Inspired by Our Community – Powered by Our University Department of Pediatrics | University of South Florida | 2 Tampa General Circle | Tampa, FL 33606

July 2014 | Volume 15 Number 1

USF DEPARTMENT OF PEDIATRICS

FROM THE CHAIR

July might bring the lazy days of summer for most folks, but at USF Peds, July brings energy and excitement and fresh new faces. We just completed orientation for 20 interns: 15 Pediatrics and 5 Med-Peds. Our new chief residents, Sara Saporta, MD and Marcia Ramsey, MD and the whole education team have been very busy with schedules and trainings, making sure everyone gets to the right place at the right time. For our new trainees it is such an exciting time, and for all of us at USF Peds it provides a reminder about why we do what we do. The start of a new academic year brings promise and renewed commitment to our vocation.

In my introduction to the interns, I encouraged them to concentrate on the years ahead and strive for excellence. We discussed the following: 1. Immersing in the training

experience and in the learning of pediatrics.

2. Integrating with colleagues — sharing, learning together and supporting each other.

DEPARTMENT KUDOS

Drs. Larry Dishaw, Hana Niebur and Catherine Kubiak were awarded $75,000 by the ACH/JHM Foundation Research Awards Program for their proposal titled The Microbiome and Metatranscriptome in Chronic Rhinosinusitis and Humoral Immunodeficiency. Co-investigators include Drs. Panida Sriaroon and Donna Eason. Dr. Panida Sriaroon’s application for Fellowship in the American College of Allergy, Asthma and Immunology was approved at its June meeting. Dr. Sriaroon is also a Fellow with the American Academy of Allergy, Asthma and Immunology. Dr. Adam Lewin was elected to the executive board for the Society for Clinical Child & Adolescent Psychology - Member at Large for Education and Standards - for a 2 year term. The Society is the division of the American Psychological Association focused on youth. Carla Duff, CPNP-PC, MSN, CCRP, now holds the Ig Certified Nurse professional credential. This is the only professional credential that validates knowledge, clinical expertise and practice skills of nurses who treat patients with Ig therapy. Monica Wu, doctoral student with Drs. Eric Storch, Tanya Murphy and Adam Lewin, received a prestigious $1000 Travel Award to cover expenses to attend the International OCD Foundation Conference in Los Angeles. Her poster is titled Assessing Clinically Significant Obsessive-Compulsive Symptoms in Youth with Autism Spectrum Disorders. John Landi, BSW, MBA, Program Coordinator for USF/Bay Area Early Steps, was awarded a Certificate of Appreciation by the Department of Occupational Therapy at NOVA Southeastern University for his involvement in the fieldwork placement of their class of 2015 occupational therapy doctoral students.

NEW & NOTEWORTHY

2

Kudos continued from page 1 Letter continued from page 1 3. Investigating opportunities —

there are so many opportunities within the department and in the broader university and community. We discussed taking advantage of medicine and research as team sports.

4. Intellectual Curiosity — cultivating curiosity in every aspect of work, do not accept “that’s the way we always do it” as an answer.

5. Integrity — above all, I encouraged the group to work with integrity and honesty. We all make mistakes and drop balls along the way: taking ownership of mistakes contributes to a high functioning environment.

I think these are lessons for all of us to keep in mind and that should inspire us to do better. The intern year can be very stressful with many new challenges and difficult learning situations. Resiliency is a key attribute in medicine and work life in general; it is worth cultivating. Part of being resilient includes nurturing curiosity and trying new things. Staying connected with others and learning to respond and not react like a victim are also key ingredients. I hope that we can set examples for our new trainees promoting resilience, integrity and intellectual curiosity in all aspects of our work.

Patricia J. Emmanuel, M.D. Chair, Department of Pediatrics

PUBLICATIONS

Drs. Larry Dishaw and Gary Litman are authors on a manuscript titled Expression of Ciona intestinalis variable region-containing chitin-binding proteins during development of the gastrointestinal tract and their role in host-microbe interactions, Plos One, May 2;9(5):e94984, 2014. Dr. Larry Dishaw is first author on a manuscript titled The gut of geographically disparate Ciona intestinalis harbor a core microbiota. Other authors include Jaime Flores-Torres, Kristina Gemayel, Brittany Leigh, Gail Mueller and Gary Litman. PloS One, Apr 2;9(4):e93386, 2014. Dishaw LJ, Cannon JP, Litman GW, Parker W. Immune-directed support of rich microbial communities in the gut has ancient roots. Developmental & Comparative Immunology, 2014.

Dr. Larry Dishaw’s and Mya Breitbart’s National Science Foundation pre-proposal titled The Role of Phage in Remodeling Gut Microbial Communities was scored very high, and the authors were invited to submit the full proposal to the Directorate for Biological Sciences; Division of Integrative Organismal Systems; Physiological and Structural Systems Cluster; Symbiosis, Defense and Self-Recognition Program.

WELCOME NEW FELLOWS Neonatology: Matthew Compton, MD: Loma Linda Medical School Akshatha Akshatha, MBBS: University of Toledo Medical School Aimen Ben Ayad, MBBS: Tripoli Children’s Hospital and Woodhull Medical Center, NY Endaya Nguyen, MD: USF Pediatrics Allergy/Immunology: Sheila Bina, MD (left): Stony Brook University Hospital Jenni Yoon, MD (right): Medstar Good Samaritan Hospital, Baltimore

Drs. Compton, Nguyen, Ayad, and Akshatha

NEW & NOTEWORTHY

3

PEDIATRIC RESEARCH NEWS New Pediatric Clinical Trials: Dr. Jorge Lujan’s study titled Evaluation of the Pharmacokinetics and Pharmacodynamics of Ganciclovir in Premature Infants Receiving Treatment for Cytomegalovirus Infection, an inpatient NICU study at TGH, is currently enrolling subjects. Its purpose is to determine ganciclovir pharmacokinetic and pharmacodynamic parameters in premature infants who receive IV ganciclovir as part of medical care to treat CMV infection. Infants born at less than 32 weeks gestation who are being treated with IV ganciclovir for CMV infection are eligible. Contact Gail Lewis, RN (glewis@health.usf.edu) for more information.

RESIDENCY NEWS

The resident and fellow graduation celebration was held at the Rusty Pelican on June 15. Below is the list of resident and faculty award winners: NICU- ACH: Isabel Gross, Minal Ahson NICU-TGH: Amy Mason Intern of the Year: Kristine Rietsma Gastroenterology Award: Fateema Turay Cardiology Award: Marsha Ramsay, Alisha Pineiro Emergency Medicine Award: Noah Grams Allen Root Resident of the Year: Noah Grams Med-Peds Resident of the Year: Joanna Coondradt General Pediatrics Resident of the Year: Marsha Ramsay Clinical Challenge: Jenna Simpson, Jackie Nguyen Attending, Generalist: Vinita Kiluk, Diana Young Attending, Specialist: Maya Balakrishnan, Gul Dadlani New Chief Residents: Drs. Sara Saporta and Marsha Ramsay starting July 1, 2014, and Drs. Lauren Friedman and Isabel Gross starting July 1, 2015.

Peds and MedPeds welcomed new residents last month. They have been keeping busy with welcome parties, orientation and other fun events within

the Department!

NEW ADDITIONS Dr. Nicole Armstrong Demoraes delivered Baby Clara on June 30. Congratulations!

NEW EMPLOYEES Jill Miller, RN; 17 Davis Clinic Valeria Velez, Medical Assistant; 17 Davis Clinic

NEW & NOTEWORTHY

4

FACULTY IN THE NEWS Dr. Jennifer Leiding was interviewed regarding patients with severe combined immune deficiency (SCID) on June 1 for the All Children’s Telethon. Dr. Eric Storch is keeping busy with activities related to his Fulbright scholarship. Here he is with El Salvador’s Vice President Oscar Ortiz. Dr. Diane Straub was included in a televised ABC Action News piece regarding a new push to vaccinate children for HPV; the piece aired on June 30.

SAVE THE DATE

August 1 Deadline to submit abstracts for the ACH/JHM Research Symposium August 13 “Positioning Yourself for Proposal Success” Workshop. Contact Jaime Davis (jdavis1@usf.edu) to secure your spot.

August 29-31 FCAAP meeting in Orlando September 4 Grand Rounds Resumes

Residency News continued from page 3

Dr. Miriah Gillispie is featured in an article published in the May issue of The Rheumatologist titled Award recipients meet world-renowned doctor who helped shape their careers. The article, in which she Miriah is quoted several times, is about a preceptorship she was awarded last year by the American College of Rheumatology. Dr. Jody Coonradt was named Resident of the Month at TGH for May – Congratulations! A workshop titled “How to Be a PL2” was held on June 3 at CAMLS .

PRESENTATIONS

Dr. Larry Dishaw gave an invited lecture titled Evidence for Compartmentalized Regulation of Host-Bacterial Interactions in the Gut of Ciona Intestinalis at the 5th North American Comparative Immunology Workshop (NACI) held in Albuquerque, NM. Other authors included Brittany Leigh, John Cannon, Gail Mueller, Charlotte Karrer, and Gary Litman. Dr. Danielle Gomez presented a poster titled Endocrine Progenitor Cells in the Adult Human Pancreas at the American Diabetes Association meeting held in San Francisco in June. Other authors included Marci O’Driscoll and Dr. Michael Shamblott.

NEW & NOTEWORTHY

5

FACULTY & STAFF CAMPAIGN

As of June 30, there were 146 USF Peds participants in the Faculty and Staff campaign, putting us at a 41% participation rate! Contribution rates are 100% for Administration, Adolescent Medicine, Genetics, Hematology/Oncology, Neonatology, Mason Endowed Chair, Med/Peds, Neonatology, Neurology and Pulmonology. Many thanks to all who participated!

EDITORS:

Jane Carver & Caroline Murphy

Email: pedicom@health.usf.edu

Please email submissions for next month’s issue by

August 1st

Presentations continued from page 4

Dr. Danielle Gomez presented a poster titled Results of One Year of Therapy with Recombinant Human Parathyroid Hormone 1-34 (rhPTH1-34) Delivered by Insulin Pump in 3 Women with Activating Mutations of the Calcium Sensing Receptor (CASR) at the Endocrine Society Meeting held in Chicago in June. She was first author on this multi-site study.

Drs. Nguyen and Chau presented a poster titled Neonatal Abstinence Syndrome Management: A Quality Improvement Initiative to Educate Caregivers and Providers in the Outpatient Setting at the AAMC meeting held in Chicago in June. Other authors included Drs. Miladinovic, Lilly, Ashmeade and Balakrishnan. Dr. Francisco Flores gave a presentation titled Molecular Adsorbent Recirculating System at the American Society of Artificial Internal Organs (ASAIO) 60th Annual Conference held in Washington in June.

HAPPENINGS USF Peds was one of 200 sites selected nationwide to participate in bioLytical’s INSTI 1-minute National HIV Testing Day Promotion; the application was written by JaDawn Wright. Training of healthcare providers was held on June 25, and testing was offered on June 27 at the Pinellas Planning Partnership event at Walgreens, at the Youth Education Service’ s (YES) event titled “Minute to Win It”, and the Allen Temple (sponsored by the local chapter of the National Black Leadership

Commission on AIDS). Other sponsors included the Hillsborough County Department of Health, USF Pediatrics' Connect To Protect, the USF COM chapter of Student National Medical Association, the Drug Abuse Comprehensive Coordinating Office (DACCO) and Pastors on Patrol.

Front Row: Jennifer Carrion, MS2; Dawn Howard, MS4. Back row: Pastor Favorite, Andrew Maldonado (DOH),

Dr. Diane Straub

NEW & NOTEWORTHY

FOCUS ON FACULTY

July 1st marks the 20th year for Dr. Terri Ashmeade at USF. She started her pediatric residency at USF in July 1994, completed her neonatology fellowship in 2000, and in 2009 earned her MS in medical sciences, with a concentration in patient-oriented research, through USF’s NIH-funded K30 program. Dr. Ashmeade has been Medical Director of the

TGH NICU since 2003, Chief of Pediatrics at TGH since 2010, and was recently named by Dr. Emmanuel to hold the John and Aliese Price Chair in Pediatrics. Her research interests have focused on the immune benefits of human milk, and its role in development and disease prevention in preterm infants. She and Dr. Maureen Groer from the USF College of Nursing have collaborated on several projects, including a $250,000 federally-funded project that investigated immune and growth factors in banked human donor milk for preterm infants; they have a provisional patent on immune and growth factors in donor human milk. Their work has been published and presented widely at national meetings. Dr. Ashmeade was also a research mentor for neonatal fellow Thao Ho, for her study that investigated the effects of red blood cell transfusions on intestinal inflammation in preterm infants. The study was funded by a $20,000 grant from the Gerber Foundation and was presented at PAS this year.

During her career, Dr. Ashmeade developed a keen interest in quality improvement (QI) for her patients, and has worked diligently to improve clinical outcomes in the NICU. She has completed extensive formal training in QI, including the Jefferson School of Population Health’s Patient Safety Certificate Program in 2010, the Institute for Healthcare Improvement’s Patient Safety Executive Development Program in 2010, the Healthcare Quality Certification Commission’s Certified Professional in Healthcare Quality program in 2012, and she became a TeamStepps Master Trainer in 2014. As a result of her extensive training and experience in QI she was appointed the USF College of Medicine’s Medical Director for Quality Improvement and Patient Safety in 2013. She is conducting ongoing research in QI, with a manuscript in press that describes her team’s “golden hour” approach to improving care in the critical first hour after delivery of preterm infants; this approach to care has improved clinical outcomes for these vulnerable infants. Her other important QI initiative has been to increase the use of breast milk in the NICU, which has significantly decreased the incidence of necrotizing enterocolitis – a deadly bowel disease of preterm infants. Last month, Dr. Emmanuel appointed Dr. Ashmeade as the new Vice Chair for Business and Quality Initiatives for USF Peds. She will help the department adapt to changes in healthcare that require increased quality and efficiency of care by establishing operational priorities and developing and implementing solutions to challenges. She will help USF Peds become more competitive by setting strategic and business priorities and developing and implementing new clinical programs. She will also identify division-specific benchmarks to develop robust departmental QI and patient safety programs that span clinical care, teaching and research.

6

RESIDENT FUN

Skit Night

Resident Retreat Team Building