navy Medical Corps newsletter has a column on Navy physician astronauts. That august list includes CAPT Laurel Blair Salton Clark of Racine, Wisc.,pediatric intern at Bethesda, undersea medical officer, and flight surgeon who was selected by NASA in April 1996. CAPT Clark was one of the astronauts killed on 1 February 2003 when the space shuttle Columbia disintegrated on re-entry. Her memorial is at Arlington National Cemetery, and a visit is a must for any military pediatrician visiting DC.

https://mccareer.files.wordpress.com/2020/03/mc-newsletter-march-2020.pdf

Military Pediatrics

Neonatologist LCDR Bridget Cunningham is highlighted in the Junior Officer Spotlight column in the Navy Medical Corps Spring Newsletter. Check out this link to learn more about Dr. Cunningham's career path and accomplishments.

https://mccareer.files.wordpress.com/2020/03/mc-newsletter-march-2020.pdf

Military Pediatrics

Right now, what type of uniformed physician in the Military Health System is most likely to be performing the team resuscitation skills that are key to a ready medical force?

It probably is a military pediatrician in a DR!

#sets #reps #readiness

(image c/o DVIDS, 2019; photographer Amabilia Payen)

Good basic ID epidemiologic principle: the Ro.

Basically, the number of people an infected person infects. The goal is to get it below 1, or get the population that is susceptible < (1- 1/Ro).

Lots of applicability to our immunization programs, the effect of vaccine refusal, and the current nCOVID19 epidemic.

(table c/o wikipedia)

Congratulations to Drs. Subodh Arora and Graeme Bloomfield for presenting their research at the Region 4 Academic Pediatric Association's meeting in Charlottsville!

A special thanks to Dr. Joe Loprieato for his continued excellence with his recognition by the Association for Outstanding Leadership in Medical Education!

M2/MDR military pediatric researchers, take note!

A nice nugget about MHS GENESIS of interest to military pediatric researchers: birthweight will now be automatically transferred from the mother's record to the newborn's record in the Military Data Repository (MDR).

For more info on the MDR, search 'MDR data dictionary' in your favorite search engine.

Big news for military pediatricians regarding newborn safety!

DHA has standardized the newborn naming convention. This is a big win for safety for the most common inpatient admission within the Military Health System: a newborn baby!

A pic from Senior Day 2001 reminds us that our program today continues a long tradition of graduating top-notch military pediatricians for service all over the world, from the 1940s through the present.

Perhaps should be mentioned in the same breath as Bruton, Geppert, Hemming, and Bass....

Only 13 pediatricians have received the Purple Heart... and only one has received the Silver Star, the 2nd highest award for military valor. Check out this citation:

“In action on 13 and 14 October 1943 . . . during an attack by an infantry regiment over the Volturno River . . . Captain Connell followed the infantry across the river and by his own ingenuity organized routes of evacuation of battle casualties. All through the attack which lasted two days Captain Connell supervised the proper function of new routes and constantly reconnoitered to improve, shorten or hasten the evacuation, even though the routes were under enemy fire. He made several trips across the river which was still under enemy observation and heavy artillery and mortar fire. Undoubtedly the ingenuity and perseverance of Captain Connell, and the calm and courageous manner he performed his duties, saved the lives of many battle casualties and was instrumental in their being evacuated more quickly from the front lines . .

For MLK Day 2020, we joined with the Department of Pediatrics at Walter Reed National Military Medical Center and students from @Uniformed Services University of the Health Sciences to mark the Day of Service with @City Year DC at a DC Public School.

Did you know the #mumps strain used in our vaccines was cultured in 1963 from the throat of Jeryl Lynn Hilleman, daughter of mumps vaccine developer Dr. Maurice Hilleman? Here Jeryl Lynn (left) looks on as her sister is immunized to mumps. Read more here: http://ow.ly/7Eoz50xM1pz

Military Pediatrics

Congratulations Dr Nylund, Ms. Susi, and future NCC Pediatrics Residency at Walter Reed-Bethesda intern (future Dr). Sidney Zven.

Another reason not to prescribe infants antibiotics without a clear indication. Medical student (and future military pediatric intern!) Sidney Zven and military pediatric researchers from NCC Pediatrics Residency at Walter Reed-Bethesda, Walter Reed National Military Medical Center, and Uniformed Services University of the Health Sciences published on the association of antibiotics in the 1st year of life and future development of allergic disease. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2757360?guestAccessKey=9bc5a4eb-d937-413d-ac60-e81bc3b1051b&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=122019

Military Pediatrics

New research by our faculty - if you don't know about CRE, read up!

Carbapenem-resistant Enterobacteriaceae (CRE) is a scary nosocomial microbe. Military pediatric GI physician Dr. Nylund, Ms. Susi, and military pediatric ID physician Dr. Adams describe 174 cases in the MHS and document an extra 28 days of hospitalization with >$200k additional cost and 3x the mortality rate with CRE infection. https://www.ncbi.nlm.nih.gov/pubmed/31757476

Military Pediatrics

Research done as a resident! Congratulations Dr. Vereen and faculty mentors!

How does prematurity affect body composition as you age? Military pediatricians Dr. Vereen, Dr. Dobson, Dr. Stokes, and colleagues document that 'adiposity rebound' - which usually occurs at age 5-7 and has timing inversely correlated with adult obesity - is similar for babies born term and preterm. https://www.ncbi.nlm.nih.gov/pubmed/31796687

Pediatric HEDIS metrics @WRBethesda exceeding the 90th %le benchmark for almost 3 years now. What's next for this fantastic PCMH team to tackle?

We are proud of our Military Pediatrics colleague & Walter Reed National Military Medical Center neonatologist LCDR Kari Wagner, serving aboard USNS Comfort (T-AH-20).

We're proud of our Military Pediatrics endocrinologist, CAPT Jill Emerick, serving in the Caribbean & South America aboard the USNS COMFORT T-AH 20! https://www.dvidshub.net/image/5819917/comfort-visits-st-kitts-and-nevis

ncbi.nlm.nih.gov

Congenital Heart Disease and Autism: A Case-Control Study. - PubMed - NCBI

Alum Dr. Sigmon, Peds Cardiology fellow at Emory's Henrietta Egleston Hospital for Children, and faculty Ms. Susi and Dr. Nylund, describe the association of autism and congenital heart disease in this month's issue of the American Academy of Pediatrics journal. https://www.ncbi.nlm.nih.gov/pubmed/31601611

ncbi.nlm.nih.gov Pediatrics. 2019 Oct 10. pii: e20184114. doi: 10.1542/peds.2018-4114. [Epub ahead of print]

Our Program Director, Dr Stagliano, shares his experience and wisdom on residency program management at the Association of Pediatric Program Directors Fall Meeting.

aappublications.org

President elect candidate: Advocate, former Navy pediatrician Dr. Beers forges wide-ranging career path

Congratulations to American Academy of Pediatrics President-elect Dr. Lee Beers, former Navy pediatrician & Chief Resident at NCC Pediatrics Residency at Walter Reed-Bethesda. Dr. Beers continues the legacy of Military Health pediatrician leadership in the AAP!

https://www.aappublications.org/news/2019/06/25/leebeers062519

aappublications.org

Happy birthday U.S. Air Force! On this day in 1947, the 1st Secretary of the Air Force was sworn in, and the USAF was born. We are proud of our USAF faculty, residents, and alumni, and our colleagues serving across the globe.

aap.org

AAP.org

The American Academy of Pediatrics' national elections are underway through Sept 21. Good luck to our past NCC Pediatrics Residency at Walter Reed-Bethesda Chief Resident who is a nominee for AAP President!

https://www.aap.org/

aap.org The American Academy of Pediatrics is dedicated to the health of all children.

@NCCPeds attended the Military Health National Museum of Health and Medicine symposium on Hospital Ships this week. One take-away from the talk and from eyewitness testimony from a Vietnam-era corpsman: pediatric care has been a key part of Navy hospital ship operations since the Korean War. Heck, we bet that if there had been military pediatricians (or a pediatric specialty at all) back in 1898 when the first hospital ships went into service, you would find them and pediatric nurses as part of the crew, exercising the soft power that pediatric humanitarian care does best.

Two months into the academic year! Time flies. Interns and residents, make sure you get some photos to help remember the training you share with the folks who will be your colleagues for life. Like these @NCCPeds teams from 1997-98. #dreamteameveryyear

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