May 2013 - Pediatric Hospital and Acute Care Medicine

Please join us for the annual Maine AAP spring conference in Bar Harbor. This year we will focus on issues in pediatric hospital and acute care medicine, featuring a keynote address by Erik Steele, DO, Sr. Vice President, Chief Medical Officer and Home Office Chief Administrative Officer, Eastern Maine Health Systems.


Presentations and Handouts

Speaker Bios

Kelley Bowden is the Perinatal Outreach Nurse Educator for the state of Maine. After graduating from the University of Southern Maine with her Bachelor’s degree in nursing, she joined the Maine Medical Center NICU staff. Kelley then went on to earn a certificate from Georgetown University as a Neonatal Nurse Practitioner. After working in the NICU for 18 years, she left to become a chart abstractor for the Maine Birth Defects Program and assumed the outreach position in 2004. Kelley completed her master’s degree in nursing at USM in 2005. In her current role, she serves as a resource and consultant for birthing hospitals, community based health care organizations, and health care providers on topics related to perinatal care. Kelley presents locally and nationally and has publications in Pediatrics, Advances in Neonatal Nursing, and on the National Guideline Clearinghouse website. She is past Board Chair of the March of Dimes Maine Chapter and sits on several statewide committees, including the Maternal, Fetal, and Infant Mortality Review Panel. Kelley is the secretary/treasurer for AWHONN Maine, the Association for Women’s Health, Obstetric, and Neonatal Nurses in Maine. She also facilitates meetings of the Perinatal Nurse Managers of Maine, a group that meets four times per year to discuss and collaborate on a variety of perinatal issues. Kelley’s projects in the past two years include education of perinatal nurses and physicians on the importance of educating families on the Period of PURPLE crying and Safe Sleep for Newborns, collaboration and education on issues related to perinatal addiction and quality improvement initiatives that prevent premature birth.

Norman M. Dinerman, MD, FACEP is the Medical Director of the Transfer Center of Eastern Maine, the Tele-health program and the Regional Health Care Partnership Provider Relations program at Eastern Maine Medical Center. As well, he is the Physician Advisor to the Emergency Medical Treatment Active Labor Act (EMTALA) compliance program. He also serves as the Medical Director, LifeFlight of Maine. In these positions, he provides medical oversight of the system for transfer and transport of patients to Eastern Maine Medical Center and telemedicine activities, as well as the statewideLifeFlight of Maine air and ground critical care transport teams and the MedComm Communications Center. He is an active participant in national, local and statewide activities which bear upon “peri-hospital” care of patients. He continues to practice clinically as an emergency medicine physician in the Department of Emergency Medicine at Eastern Maine Medical Center. Dr. Dinerman served as the Chief of the Emergency Medicine Service at Eastern Maine Medical Center for eighteen years, completing his tenure in this position on Oct. 31, 2006. From June 1992 to June 1996 he served as the State EMS Medical Director for Maine. From March 1979 until October 1988 he served as the Associate Director, Department of Emergency Medicine, Denver General Hospital, Denver, Colorado, as well as the Director and Physician Advisor for the Paramedic Division for the Denver Department of Health and Hospitals and Physician Advisor to the Denver Fire Department. During the same period he served as the Agency Disaster Coordinator for the Denver Department of Health and Hospitals. He is a former member of the National Association of EMS Physicians where he served as the Chairman of the Legal Affairs Committee. He has served as a member of the EMS Technical Assistance Team for the National Highway Transportation Safety Administration on multiple occasions. He lectured as a charter faculty member of the National EMS Medical Directors’ Course and Practicum for more than twelve years. Dr. Dinerman is a native of New York City and received his undergraduate education at Columbia University and his medical degree from Yale University. He completed his internship and residency in Internal Medicine at the University of Colorado Health Sciences Center, Denver, Colorado. He is Board Certified in Internal Medicine and Emergency Medicine. He received his flight training in Denver, Colorado. He is the author of a number of articles on pre-hospital care and disaster medicine and has lectured extensively on these subjects. He has a deep and abiding interest in the academic, operational, and particularly, the political aspects of EMS systems in America. His personal motto remains “passion, creativity and irreverence in the service of evolution.”

Steve Feder, DO, FAAP, FACOP is a General Pediatrician in Lincoln County where he has served since completing his residency at Boston City Hospital in 1998. He currently serves as President of the Maine Chapter of The American Academy of Pediatrics, Medical Staff President of Lincoln County Health Care and as an Associate Professor of Clinical Pediatrics for Tufts University School of Medicine.

Dr. Amanda Goddard received her M.D. from the University of Massachusetts in 2005. Prior to starting medical school she worked as a bacteriologist for the Massachusetts Department of Public Health. She completed pediatric residency from 2005-2008 at the University of Connecticut. She completed her pediatric infectious disease fellowship at the University of Washington/Seattle Children’s Hospital. Her research focused on culture-independent evaluation of bacterial diversity of the lower airway in cystic fibrosis. In 2011, she joined the faculty in the Department of Pediatrics at Tufts Medical Center.

Dr. Dan Hale is a pediatric hospitalist at the Floating Hospital for Children at Tufts Medical Center and The Barbara Bush Children’s Hospital at Maine Medical Center. He is the medical director at a new community hospitalist program for the Floating Hospital at Lawrence General Hospital in Lawrence, MA. His administrative interest is community outreach. His current clinical projects include clinical practice guideline implementation and safe sleep nursing and parent educational programs. Dr. Hale is a member of the Maine Chapter of the AAP Executive Committee and is currently serving as Treasurer. He resides in Kittery, Maine.

Dr. Jennifer Hayman is a Pediatric Hospitalist at the Barbara Bush Children’s Hospital where, in addition to active inpatient clinical service and resident physician and medical student education, she has an active advocacy interest in preventing Unsafe Sleep Related Infant Deaths in Maine. She participates in a statewide multidisciplinary Safe Sleep Task Force as well as the Maternal and Infant Mortality and Resiliency Review Committees. She was awarded the Maine Children’s Trust “Professional Advocate of the Year” award in 2011 for her work in child advocacy and SUID prevention. She also founded the Cribs for Kids, Maine Chapter to increase access to safe sleep environments to all Maine families. She has provided educational and training sessions state-wide on the subject of teaching infant safe sleep practices to newborn and infant care providers.

Jennifer Jewell, MD works as a hospitalist at the Barbara Bush Children’s Hospital and is a member of the Maine AAP Executive Committee.

Thomas Martin, MD graduated from Cornell University with an AB in biology in 1973 and received his MD from the University of Michigan School of Medicine in 1977. Dr. Martin did his pediatrics residency and pediatric cardiology fellowship at Washington University in St. Louis. His clinical research was in electrophysiology. He joined the Pediatric faculty at Washington University in St. Louis in 1983 and worked at St. Louis Children’s Hospital. He was Board Certified in Pediatrics in 1982 and in Pediatric Cardiology in 1983. He was director of the Cardiac Catheterization Laboratory and the Arrhythmia Service at St. Louis Children’s Hospital. In 1991, he and his wife Judi packed up their daughters, then aged 3 years and 1 year, and moved to Antigua and Barbuda in the Caribbean. In Antigua, he served as Pediatric Consultant for the government at Holberton Hospital and had a private practice in pediatrics and cardiology. Beginning in 1998, he served as Staff Physician and Coordinator of Education and Research at Eric Clapton’s Crossroads Centre Antigua. He was named a Fellow of the American Society of Addiction Medicine in 2006 and became a diplomate of the American Board of Addiction Medicine in 2009. He returned the United States with Judi in 2007. He is currently a pediatric cardiologist and hospitalist at Eastern Maine Medical Center in Bangor, Maine. He and Dr. Sean Hagenbuchrecently took over the Pediatric Cardiology practice of Dr. Angela Gilladoga, which was rechristened the EMMC Pediatric Cardiology Service. His wife, Judi, who served as Clinical Director at Crossroads Center, is the Director of Multicultural Activities at the University of Maine. She is working on her dissertation for her PhD in Social Work at Smith College in Massachusetts. His daughter Nicole has her doctorate in Physical Therapy, and is a lieutenant in the US Navy, currently at the Naval Hospital in Camp Lejeune, NC. His daughter, Lauren, is a first year medical student at Washington University in St. Louis.

Eddie Silco, DO is currently a 2nd year pediatrics resident at the Barbara Bush Children’s Hospital at Maine Medical Center. After growing up in Rochester, New York, he completed his undergraduate degree at the Pennsylvania State University in 2007. He earned his DO at the University of New England College of Osteopathic Medicine in 2011. He has an interest in hospitalist medicine as well as primary care medicine. Outside of medicine he enjoys hiking, reading, cooking and sports.

Erik Steele, DO, FAAFP is the Senior Vice President and Chief Medical Officer of Eastern Maine Healthcare Systems, a role he has served in since 2005. He served as interim CEO for 21 months of Blue Hill Memorial Hospital. Eastern MaineHealthcare Systems is a 33 company health system in rural Maine. His principle project in the CMO role is the system’s signature Zero Defects Project, which has set as a system wide goal the elimination of preventable errors by 2012, and sets zero as the default target for performance improvement projects. Prior to serving as the CMO, he was the vice president for patient care services at Eastern Maine Medical Center, a 420 bed tertiary referral center in central Maine. He remains a practicing family physician and has worked for 20 years in rural Maine emergency departments one night a week as the ED physician on duty, and is a healthcare columnist for the daily newspaper that covers the northern two thirds of Maine. He is the co-chair of the Maine Governor’s Council on Physical Fitness. Dr. Steele has served as keynote speaker for many local and national forums, on issues ranging from patient empowerment to controlling healthcare costs to performance improvement. He attended Bowdoin College in Brunswick, Maine, receiving a BA in History and Government. He attended New England College of Osteopathic Medicine in Biddeford, Maine. He is Board Certified in Family Practice with the American Board of Family Physicians.

Marjorie Withers, LCPC is the director and co-founder of the Community Caring Collaborative, a network of tribal, state and community agencies and members creating a holistic and strength based system of care for infants, young children and their families. The CCC is the recipient of LAUNCH funding and has developed best practice programming with existing partnering agency staff for early intervention services in rural and tribal health centers, wraparound teams and supports for high risk infants and their families (Bridging), Mental Health Consultation, and increased access to Home Visiting throughout rural Washington County and on both Passamaquoddy Reservations in North Eastern Coastal Maine. The CCC is a model for Maine that is being integrated into other communities in order to increase healthy outcomes for high risk infants and to lower substance abuse and its effect on Maine’s youngest population. It is dedicated to offering strength based, culturally competent, poverty and trauma informed services and supports that change outcomes for children and families. A mental health professional for over 32 years, Marjorie’s passion is working with families of infants and young children through strength based, culturally competent systems of care to increase wellness and reduce risk factors specifically in rural areas and tribal communities. She has worked with infants developing programing at Duke University Medical Center, has created mental health and substance abuse programs in host agencies across 4 northeast states and within tribal communities, and has worked as a therapist, consultant and program designer for the past 26 years in Maine and nationally on developing systems of care.

Dr. Brian Youth is the Medical Director of the Newborn Nursery at Maine Medical Center, a position he has held since 2000. In this role, he has overseen the development of clinical guidelines and order sets to standardize the care of a number of newborn conditions including: Group B Strep and Sepsis Management, Neonatal Hypoglycemia, Neonatal Abstinence Surveillance and Monitoring, Newborn exposed to HIV, Hyperbilirubinemia in the Newborn, and Late Pre-term Newborn Clinical Management. He also serves as the Pediatric Residency Program Director, attends on the NewbornHospitalist Teaching Service, and is a practicing General Pediatrician.