Teresa Seto, MD, FAAP
Cincinnati Children's Hospital in Cincinnati, Ohio
Dr. Seto received her undergraduate and medical degrees from The Ohio State University. She completed her pediatric residency at Nationwide Children's Hospital in Columbus, Ohio. As a neonatal fellow, Teresa has focused on medical education and is pursuing a Masters of Medical Education concurrent with fellowship. Her interests include medical student and residency education, neonatal resuscitation training and maintenance of certification. She serves as the TECaN District V representative as well as on the TECaN Social Media & Communications subcommittee and her hospital's GME committee.
"If it was meant to be easy and just done once, they would have called it 'Search'..."
Clara Song, MD, FAAP
There is much to learn from any clinical investigative initiative. Whether successful or uncompleted, each process is a learning one. These recent JAMA articles focus on ethical and logistical aspects about the clinical trials by analyzing the research process, from design to reporting.
Pediatric Academic Societies Meeting
May 3-6, 2014
The Pediatric Academic Societies meeting is almost here and promises to be an outstanding meeting for Neonatal-Perinatal Medicine investigators and trainees. In addition to all the invited science and abstract sessions, don’t forget to include on your PAS itinerary some of these special events: The PAS Opening Ceremony on Saturday evening at 5:00 PM, the APS Presidential Plenary on Sunday at 10:15, the AAP Presidential Plenary and Silverman Lecture on Sunday at 12:30 and the SPR Presidential Plenary on Monday at 10:15. These plenaries are a great way to learn more about the giants in the fields of pediatrics and pediatric research and learn about future trends in pediatrics from the leadership of our societies.
For first time attendees, the meeting can be a bit overwhelming. Please note that you can plan your itinerary and search by track.
The American Board of Pediatrics (ABP) is pleased to announce the final recommendations from the
Initiative on Subspecialty Clinical Training and Certification (SCTC).
This initiative was made possible due to the dedication and hard work of many individuals and
organizations. The ABP would like to thank those who invested so much time and energy in this
important undertaking and to acknowledge its essential partnership with the Council of Pediatric
TECaN and the Vermont Oxford Network (VON)
Lead the Way to Quality Improvement Education
As the Vermont Oxford Network plans for the future, they are interested in strengthening their relationships with trainees in Neonatal-Perinatal Medicine, as well as early career neonatologists. Together, TECaN and VON will partner to offer quality improvement opportunities and educational resources designed to enhance a NPM trainee’s knowledge and build a professional network with colleagues from around the world. This year, the Vermont Oxford Network invites Trainees in Neonatal-Perinatal Medicine to attend their Annual Meeting and Quality Congress (AMQC) in October. The Vermont Oxford Network has crafted a visionary program featuring world-class faculty with special fellow-focused events including opportunities to submit abstracts and participate in the Learning Fair poster presentations.
Trainees and Early Career Neonatologists (TECaN) was in full force in Scottsdale, AZ in April at the Workshop on Perinatal Practice Strategies. TECaN Council members and 10 scholarship-funded TECaN members from across the country were sponsored to enjoy the action-packed weekend.
This kicked off with the annual TECaN Countil meeting, led by TECaN Chair Krithika Lingappan. TECaN joined the main workshop which was highlighted by the Keynote Speaker, Dr. Wally Carlo, MD, who delivered the L. Joseph Butterfield Lecture. Presentations included:
Workshop sessions and seminars designed for TECaN included an Early Career Track:
Managing Budgets and NICU Finance Basics
Medico-legal Issues: Basics
Strategies for Getting Your Research Funded
Leading the Way to the Future: A Short Course in Producing Everyday Miracles
Other festivities included an evening reception where TECaN had the opportunity to mingle with neonatologists from across the country, some members of "WECaN", Well-Established Career Neonatologists.
We can’t wait to see you all at the 2013 AAP NCE in Orlando, Florida!
Hope you can join us!
Helping Babies Breathe
Dr. Gina M. Trachimowicz, TECaN Secretary, recently interviewed Dr. Kamath-Rayne, who was a reviewer for the Helping Babies Breathe (HBB) global neonatal resuscitation curriculum, and is currently a Master Trainer. She is collaborating on several studies of HBB around the world.
34th Annual Trainees Seminar on Neonatal-Perinatal Medicine
I was honored to be one of over 50 fellows to attend the this Seminar in Santa Fe, New Mexico hosted by the Section on Perinatal Pediatrics and Abbott Nutrition Institute.
The conference provided a unique opportunity for us to learn more about neonatal-perinatal medicine in a more cohesive way. We enjoyed didactic sessions led by esteemed faculty, and workshops to discuss career paths and the transition from trainee to junior faculty. More importantly, we were afforded the opportunity to meet and network with each other and faculty members. Overall, we all appreciated this opportunity to learn more about each other, our programs, research interests and clinical approaches and look forward to our paths crossing again in the future. (Ashwini Lakshmanan, MD)
TECaN at AAP's National Conference & Exposition (NCE) 2010
TECaN officially attended the AAP's NCE as a group for the first time this year, which was held in San Francisco, California. The weekend started off with a meeting of the TECaN Executive Council, which is led by TECaN's Chair, Christopher Young from the University of Florida. Dmitry Dukhovny, the ONTPD Representative and TECaN District I Representative, presented the structure, goals and current activities of TECaN that first day at the ONTPD Annual Meeting. For more details and photos. »
Check out the PAS meeting website for meeting information and program information, including Neonatology Post-Fellowship: Career Planning - Preparing Yourself. This session, based on Exploring and Evaluating Practices of Neonatal-Perinatal Medicine, developed by the Section's Committee on Practice and John Hartline, will address the steps to career planning. Also stop by other section activities:
NICU Follow-up Club on Saturday, April 30th at 12:30pm
William Silverman Lecture, Sunday, May 1st at 3:15pm
Meet the Professor Breakfast, Sunday, May 1st at 7am, with John Hartline
Planning for a Career in NPM: Beyond Fellowship, Monday, May 2nd at 3:30 with John Hartline and DeWayne Pursley
Neonatal-Perinatal Trainee Presentations at PAS
Let us know if you have a poster or oral presentation at PAS through FaceBook or LinkedIn. Thanks!
The History of Neonatology
An excerpt from Exploring & Evaluating Practices in Neonatal-Perinatal Medicine
Prior to 1880, a period perhaps best called “neo-not-ology,” newborn survival was of the fittest and perinatal concerns were focused on problems of maternal mortality. Unwanted, sick, or small infants in some places were brought to foundling nurseries, where mortality was high and infanticide known to occur.
This review’s purpose is to emphasize the evolutionary nature of neonatal medicine in the ways it has (or has not) been provided, its principle caregivers, its scope of interest, and loci for caregiving. This context, in addition to the advances in medical capabilities, provides a background as we prepare for unknown future medical advances and for changes in health care organization.
TECaN officially attended the AAP NCE as a group for the first time this year, which was held in San Francisco, California. The weekend started off with a meeting of the TECaN Executive Council, which is led by TECaN's Chair, Christopher Young from the University of florida. Dmitry Dukhovny, the ONTPD Representative and TECaN District I Representative, presented the structure, goals and current activities of TECaN that first day at the ONTPD Annual Meeting. For more details and photos. »
Exploring & Evaluating Practices in Neonatal-Perinatal Medicine
New from the Committee on Practice
Making the transition from residency and fellowship training into practice is difficult and challenging, whether the move is to the familiar realm of academia or to a world of private practice, professional corporate, or hospital-employed neonatology. The Perinatal Section's Committee on Practice has developed these materials to assist fellows in their career planning, and interviewing with, and evaluation of, practices.
Pediatricians considering the role of neonatology in their community setting may also find these discussions enlightening as they negotiate a mutually-supportive relationship. Neonatal divisions and practice groups evaluating the scope of their practices and the duties assumed by practice associates will likewise find these materials helpful, especially if expanding their scope of practice responsibilities, enlarging their patient base, or adding/replacing an associate.
University of Louisville neonatologist, David Adamkin, has dedicated his career to sick babies, particularly to low and very low birthweight babies, their nutritional needs, and strategies to help them grow and thrive. Kentucky ranks among the highest in the US for low birthweight babies, with about 9 percent of babies weighing less than 5 lbs 8 oz. The smaller a baby is, the greater his risk of neurodevelopmental problems.
An expert in infant nutrition, Adamkin has found, through clinical experience and research, that aggressive feeding makes a difference for these babies, especially in the first 2 to 3 weeks after birth. He has outlined his feeding guidelines and strategies in the new book "Nutritional Strategies for the Very Low Birthweight Infant."
On request from the ONTPD, the Section's Committee on Practice has developed several ongoing resources directed at career development and recruiting. Understanding a Practice Venue (JPerinatol 2001;22:supl 1 - April 2002) gives understanding to the professional responsibilities within the range of neonatal practices, from academic to private. Seminars on career development are included at the NCE, the District VIII perinatal meeting, and other venues as requested. And soon to be available...new materials and articles, including a personal inventory of career interests and a detailed workbook for use in evaluating potential practices. Check back here for updates on Exploring & Evaluating Practices in Neonatal-Perinatal Medicine.
National Association of Neonatal Nurses Issues Statement
on Human Milk and Breastfeeding
Mother's milk and breastfeeding are important aspects of optimal care of newborns, especially those who are born preterm or with other serious conditions. The unique nutritional and immunological benefits of human milk make it an integral component of care of infants in the newborn intensive care unit. NANN has issued a statement strongly supporting human milk and breastfeeding.
32nd Annual Trainees Seminar on Neonatal-Perinatal Medicine
The American Academy of Pediatrics Section on Perinatal Pediatrics, with the support of a medical education grant from Abbott Nutrition, held its 32nd Annual Seminar at the Bishop's Lodge in Santa Fe, New Mexico from May 30 - June 2, 2009.
AAP Section on Breastfeeding Develops a Curriculum for Trainees and Program Directors
A free online resource, developed by the American Academy of Pediatrics, helps residents develop confidence and skills in breastfeeding care and includes: presentations on breastfeeding management, clinical cases and evaluation and tracking tools.
State of the Art in Conventional Mechanical Ventilation
Despite a shift to noninvasive respiratory support, mechanical ventilation remains an essential tool in the care of critically ill neonates. This review examines the special challenges of ventilating the extremvely low birth weight infants that now constitute an increasing proportion of ventilated infants, attempts to provide a simple functional classification of ventilator modes, and addresses the key aspects of synchronized ventilation modes.
Medical Progress: The Sudden Infant Death Syndrome
This superb review by Hannah C. Kinney, MD and Bradley T. Thach, MD in the New England Journal of Medicine highlights the major advances in our understanding of SIDS. Of great concern to neonatologists, it gives us a lesson in understanding key concepts in the control of breathing in infancy. We also recommend visiting the CDC's MMWR site for an update on PRAMS and smoking before, during and after pregnancy as we have a long way to go to improve pregnancy outcomes, including the risk for SIDS, in this regard.
Understanding Intestinal Vulnerability to Perforation in the
Extremely Low Birth Weight Infant
Our feature article this month is a recent review by Phillip Gordon published in Pediatric Research (Pediatr Res 65:138-144, February 2009) that provides a thorough overview of the perinatal risk factors and pathobiology of spontaneous intestinal perforation in ELBW infants. An excellent introduction to this vexing clinical entity, this review article raises many areas ripe for future clinical and laboratory-based research.
In preterm neonates with a patient ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treament strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host, Dr. Jennifer Shu.
The AAP is pleased to announce the creation of a new, comprehensive online resource for pediatricians and families that addresses the topic of immunizations. This new site replaces the Childhood Immunization Support Program Web site and contains information about vaccine-preventable diseases, vaccine safety information, and tools and resources to help pediatricians effectively and efficiently administer immunizations in their offices.
Today's trainees are the future of Neonatal-Perinatal medicine and Section members are thoroughly committed to fostering the education and career development of trainees and young neonatologists. In an effort to evaluate how the Section can better meet the needs of trainees and young neonatologists and to begin to tailor Section educational venues to meet the needs of individuals in early career, the Section sponsored a fellows' preconference on October 10, 2008, just prior to the keynote address and poster session.
Surgeon General's Conference Outlines Agenda
to Prevent Preterm Birth
Experts convened by the National Institutes of Health for the Office of the Surgeon General met in June and released an agenda for activities in the public and private sectors to reduce the nation's rate of preterm birth. The agenda calls for a national system to better understand the occurence of preterm birth and a national education program to help women reduce their chances of giving birth prematurely. The agenda also calls for improved methods for estimating the age of the fetus, and studies to identify biomarkers which would signal the beginning of preterm labor.
NICHD Workshops Address Two Important Neonatal Issues:
Hypoglycemia & Hospital-Acquired Infection
NICHD Neonatal Hypoglycemia Workshop
Recognizing the common occurrence of neonatal hypoglycemia and the potential for insufficient glucose supply to injure the developing brain, as well as a need to support research to fill the missing gaps in knowledge about neonatal hypoglycemia and its clinical implications, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) convened a workshop, held September 8-9, 2008. A diverse group of experts participated.
Hospital-acquired or nosocomial infection occurs at high rates in the Newborn Intensive Care Unit (NICU) and often leads to significant morbidity and mortality. Up to 50% of extremely low birth weight infants develop infection in the NICU. This conference, held August 7-8, 2008, reviewed the existing information with respect to antenatal, perinatal and neonatal management including short term and long term morbidity and mortality for infants with hospital acquired infections. Approximately 20 invited investigators, including international experts, assisted in exploring this important agenda.
The Section on Perinatal Pediatrics strategic plan emphasizes the Section's commitment to advocacy and value to members. The plan identifies four new areas of focus for the Section in the next 5 years and proposes some initial steps. The strategic domains include: education, global health, leadership and quality. Click below to learn more about the initiation of this plan and the first steps underway.