Section on Orthopaedics
Letter from the Chair

R M Schwend MD
Richard M. Schwend, MD
rmschwend@cmh.edu


The AAP Section on Orthopaedics (SOOr) was established in 1976 with the vision of our founding members including Bill
Schmidt MD, Leibe Diamond MD, Paul Griffin MD, Dennis Lyne MD, Paul Miller MD and Arthur Pappas MD. We are now
entering our 37th year as a Section.

The mission of the SOOr is to improve the care of infants, children, and adolescents by providing educational forums for the
discussion of problems and treatments related to orthopaedics in children.

The AAP Orthopaedic Section had a great year in 2012. Here are some of the year's highlights.
Education and Research

NCE 2012

The Section on Orthopaedics academic and scientific program was held in conjunction with the AAP's 2012 National Conference & Exhibition in New
Orleans on Saturday, October 20, and on Sunday, October 21.
  • Thanks to the outstanding work of Abstract Chair Ellen Raney and Program Chair Eric Gordon, 56 abstracts were presented - out of over 100
    abstracts submitted.
  • Eight sessions targeted to pediatricians were presented by Bill Hennrikus, Ted Ganley, John Anderson, Eric Gordon, Levin Latz, Norm Otzuka
    and Kathryn Keeler.
  • Perry Schoenecker received the 18th Distinguished Service Award (DSA), which recognizes an individual in the field of pediatric orthopaedics
    who has contributed to the AAP's mission of excellence in patient care, research and teaching.
  • Peter Newton, Pediatric Orthopaedic Society of North America (POSNA), gave the Section's guest lecture on "Improving the Surgical Outcomes
    of Adolescent Idiopathic Scoliosis Treatment."
  • For the first time the Surgery Advisory Panel hosted a special  panel discussion, "Neurotoxicity: Are We Poisoning Children's Brains," in which
    Brian Shaw represented SOOr. A copy of the transcript is available.
  • Dr Schoenecker's DSA address and SOOr membership information can be viewed on the Orthopaedic Section website:
    http://www2.aap.org/sections/ortho.

I want to especially thank POSNA for its continued generosity in supporting the research awards that are presented each year at the Section paper pre-
sentations. Besides promoting our developing clinician scientists, the commitment by POSNA to fund these awards furthers the close relationship
between the Section and POSNA. To better describe the purpose of these awards, the SOOr leadership decided to rename them "The Young Investiga-
tors-in-Training Awards." The 2012 recipients may be found pdf HERE.

NCE Orlando 2013
The 2013 NCE will take place in Orlando, Florida; the Section Program is scheduled for October 26-27.

  • Eric Gordon is the Program Chair. Ellen Raney is the outgoing Abstract Chairperson and Norman Otsuka is the incoming Abstract Chairperson. .
  • Some of the accepted proposals targeted to pediatricians are back pain, splinting, gait disorders, common fractures.
  • The 2013 Surgical Advisory Panel plenary session is scheduled to be "Imaging Gently" led by Dr Chris Cassidy of the Section of Radiology.
  • Jack Flynn, POSNA president will give presentation on his perspective of where pediatric orthopaedics may be going in the future.
  • Call for abstracts. Submissions for the 2012 Section Program be accepted until April 12, 2013. See http://www.aap.org/abstracts for detailed
    instructions. SOOr is looking for research in categories of non-operative treatment/natural history, basic science and operative treatment. Any
    young investigator is eligible for an award only if their faculty mentor is also present during that presentation. Medical students may only present
    a paper if their faculty mentor is in attendance.

Other Educational Highlights and Future Events

  • Bill Hennrikus has been elected to servce on the Academy's NCE Planning Group. This is a great honor and very helpful for the Section. Dr
    John Sarwark has done an outstanding job in this role and is rotating off of the committee this year.
  • Dr Hennrikus has organized the Pediatric Musculoskeletal Medicine Course 2013. The course is slated to take place at Children's Hospital
    Cincinnati in Cincinnatti, Ohio, July 19-21, 2013. This is a weekend update CME option designed to fill the gaps in knowledge, confidence, and
    performance in musculoskeletal medicine (MSK) topics. The purpose of the course is to have an intense and focused musculoskeletal training
    experience -- separate from other AAP activities -- specifically addressing the needs of primary care providers. This is a collaborative effort with
    SOOr, Section on Rheumatology, and the Council on Sports Medicine and Fitness. Download the brochure for more information.

The MSK Course offers top quality education and the opportunity to talk directly with expert faculty about practical MSK pediatric problems that one en-
counters in the office. The curriculum includes interactive case-based breakout sessions; hands on exam skills; and lectures on hot topics in pediatric
sports medicine, orthopaedics, and rheumatology. Please do not forget to pass the word to your colleagues!!

  • Bill Hennrikus has done an outstanding job as the Chair of Practical Pediatrics, monthly CME opportunities for pediatricians. During the past
    year the following Section members have served as faculty on Practical Pediatrics.
    • Jan 2012, Steamboat, Paul Stricker MD
    • Feb 2012, Cancun, Andrew Gregory MD
    • April 2012, San Francisco, William Phillips MD
    • August 2012, Las Vegas, Paul Esposito MD
    • Nov 2012, Marco Island, FL, Brian Shaw MD
    • Dec 2012, Chicago, Kit Song MD
    • March 2013, New Orleans, Donna Pacicca MD

Additional information on these meetings can be found at www.pedialink.org/cmefinder.

  • K2M has awarded a $10,000 grant to assist the Section in developing a program targeted to residents and fellows interested in working
    in an underserved part of the world.
    The goal of the program is to provide a mentored international experience for a trainee who otherwise
    would never have a chance to work with a pediatric orthopaedic surgeon. Description and applications will be posted on the SOOr website in
    the coming weeks. Stay tuned to the Section website.
  • Peds 21. This is a Friday all day pre-course for pediatricians before the 2014 NCE in San Diego. Collaboration with COSMF and Rheumatology.

Membership
Dr Tom Tryon, Chair of the AAP Committee on Membership, is very committed to increasing surgical specialist membership and representation within
the Academy. POSNA members would benefit by having access to the AAP's advocacy and large pediatrician membership. The Academy would benefit
by having more involved surgical specialty members.


AAP continues to work on the workforce survey. And the leadership plans to send a very brief member survey to determine areas of interest within the
Section.

Membership in the Section on Orthopaedics is open to all POSNA members, and we encourage all graduating pediatric orthopaedic fellows to apply.
Please contact Membership Chairman, Brian Smith, for details: brian.g.smith@yale.edu.


Publications

  • Brian Shaw and I wrote an AAP News "Focus on Specialties" statement to pediatricians about need for recognition and early management of
    SCFE.
  • Cynthia LaBella, William Hennrikus, Timothy Hewett have completed the clinical report "Anterior Cruciate Ligament Injuries: Diagnosis, Treat-
    ment and Prevention." It is in the final review stages.
  • Brian Shaw and Lee Segal have completed their clinical report titled "Screening and Referral for Developmental Dysplasia of the Hip." It is now
    circulated for both internal and external review, including review by POSNA.
  • Robert Cady and Theresa Hennessey are working on a clinical report "Treatment of Idiopathic Congenital Clubfoot." It is being circulated to the
    AAP standing board for approval. Once approved, the clinical report can be formally written and submitted.
  • AAP Grand Rounds 2012- Bill Hennrikus Section Editor
    • A new type of growing rod for the treatment of scoliosis.
    • Casting alone for treating distal radius fractures in children.
    • Fractures in children with Staphylococcus aureus osteomyelitis.
    • Referrals to Pediatric Orthopaeics: Always Indicated?
  • Journal of Pediatric Orthopaedics is currently in discussion with the Section on Orthopaedics to publish the abstracts from the NCE SOOr meet-
    ing each year. This would assist our newest members to have their research presented to a wider audience.
  • Pedialink. Orthopaedic Section Members have contributed to the Pedialink Online Learning Center at http://pedialink.aap.org/visitor/cme/
    course-series/pediatric-musculoskeletal-medicine-course-series?nfstatus=401&pageId=18c39bb1-3268-4c87-9652-396d22e4c473
    .
    This has been a collaborative effort between SOOr, the Section on Pediatric Rheumatology, and the Council on Sports Medicine and Fitness.
    Module leaders are David Spiegel and Yuki Kimura.

Advocacy
The Section on Orthopaedic Executive Committee (EC) met October 19, 2012 at the NCE in New Orleans. Members and charges include:

  • Richard Schwend MD, Chairperson
  • Ellen Raney MD, Abstract Chair
  • Norm Otsuka MD, Treasurer, Strategic Planning
  • Brian Shaw, Advocacy
  • Brian Smith MD, Membership Chair, Historian, Nominating Committee
  • Eric Gordon MD, Program Chair, Industry Relations and Fundraising lead
  • Larry Wells MD, AAP, Publications and Policies
  • John Sarwark AAP NCE Planning Group Committee
  • Niccole Alexander MPP Staff Manager

Hennrikus Bill has moved up the leadership ladder within AAP and is Currently the Chair of the Practical Pediatrics CME, Section Editor for Orthopaed-
ics for AAP Grand Rounds and Member NCE Planning Group. We would also like to welcome the election of Ted Ganley to the Executive Committee.

Mark Del Monte, AAP Director of Federal Affairs gave update on the AAP Department of Federal Affairs. The Pediatric Medical Device Safety and Im-
provement act of 2007 was reauthorized July 9, 2012. Mark discussed the urgent need to have a policy statement from the AAP for off label use of
devices and implants for children. The Section on Cardiology (Kathy Jenkins MD) is in great need of this as well. Mark will be working on an AAP intent
document with POSNA/SRS Pediatric Device Task Force(Vitale, Campbell, Hennrikus) and Section on Cardiology.

Other advocacy developments:

  • SOOr will not develop their own strategic plan, but will continue to work with SAP general plan: Develop primary care referral guidelines, promote
    AAP as the voice for pediatric surgical specialties, medical home, tort reform, obtain key committee assignments within AAP, transition to adult
    care, AAP and sister society joint membership and promoting NCE of value to surgeons.
  • Jan 1, 2013 Medicaid payments increased for pediatricians with >60% E&M codes in "primary care services." AAP estimates that this could in-
    crease revenue for pediatric orthopaedics by 9.4% (27.8% for all pediatrician, 22% for pediatric subspecialties).
  • AAP now defines pediatric surgical specialists as pediatricians.
  • Paul Esposito agreed to remain as the AAP rep to the Bone and Joint Initiative. I have asked Norm Otsuka to work closely with Paul. Both did
    great work to have "Kids and Vitamin D Deficiency" statement for Pediatric Bone and Joint Day, October 19, 2012.
  • The Surgery Advisory Panel (SAP) met October 18, 2013. Mike Klein MD, SAP Chair, ran for the AAP Presidency this past year. This is the first
    time that a surgical specialist has been nominated to run for this most important position.

Thank you for being active participants and engaged in the mission of the AAP Section on Orthopaedics. We look forward to seeing you in Orlando,
October 2013.

 
10/13