November 3, 2012 - Potpourri of Pediatric Presentations

Please join us for the annual Maine AAP Fall Conference. This year we will present a broad group of topics focused on pediatric practice in Maine, featuring two talks by our Keynote, Dr. Anthony Mancini, Head, Division of Pediatric Dermatology at Ann & Robert H. Lurie Children’s Hospital of Chicago. We will also hear from our pediatric colleague, Dr. Christopher Pezzullo, in his new role as Medical Director for the Division of Population Health at the Maine CDC. The Maine Chapter will officially receive the national AAP 2012 award for “Outstanding Small Chapter” and will present our annual Maine AAP “Legislator of the Year” award.

Maine Medical Center designates this educational activity for a maximum of 8.25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Maine Medical Center is accredited by the Maine Medical Association to provide continuing medical education for physicians.

Agenda

November 3, 2012


8:00 – 8:15

Welcome

  • Steve Feder, DO President, Maine AAP

    Steven Feder, DO is President of the Maine Chapter of the American Academy of Pediatrics, and practices at Lincoln Medical Partners Pediatrics. He earned his DO at the University of New England College of Osteopathic Medicine and completed his residency at Boston City Hospital/Boston Children’s Hospital.

8:15 – 9:15

Atopic Dermatitis

  • Anthony Mancini, MD Chicago Children's Hospital

    Anthony J. Mancini, MD received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology and dermatology at Stanford University.  He is Professor of Pediatrics and Dermatology at Northwestern University Feinberg School of Medicine and Head of the Division of Pediatric Dermatology at Ann & Robert H. Lurie Children’s Hospital of Chicago.  He also directs the division’s pediatric dermatology fellowship training program. Dr. Mancini has served as a past member of the AAP Executive Committee of the Section on Dermatology, the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team.  He is finishing his second 5-year term as Secretary-Treasurer of the Society for Pediatric Dermatology.  Dr. Mancini is a peer reviewer and/or sits on the editorial board for 16 academic journals, and has published more than 160 peer reviewed articles, abstracts, books and book chapters.  He is co-author of Hurwitz Clinical Pediatric Dermatology (3rd and 4th editions), co-editor of the AAP publication Pediatric Dermatology – A Quick Reference Guide (1st and 2nd editions), and Section Editor of Dermatology (1st, 2nd and 3rd editions).  His special interests include infantile hemangiomas, infectious skin diseases and exanthems of childhood, and neonatal skin maturation and skin disorders.

9:15 – 10:00

Genomics and the Pediatric Patient in 2012

  • Greg Feero, MD, PhD MaineGeneral Medical Center

    Greg Feero, MD, PhD is faculty and research director at Maine Dartmouth Family Medicine Residency in Fairfield, ME.  Dr. Feero obtained his M.D./Ph.D. from the University of Pittsburgh School of Medicine’s Medical Scientist Training Program with a Ph.D. in Human Genetics. He then completed his residency in Family Medicine at the Maine-Dartmouth Family Medicine Residency Program in Augusta, Maine.  After five years in practice in Maine, Dr. Feero accepted a position at the National Human Genome Research Institute (NHGRI), National Institutes of Health, as Senior Advisor to the Director for Genomic Medicine under Drs. Francis Collins and Alan Guttmacher.  In this role, he played a key role in coordinating NHGRI’s activities related to family health history and was the planning chair for the NIH Consensus Development Program’s 2009 State of the Science Conference “Family History and Improving Health”.   He also participated in efforts to help insure the appropriate representation of family health history and genomic data in electronic health records.   Additionally, as Chief of the Genomic Healthcare Branch in the Office of the Director he oversaw efforts to advance genomics education for health professional disciplines including nurses, physician assistants, physicians, and pharmacists.  In 2012, Dr. Feero stepped down from his position at NHGRI and continued on his role as faculty and Research Director at the Maine-Dartmouth Family Medicine Residency program.  Currently he serves on the Institute of Medicine Roundtable on Translating Genomic-Based Research for Health and as a Contributing Editor for the Journal of the American Medical Association.  Dr. Feero sees patients four days a week in Fairfield, Maine, is board certified in family medicine, and holds professional licenses in Maine and West Virginia. He has authored numerous peer-reviewed and invited publications.

10:00 – 10:15

Morning break

10:15 – 11:15

Exanthems in Children: More than Meets the Eye?

  • Anthony Mancini, MD Chicago Children's Hospital

    Anthony J. Mancini, MD received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology and dermatology at Stanford University.  He is Professor of Pediatrics and Dermatology at Northwestern University Feinberg School of Medicine and Head of the Division of Pediatric Dermatology at Ann & Robert H. Lurie Children’s Hospital of Chicago.  He also directs the division’s pediatric dermatology fellowship training program. Dr. Mancini has served as a past member of the AAP Executive Committee of the Section on Dermatology, the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team.  He is finishing his second 5-year term as Secretary-Treasurer of the Society for Pediatric Dermatology.  Dr. Mancini is a peer reviewer and/or sits on the editorial board for 16 academic journals, and has published more than 160 peer reviewed articles, abstracts, books and book chapters.  He is co-author of Hurwitz Clinical Pediatric Dermatology (3rd and 4###sup/sup### editions), co-editor of the AAP publication Pediatric Dermatology – A Quick Reference Guide (1st and 2nd editions), and Section Editor of Dermatology (1st, 2nd and 3rd editions).  His special interests include infantile hemangiomas, infectious skin diseases and exanthems of childhood, and neonatal skin maturation and skin disorders.

11:15 – 12:00

Immunization Improvements in Practice: Lessons from the Front

  • Moderator: Cassandra Cote Grantham, MA MaineHealth

    Cassandra Cote Grantham graduated with her Masters in Health Communication from Emerson College in collaboration with Tufts University School of Medicine in 2006.  In addition to health communications, her areas of expertise include program management, healthcare administration, marketing and fundraising.  Currently, she is the Program Manager of Child Health and Childhood Immunizations at MaineHealth, where she has worked for over five years.  In her current position, she works with public and private partners to improve both access to and the rates of childhood immunizations in Maine.  Previously, she was involved with MaineHealth’s employee health improvement, clinician education and cardiovascular health and heart failure programs.  In all these roles, she has had opportunities to work with a variety of stakeholders to create strategic plans, use improvement science to support quality programs, educate clinical staff and the community, improve clinical workflows at various healthcare organizations, develop collaborative partnerships and engage in relationship building, influence public policy and work across a vast clinical and public health system to align goals and objectives to improve healthcare in the across Maine.  Prior to working at MaineHealth, Cassandra was the Major Gifts Coordinator for an educational non-profit and worked in marketing and communications at a local public relations firm. 

  • Andrea Loeffler, MD Bowdoin Medical Group

    Andrea Loeffler, MD received her medical education at Hahnemann University School of Medicine. She completed her residency in pediatrics at NYU Medical Center/Bellevue Hospital, and currently practices at Martin’s Point Health Care. She enjoys spending time with her daughters and family, reading, knitting, biking, and playing softball.

  • Sydney Sewall, MD Kennebec Pediatrics

    Sydney Sewall, MD has worked as a pediatrician, caring for children in Augusta, Maine for 30 years.  His practice has included clinical work as well as advocacy on behalf of children and families.  For example, his practice was part of the group that pushed for Maine’s current universal immunization program.  Dr. Sewall received an undergraduate degree from Harvard College, medical degree from University of Cincinnati, and masters in public health from Harvard.  He completed a residency in pediatrics and served as chief resident at the University of New Mexico.  Before moving to Maine, he practiced pediatrics in Tuba City, AZ as part of the Indian Health Service.  Dr. Sewall is active in a range of community and civic organizations, including serving as current member as well as past president and past treasurer of the Maine AAP, treasurer of Physicians for Social Responsibility, and on the boards of the Maine Children’s Alliance, Temple Beth El, Augusta Symphony, and the Environmental Health Strategy Center.

  • Stephen Digiovanni, MD Maine Medical Center

    At the Maine Medical Center, Stephen Digiovanni, MD has an active pediatrics practice and serves as the Quality Improvement Leader for MMC Pediatric Residency Program.  In that role, he developed a quality improvement toolkit and educational curriculum.  He is also responsible for instituting quality improvement programs for physicians in the MMC physician-hospital organization and serves as the pediatric physician leader for Maine Health’s Preventive Health Program.   His work has included key roles quality improvement programs such as the AH! Asthma Program and Let’s Go.  Dr. Digovanni is a graduate of Bucknell College and the Thomas Jefferson University School of Medicine.  He completed a pediatrics residency at the Maine Medical Center and served as Chief Resident in 2000-2001.  In 2009, he completed the MaineHealth Physician Leader Development Fellowship Program.

12:00 – 1:00 Working Lunch

Award Presentations

  • Carole Jenny, MD AAP District I

Maine AAP “Legislator of the Year” Award – Rep. Linda Sanborn

Representative Linda Sanborn, MD is originally from Aurora, IL and is a graduate of Michigan State University and the University of IL School of Medicine.  She completed a residency in family medicine at the EW Sparrow Hospital in Lansing, MI.  She has been Board certified in family medicine since 1982 and is a life time member of the American Academy of Family Physicians.  From 1981-2007, she practiced family medicine in Southern Maine, near her home in Gorham.  She took on a new public service mission and was elected to represent District 130 in the Maine State House, covering portions of Buxton and Gorham, in the 124###sup/sup### and 125###sup/sup### legislative sessions.  Since arriving at the State House in 2008, she has served on the Health and Human Services Committee and in 2010 joined the Joint Select Committee on Health Care Reform, the Child Care Advisory Council, and HIV Advisory Committee, and the Substance Abuse and Services Commission.  During her tenure, she has been an ongoing advocate for children’s health and a determined force among her colleagues.  She also demonstrated her commitment to life-long learning by completing the Hanley Center’s Health Leadership Development class while attending to her legislative and other responsibilities.

Improving Health Outcomes for Children Project

  • Joan Klayman Muskie School of Public Service, University of Southern Maine

    Joanie Klayman is the CHIPRA Project Director and Research Associate in the Cutler Institute, Muskie School of Public Service, University of Southern Maine. She is responsible for the implementation of the CHPIRA multi-state demonstration grant in Maine and Vermont. Prior to her work in the CHIPRA project, she led projects on adult mental health quality assurance and quality improvement, mental health workforce training and certification.  Before joining the University in 2009, Ms Klayman designed and implemented complex initiatives and programs in health care, behavioral health and social services, including Maine’s statewide tobacco treatment & training initiative at the Center for Tobacco Independence at MaineHealth. Ms. Klayman holds an MSW, from the University of Maryland at Baltimore and is a Licensed Clinical Social Worker in Maine.

1:00 – 1:45

Developmental Screening

  • Toni Wall Maine CDC

    Toni Wall is the Director of the Children with Special Health Needs Program at the Maine Center for Disease Control and Prevention. The Children with Special Health Needs Program’s mission is to improve the health and well-being of our population by developing and sustaining community-based systems of care.

  • Amy Belisle, MD Quality Counts

    Amy Belisle, MD grew up in Yarmouth, Maine and attended Harvard University and the University of Vermont College of Medicine. She completed her Pediatric Residency at the Barbara Bush Children’s Hospital at Maine Medical Center in 2002. She returned to the state in 2007 after serving in the Air Force in at Yokota Air Base (AB) Japan and Andrews AFB for four years. When she was stationed at Yokota AB in Japan she was as a general pediatrician for 2 years and then served as a Flight Surgeon and was the Flight Commander of the Flight Medicine Flight overseeing the Flight Medicine Clinic and the Immunization Clinic her last year. From 2007-2010, Dr. Belisle was a Pediatric Hospitalist at Central Maine Medical Center(CMMC) in Lewiston, Maine. From 2009-2010, she was the physician leader for the Maine AAP CQN Asthma Pilot, a practice improvement collaborative with 12 Pediatric sites across the state. Currently, she the Director of Child Health Quality Improvement at Quality Counts, Maine, and is working on the Improving Health Outcomes for Children Program (IHOC)/CHIPRA grant. She is directing a three year learning collaborative called First STEPS (Strengthening Together Early Preventive Services. She is creating a Maine Child Health Improvement Partnership (ME CHIP).

  • Donald Burgess, MD Southern Maine Medical Center Pediatrics

    Donald R. Burgess, MD, FAAP grew up in Berwick, Maine, and is a 1986 graduate of the University of Maine at Orono. He is a 1990 graduate of the University Of Vermont College Of Medicine and completed an internship and residency at the Children’s Hospital of Pittsburgh in 1993.  For two years, Dr. Burgess worked for the Yukon-Kuskokwim Delta Regional Hospital in Bethel, Alaska providing pediatric care to children of the more than 50 Alaskan native villages in the area.  He also served as the Chief of Pediatrics for the hospital.  In 1995, he returned to his home state to enter pediatric practice and has been practicing General Pediatrician in Kennebunk since that time.    Dr. Burgess is a former Chief of Pediatrics at Southern Maine Medical Center and is actively involved on the Southern Maine Medical Center Board of Trustees.  In 2009, Dr. Burgess became Board Certified in Developmental-Behavioral Pediatrics and has worked with a multidisciplinary team of pediatric providers to evaluate, diagnose, and treat children in York County with Developmental Disabilities.  In 2010, Dr. Burgess received the Southern Maine Medical Center Caregiver of the Year Award. Dr. Burgess has been a fellow of the American Academy of Pediatrics since 1994 and has been a member of the Maine Chapter since 1995.  He has served as the Access to Mental Health Chairperson, Vice President and President of the Maine Chapter and is currently the Community Access to Child Health Facilitator for the Maine Chapter.  He holds section memberships in the Community Pediatrics, School Health, and Developmental/Behavioral Pediatrics sections of the national academy. He has been the Camp Physician at Camp William Hinds, BSA in Raymond, Maine for the more than 15 years and has served on the sub camp medical staffs of three National Boy Scout Jamborees.  He is married to Mary Lou, a family nurse practitioner and they live in Kennebunkport with their twin sons, Nicholas and Timothy.

  • Nancy Cronin Maine Developmental Disabilities Council

    Nancy Cronin, MA is the Coordinator for the Autism Spectrum Disorders (ASD) Systems Change Initiative and the State Autism Implementation Grant Manager in Maine, and in that role is facilitating this interagency effort to achieve a cost-effective and efficient comprehensive system of care for persons with PDD.  Nancy joined the staff of the Maine Developmental Disabilities Council in this role in January, 2008, having previously served for over four years as the Executive Director of the Autism Society of Maine.  While at the Autism Society, Nancy’s work at the local, state and national level focused on the development of effective services and supports for persons with PDD of all ages and their families.

1:45 – 2:15 Hot Topics – Did you know these resources are available to you?

Maine AAP Role in Policy on Toxins and Environmental Health

  • Steve Feder, DO President, Maine AAP

    Steven Feder, DO is President of the Maine Chapter of the American Academy of Pediatrics, and practices at Lincoln Medical Partners Pediatrics. He earned his DO at the University of New England College of Osteopathic Medicine and completed his residency at Boston City Hospital/Boston Children’s Hospital.

  • Janice Pelletier, MD Vice President, Maine AAP

    Janice L. Pelletier, MD, FAAP is a wife, mother, pediatrician, teacher, and researcher.  She received her education at Harvard, Einstein Medical School, Massachusetts General, and the Hospital for Sick Children.  Her clinical practice at Eastern Maine Medical Center is focused on Pediatric Dermatology. She is tremendously enthusiastic in her role as Vice President of the Maine Academy of Pediatrics.

Pre-hypertension and Hypertension in Children

  • Ann Cannon, RN, BSN MaineHealth

    Ann Cannon, RN, BSN received her nursing degree from the University of Massachusetts in Amherst. She has worked in cardiac care atMaineMedicalCenter for 29 years, the last 16 years in cardiac rehabilitation. Ann has worked for theMaineHeartCenter’s Take Charge! program as a cardiovascular health counselor.  For the last three years, Ann has been a clinical specialist for MaineHealth in its cardiovascular health and heart failure programs, and as a master blood pressure trainer was involved in the development of MaineHealth’s Blood Pressure Review and Update Program. In addition to producing a webinar for QuantiaMD, she has trained over 500 clinical staff in the MaineHealth system in best technique for blood pressure measurement.

Team Impact

  • Bryan McDavitt, MD Team Impact

    Bryan McDavitt is a 2007 graduate of Tufts University with a major in International Relations. While at Tufts he was a two sport athlete in both baseball and football something he remains passionate about even as an alum.  Bryan began his career in financial data services at Interactive Data and worked at the corporation for 4 1/2 years. Upon hearing of Team IMPACT’s mission and vision he decided to make a career change to focus his efforts in the nonprofit sector. He is now working as the Director of Medical and Athletic Outreach for Team IMPACT to bring the power of a team to children who have faced or are facing life threatening and chronic illnesses

Books Build Brains

  • Brian Youth, MD Maine Medical Center

    Brian Youth, MD has been the Program Director for the Pediatric Residency Program since 2004, and also serves as Medical Director of the Newborn Nursery at The Barbara Bush Children’s Hospital at Maine Medical Center.  He is an Associate Professor of Pediatrics at the Tufts University School of Medicine.  A general pediatrician, Dr. Youth practices in the Westbrook office of Maine Medical Partners- Pediatrics. Dr, Youth has served as a clinical advisor to the Raising Readers program, as well as sits on the Raising Readers Book Selection Review Committee that meets yearly and helps to choose the books that are ultimately given to families at Well Child visits throughout the state of Maine.  He helped the Raising Readers team develop the “Books Build Brains” slogan, and strongly believes in the importance of reading and early literacy skill development for children.

  • Diane Skog, MSB MaineHealth

    Diane Skog, MSB is the Director of Raising Readers, a health and literacy program funded by the Libra Foundation.  Since 2009, Raising Readers has distributed close to two million books for healthcare providers to give to  children at well child visits and encourage parents to read aloud to their child.  Diane has been in the MaineHealth system over 30 years in both clinical and administrative settings.  Now that Raising Readers is approaching distributing two million books, Diane feels strongly that there is a need to educate parents about how the early moments in a child’s life influence and shape the child’s developing brain.  BOOKS BUILD BRAINS, and the scripted messages that  have been developed,  can aid healthcare providers in coaching parents that spending time reading aloud and interacting with their  child is a very effective way to stimulate brain development, attachment and bonding.

2:15 – 2:30

Afternoon Break

2:30 – 3:15

Caring for Patients with Neonatal Abstinence Syndrome and Their Families

  • Mark Brown, MD, MSPH Eastern Maine Medical Center

    Mark S. Brown, MD, MSPH has been a neonatologist since 1981 and serves as Chief, Pediatric Service and Chief, Section of Neonatology, and Medical Director of Nurseries at Eastern Maine Medical Center (EMMC).  Dr. Brown has a longtime interest in research and quality improvement, with a current focus on Neonatal Abstinence Syndrome and development of a comprehensive program including community partners and transition. 

3:15 – 4:00

Kids and Rx Drugs: Just Say Know

  • Ann Woloson Prescription Policy Choices

    Ann Woloson, Executive Director of Prescription Policy Choices, joined the organization in 2006, after serving as Chief of Staff for Maine’s Senate Majority Leaders for 3 ½ years where she provided information and expertise regarding health care policy issues when health care reform was a major focus of the legislature.   The focus of her work during that time included significant constituent work and policy analysis in the area of health care service delivery and financing, including  Maine’s Dirigo Health Care Reform Law, prescription drug programs, hospital financing and the state budget related to health and human services programs. Prior to her work at the Maine Legislature, Ann worked as a health care policy analyst and advocate for several years in Maine’s nonprofit sector and also as a policy writer for the Maine State Medicaid Program, MaineCare.  She has served on a number of health care related boards and commissions including the Governor’s Health Action Team, and most recently the Commission to Study the Future of Primary Care inMaine.  She previously chaired the State Medicaid Advisory Committee, was a member of the Community Advisory Committee for the Maine Health Access Foundation and was an active member of Maine’s Dual Diagnosis Task Force aimed at improving the continuity of care for people suffering from both mental illness and substance abuse.  While serving as Maine’s Kids Count Coordinator, Ann helped establish the Maine Dental Access Coalition created in an effort improve access to oral health care throughout Maine. Ann currently serves as the Chair of a Maine-based women’s health care fund serving low-income women and is past chair of Literacy Volunteers of Waterville, where she was awarded the statewide Administrative Volunteer of the Year Service Award in 2001. 

  • Lindsay Tweed, MD, MPH Children’s Behavioral Health Services

    Lindsey Tweed MD, MPH completed medical school and both general and child and adolescent psychiatry residencies at Duke University Medical Center; he was on the clinical faculty there for five years. After moving toMaine in 1999, Dr. Tweed worked as a clinician in thePortland area including, for several years, at Maine Medical Center/Spring Harbor Hospital. Dr. Tweed has worked for the Office of Child and Family Services in Maine DHHS since 2006; he has been Medical Director since 2009. Dr. Tweed’s main professional interest is in methods of improving the quality of care of children’s mental health services.

  • Elisabeth Fowlie Mock, MD, MPH, FAAFP Maine Independent Clinical Information Service

    Elisabeth Fowlie Mock, MD, MPH, FAAFP from Holden, received her doctorate from Vanderbilt Medical School and a Master of Public Health in Health Policy and Administration from UNC-Chapel Hill.  She also attended Colby College and Emory University.  She is Board Certified in Family Medicine and works part-time as an evening Hospitalist at EMMC in Bangor.  She is active in leadership of the Maine Academy of Family Physicians.  Dr. Mock began summering in Maine at the age of three months.  Interests include homeschooling, many kids’ activities, travel and music.  She volunteers with Holbrook Recreation, Bangor First UMC and as a Red Cross blood donor. 

4:00 – 5:00

Policy Panel: Children Have a Healthy Start

  • Christopher Pezzullo, DO Maine CDC

    Christopher Pezzullo, DO is a pediatrician who is currently the Medical Director of the Division of Population Health at the Maine CDC and still maintains a small clinical practice at Bayview Pediatrics in Yarmouth.  Prior to this he was the Chair of Pediatrics and associate professor at UNECOM.  He is currently working on a CATCH grant related to immunizations at non-practice settings.  Chris is also the current president of the Maine Osteopathic Association.

  • Kevin Flanagan, MD MaineCare

    Kevin Flanigan, MD joined MaineCare Services in 2011 as its Medical Director. A graduate of the University of Richmond in Virginia, Dr. Flanigan attended the Medical College of Virginia. He completed an internship and residency at the University of Louisville Hospital in Kentucky, with concentrations in Pediatrics and Internal Medicine. He continues to study at the University of Massachusetts at Amherst and actively serves in a leadership role with the Maine Medical Association (MMA). He has spent many years serving MaineCare members as a primary care physician while operating his own practice in Pittsfield. He has also worked in urgent care and hospital settings in Maine and Indiana. The Dr. and his wife currently reside in Pittsfield with their three children.

5:00

Wrap-up and adjourn