2018 - December Edition
Alice Kuo, MD, PhD, MBA, FAAP   President, AAP-CA2    2018 - 2020 
As we are well underway into the holiday season, I want to reflect on all of the things we have to be grateful for. Children are our future, and it is a calling and a blessing to be able to support the health and development of children so that they can thrive. I am thankful for each and every one of you who works tirelessly in your offices and hospitals and clinics and neighborhoods on behalf of children in your community. You rock!
In our chapter, we are also working on a number of fronts to support you in your care of children. We are in the process of putting together a symposium on developmental services with First 5 LA, bringing together representatives from each of the Regional Centers, Los Angeles County of Education, Los Angeles Unified School District, Los Angeles Department of Public Health and other stakeholders to begin delineating a system of care for young children with developmental needs. Once we have done this, we would like to replicate this symposium in each of the other counties in our district, probably moving towards Riverside/San Bernardino next.
We are also working with the Los Angeles Department of Public Health on the issue of vaping and e-cigarettes and banning or restricting the sale of these products in Los Angeles County. The Los Angeles City Office of Disaster Planning has reached out to us for our help updating the city's 40+ disaster plans to make sure they include considerations for children, particular those with accessible and functional needs. Finally, in response to so many requests from our members, the Los Angeles Department of Public Health will be releasing guidelines on " Medical Exemptions and True Contraindications to Routinely Recommended Childhood and Adolescent Immunizations" next month, which was written and reviewed by members of our chapter. We have been busy!
Our first "Life After Residency" event in a while will be next month (details below). Pediatric trainees are the lifeblood of our chapter, and supporting them as they look for jobs after residency is our way of saying thanks to their enthusiasm, energy, advocacy efforts and overall awesomeness. If your practice, clinic or hospital is looking for a locum tenens, part-time or full-time pediatrician, please send a representative to the event to meet with and collect resumes from trainees from residency programs throughout the chapter.
Our Annual Symposium is also set (details below) and promises to be an outstanding day of learning and networking. As usual, we will have our annual chapter-wide business meeting during the lunch hour where we update our members on what we have been working on in the chapter and solicit input for activities that we should pursue in the upcoming year. Hope to see you there!
Please check out the rest of our newsletter for information on our Town Hall meetings and other CME opportunities, ways to get Maintenance of Certification (MOC) points, and statewide advocacy priorities that the AAP is working on behalf of children.
Stay safe and healthy during this holiday season, and thanks for all that you do on behalf of children in our communities!
Alice Kuo, MD, PhD, MBA, FAAP
Chapter President
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Election Results -  National and District
National AAP President Elect + District IX Chair/Vice Chair
We would like to congratulate Sara "S ally " H. Goza, MD, FAAP, of Fayetteville, Georgia, as the newly elected AAP president-elect.  
Also, congratulations to our newly elected District IX officers:
  • Yasuko Fukuda, MD, FAAP - District Chairperson. 
  • Paula Whiteman, MD, FACEP, FAAP, District Vice Chairperson.
All newly elected officers will begin their terms on January 1, 2019. 

In The Community  
November 7, 2018 Town Hall in San Luis Obispo
Strengthening Our Developmental Screening & Referral Practices
First 5 San Luis Obispo County ( First 5 SLO) hosted a Town Hall (dinner, resource fair and lecture) on November 7 at French Hospital Medical Center, focused on early identification, support, and referrals for children with developmental concerns. This event came to fruition as a partnership between F5SLO, AAP-CA2, the County of San Luis Obispo Health Agency Public Health Department, and Dignity Health/French Hospital Medical Center.   F5SLO would like to recognize the generous support of two additional event sponsors - CenCal Health and the San Luis Obispo Medical Education and Research Foundation.  
(From left) AAP-CA2 Immediate Past President Edward Curry, MD, FAAP; First 5 SLO Executive Director Wendy Wendt; Child Abuse and Maltreatment Pediatrician for San Luis Obispo County Nisha AbdulCader, MD, FAAP; and Sun Moon Lee, MD, FAAP,  Medical Director of the Pediatric Diagnostic Center Ventura.  
Dr. Edward Curry presented AAP Bright Futures: A Standard for Developmental Screening.  
"You can utilize Bright Futures as is, but it is important to know that you can adapt it. You may use different questions than those contained in the pre-visit questionnaire. You may remove some questions, and you may also add questions that are State mandated if not included.
Bright Futures gives you the basics for a well-child visit. It's up to you to modify it as you go through it."
Dr. Sun Moon Lee gave tips on how to provide developmental screening in a busy clinic.
"The biggest barriers that one has for implementing developmental screening in the office are time, costs, and manpower. If we are not using standardized screening tools, we are missing developmental delays.  SQ3 takes 10-15 min for the parent to complete. Peds takes 2-10 minutes. We use CHADIS for the online version. Parents can complete it at home or while in the waiting room. It only takes me about a minute to score and gives me a better idea if the parents have a major concern that needs to be addressed."
Dr. Nisha AbdulCader spoke on Development and Complex Trauma.  
"There are 16,000 children ages birth to 5 years old in San Luis Obispo County, 41% of which are enrolled in CenCal. In 2017-18 there were 1,200 referrals. There are 116 children under the age of 6 who are currently in foster care. As part of SART (Suspected Abuse Response Team), for the 2017-18 fiscal year we did 50 exams on drug endangered children, 20 physical abuse exams, and 11 sexual assault exams. Children are completely reliant on their parents. We must remember that a good relationship between the child and the parent helps the child with the physiologic responses to stress. Nurturing helps the child develop functional coping skills." 
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The Pump Station has been expecting and new parent's trusted source of education and Support for 30+ years. Ready, Set, Food! early and sustained allergen introduction system is now available at their
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November 15, 2018 in Los Angeles
Addressing the Health Needs of Immigrant Children
The AAP-CA2 Immigrant Health Initiative group and the Los Angeles County Office of Immigrant Affairs partnered to host a half-day Town Hall at East Los Angeles College (ELAC) on November 15. Attendees included twenty four physicians and representatives from six law firms/institutions (Bet Tzedek Legal Services, CARECEN, Immigrant Defenders, KIND, Legal Aid Foundation, and Southwestern Law School). Also in attendance were representatives from the LA Mayor's office, Los Angeles County (LAC) Department of Health Services, LAC Office of Education, LAC Department of Health Services, and Los Angeles Unified School District.
(Top right) AAP-CA2 President Alice Kuo, MD, PhD, MBA, FAAP with Office of Immigrant Affairs Executive Director Rigo Reyes who moderated the event.   
(Top left) On the panel (From left) were Deputy County Counsel Laura Quinonez, Immigrant Health Committee Chair Sural Shah, MD, FAAP; Attorney Camila Alvarez of CARECEN; Roya Ijadi-Maghsoodi, MD, President of the Southern California Society of Child and Adolescent Psychiatry; Lindsay Toczylowski, Esq. Executive Director of the Immigrant Defenders Law Center; and AAP-CA2 President Alice Kuo, MD, PhD, MBA, FAAP.
In the words of Rigo Reyes, "The vision for this lawyers and doctors working group is to provide input on the design of a formalized intake system to monitor asylum cases, designate physicians and lawyers to expedite their process, as well as analyze data and generate statistics. The Los Angeles County Board of Supervisors has given this project a top county priority. The goal is to establish protocol to make sure that immigrant children seeking asylum (primarily those who have been separated from their parents) and who are in need of medical and legal assistance receive services efficiently. This robust data sharing system will be managed by the Office of Immigrant Affairs to streamline services while protecting the client's confidentiality."
Dr. Alice Kuo presented AAP policies that can be used as guidelines from the child health perspective, especially as some of the current federal administration policies are not healthy for children: The 2012 policy statement on the impact of early childhood adversity and toxic stress on the developing brain; Detention of Immigrant Children; and The Child Witness in the Courtroom. Furthermore, Dr. Kuo provided an overview of the Public Charge Advocacy Toolkit.  
Attorney Lindsay Toczylowski provided an overview of the struggles that children faced when they do not have legal representation or access to a doctor while going through the court system. Children are often representing themselves in a language they do not speak. Unaccompanied alien children apprehended by the Department of Homeland Security (DHS) immigration officials are transferred to the care and custody of ORR (Office of Refugee Resettlement). There are four such centers in LA County. In 2017, the average stay in an ORR was 41 days, fluctuating between 2 days and 6 months. Less than 2% of detained children have a sponsor who becomes responsible for them financially. Children in detention who turn 18 in an ORR are immediately transferred to a detention center (Adelanto is the closest to LA). 
The event provided an opportunity for discussion, collaboration, and networking on the topic of immigrant children separated from their families, their needs and ways to help them. 
December 6, 2018 in Victorville -  Dinner/Lecture - Town Hall
Pediatricians in the High Desert met on December 6 at Thai Dawn Bistro in Victorville for a Town Hall hosted by AAP-CA2 Vice President Damodara Rajasekhar, MD, FAAP (Pictured on left). Guest speaker District IX Chair Stuart A. Cohen, MD, MPH, FAAP (Pictured on right) presented New Advances in Eczema.   
  • Probiotics (Lactobacillus 6 x 109) are recommended for the prevention of Atopic Dermatitis, administered during the last 4 weeks of pregnancy and the first 6 months of breastfeeding.
  • Food avoidance in pregnancy has no benefit.
  • Infant with first-degree relative with atopy should breastfeed exclusively from birth to age 4 months.
  • Age of solid food introduction does not alter course, and food elimination diets are not recommended.
Dr. Cohen is the current District IX Chairperson. His term ends on December 31st of this year, after which Yasuko Fukuda, MD, FAAP will take office. 
CME was provided for this lecture. The event was sponsored by the National Eczema Association CUBE-C (Coalition United for Better Eczema Care). 

At Clear Passage students learn online! Anywhere. Anytime.
Clear Passage Educational Center (CPEC) is an accredited, tuition-free independent study charter high school that serves students ages 14-19 years old. We offer high school diploma completion, credit recovery, college guidance and career preparation and one on one support to students who may need a more flexible learning environment, including students who may be recovering from illness. Courses are taken  online and can be completed at home or at school.

Upcoming AAP-CA2 Events
January 31, 2019 in Santa Barbara -  Town Hall / Dinner 
Brian Santacrose, MD, FAAP
Santa Barbara Area Rep. 
Please join AAP-CA2 Santa Barbara Area Representative Brian Santacrose, MD, FAAP for a lecture/Town Hall on January 31, 2019.
Date:January 31, 2019 
Time: 6:30 PM 
Location: Wine Cask Restaurant - 813 Anacapa St, Santa Barbara, CA 93101 
Kabrita USA delivers nourishment and comfort to children and their parents through our  naturally easy to digest Goat Milk-based  formula. Kabrita USA is a division of Ausnutria, a company with over 100 years of dairy expertise. Our goat milk formula is made with high quality, pasteurized, non-GMO Dutch goat milk, and fortified with 22 vitamins and minerals including folic acid, iron and vitamin B12. Our mission is to help healthcare professionals support families so that they can make informed choices and nourish their child with confidence. We strive to add value to our community through education, transparency and supportive communication. 
This event is sponsored by Kabrita USA
February 6, 2019 in Woodland Hills -  Town Hall / Dinner 
Ken Saul, MD FAAF Member-At-Large
Join AAP-CA2 Member-At-Large Ken Saul, MD, FAAP for a Town Hall at Maggiano's, in Woodland Hills on February 6, 2019. Please save the date! 
TOPIC: Food Allergy 
SPEAKER: Anup Patel, MD - Division of Pediatric Gastroenterology, CHOC  
Date: 2/6/2019
Time: 6:30 PM
Location: Maggiano Woodland Hills
6100 Topanga Canyon Blvd, Woodland Hills, CA 91367 
RSVP directly to Dr. Ken Saul: docksaul@aol.com 
Sponsored by Mead Johnson 
Save The Date -  2019
Attention Residents & Employers! 
AAP-CA2 Announces: 
"Life After Residency"  
January 29, 2019  
Hospitals, Clinics, Practices 
  • If you are finishing your pediatric residency soon...  
  •  If you are in need of a new pediatrician...
  • If you are looking for potential employers...
  •  If you are looking for Full-Time, Part-Time, or Locum Tenens...
  • If you want to have a fantastic time while learning about your options...  
  •  If you want to meet the graduating class from seven pediatric programs... 
... Then This Event is for You!
6 - 7 PM Social & Network with Potential Employers - Hors d'oeuvres - Bar
7 - 8 PM Panel Presentations: (Career Paths, Your first year of practice, and more)
8 - 9 PM Q&A
RESIDENTS: Click here to REGISTER for this amazing event!   EMPLOYERS: Please Click to Register and contact Tom├ís Torices @ (818) 422-9877 
View/Print the Resident Flyer   
View/Print the Employer Flyer  
Residents from all pediatric residency programs in Chapter 2 are encouraged to attend.

Sponsored by Abbott Nutrition
Date: January 29, 2019 from 6 to 9 PM
Location: Sheraton Universal Hotel - Poolside Terrace
March 2, 2019
6.5 CME / 6 MOC Part 2
Saturday, March 2, 2019 at the Sheraton Universal Hotel
Registration opens January 2, 2019  
Christine Thang, MD 
Call for Abstracts for AAP-CA2 Advances in Pediatrics Symposium
March 2, 2019 at the Universal Sheraton in Los Angeles, CA

Abstract Submission Deadline: January 4, 2019 at 11:59PM PST

General Information:
  • The AAP California Chapter 2 will accept abstracts on scholarly projects by pediatric and medicine-pediatric residents from CHLA, Harbor-UCLA, Kaiser LA, Loma Linda, UCLA, and USC.
  • New this year, students from medical schools in the Southern California counties of Kern, Los Angeles, Riverside, San Bernardino, San Luis Obispo, Santa Barbara and Ventura are also invited to submit their abstracts!
  • Abstracts can be on original research, quality improvement, clinical cases, or any other scholarly project conducted during residency training.
  • Abstracts will be accepted for poster or oral presentation.
Other Events  -  Community Partners 2019
January 12, 2019 in Los Angeles

CHLA Sports Medicine Conference
The Children's Orthopaedic Center at Children's Hospital Los Angeles is proud to present the 2019 Sports Medicine Conference.

Scheduled presenters for the event are Dr. Tracy Zaslow, Dr. Ryan Kelln, Dr. Rachel Goldstein, Dr. Bianca Edison, and Dr. Curtis VandenBerg. 
With our versatile list of topics we aim to provide a well round day of education and fun.  Special workshop presented by Positive Coaching Alliance (PCA).

April 26, 2019 in Pomona
San Gabriel/Pomona Regional Center

Immigrant Health Initiative   -  IHI  
Advocating for Immigrant Children: Join the AAP-CA2 Immigrant Health Initiative!
Join the AAP-CA2 chapter Immigrant Health Initiative (IHI)! The IHI will be a dynamic local network for advocacy, education and mentorship for chapter members caring for our diverse immigrant children. We will also partner with the national AAP Immigrant Health Special Interest Group to engage in national advocacy campaigns and share resources for promoting immigrant health.
Click here to join the IHI!
AAP-CA  Statewide Advocacy
LA-HPAC: Sac Capitol office
Have you visited the AAP-CA website lately?
Advocacy efforts on behalf of the four California Chapters is conducted from the office of AAP-CA CEO, Kris Calvin.

Advocacy Priorities
Universal ACCESS to quality, comprehensive pediatric care in a medical home, including access to vaccines and behavioral and mental health treatment for every child in California, including vulnerable populations such as children with special health care needs, foster children, children of immigrant families, LGBTQ youth and the list goes on.

Please visit AAP-CA.org/Advocacy to learn more about the current Advocacy Priorities and the list of High Priority Bills.
CDC Updates & LAHAN Alerts
Join the CDC Listserv
The Centers for Disease Control and Prevention (CDC) is happy to offer a free email subscription service, which allows CDC.gov users to receive alerts by e-mail when new information is available. With a subscription profile, you get the updated information on the items of interest to you automatically without having to return to the Web site and check for changes. Click to Subscribe 

Join the LAHAN Listserv  
To receive communications from the Health Alert Network, Sign-up here.
It takes less than two minutes to sign up.  
Visit the LAHAN website.

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Please Donate
AAP-CA2 is a 501(c)(3) non-profit organization. Please consider a tax-deductible charitable donation to one of our many programs
  • The Medicine-Biological Sciences Scholarship Program, which awards scholarships to exceptional high school students each year.
  • The Committee on Service, Education, and Mentoring, which awards scholarships to pediatric residents for outstanding research projects. 
  • The S. Michael Marcy Memorial Lecture, which helps sponsor a portion of our annual Advances in Pediatrics Conference in his honor.

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