Cumberland Pediatric Foundation

Connecting the Pediatric Community since 1994

Mentoring

CPF has a flourishing mentor program between Vanderbilt Residents and CPF Community Physicians. We are hosting a “Mentor Mixer” at the Vanderbilt Children’s Theatre on October 13th from 6-8pm where residents will have the chance to talk individually with community mentors. If you are interested please see more details on our event page or call the CPF office at 615.936.6053.

We would love to add more members to our mentor program and this excerpt from “Educause” does an excellent job of explaining why:

 

CHAPTER 5: THE IMPORTANCE OF MENTORS

The Importance of Mentors
Susan E. Metros

The Ohio State University

Catherine Yang

EDUCAUSE

     Mentoring is a professional activity, a trusted relationship, a meaningful commitment. The origins of mentoring can be traced back to ancient Greece as a technique to impart to young men important social, spiritual, and personal values. Mentoring as we know it today is loosely modeled on the historical craftsman/apprentice relationship, where young people learned a trade by shadowing the master artisan. In the mid-70s, corporate America redefined mentoring as a career development strategy. The concept of mentoring faculty and administrators is relatively new to higher education and rare in information technology circles, where staff professional development often takes the form of technical manuals and certifications. It is precisely this type of support organization, however, that needs a strong foundation of mentoring to build and retain a healthy workforce that can react quickly to change and can develop, adapt, and regenerate itself over time.

Mentoring relationships range from loosely defined, informal collegial associations in which a mentee learns by observation and example to structured, formal agreements between expert and novice co-mentors where each develops professionally through the two-way transfer of experience and perspective. Whether the relationship is deemed formal or informal, the goal of mentoring is to provide career advice as well as both professional and personal enrichment. For this chapter, we define a mentoring relationship as helping and supporting people to “manage their own learning in order to maximize their professional potential, develop their skills, improve their performance, and become the person they want to be.”1

Organizations’ Responsibilities

College campuses, while expert at offering traditional education to a diverse student clientele, are not as skilled in identifying and supporting their own staff’s professional development (PD) needs. Few institutions dedicate the time and resources required to offer formal mentoring programs to their IT staff. Those that do usually target specific groups of employees—usually women or minorities. As one excellent example, Information Services at the University of Kansas sponsors the Women’s Mentoring Program (http://www.informationservices.ku.edu/mentoring), which provides support for middle-level women managers, empowering them to progress in their chosen career paths and grow their professional skills. Professional organizations such as EDUCAUSE facilitate mentoring by offering a variety of PD programs and leadership institutes for IT staff; indeed, many of these programs initiate mentoring relationships.

While most of the popular books on leadership expound on mentoring, you cannot learn to be a mentor or mentee by reading a book or following cookie-cutter leadership advice. One size does not fit all, particularly in higher education IT organizations. Technology is constantly evolving, making mentoring difficult because leadership responsibilities constantly shift to stay abreast of change. The employees of these organizations work hard to serve the needs of their academic community and must often react quickly to emergencies with constrained resources. Mentoring programs would appear to be luxuries in this fast-paced and unpredictable work environment.

For mentoring to effect institutional change in higher education, it must be more than informal or spontaneous. The leadership within an institution must first recognize and identify the need for mentoring, and then plan, develop, support, and promote a program that directly addresses specific workforce gaps—both current and future. Regardless, whether the leadership at an institution recognizes and supports mentoring, a staff member’s career can benefit from a mentoring relationship, even if not officially sanctioned.

Goals of a Mentoring Relationship

An essential first step in a successful mentoring relationship is for both the mentor and mentee to identify, define, and honestly articulate their common and individual goals and motives. Does the mentor want to eventually delegate a portion of his or her job responsibilities to the mentee? Or is the mentor secretly developing a succession plan? Does the mentee envision mastering their “craft” or transitioning away from hands-on work to build management and leadership skills? Is the mentee planning to use the mentoring experience to progress within the organization or to seek employment elsewhere? Are both looking to give back to the organization and make the work environment a better place for all, or is mentoring a stepping-stone to personal and professional growth?

Based on interviews with three senior administrators at the University of South Carolina, co-mentors William Hogue and Ernest Pringle3 developed a “work in progress” set of Mentor Guiding Principles:

  • Strive for mutual benefits. The relationship should be defined from the beginning as mutually beneficial. Each participant has committed to the relationship by choice. Each should openly share his or her goals for the relationship and work collaboratively to help achieve them.
  • Agree on confidentiality. Maintaining an environment of confidentiality is a critical component in building trust between the participants. Without a mutually understood ability to speak freely as the situation warrants, the relationship is unlikely to reach its full potential.
  • Commit to honesty. The participants should be willing to candidly share what they expect to gain from the relationship and their vision for getting there. They should be prepared to offer frank feedback as appropriate, even if the feedback is critical.
  • Listen and learn. Mutual benefit and honesty can only be achieved when both members feel their viewpoints are heard and respected. Mentors, especially, need to remember that the relationship is not primarily about them. Co-mentors should not be intimidated or made to feel their views are not valued.
  • Build a working partnership. Consider structuring a working partnership that includes project consultation or active collaborations rooted in the common ground of shared professional goals. These collaborations can lead to discoveries about each participant’s preferred working style, daily obligations, and professional aspirations.
  • Lead by example. Actions create the most lasting impression.
  • Be flexible. It might help for a mentoring relationship to have defined goals, but the process may be as important—or more so—than the goals.

Types of Mentoring Relationships

There are many types of mentoring relationships, and it is essential to understand the differences and nuances prior to cultivating and entering into a mentoring agreement. What characteristics do you seek—formal or informal, mandatory or optional, short term or long term?

One of the most important distinctions is whether the mentoring relationship is considered formal or informal. Most mentoring relationships sit somewhere on a continuum between these two extremes. Formal mentoring relationships are often mandatory—leadership assigns mentors to new hires or promising candidates for promotion. The meetings are scheduled, tracked, documented, and evaluated based on clearly articulated goals and milestones. Informal mentoring relationships are more spontaneous and based on loosely defined results. In fact, many mentoring relationships, while fulfilling the PD needs of the participants, are not acknowledged as such. Often the mentee enters an informal mentoring relationship because of an intrinsically motivated need to do better. Whereas formal mentoring relationships tend to be more hierarchical, with seniority, status, and even age defining the mentor/protégé relationship, informal mentoring is more likely based on trust or admiration.

Another important attribute to clarify at the outset is whether the relationship is short term or long term. A short-term mentorship usually addresses a specific set of needs, while a long-term mentoring relationship might fulfill broad-based PD requirements over the course of a career.

Despite the benefits of mentoring throughout a career, the skills and type of advice needed inevitably change over time. At the beginning of a career, a more job-specific mentor may be appropriate.4 For example, a suitable mentor might be someone who is highly technically skilled and can provide advice on ways to become more technically proficient. As organizational roles evolve into more supervisory capacities, mentors who can provide more career-related, organizational, political, and managerial skills development can be beneficial. In the later part of a career, retirement and succession planning guidance may become more important. Longtime employees also might benefit from what Jack Welch, former CEO of General Electric, called “reverse mentoring”—partnering with someone from a younger generation to share expertise, update skills, and gain a fresh perspective.

Types of Mentors

Different mentoring relationships generate a whole host of mentor types and styles.

  • The wise leader is someone who through executive title, seniority, or status within the organization has reached the pinnacle of his or her career and is worthy of and willing to impart knowledge and wisdom to others in the organization. Often natural leaders, these politically astute individuals exude a certain air of confidence and innately understand and have thrived within the organization’s culture and practices. While most of their mentoring relationships are formally arranged, wise leaders have been known to take on protégés in informal apprenticeships.
  • The life coach is a professional mentor, often in the organization’s human resources division or an outside consultant. Staff looking to change jobs or careers often hire life coaches outside the work environment to evaluate their performance, prepare for new career opportunities, or simply set and achieve personal goals. These relationships tend to be short term with a targeted and prioritized set of objectives. While life coaching usually happens in a face-to-face environment, more and more life coaches are offering their services virtually—over the telephone or the Internet.
  • The teacher could be an educator, working with current or past students to build their professional talents and skills, or someone who assumes the “honorary” role of teacher—promoting learning and growth by imparting knowledge, debating ideas, or recommending resources. A teaching relationship might be officially sanctioned, such as enrolling for independent study, or as informal as dropping by during office hours for a chat.
  • Peer mentors participate in informal relationships in which colleagues or friends pair up to help each other grow within an organization. They might team up to gain professional development experience, share networking contacts, or simply support each other’s career path choices.
  • The confidante is not so much a mentor as someone to use as a touchstone or sounding board. It is helpful in both healthy and dysfunctional work environments to have a confidante with whom to bat ideas around, air frustrations, request reality checks, and seek advice.
  • The self-help mentor takes the form of books, manuals, articles, checklists, software, Web sites, and so forth that provide proven formulas or step-by-step advice on how to grow professionally. While not a substitute for the real thing, some of these popular resources are useful in helping an employee map a career path and/or lay a foundation for future mentoring relationships.
  • The inner mentor is the internal voice that calls upon intuition to glean and mold life experiences into a personalized leadership philosophy. This nontraditional self-mentoring approach takes into account past experiences, current competencies, and future potential. The first step is to conduct a life experience inventory, identifying experiences that might hold leadership potential. It is the deconstruction—the picking apart—of these experiences to reveal underlying values and beliefs that will translate into a customized set of leadership principles.5 The process of mentoring yourself is difficult—it takes concentration, self-reflection, and the ability to trust your own instincts.

Mentoring Phases

The literature is crowded with examples of mentoring models. Kathy Kramdivided mentoring relationships into four phases—initiation, cultivation, separation, and redefinition. William Gray7 envisioned a five-step mentor/protégé relationship—prescriptive, persuasive, collaborative, confirmative, and successful. Lois Zachary8cycled through four phases—prepare, negotiate, enable, and close. We have distilled these models and others down to four distinct stages—identify, negotiate, facilitate, and graduate.

Identify

In finding a mentor, it is important to establish the goals of the mentorship and the core competencies needed for effectiveness in present and future positions. Identifying an appropriate mentor and objectives is critical to successful career planning. (See Table 1.) For example, a new campus IT manager hired from industry probably will need help acclimating to the culture and politics of higher education. In this case, it would be wise to seek a successful mentor who has a deep understanding of how the institution works and of the historical characteristics for managerial excellence within the organization.

Table 1

Potential mentors can be found in a variety of ways. A few large institutions have formal mentoring programs. Others have formal, IT-specific mentoring programs. An organization’s human resources department can often provide information on both internal and external mentoring opportunities. Outside the organization, professional associations such as EDUCAUSE, the American Society for Training and Development (ASTD), and various other technical and local networking groups can help locate potential mentors. Another method is using mailing lists and online resources to identify people with specific expertise and experience. Finally, think creatively in identifying mentors. Ask friends, family, and colleagues for personal referrals. Advice can be found anywhere, not just in one field or institution.

While most mentoring relationships take place within the same organization, no steadfast rule says a mentor or mentee cannot come from beyond the boundaries of the discipline, division, or even the institution, especially as you advance in your career. This practice is more common in smaller organizations where mentors may not be as plentiful or diverse. IT support often spans numerous units of an organization, so mentoring relationships might pair central support staff with decentralized staff. Universities also employ a broad range of professional staff, so it might be wise for IT professionals to choose a mentor from another area such as the office of business and finance or the college of education, depending on which professional development gaps they hope to address.

While most mentor/mentee relationships involve two individuals, choosing multiple mentors, simultaneously or over a period of time, might prove beneficial. IT is complex and multifaceted, and a network of mentors makes it easier for the mentee to adapt to change and gain a diverse portfolio of knowledge quickly. Also, new research supports building “relationship constellations,” a theory espousing the advantages of a protégé cultivating developmental networks comprised of multiple mentors.9

Another way to build a mentoring relationship is to partner with a colleague in choosing a mentor together. This “doubling up” eases the mentor’s time commitment, and the mentee partner brings a different perspective to the table, broadening the scope of discussion. Use caution when participating in group mentoring programs, however, because the relationship of one mentor to many mentees does not always allow participants to address their individual goals.

Negotiate

Zachary10 labeled the negotiating phase of the mentoring relationship as the “business phase.” The mentoring partners must agree on the goals and outcomes, decide on ground rules, work out the details and logistics, and develop a mentoring plan complete with criteria for success. While formal mentoring programs might require a memorandum of understanding or even a signed contact, the negotiating phase is really about managing expectations, creating a shared understanding, and building a foundation of trust. (See Table 2.)

Table 2

Facilitate

The facilitation phase makes up the bulk of the mentoring relationship: the mentoring plan is implemented, and the relationship with the mentor is developed. (See Table 3.) For a mentor, Patricia Battin reminds us, the facilitation phase “means conscious tailoring of opportunities for individuals that require them to stretch—and then helping them do it.”11 For the mentee, this phase can be difficult, but ultimately rewarding—it means recognizing your strengths and weaknesses and addressing them through appropriate actions and opportunities.

Table 3

Graduate

Once the mentoring relationship has been established and fostered, it is important to understand the parameters for when the association should change or end. (See Table 4.) Ending a mentoring relationship does not mean it has failed. Often, it simply means that the initial goals of the mentorship have been attained, and it is time to “graduate” and move on.

Table 4

When ending a mentoring relationship, remember to thank a mentor for the knowledge and time provided. In the ensuing years, communicate your career progression. A mentoring relationship often evolves into a long-term professional friendship.

Sometimes, after a mentoring relationship begins, it may become apparent that the mentor chosen is not a good match for the mentee’s PD needs. Perhaps the mentor has extenuating circumstances (for example, increased workload or family issues), or the participants simply cannot communicate effectively. In these cases, it is best for the two to have an honest conversation as to what is working and what is not working; if mentor and mentee cannot reconcile the differences, they should mutually agree to terminate the relationship.

Politics of Mentoring

It is important to address the obvious—and not so obvious—workplace politics associated with mentoring. First, the choice of a mentor can be tricky. Will a professional or personal relationship be damaged if the prospective mentor turns down the request? Will a potential mentor perceive the request as an honor or as an obligation? Will the mentor’s own sense of security be threatened by an ambitious mentee who might compete for future positions? Does the mentee understand how others in the organization will perceive his or her choice of mentor? Is the mentor well regarded within the organization and within the broader profession? Is the mentor’s network of colleagues comprised of respected leaders? If the mentor fails professionally, will the mentee also fail by association?

Both mentor and mentee must consider others’ perceptions of equity issues. While mentoring relationships between individuals of different generations, ethnic backgrounds, cultures, color, and special needs are encouraged in higher education, mentoring relationships between genders and between individuals with same-sex orientation are sometimes held to a different standard, with potential criticism exacerbated by the power differential often associated with mentoring. Ultimately, distrust of such mentoring relationships is almost always based on misguided perceptions, bigotry, lack of knowledge, or pettiness. The mentor and mentee must determine the risk and decide what is best for their professional growth. Note, however, that the examples provided throughout this chapter may not be appropriate for members of certain religions or cultures where mentoring relationships might be perceived as an improper activity between individuals of different status, gender, or other characteristics.

Conclusion

This chapter serves as an introduction to the concepts of mentoring, particularly for those in higher education IT organizations. Every career and mentorship is unique, and may have different criteria and characteristics. Recognizing that professional development through mentorship can be highly beneficial to both mentor and mentee, mentoring is a critical element in preparing higher education leaders of the future. As Patricia Battin noted in her acceptance speech for the 1996 CAUSE Award for Exemplary Leadership and Information Technology Excellence,

Mentorship represents an individual commitment to seeking out, identifying, and developing in a variety of ways the leaders of the future—people who have the creativity, the intellect, the conceptual skills, and the personal qualities necessary to provide true transformational leadership in the challenging, ever-changing, and fluid environment of contemporary higher education.12

Endnotes

  1. Eric Parsloe, Coaching, Mentoring, and Assessing (London: Kogan Page, 1992).
  2. Richard N. Katz and Gail Salaway, “Information Technology Leadership in Higher Education: The Condition of the Community Key Findings” (Boulder, Colo.: EDUCAUSE Center for Analysis and Research, January 2004), (http://www.educause.edu/LibraryDetailPage/666?ID=EKF0401).
  3. William F. Hogue and Ernest M. Pringle, “What’s Next After You Say Hello: First Steps in Mentoring,” EDUCAUSE Quarterly, vol. 28, no. 2 (2005), pp. 50–52, (http://www.educause.edu/ LibraryDetailPage/666?ID=EQM0525).
  4. Gene Spencer and Cynthia Golden, “Mentors: Making a Difference for Tomorrow’s Leaders,” EDUCAUSE Quarterly, vol. 26, no. 2 (2003), pp. 51–53, (http://www.educause.edu/ LibraryDetailPage/666?ID=EQM0326).
  5. Susan E. Metros, “A Heart to Heart on Leadership: How to Use Your Life Experiences to Become a Better Leader,” Association of College and Research Libraries College and Research Library News, vol. 66, no. 6 (June 2005), pp. 447–450, (http://www.ala.org/ ala/acrl/acrlpubs/crlnews/backissues2005/June05/hrttohrt.htm).
  6. Kathy E. Kram, “Phases of the Mentor Relationship,” Academy of Management Journal, vol. 26, no. 4 (1985), pp. 608–624.
  7. William A. Gray, Custom Designing Planned Mentoring Programs to Meet Contextual Needs (Vancouver, B.C.: International Centre for Mentoring, 1988).
  8. Lois J. Zachary, The Mentor’s Guide: Facilitating Effective Learning Relationships (San Francisco: Jossey-Bass, 2000).
  9. Monica C. Higgins and Kathy E. Kram, “Reconceptualizing Mentoring at Work: A Developmental Network Perspective,” Academy of Management Review, vol. 26, no. 2 (April 2001), pp. 264–288.
  10. Zachary, op. cit.
  11. Patricia Battin, “Diversity and Leadership: Mentoring Builds Leaders of the Future,” CAUSE/EFFECT, vol. 20, no. 1 (Spring 1997), pp. 15–17, (http://www.educause.edu/library/resources/diversity-and-leadership-mentoring-builds-leaders-future).
  12. Ibid.

About the Authors

Susan E. Metros is deputy CIO and executive director for e-learning at The Ohio State University. She also holds a faculty appointment as professor of design technology. As deputy CIO, she is responsible for leading the academic community in appropriately using technology-enhanced teaching and learning, both on campus and at a distance. In her role as educator and designer, she teaches within the visual communication curriculum and has served as principal designer on several international award-winning interactive multimedia and Web-based projects.

Catherine Yang is director of information technology and strategy at EDUCAUSE, where her responsibilities include oversight of IT and content strategy.  Previously, she was director of client services at Bentley College and held a number of positions at Brown University. Yang holds a bachelor’s in biology from Brown University.

 

Congratulations to Adele Goodloe, MD! Dr. Goodloe was a recipient of The 2015 SOAPM NCE Scholarship

Please join CPF in congratulating Dr. Adele Goodloe as one of the recipients of the 2015 SOAPM NCE Scholarship!
There were three $1,000 scholarships available (1 for Medical Students, 1 for Residents, and 1 for Fellowship Trainees) to attend the 2015 AAP National Conference and Exhibition this October in Washington, DC.
The Scholarship recipients are required to attend the Section on Administration and Practice Management Section H Program (Saturday, October 24, 2015 from 8:00 am – 12:00 pm) and the SOAPM Edward Saltzman Luncheon (Saturday, October 24, 2015 from 12:30 pm – 1:30 pm) where they will be recognized.
In addition, the recipients must attend at least 2-3 practice management-related sessions, conduct a local activity to share their experiences with their colleagues, and submit a report to SOAPM which will be published in a future edition of soapmnews

TMA Insurance Workshops

A lot has changed in the last 12 months.

 

We’re bringing Tennessee’s biggest payers together to tell you about it.

 

The healthcare claims revenue cycle was never simple, and now it’s even more complex with changing code sets, new payment methodologies, episodes of care, and ever-changing federal regulations.

 

Join representatives from Amerigroup, BCBST, Bureau of TennCare, Cahaba GBA, Cigna/Healthspring, Humana, Humana Military, and UnitedHealthcare to get the latest updates, tips and inside information you need to streamline your billing processes and make sure you are paid accurately. Meet one-on-one with insurance representatives to address claims issues specific to your practice.

 

 

Topics include:

  • Updates that impact how you file claims
  • Breaking through the maze of disputes/appeals
  • Handling policy and procedural changes
  • When, where and how to obtain prior authorizations
  • Adjusting to the emerging value-based payment landscape

 

Pricing

$179 TMA/TMGMA Member Employees
$129 Each Additional Attendee from TMA/TMGMA Member Practice
$229 If Not TMA/TMGMA Member

 

CEUs

Participants will be eligible to earn 6 CEUs*.

*This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

 

Workshop Materials

Registered participants will receive an email prior to the workshops containing program materials available for download and/or printing. 
Printed material will NOT be furnished!

 

Wednesday, Oct. 21  |  NASHVILLE
Nashville Airport Marriott 

Contact

Phyllis Franklin
Director, Insurance Relations
615.385.2100
phyllis.franklin@tnmed.org

 

From Medical News Today- Cystic fibrosis: yeast study may address root cause

Yeast is helping to tackle the root cause of cystic fibrosis – a disease that results from faulty ion channels. A new study shows how a small molecule can take the place of a missing protein in yeast cells with faulty ion channels, enabling them to work again.
mother and child with doctor
Most cases of cystic fibrosis are diagnosed by the age of 2.

The study, by researchers from the University of Illinois at Urbana-Champaign, is published in the Journal of the American Chemical Society.

All organisms – from microbes to humans – rely on protein pumps and channels that transport ions across the cell membrane. Faulty ion channels in cells underlie many currently incurable human diseases.

Cystic fibrosis is caused by a genetic mutation that affects some of the proteins that make up ion channels, causing them to malfunction. The result is a thick build up of mucus in the lungs and other organs, making breathing difficult.

While treatments for cystic fibrosis exist, they do not fix the underlying cause. Treatments include inhalants, enzyme supplements and clearing the airways, which can usually only be done with help.

Yeast is a useful organism for researching human health and disease because yeast cells are very similar to human cells. On two occasions, yeast has featured in studies that have won Nobel prizes (one in 2001, the other in 2009) for their work on human cells.

The new study describes how a small molecule can take the place of a missing protein to restore the type of ion channel function that is missing in people with cystic fibrosis and similar diseases. The molecule – amphotericin B – was originally extracted from bacteria and is used to treat fungal infections.

The small molecule caused deficient yeast to grow nearly as well as normal yeast

The team tested the small molecule at low doses in a strain of yeast that cannot grow because it has faulty ion channels.

Fast facts about cystic fibrosis

  • People with cystic fibrosis have inherited two copies of the defective CF gene
  • About 70,000 people worldwide are living with cystic fibrosis
  • Most cases are diagnosed by the age of 2.

Learn more about cystic fibrosis

When they added the molecule, the researchers found the yeast grew nearly as well as a normal strain that they used as a control. They note:

“Here we report vigorous and sustainable restoration of yeast cell growth by replacing missing protein ion transporters with imperfect small molecule mimics.”

The authors say more research is needed to confirm whether the small molecule will work in human diseases like cystic fibrosis. In the meantime, however, they conclude that their study provides a “framework for pursuing such a therapeutic strategy.”

People with cystic fibrosis are at greater risk of lung infection because the thick, sticky mucus that builds up in the lungs allows germs to thrive and multiply.

Earlier this year, Medical News Today reported how researchers are reaching a better understanding of infections in cystic fibrosis. A small study of children with the disease reveals that the microorganisms that infect people with cystic fibrosis can survive on little to no oxygen.

Written by 

Copyright: Medical News Today

TN Medical Practices Rush to Ready for ICD-10

From the TN Medical Association

Some healthcare providers still feel unprepared for the transition to new ICD-10 codes, which takes effect Oct. 1. As the Tennessee Medical Association and a group of co-sponsoring organizations deliver exclusive training workshops around the state, feedback from participants suggests many more practices could benefit from the hands-on training. 



“We are not prepared in our office, especially our providers,” one participant in the training workshop said. 



TMA delivered coding camps to about 400 participants in East Tennessee last month and expects more than 500 to attend remaining events next week. Sessions will be offered on Aug. 11 in Memphis, on Aug. 12 in Jackson and on Aug. 13 in Nashville. 



Sessions are led by certified ICD-10 trainers from the American Academy of Professional Coders, the nation’s largest training and credentialing organization for medical coding, billing, auditing, and compliance. 



Participants in the program have said they left better-prepared to begin using ICD-10. 



“I feel much better with what is needed,” one participant said. “This actually helped me put it all in perspective relative to my actual practice.”  



“This training gave plenty of insight and I feel like I have a greater understanding and more prepared to embark on this new journey,” another participant said. 



Participants also said they would like their colleagues to take part in the workshops. 



“I would love this same training for all my staff and my physicians,” a participant said. “There were three or four docs there and most were very excited to have the help provided.” 



Survey results from those who have been through the program show that more than 85 percent gave a high rating to speaker knowledge and presentation for training sessions and more than 91 percent gave a high rating to quality of materials and content for the workshop.



“The information was excellent and I feel our doctors need to have training on ICD-10 coding and documentation as well,” a participant said. 



The Centers for Medicare & Medicaid Services will require new ICD-10 codes for all healthcare transactions beginning Oct. 1, and providers who aren’t able to transition properly won’t get paid for services. 



For more information, visit tnmed.org/icd-10.

TDH Issues Public Health Advisory on Hepatitis C Epidemic

From the TN Department of Health

Disease that Can Destroy Livers on the Rise

NASHVILLE – The Tennessee Department of Health is issuing a public health advisory urging residents to increase their awareness about Hepatitis C, a life-threatening disease spread by direct contact with blood from an infected person. The rate of acute Hepatitis C cases in Tennessee has more than tripled in the last seven years, and the steadily increasing number of cases may only represent “the tip of the iceberg” of the state’s Hepatitis-C epidemic, according to TDH Commissioner John Dreyzehner, MD, MPH.

“In addition to reported cases of acute Hepatitis C it is estimated that more than 100,000 Tennesseans may be living with chronic Hepatitis C and not know it,” Dreyzehner said. “Many people have Hepatitis C for years, not realizing it, while the viral infection slowly destroys their livers.”

To see the advisory, go to http://tn.gov/health/article/health-advisories.

There is no vaccine to prevent Hepatitis C, so efforts to avoid exposure to infected blood are most important in preventing the spread of the disease. Most of the increase in transmission of Hepatitis C in Tennessee is due to the sharing of contaminated needles and syringes among intravenous drug users who are abusing both legal and illegal pain medicines.

Once infected with Hepatitis C, some people may recover fully, but most, 70 to 85 percent, will develop long-term infection. Early symptoms of Hepatitis C infection can include fatigue, abdominal pain, itching and dark urine. Many people, however, are not aware they have the disease until the virus has already caused liver cancer or liver damage.

“We strongly encourage those who suspect they might be infected to seek testing as soon as possible,” Dreyzehner said. “Testing can be done by a private health care provider and in some county health departments. The Centers for Disease Control and Prevention recommends all individuals born from 1945 to 1965 be tested, as well as individuals of any age who have any specific risk factors, including a history of injection drug use or unsanitary tattooing or piercing. If chronic Hepatitis C infection is present, a doctor can recommend treatment options. The sooner an infection is identified and treatment started, the better a person’s chances are for recovery.”

The treatment for Hepatitis C is currently expensive and a person can later become re-infected. A recent CDC report shows Hepatitis C is the most common blood-borne infection in the United States, with approximately three million people living with the infection. That report, available online at www.cdc.gov/mmwR/pdf/wk/mm6417.pdf, includes information about a 364 percent increase in Hepatitis C in four Appalachian states, including Tennessee, between 2006 and 2012.

“The best way to prevent Hepatitis C infection is to avoid recreational use of pain medicines, to avoid injecting drugs, and to not let those you love become dependent on or inject pain medicines or other illicit drugs such as heroin and methamphetamines,” Dreyzehner said. “We must all work more aggressively to reduce Hepatitis C in our communities; left unchecked, it will destroy families and wreak havoc on communities.”

The mission of the Tennessee Department of Health is to protect, promote and improve the health and prosperity of people in Tennessee. TDH has facilities in all 95 counties and provides direct services for more than one in five Tennesseans annually as well as indirect services for everyone in the state, including emergency response to health threats, licensure of health professionals, regulation of health care facilities and inspection of food service establishments. Learn more about TDH services and programs at www.tn.gov/health. – See more at: http://www.tn.gov/health/news/16493#sthash.0cwVbaFG.dpuf

What is September?

National Childhood Obesity Awareness Month!
 

One in 3 children in the United States is overweight or obese. Childhood obesity puts kids at risk for health problems that were once seen only in adults, like type 2 diabetes, high blood pressure, and heart disease.

The good news? Childhood obesity can be prevented. Communities, health professionals, and families can work together to create opportunities for kids to eat healthier and get more active.

Make a difference for kids: Spread the word about strategies for preventing childhood obesity and encourage communities, organizations, families, and individuals to get involved.

Read more at: http://healthfinder.gov/NHO/Septembertoolkit.aspx
 

Evidence Based Childhood Obesity Program at the YMCA

The YMCA of the USA has just added an evidenced childhood obesity program that involves the child with BMI in the 95%  and the parent.  It also includes the evidenced based activity curriculum CATCH.  Nashville was selected as 1 of 5 YMCAs in the country to pilot the operational elements of the program and will be scaling this statewide after the pilot.  For now we are looking for 60 kids and their families to recruit for the pilot and the locations will be at our North Nashville location and East Nashville location.  The cost is covered by the Y and is very similar to the YMCAs DPP model.  The program is called“Healthy Weight and your Child”.  If you know of families that would qualify for this program, contact Ted Cornelius (tcornelius@ymcamidtn.org).  Classes will begin September 28th
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THE SURGICAL OUTCOMES CENTER FOR KIDS (SOCKS) AT MONROE CARELL JR. CHILDREN’S HOSPITAL AT VANDERBILT

2015 Research Changing the Game of Concussion Treatment

A concussion is a type of traumatic brain injury that can have severe effects on developing brains. Although most cases of concussions heal quickly, a range of 11-29% of pediatric patients continue to report symptoms up to one month after the injury. Recent research has focused much attention on the effectiveness of current treatments, new preventative methods being utilized, and sees a need in analyzing modern legislation regarding concussion clearance in sports.

Is more rest actually best?
For years, the medical community has accepted the idea that more rest for pediatric concussion patients leads to a more promising recovery.
However, recent research suggests patients who have mild brain injuries report slower recovery when prescribed five days of strict rest as opposed to 24-48 hours. One study, using 11-22 year old patients recorded that prescribing more rest to patients was no more effective than the 1-2 day recommendation and influenced the patient’s personal assessment of his or her injuries resulting in adverse effects. The study suggests that with current evidence patients who experience a mild concussion should be prescribed 24-48 hours of rest and, with shown improvement, should gradually return to a normal routine.

Benefits of Strict Rest After Acute Concussion: A Randomized Controlled Trial http://pediatrics.aappublications.org/content/135/2/213

Heads Up: A look at new concussion-prevention techniques
After many studies found a lack of general caretaker concussion knowledge as well as a lack of effective concussion reporting, the Center for Disease control developed “Heads Up.” The website was designed to help increase awareness of concussions as well as propose new preventative techniques in sports to decrease the risk of a concussion by limiting contact during sports practices, banning certain drills, and checking sports equipment regularly. Featuring a section for young athletes, high school athletes, parents, and coaches, “Heads Up” educates audiences on spotting a concussion and outlines each stage of concussion recovery.
Check out the “Heads Up” Site at: http://www.cdc.gov/headsup/index.html

Policy changes for concussion clearance
In 2009, the state of Washington passed the first concussion in sports law called the Zackery Lystedt Law, and currently, all 50 states have some version of concussion in sports legislation. Most laws include education to parents, coaches, and athletes, the athlete’s removal from play, and a requirement to obtain medical permission to return to play. Policy changes for concussion in sports laws for Tennessee passed in 2013 and connect community and school-related youth activities to appropriate guidelines and paperwork regarding concussion education for parents, coaches, school administrators, and athletes. In a study analyzing Rhode Island’s implemented concussion laws, researchers found the law’s educational effectiveness more than doubled emergency room visits without an increase in head imaging suggesting an increased attentiveness toward pediatric concussions.

For an in-depth look at the Tennessee legislation visit: http://www.capitol.tn.gov/Bills/108/Bill/SB0882.pdf

You Can Take On a Medical Student!

Thank you CPF members!
With your help we have successfully placed 3 rotations of Medical Students.

At the End of October comes another new Medical Student Rotation and CPF needs YOU to help!

If you are willing to take on a Medical Student, please email janet.l.cates@vanderbilt.edu with at least one of  the 2 week rotation dates listed below:

10/27-11/6 2015

11/9-11/20 2015

11/23-12/4 2015
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What does it mean to take on a Medical Student?

 

Student Placement Program Description

The learners are 2nd year medical students. They have successfully completed their basic science/classroom courses for medical school and are currently on their pediatrics clerkship (historically done in the 3rd year of medical school). The goal of this experience is to expose them to outpatient/acute pediatric medicine and patient care.

They will spend 2 weeks in your clinic (Monday – Friday)

During their time with you, they should:

o   Attend clinic each day

o   See patients – as directed by the attending

§  Students may see patients on their own, perform parts of the history and physical with the attending, and/or shadow. Students are encouraged to be adaptable in this learning experience, given clinic flow and patient volume.

o   Write notes, order tests, write prescriptions, etc – as directed by the attending

 

Learning Objectives:

o   Learn to perform a focused history and physical exam, and list age-appropriate differential diagnoses and plans for common pediatric acute illnesses

o   Learn about health supervision visits

§  Health promotion

§  Disease and injury prevention

§  Appropriate use of screening tools

§  Immunizations