Kenneth T. Nakamura, M.D., C.M.O. Professor and Department Chair 2017-2018 ANNUAL REPORT ANNUAL 2017-2018 DEPARTMENT OF PEDIATRICS OF DEPARTMENT of Medicine A. Burns School John of Hawai`i University

2017-2018 DEPARTMENT OF PEDIATRICS ANNUAL REPORT cover: Wade Kyono, M.D. examines three year old Chase during a visit at the Pediatric Ambulatory Unit (PAU).

Note: All patient photos have approved consents on file.

Thanks to: Karen Akiyama for putting this report together. On behalf of our faculty, residents and staff, we are pleased to share our 2017-2018 annual report ofthe Department of Pediatrics, University of Hawai‘i, John A. Burns School of Medicine. With the rapidly evolving landscape of practice and payment transformation, concomitant changes in medical education, discovery in research, and education about “how” to practice are essential as we continuously re-think and re-design our practices.

“Every system is perfectly designed to produce the results it gets.” – Paul Batalden, MD

However, some things won’t change. We remain steadfast in our promise to educate pediatricians for the next generation to provide the physician workforce for our state, participate actively in scientific discovery and quality improvement, partner with all entities involved in pediatric services and by doing so, provide the best care for all children in our state.

As the academic arm of our community’s pediatric system of care, we know we must contribute to the science of practice and to narrow the gap between what is known in science and what is practiced. This is one of the ways we develop and maintain the trust of our community.

“Our excuses for why we can’t improve sound lame when patients are in the room.“ – James Reinertsen, MD

Hawai‘i is consistently rated by Gallop as one of the top states in the nation for well-being. In part, the strong sense of connectivity, including family and community found here provides social connectedness that promotes well-being. We embrace our community and learn from our patients and families by listening to their stories.

The core of our department remains our people: faculty, residents, students and staff. We are proud of and celebrate their accomplishments herein.

Our deepest gratitude is extended to the leadership and staff of Kapi‘olani Medical Center for Women & Children, Hawai‘i Pacific Health, and the John A. Burns School of Medicine, University of Hawai‘i and all pediatric partners in the state. Their support makes our mission to serve Hawai‘i’s children possible.

Kenneth T. Nakamura, M.D., CMO Professor & Chair

TABLE OF CONTENTS

Letter from the Chair

Divisions of the Department of Pediatrics Community Pediatrics...... 5 Neonatal-Perinatal Medicine...... 8 Pediatric Emergency Medicine...... 11 Pediatric Hematology/Oncology...... 16 Pediatric Hospitalists...... 19 Pediatric Infectious Diseases...... 25 Pediatric Intensive Care...... 28 Pediatric Specialty...... 31 Educational Programs

Fellowship Training in Neonatal Perinatal Medicine...... 36

Pediatric Residency House Staff...... 37 Pediatric Residency Training Curriculum...... 38 Academic Half Day Schedule...... 41 Resident Honors/Awards...... 47 Resident Graduate Career Choices...... 48 Pediatric Interest Group...... 49 Problem Based Learning Tutoring and Clinical Skills Preceptorship Tutoring...... 51 Pediatric Grand Rounds...... 52 Faculty Development and Lunch and Series...... 54 MOC...... 54 Pediatric Faculty Clinical Faculty...... 55 Publications, including Book Chapters...... 56 Abstract Presentations...... 59 Research and HIPACT Progress Report...... 63 Research and Training Grants and Contracts...... 70

Faculty and Clinical Faculty Honors/Awards...... 73 Community Service Activities...... 77

Community Pediatrics Gina French, MD - Division Chief

Back Row (left to right): Brittany Raffa, MD; Yolanda Wu, MD; Brenda Nishikawa, MD; Maureen Chang, MD; Joan Meister, MD Front Row (left to right): Jonathan Sladky, MD; Gina French, MD; Jeffrey Bocchiccho, MD; Diane Ching, MD photo by: Karen Akiyama Division Members: Teresa M. Bane-Terakubo, MD Assistant Professor, Community Pediatrics Jeffrey Bocchiccho, MD Kapi‘olani Medical Specialist/Community Pediatrics Maureen O. J. Chang, MD Assistant Professor, Community Pediatrics Pia Francisco-Natanauan, MD Assistant Professor, Adolescent Medicine Gina M. French, MD Associate Professor, Associate Residency Program Director, and Division Chief, Community Pediatrics/Developmental/Behavioral Pediatrics Balram Gangaram, MBBS Assistant Professor, Community Pediatrics Louise K. Iwaishi, MD Assistant Professor, Community Pediatrics/CSHCN Joan Meister, MD Assistant Professor, Community Pediatrics Kayalvizhi Natarajan, MD Assistant Professor, Community Pediatrics Brenda M. Nishikawa, MD Assistant Professor, Community Pediatrics JeffreyK. Okamoto, MD Assistant Professor, Developmental/Behavioral Pediatrics Amanda O’Kelly, MD Assistant Professor, Community Pediatrics and Psychiatry May M. Okihiro, MD Assistant Professor, Community Pediatrics/Hawaii Initiative for Childhood Obesity Research and Education Jonathan Sladky, MD Kapi‘olani Medical Specialist/Community Pediatrics Alicia Turlington, MD Assistant Clinical Professor, Community Pediatrics Mari Uehara, MD Assistant Professor, Community Pediatrics/Developmental/Behavioral Pediatrics Jeffrey Wong, MD Assistant Clinical Professor, Community Pediatrics/Palliative Care Yolanda Wu, MD Assistant Professor, Community Pediatrics Sarah Zimmerman, MD Assistant Clinical Professor, Community Pediatrics

Division Overview The Community Pediatrics Division is a team of general that support a common philosophy that pediatrics must pediatricians, ambulatory pediatric subspecialists, aim to treat children as human beings and consider the researchers, and family advocates who are engaged in a full context of their lives—their families, communities, variety of academic and direct service activities cultures, and personal stories. This philosophy is promoted 5 by engaging in clinical care in a variety of hospital and Hawaii Institute for Childhood Obesity Research and community settings; by training others about the practical Education (HICORE) application of community pediatrics; by advocating for HICORE was developed in 2008, through generous funding policies and practices that will weave these values into from the Hawai‘i Medical Service Association (HMSA) the health care system; and by conducting research to Foundation, to provide leadership for a collaborative, develop new ideas and to improve practices. The need multi-disciplinary effort in research and education on for community pediatrics is especially pronounced when childhood and adolescent obesity in Hawai‘i. The goals looking at underserved and vulnerable children. Therefore, of HICORE are: 1) to serve as a repository of childhood the Division places special emphasis on programs and and adolescent obesity research projects conducted in initiatives that will improve care for these populations. Hawai‘i; 2) to provide guidance to granting agencies and foundations regarding research priorities in the area of Clinical Activities childhood and adolescent obesity for the state of Hawai‘i; The Division’s clinical activities include the general and 3) to serve as a center for the education of community subspecialty care of children and families in the Kapi‘olani members, medical students, residents, physicians, and Medical Center for Women & Children (KMCWC) others in the area of childhood and adolescent obesity newborn nursery, Kapi‘olani Medical Specialists in Hawai‘i; and 4) to conduct research on childhood and Clinics, Pediatric Outpatient Clinic and Kapi‘olani Child adolescent obesity relevant to people of Hawai‘i. HICORE Protection Center, and at the Queen Emma Clinics, is collaborating with the Department of Health Healthy Kokua Kalihi Valley Comprehensive Family Services, Hawai‘i Initiative to provide a CME seminar on early Family Court’s Detention Center, and the Hawai‘i Youth childhood prevention to pediatric providers at community Correctional Facility. Division members care for about health centers.. Although the current grant for HICORE 70% of newborns delivered at KMCWC (roughly 2,500- has run out, Dr. May Okihiro directs activities associated 3,000 infants/year). Each year, about 12,000 children visit with the program. For more information, please go to: the Pediatric Outpatient Clinic for acute and Well Child http://www.hawaii5210.com Care. 2017-2018 Division Highlights Division members also provide ambulatory pediatric Division Chief, Gina M. French, MD is also Associate services at the Queen Emma Clinic and Kokua Kalihi Program Director of the Pediatric Residency and the Valley Health Center. In addition, the Division provides Medical Director of the Pediatric Outpatient Clinic at subspecialty services in developmental and behavioral KMCWC and has a Pediatric Behavioral Clinic in the pediatrics, adolescent medicine, child physical and Pediatric Clinic that focuses on children with challenging sexual abuse, and pediatric consultative care for children behavioral conditions. She is the chair of the Newborn hospitalized at Shriners Hospital and general pediatric Standards of Excellence Committee, serves on the expertise for Kapi‘olani’s multidisciplinary clinics EPIC Pediatric Committee and is chair of the Physician including obesity treatment and craniofacial clinic. Assistance Committee. She has been Co-chair of the Academic Pediatric Association’s Region 9. She is Medical Education, Advocacy & Research currently on the Board of Hawai‘i Health Partners. Dr. The Community Pediatrics Division is responsible French believes religiously in the benefits provided to for medical student, resident, nurse practitioner, and children by general pediatrics and continuity of medical premedical education for the University of Hawai‘i care. She has received the medical student outpatient Pediatric Residency Program’s (UHPRP) Continuity of teaching award. She worked with residents this year to Care Primary Care Program, for interdisciplinary training improve the rate of fluoride varnish for patients in our thru its Health Resources and Services Administration clinic and worked with the public library to increase the (HRSA)-funded Maternal Child Health Leadership number of children in the clinic with library cards. Education in Neurodevelopmental Disabilities (MCH LEND) Program. The MCH LEND Program, funded Teresa Bane-Terakubo, MD is the medical director since 1994, is an interdisciplinary graduate training at the Queen’s Medical Center Pediatric Clinic and is program for health professionals. Community Pediatric responsible for the continuity curriculum there. She also Division faculty, in addition to the Kapi‘olani Medical works at the pediatric clinic at Kapi‘olani Medical Center Center Rehabilitation Department and University of for Women & Children. Hawai‘i Schools of Nursing and Dental Hygiene, Social Work, Psychology and Center for Disability Study, Maureen Chang, MD coordinates the Reach Out and provide instruction through the year-long course. The Read program for the Pediatric Outpatient Clinic. This MCH LEND Program has expanded its reach to training program is an evidence based literacy improvement in Guam. Annual funding is approximately $450,000. program that provides free books and anticipatory 6 guidance on reading to children to the families in our 2018 in recognition of his outstanding teaching of medical clinic. students.

Pia Francisco-Natanauan, MD provides clinical care May M. Okihiro, MD is continuing to study the to incarcerated youth at the Detention Center and the development of metabolic syndrome in Native Hawaiian Hawai‘i Youth Correctional Facility. In addition she and Samoan youth (funded by the NIH/NCMHD and provides consultative services to adolescents in the JABSOM Department of Native Hawaiian Health’s Center specialty center at Kapi‘olani Medical Center for Women for Native and Pacific Health Disparities. She published & Children. She has particular interest in eating disorders with her colleagues at Waianae Coast Comprehensive and contraceptive care. Health Center in the Hawai‘i Medical Journal this year.

Balram Gangaram, MBBS provides excellent care in Calvin C. J. Sia, MD continues his efforts at the local the nursery and the clinic while remaining a dedicated and national level to promote the Medical Home. Dr. teacher as demonstrated by his receipt of the medical Sia, as Chairperson of the AAP National Center for student teaching award. He has recently been accepted Implementation of The Medical Home Professional into the Genetics Fellowship at University of California, Advisory Committee has played an active role in San Francisco (UCSF) and will be leaving the division to advancing child health reform. start a career in Genetics. Jonathan Sladky, MD is the team doctor for Radford Joan Meister, MD provides leadership in the Craniofacial High School athletics program and the University of Clinic and is renowned for her teaching in the nursery. Hawai‘i Women’s basketball team as well as providing She has received the medical student teaching award enthusiastic clinical care in the Kapi‘olani pediatric clinic and resident teaching award in addition to the general and nursery and Shriner’s hospital. consensus that “Joan is great”. Alicia Turlington, MD provides pediatric care and Kayalvizhi Natarajan, MD teaches in the continuity training at Kalihi Kokua Valley Community Health clinic at Queen’s Medical Center and provides services Center. The Center has a unique program providing to sexually and physical abused children through the legal services for families obtaining care at the pediatric Kapi‘olani Center for the Protection of Children and clinic. Dr. Turlington’s particular interest is in providing Sexual Abuse Treatment Center. integrated community based care for families living with the multiple burdens of poverty and inequity. She has Brenda M. Nishikawa, MD in addition to her excellent provided innovative group well care at KKV. care to a panel of medically fragile children at the clinic, coordinates the ambulatory pediatrics rotation. The Jeffrey Wong, MD is the medical director of Palliative rotation provides pediatric residents with a rich immersion Care at Kapi‘olani Medical Center for Women & experience in provision of care in the outpatient setting at Children. He spearheaded the hospital’s achievement of Kapi‘olani Pediatric Outpatient in addition to exposing accreditation in palliative care and has developed resident them to a wide array of services community services for training in palliative care. He has particular interest in children. There are several highly esteemed pediatricians symptom management. in the community who decided to become pediatricians after meeting and working with Dr. Nishikawa. She has Yolanda Wu, MD has been serving in an administrative received the medical student outpatient teaching award. role, managing the schedule and morale in addition to her clinical work in the clinic and at Shriner’s. She has Jeffrey K. Okamoto, MD is now full time in clinical been providing community service as room mother to developmental and behavioral pediatrics at KMCWC. two classrooms in two schools is the assistant cubmaster He is on the Council Management Committee for the in charge of activities and recently completed the Wood national American Academy of Pediatrics (AAP) and Badge. is the incoming Vice-President for the Hawai‘i chapter of the AAP. The Special Parent Information Network Sarah Zimmerman, MD has been coordinating the honored him with the Professional of the Year award on reading curriculum for the continuity clinic rotation and April 21, 2018 in appreciation of his outstanding service has been a stellar role model to residents and students in to families of children with disabilities. He was presented the clinic and the nursery. Her husband was transferred with the Faculty Excellence of Preceptor Teaching Award by the military and she will sadly be leaving us at the end by the JABSOM Department of Pediatrics on July 16, of the year.

7 Neonatal-Perinatal Medicine Charles R. Neal, Jr., MD, PhD - Division Chief and Medical Director

Division Members: Neonatologists: Akshatha, MD Kapi‘olani Medical Specialists/Neonatologist Kenneth M. Ash, MD Associate Professor of Pediatrics Venkataraman Balaraman, MBBS Associate Professor of Pediatrics and Vice Chair Megan Doty, MD Kapi‘olani Medical Specialists/Neonatologist Kandie George, MD Kapi‘olani Medical Specialists/Neonatologist Chris Gibu, MD Kapi‘olani Medical Specialists/Neonatologist Carol Hirai, MD Assistant Professor of Pediatrics Lynn M. Iwamoto, MD Associate Professor of Pediatrics Richard Jack, MD Kapi‘olani Medical Specialists/Neonatologist Surabhi Jain, MD Assistant Professor of Pediatrics Sheree Kuo, MD Assistant Professor of Pediatrics Charles R. Neal, MD, PhD Professor of Pediatrics, Division Chief and Medical Director Srujana Rallabani, MD Kapi‘olani Medical Specialist/Neonatologist Alexandra Ramnath, MD Kapi‘olani Medical Specialists/Neonatologist Kara Wong Ramsey, MD Assistant Clinical Professor of Pediatrics Sneha L. Sood, MD Assistant Professor of Pediatrics Cherilyn Yee, MD Assistant Clinical Professor of Pediatrics

Neonatal Hospitalists: Stephanie Abe, MD Sadie Kim, MD Kent Kumashiro, MD Jerome Lee, MD Annabelle Mateo, MD Camnhung Nguyen, MD Alyson Tamamoto, MD Jasmine Waipa, MD

Neonatal Nurse Practitioners: Kimberly Clifton, NNP Lori Fairfax, RN, NNP Cheryl Griffith, RN, NNP Dana Ing, NNP Jaymie Pinho, RN, NNP Dawn Schaffrick, NNP Randy Taniguchi, RN, NNP

Our 74 bed, single-room neonatal intensive care unit Network (VON) database. VON is the largest NICU (NICU) ran at or above capacity all year last year.‘ There database in the United States, and Kapi‘olani is compared were 1160 admissions to the NICU the past year (up from to similar level IIIC units with the same risk profiles. In 966 one year ago). The average daily census in the NICU spite of consistently high census and acuity in its clinical was 79 (up from 76 one year ago). Of these admissions, services, the NICU has consistently ranked above the 148 were very low birth weight (down from 180 last year). top quartile on all of its major VON measures, including The neonatology division maintains a very close working very low birth weight (VLBW) overall morbidity, NEC, relation with the Maternal Fetal Medicine group. Weekly nosocomial infection, overall mortality and human milk conferences are held with the neonatologists, maternal intake at discharge. fetal medicine specialists and obstetric residents. The NICU measures its outcomes using the Vermont Oxford

8 In addition to 24-hour in-house service in the NICU hosted visiting professor Dunbar Ivy, in September 2017. and Labor & Delivery at Kapi‘olani Medical Center for Dr. Ivy participated and contributed to PH case reviews, Women & Children, the division also provides 24-hour shared his research at the Neonatal Perinatal Forum, taught coverage for Level I and II neonatal services in Labor and EKG interpretation during Pediatric Residents’ Academic Delivery and the Newborn Nursery at Queen’s Medical Half Day, performed and taught bedside echocardiography Center. We also provide telephone advice to Pediatricians interpretation for Neonatal-Perinatal Fellows’ conference on our neighbor islands and throughout the Pacific Rim in and gave Department of Pediatrics Grand Rounds on management of complex neonatal cases. Recent Advances in Pediatric Pulmonary Hypertension.

Neonatal Transport Services remain very active. The The Hanuola ECMO program at KMCWC is the only Kapi‘olani transport team participated in 251 incoming extracorporeal life support program in Hawai‘i. Drs. transports. Of these, 165 neighbor island transports came Len Tanaka, Sheree Kuo and Jaime Harrington serve as to Kapi‘olani and 24 were taken to Kaiser. There were 54 Medical Director and Associate Medical Directors for transports from Oahu facilities to Kapi‘olani. There were Hanuola. The program is a cooperative collaboration also 2 transports from Tripler to Kaiser and 1 from Castle between Neonatology, Pediatric Critical Care and Pediatric to Tripler. There were 18 outgoing neonatal transports, Surgery. In addition to Dr. Kuo, Drs. Charles Neal, Megan including 15 to the mainland, 6 to Straub Hospital for Doty, Christopher Gibu and Richard Jack are ECMO cardiac catheterizations. In addition, the division provides certified physicians, helping to provide 24/7 consultation ongoing supervision and training for our highly qualified and treatment services throughout the Kapi‘olani pediatric transport nurses and respiratory therapists. services. There were six Neonatal ECMO runs last year on critically ill newborns, and five lives saved. In 2017, There were 289 patient evaluations in the Neonatal Medical Hanuola was awarded the ELSO Center of Excellence in Follow-up Clinic last year (down from 300 last year). This Life Support, a Gold Level designation. clinic provides continuity of care for NICU graduates that require close medical follow-up for resolving medical Our accredited joint fellowship program with Tripler conditions post-discharge. Neurodevelopmental follow-up Army Medical Center is one of two military neonatology of our high-risk NICU graduates is provided by Dr. Mari fellowships in the country. There were three fellows in our Uehara and the Rehab Services at the Kapi‘olani Specialty program in 2017-2018: Drs. Eamon Filan, Min Hwang Center. Last year, 280 evaluations were performed in this and William Sherman. Weekly fellows conferences clinic, compared to 231 evaluations done in the previous are conducted which cover case studies, morbidity year. and mortality, basic science topics and clinical journal critiques. The Pulmonary Hypertension Team is a multidisciplinary collaboration between Neonatology, Pediatric Critical Four new neonatologists joined our group in the 2017- Care, Pediatric Cardiology and Pediatric Pulmonology, 2018 academic year, Drs. Akshatha, Megan Doty, Kandie formed in 2016. Dr. Sheree Kuo has played the lead role George and Alexandra Ramnath. in development and evolution of this team. On average, the team follows five to ten pediatrics in-patients with Several members of the Neonatology Division are pulmonary hypertension (PH), the majority being former involved in a variety of research projects. These include premature infants with bronchopulmonary dysplasia pharmaceutical sponsored trials, clinical studies and (BPD)-associated PH. The PH team then follows these quality improvement projects. The division continues patients after discharge in their interdisciplinary Pediatric to participate with faculty support at the annual HPH Pulmonary Hypertension Clinic. In this clinic, patients are Summer Student Research Program as well as independent seen by intensivists (either neonatology or pediatric critical summer student research projects. care), a pediatric cardiologist and a pediatric pulmonologist. Additional ancillary services available in PH clinic include The Optimist trial targets neonates born between 25 dietary counseling, physical and occupational therapy and and 28 weeks gestation who are less than 6 hours of speech therapy. There were 33 outpatient visits last year age and failing non-invasive ventilation due to RDS. with patients ranging from 1 month to 15 years of age. Enrolled patients are given surfactant via a small bore With funding through the Leahi Foundation, the PH team catheter while spontaneously breathing on non-invasive 9 respiratory support. Control patients undergo no program. Dr. Sneha Sood is Medical Director of the intervention. Consenting process with study introduction Newborn nursery at Queens Medical Center. Dr. Kara preferably starts during prenatal counseling. The Wong Ramsey is Assistant Medical Director of the primary investigator of this study is Dr. Sheree Kuo. Newborn nursery at Queens Medical Center. Drs. Sneha The Omegaven study targets neonates with parenteral Sood and Richard Jack are in charge of Neighbor Island nutrition-associated liver disease. Patients who are IV outreach and resuscitation training. parenteral nutrition dependent receive IV Omegaven (containing 10% fish oil) in place of intralipid (only The division remains highly dedicated to meeting our soybean oils). Information from this research has helped mission of providing the highest quality clinical care, the FDA determine that the drug will be approved in the education, research and community service. near future. The primary investigator of this study is Dr. Lynn Iwamoto. The NOVI (Neurobehavioral Outcomes of Very Preterm Infants) study, targeting neonates born at Correspondence may be sent to: < 30 weeks gestation, just completed its first 5 year cycle. Charles R. Neal, MD, PhD The purpose of NOVI was to study early neurobehavioral Professor of Pediatrics and Neonatology Division development using the NICU Network Neurobehavioral Director Scale (NNNS) and to determine whether the NNNS University of Hawaii John A. Burns School of Medicine is able to predict developmental outcomes at 2 years Neonatology Clinical Section Chief, Kapi‘olani Medical corrected gestational age. The primary investigator of this Specialists study is Dr. Charles Neal. The ECHO-NOVI study is Medical Director, Newborn Intensive Care Unit an NIH funded extension of the NOVI study of neonates Kapi‘olani Medical Center for Women & Children born at < 30 weeks gestation. The purpose of ECHO 1319 Punahou St., 7th Floor (Environmental Influences of Child Health Outcomes) Honolulu, Hawaii 96826 in the NOVI cohort is to follow home and environment Office: (808) 983-8670 effects on early neurobehavioral development using Fax: (808) 983-6392 several cognitive and Neuromotor assessments up through Pager: (808) 363-1612 6 years of age. The primary investigator of this study is Dr. [email protected] Charles Neal. The Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials (HIPACT) is an NIH funded multicenter clinical trials grant, which is developing two neonatal protocols with our Hawai‘i population. Both studies presently ongoing are related to Neonatal Opioid Withdrawal Syndrome (NOWS). This series of studies are funded under the NIH ECHO program. The HIPACT Pre-Peri-Postnatal Subcommittee chair for this study is Dr. Charles Neal. Dr. Akshatha is a co-investigator in the NOWS study.

Each division member remains active in Hospital and Pediatric Department committees, as well as all levels of medical school and resident education. Several members of the division are also active in hospital and department leadership. Dr. Venkataraman Balaraman is Vice-Chair for Clinical Affairs in Pediatrics. Dr. Charles Neal is Division Head for Neonatology and maintains his role as Medical Director for the NICU. Dr. Lynn Iwamoto maintains the role as Head of Quality Improvement Research in the NICU and the Pediatrics Department. Dr. Sheree Kuo is Medical Director of Neonatal Transport services. Dr. Kuo is also Associate Director of the Hanuola ECMO 10 Pediatric Emergency Medicine Paul J. Eakin, MD - Division Chief Peter J. Di Rocco, MD - Assistant Division Chief

Division Members: Rodney B. Boychuk, MD Professor of Pediatrics T. Tausala Coleman-Satterfield, MD Assistant Professor of Pediatrics Peter J. Di Rocco, MD Assistant Professor of Pediatrics and Assistant Division Chief Paul J. Eakin, MD Assistant Professor of Pediatrics and Division Chief Francisco J. Garcia, MD Assistant Professor of Pediatrics Travis K.F. Hong, MD Assistant Professor of Pediatrics Alson S. Inaba, MD Associate Professor of Pediatrics Jannet J. Lee-Jayaram, MD Assistant Professor of Pediatrics Masafumi Sato, MD Assistant Professor of Pediatrics Loren G. Yamamoto, MD, MPH, MBA Professor of Pediatrics and Associate Chair of Finance Lynette L. Young, MD Assistant Professor of Pediatrics

The Pediatric Emergency Medicine Division is responsible Rodney B. Boychuk, MD for: Patient care (ED staffing), pediatric hospital sedation, Birthplace: Willingdon, Alberta, Canada quality improvement, administration, nursing education, Grew up in: Edmonton, Alberta, Canada medical student and resident education, pre-hospital High School: Ross Sheppard High School (EMS) education. College: University of Alberta Medical School: University of Alberta University of Hawai‘i John A.Burns School of Medicine / Internship/Residency: Edmonton General Hospital, Kapi‘olani Medical Center Contributions: Problem Based Canada. Kauikeolani Children’s Hospital, Honolulu, Learning (PBL) tutoring, ward attendings, Grand Rounds, Hawai‘i. Children’s Hospital, Winnipeg. Manitoba, Pediatric Resident conferences, student preceptoring, Canada student exams, research, continuing medical education, Fellowship: Children’s Hospital, Winnipeg, Manitoba, contribution to educational and life support programs Canada (Neonatology). sponsored by the American Academy of Pediatrics Hobbies: Restoring historic buildings and furniture, (AAP), the American College of Emergency Physicians Newfoundland Club. (ACEP), and the American Heart Association (AHA). The Community service: Asthma education and assistance Emergency Medicine Division contributes to the Academy with community educational groups, public relations of Pediatrics, the American College of Emergency activities with KMCWC, RICO case reviewer, supporter Physicians, and the American Heart Association. The of SIDS Group and Mother’s Milk Bank. Emergency Medicine Division contributes substantial Research interests: Pediatric Emergency Medicine faculty resources towards medical student and resident clinical problems, such as asthma. education. Special accomplishments: Alpha Omega Alpha, multiple other awards and distinguished honor activities. The division is responsible for scheduling 24/7 attending physician coverage for the pediatric emergency medical Professor of Pediatrics and past Chief of Staff for Kapi‘olani service, utilizing Board certified Pediatric Emergency Medical Center for Women & Children. Dr. Boychuk’s Physicians who care for over 30,000 pediatric patients main interests are quality improvement, medical staff affairs, annually. They also provide 24 hour Pediatric Code Blue neonatology, resuscitation and outreach education. He is a coverage for Kapi‘olani Medical Center for Women fellow of the American Academy of Pediatrics (AAP). He & Children. This division collectively has received is board certified in pediatrics, neonatology and pediatric numerous awards and accomplishments in medical emergency medicine. He recently completed his role as education, academic research, and community service. The Principle Investigator for an Asthma Education grant for Pediatric Emergency Medicine group is part of US Acute emergency departments and community hospitals from Care Solutions, a national physician owned emergency the Robert Wood Johnson Foundation, Leahi Foundation, medicine group headquartered in Canton, Ohio (usacs. and HMSA Foundation. Dr. Boychuk has presented com) research results from this study at the annual meetings of 11 the American Academy of Allergy and Immunology, the John A. Burns School of Medicine. Board Certified in American Academy of Pediatrics, the American College of Pediatrics and Pediatric Emergency Medicine Emergency Physicians and the Asian Emergency Medicine Hobbies: Computer programming, electronics, hiking, Association. He has taught many courses in neonatology, swimming, and cooking in bulk PALS, and APLS. He is highly regarded for his teaching skills and the breadth of his clinical skills which include Assistant Professor of Pediatrics and Assistant Division general pediatrics, neonatology, emergency medicine and Chief: Dr. Di Rocco completed his pediatric emergency critical care. He is an instructor for Pediatric Advanced medicine fellowship at the Medical College of Wisconsin Life Support (PALS), an Advanced Pediatric Life Support / Children’s Hospital of Wisconsin in Milwaukee, and is (APLS) course director and an APLS chapter author/ board certified in both pediatrics and pediatric emergency contributor. He has numerous publications and abstracts in medicine. He is a fellow and a member of the American peer reviewed journals. In the community, he has coached Academy of Pediatrics (AAP), Section of Emergency youth soccer and is an educational resource to other health Medicine, and the American Medical Association (AMA). care professionals providing health care to children. Special Accomplishments: While at the Medical College of Wisconsin, he designed and tested an electronic tool to T. Tausala Coleman-Satterfield, MD improve dosing accuracy of code medications for children Birthplace: Pago Pago, American Samoa who arrest in the field, for which he won multiple awards, Grew up in: Tafuna, American Samoa presented at national meetings, and is pending publication. High School: Leone High School He is the AAP state of Hawai‘i representative for pediatric College: Chaminade University of Honolulu disaster preparedness and has a passion for emergency Medical School: University of Hawai‘i John A. Burns preparedness, having edited chapters in two textbooks in School of Medicine this field. He is a medical officer for the Hawai‘i Disaster Residency: University of California Davis, Sacramento, Medical Assistance Team (DMAT). He is the chair of the California (Pediatrics) Website Taskforce for Pediatric Residency Recruitment, Chief Resident: University of California Davis, and is actively involved in resident and medical student Sacramento, California (Pediatrics) education. Fellowship: University of Washington, Seattle Children’s Hospital (Pediatric Emergency Medicine) Paul J. Eakin, MD Interests: Spending most of available time being active Birthplace: Greeley, Colorado with husband and 2 sons, baking ethnic desserts Grew up in: Lebanon, Oregon High School: Lebanon Union High School Assistant Professor of Pediatrics, board certified in College: Oregon State University, Corvallis, Oregon Pediatrics and Pediatric Emergency Medicine. Academic Med School: University of Iowa College of Medicine, interests include medical education and simulation based Iowa City, Iowa education for trainees, multi-disciplinary simulation Residency: Kapi‘olani Medical Center for Women & training for process improvement. She also has an interest Children (Pediatrics) in Quality Improvement, and clinical standardization Fellowship: UT-Southwestern Medical Center / pathways for health care. Childrens’ Medical Center of Dallas (Pediatric Emergency Medicine) Peter J. Di Rocco, MD, MS, FAAP Hobbies: Enjoys studying Japanese, trying to stay fit both Birthplace: Queens, New York physically and mentally and being involved along with Grew up in: Queens, New York, and Doha, Qatar his family at Christ Centered Community Fellowship High School: St. Francis Prep, Fresh Meadows, NY College: City College of New York, NY Assistant Professor of Pediatrics and Division Chief Medical School: Upstate Medical University, Syracuse, of Pediatric Emergency Medicine. Dr. Eakin is board NY certified in Pediatrics and Pediatric Emergency Medicine, Residency: Pediatrics, Stony Brook University Medical and is a fellow of the American Academy of Pediatrics Center, Stony Brook, NY (AAP). He is also a fellow of the American College of Master’s degree: Medical College of Wisconsin, Emergency Medicine (ACEP), where he has served on Milwaukee, Wisconsin the local Hawai‘i Board of Directors for several years. Fellowship: Pediatric Emergency Medicine, Medical He is currently President of the Hawai‘i ACEP Chapter. College of Wisconsin, Children’s Hospital of Wisconsin, He has multiple journal articles and textbook chapter Milwaukee, Wisconsin publications and has given presentations on the national Assistant Professor, Pediatrics, University of Hawai‘i and international level. Dr. Eakin has been a member of the 12 American College of Emergency Physicians Committee publications. Dr. Hong is the director of the PEM resident on Pediatric Emergency Medicine for several years. He rotation as well as the UH JABSOM fourth year PEM also serves on the PREP – Emergency Medicine editorial elective. He has a particular interest in medical student and board for the American Academy of Pediatrics. In 2014, resident education and mentoring. His research interests on Pediatric Emergency Medicine for several years. He include children involved in submersion incidents. He also serves on the PREP – Emergency Medicine editorial currently lives in Honolulu with his wife and family. board for the American Academy of Pediatrics. In 2014, Dr. Eakin was awarded the best Pediatric Emergency Alson S. Inaba, MD, PALS-NF Medicine Teacher from the third year medical student class. Birthplace: Honolulu, Hawai‘i Grew up in: Honolulu (Manoa), Hawai‘i Francisco J. Garcia, MD High School: Iolani High School Birthplace: New Jersey College: Creighton University,(Biology major/ Philosophy Grew up in: San Juan, Puerto Rico minor) High School: San Ignacio de Loyola High School, Puerto Med School: Tufts University School of Medicine, (AOA Rico Honor Society) College: Cal Poly Pomona, California Residency: Children’s Hospital Oakland (Pediatrics), Medical School: University of California Irvine Fellowship: Children’s Hospital Oakland (Pediatric Residency: Children’s Hospital Los Angeles (Pediatrics), Emergency Medicine) California Fellowship: Children’s Hospital Los Angeles (Pediatric Associate Professor of Pediatrics. Dr. Inaba has served as Emergency Medicine), California the Division Head of Pediatric Emergency Medicine from Hobbies: Outdoor activities include kayaking, scuba April 2011 to July 2014. He was the recipient of the 2011 diving, hiking, and camping. Arnold P. Gold Foundation’s Leonard Tow Humanism in Special accomplishments: Happily married with five Medicine Award and was also the invited keynote speaker children at the white coat ceremony for the incoming JABSOM class of 2015 (7-23-2011). He is a fellow of the AAP, Assistant Professor of Pediatrics. Dr. Garcia is responsible board certified in pediatrics and pediatric emergency for quality improvement and peer review activities for medicine. He has received over ten teaching awards the pediatric emergency medicine service. He is board and has been the invited keynote speaker on numerous certified in pediatrics and pediatric emergency medicine. occasions over the past 25 years. In July of 2015 he He is a fellow of the AAP. Dr. Garcia participates in received the Best ER Attending Teaching Award from research projects and the educational teaching programs the JABSOM medical students. Most recently in May of community physicians, residents, medical students and of 2017 he was presented with the Kaiser-Permanente paramedics. He has several publications in peer-reviewed Excellence in Clinical Teaching Award at the JABSOM journals. Dr. Garcia’s interests include transport medicine Class of 2017 Convocation. He is a certified instructor and academic emergency medicine. He is also fluent in in Pediatric Advanced Life Support (PALS). He has Spanish. served as the Course Director for all PALS courses at The Queen’s Medical Center for over 20 years. He has served Travis Hong, MD as the American Heart Association (AHA) National Birthplace: Lihue, Hawai‘i Faculty member for PALS for the State of Hawai‘i and Grew up in: Wailua, Hawai‘i also served on the AHA National Program Administration High School: Punahou School, Hawai‘i Subcommittee which oversees all of the PALS, ACLS and College: University of Pennsylvania BLS courses in the nation and internationally. One of his Medical School: University of Southern California innovative teaching tips for CPR was published in the Fall Residency: Children’s Hospital Los Angeles 2006 issue of Currents by the AHA. Since the release of Fellowship: Children’s Hospital Los Angeles this publication, his Stayin Alive CPR teaching method Hobbies: Bodyboarding, cooking, attending music events, is currently being used throughout the United States, eating malasadas and finding the perfect chocolate chip Europe, Japan, Okinawa, Canada, Egypt, Argentina and cookie. Africa. His original 2005 Stayin Alive CPR teaching tip was also recently incorporated into a national campaign Assistant Professor of Pediatrics. Dr. Hong is board for Hands Only CPR by the American Heart Association certified in Pediatric Emergency Medicine and General (June 2011). Pediatrics. He is a fellow of the American Academy of Pediatrics (AAP) and has several textbook chapter In June of 2012, he was invited by the AHA to help 13 launch their national Hands Only CPR campaign in New and national meeting presentations. York City. In a Hollywood style red carpet event he was recognized for his 2006 contribution of using the hit Masafumi Sato, MD disco song “Stayin Alive” to help teach the proper chest Birthplace: Kesennuma, Japan compression rate during Hands Only CPR. His Stayin Grew up in: Ishinomaki, Japan Alive CPR technique has already saved numerous lives High School: Ishinomaki High School, Japan around the world. He was the Director of our former College: George Washington University, Washington, Pediatric Emergency Medicine fellowship program, DC from which two fellows have graduated and are currently Med School: St. George’s University School of Medicine board certified. He served as the Medical Director of Residency: St. Joseph’s Children’s Hospital (Pediatrics), the Hawaii Poison Center. He has over 25 publications Patterson, NJ in journals and textbooks. He is an Associate Editor for Fellowship: St. Christopher’s Hospital for Children, our recently published general pediatrics textbook, Case Philadelphia PA (Pediatric Emergency Medicine) Based Pediatrics For Medical Students and Residents. He Hobbies: Music, collecting vinyl records, traveling around is a charter member of the Pediatric Emergency Medicine the world Practice Editorial Board. His interests include mentoring premedical students and preclinical medical students Assistant Professor of Pediatrics, University of Hawai‘i (using his “STAR” Mentoring Program), and creating John A. Burns School of Medicine. Board certified in innovative methods of teaching (which sometimes pediatrics and pediatric emergency medicine. Masa is a incorporates magic and rap music). In the community he fellow of the American Academy of Pediatrics. serves as a CPR and PALS resource. He also serves as the Medical Director for several community public access Loren G. Yamamoto, MD, MPH, MBA defibrillation programs (Iolani School and Endodontics Birthplace: Honolulu, Hawai‘i Associates of Hawai‘i) and helped to establish the State Grew up in: Pearl City, Hawai‘i of Hawai‘i’s Operation Stayin Alive AED public access High School: Pearl City High School defibrillation program for the State airports in 2006. College: University of Hawai‘i Med School: Baylor College of Medicine (Houston, TX), Jannet Lee-Jayaram, MD, FAAP, CHSE University of Hawai‘i John A. Burns School of Medicine Birthplace: Los Angeles, California Graduate School: MPH, 1981, University of Hawai‘i Grew up in: Queens, New York and Orange County, School of Public Health. MBA, 1993, University of California Hawai‘i College of Business Administration. High School: Cypress High School, California Residency: Kapi‘olani Children’s Medical Center for College: Dartmouth College, New Hampshire Women & Children (Pediatrics), 1986. Medical School: State University of New York (SUNY) at Fellowship: Kapi‘olani Medical Center for Women & Stony Brook School of Medicine Children (Pediatric Emergency Medicine), 1986. Residency: New York Presbyterian Hospital Weill Cornell Medical Center (Pediatrics) Professor of Pediatrics and Associate Chair of Finance. Fellowship: Drexel University College of Medicine–St. Dr. Yamamoto’s main interests are research, publishing Christopher’s Hospital for Children (Pediatric Emergency and technology/telecommunications. He is a fellow of the Medicine), Philadelphia, Pennsylvania American Academy of Pediatrics (AAP) and a fellow of the Hobbies: finding new restaurants, reading and watching American College of Emergency Physicians (ACEP). He science fiction has published over 140 articles in peer-reviewed journals, 90 abstracts, 75 electronic publications, 40 reference and Assistant Professor of Pediatrics. Dr. Lee-Jayaram is board textbook chapters, and 80 national research/educational certified in Pediatrics and Pediatric Emergency Medicine. presentations. Dr. Yamamoto serves on the editorial She is a fellow of the AAP, a PALS instructor and a certified board of the American Journal of Emergency Medicine healthcare simulation educator. She also serves as the and Pediatric Emergency Care. He is the Chief Editor of Associate Director of the SimTiki Simulation Center at the Radiology Cases In Pediatric Emergency Medicine, a CD University of Hawai‘i John A Burns School of Medicine. and Web based educational program for which he received Her academic interests include simulation-based medical the AAP Professional Medical Education Award. He is education and faculty development. She serves on also the author of Tidbits on Raising Children (a parenting the department personnel committee, the simulation book), Challenging Cases in Pediatric Emergency committee and the hospital code blue committee. She has Medicine (an AAP publication), Pediatric Radiology several journal article publications, textbook publications, Review, and is the Chief Editor for Case-Based Pediatrics 14 For Medical Students and Residents (the pediatrics book between Kapi‘olani Medical Center for Women & published by our department of pediatrics). He is formerly Children (KMCWC) and the Department of Health’s a member of AAP’s Pedialink Editorial Board, Committee Emergency Medical Services organization. on Pediatric Emergency Medicine (COPEM), National Conference & Exhibition Planning Group, Committee on CME, Committee on Scientific Meetings, AAP/ACEP APLS Steering Committee (former editor and chair), and a former appointee of the American Board of Pediatrics Emergency Medicine Subboard. Dr. Yamamoto is currently the Chief of Staff for Kapi‘olani Medical Center For Women & Children (KMCWC) and a member of the Medical Executive Committee, the Credentials Committee, the Quality Council, the Environment of Care Committee, and the Board of Directors. He has coached youth soccer, baseball, volleyball, and has coached Hawai`i junior tennis teams at National Tournaments in Salt Lake City and Stanford. He has three children: oldest daughter graduated from the University of California Berkeley, Boston University, University of Hawai‘i Medical School, and is now an emergency medicine resident in Syracuse, NY; second daughter graduated from the University Washington and the University of Hawai‘i Richardson School of Law; and a son graduated from the University of Hawai‘i College of Engineering and is now a mechanical engineering Ph.D. student at the University of Hawai‘i.

Lynette L. Young, MD Birthplace: Honolulu, Hawai‘i Grew up in: Honolulu (Waialae/Kahala), Hawai‘i High School: Kalani High School, Hawai‘i College: University of California, Berkeley, BS Chemistry/ AB Biochemistry. Med School: University of Hawai‘i John A. Burns School of Medicine, 1990. Residency: Kapi‘olani Medical Center for Women & Children (Pediatrics) Fellowship: Kapi‘olani Medical Center for Women & Children (Pediatric Emergency Medicine) Hobbies: Raising three children

Assistant Professor of Pediatrics. Dr. Young is a University of Hawai‘i pediatric emergency medicine fellowship program graduate. She is a fellow of the AAP, board certified in pediatrics and pediatric emergency medicine. She participates in research projects and the educational teaching programs of community physicians, residents, medical students and paramedics. She has several publications in peer-reviewed journals. She has contributed several case chapters to Radiology Cases In Pediatric Emergency Medicine, a CD and Web based educational program. She has contributed three chapters to Case Based Pediatrics For Medical Students and Residents. Dr. Young serves as a liaison representative 15 Pediatric Hematology and Oncology Randal K. Wada, MD - Division Chief

Division Members: Darryl W. Glaser, MD Assistant Professor of Pediatrics Kelley Hutchins, DO, MPH Kapi‘olani Specialist/Pediatric Hemotology-Oncology Jasmin Jensen, MD Assistant Professor of Pediatrics Wade T. Kyono, MD Assistant Professor of Pediatrics Desiree Medeiros, MD Assistant Professor of Pediatrics Bruce T. Shiramizu, MD Professor of Pediatrics and Associate Chair of Research Randal K. Wada, MD Associate Professor of Pediatrics and Division Chief Robert W. Wilkinson, MD Professor of Pediatrics

Left to right: (sitting) Wade Kyono, MD; Darryl Glaser, MD; Jasmin Jensen, MD (standing) Kelley Chinen Okimoto, MD; Kelley Hutchins, DO; Desiree Medeiros, MD; Robert Wilkinson, MD; Randal Wada, MD; Bruce Shiramizu, MD photo by: Karen Akiyama

The Division is dedicated to the treatment of children Center for Women & Children. The Division meets the and adolescents with blood diseases and cancer. The guidelines for a children’s Hematology-Oncology Level outpatient clinic is located on the second floor of the III Center by the American Academy of Pediatrics. Kapi‘olani Medical Center in the Pediatric Ambulatory Kapi‘olani’s dedicated team is the only one of its kind in Unit (PAU), and hospitalized patients are cared for on the state and cares for 98% of Hawaii’s children who are the Wilcox ward. The staff is comprised of six pediatric diagnosed with cancer. Approximately 40 new oncology hematologist/ oncologists, one pediatric hematology/ cases are seen each year and 150 children are on active oncology hospitalist, two advanced practice pediatric treatment at any one time. Two hundred additional patients oncology nurses, a social worker, an oncology pharmacist, are followed in the long-term follow-up clinic. Between and a full complement of oncology nurses. Division three to five bone marrow transplants are performed for members work collaboratively within the John A. Burns children of the state each year. Approximately 50 patients School of Medicine (JABSOM), the School of Nursing and with hematology problems are followed in the PAU, and Dental Hygiene (SONDH), and the Kapi‘olani Medical ten new consultations are provided each month.

16 Cooperative Group Membership cancer. Most Division members participate in camps for We are a Member Institution of the Children’s Oncology patients and families throughout the year, three sponsored Group (COG), a national organization sponsored by the by the Camp Mokuleia and one by the Hemophilia National Cancer Institute, dedicated to the treatment Foundation of Hawai‘i. Many also work with the Hawai‘i and cure of childhood cancer. Phase II and III clinical Children’s Cancer Foundation assisting families with and biologic trials are available through COG for most financial, educational and service needs. Others work childhood cancers. Wade Kyono, MD, serves as principal with the Hawai‘i Cord Blood Bank and the Hawai‘i Bone investigator for clinical trials, and all Division members Marrow Donor Registry. Some serve on the boards or actively enroll the majority of patients on these trials. committees of community organizations, such as the Some members also participate in COG by serving on Hawaii Children’s Cancer Foundation, the Hemophilia Disease Committees Foundation of Hawai‘i, the American Cancer Society, HUGS, the Blood Bank of Hawai‘i, HPAREF, Hospice Specialty Clinics Hawai‘i, Make-A-Wish Hawai‘i, Legacy of Life Hawai‘i, The Division staffs a number of specialty clinics that are and the Oncology Nursing Society. available to Hawai‘i’s children and adolescents. These include the Hemophilia and Thrombosis Center, Faculty Coagulopathy Clinic, Bone Marrow Transplant Clinic, Darryl W. Glaser, MD is a full-time clinician with fifteen Long-term Follow-up (LTFU) Clinic for survivors of percent of his time devoted to research and education. In childhood cancer, and an Adolescent and Young Adult addition to his interest in general oncology, he is interested LTFU clinic. There are several neighbor island Hemophilia in adolescent and young adult oncology, in the late effects Outreach clinics. of cancer therapy, and in the diagnosis of childhood anemia. He is Medical Director of Pediatric Hematology- Teaching Oncology and a member of the Cancer Committee at Division members participate actively in the education KMCWC. He stays active in teaching by lecturing and of medical students, graduate students, pediatric precepting first and third-year medical students, acting as residents, community physicians, and community groups a Clinical Skills Preceptor, coordinating the fourth-year throughout the State of Hawai‘i. Advanced practice student and third-year resident electives, and providing pediatric oncology nurses are involved in hospital nursing teaching to the first year residents on the Hematology- orientation and ongoing oncology education in the Oncology rotation. Community activities include serving hospital and community. They assist children on cancer as President for the Board of Directors of HPAREF and treatment with school reintegration and give lectures at being a Medical Advisor for HUGS (Help, Understanding, schools throughout the State. Division members sit on and Group Support). numerous hospital committees and attend and participate in the monthly educational Pediatric Tumor Board. Kelley Hutchins, DO, MPH attended medical school at Des Moines University College of Osteopathic Medicine Research where she also received her Master of Public Health. Division members actively participate in clinical and She then completed residency in Pediatrics and Internal basic research in oncology and hematology. Bench and Medicine at Louisiana State University in New Orleans. translational research in non-Hodgkin lymphoma take place Dr. Hutchins then completed a fellowship in Pediatric in laboratories at the Department of Tropical Medicine, Hematology/Oncology at the Children’s Hospital of Medical Microbiology & Pharmacology. Clinical research Michigan in Detroit. She is board certified in both is ongoing through involvement with the Children’s Pediatrics and Internal Medicine. Oncology Group, Blood and Marrow Transplant Clinical Trials Network, Neuroblastoma and Medulloblastoma Jasmin Jensen, MD is a full-time clinician with fifteen Translational Research Consortium, Pediatric Blood and percent of her time devoted to research and education. Marrow Transplant Consortium, the Center for Health She completed a Medicine/Pediatrics combined residency Outcomes, and JABSOM. Health behavior research is as well as fellowships in Palliative Care and Pediatric also conducted through the SONDH. Hematology/Oncology. She is interested in quality improvement, patient centered outcomes research, and Cancer Support Services/ Community Groups comparative effectiveness research. We have two patient and family support groups: the Childhood Cancer Connection for families and SCARS Wade T. Kyono, MD is a full-time clinician with fifteen (Strength, Courage, Appreciation, Remembrance, and percent of his time devoted to research and education. Support) for adolescents and young adults touched by He is the principal investigator for COG and coordinates 17 these cooperative group research activities with the medical students, undergraduate & graduate students. He University of Hawai‘i Cancer Center NCI Community contributes to the Department of Pediatrics conferences, Oncology Research Program (UHCC NCORP). His areas and is a graduate faculty with the Departments of Cell & of interest include neutrophil/ myeloid cell signaling and Molecular Biology, Reproductive Biology, TMMMP, and function, iron overload/ chelation therapy, hematopoietic Molecular Biosciences and Bioengineering. progenitor cell transplant for non-malignant conditions, as well as general clinical pediatric oncology. His prior Randal K. Wada, MD, MS is a tenured faculty member research in neutrophil function and signaling in Pacific in the SONDH with a joint appointment in JABSOM. Islander children with increased infections was supported He is director of the Pediatric Hematopoietic Progenitor by a NIH/RCMI minority institution grant (CCRE) funded Cell Transplantation program at the Kapi‘olani Children’s through the Kapi‘olani Clinical Research Center, and a Blood and Cancer Center. The transplant program Leahi Fund Hawai‘i Community Foundation Grant. He performs both autologous and allogeneic transplants, is involved with the 1st year clinical skills preceptorship including haplo-identical, umbilical cord blood, and and the teaching of 3rd and 4th year medical students unrelated donor transplants. It is approved as a NMDP during their pediatric rotations, along with the training of Affiliate Transplant Center. Dr. Wada serves as the medical pediatric residents. He participates as a Medical Advisory director of the Hawaii Bone Marrow Donor Registry and Board member for the Hawai‘i Chapter of Make-A- the Hawai‘i Cord Blood Bank, both of which are members Wish. of the National Marrow Donor Program network. He is also the medical director of the NMDP Collection Center Desiree Medeiros, MD continues as medical director for bone marrow donation at Kapi‘olani Medical Center, for the Hemophilia and Thrombosis Treatment Center and associate director of the NMDP Apheresis Center. His of Hawaii which is supported by Federal grants from the current areas of research are focused on interprofessional Centers for Disease Control and Maternal and Child Health education, precision medicine and molecular targeting, Branch and is a member of the Western States Regional and umbilical cord blood banking for transplantation. He Coordinating Committee. In addition to oncology, her actively participates in the teaching programs at JABSOM main area of interest and research is in disorders of and SONDH, where in addition to conferences to medical coagulation and immune thrombocytopenic purpura. She students, residents, and nursing students, he lectures to currently holds a 70% position with ten percent devoted undergraduate and graduate students and serves as PhD/ to research and education. As part of her University of DNP thesis advisor to students in the School of Public Hawai‘i appointment, she continues to teach, precept, and Health and SONDH. He serves on a number of committees, mentor medical students and residents. She is a member of both at the University and nationally, with organizations Kapi‘olani’s Blood Utilization Committee and Pharmacy such as the Beat Childhood Cancer Consortium, the and Therapeutics Committee. Dr. Medeiros also serves as National Marrow Donor Program, and the Society for Camp Physician and Medical Director for Camp Anuenue Behavioral Medicine. (annual cancer camp program). Other community service activities include being a Medical Advisor for HUGS Robert W. Wilkinson, MD retired from clinical (Help, Understanding, and Group Support), and the practice in January of 2016 after 42 years of serving the medical consultant for Sacred Hearts Academy’s lower community. He continues to maintain his faculty position school. at JABSOM and his membership in COG, and remains active in teaching both medical students and residents. Bruce T. Shiramizu, MD focuses his research in the areas of childhood lymphoma and HIV-associated Division Goals complications (HPV-related cancers, lymphoma, We will continue to provide compassionate, state-of-the- dementia). He is a member of the Children’s Oncology art pediatric cancer care to the children of Hawai‘i and Group non-Hodgkin lymphoma (NHL) Committee and the Pacific Islands through participation in cooperative other national committees. As a tenured professor in group clinical trials, to advance hematology and oncology the Departments of Pediatrics and Tropical Medicine, research in the State of Hawai‘i, and excel in teaching Medical Microbioloy & Pharmacology (TMMMP), he is medical students and residents through the University of also an investigator in the Hawai‘i Center for AIDS with a Hawai‘i John A. Burns School of Medicine. research laboratory in TMMMP. He is the Associate Chair of Research in the Pediatrics Department, Multiple PI for RMATRIX, Executive Director for Ola HAWAI‘I and PI of the Hawai‘i IDeA States Pediatric and Adolescent Clinical Trials (HIPACT) Program. He mentors residents, 18 Pediatric Hospitalists Jessica S. Kosut, MD - Division Chief

Division Members: Bettina Ackermann, MD Assistant Professor of Pediatrics Bridget Allard, DO Assistant Clinical Professor of Pediatrics Selina S.P. Chen, MD, MPH Assistant Professor of Pediatrics Diane Ching, MD Assistant Professor of Pediatrics Jennifer Di Rocco, DO, MEd Assistant Professor of Pediatrics Marissa Fakaosita, MD Assistant Clinical Professor of Pediatrics Jessica S. Kosut, MD Assistant Professor of Pediatrics and Division Chief Mae Kyono, MD Assistant Professor of Pediatrics Kyra A. Len, MD Assistant Professor of Pediatrics James C. Lin, MD Assistant Professor of Pediatrics Maya Maxym, MD Assistant Professor of Pediatrics Barry M. Mizuo, MD Assistant Professor of Pediatrics Cheryl Okado, MD Assistant Professor of Pediatrics Shilpa Patel, MD Associate Professor of Pediatrics Gina Ramirez, MD Assistant Professor of Pediatrics William P. Shea, MD, MA Assistant Professor of Pediatrics Tiffany Wang, MD Assistant Professor of Pediatrics

Left to Right: Selina Chen, MD; Barry Mizuo, MD; Marissa Fakaosita, MD; Cheryl Okado, MD; Bridget Allard, DO; Kyra Len, MD; Diane Ching, MD; Jessica Kosut, MD; Mae Kyono, MD; Maya Maxym, MD; Betina Ackermann, MD; Gina Ramirez, MD; Shilpa Patel, MD photo by: Karen Akiyama 19 The Division rotation, building their fund of knowledge of bread and The pediatric hospitalist division at Kapi‘olani Medical butter as well as complex pediatric disease processes. We Center for Women & Children was created during provide a wide range of didactic and bedside educational the 2002-2003 academic year. Since its inception, the experiences during the inpatient rotation: students pediatric hospitalist group has grown from a group of 3 participate in initial evaluation and management of newly to 17 to provide greater coverage for the keiki of Hawai‘i. admitted patients during their triage week, rotate on a We continue to collaborate with the ever growing group large and busy ward team, and are provided a weeklong of pediatric subspecialists to provide outstanding inpatient 1:1 learning opportunity with our hospitalist attendings, care for complex and high acuity pediatric patients. This including daily didactic sessions covering core topics. is accomplished through development of evidence- Division members also provide structured education and based guidelines and order sets as well as creation of a clinical supervision for pediatric, family practice, and wide variety of inpatient programs and services. These psychiatry residents on their pediatric inpatient rotations. guidelines and order sets are continually being revised We continue to emphasize Family Centered Care as and rewritten to account for the ever changing pediatric recommended by the AAP and the Institute of Medicine. literature and medical advances, keeping the group at This past year Dr. Bridget Allard was awarded the faculty the forefront of pediatric hospital medicine. We are also teaching award for the residents, while Dr. Bettina excited as Pediatric Hospitalist Medicine becomes a Ackermann received the teaching award from the third board-recognized pediatric subspecialty and we continue year medical students. Dr. Jennifer Di Rocco remained to collaborate with our colleagues around the country. an Associate Program Director for the residency program and provides a bridge between the hospitalists and Mission Statement residency program. She continues to provide our group As the cornerstone of inpatient pediatric care at Kapi‘olani with teaching tips and strategies, and reviews the resident Medical Center for Women & Children, the Pediatric developmental milestones with us regularly. Dr. Kyra Len Hospitalist Division is committed to excellence. In this continued in her role as the Pediatric Clerkship Director, role, we strive to raise the standard of patient care through proving her effectiveness with continued high ratings of education of residents and medical students, research, and the clerkship and praise for the teaching on the rotation. quality improvement initiatives. We care for the children She continues to bring innovative teaching techniques admitted to the general pediatric ward at Kapi‘olani that she shares with the group. Dr. Barry Mizuo is the Medical Center for Women & Children and provide Rotation Director for the fourth year medical student consultation services to the surgical specialties of the pediatric wards sub-internship as well as for the third year hospital. The children we care for range from those who clerkship and continues his work on ensuring that each of are otherwise healthy and present with minor acute illness these learners receive the best clinical experience with the to those with complex chronic medical problems requiring individualized attention they deserve. Dr. Tiffany Wang frequent admissions and/or the involvement of multiple is the inpatient pediatric resident rotation director and subspecialists. The division handles approximately 2500 has worked tirelessly to create a curriculum and structure admissions per year, some of whom present with common to provide our residents with a valuable and educational pediatric illnesses such as bronchiolitis and gastroenteritis sound rotation. with dehydration, while seeing many unusual and complex cases. Some our patients live on Oahu, but many arrive In addition to teaching residents and medical students, from neighbor islands, the outer islands of the Pacific division members serve as resources for pediatric Basin, or as tourists from the US mainland, Canada, subspecialists seeking peer consultation. They bring their Japan, Australia, or Europe. All are provided with state- expertise to community service and continuing medical of-the-art medical care, in a child-friendly environment, education activities. Members of the division participate with an emphasis on world class, family-centered care. in numerous hospital committees that work to improve the efficiency of care, maintain high quality and safety within Teaching the hospital system, as well as regularly reviewing and The pediatric hospitalist division continues to prioritize updating guidelines and EPIC order sets for commonly the mentoring and development of future physicians, in encountered pediatric diagnoses. particular future pediatricians. Our division members hold University of Hawai‘i faculty appointments and teach Research, Quality, and Process Improvement a variety of learners from visiting students from medical Initiatives schools and colleges all over the world to JABSOM The pediatric hospitalist division is uniquely situated to medical students to Hawai‘i Residency Program trainees. conduct outcomes research and implement meaningful As a division, third and fourth year medical students quality improvement initiatives in the pediatric inpatient rotate on the wards with us during their inpatient pediatric realm. Division members have been active throughout the 20 year in institutional, local, and national research and QI work is focusing on Pediatric Sepsis. projects. Bridget Allard, DO is a full-time assistant clinical During the 2017-2018 academic year, some notable professor who joined the group in 2017 after completing changes and achievements included: Pediatric Hospital Medicine Fellowship at Children’s National Medical Center in Washington, D.C. Her Dr. Shilpa Patel, a nationally recognized contributor scholarly interests include quality and patient safety to I-PASS development and education, also works as a as well as how technology can enhance the patient and physician liason to the HPH Quality and Safety Department family experience during hospitalization. Dr. Allard’s and has continued her work in sepsis care. She presented fellowship research project investigating technology at several conferences including at the Institute for Health use among hospitalized families was presented at the care Improvement in Orlando, Florida. Her poster with 2017 Society of Hospital Medicine meeting. Dr. Allard several colleagues from HPH, “Barriers to Beating Sepsis: serves as co-director for the resident quality improvement Fluid Resuscitation in CHF/RF patients” won best poster rotation, co-director for the 4th year pediatric wards sub-I at the Hawai‘i State Patient Safety Conference. clerkship, and as co-director for the division’s research. In addition she and Dr. Di Rocco have established a Dr. Bridget Allard presented at this year’s Society of monthly educational conference consisting of alternating Hospitalist Medicine National Meeting about a project Journal Club and Clinical Case Review to further enhance she began in fellowship entitled, “Technology Trends the high quality care already being provided. Dr. Allard is Among Parents of Hospitalized Children.” a resident faculty adviser and medical student preceptor. She received the 2017 Resident Faculty Teaching Award. As part of the Value in Inpatient Pediatrics (VIP) Network, Dr. Cheryl Okado brought the project REVISE (Reducing Selina S.P. Chen, MD is a full-time UH Assistant Excessive Variability in Infant Sepsis Evaluation) project Professor. She serves clinically as a pediatric hospitalist to the hospitalist group and the hospital. We made changes and an internal medicine hospitalist who is also board to the pediatric hospitalist workflow as well as the ED certified in Clinical Informatics. Her research interests workflow and were able to send patients home earlier and include Information System Improvement and Data safely, with no patients needing to return for bacteremia Analytics, Quality Improvement (QI) projects and or meningitis. Infectious Disease. Her projects include initiatives for optimizing functionality and usage of EHR (Electronic Dr. Jessica Kosut presented two posters at the School of Health Records) and clinical decision support from Medicine’s Biomedical Sciences and Health Disparities evidence based practices and data analytics. She also Symposium in April. Her two posters were “Parent/ continues to update Infectious Disease chapters on Caregiver Knowledge and Attitudes about Pediatric Medscape and the updated version of the department’s Clinical Trials in Hawai‘i” and “Disseminated Cat Scratch Case Based Pediatric textbook, for which she is a chapter Disease in Pediatric Patients in Hawai‘i.” author and one of the section editors. Dr. Chen is the IT physician facilitator for the EHR Pediatric, Critical Care, Faculty and Clinical Faculty Beacon (Hematology-Oncology) Workgroups and Seattle Bettina Ackermann, MD is a full-time UH Assistant Cancer Care Alliance. She is a JABSOM medical student Professor who is particularly interested in medical mentoring program POD advisor and a faculty advisor education. She received the Pediatric Hospitalist Teaching for the JABSOM Clinical Informatics Medical Student Award from the 3rd year medical students this year. She Interest Group and Partnership for Social Justice. In her has developed a didactic lecture series for the residents on free time, she enjoys exploration in medical missions. important inpatient topics, serves as a mentor for morning report, and is constantly working to improve care for the Diane Ching, MD is a 0.6 FTE UH assistant professor medically complex patient. She sits on the Department with special interests in medical education and PEC (Program Evaluation Committee) and the Resident procedures. Dr. Ching serves as the medical student Selection Committee. As the division’s Service Excellence inpatient rotation director and plays an active role on the Coordinator and Nursing Liaison, she helps to improve PEDS committee. She also serves as a medical student patient satisfaction. Her other responsibilities include preceptor and facilitates various medical school education sitting on the KMCWC Sedation Committee, whose goal sessions such as simulation sessions and sessions to is to streamline and continuously improve the sedation improve patient care. She is also the Pediatric hospitalist process, as well as the Burn Committee, which regularly representative for the Radiology SOE committee. Dr. reviews and updates guidelines for Pediatric burn care at Ching has been working alongside Dr. Tiffany Wang in KMCWC and at ERs throughout the state. Her current QI a hospital wide quality improvement project to increase 21 pediatric mobility for hospitalized patients. The effort Additionally, Dr. Kosut is the Chair of the Pediatric has included providing education to physicians and staff Standards of Excellence Committee, a multidisciplinary through various education sessions including Pediatric committee which takes on numerous projects from Grand Rounds and the creation and implementation of supporting nurses in their development of protocols to an order set and standardization of a protocol to increase the introduction of new programs, such as structuring active movement in hospitalized patients. Together with an inpatient rehabilitation program on the inpatient unit colleagues from Pediatric Neurology, Dr. Ching has also to oversight of protocols and order sets. Dr. Kosut also been working to improve seizure management. Dr. Ching is a part of the Hawai‘i IDeA Center for Pediatric and is responsible for the development and implementation of Adolescent Clinical Trials and has been working with the seizure order set and guidelines. Dr. May Okihiro on understanding caregiver knowledge and attitudes about pediatric clinical trials in Hawai‘i. Jennifer Di Rocco, DO, MEd is a 0.8 FTE UH Assistant Additionally, she is working with Dr. Natascha Ching and Professor who splits her time between clinical work as a one of the pediatric residents, Dr. Scarlett Johnson, on the pediatric hospitalist and her role as an Associate Program reviewing cases of disseminated cat scratch disease in Director for the UH Pediatric Residency Program. She Hawai‘i. Dr. Kosut sits on several hospital committees, recently completed her Masters of Medical Education including the Pediatrics Committee and the Pediatrics Peer through Cincinnati Children’s Hospital/The University of Review Committee. She is a medical student advisor, an Cincinnati in April 2017. Her Master’s project research advisor for the medical school Pediatric Interest Group investigated how pediatric residents approach interruptions (PIG) and a JABSOM medical student interviewer. to their workflow, and has and will be presented at several Finally, she also sits on the medical advisory board for local and national meetings. Her academic interests the Make-A-Wish Foundation. also include assisting the struggling learner and helping pediatric residents prepare for their board examinations. Mae Kyono, MD is a UH Assistant Professor and full time She is the chair of the Clinical Competency Committee Hospitalist. She devotes additional professional time to and is active in many additional department committees. her early childhood grant. She is the project director and medical liaison for Healthy Child Care Hawai‘i, which has Marissa Fakaosita, MD is a 0.8 FTE UH Assistant been funded since 2000. She represents the Hospitalist Clinical Professor who is also the Individualized Division on the KMCWC Community Pediatric and Peer Educational Unit (IEU) Coordinator for the residency Review Committee. She has been visiting pediatricians program. As the IEU Coordinator, she works with each in the community to improve the communication and second and third year residents on creating individualized interaction with the division. She is an active member of rotation curriculum experiences to enhance their residency the American Academy of Pediatrics and currently serves training exposure. Additionally, she was interim 4th as the President of the Hawai‘i Chapter of the AAP. year Pediatric Wards SubI coordinator, and enjoyed working closely with medical students as they finished Kyra Len, MD is a full-time UH Assistant Professor their final year in medical school and pursued a Pediatric and Department of Pediatrics Medical Student Director, Residency. In collaboration with nursing and respiratory as well as JABSOM PBL tutor, whose primary research therapy staff, Dr. Fakaosita is involved in a longitudinal interest lies in medical education. She is involved in quality improvement project regarding management several additional medical education, research, and quality of hospitalized children with bronchiolitis. She has improvement projects. She is the JABSOM junior faculty presented several teaching lectures and workshops on a representative for the Council of Faculty and Academic variety of topics including medical student boot camp Societies with the AAMC, chairs the JABSOM Pediatric regarding medical communication skills and resident note Medical Student Curriculum Committee, and co-chairs the writing and documentation session. Her interests include Clerkship Educational Committee. She is active in resident medical education and expanding access to, and quality education and is the division research coordinator. She of, healthcare in rural areas of Hawaii. She is a resident also serves on multiple hospital, department and medical faculty adviser and medical student preceptor. school committees. She is also a resident advisor, faculty advisor for the Pediatric Interest Group and serves as an Jessica S. Kosut, MD is a 0.8 FTE UH Assistant Professor advisor for students interested in a career Pediatrics. and continues in her role as the Hospitalist Division Head. Her role allows her the opportunity to oversee the day to James Lin, MD is a full time UH Assistant Professor day operations of the hospitalist division, work closely who is board certified in both Pediatrics and Clinical with the nursing staff of the inpatient unit, and interface Informatics. He divides his time between clinical work with all of the departments of the hospital in an effort to as a Pediatric Hospitalist and his role as Director of continue to provide safe and effective care to our patients. Medical Informatics for Hawai‘i Pacific Health, where he 22 focuses on information system improvement to improve Shilpa Patel, MD is an Associate Professor of Pediatrics health care delivery. Initiatives include optimize usage of at UH. She is an attending, board-certified Pediatric the EMR, clinical decision support among evidence based Hospitalist. She co-chairs the Recruitment & Selection practices, and improving usability of technology in health committee for the Pediatric Residency Program and co- care. directs the Quality Improvement rotation for the pediatric residents. She is a resident advisor, a clerkship preceptor Maya Maxym, MD, PhD is a UH Assistant Professor and a mentor for JABSOM students with QI/PS projects, and full-time Pediatric Hospitalist. She is the Co-Chair of including regional and national presentations. In 2017, the Global Health Task Force for the Pediatric Residency she led the hospitalist division to successfully complete Program and is currently working on developing and a MOC refresher course on I-PASS handoff bundle. She expanding Global Health opportunities for the pediatric is an active member of the KMCWC Maintenance of residents. She is also working with interested faculty from Certification (MOC) committee and of Department of other departments to enhance Global Health education at Pediatrics governance and leadership committees. She is JABSOM. She serves as a medical student and resident Chair of the KMCWC Alapono committee, which reports advisor and has presented various lectures and small group quality improvement and patient safety (QI/PS) topics to teaching sessions to JABSOM medical students during the the KMCWC Board of Directors. As Physician Liaison clinical and pre-clinical years. Other professional interests to the Hawai‘i Pacific Health (HPH) Quality and Safety include medical education, narrative medicine, and quality department, she leads HPH and KMCWC efforts in sepsis improvement. She represents the division on the Revenue improvement, responsible opioid and pain management, Cycle Committee and is also responsible for the division’s structured communication for nurse shift report (I-PASS guideline and orderset for hyperbilirubinemia. Handoff Bundle), and the inter-professional HPH Training in Healthcare Improvement program in QI/PS. She is Barry M. Mizuo, MD is a full-time UH Assistant active with national QI/PS collaboratives, the I-PASS Professor and the Department of Pediatrics Medical Handoff Study Group, and is a Society for Pediatric Student Associate Clerkship Director. He enjoys working Research member. closely with medical students and sits on the Department of Pediatrics medical student curriculum committee and Gina V. Ramirez, MD is a full-time clinical faculty JABSOM’s clerkship education committee. Dr. Mizuo hospitalist and an assistant professor of pediatrics. She is the rotation director for the medical school’s 4th year serves on the Advanced Care Planning Committee, pediatric ward sub-internship elective which is offered IT/EPIC Committee, and Trauma team Committee. to both JABSOM and visiting students. He is a Problem- She enjoys precepting medical students and teaching Based Learning (PBL) co-tutor with Dr. Kyra Len and a residents. She is tasked with updating the diabetes and faculty advisor for the medical school’s Pediatric Interest asthma guidelines and order sets for the division. Group. Dr. Mizuo’s teaching interests have also expanded to simulation education where he serves on the Department William Shea, MD is a full time UH assistant professor of Pediatrics simulation task force committee and has and serves half-time as a pediatric hospitalist and half-time taken a larger role in restructuring the 3rd year medical as an internal medicine hospitalist. His research interests student simulation experience while on pediatrics. He also include clinical outcomes research in both the general serves as an interviewer for both JABSOM and the UH pediatric and general internal medicine realms, as well as pediatric residency program. Finally, Dr. Mizuo sits on the quality improvement projects. He is currently involved KMCWC Trauma Committee and the KMCWC Physician in the Surgical Unit-Based Safety Program (SUSP) on Recruitment Committee. the adult inpatient side to reduce the rate of surgical site infections. Additionally, Dr. Shea has an interest in Cheryl Okado, MD is a full-time Assistant Professor fever in the neonate and gives an excellent lecture to the for the University of Hawai‘i School of Medicine and residents on the workup of these patients and keeps this Assistant Division Head for the Division of Pediatric inpatient guideline and order set updated. Hospitalists. She is also the Vice-chair of the Pharmacy and Therapeutic committee and a member of the Infection Tiffany Wang, MD is a 0.8 FTE UH Assistant Professor Control committee, Maintenance of Certification and resident ward rotation director. She is a member of the committee, and Simulation Task Force committee. She Pediatric Standards of Excellence Committee, PEC, and serves as a Problem-Based Learning tutor for medical CCC, and represents the division in the EPIC pediatric students, facilitates courses for handoff training and work group. She oversees the direct observations of simulation training. She is an officer of the Hawai‘i chapter resident history and physicals by the hospitals, has been a of the Society of Hospital Medicine. third year medical student preceptor since 2015, and has

23 been a resident advisor since 2016. Dr. Wang continues to collaborate with Dr. Diane Ching on a project entitled “1,2,3 Go!”, which focuses on incorporating out-of-bed activities into a hospitalized patient’s everyday routine. They presented this project at Grand Rounds in May 2018. This project is also a part of the Surgical Unity Safety Program, for which Dr. Wang serves as the lead for Pediatric Mobility.

Division Goals The goals of the pediatric hospitalist division are to provide excellent inpatient pediatric care to the children of the State of Hawai‘i and the Pacific Islands/Pacific Rim, provide a base for emerging research initiatives in inpatient pediatric care, and further continue the excellent teaching tradition, in pediatric medical education, through the University of Hawai‘i John A. Burns School of Medicine.

24 Pediatric Infectious Diseases Marian E. Melish, MD - Division Chief Updated:11/16/2016

Division Faculty The Infectious Disease Division of the Department of Pediatrics currently consists of the following members:

Natascha Ching, MD Assistant Professor of Pediatrics Marian E. Melish MD Professor of Pediatrics and Division Chief Sarah Y Park, MD, MPH Assistant Clinical Professor of Pediatrics, Epidemiologist and Chief of the Hawai‘i Disease Department of Health’s Disease Outbreak Control Division Richard T. Yanigihara, MD, MPH Professor of Pediatrics and Director, Pacific Center for Emerging Infectious Diseases Research

All members of the division are involved in research, teaching at various levels, providing expert specialty medical care and service to Kapi‘olani Medical Center for Women & Children and the State of Hawai‘i.

Goals Clinical Care The goals of the Infectious Disease Division are: Drs. Melish, Ching and Park rotate regularly providing 1. To ensure that children of our state benefit from the inpatient consultations at Kapi‘olani Medical Center most recent advances in the prevention and treatment for Women & Children, Shriners Hospital, and Kaiser- of infection. Moanalua Medical Center. In addition these physicians 2. To generate new knowledge about the nature of see outpatients on referral at the Pediatric Specialty infectious diseases; their prevention and treatment. Clinic. Infectious Disease Clinic, Kawasaki Disease 3. To teach physicians, post-doctoral trainees, medical Clinic and Immunology Clinic are held weekly. Outpatient students and allied health personnel basic knowledge consultation for patients with urgent infectious disease and new advances in infectious disease. problems can be seen on the day of referral. Telephone 4. To provide high quality expert medical care and consultations to physicians throughout the state are advice for all forms of infection affecting children. provided daily. Our Infectious Disease Service is 5. To provide expertise to Kapi‘olani Medical Center frequently consulted by telephone and email by physicians for Women & Children, Shriners Hospital and the throughout the Pacific Basin and the US mainland. State of Hawai‘i Department of Health on matters of infection control and prevention. Teaching The Infectious Disease group is extensively involved in Research Activities teaching at many levels. All members of the groups are Research activities of the division cover a broad range of frequently asked to provide lectures and teaching sessions investigations; laboratory, clinic and institution based. to allied health personnel such as nurses, respiratory These research investigations include: therapists, laboratory technicians and others. Medical a.) Basic science molecular biologic investigations into student teaching is provided in the form of lectures and retrovirus related disease, discovery of novel laboratory sessions to medical students in Units 2-7 viruses in the Hawai‘i environment, covering the first two years of the medical curriculum. pathophysiologic, genetic and climate studies of Teaching to third and fourth year students rotating on Kawasaki Disease and the characteristics of Pediatrics is provided in many settings, both formal streptococci and staphylococci involved in various and informal. All first year Pediatric Residents ritate fir clinical manifestations of disease, ine month on the Infectious Disease Service. Resident b.) Clinical research studies of antibiotics and vaccines, electives in Infectious Disease are offered to 2nd and publication of case series, 3rd year Pediatric Residents. Infectious Disease faculty c.) Epidemiologic studies of streptococcal and contribute to Grand Rounds frequently. Members of staphylococcal disease and the group serve on the University of Hawaii Graduate d.) Performance Improvement projects related to hospital School Faculty and lecture in Graduate Division Courses infection control and antibiotic stewardship. The on Medical Microbiology. Drs. Yanagihara, and Melish primary research interests of individual faculty are supervise Masters and PhD students in their thesis described in more detail below. 25 research. Members of the group are frequently invited in Kawasaki Disease. Dr. Melish’s other research interest to speak at Continuing Medical Educations conferences is in staphylococcal infections and staphylococcal toxins. throughout North America and world-wide. Dr. Melish She was the senior author of a seminal study demonstrating and Yanagihara have lectured often in Europe and Asia. that a program of daily application of Muprocin ointment to the nares and umbilicus of NICU infants acts as a Service barrier to staphylococcal colonization and reduces the risk The Infectious Disease Group provides many services to of severe invasive nosocomial staphylococcal infections. Kapi‘olani Medical Center for Women & Children and the She continues to study nosocomial infections in the NICU, University of Hawai‘i. All members support the Hospital meeting regularly with NICU leadership and carrying out Epidemiology/Infection Control effort. We regularly give performance improvement projects. She was the founding the Medical Staff Office and Administration high level chair of the International Kawasaki Disease Symposia consultation on all matters relating to Infection Control which are held every 4 years and will be the co-President and Infectious Disease. Group members participate in of the 12th international symposium to be held in Japan State of Hawai‘i Department of Health efforts related to in 2019. Dr. Melish and Dr. Ching published a paper Immunization, Communicable Disease, Epidemiology, this year describing the clinical and imaging features of Sexually Transmitted Disease, HIV/AIDS and the first infant born in the US with the Congenital Zika Bioterrorism. Service and expert opinion is also provided Virus Syndrome. This is a new focus of research for our to the Hawai‘i Medical Service Association, Hawai‘i division, We are now following the progress of 6 infants Medical Association, Clinical Laboratories of Hawai‘i, with congenital exposure to Zika virus, 2 of whom have Hawai‘i Chapter of the American Academy of Pediatrics, severe neurologic abnormalities. the United States Food and Drug Administration, the American Heart Association and the National Institutes Natascha Ching, MD, FAAP is Assistant Professor of of Health. Pediatrics. She is board certified in Pediatric Infectious Diseases and Pediatrics. A graduate of the University Marian E. Melish, MD is Professor of Pediatrics, of Hawai‘i John A. Burns School of Medicine, she Tropical Medicine and Medical Microbiology. She completed her Pediatric residency at the New York is board-certified in Pediatrics, Pediatric Emergency Presbyterian-Weill Cornell Medical Center, New York Medicine and Pediatric Infectious Disease. She assumed and her Pediatric Infectious Diseases Fellowship at the post of Infectious Disease Division Chief in July Mattel Children’s Hospital, University of California, Los 2002. Her major administrative role is Medical Director Angeles, David Geffen School of Medicine. Her special of Infection Control at Kapi‘olani Medical Center for interests include infections in immunocompromised Women & Children. On a department level she co-chairs hosts, congenital infections, bone infections and skin the Resident Recruitment effort. Her major research effort and soft tissue infections. In addition to participating in in Kawasaki Disease (KD) is studying the pathogenesis Infection Control activities she has taken the leadership of the inflammatory vasculitis and its immunologic basis. role in Antibiotic Stewardship. She has developed a She participates in the international studies of the genome Diagnosis and Treatment Project for infants congenially in KD patients and their parents. Another ongoing project infected with Cytomegalovirus which involves confirming is the study of the incidence of Kawasaki Disease related the diagnosis, evaluating the extent of the illness and to climate factors. Together with Dr. Venu Reddy of supervising anti-viral therapy. Dr. Ching is playing a the Cardiology Division and 2 pediatric residents, Drs. major role in lur on-going research into the development Andras Bratincsak and Dr. Purohit Prashant she designed of Zika exposed infants as they grow. and carried out a study of echocardiographic appearance of the coronary arteries in KD comparing their vessel Sarah Y. Park, MD is the Hawai‘i State Epidemiologist diameter to that of febrile children with other illnesses. and Chief of the Disease Outbreak Control Division, This study demonstrated that fever alone does not dilate Hawai‘i Department of Health. Dr. Park completed her the coronary arteries thus demonstrating that coronary medical education at the Boston University School of dilation can be used as a diagnostic and prognostic marker Medicine, her pediatrics residency at the Lucile Packard in early KD. Using this insight, Dr. Melish and Bratincsak Children’s Hospital at Stanford, and her pediatric have been awarded research grants from the federal infectious diseases fellowship at the University of NIH, COBRE, and CTR-IN sources in 2015-6 to study California at San Francisco. She continues to practice the molecular events in cardiovascular remodeling in clinically, occasionally covering the pediatric infectious Kawasaki Disease, Dr. Melish and Bratincsak have begun diseases inpatient service at Kapi‘olani Medical Center for a placebo controlled clinical trial studying the effect of Women & Children in Honolulu, HI, and is an Assistant Doxycycline on developing coronary artery abnormalities Clinical Professor at the University of Hawai‘i John 26 A. Burns School of Medicine. She directs all activities Richard T. Yanigihara, MD, MPH is known world- related to emerging infections, disease surveillance wide for many cutting edge investigations in virology and and investigations, immunizations, and public health epidemiology. He currently heads the Research Careers preparedness (e.g., Hawai‘i’s response to the 2009 H1N1 in Minority Institutions (RCMI) Translational Research pandemic). Aside from her regular duties, Dr. Park serves Network and the Pacific Center for Emerging Infectious on the National Advisory Committee on Children and Diseases Research which studies a very broad range of Disasters, Congressionally mandated to assess all issues problems of importance to Hawai‘i and the world. Their related to children and disasters, specifically regarding laboratory has discovered a new herpesvirus responsible the nation’s preparedness and capacity to respond, and for tumors of endangered Hawaiian Green Sea Turtles and advise the US Health & Human Services (HHS) Secretary is currently exploring the new discovery that hantaviruses and Assistant Secretary for Preparedness and Response have a much broader host range than previously thought. (ASPR) on such. Dr. Park has a leadership role on the He has made many contributions to basic and applied Council of State & Territorial Epidemiologists, the senior AIDS research, has evaluated the impact of novel viruses states leadership and decision-making body for reviewing such as TT virus in humans, has begun many investigations nationally notifiable conditions and establishing disease into agents of bioterrorism, and has collaborated with the reporting and surveillance standards. members of our division in applying the techniques of molecular biology to current clinical problems. Although A major endeavor Dr. Park oversees is Hawai‘i’s Stop Flu his current research efforts are very much laboratory at School program—the only statewide school-located flu based at the cutting edge of virology and immunology he vaccination program, through which > 50% of the state’s is a pediatrician who makes a major contribution to our children ages 5–13 years in public and private schools division and is sought after as a lecturer who can interpret are vaccinated against influenza each fall. This highly basic science Microbiology to Pediatric clinicians. successful program has contributed to Hawai‘i having a consistently high influenza vaccination coverage among children, served to strengthen relationships with key stakeholders, and provide routine practice to implement a mass vaccination campaign—a critical capability that benefitted Hawai‘i during the 2009 pandemic.

Dr. Park led the effort to identify, combat and terminate 2 major epidemics that affected Hawai‘i in 2015-16, the Dengue virus outbreak on Hawai‘i island and the state- wide Hepatitis A outbreak. Dr. Park and her team of investigators identified the causative agent in the Hepatitis A outbreak, tracing it to a single shipment of contaminated raw scallops served at a chain of sushi restaurants. She continues to practice clinically, occasionally covering the pediatric infectious diseases inpatient service at Kapi‘olani Medical Center for Women & Children in Honolulu, HI, and is an Assistant Clinical Professor at the University of Hawai‘i John A. Burns School of Medicine.

Marian Melish, MD and Natasha Ching, MD, discuss a chest radiograph of a patient with pneumonia. photo by: Karen Akiyama 27 Pediatric Intensive Care Rupert K.S. Chang, MD - Medical Director John J. Harrington, III, MD - Division Chief Updated: 9/28/2016

Division Members: Rupert K.S. Chang, MD Assistant Professor of Pediatrics and Medical Director Andrew K. Feng, MD Assistant Professor of Pediatrics John J. Harrington, III, MD Assistant Professor of Pediatrics and Division Chief Prashant Purohit, MBBS Kapi‘olani Medical Specialist/Pediatric Critical Care Len Y. Tanaka, MD, MS Assistant Professor of Pediatrics Konstantine P. Xoinis, MD Assistant Professor of Pediatrics

The Pediatric Intensive Care Unit is a 14-bed acute care consultant assistance in the management of pediatric unit with the capacity to open an additional 4 to 6 beds trauma patients hospitalized at Queen’s Medical Center. for intermediate level care patients. In September, 2016 With the continued development of Kapi’olani’s own we moved into the new PICU in the recently constructed trauma service, we have seen more patients being admitted Diamond Head Tower. Patients are now all cared for in to the PICU for their acute care. private rooms, and families have sufficient space to stay with their children during their PICU stay. At Kaiser Moanalua, the Kapi‘olani PICU physician group provides critical care coverage in the Kaiser PICU We admit approximately 600 children per year with a vast several days a month. In addition to the management array of medical and surgical problems, ranging from of critically ill patients, we provide inpatient procedural sepsis to congenital heart disease, and respiratory failure. sedation services. Patients from all over the Pacific are transported to the Kapi‘olani PICU, and we have an active, well-trained, Community services include assisting in the medical care transport team. In addition to caring for patients at of Medically Fragile Children in the community. Members Kapi‘olani, our physicians assist in the care of critically ill of the PICU staff play an integral role in returning many children at Queen’s Medical Center, and Kaiser Moanalua Medically Fragile Children to their homes, and help Medical Center. We are also involved in the care of provide the medical support necessary to keep them there. Medically Fragile children throughout the State. We also maintain a close working relationship with the medical staff at Kulana Malama, the Pediatric Nursing The PICU team provides complex care to the critically Facility in Ewa. We have collaborated in the transitioning ill patients in our PICU. Continuous renal replacement of care of Medically Fragile children from the acute therapy, plasmapheresis, high-frequency ventilation, and setting in the PICU, to the convalescent setting at Kulana nitric oxide therapy are among the therapies available to our Malama. patients. The Hanuola ECMO program has successfully treated many neonatal and pediatric patients since 2007. Rupert Chang, MD completed his fellowship at UCSF/ In 2010, our program was recognized as a Center of Children’s Hospital Oakland and joined the Critical Care Excellence for this type of life support. In September of Group at Kapi‘olani Medical Center in 1996. He is Board 2017, ELSO, the national ECMO organization, increased certified in both Pediatrics and Pediatric Critical Care. Dr. our designation to Gold Level. August 1995, saw the start Chang became the Medical Director and Division Chief of “Heart Week.” Since then, 5 times a year for over 20 of the PICU in the fall of 2004. In the fall of 2016, the years, the congenital heart disease program has functioned Division Chief role was assumed by Dr. Jaime Harrington. smoothly with open-heart surgical patients and select Dr. Chang continued as PICU Medical Director. interventional cardiac catheterization patients receiving post-procedural care in the PICU. In addition to his clinical duties in the PICU, Dr. Chang works with the PICU Manager, Myra Barrientos, RN, The pediatric trauma collaborative care agreement in overseeing the day-to- day functions of the Intensive between the Kapi‘olani PICU and the Surgical/Neuro Care Unit. Along with the other division members, he Intensive Care Unit at Queen’s Medical Center has been is involved in the development of quality improvement very successful. PICU physicians have been providing measures including the prevention of ventilator associated

28 pneumonia, IV line infections, catheter related UTI’s, and Exchange/Plasmapheresis service at Kapi‘olani Medical skin breakdown. Dr. Chang has also been very active Center for Women & Children. He has been very active providing Pediatric Critical care consultant services at in teaching, and oversaw the Pediatric Residents rotating Queen’s Medical Center for their pediatric trauma patients through the PICU from 2013-2016 before recently turning and renal transplant patients. He also helped develop the that role over to Dr. Prashant Purohit. PICU coverage agreement with Kaiser Moanalua Medical Center. Dr. Harrington spends his free time with his husband and family. During his leisure time, Dr. Chang enjoys spending time with his wife and two daughters. Prashant Purohit, MBBS returns to us having recently completed his Pediatric Critical Care Fellowship at the Andrew Feng, MD joined the PICU in March 2009 after Lucille Packard Children’s Hospital Stanford. working on the East Coast for a number of years. Dr. Feng received his Pediatric residency training here at Kapi‘olani Dr. Purohit received his Medical school training in India, Medical Center, and served as Chief Resident from 1994 and did his Pediatric Residency training here at Kapi‘olani – 1995. He went on to train in Pediatric Critical Care Medical Center. at UCSF/Children’s Hospital Oakland. He completed his training in 1998. As a PICU attending physician, Dr. Along with the treatment of children in the PICU, he also Feng distinguished himself as an excellent clinician and has tremendous experience in the transport of critically ill teacher. He won a number of resident teaching awards children by ground and by air. at his previous jobs. He is also an accomplished clinical researcher. Dr. Purohit is an American Heart Association certified Pediatric Advanced Life Support and he is passionate With his years of experience, Dr. Feng has greatly enhanced about teaching cardiopulmonary resuscitation to the the care in our PICU. He is currently overseeing the providers. development of a Pediatric Sedation Scale for the PICU. He has also taken on a leadership role in the Pediatric During residency he was awarded with “Raul Rudoy, Residency program, chairing the Program Evaluation MD Chairman’s Book Award” and “1st Place Faculty Committee. He is active in outreach services, lecturing Award Recipient for Research”. Dr. Purohit has numerous about various Pediatric Critical Care topics at referring publications and his research interests include clinical medical centers. pharmacology. His overarching academic career goal is to improve safety and efficacy of medication administered During his free time, Dr. Feng enjoys being with his wife to critically ill children. He was recently honored by the and two children. University of Hawai`i John A. Burns School of Medicine Pediatric Residency Program with the “Resident Teaching John (Jaime) Harrington, MD joined the PICU in Award”, for his excellence in teaching residents. Dr. August 2004 after completing his fellowship in Pediatric Purohit oversees the Pediatric Residents and 4th year Critical Care at UCLA in July 2004. He completed his Medical Students during their PICU rotation. Pediatric residency at Children’s Hospital of Los Angeles and went to Cornell University Medical College. Dr. In his free time Dr. Purohit enjoys spending time with his Harrington was a research fellow in Rio de Janeiro wife and daughter. studying tuberculosis, and spent a year as a biomedical researcher in the hematology division of the West Len Tanaka, MD returned home to his native Oahu in Roxbury VA hospital. In the fall of 2016, Dr. Harrington September 2007 after completing his Pediatric Critical assumed the role of PICU Division Chief, overseeing the Care Fellowship at the University of Texas Medical School PICU group’s role within Hawai‘i Pacific Health and the at Houston. He graduated from the Univeristy of Hawai‘i Department of Pediatrics. John A. Burns School of Medicine before entering into the Pediatric residency at the University of Texas Medical Dr. Harrington is an excellent clinician, and has extensive School at Houston, where he remained to do his Critical teaching experience. With his outstanding clinical skills, Care training. he has greatly enhanced the care of patients in the Intensive Care Unit. Dr. Harrington oversaw the upgrade Since his joining the PICU, Dr. Tanaka has demonstrated of the CVVHD program to the Prismaflex pump, and was fine clinical and teaching skills. He also took on many the physician lead in the development of the Total Plasma additional responsibilities, first serving as the Assistant 29 Director of the Pediatric Transport Team for several years, and later becoming the Medical Director of ECMO services. In addition to leading ECMO program at Kapi‘olani Medical Center, Dr. Tanaka has assisted in the management of ECMO patients at both Straub Medical Center and Queen’s Medical Center.

In his free time Dr. Tanaka enjoys spending time with his wife and son.

Konstantine Xoinis, MD joined the PICU division in 2009 after completing Pediatric Critical Care Fellowship at UCSF/Children’s Hospital Oakland. He did his Pediatric residency training here at Kapi‘olani Medical Center for Women & Children and served as Chief Resident from 2005 – 2006.

Dr. Xoinis has varied clinical interests and has made a significant positive impact on patient care in the PICU, sharing his knowledge and insights with the rest of the division. He is the Co-Medical Director of the Pediatric Transport Team, and serves as the Chairperson of the Pharmacy & Therapeutics Committee.

In his free time Dr. Xoinis enjoys spending time with his wife and two sons. He is also an avid surfer.

30 Pediatric Specialty Division Rhiana Lau, MD - Division Chief Kara Yamamoto, MD - Associate Division Chief

(From left to right, back to front) Greg Uramoto, MD; Susan Ingraham, MD, PhD; Rhiana Lau, MD; James Musgrave, MD; Leah Dowsett, MD; Leon Grant, DO; Keith Abe, MD; Christopher Lynch, MD; Kara Yamamoto, MD; D. Venudhar Reddy, MBBS, MPH photo by: Karen Akiyama

Pediatric Cardiology: Andras Bratincsak, MD, PhD Kapi‘olani Medical Specialist D. Venudhar Reddy, MBBS, MPH Professor of Pediatrics

Pediatric Endocrinology: Greg Uramoto, MD Associate Clinical Professor of Pediatrics

Pediatric Gastroenterology: Jeremy L. King, DO Assistant Professor of Pediatrics Camilla Fraga Lovejoy, MD Kapi‘olani Medical Specialist

Medical Genetics: Leah Dowsett, MD, Assistant Clinical Professor of Pediatrics Robert Wallerstein, MD Associate Professor of Pediatrics

Pediatric Nephrology: James E. Musgrave, MD Professor of Pediatrics Rhiana Lau, MD Assistant Professor of Pediatrics and Division Chief Susan Ingraham, MD, PhD Assistant Clinical Professor of Pediatrics

Pediatric Neurology Keith Abe, MD Assistant Professor of Pediatrics Leon Grant, DO, MS, MPH Assistant Professor of Pediatrics

Pediatric Pulmonology Edward Fong, MD Assistant Clinical Professor of Pediatrics Brian Wu, MD Assistant Clinical Professor of Pediatrics

Pediatric Rheumatology: David K. Kurahara, MD Associate Professor of Pediatrics Kara S. Yamamoto, MD Assistant Professor of Pediatrics & Associate Divison Chief

Sports Medicine: Jennifer R. King, DO Assistant Professor of Pediatrics Christopher Lynch, MD Assistant Clinical Professor of Pediatrics

Pediatric Surgery: Walton K.T. Shim, MD Professor of Pediatrics and Surgery

31 The Pediatric Specialty Division is comprised of had previous experience in basic research at the National individuals with fellowship training in a diverse array Institutes of Health in Bethesda. He is enthusiastic about of pediatric subspecialties. All of the division members the education of his peers, residents and medical students. participate in the residency and medical student teaching His areas of research interest include ECG analysis, programs and many have been recognized for excellence Kawasaki disease and stent development. in teaching with the University of Hawai‘i Pediatric Residency teaching award. Many of our division members Pediatric Cardiology is offered as an elective for MS3 are active in quality improvement and clinical research students during Pediatric clerkship, MS4 students and activities, which often include medical students and Pediatric residents. residents. A few of the specialists are in private practice and many are employed by Kapi‘olani Medical Specialists PEDIATRIC ENDOCRINOLOGY (KMS). As a group, we continue to work on strategies to Greg Uramoto, MD is a member of our Clinical Faculty improve care and collaboration for patients across our and is an alumnus of JABSOM and our Pediatric Resident specialties as well as within the primary care and hospital Program. His fellowship training was at the Mayo Clinic settings. in Rochester, MN. He has written textbook chapters on Diabetes Mellitus. Pediatric Specialty clinics are held at the Kapi‘olani office building and the Hale Pawa’a Building. Some division Pediatric Endocrinology is offered as an elective for members also provide care at other Hawai‘i Pacific Health Pediatric residents. facilities, Kaiser facilities, and neighbor island outreach clinics. PEDIATRIC GASTROENTEROLOGY Camilla Fraga Lovejoy, MD recently moved to Our division has continued its path of growth; this past Hawai‘i and joined Dr. Jeremy King in the Pediatric year we welcomed Dr. Camilla Fraga-Lovejoy in Pediatric Gastroenterology practice. She attended the Federal Gastroenterology and Dr. Leah Dowsett in Medical University of Minas Gerais in Brazil for her medical Genetics. school education. She completed her Pediatrics residency at the Miami Children’s Hospital and her Pediatric PEDIATRIC CARDIOLOGY Gastroenterology fellowship at the University of D. Venu Reddy, MBBS received his MD from Osmania Oklahoma. Her professional interests include nutrition, Medical College in India and a Master’s in Public eosinophilic esophagitis and allergic diseases, intestinal Health (MPH) from UCLA. He completed an internship failure and inflammatory bowel disease. at Fairview Park Hospital in Cleveland and a Pediatric residency at the University of Missouri Medical Center. Jeremy L. King, DO is an Assistant Professor of Pediatrics After completing a fellowship in Pediatric Cardiology and completed his fellowship in Pediatric Gastroenterology at UCLA medical Center, he became Chief of Maternal at the Nemours/Alfred I. duPont Hospital for Children Child Health and Crippled Children Services for the State in Wilmington, Delaware. He has busy outpatient and of Alaska and later the State of Hawai‘i. He is the Section inpatient services at KMCWC and includes the teaching Chief for Pediatric Cardiology and Professor of Pediatrics, and training of pediatric residents in these activities. JABSOM. Dr. Reddy attends the pediatric ward rotation Dr. King has written extensively about different issues yearly. He is the Medical Director of Pediatric Cardiology of Pediatric Gastroenterology and collaborates with the at Kapi‘olani Medical Center for Women & Children Department of Nutrition at the University of Hawai‘i. (KMCWC). His research interests include Kawasaki Disease, rheumatic fever and rheumatic heart disease and Pediatric Gastroenterology is offered as an elective for congenital heart defects. Dr. Reddy offers a four-week Pediatric residents. rotation in Pediatric Cardiology to pediatric residents and fourth year medical students. He also offers MS3 clerkship MEDICAL GENETICS electives to third year medical students. Leah Dowsett, MD joined the Medical Genetics practice in Sept 2017. She completed her undergraduate studies at Andras Bratincsak, MD, PhD is a Pediatric and Adult the University of Southern California where she majored Congenital Cardiologist, who received his Pediatric in Biological Sciences and Psychology. She attended the Cardiology fellowship training at the University of University of Hawai‘i John A. Burns School of Medicine California San Diego with an additional 18 months of for medical school and completed her Pediatrics Residency training in interventional cardiology and electrophysiology with the Hawai‘i Residency Program. She completed of children and adults with congenital heart disease. He her Medical Genetics and Genomics fellowship at The

32 Children’s Hospital of Philadelphia before returning home consultations in all areas of pediatric nephrology. Her to Hawai‘i. Her professional interests include clinical particular areas of expertise are obstructive nephropathy genetics, dysmorphology and improving genomic health and congenital anomalies of the kidney and urinary tract. disparities in underrepresented minority populations. Other interests she hopes to pursue at KMCWC and JABSOM include resident education and collaborative Robert Wallerstein, MD joined the faculty in July 2016 clinical research in pediatric nephrology. as medical director of Hawai‘i Community Genetics. He comes from Santa Clara Valley Medical Center in San Collectively, the pediatric nephrology service offers Jose, California. He is an Associate Clinical Professor of consultative services at KMCWC and other hospitals, Pediatrics at University of Hawai‘i John A. Burns School neighbor island outreach clinics, and a nephrology clinic of Medicine. He completed his undergraduate and graduate at the Hale Pawa’a office. medical training in Pediatrics at Rutgers-Robert Wood Johnson School of Medicine in New Jersey and his Medical A Pediatric Nephrology rotation is offered to Pediatric Genetics training at Thomas Jefferson Medical College in residents. A combined nephrology and rheumatology Philadelphia. His clinical and research interests include elective is offered to Pediatric residents and MS4 students. dysmorphology/syndrome identification, craniofacial MS3 students have the opportunity to shadow in clinic on disorders, hereditary cancer, and the application of new their outpatient pediatric rotation. genetic testing technologies. He provides both outpatient and inpatient consultation at KMCWC and other hospitals PEDIATRIC NEUROLOGY and will be providing outreach clinics to neighbor islands Keith Abe, MD is an Assistant Professor of Pediatrics neighbor islands as part of the collaboration with the and provides inpatient and outpatient neurology Department of Health. consultation services at KMCWC and resident neurology training lectures and elective rotations. He is originally Medical Genetics is offered as an elective for preclinical from Honolulu and received undergraduate and graduate students in MD5, MS3 students during the Pediatric degrees from the University of California at Berkeley in Clerkship, MS4 students, Pediatric and Ob/Gyn civil and structural engineering and previously performed residents. private structural engineering consulting work. He later completed medical school and Pediatrics residency training PEDIATRIC NEPHROLOGY at JABSOM and returned to Hawai‘i after completing James E. Musgrave, MD is a Professor of Pediatrics, and his child neurology training at Stanford University. Dr. the Division Chief for Pediatric Nephrology. He conducts Abe’s clinical interests include seizures and epilepsy, a pediatric nephrology clinic. He attends one month of encephalitis, demyelinating disease, pediatric stroke and the year on the pediatric ward rotation. Dr. Musgrave’s neurogenetic disorders. Dr. Abe serves on the physician research interests involve drug trials in pediatric patients advisory board for the Epilepsy Foundation of Hawaii with hypertension and epidemiology of pediatric and the Make-A-Wish foundation. nephrology problems in Hawai‘i. Leon Grant, DO, MS, MPH is an Assistant Professor Rhiana Lau, MD is an Assistant Professor of Pediatrics of Pediatrics with the division of Pediatric Neurology. and the Section Chief of the Pediatric Specialty Division. He completed his Pediatric Neurology fellowship and his She is originally from Honolulu and returned to Hawai‘i Pediatric residency at the University of Texas Medical after completing her pediatric nephrology fellowship Center - Houston. He has graduate degrees in Public training at UCLA. She completed her pediatric internship Health and Science in Clinical Oncology. He practices and residency at UCLA after attending medical school with Dr. Abe in outpatient and inpatient settings at at the University of Minnesota. She enjoys working KMCWC, interprets EEGs and teaches pediatric residents with both the residents and medical students rotating at and medical students. His interests include seizures, KMCWC and on the pediatric nephrology rotation. Her headaches, metabolic and mitochondrial disorders. areas of interest include acute kidney injury, obesity- Pediatric Neurology is offered as an inpatient-outpatient related hypertension, and improving patient compliance. elective to Pediatric residents by Dr. Abe and Dr. Grant.

Susan Ingraham, MD, PhD joined the division of PEDIATRIC PULMONOLOGY Pediatric Nephrology in September 2016. Previously, she Brian Wu, MD is a Pediatric Pulmonologist who received was an attending nephrologist and NIH-funded investigator his Pediatric Pulmonary Fellowship training at the at Nationwide Children’s Hospital in Columbus, Ohio. University of California San Francisco. He is originally She will be providing both inpatient and outpatient from O‘ahu and completed his Pediatric Residency 33 training at the University of Hawai‘i Pediatric Residency which he provides direction, mentorship, and experience Program. He holds a certificate in Advanced Training in for them in developing and writing medical manuscripts Clinical Research from UCSF. In addition to providing for publication. He is treasurer and a board member of pediatric pulmonary inpatient and outpatient services, he HPAREF (Hawai‘i Pediatric Association Research and also provides care for adult patients with cystic fibrosis. Education Foundation) and also on the medical advisory He is an Assistant Clinical Professor at the University of board for the Make-A-Wish Foundation. Hawai‘i. Dr. Wu is an advisory member for the Make- A-Wish Foundation and the Leahi Fund Committee. His Kara S. Yamamoto, MD is an Assistant Professor of passion is clinical care but also enjoys teaching interested Pediatrics and co-section chief of the Pediatric Specialty residents and students. Division. She works with the Pediatric Residency Program and John A Burns School of Medicine Students. Edward Fong, MD is an Assistant Clinical Professor She is the Pediatric Rheumatology Rotation director of Pediatrics. He received his medical degree from the which is offered as an elective for fourth year Medical University of Hawai‘i-Manoa John A. Burns School of Students and Pediatric Residents. Third year medical Medicine. He completed his Pediatric internship and students on their pediatric clerkship may also rotate residency as well as his Pediatric Pulmonology Fellowship through her clinic. She and Dr. David Kurahara provide at the University of Arizona in Tucson, Arizona. During care for Pediatric Rheumatology patients at the Kapi‘olani his fellowship, Dr. Fong was awarded a National Institute Medical Specialists Clinics at Hale Pawa’a and the of Health K30 Clinical Research Curriculum Award. Kapi‘olani Medical Center for Women & Children. She He also completed the University of Arizona Clinical is also involved in the Pediatric Complex Care Clinic at Research Training Program. Dr. Fong joined Kapi‘olani Kapi‘olani Medical Center for Women & Children. She is Medical Specialists after being in the Bay Area and a co- facilitator for CATCH (Community Access to Child attending at California Pacific Medical Center (CPMC) in Health) for the State of Hawai‘i, which is sponsored by San Francisco, University of California Benioff Children’s the American Academy of Pediatrics. Dr. Yamamoto is Hospital at Oakland (UCBCHO), and John Muir Medical a board member of the Arthritis Foundation of Hawai‘i Center (JMMC) in Walnut Creek, California. In addition, and serves as the medical director for Camp Mana’olana Dr. Fong has held academic positions as an Assistant – the juvenile arthritis camp sponsored by the Arthritis Clinical Professor of Pediatrics at both UCSF and Stanford Foundation of Hawai‘i, which is also supported by Hawai‘i University. Dr. Fong is an avid teacher and lecturer, Pacific Health. She also volunteers with the medical staff including having mentored 8 pediatric pulmonary fellows of the Special Buddies Camp. prior to returning to Hawai`i. He has given international and national lectures on the respiratory manifestations of SPORTS MEDICINE Morquio A Syndrome. He has held leadership positions Christopher Lynch, MD is an Assistant Clinical Professor at CPMC, UCBCHO as well as at Stanford. Currently, of Pediatrics and completed his pediatric residency he is the Medical Director of Kapi‘olani Medical Center at UC Irvine/Children’s Hospital of Orange County for Women & Children’s Respiratory Care Department, combined program and his sports medicine fellowship including the Pulmonary Function Laboratory. at the University of Hawaiʻi at Mānoa. He volunteers in the community as team physician for local high schools Pediatric Pulmonology is offered as an elective for and as sideline physician for UH baseball. Dr. Lynch is a Pediatric residents. regular speaker at sports medicine conferences on island has a special interest in shoulder injuries and the aquatic PEDIATRIC RHEUMATOLOGY athlete. He practices with the KMS Pediatric Orthopedics David K. Kurahara, MD is an Associate Professor of group with Dr. Robert Durkin, Dr. William Burkhalter and Pediatrics and Division Chief of Pediatric Rheumatology. Dr. Jennifer King. He is also Program Director for the Pediatric Residency program. His research work is in autoantibody production Jennifer R. King, DO is an Assistant Professor of in Rheumatic Fever, and he collaborates with a PhD Pediatrics and has been involved with numerous collegiate investigator at the University of Hawai‘i, which work led and professional sports teams in her career. She has to an article published in the Journal of Pediatric Infectious provided Sports Medicine coverage for events as diverse Disease this year. He is also working on manuscripts in as the New York City Marathon to Professional Volleyball resident research and career choices, which was helped by and Little League Baseball. Dr. King is a medical advisor his directorship of the pediatric resident research program for the Hawai‘i Concussion Assessment and Management for the Department of Pediatrics. He has a team of pre- Program and for the Sports Medicine Advisory Committee medical undergraduates helping with these projects, of for HHSSA. She has a high interest in Dance Medicine.

34 She practices with the KMS Pediatric Orthopedics group Dr. Shim is a member of the Hawai‘i Medical Association of Dr. Robert Durkin, Dr. William Burkhalter and Dr. (HMA) for which he served as President in 2014. He is a Christopher Lynch. member of the American Pediatric Surgical Association and the Pacific Association of Pediatric Surgeons (Pres. Pediatric Sports Medicine is offered as an elective to 1981). He is also a Medical Director for Aloha Care Pediatric residents and MS4 students. It is offered as part of and serves on the Board of Directors of Palolo Chinese the outpatient pediatric rotation for MS3 students. The UH Home. Among his interests are hunting and shooting, Sports Medicine Fellow and Family Medicine residents tennis, writing, antiques, sausage making, vegetable rotate through the clinic as part of their training. gardening and grandfathering. His favorite aphorisms are: “Life requires eternal vigilance” and “Not all change SURGERY is progress”. Walton KT Shim, MD is a Professor of Pediatrics and Surgery. He is the Director of Surgical Education at KMCWC where he coordinates and participates in training JABSOM surgical residents and pediatric residents. He serves on the Dept. of Surgery Promotions and Resident Evaluation Committee. His teaching efforts are with both pre-medical and medical students through courses Surg. 545K (Pediatric Surgery sub internship) and MDED 574 (Clinical Skills, GI subunit). His Research accomplishments have been achieved through participation in Course Surg. 545U/ME645 which is collaboration between the Surgical Department and the UH School of Engineering. Under the auspices of this course and with a team of graduate engineering students he developed a conceptual programmable abdominal simulation manikin called SmarTummy ®. For this invention a First Prize Award of $17,500 was granted by the Pacific and Asian Center for Entrepreneurship (PACE), Shidler Business College of the U of H. in 2013 followed by a Third Place Award of $10,000 from the American Society of Mechanical Engineers (ASME) in 2014. SmarTummy reached the finals in the 2014 California Dreamin’ Contest of Chapman University. SmarTummy has been awarded 2 United States patents: #9,087,458B2 and #9,117,377B2.

Leah Dowsett, MD examines 9 month old Shylar during her visit at Kapi‘olani Medical Center for Women & Children at Hale Pawa‘a. photos by Karen Akiyama 35 Fellowship Training in Neonatal Perinatal Medicine Jointly Sponsored by University of Hawai‘i John A. Burns School of Medicine & Tripler Army Medical Center

Program Director: Venkataraman Balaraman, MBBS

Associate Program Director: MAJ Laura Keller, DO

Program Overview: This training program has two training locations; at Kapi‘olani Medical Center for Women & Children (KMCWC) and Tripler Army Medical Center (TAMC). In its current format, this program has been in existence for 30 years and has trained 35 Fellows (29 Military and 6 Civilian). The goal of the program is to train fellows in an environment of inquiry and prepare them for a successful career in both clinical and academic practice in a wide variety of settings including a diverse population. Given that both the facilities get transfers from the Pacific Basin, the exposure to a wide spectrum of clinical conditions is a major strength of the program.

Program Highlights: The training program devotes 15 months to clinical time including electives in Maternal Fetal Medicine and Cardiology. The rest of the time is devoted to basic science and clinical research, including Quality Improvement projects. Research facilities include access to Department of Clinical Investigations, Tripler Army Medical Center, and various basic researchers within the University of Hawai‘i at Manoa, John A. Burns School of Medicine system.

Recruitment: The program is open to applications from prospective trainees in both the military and the civilian population. Given the logistics of this combined application process, currently the program does not participate in ERAS. Military applications are submitted to the Ministry of Defense and the civilian applications are submitted directly to the training program.

Contact for additional information: Venkataraman Balaraman, MBBS Avi Gonzalez, MBA Program Director Neonatal-Perinatal Fellowship Coordinator 1319 Punahou Street, Room 702 1319 Punahou Street, Room 736 Honolulu, HI 96826 Honolulu, HI 96826 Phone: 808-369-1247 Phone: 808-369-1263 Email: [email protected] Email: [email protected]

36 Pediatric Residency Housestaff 2017-2018

PGY-1 Year Sarah Abu-Alreesh, MD – University of Sharjah College of Medicine, United Arab Emirates Chanel Casamina, MD – University of Hawai‘i, John A. Burns School of Medicine, Honolulu, Hawai‘i Vinson Diep, MD – University of Hawai‘i, John A. Burns School of Medicine, Honolulu, Hawai‘i Courtney Gaddis, MD – University of Hawai‘i, John A. Burns School of Medicine, Hawai‘i Trudy Hong, MD – University of Hawai‘i, John A. Burns School of Medicine, Hawai‘i Atalie Lim, MD – University of Queensland School of Medicine, Australia Stefan Mammele, MD – Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Germany Rian Yalamanchili, MD – The Warren Alpert Medical School of Brown University

PGY-2 Year August Boeglin, MD – Indiana University School of Medicine, Indianapolis, Indiana Devlin Cole, MD – Case Western Reserve University School of Medicine, Ohio Yuri Endo, MD – Keio University School of Medicine, Japan Scarlett Johnson, MD – University of Hawai‘i, John A. Burns School of Medicine, Hawai‘i Jordan Kono, MD – University of Hawai‘i, John A. Burns School of Medicine, Hawai‘i Kevin Makino, MD – University of Rochester School of Medicine & Dentistry, New York Mary Rose Nino, MD – University of Hawai‘i, John A. Burns School of Medicine, Hawai‘i Kelsey Rhodes, DO – Edward Via Virginia College of Osteopathic Medicine, Virginia

PGY-3 Year Charyse Diaz, MD – Chicago Medical School at Rosalind Franklin University of Medicine & Science, Illinois Stephanie Graziani, DO – Lake Erie College of Osteopatic Medicine, Erie, Pennsylvania Robert Hagbom, MD – Emory University School of Medicine, Atlanta, Georgia Hannah Kinoshita, MD – University College Cork School of Medicine, Cork, Ireland Jonathan Mandabach, MD – The University of Toledo College of Medicine, Toledo, Ohio Sarah Min, MD – St. George’s University School of Medicine, St. George, Grenada Mark Porter, MD – Ohio State University College of Medicine, Columbus, Ohio Steven Wasserman, MD – University of Buffalo State University of New York 37 PEDIATRIC RESIDENCY TRAINING CURRICULUM www.hawaiiresidency.org/pediatric-residency/pediatric-residency-home

Pediatric Residency Program (PGY-1) During the PGY-1 of pediatric training, emphasis is placed on a foundation of general pediatric medicine and the diagnosis and management of patients admitted to the hospital. Roughly 70% of the patients are supervised by a University of Hawai‘i Hospitalist. The other 30% are supervised by community attending physicians. Residents are also introduced to the management of common adolescent, behavioral-developmental and general pediatric problems encountered in the outpatient setting. PGY-1 residents are provided with numerous patient care situations under the supervision of upper level residents and faculty and they are responsible for the day-to-day management and order writing on all patients.

Pediatric Residency Program (PGY-2) The PGY-2 of pediatric training expands diagnosis and patient management skills through subspecialty rotations, supervisory experience and directing care on the general inpatient wards, and in the NICU. Residents also provide direct patient care in the pediatric emergency medicine and PICU. Residents also begin to see more acute care patients in the outpatient setting. During calls nights on the wards, upper level residents answer calls for the clinic patients as well.

Pediatric Residency Program (PGY-3) The PGY-3 of pediatric training provides an opportunity for residents to refine their skills in diagnosis and patient management, and also emphasizes the supervision and teaching of PGY-2 residents. PGY-3 pediatric residents also serve as supervisors for PGY-1 and newborn nursery patients.

38 The magic of IEUs (Individualized Educational Units) Whether you are dead set on your future goals or looking to do as much exploration as possible, IEUs allow you to tailor your residency experience so it fits YOUR interests and needs.

IEUs are 2 to 4 week long rotations where the resident (with the support of faculty advisors and program administration) creates their own schedule as well as Goals and Objectives. A few examples or prior IEUs include: * Off island rotations: learn about global or rural health * OR bundle: spend the day practicing procedures such as LMAs, intubations and PIV placement. * GI: spend part of your time in clinic and the rest working with support staff such as dietary or the multidisciplinary complex patient team to learn the ins and outs of patient care such as nutritional assessments, TPN, formulas, supply coordination or G tube management * L&D: attend deliveries, assist with NICU admissions/procedures and cover the nursery overnight * Private practice: work in a busy practice to learn how to juggle patient care, billing/coding and managing an office. This is a great opportunity to network for a job after residency as well!

Not quite sure yet what you want to do? No problem! Just take a peak at what some of the prior residents have done and adjust to fit your own career goals!

We are excited to offer many new off island rotations as a part of our IEU curriculum! There are several opportunities available to explore both global health and rural medicine on the outer islands. All rotations offer the opportunity to build your confidence when faced with increased autonomy and the challenge of working with limited resources. While we hope all residents will fall in love with Hawaii and all that it has to offer, you are also welcome to pursue away rotations at mainland institutions to explore fellowship options and/or network for employment post-residency.

OUTER ISLAND: HILO (Big Island) Duration: 2 week to 1 month rotation Schedule: * Completely up to you! Some choose to do inpatient medicine at Hilo Medical Center (HMC) in the mornings and work with a private pediatrician in the afternoons. Others focus on only one component or prefer to split it up week by week. * Call is optional, as are attending deliveries (if you want to build up those NRP skills!) or performing circumcisions. * Weekends are free! Explore the island, visit other Big Island Hospitals or pediatric clinics or work half days at HMC!

Expectations: * The patient load is variable. As a part of the inpatient rotation you will act as an upper to family medicine residents, round on nursery and wards patients, perform admissions and conduct pediatric consults for the ER.

Background: * Over 100 babies born per month on average! There is a high C-section rate due to their inability to perform VBACs. * Wards is part of a combined pediatric/adult surgical unit with 18 beds. * Second busiest ER in the state!

KONA (Big Island) and KAUAI alternatives * Similar to the Hilo rotation described above. * Work in Kona Community Hospital or Wilcox Memorial Hospital and/or with busy outpatient pediatricians.

GLOBAL HEALTH: AMERICAN SAMOA Duration: 2 weeks-1month Expectations: * You work in the pediatric outpatient clinic, nursery, wards, NICU and ICU. * Call can be adjusted but recently has been every 3 days. When on call you do all of the admissions, deliveries and ER consults. After a call day you have a free day to explore or relax! * Admissions are carried until discharge. On weekends you round on and cover all pediatric patients in the hospital.

39 * Get excited about interesting pathology such as dengue fever or rheumatic heart disease! Background: * Everything is based at Lyndon B. Johnson (LBJ) hospital. The ICU has two pediatric beds. The ward has 13 rooms. * Resources are limited. For example there is no MRI and no pulse ox in delivery rooms. Even ultrasound can be difficult to obtain. "Hands down Samoa was the most meaningful rotation of residency." -Steve Wasserman, R3 2017-2018

LAOS Duration: 1 month * This is a brand new 1 month rotation available for interested R3s. Work in Luang Prabang, at Lao Friends Hospital for Children and truly leave your comfort zone!

SOUTH PACIFIC Duration: 2-3 weeks * This is 2-3 week outreach elective in musculoskeletal medicine with Shriners Hospitals for Children in the South Pacific (sites vary but include Fiji, Tonga, American and Western Samoa, and Marshall Islands, among others).

Bonus! * For our outer island and Samoa rotations there is funding available to help cover your flight, gas and car rental costs. Some opportunities come with free housing near the hospital.

Brian Wu, MD discusses “How to consult a consultant”, Jennifer Di Rocco, DO, MEd, reviews “Board Review” topics and Shilpa Patel, MD presents“Sepsis Care” with the Pediatric residents during Academic Half Day. photos by: Karen Akiyama

40 Academic Half Day (AHD) is an integral part of the residency training program and as such is a weekly 4 hour period of protected educational time, free of clinical duties. During this time, residents have lectures dedicated to general pediatrics and subspecialty pediatrics based on ABP content specifications. Throughout the year, they have board reviews where groups of residents will compete against each other to answer board questions. Residents are also scheduled to present journal club and morbidity and mortality conferences. Throughout the year, residents have Resident Focus Groups where they can discuss amongst themselves or with the chiefs any ideas or changes they would like to see in the program. Residents also participate in SimTiki at JABSOM 3- 4 times per year. During this time, they will be presented with code or crisis simulations, hone procedural skills, and learn how to provide feedback.

Department of Pediatrics AHD Schedule July 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Introduction to AHD Drs. David Kurahara & Andras Bratincsak & Brian Wu INTRO 1:30-2:30 758 GI Bleeding Dr. Ken Nagamori GI Wednesday 2:30-2:45 758 15 minute break 07/05/17 2:45-3:45 758 Congenital Heart Disease Dr. Andras Bratincsak CARD 3:45-4:45 758 Pediatric Cardiac Emergencies Dr. James Sim CARD

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 1:30-2:30 Wednesday 2:30-2:45 JABSOM Pediatric In Training Exam Natalie Ho Talamoa & Dana Peros ITE 07/12/17 2:45-3:45 3:45-4:45

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Status Epilepticus & Seizures Dr. Gregory Yim NEURO 1:30-2:30 758 Resident Engagement & Intro to Resident Focus Group (RFG) Dr. David Kurahara & Natalie Ho Talamoa Res Eng Wednesday 2:30-2:45 758 15 minute break 07/19/17 2:45-3:45 758 NICU Emergencies Dr. Surabhi Jain NICU 3:45-4:45 758 Pediatric Hematology-Oncology Emergencies Dr. Wade Kyono HEM ONC

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Infectious Diseases Emergencies Dr. Marian Melish ID 1:30-2:30 758 Block Orientation BLK Wednesday 2:30-2:45 758 15 minute break 07/26/17 2:45-3:45 758 Shock Dr. Loren Yamamoto ED 3:45-4:45 758 Pediatric Respiratory Emergencies Dr. Loren Yamamoto ED

Department of Pediatrics AHD Schedule August 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Pediatric Fundamental Critical Care Support Course (PFCCS) DHT Nan-inc 1:30-2:30 Pediatric Fundamental Critical Care Support Course (PFCCS) Wednesday Auditorium, 2:30-2:45 15 minute break 08/02/17 Conference 2:45-3:45 Pediatric Fundamental Critical Care Support Course (PFCCS) Rooms 2 & 3 3:45-4:45 Pediatric Fundamental Critical Care Support Course (PFCCS)

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Pediatric Fundamental Critical Care Support Course (PFCCS) DHT Aud, 1:30-2:30 Pediatric Fundamental Critical Care Support Course (PFCCS) Wednesday PICU & 2:30-2:45 15 minute break 08/09/17 MedSurg 2:45-3:45 Pediatric Fundamental Critical Care Support Course (PFCCS) class rooms 3:45-4:45 Pediatric Fundamental Critical Care Support Course (PFCCS)

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Pediatric Fundamental Critical Care Support Course (PFCCS) 1:30-2:30 Pediatric Fundamental Critical Care Support Course (PFCCS) Wednesday DHT Aud, CR 2:30-2:45 15 minute break 08/16/17 4 & 5 2:45-3:45 Pediatric Fundamental Critical Care Support Course (PFCCS) 3:45-4:45 Pediatric Fundamental Critical Care Support Course (PFCCS)

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Pediatric Fundamental Critical Care Support Course (PFCCS) 1:30-2:30 Pediatric Fundamental Critical Care Support Course (PFCCS) Wednesday DHT Aud, CR 2:30-2:45 15 minute break 08/23/17 2 & 3 2:45-3:45 Pediatric Fundamental Critical Care Support Course (PFCCS) 3:45-4:45 Pediatric Fundamental Critical Care Support Course (PFCCS)

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:00 758 Chief Talk Dr. Jon Ishii Chief 1:00-2:00 758 Visiting Professor: IVY DUNBAR Dr. Ivy Dunbar VP Wednesday 2:00-3:00 758 Asthma Protocols/Scoring Dr. Brian Wu PULM 08/30/17 3:00-3:15 758 15 minute break 3:15-4:45 758 Research Development Drs. Loren Yamamoto, Prashant Purohit, Kara Wong-Ramsey Research

41 Department of Pediatrics AHD Schedule SEPTEMBER 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 1:30-2:30 Wednesday Rm 203 2:30-2:45 SIMTIKI: Rapid Response Training SIM 09/06/17 JABSOM 2:45-3:45 3:45-4:45

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Board Review/Strategy to Pass the Boards Dr. Jennifer Di Rocco BR first 15-20 min of Recruiment & Selection to be Mortality & Mobility 1:30-1:45 758 Dr. Shilpa Patel M&M Wednesday Introduction 1:45-2:30 758 Resident Recruitment & Selection Intro Denise Perez R & S 09/13/17 2:30-2:45 15 minute break 2:45-4:15 758 Challenges of Risk Management and Malpractice for Residents Crystal Costa & Pomai Uchibori DIO

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Introduction to Journal Club Dr. Dominic Chow JC 1:30-2:30 758 Block Orientation BLK Wednesday 2:30-2:45 758 15 minute break 09/20/17 2:45-3:45 758 Pneumonia Dr. Mae Kyono HOSP 3:45-4:45 758 Poisoning Dr. Paul Eakin ED

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Resident Retreat 1:30-2:30 758 Resident Retreat Wednesday 2:30-2:45 758 15 minute break 09/27/17 2:45-3:45 758 Resident Retreat 3:45-4:45 758 Resident Retreat

Department of Pediatrics AHD Schedule OCTOBER 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Designated Institutional Offical (DIO) Talk Dr. Lee Buenconsejo-Lum DIO 1:30-2:30 758 PHARMACOLOGY Kyle Tadaki, Pharm.D. PHARM Wednesday 2:30-2:45 758 15 minute break 10/04/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 1) Wellness 3:45-4:45 758 MORTALITY & MOBILITY Drs. Rian Yalamanchili, Mary Rose Nino, Hannah Kinoshita M&M

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Divorce Dr. Amanda O'Kelly CP 1:30-2:00 758 AMERICAN ACADEMY OF PEDIATRICS Update Dr. Kevin Makino AAP Natalie Ho Talamoa & 2:00-2:30 758 follow up to retreat Wednesday Drs.Jennifer Di Rocco, David Kurahara, Gina French Res 10/11/17 2:30-2:45 758 15 minute break Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 2) Wellness 3:45-4:45 758 INFECTIOUS DISEASE Dr. Marian Melish ID

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 JOURNAL CLUB Drs. Stefan Mammele, Kelsey Rhodes, Stephanie Graziani JC 1:30-2:30 758 Block Orientation BLK Wednesday 2:30-2:45 758 15 minute break 10/18/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 3) Wellness 3:45-4:45 758 VISITING PROFESSOR: ROBERT NEEDLMAN Dr. Robert Needlman VP

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Utilization Management Dr. Byron Izuka UM 1:30-2:30 758 Chest Wall Deformities Dr. Devin Puapong SURG Wednesday 2:30-2:45 758 15 minute break 10/25/17 2:45-3:45 758 Acute Glomerulonephritis Dr. James Musgrave NEPHRO 3:45-4:45 758 Autism Spectrum Disorder Dr. Jeffrey Okamoto DEV BEH

42 Department of Pediatrics AHD Schedule NOVEMBER 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 JOURNAL CLUB Drs. Vinson Diep, Yuri Endo, Jonathan Mandabach JC 1:30-2:30 758 Genetics Dr. Wallerstein GEN Wednesday 2:30-2:45 758 15 minute break 11/01/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 4) Wellness 3:45-4:45 758 MORTALITY & MOBILITY Drs. Trudy Hong, Jordan Kono, Charyse Diaz M&M

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 PULMONOLOGY: Cystic Fibrosis Dr. Edward Fong PULM 1:30-2:30 758 GI Manifestations of Cystic Fibrosis Dr. Camilla Lovejoy GI Wednesday 2:30-2:45 758 15 minute break 11/08/17 2:45-3:45 758 Approach to demyelinating lesions Dr. Leon Grant NEURO 3:45-4:45 758 Current Management of Single Ventricle Patients Dr. John Lamberti VP

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Uncomplexifying Medical Care for the Medically Complex Child Dr. Yolanda Wu CP 1:30-2:30 758 Block Orientation BLK Wednesday 2:30-2:45 758 15 minute break 11/15/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 5) Wellness 3:45-4:45 758 Juvenile Idiopathic Arthritis Dr. David Kurahara RHEUM

DATE TIME LOCATION TOPIC - Thanksgiving SPEAKER DIVISION 12:30-1:30 758 Newborn Glycemic Management Dr. Venkataraman Balaraman NEO 1:30-2:30 758 Developmental Questions from Pediatric In Training Exam Dr. Gina French CP Wednesday 2:30-2:45 758 15 minute break 11/22/17 2:45-3:45 758 Infectious Disease Dr. Marian Melish ID 3:45-4:45 758 Health Disparities in Hawaii Dr. Buencosejo-Lum DIO

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Residents as Teachers Drs. Kyra Len & Barry Mizuo 1:30-2:30 758 Board Review Dr. Jennifer Di Rocco BR Wednesday 2:30-2:45 758 15 minute break 11/29/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 6) Wellness 3:45-4:45 758 Sickle Cell Dr. Wade Kyono HEMONC

Department of Pediatrics AHD Schedule DECEMBER 2017 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Journal Club Drs. Courtney Gaddis, Kevin Makino, Sarah Min JC 1:30-2:30 758 PHARMACOLOGY Kyle Tadaki, Pharm.D. PHARM Wednesday 2:30-2:45 758 15 minute break 12/06/17 2:45-3:45 758 MORTALITY & MOBILITY Drs. Chanel Casamina, August Boeglin, Robert Hagbom M&M 3:45-4:45 758 INFECTIOUS DISEASE Dr. Marian Melish ID

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Tricyclic Antidepressant Toxicity Dr. Roshni Koli PSYCH 1:30-2:30 758 Block Orientation BLK Wednesday 2:30-2:45 758 15 minute break 12/13/17 Practice Relevant Focused Practice Designation Assessment and 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 7) Wellness 3:45-4:45 758 Neurocutaneous Syndromes - Is it Sturge-Weber? Dr. Leah Dowsett Genetics

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 CP Dr. Brenda Nishikawa CP 1:30-2:30 758 Resident Only Application Review Session (ROARS) Denise Perez R & S Wednesday 2:30-2:45 758 15 minute break 12/20/17 2:45-3:45 758 ENT: Upper Airway Obstruction Dr. Patrick O'Donell ENT 3:45-4:45 758 Child Life Services Megan Yee & Heather Tamaye

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Board Review Dr. Jennifer Di Rocco BR 1:30-2:30 758 OPTHALMOLOGY Dr. David Young OPTHAL 2:30-2:45 758 15 minute break Wednesday Practice Relevant Focused Practice Designation Assessment and 12/27/17 2:45-3:45 758 Dr. Richard Szuster Feedback (P.R.A.C.T.I.C.E. session 8) Wellness 3:45-4:15 758 SUPERB SAFETY Dr. Holly Olson DDIO 4:15-4:45 758 Resident Focus Group RFG

43 Department of Pediatrics AHD Schedule JANUARY 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 1:30-2:30 Wednesday Rm 203 2:30-2:45 SIMTIKI: Crisis Team Training SIM 01/03/18 JABSOM 2:45-3:45 3:45-4:45

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Journal Club Drs. Trudy Hong, Devlin Cole, Mark Porter JC 1:30-2:30 758 UROLOGY: Abnormalities of the Genital Systems? Dr. Ron Sutherland URO Wednesday 2:30-2:45 758 15 minute break 01/10/18 2:45-3:45 758 Mortality & Mobility Drs. Sarah Abu-Alreesh, Scarlett Johnson, Steven Wasserman M&M 3:45-4:45 758 PEDIATRIC NEUROLOGY Dr. Keith Abe NEURO

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Follow up to RESIDENT FOCUS GROUP Dr. Kurahara CP 1:30-2:30 758 INFECTIOUS DISEASE Dr. Natascha Ching ID Wednesday 2:30-2:45 758 15 minute break 01/17/18 2:45-3:45 758 PEDIATRIC ENDOCRINOLOGY Dr. Greg Uramoto ENDO 3:45-4:45

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 RESIDENT RETREAT 1:30-2:30 758 RESIDENT RETREAT Wednesday 2:30-2:45 758 15 minute break 01/24/18 2:45-3:45 758 RESIDENT RETREAT 3:45-4:45 758 RESIDENT RETREAT

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Journal Club Drs. Chanel Casamina, August Boeglin, Robert Hagbom JC 1:30-2:30 758 Resident Only Application Review Session (ROARS 2) Denise Perez R & S Wednesday 2:30-2:45 758 15 minute break 01/31/18 2:45-3:45 758 *ACGME Prep & internal Program Survey Results Dr. Kurahara 3:45-4:45 758 Breaking Bad News Dr. Randal Wada HEMONC

Department of Pediatrics AHD Schedule FEBRUARY 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 RESIDENT RECRUITMENT & SELECTION Denise Perez R & S 1:30-2:30 Wednesday 2:30-2:45 758 15 minute break 02/07/18 2:45-3:45 758 Pantell-Child Abuse Dr. Robert Pantell 3:45-4:45 758 ORTHOPAEDICS OR SPORTS MEDICINE

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 JOURNAL CLUB Drs. Rian Yalamanchili, Scarlett Johnson, Charyse Diaz JC 1:30-2:30 758 Board Review Dr. Jennifer Di Rocco BR Wednesday 2:30-2:45 758 15 minute break 02/14/18 2:45-3:45 758 MORTALITY & MOBILITY Drs. Atalie Lim, Yuri Endo, Jonathan Mandabach M&M 3:45-4:45 758 Vaccinations and Parental Refusal Dr. Sarah Park - Chief of Disease Outbreak Control DOH

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Lupus Dr. David Kurahara RHEUM 1:30-2:30 758 Antisocial behaviors/Delinquency/Family Violence Dr. Shaylin Chock PSYCH Wednesday 2:30-2:45 758 15 minute break 02/21/18 2:45-3:45 758 VISITING PROFESSOR: Richard Antonelli VP: Dr. Richard Antonelli VP 3:45-4:45 758 DIO Annual Talk Dr. Lee Buenconsejo-Lum DIO

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Sugar Prep Dr. Maya Maxym GH 1:30-2:30 758 Sugar Prep Dr. Maya Maxym GH Wednesday 2:30-2:45 758 15 minute break 02/28/18 2:45-3:45 758 Global Health Safety/Experience Dr. Paul Moroz (Shriners) 3:45-4:45 758 Global Health Opportunities Panel Drs. Anna-Lena Leuker & Lois Nosker / Dr. Sneha Sood/Dr. Kurahara

44 Department of Pediatrics AHD Schedule MARCH 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Pancreatitis Dr. Jeremy King GI 1:30-2:30 758 IV Fluids In A Time of Shortages Dr. Bettina Ackermann HOSP Wednesday 2:30-2:45 758 15 minute break 03/07/18 2:45-3:45 758 Renal Imaging Dr. Rhiana Lau NEPHRO 3:45-4:45 758 Spirituality in Healthare Rev. Josh Almanza CHAPLAIN

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Cardiology & Pulmonology Dr. Joan Meister CP 1:30-2:30 758 Retinopathy of Prematurity Dr. David Young OPTHAL Wednesday 2:30-2:45 758 15 minute break 03/14/18 2:45-3:45 758 Mortality & Morbility Drs. Courtney Gaddis, Kelsey Rhodes, Mark Porter M&M 3:45-4:45 758 Residents as Teachers Drs. D. Kurahara, J. Di Rocco, K. Len, B. Mizuo

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Cardiovascular Syndromes Dr. Venu Reddy CARD 1:30-2:30 758 Pediatric Palliative Care: Pain Management Dr. Jasmin Jensen HEMONC Wednesday 2:30-2:45 758 15 minute break 03/21/18 2:45-3:45 758 Early Childhood Development Dr. Mari Uehara Dev Beh 3:45-4:45 758 Short Takes on Infectious Disease Dr. Marian Melish ID

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Adolescent Pregnancy and options for counseling Mary Tschann, PhD ADOL ADOLESCENT GYNECOLOGY: contraception, HPV, and 1:30-2:00 758 Dr. Bliss Kaneshiro ADOL Menstrual related disorders Wednesday 2:00-2:30 Sexually Transmitted Diseases Dr. Steven Hankins 03/28/18 2:30-2:45 758 15 minute break 2:45-3:45 758 Adolescent Depression & Suicidality Dr. Ryan Lunsford PSYCH 3:45-4:45 758 Adolescent Substance Abuse Dr. Pia Francisco-Natanauan PEDS

Department of Pediatrics AHD Schedule APRIL 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 INFECTIOUS DISEASE Dr. Natascha Ching ID 1:30-2:30 758 PHARMOLOGY Kyle Tadaki, PharmD PHARM Wednesday 2:30-2:45 758 15 minute break 04/04/18 2:45-3:45 758 Board Review Dr. Jennifer Di Rocco BR Drs. David Kurahara, Purshant Purohit, Kara Wong-Ramsey, Dominic 3:45-4:45 758 Research Groups (3rd year abstracts) Chow

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 1:30-2:30 Wednesday Rm 203 2:30-2:45 SIMTIKI: NICU Training SIM 04/11/18 JABSOM 2:45-3:45 3:45-4:45

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 JOURNAL CLUB Drs. Atalie Lim, Hannah Kinoshita, Steve Wasserman JC 1:30-2:30 758 NEUROLOGY Dr. Keith Abe NEURO Wednesday 2:30-2:45 758 15 minute break 04/18/18 2:45-3:45 758 MORTALITY & MORBILITY Drs. Vinson Diep, Stephanie Graziani, Sarah Min M&M 3:45-4:45 758 Torticollis/Cervical Anomalies Dr. William Burkhalter rtho/Sports Me

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 “NUTS! What do I need to know about Allergies for the Boards?” Dr. Diane Ching CP 1:30-2:30 758 free time (Resident task force for WARDS met during this time Wards Wednesday 2:30-2:45 758 15 minute break 04/25/18 2:45-3:45 758 Anemias Dr. Darryl Glaser ID 3:45-4:45 758 Infectious Disease Dr. Melish cancelled her talk last minute HEMONC

45 Department of Pediatrics AHD Schedule MAY 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 Hypnosis Dr. Gina French CP 1:30-2:30 Block Orientation or Research Time UHPRP Wednesday 2:30-2:45 15 minute break 05/02/18 2:45-3:45 Hypnosis Technique practice Dr. Gina French CP 3:45-4:45 Resident Topic(s) Dr. Courtney Gaddis UHPRP

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Development: 3-6 Months Dr. Sarah Zimmerman CP 1:30-2:30 758 Board Review Dr. Jennifer Di Rocco BR Wednesday 2:30-2:45 758 15 minute break 05/09/18 2:45-3:45 758 Tighten Up Dr. Bettina Ackermann HOSP 3:45-4:45 758 Resident SWOT of Program Residents facilitate SWOT

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Journal Club Drs. Sarah Abu-Alreesh, Mary Rose Nino, Jordan Kono JC 1:30-2:30 758 Infectious Disease Dr. Natascha Ching ID Wednesday 2:30-2:45 758 15 minute break 05/16/18 2:45-3:45 758 Resident Focus Group Residents RFG 3:45-4:45 758 PEDIATRIC NEPHROlOGY Dr. Susan Ingraham NEPHRO

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Resident Well-being 1:30-2:30 758 Resident Well-being Wednesday 2:30-2:45 758 Resident Well-being 05/23/18 2:45-3:45 758 Scholarly Activity 3:45-4:45 758 Scholarly Activity

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Pediatric Endocrinology Dr. Greg Uramoto ENDO 1:30-2:30 758 Wednesday 2:30-2:45 758 15 minute break 05/30/18 2:45-3:45 758 Follow up Resident Focus Group Dr. David Kurahara RFG 3:45-4:45 758 Infectious Disease Dr. Marian Melish ID

Department of Pediatrics AHD Schedule JUNE 2018 DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 16th Annual Research day presentations Dr. May Okihiro 1:30-2:30 16th Annual Research day presentations Drs. Charyse Diaz, Eamon Filan, Sarah Min Wednesday DHT Nan-inc 2:30-2:45 15 minute break 06/06/18 Auditorium 2:45-3:45 16th Annual Research day presentations Drs.Steven Wasserman, William Sherman, Hannah Kinoshita 3:45-4:45 16th Annual Research day presentations Drs. Jonathan Mandabach, Min Hwang, Mark Porter, Robert Hagbom

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Giving Bad News: An Infant with Anencephaly Dr. Jeffrey Okamoto DEV BEH 1:30-2:30 758 Designated Institutional Offical (DIO) Talk Dr. Lee Buenconsejo-Lum Wednesday 2:30-2:45 758 15 minute break 06/13/18 2:45-3:45 758 Mortality & Mobility Drs. Kevin Makino, Stefan Mammele M&M 3:45-4:45 758 Musculoskeletal exams Dr. Christopher Lynch rtho/Sports Me

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Physician Burnout Dr. Jeffrey Bocchicchio CP 1:30-2:30 758 Communicating with other MD's Dr. Bettina Ackermann HOSP Wednesday 2:30-2:45 758 15 minute break 06/20/18 2:45-3:45 758 Female Genitalia and Interlabial Lesions Dr. Lesli Nicolay URO 3:45-4:45 758 Global Rotations/Poster Presentation Drs. Sarah Min, Wasserman, Endo

DATE TIME LOCATION TOPIC SPEAKER DIVISION 12:30-1:30 758 Metabolism Essentials for the Pediatric Resident Dr. Leah Dowsett Genetics 1:30-2:30 758 Block Orientation and Research time BLK Wednesday 2:30-2:45 758 15 minute break 06/27/18 Outpatient/Inpatient Management of Asthma & Respiratory syncytial 2:45-3:45 758 Dr. Edward Fong PULM Virus (RSV) Management 3:45-4:45 758 AHD intro/Chief to Chief transfer Drs. Ishii, Kinoshita, and Kurahara HEMONC

46 Resident Honors/Awards July 1, 2017 – June 30, 2018

Chanel Casamina, MD – * Dr. Venu Reddy & Dr. Vijaya Reddy Sponsored Chairman’s Book Award Recipient

Vinson Diep, MD – * 2018 Resident Excellence Teaching Award Recipient (in recognition of his outstanding teaching of medical students) * Dr. Venu Reddy & Dr. Vijaya Reddy Sponsored Chairman’s Book Award Recipient

Courtney Gaddis, MD – * Chief Award Recipient (in recognition & chosen by Chief Resident for her Volunteerism, Initiative & her Quest for Knowledge)

Stephanie Graziani, DO – * Calvin C.J. Sia, MD Community Pediatrics Advocacy Award Recipient (in recognition for being an OUTSTANDING Pediatric Resident who inspires EXCELLENCE AND TIRELESS DEDICATION in COMMUNITY PEDIATRICS) * Ralph Platou, MD Award Recipient (in recognition of her OUTSTANDING EDUCATIONAL ACHIEVEMENTS & MODEL PERFORMANCES Exemplifying Ralph Platou, MD (interested in General Pediatrics, serving as a Role Model for someone in Pediatric Practice))

Hannah Kinoshita, MB, BCh, BAO – * Dr. Venu Reddy & Dr. Vijaya Reddy Sponsored Faculty’s Award for Academic Excellence Recipient (in recognition of her OUTSTANING EDUCATIONAL ACHIEVEMENTS 7 DEMONSTRATES STRONG ACADEMIC QUALITIES in Pediatrics * Hospitalist Award Recipient (in recognition of her Honorarium Of Superb Pediatric Inpatient Teamwork and Leadership In successful Teams) * Kenneth M. Ash, MD Neonatal Intensive Care Unit Resident Award Recipient (in recognition of her Exceptional Dedication to her NICU patients and their families, colleagues, and the medical profession exemplifying Kenneth M. Ash, MD * Nightingale Award Recipient (in recognition of her EXCELLENT COMMUNICATION with Nurses, Dedication and Outstanding Patient Care.

Jordan Kono, MD – * Dr. Venu Reddy & Dr. Vijaya Reddy Resident Achievement Award Recipient (in Recognition of his OUTSTANDING EDUCATIONAL ACHIEVEMENTS & MODEL PERFORMANCES of Duties as a Pediatric House Officer for other residents in the commitment to teaching and service. *Tobacco Cessation Award Recipient (Recognition for his Outstanding Contributions in the field of Tobacco Cessation)

Kevin Makino, MD – * George William Starbuck, MD Award Recipient (in recognition of his OUTSTANDING EDUCATIONAL ACHIEVEMENTS & MODEL PERFORMANCES Exemplifying George William Starbuck, MD (interested in psychosocial problems, demonstrating humanity, concern for social issues, child health & welfare))

Mark Porter, MD – * Pediatric Infectious Diseases Excellence Award Recipient (in recognition of his Exceptional Dedication to his work on “The Scope of Mycoplasma Pneumoniae Pneumonia Diagnosed by Multiplex Polymerase Chain Reaction Respiratory Viral Panel in Pediatric Patients in Hawai‘i”

Kelsey Rhodes, DO – * Resident Award Recipient (in recognition & chosen by Fellow Residents for her COMPASSION & FELLOWSHIP TOWARDS OTHER RESIDENTS

47 UNIVERSITY OF HAWAI`I PEDIATRIC Resident Graduate Career Choices ********************

Charyse Diaz, MD Stephanie Graziani, DO Pediatric Hematology-Oncology Fellowship at Medical Primary Care, Santa Clara, California University of South Carolina, Charleston, South Carolina

Robert Hagbom, MD Hannah Kinoshita, MB, BCh, BAO General Pediatrics, Bay Area, California 2018-2019 Chief Resident, University of Hawai‘i

Jonathan Mandabach, MD Sarah Min, MD Davis-Monthan Air Force Base, Tucson, Arizona General Pediatrics, Prosser, Washington

Mark Porter, MD Steven Wasserman, MD Endocrinology Fellowship at Johns Hopkins University, General Pediatrics, Chapel Hill, North Carolina Baltimore, Maryland 48 Pediatric Interest Group Loren Yamamoto, MD, MPH, MBA

The Pediatric Interest Group (PIG) is one of the most active interest groups at JABSOM. The PIG conducts students activities based on the interests of the student PIG officers supported by the PIG faculty advisors Loren Yamamoto, Brenda Nishikawa, Barry Mizuo, Kyra Len, Dan Murai, Bruce Shiramizu, Ken Nakamura, V. Balaraman, Kara Wong-Ramsey, David Kurahara, Bettina Ackermann, Tausala Coleman-Satterfield, Jennifer Di Rocco, Gina French, Jessica Kosut, Shilpa Patel, Kelli-Ann Voloch, Sasha Fernandes, Travis Hong, and Pia Francisco-Natanauan. PIG activities are summarized below. Faculty and students can join the JABSOM Pediatrics Interest Group Facebook page.

August 2017. We started the 2017 student year by electing new officers and hosting an AED (automated external defibrillator) workshop event.

September 2017. Injection workshop: Students learned intramuscular, subcutaneous, and intradermal injections by initially practicing on lemons. They then proceeded to inject each other with saline for all three types of injection methods under faculty supervision.

October 2017. Asthma Gadgets and CXR workshop: Students were given a media lecture on pediatric chest X-rays and learned to operate HFA inhalers (every student was given a placebo inhaler), dry powder inhalers, nebulizers, peak flow meters, and other asthma treatment devices.

October 2017. Kids Fest (service project): Students volunteered to help at the Hawai‘i Pacific Health’s KidsFest at the Bishop Museum providing care to injured teddy bears to get them back to healthy bears.

November 2017. Peds Career Night: Students rotated with group pediatric specialist faculty representing primary care pediatrics, hospitalist pediatrics, critical care, emergency medicine, neonatology, infectious disease, cardiology, pulmonology, nephrology, child development, adolescent medicine, genetics, endocrinology, neurology, hematology/ oncology, rheumatology, and child abuse.

January 2018. Bake sale fund raiser. Students raised $494 to support Pediatric Interest Group activities by selling baked goods and other foodies at JABSOM.

January 2018. Phlebotomy workshop: Students learned how to draw blood and they actually did this on each other and on some of the faculty, supervised by faculty and lab personnel from Clinical Labs.

February 2018. Splint workshop: Students learned to splint fractures and sprains with fiberglass, stockinette, cast padding, and elastic wraps by splinting each other under faculty supervision. They were taught upper extremity volar, sugar tong, and long arm splints, lower extremity posterior and stirrup splints, and thumb spica splints.

49 August 2018. New Officers + Pediatric CPR. This is the first event of the new JABSOM school year. This was a combination event to elect the new MS1 PIG officers and also teaching students the fine points of Pediatric CPR andAED use.

The PIG is financially supported by generous donations from faculty members, the Hawai‘i Chapter of the American Academy of Pediatrics (HAAP), the Hawai‘i Pediatrics Association Research and Education Foundation (HPAREF), the University of Hawai‘i John A. Burns School of Medicine Department of Pediatrics, and student fundraisers.

PIG officers at the MS1, MS2, MS3, and MS4 years are as follows:

50 Problem Based Learning (PBL) Tutors Venkataraman Balaraman, MBBS Brenda Nishikawa, MD Louise Iwaishi, MD Lois Nosker, DO Kyra Len, MD Len Tanaka, MD Marian Melish, MD Loren Yamamoto, MD, MPH, MBA Barry Mizuo, MD Clinical Skills Preceptorship (CSP) Tutors

MD2 MD7 Andras Bratincsak, MD, PhD Vernon Azuma, MD James Sim, MD Dan Buehler, MD Brian Wu, MD Derek Ching, MD Derek Flores, MD MD3 Michael Hamilton, MD Wade Kyono, MD Donna Mah, MD James Musgrave, MD Joy Quinsell, MD Robert Wilkinson, MD Keith Matsumoto, MD Ken Saruwatari, MD MD4 Lisa Shigemura, MD Greg Uramoto, MD Mika Morisada, MD Russell Woo, MD Stephen Tenby, MD Patrice Tim Sing, MD MD6 Stephen Yano, MD Byron Izuka, MD Jennifer King, DO

MD7 Neonatology (Newborn Physical 6L Preceptors Examination Clinical Skills Instructors) Teresa Bane-Terakubo, MD Chris Gibu, MD Caroline Chang, MD Carol Hirai, MD Darrett Choy, MD Lynn Iwamoto, MD Michael Hamilton, MD Richard Jack, MD Robyn Hasegawa, MD Surabhi Jain, MBBS Felicitas Livaudais, MD William Sherman, DO Brent Matsumoto, MD Sneha Sood, MD Kristyn Nishimoto, MD Kara Wong Ramsey, MD Brent Tamamoto, MD Carol Titcomb, MD Tamara Todd, MD Michael Walter, MD Stephen Yano, MD

51 52 53 Faculty Development & Lunch & Learn Lectures

July 1, 2017- July 30, 2018 Academic Year Date Meeting Topic Speaker 7/24/2017 Pediatric Web-based and Desktop-based EndNote 101 to Melissa Kahili-Heede Research/ Manage Your References and Bibliographies for Scholarly Activity Manuscripts and Grant Applications Seminar

9/26/2017 Lunch & Learn Surgical Management of Single Ventricle in 2017 John Lamberti, MD

2/22/2018 Lunch & Learn Improving Care for Children and Youth with Special Needs Right Now: Implementing Tools Richard Antonelli, MD, MS that Make a Difference

5/17/2018 Lunch & Learn Team Based Care: What’s the Difference Between Sidney Johnson, MD Multidisciplinary, Interdisciplinary, Randal Wada, MD Interprofessional, and Transdisciplinary? And Jeffrey Wong, MD Why Does it Matter? Brian Wu, MD

Maintenance of Certification Part 4, American Board of Pediatrics Pediatric Department Update

All physicians certified by a board of the American Board of Medical Specialties needto demonstrate continued practice improvement efforts in order to maintain their board certification. Recognizing that quality and practice improvement is integral to and already a part of physician practice, Kapi‘olani Medical Center for Women & Children has been a portfolio sponsor for Maintenance of Certification (MOC) quality improvement (QI) projects under the American Board of Pediatrics (ABP) since 2014. The MOC committee reviews and approves projects to meet ABP standards for QI so that physicians can be credited for the work that they are doing. The committee also works with individuals and groups to develop ideas, coach project development, and assist with application submission.

In total we have had 16 projects from which 112 physicians have been credited for MOC part 4 points. For the 2017- 2018 academic year, we had 10 active projects and have given credit to 18 physicians. Active projects include improving mobililty in pediatric in-patients, improving provider hand offs, decreasing infection in the neonatal intensive care unit, improving rates of severe retinopathy of prematurity, improving rates of breast milk feeding in very low birth weight infants, improving follow up of newborn hearing screening and evaluation, improving PDA evaluation and management, Pediatric Code Blue Refresher, Improving patient access to palliative care, and Improving timing of methotrexate administration.

The committee members are Michael Ching, Rhiana Lau, Kristyn Nishimoto, Cheryl Okado, Shilpa Patel, Loren Yamamoto, and Lynn Iwamoto.

54 Pediatric Clinical Faculty 2017-2018

Clinical Professors Melinda Ashton Keith Matsumoto Reinhold Penner Beatriz Rodriguez Lynn Yanagihara Gregory Dever Wallace J. Matthews, Jr. Ellen Raney Kenn Saruwatari Stephen S. Yano J Anthony Guerrero Ken Nagamori Vijaya Reddy Ronald Sutherland Christine Hara Robert H Pantell Kenneth Robbins Mitsuaki Suzuki

Associate Clinical Professors Robert Anderson Nicole Dobson Byron Izuka Sada Okumura Indi Trehan Kenneth Ash Robert Durkin Shigeko O. Lau Anita M. Pedersen Greg Uramoto Robert Bidwell Vanessa Fidele Christopher Mahnke Linda Rosen-Debold Vince Yamashiroya Galen Y.K. Chock Constance Hastings Michon Morita Michael Sia Gregory Yim Dominic Chow Ronald H. Hino Patrick Murray LenhAnh Tran Franklin S.H. Young Assistant Clinical Professors Steven Acevedo Stephen Darling Claudine Kimura Christopher Naun Stephen H. Tenby Toyin Ajose Joseph Dela Cruz Emmanuel Kling Charles Nguyen Patrice Tim Sing Bridget Allard Irisa Devine Kevin Kon Kristyn Nishimoto Carol Titcomb Richard E. Ando, Jr. Megan Doty Douglas Kwock Russell T. Ogawa Tamara Todd David Ansdell Leah Dowsett Dana Lee Bruce Ong Jeffrey Tom Vernon Azuma Kathleen Durante Eugene Lee Craig Ono Curtis Toma Kris Baik Jeremy Edwards Jerome Lee Sarah Park Alicia Turlington Frank Baum Marissa Fakaosita Ryan Lee Lucio Pascua Stephanie Vann Jeffrey F. Bocchicchio Brett Ferguson David (Kawika) Liu Jonathan Pellett Jasmine Waipa Jason Brown Ryan Flanagan Felicitas Livaudais Colin Petko Michael Walter William Brown Derek Flores Shelley Loui Alicia Prescott Allan Wang Daniel Buehler Edward Fong Anna Lena Lueker Devin Puapong Joseph Ward William Burkhalter David F. Fray Amy Lumeng Josephine Quensell Norka I. Wilkinson Mark Burnett Kim Fujinaga Christopher Lynch Cherise Saito Brian J. Wilson Miki Cain Christopher Gibu Robin Lynch Vija Sehgal Rupa Wong Brigitte Carreau Meri M. Guillou Donna Mah Lisa Ann Shigemura Art Wong Sean Carroll Mitchell T. Hamale Ashley Maranich Malia Anne Lam Shimokawa Kara Wong-Ramsey Caroline Chang R. Michael Hamilton Brent Matsumoto James Sim Russell Woo Kelley Chinen Okimoto Antonio Hernandez Bryan Mih Jonathan Lloyd Sladky Robert D. II Wotring Diane P. Ching Justin Hino John Misailidis Allyson A. Spence-Shishido Brian Wu Derek Ching Susan Ingraham John Nagamine Christopher B. Stefanelli Cherilyn Yee Michael Ching Julie Ireland Gail Nakaichi Brent Tamamoto David Young Darrett Choy Jeffrey Kam James K Nakamura Teri Tanaka Geri Young Joseph D'Angelo Sadie Kim Darrell Natori Nadine Ten Salle David Young

Adjunct Professor Adjunct Assistant Professor Adjunct Instructor Catherine Yamauchi Jeanne Hoffman Katherine Ratliffe Pamela Almeida Leolinda Parlin Mary Young Melinda Kohr Angela Sy Kimberly A. Clifton Randy Taniguchi Carl L. Yu Elizabeth McFarlane Cheryl L. Griffith Tracie Ann Tiapkes Yi Zuo Dana K. Ing Clinical Instructor Laura Hassen Brijit Resis Jodie Toward Jenny Welham

55 Publications, July 1, 2017 - June 30, 2018

Bolotova, N.A., Khasnatinov, M.A., Lyapunov, A.V., Manzarova, E.L., Solovarov, I.S., Yashina, L.N., Yanagihara, R., and Danchinova, G.A.: Hantavirus infection among patients with fever of unclear etiology and small mammals in Pribaikalye. Acta Biomedica Scientifica 2, 174, 2017.

Bratincsak A, Limm-Chan BN, Nerurkar VR, Ching LL, Reddy VD, Lim E, Shohet RV, Melish ME. Study design and rationale to assess Doxycycline Efficacy in preventing coronary Artery Lesions in children with Kawasaki disease (DEAL trial) - A phase II clinical trial, Contemp Clin Trials. 2018 Feb;65:33-38. doi: 10.1016/j.cct.2017.11.014. Epub 2017 Dec 5. https://www.ncbi.nlm.nih.gov/pubmed/29313803.

Chen A, Arms T, Jones B, Okamoto J, Rowan N and Wong-Kim E. Chapter 14: Interprofessional Education in the Clinical Setting. In: The Health Professions Educator: Practical Guide for New and Established Faculty. Ed. Kayingo G and Hass VM. Springer, 2017.

Chen, S, Fennelly, G., Steele R. Measles: Practice Essentials https://emedicine.medscape.com/article/966220-overview updated Feb. 22, 2018.

Chen, S, Rudoy R, Steele R. Pseudomonas Infection https://emedicine.medscape.com/article/970904-overview updated July 25, 2017.

Dowsett L. Nelson Pediatrics Board Review, First Edition, Elsevier. “Chapter 35: Selected Topics in Genetics and Dysmorphology.” 2018.

Feld Z, Dreike S, Wallerstein R . Ehlers Danlos Syndrome with COL5A1 Variant c.3257C>T. JOJ Case Stud. 2018; 6(5): 555699. doi: 10.19080/JOJCS.2018.06.555699

Fong EW. Respiratory Disorders Associated with Gastrointestinal and Hepatic Disease. In Stokes DC, Dozer AJ editors. Pediatric Pulmonology, Asthma, and Sleep Medicine. Itasca, Illinois: American Academy of Pediatrics; 2018. pp 665- 672.

Hashiba KA, Wo SR, Yamamoto LG. Taste of Clindamycin and Acetaminophen. Clinical Pediatrics (Phila). 2017;56(2):146- 149. Epub 2016 July 19. PMID: 27369430 (DOI:10.1177/0009922816657151).

Hirata KM, Kang AH, Ramirez GV, Kimata C, Yamamoto LG. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatric Emergency Care. 2017 Oct 2. doi: 10.1097/PEC.0000000000001277. [Epub ahead of print]

Holm SM, Balmes J, Gillette D, Hartin K, Seto E, Lindeman D, Planco D, Fong E. Cooking behaviors are related to household particulate matter exposure in children with asthma in the urban East Bay Area of Northern California. PLoS One. 2018 Jun 6;13(6):e0197199.

Hori KS, Siu AM, Yamamoto LG. Replacing Liquid Antibiotics With Cheaper Pill Equivalents: An Opportunity for Substantial Savings. Clinical Pediatrics (Phila). 2018 May 1:9922818774340. doi:10.1177/0009922818774340. [Epub ahead of print]. PMID: 29732920

Itoh T, Hagbom RC, Yamamoto LG. A Novel Point of care Ultrasound (POCUS) Training for Pediatric Hip effusion Assessment by Instructional Video with Portable Ultrasound Machine. Annals of Pediatrics & Child Health 2017;5(2):1124. https://www.jscimedcentral.com/Pediatrics/pediatrics-5-1124.pdf.

Khan A, Coffey M, Litterer KP, Baird JD, Furtak SL, Garcia BM, Ashland MA, Calaman S, Kuzma NC, O’Toole JK, Patel A, Rosenbluth G, Destino LA, Everhart JL, Good BP, Hepps JH, Dalal AK, Lipsitz SR, Yoon CS, Zigmont KR, Srivastava R, Starmer AJ, Sectish TC, Spector ND, West DC, Landrigan CP, and the Patient and Family Centered I-PASS Study Group., Allair BK, Alminde C, Alvarado-Little W, Atsatt M, Aylor ME, Bale JF Jr, Balmer D, Barton KT, Beck C, Bismilla 56 Z, Blankenberg RL, Chandler D, Choudhary A, Christensen E, Coghlan-McDonald S, Cole FS, Corless E, Cray S, Da Silva R, Dahale D, Dreyer B, Growdon AS, Gubler L, Guiot A, Harris R, Haskell H, Kocolas I, Kruvand E, Lane MM, Langrish K, Ledford CJ, Lewis K, Lopreiato JO, Maloney CG, Mangan A, Markle P, Mendoza F, Micalizzi DA, Mittal V, Obermeyer M, O’Donnell KA, Ottolini M, Patel SJ, Pickler R, Rogers JE, Sanders LM, Sauder K, Shah SS, Sharma M, Simpkin A, Subramony A, Thompson ED Jr, Trueman L, Trujillo T, Turmelle MP, Warnick C, Welch C, White AJ, Wien MF, Winn AS, Wintch S, Wolf M, Yin HS, Yu CE. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. 2017;171(4):372-381. PMCID:PMC5526631 PMID:28241211.

Kinoshita H, Grant L, Xoinis K, Purohit PJ. Central Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis. Case Rep Crit Care. 2018 Jun 4;2018:4273971. doi: 10.1155/2018/4273971. eCollection 2018. https://www.ncbi.nlm.nih.gov/ pubmed/29973999.

Knight T, Shiramizu B, Ly P, Thompson KS, Reddy V. (2018) Paroxysmal Nocturnal Dyspnea Secondary to Right Ventricular Myxoma - A Novel Presentation of an Unusual Tumor. Case Reports in Pediatrics. February 28, Article ID 4791379, PMID 29682382, PMC5851333 https://doi.org/10.1155/2018/4791379.

Kruszka P, Porras AR, de Souza DH, Moresco A, Huckstadt V, Gill AD, Boyle AP, Hu T, Addissie YA, Mok GTK, Tekendo- Ngongang C, Fieggen K, Prijoles EJ, Tanpaiboon P, Honey E, Luk HM, Lo IFM, Thong MK, Muthukumarasamy P, Jones KL, Belhassan K, Ouldim K, El Bouchikhi I, Bouguenouch L, Shukla A, Girisha KM, Sirisena ND, Dissanayake VHW, Paththinige CS, Mishra R, Kisling MS, Ferreira CR, de Herreros MB, Lee NC, Jamuar SS, Lai A, Tan ES, Ying Lim J, Wen- Min CB, Gupta N, Lotz-Esquivel S, Badilla-Porras R, Hussen DF, El Ruby MO, Ashaat EA, Patil SJ, Dowsett L, Eaton A, Innes AM, Shotelersuk V, Badoe Ë, Wonkam A, Obregon MG, Chung BHY, Trubnykova M, La Serna J, Gallardo Jugo BE, Chávez Pastor M, Abarca Barriga HH, Megarbane A, Kozel BA, van Haelst MM, Stevenson RE, Summar M, Adeyemo AA, Morris CA, Moretti-Ferreira D, Linguraru MG, Muenke M. Williams-Beuren syndrome in diverse populations. Am J Med Genet A. 2018 May;176(5):1128-1136. doi: 10.1002/ajmg.a.38672.

Kuriyama AM, Nakatsuka AS, Yamamoto LG. High School Football Players Use Their Helmets to Tackle Other Players Despite Knowing the Risks. Hawaii J Med Public Health 2017;76(3):77-81. PMID:28352493 PMCID: PMC5349115.

Laenen, L., Vergote, V., Kafetzopoulou, L.E., Bokalinga, T.W., Vassou, D., Cook, J.A., Hugot, J.P., Deboutte, W., Kang, H.J., Witkowski, P.T., Köppen-Rung, P., Krüger, D.H., Licková, M., Stang, A., Striešková, L., Szemeš, T., Markowski, J., Hejduk, J., Kafetzopoulos, D., Van Ranst, M., Yanagihara, R., Klempa, B., and Maes, P.: A novel hantavirus of the European mole, Bruges virus, is involved in frequent Nova virus co-infections. Genome Biology and Evolution 10, 45-55, 2018.

Len K, Review of Efficacy of a web-based oral case presentation instruction module: A multi-center randomized controlled trial. Sox CM et al. Acad Pediatrics. 2018; [Epub ahead of print] https://dx.doi.org/10.1016/j.acap.2017.12.010. Published in Council on Medical Student Education in Pediatrics (COMSEP) February 2018 Journal Club.

Len K, Review of A patient-centered approach to developing entrustable professional activities. El-Haddad C, et al. Acad Medicine. 2017; 92:800-808. Published in Council on Medical Student Education in Pediatrics (COMSEP) September 2017 Journal Club.

Nash MN, Liu CA, Maestas B, Layugan KU, Culver CC, King J, Kurahara D. Chest Pain From Hypermobility Responding to Physical Therapy in an Adolescent. Am J Phys Med Rehabil. 2017 Dec;96(12):e219-e222. doi:10.1097/ PHM.0000000000000734.

Oda R, Shiramizu B, Agsalda-Garcia M, Kettlewell J, Wojna V. (2018) In-vitro blood brain barrier modeling adapted for peripheral blood mononuclear cell transmigration from HIVpositive patients for clinical research on therapeutic drug- intervention. Puerto Rico Health Sciences Journal. In press.

Rasa M, Musgrave J, Abe K, Tanaka L, Xoinis K, Shiramizu B, Foskett G, Lau R. A Case of Escherichia coli Hemolytic Uremic Syndrome in a 10-Year-Old Male With Severe Neurologic Involvement Successfully Treated With Eculizumab J Investig Med High Impact Case Rep. 2017 Oct-Dec; 5(4): 2324709617741144. Published online 2017 Nov 6. doi: 10.1177/2324709617741144.

57 Shiramizu B, Oda R, Kamada N, Garcia MA, Shieh T, Maeda T, Choi SY, Lim E, Misra A. (2018) Unique Raman spectroscopic fingerprints of B-cell non-Hodgkin lymphoma: Implications for diagnosis, prognosis and new therapies. J Biological & Medical Sciences. 2:1, PMID 29962510, PMC6022842.

Sholler GS, Ferguson W, Bergendahl G, Bond J, Neville K, Eslin D, Brown V, Roberts W, Wada R, Oesterheld J, Mitchell D, Foley J, Zage P, Rawwas J, Sencer S, Kraveka J. DFMO maintains remission in relapsed/refractory high risk neuroblastoma. American Society of Pediatric Hematology/Oncology Annual Meeting, Abstract, in Pediatr Blood Cancer 64 (Suppl S1): S46, 2017.

Starmer, AJ, Spector ND, West DC, Srivastava R, Sectish TC, Landrigan CP for the I-PASS Study Group (Patel SJ). Integrating Research, Quality Improvement, and Medical Education for Better Handoffs and Safer Care.The Joint Commission Journal on Quality and Patient Safety, 2017 Jul;43(7):319-329 DOI: https://doi.org/10.1016/j.jcjq.2017.04.001.

Wada R, Wong L, Ing D, Munro A, Deutsch M, Richardson K, Flohr A, Arndt R, Kaneshige L, Mullis M, Almanza J, Kurahara D, Albright CL. Theory-based facilitation of family decision making for children approaching end of life: Inter- professional team approach. Ann Behav Med 52 (Suppl 1):S657, 2018.

Wirunsawanya K, Belyea L, Shikuma C, Watanabe RM, Kohorn L, Shiramizu B, Mitchell BI, Souza SA, Keating SM, Norris PJ, Ndhlovu LC, Chow D. (2017) Plasminogen activator inhibitor-1 (PAI-1) predicts negative alterations in whole body insulin sensitivity in chronic HIV infection. AIDS Res Hum Retroviruses. March 21, PMID 28322572, PMC5749045 6. Agsalda-Garcia MA, Sithinamsuwan P, Valcour VG, Chalermchai T, Tipsuk S, Kuroda J, Nakamura C, Ananworanich J, Zhang G, Schuetz A, Slike BM, Shiramizu B. (2017) CD14+enriched peripheral cells secrete cytokines unique to HIV- associated neurocognitive disorders. J Acquir Immune Defic Syndr. 74(4):454-458, PMID 28225719, PMC5325111.

Yamamoto LG. Plain Radiographs of the Pediatric Chest. In: Fox JC (ed). Clinical Emergency Radiology, Second edition. Cambridge, United Kingdom: Cambridge University Press, 2017.

Yamamoto LG. Plain Radiographs of the Pediatric Abdomen. In: Fox JC. Clinical Emergency Radiology, Second edition. Cambridge, United Kingdom: Cambridge University Press, 2017.

Yamamoto LG. Treatment of Skin and Soft Tissue Infections. Pediatric Emergency Care. 2017;33 (1):49-57. PMID: 28045842 (DOI: 10.1097/PEC.0000000000001001.

Zoe Feld, Sandra Dreike, Robert Wallerstein. Ehlers Danlos Syndrome with COL5A1 Variant c.3257C>T. JOJ Case Stud. 2018; 6(5): 555699. DOI: 10.19080/JOJCS.2018.06.555699.

Drs. David Kurahara and Prashant Purohit present Stephanie Graziani, D.O. the Hawaii Pediatric Association Research & Education Foundation Most Outstanding Resident Research Project Award for her research “Improving Pediatric Oral Health in a Community Clinic through the Provision of a Dental Tool Kit “ on June 6, 2018. photo by: Karen Akiyama 58 Abstract Presentations/Conferences July 1, 2017 - June 30, 2018 Faculty, Residents

SELINA CHEN, MD: Inaugural Healing Workshop - speaker, Honolulu, HI, January 20, 2018.

LEAH DOWSETT, MD: Dowsett L, Noon S, Salzano E, Kline T, Deardorff M, Kruzska P, Muenke M, and Krantz I. “Cornelia de Lange Syndrome in Underrepresented Minorities.” Platform presentation accepted to the David W. Smith Annual Workshop. Stowe, VT. August 25, 2017.

Dowsett L. “Genetics and Genomics in Underrepresented Minorities”, Plenary Panelist. Pacific Region Indigenous Doctor’s Congress. Hilo, HI. July 17, 2018.

Cuddapah S, Dowsett L, Barone A, Sheppard S, Asher S. Carrier for Cobalamin J Disorder Identified by Newborn Screening in the Setting of Maternal Vitamin B12 Deficiency. Poster presentation accepted to the Society for Metabolic Disorders 1st Annual Meeting, San Diego, CA. March 11-14, 2018.

Grand K, Dowsett L, Lulis L, Mazzola S, Nesbitt A, Cohen J, Denenberg E, Tarpinian J, Bedoukian E, Deardorff M, Santani A, Skraban S, Zackai E. CYP26B1 Mutations in Four Living Patients with Craniosynostosis and Multiple Skeletal Anomalies. Poster presentation accepted to the American College of Medical Genetics Meeting, Charlotte, NC. April 12, 2018.

JENNIFER DI ROCCO, DO, MEd: Dennis Bolger, MD, MPH; Christina Chong, MD; Jennifer Di Rocco, DO, MEd; Sandra Loo, MD. “High Quality Trainee Feedback: What and How?” workshop presented at the Health Professions Education Conference, Feb 3, 2018, JABSOM

Jennifer R. Di Rocco, DO, MEd; Masihullah Barat, Samantha Kodama, MPH, Chieko Kimata, Ph.D., “Efficiency of Task Switching and Multi-Tasking: Observations of Pediatric Resident Behaviors when Managing Interruptions in Daily Workflow,” poster presentation at the Health Professions Education Conference, Feb 3, 2018, JABSOM

Jennifer R. Di Rocco, DO, MEd; Masihullah Barat, Samantha Kodama, MPH, Chieko Kimata, Ph.D., “Workflow Interruptions: Unavoidable Challenges to Patient Safety,” poster presentation at the Hawai‘i State Patient Safety Conference in Sept 2017, Honolulu, HI.

Dennis Bolger, MD, MPH; Christina Chong, MD; Jennifer Di Rocco, DO, MEd; Sandra Loo, MD. “High Quality Trainee Feedback: What and How?” workshop presented at the UH JABSOM Chief Residents & Faculty Development Workshop Part 1, May 11, 2018.

JAMIE J. HARRINGTON, III., MD: Hawai‘i Drowning and Aquatic Injury Prevention Advisory Committee Presentation: Drowning an MD perspective June 8, 2017.

2017 State of Hawai‘i Drowning and Ocean Safety Conference: Pre-hospital Treatment of Pediatric Drowning, July 28, 2017.

JESSICA KOSUT, MD: Johnson, S, Kosut, J, Ching, N Disseminated Cat Scratch Disease (CSD) in Pediatric Patients in Hawai‘i. April 19, 2018. Biomedical Sciences and Health Disparities Symposium, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, Hawaii.

Okihiro M, Kosut, J, Duke L, Easa D, Shiramizu B. Parent/Caregiver Knowledge and Attitudes about Pediatric Clinical Trials in Hawai‘i. April 19, 2018. Biomedical Sciences and Health Disparities Symposium, John A. Burns School of ‘ Medicine, University of Hawaii, Honolulu, Hawai i. 59 RHINANA LAU, MD: Renal Imaging – 3/7/18 Resident Academic Half Day (Kapi‘olani Medical Center for Women & Children)

KYRA LEN, MD: Barry Mizuo, Kyra Len, Jannet Lee-Jayaram, Len Tanaka, Cheryl Okado. “A Makeover Story: Utilization of the Pediatric Clerkship Simulation Course to Assess Entrustable Professional Activity (EPA) 10” Health Professions Education Conference. John A. Burns School of Medicine. February 2018. (Poster Presentation).

Kyra Len, Gretchenjan Gavero, Michael Savala, Earl Hishinuma, Lawrence Burgess, Christie Izustsu, Damon Lee, Gregory Suares. “Achieving Milestones through an Integrated Boot Camp” Health Professions Education Conference. John A. Burns School of Medicine. February 2018. (Poster Presentation).

Kyra Len, Gretchenjan Gavero, Joel Brown, Christie Izutsu, Damon Lee, Michael Savala, Gregory Suares, February 3, 2018. “Teaching on the Go: Practical Tips for Bedside Teaching” Health Professions Education Conference, John A. Burns School of Medicine, Honolulu, HI, February 2018. (Workshop Presentation).

Chandler Todd, Kristen Bettin, Jonathan Gold, Kyra Len, Erin McMaster, MacKenzie Hillard, April 13, 2018. “Scripting Success: Using a Point-of-Care App at the Bedside to Enhance Students’ Clinical Reasoning Skills” Council of Medical Student Education in Pediatrics (COMSEP) Meeting, Denver, CO. (Workshop presentation).

Kyra Len, Gretchenjan Gavero, Michael Savala, Earl Hishinuma, Laura Elliot, “The Mile High Goal:Achieving Milestones through an Integrated Bootcamp” Council on Medical Student Education in Pediatrics (COMSEP) Meeting. Denver, CO. April 2018. (Poster Presentation).

Kyra Len, Barry Mizuo, Chieko Kimata, “Clerkship Outcomes of a Long Standing Longitudinal Integrated Curriculum” Council on Medical Student Education in Pediatrics (COMSEP) Meeting. Denver, CO. April 2018. (Poster Presentation).

Gretchenjan Gavero, Michael Savala, Kyra Len, Earl Hishinuma, “Informed Consent and Capacity:Building Confidence & Reinforcing Knowledge in Early Training” American Association of Directors of Psychiatric Residency Training, New Orleans, LA, March 2018. (Poster Presentation).

CHERYYL OKADA, MD: 2017 Summer Student Research Program

JEFFREY OKAMOTO, MD: Invited Speaker. Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE). Conference on: Interventions for an Invisible Disorder: Fetal Alcohol Spectrum Disorders. Hale Koa Hotel – 9/20/17

Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE). DOH-Kaiser-Kapiolani-Tripler DBP forum, Kaiser Mapunapuna, Plumeria Room 9/28/17

Family Engagement - Presentation at the Council Management Meeting, 2018 American Academy of Pediatrics Annual Leadership Forum (AAP ALF), Chicago, 3/16/18

Diagnostic Substitution DOH-Kaiser-Kapiolani-Tripler DBP forum, Kaiser Mapunapuna, Plumeria Room 3/22/18

BRUCE SHIRAMIZU, MD: 15th International Symposium on NeuroVirology/24th Scientific Conference of the SNIP, April 10-14, 20118; Co-Chair Viral Reservoirs Session. Chicago, IL.

15th International Symposium on NeuroVirology/24th Scientific Conference of the SNIP, April 10-14, 2018; Mentoring and Network. Chicago, IL.

Agsalda-Garcia M, Chuang E, Shieh T, Loi N, Milne C, Fang R, Lim E, Killeen J, Shiramizu B. HPV-16 quantitation

60 distinguishes cytology and pathology grades in anal dysplais/cancer. (2017) 16th International Conference on Malignancies in HIV/AIDS, October 23-24, Bethesda, MD.

Kamada N, Oda R, Shieh T, Agsalda-Garcia M, Acosta-Maeda T, Misra A, Choi SY, Lim E, Shiramizu B. Unique Raman spectroscopic fingerprints of Burkitt non-Hodgkin lymphoma. (2017) Pediatric Cancer Research: From Basic Science to the Clinic, December 3-6, Atlanta, GA.

Kettlewell JM, Stins M, Shiramizu B. Blood-brain barrier integrity after contact with pre-exposure prophylaxis antiretroviral drugs plus a CCR5-inhibitor. (2018) International Society for Neurovirology and Society on NeuroImmune Pharmacology Joint Conference, April 10-14, Chicago, IL, J NeuroVirology, 13:Supplement 1, S41.

Lee C, Oda R, Kettlewell J, Hanks J, Shiramizu B. HIV DNA copies in PBMCs pre- and post Maraviroc treatment: Effects on cognitive impairment. (2018) JABSOM Biomedical Sciences and Health Disparities Symposium, April 18-19, Honolulu, HI.

Oda R, Kamada N, Choi SY, Lim E, Misra A, Acosta-Maeda T, Killeen J, Milne C, Agsalda-Garcia M, Shiramizu B. Raman spectroscopy distinguishes high-grade anal intraepithelial neoplasia (HGAIN) from normal tissue. (2017) 16th International Conference on Malignancies in HIV/AIDS, October 23-24, Bethesda, MD.

Oda R, Kamada N, Milne C, Misra A, Acosta-Maeda T, Shiramizu B. Raman spectroscopy (RESpect) for anal intraepithelial neoplasia (AIN) lesions from HIV-serodiscordant couples. (2018) International Anal Neoplasia Society Scientific Meeting, June 1-3, Montreal Quebec Canada.

Okihiro M, Kosut J, Duke L, Easa D, Shiramizu B. Parent/caregiver knowledge and attitudes about pediatric clinical trials in Hawaii. (2018) JABSOM Biomedical Sciences and Health Disparities Symposium, April 18-19, Honolulu, HI.

Premeaux TA, D’AntoniML, Abdel-Mohsen M, Pillai SK, Kallianpur KJ, Agsalda-Garcia M, Nakamoto BK, Gisslén M, Price RW, Shiramizu B, Shikuma CM, Valcour V, Ndhlovu LC. Elevated cerebrospinal fluid galectin-9 is associated with central nervous system immune activation and poor cognitive performance in older HIV-infected individuals. (2018) International Society for Neurovirology and Society on NeuroImmune Pharmacology Joint Conference, April 10-14, Chicago, IL, J NeuroVirology, 13:Supplement 1, S68.

Rivera E, Kettlewell JM, Shieh T, Shiramizu B. Peripheral blood mononuclear cell transmigration across an in-vitro blood brain barrier bilayer model. (2018) JABSOM Biomedical Sciences and Health Disparities Symposium, April 18-19, Honolulu, HI.

Tsubota K, Agsalda-Garcia M, Oda R, Shiramizu B. Effect of plasma on in-vitro blood brain barrier. (2018) Western Society for Pediatric Research Annual Meeting, January 25-27, Carmel, CA, J Invest Medicine, 66:1, 200.

LEN TANAKA, MD: ECMO Principles: Rest your Lungs, 44th Annual State Respiratory Conference, Hawaii Society for Respiratory Care, Honolulu, Hawai‘i, September 2017.

Tanaka LY, Ogino MT, Alsalemi A, et al. ECMOjo: Computer Simulator for Extracorporeal Membrane Oxygenation (ECMO). In: 8th Annual Serious Games & Virtual Environments Showcase & Arcade. IMSH. Los Angeles, CA, January 13-17, 2018.

RANDAL WADA, MD: Wada R, Wong L, Ing D, Munro A, Deutsch M, Richardson K, Kaneshige L, Mullis M, Almanza J, Kurahara D, Albright C. Facilitating family decision making for children at end of life: Pediatric Inter-Professional Program (PIPP). Second Annual Inter-Professional Simulation Conference, Poster Presentation, November 2017.

Wada R, Wong L, Ing D, Munro A, Deutsch M, Richardson K, Flohr A, Arndt R, Kaneshige L, Mullis M, Almanza J, Kurahara D, Albright CL. Theory-based facilitation of family decision making for children approaching end of life using an

61 inter-professional team approach. Symposium Presentation: Nursefacilitated Behavioral Interventions for Health Promotion and Disease Management Across the Life Course. Annual Meeting of the Society of Behavioral Medicine, New Orleans, April 2018.

Wada R, Wong L, Ing D, Munro A, Deutsch M, Richardson K, Flohr A, Arndt R, Kaneshige L, Mullis M, Almanza J, Kurahara D, Albright, CL. Theory-based facilitation of family decision making for children approaching end of life using an inter-professional team approach. Paper presentation within the symposium: Nurse-Facilitated Behavioral Interventions for Health Promotion and Disease Management Across the Life Course. Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine, Abstract, in Ann Behav Med 52 (Suppl 1):S657, 2018.

RICHARD YANIGAHARA, MD: Arai, S., Gu, S.H., Nguyen, S.T., Tu, V.T., Kadjo, B., Lim, B.K., Masangkay, B.S., Bawm, S., Cook, J.A., Kyuwa, S., Tanaka- Taya, K., Morikawa, S., and Yanagihara, R.: Emerging insights into the geographic distribution, genetic diversity and evolutionary origin of bat-borne hanatviruses. In: Abstracts of the Second International Symposium on Infectious Diseases of Bats. Colorado State University, Fort Collins, Colorado, June 29-July 1, 2017, p. 36.

Yanagihara, R., Arai, S., Gu, S.H., Kadjo, B., Lim, B.K., and Cook, J.A.: Newfound insights into the host range, geographic distribution and genetic diversity of hantaviruses gained from natural history collections of shrews, moles and bats [abstract no. 360]. In: Abstracts of the 12th International Mammalogical Congress, Perth, Australia, July 9-14, 2017.

Arai, S., Aoki, K., Ikeyama, Y., Boldgiv, B., Boldbaatar, B., Taylor, K.R., Tsuchiya, K., Nakata, K., Unno, A., Ohdachi, S.D., Araki, K., Satoh, H., Tanaka-Taya, K., Kang, H.J., Morikawa, S., Yanagihara, R., and Oishi, K.: Co-circulation of divergent hantavirus lineages in Sorex shrew species in Mongolia and Japan [abstract no. PO800]. In: Abstracts of the XVIIth International Congress of Virology, Singapore, July 17-21, 2017, p. 379.

Kang, H.J., Arai, S., Gu, S.H., Cook, J.A., Dizney, L.J., Ruedas, L.A., and Yanagihara, R.: Phylogeography of soricine shrew-borne hantaviruses in North America [abstract no. PO808]. In: Abstracts of the XVIIth International Congress of Virology, Singapore, July 17-21, 2017, p. 385.

Emerging insights into the geographic distribution, genetic diversity and evolutionary origin of bat-borne hanatviruses. Second International Symposium on Infectious Diseases of Bats. Colorado State University, Fort Collins, Colorado, June 29-July 1, 2017.

Newfound insights into the host range, geographic distribution and genetic diversity of hantaviruses gained from natural history collections of shrews, moles and bats. 12th International Mammalogical Congress, Perth, Australia, July 9-14, 2017. Phylogeography of soricine shrew-borne hantaviruses in North America. XVIIth International Congress of Virology, Singapore, July 17-21, 2017.

LOREN YAMAMOTO, MD, MPH, MBA: Envenomations. Hawai‘i American Academy of Pediatrics Chapter CME program.

Hori KS, Siu AM, Yamamoto LG. Replacing Liquid Antibiotics With Cheaper Pill Equivalents: An Opportunity for Substantial Savings. Podium presentation at the Pediatric Academic Societies (PAS) meeting. Toronto, Canada, May 2018 by Kristen Hori.

62 Research

Bruce T. Shiramizu, MD focuses his research in the areas of childhood lymphoma and HIV- associated complications (HPV-related cancers, lymphoma, dementia). He is a member of the Children’s Oncology Group non-Hodgkin lymphoma (NHL) Committee and other national committees. As a tenured professor in the Departments of Pediatrics and Tropical Medicine, Medical Microbioloy & Pharmacology (TMMMP), he is also an investigator in the Hawai‘i Center for AIDS with a research laboratory in TMMMP. He is the Associate Chair of Research in the Pediatrics Department, Multiple PI for RMATRIX, Executive Director for Ola HAWAI‘I and PI of the Hawai‘i IDeA States Pediatric and Adolescent Clinical Trials (HIPACT) Program. He mentors residents, medical students, undergraduate & graduate students. He contributes to the Department of Pediatrics conferences, and is a graduate faculty with the Departments of Cell & Molecular Biology, Reproductive Biology, TMMMP, and Molecular Biosciences and Bioengineering. The Department of Pediatrics in partnership with Waianae Coast Comprehensive Health Center and Hawai‘i Pacific Health/ Kapi‘olani Medical Center for Women & Children was awarded an NIH grant (UG1OD024948) to build the infrastructure to make available clinical trials for infants, children and adolescents in Hawai‘i (Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials, HIPACT). The grant provides opportunities for faculty professional development in clinical trials.

HIPACT PROGRESS REPORT (Hawaii IDeA Center Pediatric & Adolescent Clinical Trials Program)

HIPACT is funded by the National Institutes of Health Office of the Director as part of the IDeA States Pediatric Clinical Trials Network (ISPCTN). The principal objective of HIPACT is to establish a pediatric clinical trials team in Hawai‘i to participate in community valued, and scientifically valid multi-center clinical trials, as an ISPCTN partner. The overarching goal is to improve the health and wellbeing of the diverse multiethnic populations of Hawai‘i. As the western most IDeA- eligible state, Hawai‘i is home to large populations of diverse rural and underserved populations, including indigenous Hawaiian communities, and immigrant populations of Pacific Islanders and Asians. The community-based University of Hawai‘i at Manoa (UH Manoa) John A. Burns School of Medicine (JABSOM) Department of Pediatrics (DOP) will serve as the home for HIPACT with an innovative fusion of local and national entities included as partners. Locally, our first partner is the Hawai‘i Pacific Health (HPH) owned regional perinatal medical center - Kapi‘olani Medical Center for Women & Children (KMCWC) and the HPH Research Institute (HPHRI). The second partner is the largest community health center in the state – the Waianae Coast Comprehensive Health Center (WCCHC) that largely serves Native Hawaiians and Other Pacific Islanders. Through ISPCTN, HIPACT faculty will also have opportunities to participate in professional development activities for clinical trials experiences.

Specific Aims: 1. To launch and implement pediatric clinical trials as an ISPCTN site by providing an experienced, coordinated, and a committed team of pediatric-trained personnel. 2. To engage Hawai‘i and other IDeA state communities to provide access to clinical trials including rural and underserved infants, children and adolescents, many of who are Asian, Native Hawaiians and Other Pacific Islanders. 3. To contribute to the “science” of ISPCTN multicenter clinical trials research in disparate underserved and/or rural communities by better understanding and overcoming barriers, with the ultimate goal of improving health outcomes. 4. To increase the number and expertise of JABSOM pediatric clinical trials faculty and their support teams through professional training and education, ultimately to expand ISPCTN research capacity.

1) MAJOR ACTIVITIES AND SPECIFIC OBJECTIVES Aim 1 activities: To launch and implement ISPCTN pediatric clinical trials, HIPACT faculty have been involved with concept development and implementation of new studies in Hawai‘i. The two main trials which were concentrated on during the last year were POPS and ACT NOWS.

63 POPS Study HIPACT PI: Bruce Shiramizu, MD HIPACT Site Study PI: Venkataraman Balaraman, MD HIPACT Lead Coordinator: Annette Amiotte HIPACT Site Coordinator: Moara Palma HIPACT Regulatory Affairs: Andrea Siu

• Contract in review at University of Hawai‘i Office of Research Services as of 7/16/18 • Site IRB approval 5/15/18 • HIPACT POP01 Team Planning Meeting (06/19/18) Brian Wu, MD, PI Bruce Shiramizu, DM Annette Amiotte, RN • HIPACT SIT (Study Implementation Team) POP01 (01/09/18) Bruce Shiramizu, MD Annette Amiotte, RN Andrea Siu, MPH Venkataraman Balaraman, MBBS Jan Vita, DPh Moara Palma, PhD • Site Qualification Visit (Tammy Day) (01/11/18) Debbie Bielecki, MS Ventakaraman Balaraman, MBBS, site PI Bruce Shiramizu, MD Annette Amiotte, RN Andrea Siu, MPH Jan Vita, DPh • POP01 Timeline Meeting (02/20/18) Tammy Ho, MBA Andrea Siu, MPH Annette Amiotte, RN Moara Palma, DPh • KAP99 Timeline Meeting (02/27/18) Andrea Siu, MPH Annette Amiotte, RN • Data Manager Meeting (03/28/18) Moara Palma, DPH Andrea Siu, MPH ACT NOWS Study HIPACT PI: Bruce Shiramizu, MD HIPACT Site Study PI: Charles Neal, MD HIPACT Site Study Junior Investigator: Akshatha, MD HIPACT Lead Coordinator: Annette Amiotte HIPACT Regulatory Affairs: Andrea Siu

• Site activated; Data entry start 6/7/18 • # Cases entered = 6 (7/13/18) • NOWS Live Webinar – Data Collection Webinar (12/11/17) Akshatha, MD Tricia Wright, MD Annette Amiotte, RN • ACT NOWS Investigator Training Andrea Siu, MPH (03/05/18, 04/02/18 (video), 04/06/18 (video) Bruce Shiramizu, MD Debbie Bielecki, MS Moara Palma, PhD Charles Neal, MD • Weekly call with Irene Chedjieu, Clinical Site Manager Annette Amiotte, RN (from 04/09/18) Andrea Siu, MPH • ACT NOWS Abstraction Training (04/20/18) Moara Palma, PhD • ACT NOWS New (potential) Protocol Review (04/24/18) Charles Neal, MD Akshatha, MD • ACT NOWS Protocol Review (04/24/18) Akshatha, MD Moara Palma, PhD Debbie Bielecki, MS 64 • ACT NOWS Monitor Site Visit (Scheduled 08/22/18) Andrea Siu, MPH Debbie Bielecki, MS Moara Palma, PhD Charles Neal, MD Bruce Shiramizu, MD ACT NOWS ESC and Weaning Protocols HIPACT PI: Bruce Shiramizu, MD HIPACT Site Study PI: Charles Neal, MD HIPACT Site Study Junior Investigator: Akshatha, MD

• Scientific and feasibility scores submitted 7/2/18 from HIPACT VDORA Study HIPACT PI: Bruce Shiramizu, MD HIPACT Site Study PI: Brian Wu, MD

The formal advisory team to HIPACT leadership is the Hawai‘i Clinical Trials Advisory Team (HICAT) which is charged with vetting and critiquing ISPCTN clinical research trials under consideration. HICAT will also advise the Executive Committee (HIPACT PI, Co-Investigator, Research Nurse and Data Manager) in matters pertaining to research development and implementation. The HICAT meeting took place on October 5, 2017 which informed the members about the new ISPCTN studies being launched. The HIPACT Executive Committee continued to meet regularly locally as well as participated in the monthly Leadership Regional POD meetings (10/16/17, 11/08/17, 12/18/17, 01/16/18, 02/19/18, 03/19/18, 04/16/18) to discuss HIPACT and ISPCTN implementation. In addition to the Steering Committee meetings (09/05/17, 10/02/17, 11/06/17, 12/04/17, 01/03/18, 03/05/18, 04/02/18, 06/04/18), HIPACT team met quarterly with the NIH Program Officer, Dr. Regine Douthard (08/28/17, 09/05/17, 10/02/17, 11/06/17, 12/04/17, 01/03/18, 03/05/18, 04/02/18). All of the meetings focused on ISPCTN clinical study implementation-related issues. HIPACT leaders and faculty also participated in the Face- to-Face Steering Committee meetings (09/17, 02/18 and 05/18).

Aim 2 activities: In order to engage Hawai‘i communities to provide access to clinical trials including rural and underserved infants, children and adolescents, Dr. May Okihiro has collaborated with Dr. Russell McCulloh, University of Kansas and now University of Nebraska. She continues to meet with the Waianae Coast Comprehensive Health Center regarding HIPACT and works with Dr. Jessica Kosut at the Kapi‘olani Medical Center for Women & Children on assessing needs and attitudes about clinical trials from the providers’ and participants’ perspectives.

HIPACT-Related Activities HIPACT Community Needs Assessment Survey Study May Okihiro, MD Jessica Kosut, MD

• Mixed Methods Study (caregivers and providers) • Focus groups - 01/03/18, 02/02/18, 03/02/18, 03/28/18, 05/02/18 • Parents surveys (n=198) and provider surveys (n=35).

WCCHC May Okihiro, MD • Worked with WCCHC Behavioral Health Department and WCCHC Psychology Interns to introduce research methods. Seven completed CITI training and assisted in recruiting and enrolling participants for the Needs Asst parents surveys. • Two of the psych interns participated in the provider focus groups. Aim 3 activities: The HIPACT committee members have contributed to the “science” of ISPCTN multicenter clinical trials research by participating locally in developing concepts for potential clinical trials and vetting Working Group concepts. 65 HIPACT Committees and ISPCTN Committees HIPACT 1. Airway Brian Wu, MD, Chair David Easa, MD Prashant Purohit, MBBS Bruce Shiramizu, MD May Okihiro, MD Lenhanh Tran, MD Edward Fong, MD Jessica Kosut, MD 2. Pre/Peri/Post-Natal Charles Neal, MD, PhD, Chair Lynn Iwamoto, MD, Co-Chair M. Lisa Bartholomew, MD, Co-Chair Sheree Kuo, MD Lisa Duke, PhD Kelly Yamasato, MD ISPCTN 1. Airways Committee Brian Wu, MD Jessica Kosut, MD 2. Biospecimen & Data Sharing (03/27/18, 04/30/18) May Okihiro, MD 3. Capacity Building – Professional Development Bruce Shiramizu, MD 4. Data Harmonization Andrea Siu, MPH 5. Governance Bruce Shiramizu, MD 6. Manuscript Writing Group May Okihiro, MD • ECHO American Indian/Alaska Native/Native Hawaiian manuscript writing group 7. Neurodevelopmental Lisa Duke, MD 8. Obesity Committee (07/12/17, 07/26/17, 08/09/17, 09/27/17) Kara Wong Ramsey, MD Monica Esquivel, PhD May Okihiro, MD 9. Positive Health/Child Health (07/03/17) Co-Chair, Bruce Shiramizu, MD Annette Amiotte, RN 10. Pre/Peri/Postnatal Lisa Bartholomew, MD Sheree Kuo, MD 11. Publication & Presentations Jessica Kosut, MD 12. Stakeholders (8/7/17, 11/6/17, 6/4/18, 07/09/18) Angela Sy, DrPH • Stakeholders Engagement Working Group presenter (05/10/18 May Okihiro, MD - Engaging Underrepresented Participants, September 2017 F2F May Okihiro, MD meeting presentation by Dr. Okihiro.) 13. VDORA1 Focus Group Brian Wu, MD 14. Review of ISPCTN Pilot Project applications as concept David Easa, MD proposals May Okihiro, MD 15. HIPACT faculty involved with ISPCTN new pilot project concept proposals • Identifying Barriers and Facilitators to Clinical Trials Participation May Okihiro, MD, Co-Investigator Across the IDeA States Pediatric Clinical Trials Network • Focus On COnnecTivity for Patient CenteRed Design IN mResearch Bruce Shiramizu, MD, Lead and MHealTh (FOOTPRINT) Survey • DCOC/NIH meeting with protocol lead (8/10/18; 8/20/18) Bruce Shiramizu, MD, Lead 16. Oklahoma ISPCTN site External Advisory Committee Meeting Bruce Shiramizu, MD, Member (Scheduled 8/22/18) 66 Aim 4 activities: Active participation of HIPACT faculty locally in the disease Subcommittees and through ISPCTN Working Groups has provided opportunities to increase the number and expertise of JABSOM faculty to engage in pediatric clinical trial design and through DCOC Professional Development Webinars.

Professional Development Activities ISPCTN Professional Development Webinars • 30 Minutes with a Research Mentor, 09/14/17 1 participant • Single IRB & Role of the IRB in Pediatric Research, 10/05/17 3 participants • Understanding Pediatric Assent and Ethical Considerations, 11/09/17 3 participants • The Effects of Health Literacy on Clinical Research Trials, 11/16/17 1 participant • Overview of Data and Safety Monitoring Boards, 12/07/17 2 participants • Emergency Use of Investigational Products and Devices, 12/13/17 2 participants • Conducting Clinical Trials in Rural Populations, 02/01/18 3 participants • Disparities Affecting Children Among American Indian Communities, 02/22/18 2 participants • Community Engagement in Clinical Research: Indigenous People, 03/01/18; (Dr. May Okihiro, Co-Presenter) 7 participants • Expanded Access to Investigational Drugs, Scheduled 8/23/18 1 participant registered

2) RESULTS Identifying and engaging clinical faculty with primary clinical responsibilities who are interested in pediatric clinical trial conception, development, implementation and dissemination was a result which HIPACT continued to focus and achieve within the last year. Faculty continue to be engaged through HIPACT subcommittee activities and respective ISPCTN Working Groups. With the launch of ISPCTN clinical studies, HIPACT investigators became actively engages as HIPACT Site Study PIs for the ACT NOWS, POPS and VDORA studies.

The HIPACT advisory team, Hawai‘i Clinical Trials Advisory Team (HICAT), continues to be charged with vetting and critiquing ISPCTN clinical research trials under consideration. HICAT has also advised the Executive Committee (HIPACT PI, Co-Investigator, Research Nurse and Data Manager) in matters pertaining to research development and implementation. Additional input will be sought through community representatives with Dr. May Okihiro’s guidance on potential studies for consideration in Hawaii as new study concepts advance through the pipeline for consideration.

With Drs. Okihiro’s and Kosut’s leadership and professional development focus, the HIPACT Needs Assessment Survey was launched and completed this last year. The proposal and focus group moderator guide was revised to meet the needs of the local community. It was implemented at WCCHC (Dr. Okihiro) and at Kapiolani Medical Center for Women & Children (Dr. Kosut). The study was approved by the WCCHC IRB and WIRB. Results were presented at the 2018.

University of Hawai‘i John A. Burns School of Medicine Biomedical & Health Disparities Symposium (April 18, 2018):

Needs Assessment Survey Background: Clinical trials (CT) are the gold standard for assessing the effectiveness and safety of treatments in clinical medicine. At least 20% of US children are affected by at least one chronic medical condition, with limited CT focused on the etiology, prevention, and/or treatment of these illnesses. Residents of rural and underserved areas, in particular, are more likely to report limited access to and/or awareness of available CT. Thus, there is a critical need to increase the opportunity for children, particularly remote rural children, to participate in CTs.

HIPACT or (University of) Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials is one of 15 centers of the IDeA States Pediatric Clinical Trials Network, provides underserved and rural populations with access to state-of-the- art clinical trials. The John A. Burns School of Medicine has partnered with both Kapi‘olani Medical Center for Women & Children (KMCWC), the pediatric tertiary-care referral center for Hawai‘i, and Waianae Coast Comprehensive Health Center (WCCHC), a large community health center serving the rural west Oahu. This initial study describes a community needs assessment in these two centers.

67 Objective: To assess parent/caregiver knowledge about, perceptions of, and barriers to pediatric CTs

Methods: Cross sectional closed-ended question 46-item survey, measured on a 5-point Likert scale. Participants were English-speaking parents or caregivers or children, 1 day-17 yrs old.

Results: 298 adult participants (WCCHC=98; KMC=100).

(Table 1). The majority had never participated (88%) or been invited to TABLE 1 WCCHC KMCWC participate in CTs (90%). They believed: researchers hide information Female 86% 73% from participants - 26%; researchers are motivated by their interests Mean Age (Years) 39 34 and not participant welfare – 17%; are worried about sharing personal Native Hawaiian 62% 26% information – 11%. Attitudes differed between the two study sites (Table 2). i.e., if Employed 59% 80% the research involved the parent vs. child. However, healthcare provider Single 41% 15% support and knowledge of the research was important to participation. College or post- 14% 46% Participants speaking English as a second language had difficulty graduate degree understanding research concepts; several refused to complete the survey. Receive food 58% 10% stamps/EBT benefits TABLE 2 – Percent in Agreement WCCHC KMCWC Researchers expose participants to medicines or procedures that may be harmful 23% 39% Feel safe if healthcare provider is involved in the research study 73% 84% Likelihood of participating in a CT? 54% 58% Likelihood of allowing their child to participate in a CT 33% 53% Likelihood of participating if a doctor found a CT for them and recommended joining 58% 70% Likelihood of participating if a doctor found a CT for “their child” and recommended joining 51% 76%

Conclusion: Parent/Caregiver participants were interested in clinical trials but had concerns about safety and information sharing, especially those from the rural communities. They endorsed the importance of healthcare providers in supporting research that involved them or their children.

Review of the 30 new pilot project concept applications by Drs. Easa and Okihiro. Two of the new concepts were co- authored by 2 HIPACT investigators (Drs. Okihiro and Shiramizu)

Table 3. New Concept Pilot Project Application Submissions ACRONYM AUTHORS ISPC TN SITES TITLE FOOTPRINT C. Turley, Co-PI South Carolina Focus On COnnecTivity for K.Cowan Vermont Patient CenteRed design IN C. Murray New Hampshire mResearch andMHealTh P. Saul West Virginia (FOOTPRINT) Survey B. Shiramizu, Lead PI Hawaii NEBarriers Facilitators Russell McCulloh Nebraska Identifying Barriers and May Okihiro Hawaii Facilitators to Clinical Trials John Carlson Louisiana Participation Across the Barbara Pahud Kansas IDeA States Pediatric Ann Davis Kansas Clinical Trials Network Pearl McElfish Arkansas

68 Opportunities for training and professional development has the project provided?

HIPACT continues to leveraged professional development activities offered by other infrastructure programs through University of Hawai‘i John A. Burns School of Medicine (JABSOM) as well as the JABSOM Faculty Professional Development resources which are emailed to faculty on a regular basis. HIPACT faculty members are provided access to these professional development activities including those through the RCMI Translational Research Network (RTRN), National Research Mentoring Network (NRMN) and RCMI Multidisciplinary and Translational Research Infrastructure Expansion (RMATRIX).

• 15 February 2018, Bioinformatics and Biostatistics Workshop • 13 February 2018, Proposal Writing Workshop • 16 June 2017, Health & Medicine Seminar - Kukulu Ola Hou • 14-18 May 2018, NRMN GUMSHOE training - -May Okihiro, MD, participant; on target to submit an NIH application in the next 9 months.

In addition, faculty participate in the DCOC professional development webinars through the ISPCTN Research Portal Dashboard. The portal is open and accessible for all investigators of the HIPACT. We continue to encourage HIPACT faculty to take part in this research training opportunity. Individual faculty are identified for 1-on-1 mentorship with the HIPACT leadership for individual faculty professional development.

Dr. Okihiro and her WCCHC community research assistant, Malia Agustin, met with Dr. Kosut to review focus group methods. Dr. Kosut was able to lead the parent focus group at Kapi‘olani Medical Center for Women & Children and assisted in the FG of providers at KMCWC.

Dr. Okihiro and the WCCHC Research Dept. has met regularly with the UH JABSOM RMATRIX Regulatory Knowledge & Support Core. The Core leads the Hawai‘i IRBs Committee and is working on finalizing the Hawai‘i IRBs Harmonization Agreement that will streamline IRB agreements between institutions in Hawaii. Dr. Okihiro and WCCHC Research Dept. is also working with Core to streamline implementation of the Revised Common Rule. The WCCHC Research Dept. staff have attended two meetings of the University of Hawai‘i IRB and had several discussions with UH IRB administrators.

Dr. Okihiro and WCCHC Research Dept. staff have also had discussions with DCOC staff about the Revised Common Rule and the use of the Smart IRB platform. They have also participated in two webinars on the Smart IRB platform.

How have the results been disseminated to communities of interest?

Information that will be relevant to HIPACT faculty, HIPACT community partners, and other interested partners continue to be made available through the official ISPCTN website. HIPACT identifies resources that can be leveraged to disseminate information to parties in Hawaii including information regarding the ISPCTN and HIPACT programs.

In addition, Drs. Okihiro and Kosut presented the HIPACT Needs Assessment Survey results at the 2018 University of Hawaii John A. Burns School of Medicine Biomedical & Health Disparities Symposium (April 18, 2018).

Dr. Okihiro has made provided regular updates to the WCCHC Research Committee and IRB about HIPACT activities, including the Community Needs Assessment, and the steps taking towards implementing the Revised Common Rule. She has also provided updates to the WCCHC Pediatric Department, the WCCHC Research Community Advisory Group, and the WCCHC Administration.

What do you plan to do during the next reporting period to accomplish the goals?

No changes in scope or objectives are planned for HIPACT from the original goals that were outlined in the HIPACT proposal. Continue progress in launching ACT NOWS, upcoming POPS, VDORA and participate in concept development with studies of interest to HIPACT faculty and communities.

69 70 71 RESEARCH AND TRAINING GRANTS AND CONTRACTS AWARDED TO: $18,969,985.05

72 Faculty & Clinical Faculty Honors/Awards July 1, 2017 – June 30, 2018

Keith Abe, MD – Pediatric Subspecialty Outstanding Teaching Award Recipient in recognition for his Outstanding Teaching of Medical Students, August 21, 2017, 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Child Neurology

Bridget Allard, DO – Faculty Award for Academic Excellence Recipient in recognition for her Outstanding Educational Achievements & Demonstrates Strong Academic Qualities in evidence based practice, is a lifelong learner and facilitrates autonomy in Pediatrics, June 1, 2018

Robert J. Bidwell, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Adolescent Medicine

Andras Bratincsak, M.D., Ph.D. – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Cardiology

Daniel L. Buehler, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

William E. Burkhalter Jr., MD 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Orthopaedic Surgery

Brigitte A. Carreau, MD – 2018 Castle Connolly Top Doctors

Derek A. Ching, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Joseph D’Angelo, MD – Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatrics

Jennifer Di Rocco, DO – Hospitalist Outstanding Teaching Award Recipient in recognition for her Outstanding Teaching of Medical Students, August 21, 2017

Robert C. Durkin, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Orthopedic Surgery

Brett Colin Ferguson, MD – 2018 Castle Connolly Top Doctors/Pediatrics

Derek Matthew Flores, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Pia Francisco-Natanauan, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Adolescent Medicine

Gina M. French, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Developmental & Behavioral Disorders

R. Michael Hamilton, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai`i”/ Pediatrics

Travis Hong, MD – ER Attending Outstanding Teaching Award Recipient in recognition of his Outstanding Teaching of Medical Students, August 21, 2017

73 Lynn M. Iwamoto, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Neonatal- Perinatal Medicine

Byron H. Izuka, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Orthopedic Surgery

Sidney M. Johnson, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Surgery

Jeffrey C. Kam, MD– 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Allergy & Immunology

Jennifer R. King, DO – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Sports Medicine

Jeremy King, DO – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Gastroenterology

Kevin N. Kon MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric/ Diagnostic Radiology

Sheree Kuo, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Neonatal- Perinatal Medicine

David K. Kurahara, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Rheumatology

Wade T. Kyono, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i” /Pediatric Hematology-Oncology

Rhiana L.A. Lau, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Nephrology

Shigeko O. Lau, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Hematology-Oncology

Felicitas B. Livaudiais, MD – Community Preceptor Outstanding Teaching Award Recipient in recognition of her Outstanding Teaching of Medical Students, June 1, 2018, 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatrics

Shelley Loui, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatrics

Brent H. Matsumoto, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Desiree Medeiros, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Hematology-Oncology

Marian Melish, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Infectious Disease

Joan Meister, MD – Faculty Excellence in Preceptor Teaching Award recipient in recognition of her outstanding teaching of medical students, June 1, 2018.

Bryan D. Mih, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatrics 74 John A. Misailidis, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Internal Medicine

Darrell T. Natori, MD. – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Charles R. Neal, Jr., MD, PhD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Neonatal-Perinatal Medicine

Brenda M. Nishikawa Fujita, MD – Community Preceptor Outstanding Teaching Award Recipient in recognition for her Outstanding Teaching of Medical Students, August 2017, 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatrics

Russell T. Ogawa, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Sada Okumura, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Child Neurology

Craig M. Ono, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Orthopedic Surgery/Pediatric Orthopedics

Anita M. Pedersen, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai`i”/ Pediatric Endocrinology

Jonathan B. Pellett, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Orthopedic Surgery/Pediatric Orthopedics

Colin Petko, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Cardiology

Devin P. Puapong, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Surgery

Michael H.T. Sia, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

James Y. Sim, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Cardiology

Sneha L. Sood, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Neonatal- Perinatal Medicine

Nadine Tenn Salle, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Michael H.T. Sia, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Christopher Stefanelli, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Cardiology

Sneha L. Sood, MD - 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Neonatal- Perinatal Medicine

75 Ronald S. Sutherland, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Urology

LenhAnh Tran, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Otolaryngology

Tamara N. Todd, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Greg Y. Uramoto, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Endocrinology

Julie Won Ireland, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Clinical Genetics

Rupa K. Wong, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Ophthalmology

Russell K.Y. Woo, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Surgery

Robert D. Wotring, II, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Brian H. Wu, M.D. – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Pulmonology

Yolanda C. Wu, MD – Faculty Excellence in Outpatient Teaching Award Recipient for her Outstanding Teaching of Medical Students, August 21, 2017, 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Kara S. Yamamoto, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatric Rheumatology

Vince K. Yamashiroya, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Lynn B. Yanagihara, MD – 2018 Castle Connolly’s Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/ Pediatrics

Richard Yanagihara, MD – 2017 Scientist of the Year Award, Achievement Rewards for College Scientists (ARCS) Foundation, Honolulu, Hawai‘i, September 11, 2017.

Gregory K. Yim, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Child Neurology

David A. Young, MD – 2018 Castle Connolly Top Doctors, Honolulu Magazine “2018 Top Doctors in Hawai‘i”/Pediatric Ophthalmology

Dr. Jon Ishi presents the Faculty Award for Academic Excellence to Dr. Bridget Allard, in Recognition for her OUTSTANDING EDUCATIONAL ACHIEVEMENTS & DEMONSTRATES STRONG ACADEMIC QUALITIES in evidence based practice, is a livelong learner, and facilitates autonomy in Pediatrics. 76 Community Service 2017 – 2018 The Pediatric Faculty participated as volunteers in the following organizations:

* Affordable Care Act (ACA) - Advocacy work in educating elected Hawai‘i state representatives on preserving and strengthing the ACA to improving access to care for the disadvantaged children and families * Aloha Pediatric Infectious Disease Conference Planning Committee * American Academy of Pediatrics (AAP) Maintenance of certification QI project review board member * American Academy of Pediatrics (AAP) Chapter champion for Early Hearing Detection and Intervention(Hawaii) * American Academy of Pediatrics (AAP) Council Management Committee * American Academy of Pediatrics (AAP) PREP Emergency Medicine Editorial Board * American Academy of Pediatrics (AAP) National Center for Implementation of the Medical Home Professional Advisory Committee * American Academy of Pediatrics (AAP) Regional network liaison for the District VIII AAP EHDI program * American Academy of Pediatrics (AAP) State of Hawai‘i Representative for Pediatric preparedness * AED Public Access Defibrillation Program for Endodontics Associates - Medical Director * AED Institute’s Operation Stay’N Alive Public Access – Medical Consultant * Adapting curriculum for children with special needs/behavioral issues/ADHD/Autism; Program has been succesfull in retaining children with special needs. Children have succesfully completed requirements to their best abilities, participated in all activities, camping trips, etc. Helping develop training to be applied district and council wide. * Agents of Change Steering Committee for local grass roots group * Allure Waikiki Board Member * American Cancer Society * American Journal of Emergency Medicine - Editorial Board Member * Arthritis Foundation of Hawai‘i - Advisory Board Member * Arthritis Foundation of Hawai‘i - Medical Director, Camp Mana’olana * Arthritis Foundation of Hawai‘i - Walk For a Cure and Advocacy Booth Volunteer * American Heritage Girls - Volunteer, Camping * A.T. Still University, Kirksville College of Osteopathic of Medicine - Provide preceptorship and medical education for students

* Ballet Hawai‘i Board Member - Annual injury prevention speaker to summer intensive program * Boy Scouts of America - Troop 10, Assistant Scoutmaster * Boy Scouts of America - Troop 311, Assistant Scoutmaster * Boy Scouts of America - Aloha Council (Hawaii Chapter of BSA) * Boy Scouts of America - Day Camp Volunteer Staff * Boy Scouts of America - Camporee Volunteer Staff * Boy Scouts of America - Pupukea Summer Camp Troop 311 Scoutmaster * Boy Scouts of America - Unit Commissioner for 3 units

* Camp Anuenue (annual cancer camp) - Physician & Medical Director * Consultant care for medically fragile children in the community

* Emergency ECMO Evaluation and Initiation Standby * Epilepsy Foundation of Hawai‘i Medical Advisory Board

* Great Aloha Run, Medical Staff volunteer

* Hapa Mana Camp - Demonstrated how healthy activities in children enhance child’s health * Hawai‘i American College of Emergency Physicians (ACEP) Chapter President * Hawai‘i Children’s Action Network (formally Good Beginning Alliance) - Board of Directors * Hawai‘i Children`s Cancer Foundation/ Board member/ Emeritus past president * Hawai‘i Concussion Awareness and Management Program - Speaker and Advisor * Hawai‘i Cord Blood Bank Medical Director * Hawai‘i Cord Blood Bank Board of Directors and Members * Hawai‘i Disaster Medical Assistance Team (DMAT) Medical Officer * Hawai‘i Drowning and Aquatic Injury Prevention Advisory Committee * Hawai‘i Drug Assistance Program Mediation Board Member * Hawai‘i Genomics Section - (Hawai‘i Community Genetics(HCG) - provides Medical Genetics services to neighbor island outreach program 77 * Hawai‘i Health Information Exchange - Physician Advisory Group * Hawai‘i International Child (non-profit for adoption) Board member * Hawai‘i Juvenile Detention Home * Hawai‘i Pacific Health - Emeritus Board of Trustees Member * Hawai‘i Pacific Health KidsFest * Hawai‘i Pacific Health Summer Student Research Program Research Mentor * Hawai‘i Pediatric Association Reasearch and Education (HPAREF) Board of Directors - President * Hawai‘i Pediatric Research Education Foundation Member * Hawai‘i State Council on Developmental Disabilities - Co-chair of the Transition and Employment committee (Nominated by the Governor, Approved by the Legislature) * Hawai‘i State Department of Health: Developmental Disabilities Division Medical Director * Hawai‘i State Department of Health: Early Hearing Detection and Intervention Advisory Board * Hawai‘i State Department of Health: Early Hearing Detection and Intervention Advisory Committee * Hawai‘i State Department of Health: Family Health Services, Children with Special Health Care Needs, Children’s Mental Health, Child Welfare, Family Court * Hawai‘i State Department of Health: Immunodeficiency Newborn ScreeningTaskforce * Hawai‘i State Department of Human Services: Special Needs Branch Consultant * Hawai‘i State Department of Human Services * Hawai‘i State Public Library System - Working with state library to increase service to our patients * Hawai‘i Olomana School and the Youth Correctional Facility community partnership in Kailua * High School Student preceptorship & counselling services to students interested in joining the medical profession in the future * Holy Trinity Parish Family Promise - Participates in donating time, food and financial support to homeless families that are hosted by our local parish * H.O.M.E school supplies project * Honolulu Classical Ballet - Annual injury prevention speaker to summer intensive program * HUGS (Help, Understanding, Group Support) Medical Advisor

* Iolani School - AED Public Access Defibrillation Program for Endodontics Associates - Medical Director * Imi Hale Course Lecturer

* Kalani High School Student Advisor in the Healthcare Occupations Service Association course * Koolau District Planning Committee member * Koolau District - Popcorn Fundraising Campaign * Koolau District - Makahiki Fundraising Campaign

* Legacy of Life Hawai‘i Medical Advisory Board Member * Lotus, A community based non-profit organization - Vice-President

* Make-A-WISH Hawai‘i - Physician Advisory Board * Make-A-WISH Hawai‘i - Physician Advisory Board Director * Make-A-WISH Hawai‘i - Physician Advisory Board Board Member (Emeritus) * Manoa Elementary School First Aid Booth * Medical volunteer/sole general pediatrician to La Hospital de La Familia, Nuevo Progreso, Guatemala * Mentor for high school senior projects

* National Kidney Foundation of Hawai‘i - To identify and support programs that would be helpful for our patients (ie. nutrition and weight management programs) * Neonatal Resuscitation Program Instructor * New Nations of Micronesia Committee

* Open Source Computer Programing: ECMO

* Pediatric Advance Life Support (PALS) Instructor * Pediatric Emergency Care Editorial Board Member * Pediatric Cardiology services provided at neighbor island clinics and other Pacific Islands - Guam, Saipan, Chuuk,Yap, Ponape and Marshall Islands, etc. * Punahou School Healthcare Alumi Association Spotlight - Volunteer for group discussions with high school students

78 * Radford High School Athletics Program & University of Hawai‘i Women’s Basketball Team - Team Physcian * Radiology Cases In Pediatric Emergency Medicine & Case Based Pediatrics For Medical Students and Residents - Chief Editor * Renal Dialysis Unit, LBJ Tropical Medical Center, American Samoa - Medical Director * RCMI Translational Research Network HIV/AIDS Research Cluster Member * RCMI Translational Research Network Cancer Research Cluster Member * RCMI Translational Research Network Neurology Research Cluster Member * RCMI Translational Research Network Pilot Project - Application Reviewer * RSV Consensus Committee for the State of Hawai‘i Member

* Sacred Hearts Academy’s lower school - Medical Consultant * Safety net provider as emergency physician-collaborating with Community Health Centers and support of “safety net” for children in early childhood and school health * Salvation Army Clinic-Hawaiian and Pacific Islands Division * Schriner’s Hospital for Children - Medical Executive Committee * Schriner’s Hospital for Children - Peer Review Committee * Special Buddies (Bowel/Bladder) Camp - Volunteer Physician * St. John Vianny Catholic Church * Seafarers Outreach

* Transformation Health Network (THN) - Logistics member of non-profit urgent care for under-served population

* Underwater Robotics: Coach/Mentor for 2 teams * University of Hawai‘i Educational Web site: Radiology Cases In Pediatric Emergency Medicine, Case Based Pediatrics For Medical Students and Residents, Neonatology X-rays, Talking PowerPoint lectures * University of Hawai‘i John A. Burns School of Medicine (JABSOM)’s Angel Tree Project * University of Hawai‘i John A. Burns School of Medicine (JABSOM) Global Health Committee * University of Hawai‘i John A. Burns School of Medicine (JABSOM), School of Nursing-provide preceptorship & teaching to Pediatric Nurse practioners

* Waianae High School, Health and Sciences Academy Course lecturer

“Waiting for Santa”– 6 year old, Elijah photo by: Karen Akiyama 79 No Na Keiki ‘O Hawai‘i "For the Sake of the Children of Hawai‘i”

University of Hawai‘i John A. Burns School of Medicine Department of Pediatrics 1319 Punahou Street, 7th floor Honolulu, Hawai‘i 96826

The University of Hawai‘i is an equal opportunity affirmative action institution.