PROS FALL 2010 MEETING SUMMARY

PROS (Pediatric Research in Office Settings) had a wonderfully productive meeting this Fall in beautiful San Francisco.

The Boys’ Puberty Study (Secondary Sexual Characteristics in Boys) has finished data collection and analysis is almost complete, and the manuscript is being written for publication which should follow soon.

PROS is starting an exciting dissemination study in selected states (NY, FL, CA, PA, IN, HI, and NC) to address Teen Driving.  The study is funded by the CDC to help pediatricians help parents to discuss driving with their teens, and to promote safety rules and driving contracts to decrease accidents, injuries, and deaths.  The first six months of driving without adult supervision is the highest risk period for all teen drivers and setting limits above and beyond the graduated driving license laws have been shown to decrease morbidity and mortality. 

PROS has begun work on an effort to build and test an EHR-based version of the network, and to conduct a comparative effectiveness research project through this subnetwork.

PROS will also be starting a Teen Smoking Cessation Study (Smokebusters) very soon, and if you have a high adolescent population in your practice, this would be a great study for you!  Most smokers get hooked in their early teens and helping them to quit early would make a huge impact on the life of that teen and the teen’s future family.

The National Institute of Child Health and Development (NICHD) also presented a potential study to look at the use of atypical antipsychotics in children and the medical consequences of their use.  This is a topic of great interest to many pediatricians throughout the nation, whether there is or is not any viable access to mental health professionals.  And the NICHD also proposed future studies looking at the more common but unstudied “off-label” use of medications in the pediatric population.

Ongoing studies under development include studies to look at dental health of children,  ways to more accurately identify child victims of abuse, and the use of “Common Factors” to help address mental health topics during pediatric visits.

Current ongoing studies in the middle of data collection include CEASE (Clinical Effort to Address Second-hand Smoke Exposure to promote parental smoking cessation), a pilot study to look at the acceptability/tenability of a test for the tobacco marker cotinine in practice, and BMI2 (Brief Motivational Interviewing to reduce BMI to study obesity prevention).

This is a very exciting time for PROS and we welcome interested practitioners as several important studies are about to start.  

To join the PROS network, or to learn more, go to http://www.aap.org/pros/howjoin.htm  or contact Dr. Sue Daniels who is the PROS coordinator for the state of Montana at 406-522-5437 or sdaniels@acornpediatrics.com

Roundup 2010 Review

We had our largest attendance yet at Round-up this year in Chico.  On Oct 1-3 , 2010 we hosted a meeting that included lectures about nephrology, neonatology, cochlear implants, neurology and immunization rates. We had a workshop on CPR with the opportunity to try the Laryngeal Mask Airway and the Intra-osseus gun. In addition, we were able to introduce Dr. Yang, metabolic specialist from Shodair, Dr. Bakdash, neurology from Billings, and Dr. Smith, pulmonology and critical care from Missoula.

Young Physicians

Dr. Angie Ostrowsky, Butte, is our current young physicians chairperson.  She organized a lunch for young physicians from across the state to meet and network at Round-up.  In addition, with a grant from the AAP obtained by Cathy White, we had a dinner meeting and talk in Billings on Jan.  18th 2011. We met to socialize and discuss topics of work-life balance and opportunities to participate in AAP activities. We hope to hold a similar meeting in May 2011 in Missoula to meet with young physicians from the western part of the state.  If you are younger than 40 or have been in practice less than 5 years, you are a young physician.  Please contact Angie at angelikavaldez@yahoo.com  if you are a young physician. She is trying to make sure our current list is complete, so please contact her to be sure you are on the list.

Legislative Session

This year’s legislature is full of new politicians.  There are a number of bills being introduced that will have direct impact on us as pediatricians.  One includes a bill to expand religious exemptions from immunizations.  Our current state budget cuts Medicaid reimbursement to the Medicare level – an 18% drop.  These and many other matters are of grave importance for us.  We need ongoing representation to MCMCH – Montana Council on Maternal Child Health.  This group and the Alliance for a Healthy Montana meet by telephone conference.  In addition, Steve Yeakel will send you a summary of ongoing bills in the legislature to keep you up to date on legislative matters.  Please contact Sheila Idzerda sidzerda@aol.com or Molly Taylor mollytaylormtaap@gmail.com if you would like to be included in these emails or teleconferences.

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