CHILE: AN EYE-OPENING EXPERIENCE Pediatric Resident Dr. Nazia Kaban describes her experience on the elective rotation this year in Chile.
I wasn’t born American; in fact, the process to becoming an American took several years (I was in college when I became a permanent resident, and in medical school before citizenship). Living in Pakistan, I saw extreme poverty and extremely poor access to health care. I remember walking the streets of those colorful bazaars and seeing thin children with big bellies roaming around without clothes, shoes, etc. I remember feeling sad and confused by their condition. Moving to the U.S. was life changing in many aspects as you might imagine, and though I was less privy to see that kind of poverty, I never was able to forget that image. I think it is fascination with this lack of access of basic necessities and health care that has drawn me towards global health.
When I first heard about this opportunity to go to Chile, I couldn’t believe it. I jumped on it the first chance I could, and I was so relieved and excited when I was told I would be going. My purpose was two-fold. One, to see a new culture and learn a new language; and two, to see the differences in health care and access to health care between Chile and the U.S. Of course, we got to explore the new culture, and we had practice with Spanish plenty. I must admit, I am nowhere close to fluent, but I did become a little conversational by the end. We also got to see the beautiful sites Chile had to offer from Valparaiso to Puerto Varas to Santiago. It was inspiring and humbling at the same time.
The second objective was the one that really blew me away, however. I had the good fortune of seeing both Clinica Alemana and Padre Hurtado. Clinica Alemana did not lack in anything. The hospital was beautifully built, had state-of-the-art equipment. The doctors were readily available for patients at all times. The hallways were bright and well lit, the paintings on the wall colorful and vibrant. The patient population was well dressed and most even spoke a little English. I almost felt like I was in the States. The level of care was excellent from everyone, nurses and attendings. I did not, of course, see the multidisciplinary teams that we’re used to working with while there, but the care was not lacking.
Padre Hurtado, was the real eye opening experience. A resident picked me up from the metro stop close to our apartment, and we ended up in a clearly resource poor part of the city. The hospital was old and worn down from everywhere. The most alarming site was the sheer number of stray dogs roaming around the hospital and INSIDE the hospital. However, I was alarmed to see that the attendings that worked in the fancy Clinica Alemana also worked at Padre Hurtado. What I noticed while in the neonatal ICU there, was that though the resources were limited, the type of care every patient received was at the level of care that the private hospitals offered. Doctors often stood and listened to their patients' complaints and worries and actually acknowledged and addressed them. There was a sense of community even within the patient population, which I found to be refreshing. It was like, the moms were all in this together. They shared rooms and often talked to each other while breastfeeding. It was truly refreshing to see that.
I am grateful for the resources and the luxuries we have, but somewhere, in that worn down hospital with its peeling blue paint and dimly lit hallways, I saw and felt warmth. Hospitals tend to be places that are cold and foreign for most patients. But in Padre Hurtado, I saw a sense of community that I did not expect. I also saw extremely well thought out and humane patient care.
I expected to leave Chile with a sense of “good health care” versus “bad health care”, and instead what I came back with is a reminder of why I chose to be a physician in the first place. I was reminded that I chose to be a physician to help people heal in all aspects- mentally, physically, and emotionally. And finally, I was reminded again that it doesn’t take pristinely painted walls, glass buildings, and vibrant paintings in the hospitals to provide that. All it takes is a human heart and a desire to serve. I’ll end this with a quote by Maya Angelou that I actually used for my residency personal statement, not just for you, but as a reminder to myself: “I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.”
UAB INDUSTRY-SPONSORED CLINICAL TRIALS F&A RATE WILL INCREASE EFFECTIVE JULY 1, 2016
Effective July 1, 2016, the UAB Facilities & Administrative (F&A) rate for industry-initiated and sponsored clinical trials will increase to 30%. This change is only applicable to new submissions to the Office of Sponsored Programs (OSP) on or after July 1, 2016. Click here to view the memo from the UAB Office of the Vice President for Research and Economic Development.
Since its inception a year ago, the Pediatric Research Office has assisted over 120 UAB faculty and fellows in their pediatric research-related activities. The increase in scholarly activities and grant submissions that this facilitates is exciting, but also requires a significant financial investment from the Department. To offset those costs, the Department of Pediatrics will add a 4% administrative fee to all industry-sponsored studies. This will be in addition to the full budget that researchers need to complete the work, so will not be felt in any way at the level of the research team. The Pediatric Research Office has piloted this fee on select industry-sponsored projects over the past 6 months. Companies have asked for justification of the fee, but all have agreed to it. UAB’s new F&A rate of 30% is in line with comparator institutions, some of which also have additional administrative fees such as ours. David Ingram’s office will work with your staff in prospectively implementing this initiative; it will not be applied to studies with budgets that have already been negotiated and finalized.
EIGHT DOP MEMBERS PARTICIPATE IN THE CCTS PANELS DONE QUICKLY /NASCENT PANEL PROJECT
The UAB Center for Clinical and Translational Science (CCTS) recently acknowledged Department of Pediatrics (DOP) members who participated in the CCTS Panels Done Quickly (PDQ)/ Nascent Panel Project (NPP) team this past year.
PDQs and NPPs provide investigators across the UAB Campus and throughout the CCTS Partner Network with expert feedback during a critical window of grant development - within 6 weeks of an application deadline. Reviewingproposals at this stage requires an agile, highly focused response that is only possible with the involvement of accomplished scientists. Those who participated from the DOP include: Drs. Smita Bhatia, Randy Cron, Maaike Everts, Tom Harris, Wendy Landier, Jeffrey Lebensburger, Melissa McBrayer, and Alyssa Reddy
DR. BENTON TO SERVE ON AAP MOC PANEL
Cason Benton, MD, FAAP, has been selected to serve on the American Academy of Pediatrics (AAP) Maintenance of Certification (MOC) Portfolio Review Panel. Under the purview of the AAP Quality Cabinet, review panel members provide ongoing review and critique of part four MOC applications, bi-annual project reports, and final reports for projects submitted through the AAP MOC Portfolio.
PEDIATRIC SCIENCE DAY REVIEW
So… you say you weren’t able to join us for the first annual Pediatric Science Day. Here is your chance to see the 20 pediatric platform presentations that were showcased. These included presentations by 12 pediatric fellows, six pediatric residents, one post doc in psychology, and one medical student. The link below will take you to individual links for the respective presentations. Thank you again for your interest, and we look forward to seeing you next year!
Starting July 2016, a Metabolic Bone Clinic, composed of an interdisciplinary team, will be evaluating and treating children with an array of skeleton disorders. This clinic will provide comprehensive care to patients with metabolic bone disease such as osteogenesis imperfecta, primary or secondary osteoporosis, hypophosphatemic rickets, hypophosphatasia, and other defects in bone mineral metabolism. The clinic will coordinate the services of radiology and the bisphosphonate infusion clinic.
Patient appointments can be scheduled though the Pediatric Endocrinology office at 205.638.9107.
The clinicians include:
Ken McCormick M.D., Pediatric Endocrinology
Ambika Ashraf M.D., Pediatric Endocrinology
Michael Conklin M.D., Pediatric Orthopedics
Erin Swanson M.D., Physical Medicine and Rehabilitation
Lauren Quinn, CRNP, Endocrinology
2016 BREWER-HESLIN ENDOWED AWARD FOR PROFESSIONALISM IN MEDICINE
The UAB School of Medicine invites your nominations for this year’s Brewer-Heslin Award, established through a gift to the school in 2015 to recognize a full-time UAB SOM faculty member for his or her commitment to outstanding patient care.
Selection will be based on the following criteria:
Dedication to providing highly skilled and deeply compassionate medical care to his or her patients, and supporting access to such care for all people;
Commitment to the highest standards of professionalism, including honesty and integrity in all matters and respect for all members of the health care team, including the patient and his or her family;
Responsibility for the patient’s right to dignity, privacy and confidentiality within the bounds of law;
Commitment to ethical principles related to the optimal provision of clinical care, and to seeking the talent and counsel of other health professionals when indicated;
Dedication to lifelong learning through the pursuit of new knowledge, and to imparting such knowledge to physicians in training as well as to patients and the public; and
Responsibility for participating in activities that contribute to the improvement of the community and the betterment of public health.
KEY DATES: June 15 - Nominations due to Heather McGuire (firstname.lastname@example.org) July 15 - Recipient will be notified August 14 - Award will be given at the White Coat Ceremony This year’s selection committee will include Drs. Selwyn Vickers, Herb Chen, and Marty Heslin. Nomination letters (not to exceed one page typed) should include justification for the nomination along with CV. For information about the award, click here.
IN THE NEWS...
Krista Casazza, Ph.D., Associate Professor in General Pediatrics, and David Allison, Ph.D., Professor and Associate Dean of the School of Public Health, were highlighted in ConscienHealth for their writing in a Clinical Obesity publication titled, "Stagnation in the clinical, community and public health domain of obesity: the need for probative research." Click here to read more.
THE DEPARTMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE ANNOUNCES DIVISION OF CONGENITAL CARDIAC ANESTHESIOLOGY
The new division, approved by the Board of Trustees on April 8, represents a move to more fully align and integrate with other clinical divisions that provide care for congenital cardiac patients at Children's of Alabama, said Department Chair Dr. Keith A. (Tony) Jones. “Because of the highly complicated nature of these surgical procedures, the faculty members who provide this care have become highly subspecialized,” Jones said. “Moving forward, they will be fully dedicated to congenital cardiac anesthesiology and will have their own space at Children’s.”
Yung R. Lau, M.D., director of the Division of Pediatric Cardiology and the Thomas N. Carruthers Endowed Chair in Cardiology, welcomed the new division. “The formation of the Division of Congenital Cardiac Anesthesiology is a welcomed step by all the stakeholders of the Pediatric and Congenital Heart Center at Children’s of Alabama. We see this as an important part of the evolving understanding that congenital heart disease is one of the unique and signature programs that UAB has,” he said. “Having dedicated Congenital Cardiac Anesthesia colleagues codifies the practice of focused multidisciplinary care of patients as well as research efforts that contribute significantly to the knowledge.” Continue reading here...
BREAKING THE POVERTY CYCLE A panel of local doctors including Jaime McKinney, M.D., General Pediatrics, and educators discuss the complications of childhood poverty and what can be done to improve the quality of life in the news source Weld for Birmingham.
Alabama is a poor state that consistently ranks among the lowest in categories pertaining to child poverty. A town hall meeting hosted by the UAB School of Medicine sought to address these issues last week.
“Frederick Douglass once said, ‘It is easier to build strong children than to repair broken men,’” said Dr. Jaime McKinney, a general pediatrician at UAB who moderated the event. “I think that really encapsulates what we are trying to do.”
ATTENTION FACULTY: Please complete ALL outstanding resident evaluations by June 30!
REMINDER FOR ATTENDING PHYSICIANS ON SERVICE: The PGY 3 Retreat is Friday, May 20.
Please be in contact with your residents about coverage.
SENIOR TALKS Monday, May 16
Bradley Lecture Center
Come support Dr. Courtney Campbell (Pediatrics, PGY 3) and Dr. Thanh Summerlin (Pediatrics, PGY 3), as they present their senior talks!
FROM THE PEDIATRIC RESEARCH OFFICE (PRO)
Congressionally Directed Medical Research Programs (CDMRP)
Applications must be directly relevant to the healthcare needs of military service members, Veterans, and/or beneficiaries. Deadlines for pre-application are coming up in May and June. All pre-applications must be submitted electronically to the Electronic Biomedical Research Application Portal (eBRAP) https://ebrap.org; full applications are by invitation only. Topics related to pediatrics that have been announced include autism (preproposals due June 22) and MS (preproposals due May 26). In addition, The Peer Reviewed Medical Research Program has supported research across the full range of science and medicine, with an underlying goal of enhancing the health and well-being of military service members, Veterans, retirees, and their family members. Congress appropriated $278.7 million for the FY16 program to solicit proposals in 39 topic areas. Selected topics that may be of interest to pediatric investigators include: Acute Lung Injury, Congenital Heart Disease, Constrictive Bronchiolitis, Diabetes, Emerging Infectious Diseases, Fragile X Syndrome, Hepatitis B, Hydrocephalus, Inflammatory Bowel Disease, Integrative Medicine, Mitochondrial Disease, Polycystic Kidney Disease, Pulmonary Fibrosis, Respiratory Health, Rett Syndrome, Rheumatoid Arthritis, Sleep Disorders, and Vaccine Development for Infectious Disease. A synopsis of current program announcements can be found here.
The UAB-HudsonAlpha Center for Genomic Medicine – Call for Pilot Projects
This RFA is intended to stimulate collaborative research efforts between faculty at UAB and HudsonAlpha, with the goal of developing new research programs that will enhance the leadership of UAB and HudsonAlpha in the integration of genetics and genomics into medicine. Awards fund up to $100,000 per year for two years and are due May 23 by 5 p.m. Click here to view the full opportunity. For more information, please contact Dr. Shaila Handattu (205.934.9417 or email@example.com).
Health Services Foundation – General Endowment Fund (HSF-GEF) Call for Applications
The HSF-GEF grants are intended to enhance the infrastructure of Academic Health Center's Patient-Oriented and Laboratory Research efforts, Clinical Care Program Development, and Medical Education Initiatives. Applications are due July 21, 2016 at 4 p.m. Visit the UAB SOM HSF-GEF page for more information or to upload your proposal. Information on 2014 and 2015 award recipients is also available.
SEMINARS AND TRAINING
How LinkedIn and Other Social Media Can Help Your Research
Molly Wasko, PhD, Professor and Chair of Management, Information Systems, and Quantitative Methods in the Collat School of Business, will present this topic on Thursday, May 19 from 8 - 9:30 a.m. in PCAMS (1924 7th Ave. So.). To attend, please register here.
Clinical Research: A Practical and Pragmatic Approach for Investigators
This program is designed for Principal and Sub‐Investigators to provide guidance and insight into best practices leading to the successful conduct and implementation of clinical trials and studies. It will lead investigators through the requirements for setting up,
implementing, and closing a clinical trial. It will be held Thursday, May 19 from 7:30 a.m. - 12:30 p.m. in the Cancer Center Boardroom NP2532 (located at 615 18th Street South). For more information, contact Penny Jester (firstname.lastname@example.org or 205.996.7800). To register, contact email@example.com or 205.975.2758.
Exciting Educational Opportunity from OHRP – June 21 and 22
The HHS Office for Human Research Protections (OHRP) is co‐hosting an informative and dynamic two-day event in Nashville with Vanderbilt University, School of Medicine. June 21 is the Forum Conference (RCF‐C), packed with a rich and exciting program with a special focus on the changing landscape of research. Richard Gorman, MD, will deliver the keynote presentation entitled “How Do You Know What You Think You Know?” Break‐out session topics include: OHRP’s top 10 compliance risks, challenges in pediatric genomic and drug development research, new technologies in recruitment and data collection, among others. June 22 is the Forum Workshop (RCF‐W), specially designed to help participants appreciate how to interpret and apply the U.S. federal regulations and policies on human research protections. Attendees are expected to come with a working knowledge of the HHS regulations on human research protections. To facilitate an engaging and interactive exchange, the workshop limits its capacity to 180 participants. For more information, please contact Wendy Lloyd (firstname.lastname@example.org or 615.936.7106).
William Britt (Ped - Infectious Disease) HCMV miRNA Regulation of Secretion and Formation of the Viral Assembly National Institute of Allergy and Infectious Diseases/NIH/DHHS. $779,109. 04/01/2016 - 03/01/2017.
Hector Gutierrez (Ped - Pulmonary) Cystic Fibrosis Screening for Newborn Infants ALABAMA DEPARTMENT OF PUBLIC HEALTH. $37,663. 10/01/2015 - 09/30/2016.
RECENT REVIEWS AND PUBLICATIONS
Pediatr Crit Care Med. 2016 May;17(5):476. doi: 10.1097/PCC.0000000000000680. The authors reply.Alten JA, Borasino S, Kim T.
J Child Neurol. 2015 Sep;30(10):1381-7. doi: 10.1177/0883073814550656. The US Network of Pediatric Multiple Sclerosis Centers: Development, Progress, and Next Steps. Casper TC, Rose JW, Roalstad S, Waubant E, Aaen G, Belman A, Chitnis T, Gorman M, Krupp L, Lotze TE, Ness J, Patterson M, Rodriguez M,Weinstock-Guttman B, Browning B, Graves J, Tillema JM, Benson L, Harris Y; US Network of Pediatric Multiple Sclerosis Centers.Collaborators (24) Ness J, Harris Y, Gorman M, Benson L, Aaen G, Chitnis T, Tillema J, Rodriguez J, Krupp L, Belman A, Lotze T, Weinstock-Guttman B, Farooq O,Waubant E, Graves J, Casper T, Rose J, Roalstad S, Hunt T, Olsen C, Simmons T, Weber W, Brown B, Roan E.
Perspect Sex Reprod Health. 2016 May 11. Social Norms and Stigma Regarding Unintended Pregnancy and Pregnancy Decisions: A Qualitative Study of Young Women in Alabama. Smith W, Turan JM, White K, Stringer KL, Helova A, Simpson T, Cockrill K. Young women in the U.S. South disproportionately experience unintended pregnancies. Investigators conducted a series of focus groups and cognitive interviews to assess social perceptions of unintended pregnancy and related pregnancy decision. Findings suggest a need to reduce stigma and create a social environment in which young women are empowered to make the best reproductive decisions for themselves
The deadline for submission of information for inclusion in the FYI Fridays newsletter is 10 a.m. on the preceding Thursday.