Welcome to the December 2014 edition 
of our monthly Newsletter. 


Happy Holidays!


We are still accepting practices for our Chapter Quality Network, Asthma Phase 4 Project, however, we are almost at our cap. This year-long, QI project provides participating physicians with 25 points of ABP MOC type 4 credit, plus CME. If you are interested, read more about it below and email our executive director right away.


If you are interested in becoming involved with the AAP, consider joining a Council or Section Executive Committee! In 2015 there will be more than 100 vacancies to fill. Please keep in mind that you can nominate yourself, if interested. To read more on the AAP Councils and Sections website page, click here


Our feature article this month is on: "Congenital Hypothyroidism -- Pitfalls and Pointers" by Dr. Harvey K. Chiu, Associate Professor of Pediatric Endocrinology, Thyroid Program, David Geffen School of Medicine, UCLA Mattel Children's Hospital. 


We have lined up exceptional speakers for our 26th Annual Southern California Postgraduate Pediatric Conference, "Advances in Pediatrics", which will be held at the Universal Sheraton Hotel, in Universal City, CA on Saturday, April 25, 2015. This year's conference will mainly focus on topics related to pediatric emergencies.


From UCSF will be pediatric dermatologist Jeff Sugarman, M.D., Ph.D., FAAP, FAAD. Dr. Sugarman is an Associate Clinical Professor in Dermatology at UC San Francisco and in private practice as the Medical Director of Redwood Family Dermatology in Sonoma County, CA.  He will be speaking on "Rashes that are potentially serious or life threatening and their mimickers " as well as "Dermatology potpourri: Unknowns and case-based pediatric dermatology". For more information about Dr. Sugarman, please READ MORE.



From the CA Poison Control Center will be medical toxicologist, Cyrus Rangan M.D. FAAP FACMT. He will be speaking on the latest drugs of abuse children and adolescents may be getting into as well as challenging toxicologic cases. Dr. Rangan is the Director of the Bureau of Toxicology & Environmental Assessment at the Los Angeles County Department of Public Health. He is an attending and consulting Medical Toxicologist at Children's Hospital Los Angeles as well as a clinical instructor at the USC/Keck School of Medicine. For more about Dr. Rangan, please READ MORE.



rom Harbor-UCLA Medical Center, Department of Emergency Medicine will be Marianne Gausche-Hill, MD, FACEP, FAAP. She is a Professor of Clinical Medicine and Pediatrics, David Geffen School of Medicine at UCLA and Vice Chair and Chief of the Division of Pediatric Emergency Medicine as well as the Director Pediatric Emergency Medicine and EMS Fellowships. Dr. Gausche-Hill will talk about how to prepare your office for pediatric emergencies and discuss challenging real-life cases that have presented to pediatric practices. For more about Dr. Gausche-Hill, please READ MORE.





Please stay tuned to next month's newsletter to find out who else will be on the agenda!!!


As always, I welcome your comments and suggestions.



Paula Whiteman, MD, FACEP, FAAP

President, AAP-CA2


Congenital Hypothyroidism: Pitfalls and Pointers

Harvey K. Chiu, MD

Associate Professor of Pediatric Endocrinology

Thyroid Program, David Geffen School of Medicine, UCLA Mattel Children's Hospital. 

Nearly universal screening for congenital hypothyroidism has dramatically decreased the incidence of consequent catastrophic mental retardation.  Skin punctures readily provide dried blood spot samples for simple screening tests.  Most newborn screening tests in the United States, Canada, Mexico, Europe, and Japan use TSH to screen for primary hypothyroidism, which occurs in 1:3000-1:4000 births.  Ideally, this screen should occur at 48-72 hours of life, as collections performed at less than 24 hours of life may fail to capture the transient neonatal TSH surge that normally occurs to increase brown adipose tissue thermogenesis in a physiologic response to neonatal cooling (1).  Conversely, screens performed at 24-48 hours of life may result in false positive screens, with a ratio of 2-3 falsely abnormal values for every true positive.  Such limitations in newborn screening have become more prevalent with increasing economic pressures for early neonatal discharge.  

AAP-CA2 Continues to Recruit Practices for Quality Improvement Project


AAP-CA2 is still recruiting practices interested in participating in the AAP Chapter Quality Network Asthma Phase 4 Project.  Nine pactices representing the Counties of San Luis Obispo, Santa Barbara, Ventura, Los Angeles, and San Bernardino are already involved.


Goal: To systematically change physician care practices in accordance with the National Heart, Lung and Blood Institute's National Asthma Education and Prevention Program (NHLBI/NAEPP) asthma guidelines


Using quality improvement methods, practices will make key practice changes with tools, assistance from a QI coach, and data to guide their progress. Data will be collected at the point of care using an encounter form that also provides decision support to clinicians. On demand data reports highlighting practice performance on multiple measures are provided to practices. Data collection on patient encounters over a 10 month period will track increases in percentage of patients receiving Optimal Asthma Care - a bundled measure that includes use of a standardized method to measure asthma control, a stepwise approach to treatment, provision of an asthma action plan, and persistent asthma patients on controller medications.

    • 25 points of Maintenance of Certification Part 4 (MOC) credit Performance in Practice
    • 20 credits of Performance Improvement Continuing Medical Education (PI CME)
For more information, contact the Chapter by replying to this email.
To read the full description of this project, please Click here.



Chris Landon, MD, FAAP, FCCP. CDM

AAP-CA2 Secretary

As a result of statewide advocacy efforts by families and organizations concerned with developmental services, both the California Assembly and Senate Budget Subcommittees voted unanimously to return eligibility for Early Start to pre-2009 levels.

Beginning January 1, 2015, infants and toddlers who are at high risk of having a substantial developmental disability, due to a combination of two or more biomedical risk factors, such as prematurity of < 32 weeks gestation and/or low birth weight, assisted ventilation of >48 hours during the first 28 days of life, prenatal substance exposure, biomedical insult, significant failure to thrive, or central nervous system infection, lesion or abnormality, will qualify for Early Start.

An infant or toddler born to a parent with a developmental disability is also considered eligible under this category.

Additionally, infants and toddlers from birth to 3 years of age exhibiting a developmental delay of 33% in any one domain will qualify for Early Start. In 2009 a change in the law required that children over the age of 2 years needed to exhibit a delay of 50% (or 33% in 2 areas of development) to qualify for Early Start. Now, all children under the age of 3 years with a 33% delay will be considered for eligibility.

Children born with a condition with a known probability of causing a disability or delay such as Down syndrome or cerebral palsy qualify under the Established Risk category. This did not change in 2009.

If your patient fails a standardized developmental screening, or you suspect that an infant or toddler's development is delayed, you may make a referral to your local Early Start Program.

Additionally, if an eligible child needs medical therapies such as physical, speech, or occupational therapies, Regional Centers require families to first access insurance before they consider funding those services. To see flyer, please Click Here.

AAP-CA2 in the Community
November 19th. 2014  AAP-CA2 Member-At-Large, Cori Cross, MD, FAAP, presented the Fit To Play and Learn curriculum to the parents of Ricardo Lizarraga Elementary School students, in Los Angeles, CA. Over ninety percent of the audience spoke only Spanish. AAP-CA2 Executive Director, Tom�s Torices, provided simultaneous interpretation during this dynamic session in which Dr. Cross addressed multiple concerns from the audience. The session was videotaped, and this material will be provided to Los Angeles Unified School District (LAUSD) Nurses as reference for teaching the same at multiple schools throughout the district.


                                                                               Photo: Cori Cross, MD, FAAP and Tom�s Torices, MD, Executive Director, AAP CA-2   



Fit to Play and Learn is an obesity prevention program for elementary and middle school students and their parents. The Fit to Play and Learn program was developed by pediatricians, Cori Cross, MD, FAAP and 

Tracy Zaslow, MD, FAAP, with the goal of teaching kids to eat right and enjoy an active lifestyle.


Quarterly Board of Directors Meeting

The next AAP-CA2 Quarterly Board of Directors meeting will take place next week 

at Huntington Hospital, in Pasadena.

RSVP Required by emailing the Chapter 


 Wednesday, December 10, 2014

6:30 PM Social/Dinner/ Resident Research Awards Ceremony

7:00 - 9:00 PM Meeting



Next Town Hall Meeting


An evening with AAP-CA2 Member-at-Large, Ken Saul, MD, FAAP

Wednesday, February 11, 2015   -   Maggiano's, in Woodland Hills


            "The Synagis� (Palivizumab) Controversy"


Save The Date!
April 25, 2015
AAP-CA Chapter 2 Presents: 
The 26th Annual Southern California 
Postgraduate Pediatric Conference

Advances in Pediatrics

Saturday, April 25, 2015
Sheraton Universal Hotel
Universal City, CA


Submitting Articles for Publication in Our Newsletter


Have you written original clinical work you would like to share?

Do you have any news you that would like to publish in our newsletter?

AAP-CA2 invites you to submit your ideas, accomplishments, news, pictures...

For article submission guidelines, please click here.


Thank you for your support
PO Box 94127 Pasadena, CA 91109
(818) 422-9877
Please visit our website at http://aapca2.org/

   Like us on Facebook