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.

Today marks the 73rd anniversary of the tragedy that sparked the inclusion of pediatrics in MilitaryHealth - the New York harbor landing of the USS Zebulon Vance, a liberty ship converted to transport 'war-brides' and their children. 13 babies who sailed from Belgium with their mothers on that voyage died after an outbreak of diarrhea, and that led to the re-commission of Dr. Ogden Bruton as the 1st military pediatrician.

yelmonline.com

Madigan Doctor Saves Burn Victim at Park

One of our military pediatrician colleagues in the news. #preparedforanything http://www.yelmonline.com/life/article_bf148dcc-a10e-11e9-8925-a36eba5ff24d.html

yelmonline.com One minute, Dr. (Capt.) Karin Brockman and her husband Keefe were settling into their car after enjoying a sunny afternoon at Fort Steilacoom Park in Lakewood. Then they noticed a

yelmonline.com

Madigan Doctor Saves Burn Victim at Park

One of our military pediatrician colleagues in the news. #preparedforanything http://www.yelmonline.com/life/article_bf148dcc-a10e-11e9-8925-a36eba5ff24d.html

yelmonline.com One minute, Dr. (Capt.) Karin Brockman and her husband Keefe were settling into their car after enjoying a sunny afternoon at Fort Steilacoom Park in Lakewood. Then they noticed a

Congratulations to the graduating Class of 2019! Fair winds and following seas as you travel on to your next duty stations. You will be missed, but we are eager to follow your achievements in the years to come!

Another congratulations to the incoming intern Class of 2022, shown here at our annual National Gallery of Art reflection activity. Welcome to the NCCPeds family!

smithsonianmag.com

Race for a Remedy

Take a moment to recall the life of Army Medical Department horse "First Flight" - who died 20 years ago this weekend. He was *the* botulinum-toxin antibody factory for our armed forces, and savior of then 3kg Ohio infant Tess Baird in 1990. Read more in this Smithsonian article.

https://www.smithsonianmag.com/history/race-for-a-remedy-34998211/

smithsonianmag.com Retired from the track, thoroughbred First Flight served as a

Congratulations to Drs. Eberly, Johnson, Williams, and Sullivan for their recognition as Master Clinicians and to Drs Isfort and Wagner for their recognition as Associate Master Clinicians!

The 1st Pediatric DHA Clinical Communities Speaker Series event occurred April 25th, 2019! Faculty member CAPT Gorman was the moderator for the all-day event with over 200 attendees world-wide. A highlight: a pediatric panel discussion with 5 military pediatric colleagues simultaneously from Europe, Hawaii, Portsmouth, Boston, and Washington, DC.

It's Dive Medicine week in continuity clinic - our 1st ever - with Gas Laws, hyperbaric chamber demo, and case discussion on the bends, barotrauma, and CO poisoning. Don't be surprised if you unexpectedly learned a lot for your ICU skills, sort of like how Mr. Miyagi taught karate to Daniel-son.

Congratulations to our 11 (count them!) Navy pediatricians selected for the rank of Captain! In addition to three alumni, we congratulate our colleagues with whom we've served, taught, and deployed.

CAPT (sel) Theo Stokes (alum)
CAPT (sel) Jeff Martens (alum)
CAPT (sel) Marilisa Elrod (alum)
CAPT (sel) Rhett Barrett
CAPT (sel) Coleman Bryan
CAPT (sel) Cynthia Bryant
CAPT (sel) Natalie Burman
CAPT (sel) John Moree
CAPT (sel) Brian Norwood
CAPT (sel) Tom Pluim
CAPT (sel) Luke Zabrocki

Oral health is surprisingly linked to so many health outcomes. LT (Dr.) Clark from Naval Medical Center Portsmouth / Nmcp Pediatrics details the dental needs of children cared for by personnel during the USNS Comfort (T-AH-20)'s mission to South & Central America n response to Venezuelan migration.

CAPT (Dr.) Penfold, resident from Naval Medical Center Portsmouth / Nmcp Pediatrics, presents findings on the associations of spirituality, burnout, and the military resident experience at the Pediatric Academic Societies Meeting

What will pediatricians see when caring for those affected by Venezuelan migration? At Pediatric Academic Societies Meeting, CPT Christin Folker presents findings from recent USNS COMFORT mission that shows children with generally good health and parents seeking care for similar reasons as seen in the U.S.

Naval Medical Center San Diego (NMCSD) alums Dr Carr & CDR (Dr.) Burman meet up with NCC Pediatrics Residency at Walter Reed-Bethesda Chief Resident Capt (Dr.) Carter at Pediatric Academic Societies Meeting. #militarypediatrics

Which teens are more likely to have a reported adverse reaction to an immunization? PGY3 Capt (Dr.) Alyse Carlson MC USAF presents her findings at @PASMeeting in Baltimore

Do parents of infants admitted to the NICU like to hear statistics? Generally yes, according to research presented @PASMeeting by Madigan neonatologist & Uniformed Services University of the Health Sciences alum MAJ Krick.

Ms Apryl Susi of Uniformed Services University of the Health Sciences presents platform on the association of infant antibiotics & acid-suppression prescriptions and subsequent development of immune-dysregulation @PASMeeting. Fascinating implications for the importance of our microbiome to our health!

Today we remember the sacrifice of 28 embarked Navy & Army medical personnel killed in the 1945 kamikaze attack on USS COMFORT (AH-6). The rising sun on the crest of USNS Comfort (T-AH-20) provides an enduring reminder for Military Health

https://bit.ly/2LodAyn

CPT Urbina, PGY2, presents findings on the nutritional status of children in rural Honduras, a project that grew out of NCC Pediatrics Residency at Walter Reed-Bethesda 's Global Health Curriculum. Find out more about our military pediatric global health opportunities at http://www.nccpeds.com/rotations/HA.php

Alumni Dr Gorman, Dr Yao, and Rear Admiral (Dr.) Barfield together @PASMeeting

The PAS meeting in Baltimore this week is the marquee medical conference for child health research, and it will be the forum for the research efforts of uniformed pediatricians in promoting the readiness and advancing the health of military-connected children.

PAS will feature over 45 military pediatricians (including more than 18 residents & fellows) representing 8 MTFs and USU by delivering 5 platform presentations, presenting 19 posters, and moderating 5 scientific sessions.

Congratulations to LT Rob Crutcher, our newest Flight Surgeon alum!

Walter Reed Pediatrics hosted Einstök börn-Stuðningsfélag barna með sjaldgæfa sjúkdóma eða heilkenni. from Iceland and representatives from the Fisher House Foundation, The Children's Inn at NIH, and Ronald McDonald House Charities (RMHC) to discuss our common goal of meeting the needs of families with special needs children.

Wow! The MHS Patient Portal is fully operational. Patients & parents can read their AHLTA notes, see their lab & radiology results, order refills, and make appointments on computer or smartphone. We tried it out this week and we are impressed! All of our patients are going to learn about it ASAP.

https://www.tricareonline.com/tol2/prelogin/desktopIndex.xhtml

ncbi.nlm.nih.gov

Gender Dysphoria in Children with Autism Spectrum Disorder. - PubMed - NCBI

Children with autism 4x more likely to have gender dysphoria than neurotypical kids, according to new research by our Military Pediatric Clinical Research team & colleagues at Uniformed Services University http://ow.ly/Vtt730oiBKZ

ncbi.nlm.nih.gov LGBT Health. 2019 Mar 28. doi: 10.1089/lgbt.2018.0252. [Epub ahead of print]

April is the month of the military child. What are you doing to celebrate and acknowledge their experience & sacrifices?

Our resident CPT Thompson was also featured on Walter Reed's page for Doctor's Day!

Army Capt. (Dr.) Sarah Thompson, Pediatric Resident

photo by Mark Oswell, WRB Command Communications

Our intern Capt Patel was featured on the Walter Reed page for Doctor's Day!

Air Force Capt. (Dr.) Leela Patel, Pediatric Resident

photo by Mark Oswell, WRB Command Communications

Avoid awkward consult calls! This is NCC Pediatrics's favorite mnemonic for how to ask for a subspecialty consult. Easy to remember. Full ref available at http://ow.ly/gTMB30ofqWg

New Anticipatory Guidance for Pediatricians for 2020! Make sure your patients are counted in U.S. Census Bureau #Census2020. That includes newborns who may still be in the hospital & college students.

The US Public Health Service: 1 of 7 uniformed services - and the only one wholly dedicated to health. NCC Pediatrics faculty #USPHS LCDR Seide & colleagues outline the impact of the long-standing partnerships between #USPHS & Uniformed Services University. Find out more here! http://ow.ly/Um7r30oa05o

Happy Doctors' Week to all physicians everywhere - especially our current & alumni faculty & residents - and thanks to our nurses/medics/corpsmen/staff on our pediatric inpatient unit for this sign! #DoctorsDay

What makes this cell tick? Dr Du & colleagues of Uniformed Services University Dept of Peds describe the interplay at the histone during DNA transcription of 2 players - #setBP1 & #MLL3 - in Acute Myelogenous Leukemia. http://ow.ly/dfQv30o9ZrW

Good gouge in NEJM for pediatricians prescribing stimulants for #ADHD: risk of psychosis low but not negligible: 1 in 660 patients, presenting ~ 2 months after starting treatment, and more common in those rx'ed with amphetamine vs methylphenidate. http://ow.ly/HWVo30oazp9

ncbi.nlm.nih.gov

Austere Foreign Body Injuries in Children and Adolescents: A Characterization of Penile, Rectal, and Vaginal Injuries Presenting to Emergency Depar... - PubMed - NCBI

FBs inserted in perineal openings peaks ~ age 7y. Important to ask re: instrumentation for rectal, penile, & vaginal complaints. Read more in new research by Uniformed Services University alum Dr Fischer, J Krishnamurthy of Div of Mil Ped Clin Resrch & SAUSHEC colleagues http://ow.ly/uXqY30o9ZdD

ncbi.nlm.nih.gov Pediatr Emerg Care. 2019 Mar 11. doi: 10.1097/PEC.0000000000001803. [Epub ahead of print]

Save the Date - Thursday, April 25th.

Pediatrics & Child Health will be the theme for the DHA Clinical Communities Speakers Series on April 25th.

Topics & Tentative Agenda:

- Stressors Faced by the Military-Connected Child
- Child Protection within the DoD
- Clinical Pediatrics Panel Discussion covering the latest in pediatric food allergies, epilepsy treatments, hypertension, autism, and congenital heart disease screening
- Youth & Bullying

To register for this virtual CME event, go to https://www.dhaj7cepo.com/april2019dhaccss

ncbi.nlm.nih.gov

Talking About Childhood Obesity: A Survey of What Parents Want. - PubMed - NCBI

Words may sometimes hurt, but avoiding euphenisms for obesity provides the biggest motivation for change. Read more in the Acad Peds article by our NCC Pediatrics Uniformed Services University Endo faculty Dr. Emerick, Dr. Vogt, & colleagues. http://ow.ly/nHFC30o9SPA

ncbi.nlm.nih.gov Acad Pediatr. 2019 Mar 10. pii: S1876-2859(18)30689-2. doi: 10.1016/j.acap.2019.03.003. [Epub ahead of print]

Alpha-gal - implicated in Lone Star tick-induced meat allergy - will be studied by the Uniformed Services University NCC Pediatrics Div of Mil Ped Clin Research w/ the DoD serum repository & our longitudinal database, w/ just announced $800k CDMRP grant. Meaningful? Yes. Military-Relevant: You bet!

Our Uniformed Services University NCC Pediatrics faculty's work on infant acid-blockade, abx exposure, and future development of allergic conditions was 1 of top 3 articles in JAMA Pediatrics in 2018. http://ow.ly/duZF30o9Sp9

Congratulations to 3 of our residents and 2 of our fellows for being named finalists for the NCR Research Competition. Presentations forthcoming Apr 30-May 2!

Case Report Competition

- Maj Cortney Bleach, MC – A Case of Mayer-Rokitansky-Kuster-Hauser Syndrome Diagnosed in Infancy after Evaluation of Palpable Gonads
- CPT Blake Cirks, MC – An Extreme Case of Invasive Group A Streptococcai Infection in a Healthy Child

Quality & Process Improvement Competition

- CPT Megan Donahue, MC – Tele-TB: Using Telemedicine to Increase Access to Latent Tuberculosis Infection Directly Observed Therapy

Florentino Patient & Family-Centered Care Award Competition

- Maj Sandra Salzman – The Autism Resource Clinic at the Walter Reed National Military Medical Center Children’s Center
- CPT Sarah Thompson – The Development of a Novel Sickle Cell Transition Clinic within the Military Health Care System

zoom.us

Join our Cloud HD Video Meeting now

"Redbook Review": tonight @ 1830 eastern, virtual CME with Drs. Eberly & Adams discussing Common Clinical Conundrums in pediatric infectious diseases. Use the Zoom app (https://zoom.us/j/351075852) or dial in. See info (and how to register for CME) in the flyer below.

zoom.us

Congrats to our newest promoted medical officer, pediatrics infectious disease fellow MAJ Megan Donohue!

Leadership at early stages of a pediatric career is a unique part of military practice. Case in point: CPT Molly Childers & CPT(P) Matt Fults, two NCC Pediatrics grads, selected for the 2019 Army Medicine Junior Leader Course. Congrats to these future leaders!

For school backpacks, how heavy is too heavy?

A good rule of thumb is 15% of a child's body weight. Recommend that kids wear theirs with 2 wide padded shoulder straps too. For extra credit, check out bookbag recs for kids w/ scoliosis in this month's Curr Opinion in Peds.

Congratulations to our pediatric internship graduate & Flight Surgeon LT Alex Mauro who just earned her wings!

Rhabdomyolysis from gaming? Looks like there will be a market for eSports team physicians in the future based on this report in Feburary's issue of Clinical Pediatrics. http://ow.ly/q8rw30nADgg

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Pediatric Nutrition Mini-MEDRETE Honduras

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