Department of Pediatrics Faculty Orientation Program

DEPARTMENT OF PEDIATRICS FACULTY ORIENTATION PROGRAM

Improving the lives of children through excellence in advocacy, education, research and clinical care.

Department of Pediatrics Overview Department of Pediatrics University of Utah School of Medicine

Mission: Improving the lives of children through excellence in advocacy, education, research and clinical care.

Vision: Caring for children, caring for their future.

The Department of Pediatrics is the second largest department in the University of Utah School of Medicine and one of the largest pediatric departments in the country. The department is organized in a matrix, and is comprised of 19 medical divisions and four programs operating within four key enterprises: Education, Research, Clinical, and Academic. Divisions provide a full spectrum of specialty and sub-specialty pediatric services for children throughout the Intermountain West.

The Education Enterprise, directed by Dr. Jim Bale, coordinates programs from the medical school, residency and post-graduate programs, and continuing medical education. In addition to supporting our 85 pediatric residents (categorical, med/peds and triple board programs) and our 42 fellows, the enterprise manages the Glasgow Service, a ward team of four third-year medical students supervised by a senior pediatric resident. Over the past five years, 10-15% of University of Utah medical school graduates have chosen pediatric careers.

The Education Enterprise conducts a bi-annual review of resident performance and an annual review of faculty proficiency in education. The Academic Pediatric Education & Leadership program (APEL), provides support to faculty who wish to improve their skills as an educator and leader. An annual forum, “Education in Progress” provides faculty with useful educational strategies.

The Clinical Enterprise, headed by Dr. John Bohnsack, is centered at Intermountain Healthcare’s Primary Children’s Medical Center (PCMC), a 252-bed tertiary care children’s facility, ranked among the top ten children’s hospitals in the United States. Department of Pediatrics faculty attend in more than 75% of hospital admissions; in total, the University of Utah School of Medicine faculty attend in excess of 85% admissions. PCMC offers a full range of solid organ transplant programs, including hepatic, renal, and cardiac. Outreach services are provided throughout Utah, Wyoming, Nevada, and Idaho. In addition, the Department provides pediatric sub-specialty services to the Intermountain Health Care hospital networks throughout the region.

The Research Enterprise, directed by Dr. Carrie Byington, is supported by the department’s 19 medical divisions and engages in multiple collaborations with the Departments of Obstetrics & Gynecology and Neurobiology & Anatomy, the Divisions of Human Genetics and Epidemiology, and the Huntsman Cancer Institute. Pediatrics is a member of multiple NIH research networks, including the Pediatric Emergency Care Applied Research Network and Central Data Management Coordinating Center, Pediatric Heart Network, Collaborative Pediatric Critical Care Research Network, Neonatal Research Network, Pediatric Pharmacology Research Network, and the Pulmonary Therapeutics Development Network. The Department also is a member of the Centers for Birth Defects Research and Prevention Network, Center for Juvenile Arthritis, Inflammatory Bowel Disease Center, Inpatient Care Management Center, Intermountain Center for Pediatric Nutrition Center, Intermountain Injury Control Research Center, and the Pediatric Pharmacotherapy Center.

The Pediatric Clinical and Translational (PCAT) Research Scholars Program, led by Dr. Carrie Byington, supports junior researchers in clinical and translational science. The program provides career development support for researchers early in their careers, enhances the quality of basic and clinical research conducted within the Department, and helps increase the level of external grant funding made to department faculty.

Twenty faculty members are current recipients of NIH career development awards. Research funding awarded to the Department of Pediatrics has increased from $16.3 million in FY 2006 to over $32 million in FY 2011.

The Academic Enterprise, headed by Dr. John Carey, focuses on retention, promotion, and tenure requirements for pediatric faculty members. In addition, the Academic Enterprise provides unique services for faculty, including career staged focus discussion groups and career guidance.

The financial base of the Department has grown from $22 million in 1996 to $110 million in FY 2012. This growth comes with an increase in clinical revenue (professional billing) from $13 million in FY 1996 to over $78 million in FY 2012. Clinical charges have increased by a compound annual growth in excess of 8.06% from FY2008 to FY2012. Sponsored grant and contract funding totaled $26,380,561 in FY 2010.

Challenges: Current challenges faced by Department include a nationwide shortage of pediatric subspecialists, increasing educational debt burden for junior faculty, healthcare reform, and changing generational lifestyle issues among younger faculty.

Summary: The Department of Pediatrics is a dynamic and growing department, dedicated to excellence in pediatric clinical care, education, research, and advocacy.

The Pediatric Divisions and Programs are:

Adolescent Medicine – Michael Spigarelli, M.D., Ph.D., Chief Behavioral Health – Richard Martini, M.D., Chief Cardiology – Lloyd Tani, M.D., Chief Critical Care – J. Michael Dean, M.D., Chief Emergency Medicine –Howard A. Kadish, M.D., Chief Endocrinology – Mary A. Murray, M.D., Chief Gastroenterology – Linda S. Book, M.D., Chief General Pediatrics – Karen Buchi, M.D., Chief Genetics – Nicola Longo, M.D., Chief Hematology/Oncology – Richard S. Lemons, M.D., Ph.D., Chief Immunology/Rheumatology – John F. Bohnsack, M.D., Chief Infectious Diseases – Andrew T. Pavia, M.D., Chief Inpatient Medicine – Christopher Maloney, M.D., Chief Medical Ethics – Jeffrey Botkin, M.D., Chief Neonatology – Robert H. Lane, M.D., Chief Nephrology – Raoul D. Nelson, M.D., Ph.D., Chief Neurology – Francis M. Filloux, M.D., Chief Pharmacology – Michael Spigarelli, M.D., Ph.D., Director Pulmonology – William Gershan, M.D., Chief Safe and Healthy Families – Antoinette Laskey, M.D., Chief Research Enterprise—Carrie L. Byington, M.D., Director Clinical Enterprise—John F. Bohnsack, M.D., Director Academic Enterprise—John C. Carey, M.D., Director Education Enterprise—James F. Bale, M.D., Director Department of Pediatrics University of Utah School of Medicine

Mission: Improving the lives of children through excellence in advocacy, education, research and clinical care.

Vision: Caring for children, caring for their future.

The Education Enterprise, directed by Dr. Jim Bale, coordinates programs from the medical school, residency and post-graduate programs, and continuing medical education. In addition to supporting our 82 pediatric residents (categorical, med/peds and triple board programs) and our 41 fellows, the enterprise manages the Glasgow Service, a ward team of four third-year medical students supervised by a senior pediatric resident. Over the past five years, 10-15% of University of Utah medical school graduates have chosen pediatric careers.

The Children’s Health Research Center (CHRC), led by Drs. Rob Lane and Carrie Byington, supports junior pediatric researchers in basic and translational science. The Pediatric Clinical and Translational (PCAT) Research Scholars Program, led by Dr. Carrie Byington, supports junior researchers in clinical and translational science. The CHRC and the PCAT programs provide career development support for researchers early in their careers, enhance the quality of basic and clinical research conducted within the Department, and help increase the level of external grant funding made to department faculty.

Twenty faculty members are current recipients of NIH career development awards. Research funding awarded to the Department of Pediatrics has increased from $4.9 million in 2002 to over $15 million in 2009. In addition, the Department of Pediatrics at the University of Utah is one of seven Vanguard Centers selected for the National Children’s Study (NCS)—the largest long-term study of children’s health and development ever conducted in the United States. In FY 2007, the NCS was awarded an additional contract for a second site in Cache County, Utah. Total NCS funding through 2009 is $8,424,813.

The financial base of the Department has grown from $22 million in 1996 to $103 million in FY 2011. This growth comes with an increase in clinical revenue (professional billing) from $13 million in FY 1996 to $49.1 million in FY 2010. Clinical charges have increased by a compound annual growth in excess of 9.21% from FY2004 to FY2010. Sponsored grant and contract funding (not including the NCS study) totaled $20,109,470 in FY 2009.

Summary: The Department of Pediatrics is a dynamic and growing department, dedicated to excellence in pediatric clinical care, education, research, and advocacy.

The Pediatric Divisions and Programs are:

Adolescent Medicine – Michael Spigarelli, M.D., Ph.D., Chief Behavioral Health – Richard Martini, M.D., Chief Cardiology – Lloyd Tani, M.D., Chief Critical Care – J. Michael Dean, M.D., Chief Emergency Medicine –Howard A. Kadish, M.D., Chief Endocrinology – Mary A. Murray, M.D., Chief Gastroenterology – Linda S. Book, M.D., Chief General Pediatrics – Karen Buchi, M.D., Chief Genetics – Nicola Longo, M.D., Chief Hematology/Oncology – Richard S. Lemons, M.D., Ph.D., Chief Immunology/Rheumatology – John F. Bohnsack, M.D., Chief Infectious Diseases – Andrew T. Pavia, M.D., Chief Inpatient Medicine – Christopher Maloney, M.D., Chief Medical Ethics – Jeffrey Botkin, M.D., Chief Neonatology – Robert H. Lane, M.D., Chief Nephrology – Raoul D. Nelson, M.D., Ph.D., Chief Neurology – Francis M. Filloux, M.D., Chief Pharmacology – Michael Spigarelli, M.D., Ph.D., Director Pulmonology – William Gershan, MD, Chief Safe and Healthy Families – David Corwin, M.D., Chief Research Enterprise—Carrie L. Byington, M.D., Director Clinical Enterprise—John F. Bohnsack, M.D., Director Academic Enterprise—John C. Carey, M.D., Director Education Enterprise—James F. Bale, M.D., Director

DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH ACADEMIC LEAVE

Introduction

The Department of Pediatrics has established an Academic Leave Program (the "Program") to assist its faculty members. The purpose of this Program is to further the academic careers of faculty members and enhance their abilities to contribute to the diverse missions of the University and Department.

The program assists faculty members selected to participate by providing 3 months of uninterrupted leave to pursue professional education. Full time faculty members employed by the Department of Pediatrics are eligible to participate in the Program. Salary and benefits will be paid from department/division resources.

I. Eligibility Standards

1. Eligible Participant. University of Utah, Department of Pediatrics faculty members employed continuously on a full time basis for a minimum of five years. Faculty members are eligible to apply for academic leave every five years.

2. Rank. Faculty members at the rank of Assistant Professor or above are eligible to apply.

II. Salary Provisions, Report, and Rights and Obligations

1. Salary Provisions. The faculty member shall receive full salary and benefits for a period of three months. The faculty member is not eligible to receive. Clinical Incentive Pay (CIP) during this period.

2. Report. A report of activities and the extent to which the purpose of the approved sabbatical leave were met must be sent to the Chairman of the Department of Pediatrics within one month of return to service. Failure to provide this report would result in ineligibility for future participation.

3. Return to Service. The faculty member is expected to return to full time employment immediately following the three months of leave under the Program. The faculty member must reimburse the Program for the full amount of the wages and benefits paid during the academic leave, as explained more fully in the attached letter agreement regarding Program participation if they do not return to full employment for a period of one year.

4. Reimbursement Obligation. The reimbursement obligation is not intended as a penalty for an early resignation. Rather, it is intended as reimbursement to the Department for its investment in a faculty member’s career should the faculty member choose to discontinue full time employment with the Department before the Department is able to fully realize the benefits of its investment.

III. Application process

1. Develop and submit a plan with the following information: a. Location and nature of on/off campus faculty development activities. b. How the Program will contribute to advancement of the faculty member’s career and future contributions to the Department and University. c. A letter of endorsement from the faculty member’s Division Chief. d. The faculty member’s current evaluation and with CV. e. A letter from the on/off campus host supporting the proposed faculty development activities.

2. Applications are due by March 31 for a July 1 start date and September 31 for a January 1 start date.

IV. Program Procedures

1. Program Selection and Review Committee. The Program Selection and Review committee will be comprised of three members. The committee will be led by the Chairman of Pediatrics or his/her designee. The Chairman will select two senior members of the Department or School of Medicine. The Chairman of Pediatrics will consider diversity among other pertinent factors in determining the composition of the selection committee. The committee should be established at the beginning of each calendar year (January).

2. Administration of the Program. All application procedures and other administrative tasks will be decided and administered by the Chairman of Pediatrics or his/her designee.

Application Instructions

Applications should be submitted to Jacquie Bernard, Administrative Director at:

Department of Pediatrics University of Utah P.O. Box 581289 Salt Lake City, Utah 84158 or faxed to 801-587-7417 by March 31 or September 31 of each year. Please direct questions to Jacquie Bernard at 801-581-7410, or e-mail her at [email protected]. DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH EDUCATION LOAN REPAYMENT ASSISTANCE PROGRAM

** Guidelines **

Introduction

Many pediatric subspecialists graduate with high education debt burdens. The Department of Pediatrics (“Department”) has established an Education Loan Repayment Assistance Program (“Program”) to encourage and assist its subspecialist faculty members who wish to pursue an academic career at the University of Utah.

I. The Program

The Program assists those pediatric subspecialists selected to participate by advancing up to $20,000 per year to education loan creditors as an Education Loan Payment. In addition, a Tax Assistance Payment up to $5,000 per year will be made directly to the participating pediatric subspecialist.

Subspecialists employed full-time by the Department are eligible to participate in the Program for a maximum of three years when sufficient funds are available. Preference may be given to those faculty members at the rank of Instructor, Assistant Professor, or Associate Professor. Applications are required each year and are due by September 30.

II. Eligibility Standards

1. Eligible Participant. University of Utah, Department of Pediatrics, subspecialist faculty members, employed by the Department on a full-time basis.

2. Eligible Loans. Loans from Stafford (GSL), Perkins, other supplemental and education loans (including graduate loans), excluding loans from family and friends.

III. Loan Repayment, Leaves of Absence, and Program Termination

1. Repayment Period. Upon completion of a participant’s participation in the Program, full-time employment with the Department is expected to continue for a period of time that is at least equal to the period of participation in the Program, as explained more fully in the letter of agreement that will be mailed to awardees.

2. Leaves of Absence from the Program. Leaves of absence will be allowed for up to three months in one year and up to a combined total of six months in two or more years in monthly blocks only. Leaves of absence will be allowed for qualifying Family and Medical Leave Act leaves. During unpaid leaves of absence, Program

Revised September 7, 2012 Page 1 of 3

participants are required to pay their own loans. Upon reentry into the Program, a participant will resume participation at the prorated amount for that particular period.

3. Program Termination. Participation in the Program can be terminated if:

A. Payment of the participant’s original debt is completed; or

B. The participant fails to comply with the requirements and procedure of the Program.

4. Discontinuation of Full-Time Employment during the Repayment Period. If at any time during the Repayment Period, the participant decides to discontinue full- time employment with the Department, the participant agrees to reimburse the Department for the expenses it has incurred in connection with the participant’s participation in the Program, as explained more fully in the letter of agreement that will be mailed to awardees.

5. Reimbursement Obligation. The reimbursement obligation is not intended as a penalty for an early resignation. Rather, it is intended as reimbursement to the Department for its investment in a participant’s career should that participant choose to discontinue full-time employment with the Department before the Department is able to fully realize the benefits of its investment.

IV. Program Procedures

1. Program Selection and Review Committee. The Program Selection and Review Committee will be comprised of three members. The Committee will be led by the Chairman of Pediatrics or his/her designee. The Chairman will select two senior members of the Department or School of Medicine. The Chairman of Pediatrics will consider diversity among other pertinent factors in determining the composition of the Selection Committee. The Committee should be established at the beginning of each calendar year (January).

2. Administration of the Program. All application procedures, loan disbursements, program termination decisions and other administrative tasks will be decided and administered by the Chairman of Pediatrics or his/her designee. Those selected to participate will receive a letter of acceptance by the end of November. Loan payment checks will be disbursed at the end of January/early February.

3. Federal and State Tax Liability. The University complies with federal and state tax regulations governing any applicable tax liability, tax reporting and/or withholding of taxes on the Department of Pediatrics Education Loan Repayment Assistance Program. It is recommended that applicants for the program consult with their tax advisor to understand any personal tax effects of the program.

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V. Annual Requirements for Participation in the Program. Each year applicants are required to submit the following no later than September 30th of each year.

A. A current curriculum vitae.

B. A personal statement written in essay format which demonstrates a strong commitment to pediatric subspecialty care of patients and their families. It should also describe relevant prior year accomplishments and objectives for the upcoming year. Please limit the personal statement to two pages.

C. A copy of the most recent statement from your lender(s) showing your current education loan balance(s).

D. A confidential letter of recommendation from your Division Chief, to be submitted directly to the Program administrator. • For chief resident applicants: Residency Program Director should indicate applicant accomplishments and contributions to the program throughout the applicant’s residency. • For applicants new to the division: Chief should indicate key factors in the decision to hire the applicant as well as the applicant’s anticipated contributions to the division for the coming year. • For applicants in the division for at least one year: Chief should describe the applicant’s prior-year achievements and contributions to the division as well as anticipated contributions for the coming year.

Please submit required documentation using one of the following options:

Campus Mail: Brandy Harman Department of Pediatrics Williams Building

U.S. Mail: Brandy Harman Department of Pediatrics University of Utah PO Box 581289 Salt Lake City, UT 84158

Fax: 801-587-7417 Attn: Brandy Harman Department of Pediatrics

Please direct questions to Brandy Harman at 801-587-7414 or [email protected]

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DEPARTMENT OF PEDIATRICS

Mission

Improving the lives of children through excellence in advocacy, education, research and clinical care

FACULTY PERFORMANCE AND GOALS

The purpose of the faculty performance appraisal system is to link the appraisal process to your goals and to the goals and missions of the University, Department, and Division, and to facilitate communication between the Division Chief and the faculty member. This form will provide a framework for your dialogue with your Division Chief. This document is not intended to be used beyond these meetings.

For the period of

Today's Date:

FACULTY GENERAL INFORMATION

Name:

Division:

% FTE in Division:

Rank and Track:

Employment Date:

Years in Rank:

Please enter the percentage of time spent in the following activities:

Education % Research - Scholarship % Clinical Care % Administration % Other % Total 100 %

Faculty Performance Evaluation 6/23/2006 1 of 8

Clinical Care

Describe your clinical activities and indicate an overall rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement. Consider the following activities: inpatient and outpatient service, efforts to enhance clinical care, patient/parent comments, and clinical honors and awards.

Overall Rating Self-Evaluation Division Chief Evaluation Opportunity Opportunity for for Exceeds Expectation Meets Expectation Improvement Exceeds Expectation Meets Expectation Improvement

Clinical responsibilities in the previous year: (Attach additional sheet, if necessary)

Clinical goals for this year:

Division Chief comments:

Faculty Performance Evaluation 6/23/2006 2 of 8

Education

Describe your education activities and indicate an overall rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement. Consider the following activities: medical lectures per clerkship, resident lecture series per resident year, Grand Rounds presentations, teaching honors and awards, small group leadership, post-graduate education (CME lectures, etc.), curriculum development, graduate student training, laboratory training for post- doctoral fellows and visiting scientists, and invited lecturer or visiting professor.

Overall Rating Self-Evaluation Division Chief Evaluation Opportunity Opportunity for for Exceeds Expectation Meets Expectation Improvement Exceeds Expectation Meets Expectation Improvement

Education contributions in the previous year: (Attach additional sheet, if necessary)

Education goals for this year:

Division Chief comments:

Faculty Performance Evaluation 6/23/2006 3 of 8

Research - Scholarship

Describe your scholarship activities and indicate an overall rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement. Consider the following activities:

A. Publications (list and attach copies): C. Grants and Contracts (list) Journal articles published during the last academic In development (what is planned, what is year planned submission date) Abstracts accepted for presentation Submitted Medical books and chapters Unfunded (include score) B. Presentations (list topic, what meeting, when, and Funded (include score and budget) where) Oral and poster presentations at national/ D. Research honors and awards international meetings Oral and poster presentations at regional meetings

Overall Rating Self-Evaluation Division Chief Evaluation Opportunity Opportunity for for Exceeds Expectation Meets Expectation Improvement Exceeds Expectation Meets Expectation Improvement

Research - Scholarship accomplishments in the previous year: (Attach additional sheet, if necessary)

Research - Scholarship goals for this year:

Division Chief comments:

Faculty Performance Evaluation 6/23/2006 4 of 8

Administration

Describe your administrative activities and indicate an overall rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement. Consider activities in the following arenas: medical school, hospital, department, other university service, community, service honors and awards, and professional societies.

Overall Rating Self-Evaluation Division Chief Evaluation Opportunity Opportunity for for Exceeds Expectation Meets Expectation Improvement Exceeds Expectation Meets Expectation Improvement

Administrative responsibilities in the previous year: (Attach additional sheet, if necessary)

Administrative goals for this year:

Division Chief comments:

Faculty Performance Evaluation 6/23/2006 5 of 8

General Effectiveness as a Faculty Member

Indicate rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement for each category.

Self-Evaluation Division Chief Evaluation

Opportunity Opportunity Exceeds Meets for Exceeds Meets for Expectation Expectation Improvement Expectation Expectation Improvement

Adaptability

How well do you adjust to change? Consider your ability to learn quickly, adapt to changes in job assignments, methods/ processes, personnel, or surroundings.

Dependability

How reliable are you? Consider your willingness to take on responsibilities and to be accountable for them.

Initiative and Resourcefulness

Do you see things to be done and then take action? Consider your ability to contribute, develop, and/or carry out new ideas or methods/processes. Consider also your ability to be a self-starter, to offer suggestions, to anticipate needs, and to seek additional tasks as time permits.

Interpersonal Relationships

Do you work effectively with others (superiors, peers, subordinates)? Consider respect and courtesy shown to others, the willingness to provide and accept guidance in a constructive manner, how your attitude affects the work area, and how it reflects on the division as well as your own position. Are apparel, manners, and sociability appropriate to the job responsibilities?

Faculty Performance Evaluation 6/23/2006 6 of 8

General Effectiveness as a Faculty Member

Indicate rating of Exceeds Expectation, Meets Expectation, or Opportunity for Improvement for each category.

Self-Evaluation Division Chief Evaluation

Opportunity Opportunity Exceeds Meets for Exceeds Meets for Expectation Expectation Improvement Expectation Expectation Improvement

Judgment

Do you exhibit good judgment? Consider the ability to evaluate facts and make sound decisions and use of reasoning to identify, solve, and prevent problems. (Not just related to clinical activities.)

Quality of Work

How accurate, complete, and timely is your work.

Originality/Creativity

Do you see alternative solutions to problems? Do you pose new ideas or novel concepts for consideration?

Overall

Are you an effective faculty member? Do you consider yourself a role model for other faculty and trainees?

Faculty Performance Evaluation 6/23/2006 7 of 8

Professional activities in which you wish to spend….

More time:

Less time:

Your plans for faculty development:

Division Chief summary:

Signatures Faculty Date:

Division Chief Date:

Faculty Performance Evaluation 6/23/2006 8 of 8 Academic Enterprise

Retention, Promotion & Tenure Policy and Procedures

http://uuhsc.utah.edu/som/intro/facadmin/Rpt.htm

Academic Enterprise Department of Pediatrics University of Utah School of Medicine

Mission: To create and maintain a culture and milieu of support, recognition of achievement, effective evaluation and career development for Department faculty at all levels, with special emphasis on women and junior faculty.

Vision: To create a nationally-recognized development program for all faculty.

Activities: Retention, Promotion, and Tenure (RPT) Objectives: • Shepherd the Process • Advocate for our Faculty • Blur any distinction between Clinical and Tenure Track

Program for Pediatric Faculty Development – Faculty Development/Mentoring Objectives: • Meet with all new faculty • Junior faculty meetings/lunches • Education in Progress in the summer • Mentoring Workshop – available workshops listed on Pediatrics Intranet at http://www.ped.med.utah.edu/pedsintranet/resources/acad/academic.htm • Assign mentor for all new faculty • Co-Direct Academy of Pediatric Education & Leadership with Education Enterprise • Faculty oversight committee for all Physician-Scientists • Faculty oversight for all Clinical Investigators • Faculty oversight for all Clinician-Educators • Maintain web page

Enterprise Leadership and Support:

John C. Carey, M.D., M.P.H., Vice Chair of Academics, Professor of Pediatrics, Adjunct Professor of Obstetrics and Gynecology, Adjunct Professor of Nursing Editor In Chief, American Journal of Medical Genetics Pediatric Division of Medical Genetics [email protected] Journal office: 801-587-6619 Genetics Division: 801-581-8943 Pager: 801-339-5274

Tricia Westbrook, Academic Coordinator [email protected] Office: 801-587-7406 Cellular: 801-647-7252 Williams Bldg

Page 1 of 2

The Department processes faculty actions through Faculty Administration of the Dean’s Office in several areas. The Academic Enterprise assists in the following: • Academic Appointment of Existing Faculty • Retention • Promotion • Award of Tenure • Tenured and Auxiliary Faculty Review

The School of Medicine Faculty Administration Office of the Dean: Jennifer Allie, Director 581-5705

The SoM Faculty Administration Website is: http://medicine.utah.edu/facultyadmin/

Page 2 of 2 Clinical Enterprise Clinical Enterprise Department of Pediatrics University of Utah School of Medicine

Mission:

• Optimize operational effectiveness o Optimal clinical income o Optimal provider productivity • Optimize the clinical environment for education and research. • Serve the needs of the patient population o Access o Improve management strategies and outcomes o Innovation • Optimize patient, client and provider satisfaction • Promote change to meet the challenges presented by a changing environment

Vision:

A clinical practice that provides the optimal environment for the Department of Pediatrics to carry out its missions:

• Medical care for children in the Intermountain West • Pre- and post-doctoral education • Basic and clinical research • Advocacy for children and their future

Goals for FY 2009:

• Determine costs and revenue for clinical operations at the Division and Department level o Identify shortfalls and opportunities in revenue stream o Identify, evaluate and implement process changes to reduce costs without reducing quality and value, e.g.: Increased use of HELP2 to communicate with referring physicians and families TeleVox automated appointment reminder Reduce transcription costs through increased implementation of HotText, competitive contracting, voice recognition Implement HL-7 interface for direct upload of transcription into HELP2 Reduce or eliminate paper charts from ambulatory and inpatient medical record

• Fee Schedule o Develop a fee schedule that reflects costs of subspecialty care • Riverton o Finalize financial model for staffing ambulatory clinics in Riverton • Promote collaboration by enhanced communication o Improved discharge planning tool o Foster use of HELP2 for IP medical record o Encourage universal use of Message Log among Department Faculty Support PCMC goal of 80% of ambulatory records in HELP2 by the end of 2009 Introduce transcription and paperless charting to Hematology/Oncology Implement paperless communication with at least one non- Intermountain physician group (e.g. Pocatello, Granger) • Revenue Cycle: o Reduce OP registration rejections by use of Terrahealth and improved registration o Evaluate impact of Foster program and Terrahealth on aged self-pay A/R o Work with PCMC to improve access of families to Financial Counselors o Use EPIC system to evaluate response time and dropped calls in central scheduling pools, and set standards Determine whether process by which calls for providers are taken through centralized scheduling pool provides optimal quality to patients and outside providers. o Evaluate Web-based version of IDX and implement if appropriate

Contact Information:

John Bohnsack, M.D. Rose Poll, MSHA, CPC Enterprise Leader Revenue Cycle Manager Telephone: 801-587-7416 Telephone: 801-587-7408 [email protected] [email protected] Education Enterprise

Pediatric Residency Program http://www.ped.med.utah.edu/residency/index.html

Graduate Medical Education

http://uuhsc.utah.edu/som/education/gme/

Education Enterprise Department of Pediatrics University of Utah School of Medicine

Members of the Education Enterprise:

James Bale, Jr., M.D., Director, Residency Training, Associate Chair, Education Deirdre Caplin, Ph.D, Associate Program Director, Curriculum & Evaluation Bruce Herman, M.D., Associate Program Director, Fellowships Wendy Hobson, M.D., Associate Program Director, Continuity Clinic Suzanne Bailey, M.D., Pediatric Chief Resident 2012-2013 Meghan O’Connor, M.D., Pediatric Chief Resident 2012-2013 Andrea Stout, M.D., Pediatric Chief Resident 2012-2013 Jaime Bruse, C-TAGME, Administrative Program Coordinator-Pediatrics Amy Kearns, Academic Coordinator-Pediatrics

Sara Lamb, M.D., Director, Medicine/Pediatrics Residency Training Ian Lindsay, M.D., Medicine/Pediatrics Chief Resident 2012-2013

Kristi Kleinschmidt, M.D., Director, Triple Board Residency Training Michelle Vo, M.D., Triple Board Chief Resident 2012-2013

Adam Stevenson, M.D., Associate Program Director-Medical Students Kristin Randall, Academic Coordinator-Medical Students

Medical Students:

• Pediatrics is a required rotation for all medical students of the University of Utah School of Medicine. During the academic year nine to twenty 3rd and 4th year medical students rotate through Pediatrics at any one time. The rotations last from four to six weeks. Visiting medical students in their 4th year may also rotate through Pediatrics and work as subinterns on the pediatric teams at Primary Children’s Medical Center. • Day-to-day coordination is handled by Dr. Adam Stevenson and Kristin Randall. • Monies are managed centrally through the Education Enterprise.

Residents:

• Day-to-day operations and resident selection are directed by Dr. Jim Bale and coordinated in the Residency Office by Jaime Bruse and Amy Kearns. • Between late-October and early-February approximately 200 resident applicants are interviewed by Dr. Jim Bale, and members of the Intern Selection Committee. • The Program offers three different residencies: Categorical Pediatrics Medicine/Pediatrics (Internal Medicine & Pediatrics) Triple Board (Child Psychiatry, Adult Psychiatry & Pediatrics) • The Residency Training Programs currently consist of : 29-PGY-1’s (23 Peds, 4 Med/Peds & 2 Triple Board) 26-PGY-2’s (22 Peds, 2 Med/Peds & 2 Triple Board) 25-PGY-3’s (20 Peds, 3 Med/Peds & 2 Triple Board) 4-PGY-4’s (3 Med/Peds & 1 Triple Board) 1-PGY-5 (1 Triple Board)

Fellows:

• Fellowships are currently offered in the following subspecialty divisions:

Cardiology Susan Etheridge, M.D. Child Abuse Lori Frasier, M.D. Critical Care Susan Bratton, M.D. Endocrinology Carol Foster, M.D. Emergency Medicine Bruce Herman, M.D. Gastroenterology Stephen Guthery, M.D. Genetics Alan Rope, M.D. Hematology/Oncology Richard Lemons, M.D., Ph.D. Hospitalist Medicine Mara Chavolla-Calderon, M.D. Infectious Disease Anne Blaschke-Bonkowsky, M.D., Ph.D. Neurology Francis Filloux, M.D. Neonatology Elizabeth O’Brien, M.D.

• Recruitment for fellows is coordinated within each division. Department of Pediatrics University of Utah School of Medicine Pediatric Residency Training

2012-2013 University of Utah Health Sciences Center & Primary Children’s Medical Center welcome

Choosing the location of your residency training is one of those very important decisions you must make during your professional career.This brochure is designed to help you evaluate whether one of the University of Utah’s PediatricTraining Programs meets your career needs. If after reading this brochure, you want to apply to our program and interview for a position, please submit your application through ERAS. We interview applicants Monday, Tuesday, Thursday and Friday from October 29, 2012 through February 1, 2013.We encourage you to apply early. Our interview calendar fills up very quickly, so plan ahead and call early to schedule your interview, especially if you need to come mid-December through January. If you have any questions, please contact: Jaime Bruse at 801.662.5702 or [email protected] Amy Kearns at 801.662.5700 or [email protected]

Whether your ultimate objective is to be a primary care pediatrician or to enter subspecialty training, our goal is to educate physicians who can provide outstanding, comprehensive health care for children while contributing to the scientific basis of medicine.We provide our residents the tools to meet the rapidly evolving challenges in pediatric health care. If you are excited by the process of education and experiential learning, we believe that our program will provide you with enjoyable and rewarding opportunities!

table of contents

1 welcome 14 Global/Rural Health overview 15 salaries, benefits 2 Strong departmental commitment to education 16 Senior electives 3 Breadth of clinical exposure 17 Post residency 4 Research opportunities 18 a wonderful place to live 5 The Children’s Hospital 21 Map Cooperative relationship with community 22 Outstanding residents 6 Flexibility in Education/Training Programs 23 application process 10 general description 24 Residents 11 Role of our residents a each level of training 25 Faculty 13 Conferences We appreciate your interest in the Pediatric Training Program at the University of Utah. Our program has a proud tradition of camaraderie Thank you for your interest in the among housestaff, faculty, and community prac- Pediatric Residency Program at the titioners.This tradition, along with academic University of Utah.We hope that you excellence and our commitment to training find this brochure helpful in learning pediatricians for successful careers in primary more about us and getting a feel for care or pediatric subspecialties, make Utah an what life is like as a resident at the Edward B. Clark, MD outstanding choice for residency training. University of Utah. From the resident Suzanne Bailey, MD perspective, we have found the training We continue to be in the midst of an exciting program here to be excellent in the period in Utah pediatrics. One of the most education it provides and the support it dynamic economies in the nation has led to a renders. Graduates from this program growing state and rapidly expanding patient are fully prepared to enter general base.An innovative residency curriculum pediatrics or continue their training in a provides opportunities for a variety of career fellowship of their choosing. Our resi- paths.To these are added: a state-of-the-art, free- dents work hard and play hard. Salt standing, children’s hospital on the University Lake City and the surrounding areas provide abundant outdoor recreational James F. Bale, Jr., MD campus; continuous growth in the size and excellence of our faculty; and integration of Meghan O’Connor, MD activities. If you value a quality educa- community pediatrics and our academic mission. tion in addition to “life” outside of resi- We encourage you to visit Utah and experience dency, this is the program for you. first hand our genuine excitement about our res- Please let us know if we can be of any idency program and our department. help to you in the application process. We look forward to meeting you in Sincerely, person! Edward B. Clark, M.D. James F. Bale, Jr., M.D. Wilma T. Gibson Presidential Professor Sincerely, Professor Vice Chair, Education Pediatric Chief Residents Department Chairman Director, Residency Training Andrea Stout, MD Suzanne Bailey, M.D., Meghan O’Connor, M.D., Andrea Stout, M.D.

Wendy Hobson-Rohrer, Bruce Herman, MD Dedee Caplin, PhD MD,MSPH Adam Stevenson, MD Associate Director, Associate Director, Associate Director, Associate Director, Curriculum and Evaluation Fellowships Medical Students Continuity Clinics

Jaime Bruse, C-TAGME Pamela Carpenter Co-Manager, Co-Manager, Education Enterprise Education Enterprise

Doug Gray, MD Kristi Kleinschmit, MD Sara Lamb. MD Director, Associate Director, Director, Triple Board Residency Triple Board Residency Med/Peds Residency Dayvalena Colling Amy Kearns Kristin Randall Resident Operations Academic Coordinator Academic Coordinator Manager

Please visit our web site at: http://medicine.utah.edu/pediatrics/pedsresidency/index.html Strong departmental commitment to education. Over the past several years we have created new programs and rotations which span general pediatrics, subspecialty pediatrics, global and rural health, advocacy, as well as clinical and bench research. Excellence in resident education has always been our most important priority. Our faculty members are truly committed to teaching; “mentorship” is the term that best describes our educational philosophy. Our curriculum provides residents with progressively independent patient care responsibilities during their training and fosters close working relationships between residents and attendings. Basic skills are emphasized, so that residents who complete our program are both competent and confident, regardless of their pediatric career paths. We expect to produce general pediatricians, physician scientists, and subspecialists who will improve the health of future genera- tions of children. Our educational environment promotes collegiality and teaches residents how to function as members of interdisciplinary teams.

exc elle nc e

Our program has provided national leadership in innovative approaches and overall excellence. South Main Clinic, a joint effort of the Department and the Salt Lake Valley Health Department, received the Academic Pediatric Association Health Care Delivery Award. 3

complexity Breadth of clinical exposure.

Our program provides an outstanding blend of primary, secondary, and tertiary patient care experiences. Primary Children’s Medical Center and the University of Utah Health Sciences Center serve as the referral centers for a geographic area spanning all or part of six states. Because few pediatric subspecialists in this region practice outside the University Department of Pediatrics, most children in our region with complex medical problems are referred for evaluation and consultation by our residents and faculty. Sophisticated pediatric and neonatal air and ground transport systems brings children with acute, life-threatening illnesses to our facilities from as far as 500 miles away. Local pediatricians are closely allied with the department’s teaching program as members of the Division of Community Pediatrics and choose to admit their patients to Primary Children’s Medical Center. These characteristics ensure that our residents encounter both routine and complex pediatric problems. Our exceptionally strong (two half-days per week) continuity clinic system provides extensive primary care contact and excellent outpatient experiences. Each year residents in our program compete successfully for C.A.T.C.H. (Community Access to Child Health) grants from the American Academy of Pediatrics.

Optimal experience Residents are encouraged to participate in research projects and attend scientific meetings. Up to five days of educational leave may be taken per year with program director approval. Expenses incurred in association with scientific presentations are paid by the Program.

Research opportunities for residents. Faculty, fellows, residents, and students conduct research in many areas of basic and clinical science. NIH, CDC, and foundation grants support these activities. Our flexible schedule encourages resident participation at the bench or in clinical settings. Each year several residents participate in research activities which lead to presentations at national meetings and publications in peer-reviewed journals.The department pays the travel expenses when work is presented by residents at scientific meetings. Many of our residents have gained national recognition for their work and have won prestigious awards which have supported their research during their training.

Resident Research Presentations at the 2012 Pediatric Academic Societies Meeting

Elisabeth Kaza, M.D. David Levy, M.D. Ian Lindsay, M.D. Sarah Mellion, M.D. Liset Olarte, M.D. Katherine Westmoreland, M.D.

Community Access to Child Health (C.A.T.C.H.) Grants: Our residents consistently achieve success through grants awarded nationally by the American Academy of Pediatrics. Current awardees:

Randi Edwards, M.D. Kelly Follett, M.D. Sara Jager, M.D. Katherine MacDonald, M.D. Patrick Shea, M.D. Kortni Unger, M.D. Mariposa Wolford, M.D. The Children’s Hospital. Primary Children’s Medical Center (PCMC), adjacent to the University Hospital, continues to expand to meet the growing needs of the

Primary Children’s Medical Center is consistently rated IntermountainWest (Utah and portions of Idaho,Wyoming, Nevada, among the top U.S. Children’s Hospitals. Montana and Colorado). PCMC is one of a few examples of a free-standing children’s hospital located on the campus of a medical school and physically attached to a university hospital.The children’s hospital is easily accessible from the University Hospital and School of Medicine through a glassed walkway,facilitating ready exchange between community pediatricians,faculty clinicians and researchers,and residents. State-of-the-art equipment, sophisticated laboratory services, and the supportive staff of the children’s hospital create a superb educational environment for our residents.A new ambulatory care tower, opening in the fall of 2014, will provide new clinics and space for the educational programs.

annual statistics affiliated hospitals & clinics University of Utah Health Sciences Center A warm and cooperative relationship exists between Neonatal Intensive Care Unit 537 admissions the Residency Program and the community. Teen Mother & Child Clinic 2,472 visits Pediatricians in the Salt Lake City area have a unique relationship with the Term Nursery 3,317 deliveries University of Utah Department of Pediatrics through the Division of Pediatric Outpatient Department 16,250 patient visits Community Pediatrics. Community clinicians actively participate in resi- South Main Clinic 7,348 visits/year dent teaching.As part of our continuity clinic program, community pediatricians accept residents into their practices for up to two half-days per week for the entire length of a residency. In addition, community pediatricians have Primary Children’s Medical Center opened their offices to residents seeking rotations in areas such as adoles- Inpatient Service 13,586 admissions cent medicine, allergy, and behavior and development. Outpatient Service 41,053 pediatric visits Pediatric Emergency Department 36,246 visits Community pediatricians serve on departmental committees, including Newborn Intensive Care Unit 455 admissions the Education Committee, and on the committees of PCMC.This rela- Pediatric Intensive Care Unit 2,095 admissions tionship provides balance in our teaching program and helps to maintain an exceptionally high standard of practice in our area.

5 Flexibility in education. Recognizing that residents have many personal and educational needs, the University of Utah Pediatric Residency Program makes flexibility in education a high priority.We offer four formal training programs:The Categorical Pediatrics Program, which trains well-rounded pediatricians capable of doing general pediatrics or entering fellowships;An Internal Medicine/Pediatrics Program leading to board qualfication in medicine and pediatrics; a Triple Board Program leading to board qualification in pediatrics, psychiatry and child psychiatry; and a Child Neurology Program that leads to board qualification in pediatrics and neurology (with spe- cialization in Child Neurology). Pediatric residents interested in engaging in a research project may apply, with a faculty mentor, for committed time for research during the PL-2 and PL-3 years. Every attempt is made to balance the needs of each individual with the training requirements. Residents with interests in child advocacy, public policy, global and rural health or related areas can pursue these activities throughout their training. Categorical Track Schedule

Categorical Pediatrics Program The categorical track provides the skills necessary to be a superb pediatrician capable of entering private practice or beginning fellowship training. Rotations on pediatric subspecialties ensure a comprehensive education as well as opportunities for residents to seriously consider subspecialty fellowship programs at the conclusion of their residency. The continuity experience is up to two half-days per week and may be taken in a University Clinic, South Main, Teen Mother and Child Program or the office of a private practitioner.

PL-1 Sample Rotation Schedule

1 2345678910 11 12 13

Rotation WBN Ward Cardiology Ward ED UNICU Ward ID PICU Selective NS/ Adolescent NS/ (days) (days) (days) Advocacy Child Abuse

PL-2 Sample Rotation Schedule

12345678910 11 12 13

Rotation GI Ward B&D PICU Elective PNICU Elective NS/ Nephrology Hematology/ ED WBN Elective (days) Elective Oncology

PL-3 Sample Rotation Schedule

12345678910 11 12 13

Rotation ED Ward Elective PICU Subspecialty Elective Neurology/ UNICU NS/ Endocrine/ Ward Urgent Elective (days) Clinic Psychiatry Elective Pulmonary (days) Care

B&D = Behavior and Development PICU = Pediatric Intensive Care Unit ED = Emergency Department PNICU = Primary Children’s NICU GI = Gastroenterology UNICU = University NICU ID = Infectious Disease WBN = Well Baby Nursery NS = Night Shift Internal Medicine/Pediatrics Combined Program. The combined Internal Medicine/PediatricTraining Program at the University of Utah is an exciting four year program designed to train physicians with competency in both pediatrics and internal medicine.The clinical and research relationships between our two departments, the interest in combined training, and a commitment to increasing our primary care base make this program an ideal alternative to traditional family medicine training.With this program, we can educate clinicians and academicians, the so-called “bridg- ing” subspecialists, with clinical competence in both adult and childhood medicine. The first year of this program is divided into alternating blocks on internal medicine or pediatrics. Rotations throughout the last three years (PGY-2, 3 and 4) are organized such that every third month is an ambulatory/subspecialty rotation which combines both internal medicine and pediatric experiences of a general or subspecialty nature.When feasible, related internal medicine and pediatric experiences are scheduled together to facilitate a cohesive education.

There are two half-day continuity clinics each week for all four years with med/peds preceptors at the University of Utah Health Care Network Clinics. The Triple Board Program. The University of Utah is one of the original U.S. institutions that participated in a model program designed to train child psychiatrists with a strong foundation in pediatrics.The program integrates twenty- two months of core pediatrics, eighteen months of general psychiatry, and eighteen months of child psychiatry over a five-year curriculum. Physicians completing the program are board qualified in pediatrics, psychiatry, and child psychiatry.The continuity clinic experience for triple board residents has a strong emphasis on behavioral pediatrics. One half-day each week is spent in continuity clinic, and the other half- day each week is spent attending child psychiatry conferences.The close collaborative relationship between the faculties of the Department of Pediatrics and the Department of Psychiatry underscores the commitment of both departments to this program.

The Child Neurology Program. The Department of Pediatrics, in conjunction with the University’s Department of Neurology, reserves one PL-1 position yearly in a track designated for individuals who commit to entering our Pediatric Neurology Program. Physicians completing this sequence will be board qualified in both pediatrics and neurology (with special qualifications in child neurology). This program provides two years of pediatric training in sequence with a year of adult neurology, a year of pediatric neurology and a year of neuroscience that includes electrophys- iology (EEG/EMG/evoked potentials), neuropathology, neuroophthalmology, neurogenetics and neurora- diology. Numerous research opportunities in pediatric neuroscience exist, including developmental neurobiology, epilepsy, stroke, neuroimaging and neurogenetics. Students with strong academic orientations are encouraged to apply. cohesive education

Positions available: 20 in the Categorical Pediatrics Program 2 in the Med/Peds Program 1 in the Triple Board Program 1 in the Child Neurology Program

9 General Description of the Training Programs. This education in general pediatrics prepares residents well for pediatric or subspecialty careers in practice or academics. Continuous program evaluation, involving faculty and residents, leads to innovative changes in our curriculum. Recognizing the enthusiasm of our faculty and residents for informal teaching and the role models that this type of contact provides, we emphasize teaching and mentoring throughout our residency training. Residents experience close personal relationships with faculty and community physicians. On the inpatient services, the second and third year residents assume supervisory and teaching responsibility with the support of a faculty attending. Subspecialty rotations are organized so that residents learn how to manage patients with complex conditions.The continuity clinics are “mentor-based” and are organized so that the residents work in continuity clinics in tandem with their mentors.The relationship between the residents and their continuity clinic mentor lasts throughout the residency. Continuity clinic sites provide opportunities that are compatible with residents’ interests and career goals. Clinic sites include private offices, the South Main Clinic, theTeen Mom Clinic, the University General Pediatric Clinic, the Community Health Center, and the pediatric clinics of the University of Utah Health Care Network.After the first year, residents can apply to substitute an approved research or advocacy experience for one of their continuity clinic half-days.

i n n o v a t i v e Roles of our residents at each level of training.

PL-l. The PL-l functions as the patient’s primary care physician and assumes full responsibility for their patients under the supervision of a senior resident and the attending physician.The PL-l is responsible for the continuous care of his/her patients, order writing, daily communications with the attending physician and the family, as well as discharge planning. PL-1s are assigned to the general inpatient rotations, PICU, and the emergency department at PCMC. Each rotation provides a broad experience in both general and subspecialty pediatrics. PL-1s have rotations in the NICU and the Well Baby Nursery at the University Hospital. Hospitalized patients at all sites are considered teaching patients.The PL-1 is directly supervised by a senior resident and faculty attending on each inpatient service. Subspecialty rotations in the first year include cardiology, child abuse, infectious diseases, and adolescent medicine as well as a seletive month that enables PL-1s to tailor their training to their career goals.

PL-2. The PL-2 assumes an increasing degree of responsibility for patient management with the gradual introduction of teaching and team supervision at the University Hospital and PCMC.The required subspecialty rotations during the second year are organized so that residents serve as consultants.The PL-2 completes consultations under the direction of the faculty and attends subspecialty-specific rounds and conferences. Subspecialty rotations in the second year include gastroenterology, nephrology, behavior and development, as well as an inpatient hematology/oncology rotation.The PL-2 also rotates through the PICU, the emergency department, and the NICU at PCMC.There are several elective opportunities during the PL-2 year. PL-2s also have the opportunity to supervise a unique team in which third-year medical students function like interns.

PL-3. During the PL-3 year, residents gain extensive experience as teachers and supervisors, serving in this capacity in the neonatal intensive care units and on the general pediatric wards. Subspeciality rotations in the PL-3 year include neurology, psychiatry, endocrinology, and pulmonology.Ample elective time allows for research opportunities and supplemental educational experiences focused on each resident’s career path.

The specific rotations may be subject to change by the Education Committee.

11 Morning Conference 8:15 - 8:45 8:15 - 8:45 8:15 - 8:45

Board Prep 8:00 - 9:00

Research in Progress 12:00 - 1:00 September - May

Intern Conference 11:00 - 11:45

Noon Teaching Conference 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00

Education in Progress 8:00 - 9:00 July - August

Grand Rounds 8:00 - 9:00 September - May

8:00 - 9:00 Advocacy Morning Report 4th Friday of each block

8:00 - 9:00 Child Psychiatry/Pediatric Multidisciplinary Case Conference 2nd Monday of each month

12:00 - 1:00 Morbidity & Mortality Conference 3rd Monday of the month

Conference facilitators & frequency

Attending Ward Rounds am daily Residents and Ward Attendings “Doc to Doc” monthly Residents and Faculty Education in Progress summer series Residents and Faculty Grand Rounds weekly (fall and spring) Faculty, Fellows and Residents Resident “Town Hall”Meeting about every 6 weeks Program Director, Chief Residents and Residents Intern Conference weekly Interns and Faculty Journal Club monthly Residents and Faculty Morbidity and Mortality Conference monthly Students, Fellows, Residents and Faculty Morning Conference 3/week Students, Residents and Selected Faculty Noon Conference 5/week Students, Residents and Faculty Research in Progress weekly (September–May) Faculty, Fellows and Residents Conferences. Conferences and didactic sessions provide a robust core curriculum in all aspects of Pediatrics: 1. Grand Rounds, many given by visiting professors, are presented weekly at the children’s hospital; 2. Noon Conferences are presented five times each week and cover primary care pediatrics, pediatric subspecialties, practice management, ethics and medical informatics; 3. Morning Conference is coordinated by the chief residents with the participation of selected faculty.All residents are encouraged to attend; 4. Case Conferences, led by the residents, brings together housestaff and faculty in highly informative educational environment; 5. Intern Conference, designed for the first-year residents, provides case-based teaching that explores communication skills, use of clinical tools and resources, professionalism, and learning styles. 6. Morbidity and Mortality Conference, held monthly, provides an in depth education regarding pathophysi- ology, management and outcomes.

Cardiology daily Cardiology Faculty Critical Care (PICU) daily Radiology Teaching Conference Genetics Rounds weekly Genetics Faculty Hematology/Oncology daily Hem/Onc Faculty Infectious Diseases Case Conference weekly Ped/Adult ID Faculty Infectious Diseases Clinical Microbiology Laboratory Rounds weekly Peds ID Faculty and Lab Staff Neonatology daily Faculty and Fellows Neonatal/Perinatal monthly Faculty and Fellows Neurology daily Neurology Faculty

13 Pediatric residents are required to complete the Pediatric Advanced Life Support (PALS) and the Neonatal Resuscitation Program (NRP) classes.

At the completion of the PL-1 year, all residents obtain a Utah medical license, as well as Utah Controlled Substance and Federal DEA Licenses.

Moonlighting is permitted, under program guidelines, during the second and third years of training.

Global and Rural Health. The Department of Pediatrics has a long tradition of providing residents with global and rural health experiences. Our residents have rotated in Guatemala, Slovakia, India, Costa Rica, Ghana, Kenya, Honduras, Malaysia, England, Mexico,Thailand, New Zealand, Nepal, Zambia, South Africa and Scotland as well as in locations throughout the U.S.With the collaboration of the University’s School of Medicine, we maintain an active teaching and research relationship in Kumasi, Ghana. Residents can participate in the Global, Rural and Underserved Health Certificate Program and apply for competitive travel grants through the Department of Pediatrics. Rural experiences are available in Utah, the Navajo Nation, and adjacent states. we maintain a careful balance between service requirements and the educational and personal needs of our residents

Salaries & Benefits. b a l a nSalaries c (2012-2013) e PL- l $50,786 PL- 2 $52,598 PL- 3 $54,625 PL- 4 $57,232 (Med/Peds &Triple Board) PL- 5 $59,130 (Triple Board)

Paid Leave Paid leave includes three weeks (21 calendar days) of vacation, sick leave (maximum 12 days) and educational leave (maximum 5 calendar days) with individual approval.All PL-1s have two weeks off during the year and a third week of vacation at the end of the PL-1 year. Each resident also receives four or five days off at either Christmas orThanksgiving annually. Residents receive paid maternity and paternity leave that can include vacation time, sick leave, and elective time.

Insurance Residents have their choice of health insurance plans. Premium costs are shared between the University Hospital and the resident for health coverage for the resident and family. Group dental insurance for the resident and family is available at a nominal charge per month. Group term life insurance in the amount of $25,000 is provided at no charge.Additional life insurance, up to $350,000, may be purchased by the resident. Malpractice insurance is covered by the hospital for professional activities that are approved components of the training program. Disability insurance is also provided.

Meals and Housing Meals are provided to residents for shifts and call. Breakfast is provided daily at morning conference, and lunch is provided each day at noon conference. Overnight accommodations are available in the hospitals for on-call residents.

15 Education and Licensing All residents have an $1,100 education fund to be used over three years for meetings, books, journals, and other educational materials. Utah medical license fees, and medical license renewal fees on are paid by the University Hospital. Residents are encouraged to participate in individual research projects and attend scientific meetings. Up to five days of educational leave per year may be taken with program director approval. The residents actively influence the governance of the program through membership on departmental Other Benefits and hospital committees. Representatives from each Other benefits such as reduced tuition, bookstore and athletic event year and the chief residents serve on the depart- discounts, and use of recreation facilities are available to all residents. ment’s Education Committee and the Retention, All residents have access to networked computers and e-mail. The Department of Promotion and Tenure (RPT) Committee. Pediatrics and the School of Medicine provide preventive, consultative, and referral services to residents through the Employee Assistance The chief residents and the program director meet Program. frequently with the residents. This provides a regular opportunity for residents to give feedback to the program leadership as well as an opportunity to discuss Senior Student Electives in Pediatrics. the goals and objectives of the program. The Department of Pediatrics offers specialized and general pediatric elective programs to fourth year medical students from any accredited school of medicine in the United States. Clinical electives offer an oppor- Medical Student tunity to participate in department programs, become better acquainted Senior Electives with our current pediatric residents, members of our faculty, and the Ambulatory Pediatrics Child Abuse and Neglect environment. Research electives in any of the subspecialty areas of Clinical Genetics pediatrics can also be arranged on an individual basis. Interested students Diabetic Summer Camp should contact: Newborn Intensive Care Pediatric Cardiology Office of Student Affairs Pediatric Critical Care University of Utah School of Medicine Pediatric Endocrinology 30 North 1900 East Pediatric Gastroenterology Salt Lake City, Utah 84132-2109 Pediatric Hematology/Oncology (801) 581-5599 Pediatric Infectious Diseases Pediatric Nephrology Pediatric Research Post Residency Training Programs. Fellowships, both research and clinical, are available for those who wish additional training after completion of residency.All applications for fellowship training should be requested directly from the sponsoring division.

Cardiology Genetics Susan Etheridge, M.D. Alan Rope, M.D. Child Abuse Infectious Disease Lori Frasier, M.D. Anne Blaschke-Bonkowsky, M.D., Ph.D. Critical Care Adam Hersh, M.D. Susan Bratton, M.D. Emily Thorell, M.D. Brad Poss, M.D. Hematology/Oncology Emergency Medicine Michael Engel, M.D. Bruce Herman, M.D. Hospitalist Medicne Joyce Soprano, M.D. Christopher Maloney, M.D., Ph.D. Endocrinology Neurology Carol Foster, M.D. Denise Morita, M.D. Gastroenterology Neonatology Stephen Guthery, M.D. Robert Lane, M.D. General Pediatrics Elizabeth O’Brien, M.D. Karen Buchi, M.D. Rheumatology John Bohnsack, M.D.

For more information about the fellowships we offer, please contact: Pamela Carpenter Program Manager 801.587.7436 [email protected]

Post Residency Activities of Recent Graduates. One of the most frequently asked questions by applicants is whether our graduates obtain positions in private practice or fellowships.The answer is a resounding, yes! Residents have entered private practice in a sampling of recent locations from Connecticut to California and fellowship training programs Post Residency Institutions Baylor College of Medicine throughout the United States. Graduates of our programs hold faculty Children’s Hospital of Philadelphia (CHOP) positions in many Departments of Pediatrics throughout the United States. Cincinnati Children’s Hospital Dartmouth Duke University Harvard/Boston Children’s a sampling of recent Medical College of Wisconsin Fellowship Activities Northwestern University Allergy Stanford Anesthesiology University of California-San Diego Critical Care University of Cincinnati Cardiology University of Colorado Dermatology University of Kansas Developmental Pediatrics University of Michigan Emergency Medicine University of Minnesota Gastroenterology University of Utah General Pediatrics University of Washington Hematology/Oncology Vanderbilt University Hospitalist Medicine Washington University Immunology Infectious Disease Neonatology Neurology 17 Radiology A wonderful place to live. Salt Lake City and its surroundings offer exceptional educational, recreational, and cultural opportunities.The climate is one of the best in the country - sunny and dry, with moderate temperatures. Located at the foot of theWasatch Mountain Range, the city hosted the highly successful 2002 Olympic Winter Games. Some of the best skiing and boarding in the world is minutes from the medical center. Residents can purchase season passes at a reduced cost. Biking, trail running, and hiking are readily accessible. Zion, Bryce, Canyonlands, Arches, Yellowstone, and Grand Teton National Parks are all within a 4-6 hour drive.

Salt Lake City offers many cultural experiences, including a symphony, ballet and modern dance companies, and theater and opera companies.The University and the city have amateur and professional sports teams, including collegiate gymnastics, basketball and football, professional basketball (the Utah Jazz), soccer (Real Salt Lake), hockey (the Grizzlies), triple-A baseball (the Bees), as well as world cup ski racing.

A sense of excitement for the future. Ours is a dynamic program. Leadership, commaraderie, and stable funding have enabled us to grow in diverse ways. Faculty and residents alike have a sense of direction, a feeling of pride in our program, and the knowledge that we are contributing to the health and welfare of children.At the same time we continue to explore exciting and innovative ways to educate primary care and academic pediatricians for the 21st century and beyond. d y n a m i c 19 the Wasatch Mountains

twin peaks

lone peak The University of Utah’s School of Medicine, the University Hospital, and Primary Children’s Medical Center are located at the foot of theWasatch Mountains overlooking the Salt LakeValley. Over one million people call Salt Lake City and it’s surrounding Wasatch Front communities home.

Summer 93°F •Winter 39°F average daily high Wasatch Mountains 11,000-11,700 ft. Uinta Mountains 12,000-13,500 ft. Salt Lake City 4,330 ft. PCMC 5,000 ft.

mario capecchi drive Outstanding residents. Because of our commitment to high-quality teaching, we attract residents who value education and enjoy the educational process. Residents in our program represent medical schools from throughout the nation. Our residents are selected to ensure a cohesive group who enjoy and support each other and the program.

Currently, graduates of medical schools from more than 30 states are represented in the residency program.All are attracted by the pursuit of pediatric education and quality research experiences, as well as an extraordinary, high-quality of life and access to some of the most amazing natural won- ders in the United States.

Salt Lake City

3 Application Process for PL-1 Year. All Categorical, Internal Medicine/Pediatrics, Child Neurology andTriple Board applications should be directed through ERAS (Electronic Residency Application Service) which transmits residency applications, letters of recommendation, Medical Student Performance Evaluation (MSPE), transcripts, and other supporting credentials to residency program directors. Physicians or students interested in the Pediatric Residency Programs at the University of Utah may access ERAS through the Dean’s office of their medical school. International Medical Graduates should apply through the ECFMG office. Except for unusual circumstances, PL-1 positions are filled through the National Resident Matching Program (NRMP).

The Categorical Pediatrics, Internal Medicine/Pediatrics, Child Neurology, andTriple Board programs each have separate NRMP match numbers.

Direct written correspondence to: James F. Bale, Jr., M.D. Director, Residency Training Department of Pediatrics Primary Children’s Medical Center 100 N. Mario Capecchi Drive Salt Lake City, UT 84113 [email protected] Interviewing Interviews are conducted Monday,Tuesday,Thursday, and Friday (4-6 per day) from October 29, 2012 through February 1, 2013.We encourage early interviews as our calendar fills up very quickly, particularly during December and January.We provide applicants complimentary hotel accommodations for one night and dinner with the residents. To schedule an interview or if you have questions regarding the application process, please contact:

Jaime Bruse, C-TAGME Amy Kearns Program Manager Academic Coordinator 801. 662.5702 or 801.662.5700 [email protected] [email protected] We strongly encourage an interview, not only to provide us with a chance to meet you, but also to give you the opportunity to visit with faculty and residents, as well as to see the Salt Lake area.Your interview will be much more meaningful if you have a completed application at the time. If for financial or other reasons you are not able to visit and are seriously interested in our program, please contact us. The University of Utah School of Medicine does not discriminate on the basis of sex, race, age, religion, color, national ori- gin, disability, or veteran’s status.

Positions in the PL-2 or PL-3 Year. In the unusual event of a vacancy in the PL-2 or PL-3 year, the availability of a position will generally be known by January, and decisions are made soon thereafter. Use the Universal Application to apply and submit a curriculum vitae, three letters of recommendation, MSPE, medical school transcripts and USMLE scores to Dr. Bale at the address listed above.

23 2012-2013Residents and their medical schools

Chief Residents Suzanne Bailey, MD Laura Williams, MD PL-3 Oregon Health Sciences University Oregon Health Sciences Michael Adelman, MD Meghan O’Connor, MD Carey Wilson, MD University of North Carolina Indiana University State University of New York Jennifer Belzer, MD Andrea Stout, MD Medical College of Wisconsin University of Minnesota PL-2 Randi Edwards, MD Heather Balch, MD University of Utah PL-1 University of New Mexico Kelly Follett, MD Medical College of Wisconsin Stefanie Ames, MD Nathan Bexfield, MD Kathy Garcia, MD Southern Illinois University Marshall University University of TX at Dallas Erin Bennett, MD Dana Boucek, MD Danae Goerl, MD University of Kansas University of Colorado University of Kansas Laura Brown, MD Katherine Braski, MD James Gottlieb, MD Dartmouth Medical School University of Minnesota University of Michigan Kyleen Carpenter, MD Kody Crowell, MD Sara Jager, MD Saint Louis University University of Utah Uniformed Services University Margarita Diaz-Ochu, MD Elizabeth Doll, MD Elisabeth Kaza, MD University of Texas at Houston University of Louisville Medizinische Universitat Graz Benjamin Dowse, MD Meghan Edmundson, MD Hannah Kirking, MD University of Utah Rush Medical College University of Wisconsin Grant Ellsworth, MD Benjamin Elkon, MD Melissa Kleschen, MD University of Utah University of Colorado University of Colorado Leah Farley, MD Brittany Esty, MD Jessica Meznarich, MD University of Wisconsin University of Utah University of Washington Erin Fuchs, MD Edward Fisher, MD Liset Olarte Carhuaz, MD Creighton University Pennsylvania State University Universidad Peruana Veronica Janhunen, MD Samuel Hayes, MD Elizabeth Parsons, MD University of Nevada Brody School of Medicine Mercer University Tyson Jones, MD Carrie Johnson, MD Anna Petersen, MD University of Utah University of Utah University of TX at San Antonio Andrew Justice, MD Anna Jolliffe, DO Julia Rawlings, MD The Brody School of Medicine West Virginia University of Utah Caitlin Kaeppler, MD Jawaria Khan, MD Holly Shillington, MD University of Wisconsin University of Utah University of TX at Dallas Laura Lascurain, MD Sabine Koepf-Shakib, MD Jessica Stahl, MD Wake Forest University Dartmouth Medical School Ruprecht-Karls-Universitaet Kortni Unger, MD Alison McInturff, MD Chari Larsen, MD University of Arizona University of Utah Creighton University Judy Vu, MD Jennifer Menon, MD Katherine MacDonald, MD University of Utah University of Massachusetts Indiana University Adam Ware, MD Jessica Miller, MD D. Spencer Mangum, MD Mayo Medical School University of Colorado Albert Einstein College Lu Waterhouse, MD Rebecca Overbury, MD Aaron McCoy, MD University of Connecticut University of Tennessee University of Virginia Nicholas Whipple, MD Reena Patel, MD Molly Montes, MD University of Mississippi Ohio State University University of Rochester Mariposa Wolford, MD Paige Patterson, MD Rebecca Percy, MD University of Arizona University of Louisville University of Colorado Jonathan Schmidt, MD Amy Rapp, MD PGY-4 University of Utah University of TX at San Antonio Devin Horton, MD Matthew Schmieder, MD Mark Rowan, MD University of Utah Wright State University University of TX at San Antonio Ian Lindsay, MD Jessica Sempler, MD Sara Scranton, MD University of Utah State University of New York University of Washington Patrick Shea, MD Allie Shaprio, MD Catherine Steingraeber, MD University of TX at Houston St. George’s University University of Wisconsin Rachel State, MD Wei Song, MD Daniel Tawfik, MD University of Arizona Brown University University of Iowa PGY-5 Nora Switchenko, MD Johanna Viau Colindres, MD Michelle Vo, MD Oregon Health Sciences University Universidad Francisco Marroquin Case Western Reserve University Department of Pediatrics University of Utah School of Medicine Faculty The following is a list of faculty who participate as attending physicians at the University of Utah Health Sciences Center and the Primary Children’s Medical Center.

Administration Edward B. Clark, M.D. Eloisa Walker, M.D. Geoffrey Jackman, M.D. Wilma T. Gibson Presidential Professor Adjunct Associate Professor Assistant Professor Chair, Department of Pediatrics Richard V. Williams, M.D. Michael D. Johnson, M.D. Vice Chair, Research Enterprise Professor Assistant Professor James F. Bale, M.D. Michael Womack, M.D. Edward P. Junkins, M.D., M.P.H. Professor Adjunct Associate Professor Associate Professor Vice Chair, Education Enterprise Angela Yetman, M.D. Christina Kaman, M.D. John F. Bohnsack, M.D. Professor Instructor Professor Hallie A. Keller, M.D. Vice Chair, Clinical Enterprise Child Behavioral D. Richard Martini, M.D. Assistant Professor Carrie L. Byington, M.D. Health Professor and Division Director Roni D. Lane, M.D. Professor Robert B. Burr, Ph.D. Assistant Professor Vice Chair, Clinical Research Enterprise Associate Professor William McDonnell, M.D., J.D. John C. Carey, M.D., M.P.H. Deirdre Caplin, Ph.D. Associate Professor Professor Associate Professor Douglas S. Nelson, M.D. Vice Chair, Academic Enterprise Shauna Desai, M.D. Professor J. Michael Dean, M.D., M.B.A. Assistant Professor Jonathan D. Pearson, M.D. Professor Lisa Giles, M.D. Instructor Vice Chair, Financial Enterprise Assistant Professor Jennifer Plumb, M.D., M.P.H. Robert H. Lane, M.D. Travis Mickelson, M.D. Assistant Professor Professor Assistant Professor Tamara Pool, M.D. Vice Chair, Basic Research Enterprise Kyle Smith, M.D. Instructor Assistant Professor Christina Raman, M.D. Adolescent Medicine Michael Spigarelli, M.D., Ph.D. Instructor Professor and Division Director Child Protection and Antoinette Laskey, M.D. Charles W. Pruitt, M.D. Nicole Mihalopoulos, M.D., M.P.H. Family Health Associate Professor and Division Director Associate Professor Associate Professor Kristine Campbell, M.D., M.Sc. David Sandweiss, M.D. Assistant Professor Assistant Professor Allergy, Clinical John F. Bohnsack, M.D. Lori D. Frasier, M.D. Jeff E. Schunk, M.D. Immunology and Professor and Division Director Professor Professor Pediatric Karin Chen, M.D. Karen K. Hansen, M.D. Laura L. Sells, M.D. Rheumatology Instructor Professor Associate Professor Rafael Firszt, M.D., M.B.A. Bruce E. Herman, M.D. Danielle E. Smith, M.D. Instructor Professor Instructor Gerald J. Gleich, M.D. Joyce Soprano, M.D. Research Professor Clinical Michael G. Spigarelli, M.D., Ph.D. Associate Professor Aimee O. Hersh, M.D. Pharmacology Professor and Division Director Stephanie L. Spanos, M.D. Assistant Professor Anthony R. Temple, M.D. Assistant Professor Harry R. Hill, M.D. Adjunct Associate Professor Professor Robert M. Ward, M.D. Endocrinology and Mary A. Murray, M.D. Christi J. Inman, M.D. Professor Metabolic Diseases Professor and Division Director Instructor David L. Donaldson, M.D. Critical Care J. Michael Dean, M.D., M.B.A. Professor Blood and Marrow Michael Pulsipher, M.D. Professor and Division Director Carol M. Foster, M.D. Transplant Program Professor Kimberly Bennett, M.D., M.P.H. Professor Medical Director, PCMC BMT Program Associate Professor Robert E. Jones, M.D. Michael Boyer, M.D. Tellen D. Bennett, M.D. Adjunct Associate Professor Associate Professor Assistant Professor Alan “Rob” Lindsay, M.D. Meghann McManus, D.O., M.P.H. Susan Bratton, M.D., M.P.H. Adjunct Professor Assistant Professor Professor Donald A. McClain, M.D., Ph.D. Nathan Meeker, M.D. Salvatore Buonaiuto, M.D. Adjunct Professor Adjunct Associate Professor Assistant Professor Vandana Raman, M.B.B.S. T. Charles Casper, M.D. Assistant Professor Cardiology Lloyd Y. Tani, M.D. Assistant Professor Marie Simard, M.D. Professor and Division Director Titus Chan, M.D. Assistant Professor Diana Alexander, M.D. Instructor Adjunct Associate Professor Claudia Delgado-Corcoran, M.D. Gastroenterology Linda S. Book, M.D. Cammon B. Arrington, M.D., Ph.D. Assistant Professor Professor and Division Director Assistant Professor Deborah Frank, M.D., Ph.D. Stephen Guthery, M.D., M.Sc. Steven Bleyl, M.D., Ph.D. Assistant Professor Associate Professor Assistant Professor Jared W. Henricksen, M.D. W. Daniel Jackson, M.D. Edward B. Clark, M.D. Assistant Professor Professor Professor, Department Chairman Elliotte Hirshberg, M.D. M. Kyle Jensen, M.D. Collin G. Cowley, M.D. Adjunct Instructor Assistant Professor Associate Professor Heather Keenan, M.D., Ph.D., M.P.H. Molly A. O’Gorman, M.D. Ronald W. Day, M.D. Professor Associate Professor Professor Gitte Y. Larsen, M.D., M.P.H. Raza A. Patel, M.D. Frederick Emge, M.D. Associate Professor Assistant Professor Adjunct Professor Christopher G. Maloney, M.D., Ph.D. John F. Pohl, M.D. Susan P. Etheridge, M.D. Professor Professor Professor Anna Maslach-Hubbard, M.D. Thomas L. Sutton, M.D. Melanie Everitt, M.D. Assistant Professor Assistant Professor Associate Professor Anne M. Moon, M.D., Ph.D. Steven S. Wu, M.D. Robert G. Gray, M.D. Adjunct Professor Adjunct Associate Professor Assistant Professor W. Brad Poss, M.D. Larry S. Green, M.D. Professor General Pediatrics Karen Buchi, M.D. Adjunct Professor Charles G. Pribble, M.D. Professor and Division Director James L. Hoffman, M.D. Professor Jennifer Brinton, M.D. Assistant Professor Michelle Schober, M.D. Assistant Professor C. Jerry Jou, D.O., Ph.D. Assistant Professor Carrie L. Byington, M.D. Assistant Professor Jill Sweney, M.D. Professor Victoria E. Judd, M.D. Assistant Professor Paul Carbone, M.D. Professor Donald D. Vernon, M.D. Associate Professor Gordon K. Mack, M.D. Professor Kathleen Franchek-Roa, M.D. Assistant Professor Madolin K. Witte, M.D. Assistant Professor Christopher R. Mart, M.D. Professor Jennifer Goldman-Luthy, M.D. Professor Assistant Professor Rachel T. McCandless, M.D. Emergency Medicine Howard A. Kadish, M.D. Joni A. Hemond, M.D. Assistant Professor Professor and Division Director Assistant Professor Shaji Menon, M.D. Robert G. Bolte, M.D. Wendy Hobson-Rohrer, M.D., M.S.P.H. Assistant Professor Professor Associate Professor L. LuAnn Minich, M.D. E. Martin Caravati, M.D., M.P.H. Richard Jackson, M.D. Professor Adjunct Professor Adjunct Professor Kimberly Molina, M.D. Howard M. Corneli, M.D. Catherine D. Jolma, M.D. Assistant Professor Professor Adjunct Assistant Professor Thomas Pilcher, M.D. Nanette C. Dudley, M.D. Susan Martini, M.D. Assistant Professor Professor Associate Professor Nelangi Pinto, M.D. Richard A. Greenberg, M.D. Kathleen M. McElligott, M.D. Assistant Professor Associate Professor Associate Professor Michael D. Puchalski, M.D. Elisabeth Guenther, M.D., M.P.H. Nancy Murphy, M.D. Associate Professor Associate Professor Associate Professor Dennis Ruggerie, D.O. Lucy Hansen, M.D. Chuck Norlin, M.D. Adjunct Associate Professor Instructor Professor Elizabeth Saarel, M.D. Bruce E. Herman, M.D. Lisa Samson-Fang, M.D. Associate Professor Professor Professor Jason T. Su, D.O. Hilary Hewes, M.D. Julie Shakib, D.O., M.P.H. Associate Professor Assistant Professor Assistant Professor 25 Martin Tristani-Firouzi, M.D. Maija Holsti, M.D. Elizabeth Rowe Smith, M.D. Professor Associate Professor Assistant Professor Carole H. Stipelman, M.D. Russell J. Osguthorpe, M.D. Larry D. Eggert, M.D. Associate Professor Assistant Professor Adjunct Professor Poonam Suni, M.D. Emily A. Thorell, M.D. Roger G. Faix, M.D. Adjunct Associate Professor Assistant Professor Professor V. Francis Tait, M.D. Camille Fung, M.D. Adjunct Associate Professor Inpatient Medicine Christopher G. Maloney, M.D., Ph.D. Assistant Professor Sarah Winter, M.D. Professor and Division Director Jerald D. King, M.D. Associate Professor Jennifer Brinton, M.D. Professor Duane Yamashiro, D.D.S. Assistant Professor Timothy La Pine, M.D. Adjunct Assistant Professor Scott S. Carleton, M.D. Adjunct Professor Paul C. Young, M.D. Assistant Professor Daniel T Malleske, M.D. Professor Frank Cipriano, M.D. Assistant Professor Assistant Professor J. Ross Milley, M.D., Ph.D. Genetics Nicola Longo, M.D., Ph.D. Ty Dickerson, M.D., M.P.H. Professor Professor and Division Director Associate Professor Lonnie Miner, M.D. Ellen M. Arch, M.D. Alyson E. Edmunds, M.D. Adjunct Instructor Adjunct Assistant Professor Assistant Professor Donald M. Null, Jr., M.D. Agatino Battaglia, M.D. Bernhard Fassl, M.D. Professor Adjunct Professor Assistant Professor Elizabeth A. O’Brien, M.D. Lorenzo Botto, M.D. Lynn Gershan, M.D. Assistant Professor Professor Assistant Professor Shrena Patel, M.D. Janice L.B. Byrne, M.D. Per Gesteland, M.D., M.S. Assistant Professor Adjunct Associate Professor Assistant Professor Michael W. Varner, M.D. John C. Carey, M.D., M.P.H. Tiffany Glasgow, M.D. Adjunct Professor Professor Associate Professor Robert M. Ward, M.D. Irene H. Hung, M.D. Brian Good, M.D. Professor Research Assistant Professor Assistant Professor Susan E. Wiedmeier, M.D. Julie Korenberg, M.D., Ph.D. L. Nell Hodo, M.D. Associate Professor Professor Instructor Bradley A. Yoder, M.D. L.J. Meyer, M.D., Ph.D. Michelle Hofmann, M.D. Professor Adjunct Associate Professor Assistant Professor C. Con Yost, M.D. John M. Opitz, M.D. Glen F. Huff, M.D. Assistant Professor Professor Assistant Professor Andraes P. Peiffer, M.D., Ph.D. Benjamin A. Kalm, M.D. Neurology Francis M. Filloux, M.D. Research Assistant Professor Assistant Professor Professor and Division Director Alan F. Rope, M.D. Irene Kocolas, M.D. James F. Bale, Jr., M.D. Associate Professor Assistant Professor Professor Nancy Rose, M.D. Nicole F. Langston, M.D. Helen Barkan, M.D., Ph.D. Adjunct Associate Professor Assistant Professor Adjunct Associate Professor David Stevenson, M.D. Sara M. Lamb, M.D. Susan Benedict, M.D., M.S. Associate Professor Adjunct Assistant Professor Associate Professor David H. Viskochil, M.D. Ph.D. Kristina McKinley, M.D. Joshua L. Bonkowsky, M.D., Ph.D. Professor Assistant Professor Assistant Professor Ashley A. Warnock, M.D. Christopher Miller, M.D. Russell J. Butterfield, M.D., Ph.D. Assistant Professor Assistant Professor Assistant Professor Jai Xu, M.D. Kevin E. Nelson, M.D. Jeffrey J. Ekstrand, M.D., Ph.D. Assistant Professor Instructor Assistant Professor Flory L. Nkoy, M.D., M.P.H. Judith L. Gooch, M.D Hematology/Oncology Richard S. Lemons, M.D., Ph.D. Research Associate Professor Adjunct Professor Professor and Division Director Merium K. Saidi, M.D. Lynne Kerr, M.D., Ph.D. Zeinab Afify, M.D. Assistant Professor Associate Professor Associate Professor M. Joan Sheetz, M.D. Aga Lewelt, M.D. Phillip Barnette, M.D., D.V.M. Associate Professor Adjunct Associate Professor Associate Professor Rajendu Srivastava, M.D., M.P.H. Michael Lloyd, M.D. Carol S. Bruggers, M.D. Associate Professor Assistant Professor Professor Adam Stevenson, M.D. Denise Morita, M.D. Michael E. Engel, M.D., Ph.D. Assistant Professor Assistant Professor Assistant Professor Bryan Stone, M.D. Clint Nelson, M.D. Mark N. Fluchel, M.D. Associate Professor Assistant Professor Assistant Professor Jeffrey VanBlarcom, M.D. Ai Sakonju, M.D. Jeffrey D. Hancock, M.D. Assistant Professor Assistant Professor Adjunct Instructor Beth Vukin, M.D. Teresa L. Such-Neibar, D.O. Anne Kirchhoff, M.D. Assistant Professor Adjunct Assistant Professor Assistant Professor Victoria Wilkins, M.D. Matthew Sweney, M.D. Stephen Lessnick, M.D., Ph.D. Instructor Assistant Professor Professor Gabrielle Zimbric, M.D. Kathryn Swoboda, M.D. Joshua D. Schiffman, M.D. Instructor Adjunct Associate Professor Assistant Professor Colin B. Van Orman, M.D. Holly L. Spraker-Perlman, M.D. Medical Ethics Jeffrey R. Botkin, M.D., M.P.H. Professor Assistant Professor Professor and Division Director Brandon A. Zielinski, M.D., Ph.D. Nikolaus S. Trede, M.D., Ph.D. Assistant Professor Associate Professor Neonatology Robert H. Lane, M.D. Anupam Verma, M.D. Professor and Division Director Pulmonary Diseases William M. Gershan, M.D. Assistant Professor Kjersti Aagaard-Tillery, M.D., Ph.D. Professor and Division Director Jennifer A. Wright, M.D. Adjunct Assistant Professor Fadi Asfour, M.D. Assistant Professor Kurt H. Albertine, Ph.D. Assistant Professor Hassan Yaish, M.D. Professor Barbara A. Chatfield, M.D. Professor Mariana Baserga, M.D. Professor H. Joseph Yost, Ph.D. Assistant Professor John Hoidal, M.D. Adjunct Professor Joanna C. Beachy, M.D., Ph.D. Professor Associate Professor Theodore G. Liou, M.D. Infectious Diseases & Andrew T. Pavia, M.D. Ryann Bierer, M.D. Adjunct Associate Professor Geographic Medicine Professor and Division Director Instructor Derek A. Uchida, M.D. Krow Ampofo, M.D. Ronald S. Bloom, M.D. Associate Professor Associate Professor Professor Ubaid Zafar, M.D. Anne Blaschke-Bonkowsky, M.D., Ph.D. Luca Brunelli, M.D., Ph.D. Adjunct Instructor Assistant Professor Assistant Professor Carrie L. Byington, M.D. Gary M. Chan, M.D. Renal Diseases Raoul D. Nelson, M.D., Ph.D. Professor Professor Associate Professor and Division Director Amy Herbener, M.D. Robert J. DiGeronimo, M.D. Martin C. Gregory, M.D. Adjunct Assistant Professor Professor Adjunct Professor Adam L. Hersh, M.D., Ph.D. Jack L. Dolcourt, M.D. Matthew M. Grinsell, M.D. , Ph.D. Assistant Professor Professor Assistant Professor Randal Dull, M.D. Ph.D. Joseph R. Sherbotie, M.D. Adjunct Associate Professor Associate Professor opportunity

e x p e r i e n c e Adjunct Faculty Community Pediatrics

Biomedical Informatics Joseph W. Hales, Ph.D. Steve Lynch, M.D. Adjunct Associate Professor Professor Director, Division of Community Pediatrics Dermatology Sheryll Vanderhooft, M.D. Adjunct Professor Professor Michael H. Lauret, M.D. Galina Hornyik, M.D. Neurobiology & Anatomy Maureen L. Condic, Ph.D. Gerald Lyle Allred, M.D. Alice Lingen, M.D. Michael Hussemann, M.D. Adjunct Associate Professor L. Frank Bentley, M.D. James Little, M.D. Michael R. Johnson, M.D. Gary Schoenwolf, Ph.D. Craig Black, M.D. Bruce Montgomerie, M.D. Colin K. Kelly, M.D. Adjunct Professor Louis Borgenicht, M.D. Shireen Mooers, M.D. R. Guy LaMere, M.D. Neurosurgery Douglas L. Brockmeyer, M.D. Craig Brasher, M.D. Martin J. Nygaard, M.D. David C. Larson, M.D. Adjunct Professor Edwin Bronsky, M.D. Sandra Phillips, M.D. Kevin B. Lash, M.D. John R. Kestle, M.D. Dale L. Chapman, M.D. Jeff Pickens, M.D. Peter C. Lindgren, M.D. Adjunct Professor Joseph Cramer, M.D. Randy S. Reese, M.D. Carey Lloyd, M.D. Marion Walker, M.D. George W. Delavan, III, M.D. Adjunct Professor Joseph A. Roberts, M.D. David Nils Lofgren, M.D. George H. Durham, II, M.D. Lena Terry, M.D. David E. Nilsson, M.D., Ph.D. Ophthalmology M. E. Hartnett, M.D. David S. Folland, M.D. Jerry Twiggs, M.D. Dennis Odell, M.D. Adjunct Professor Jesse Fox, M.D. Jed VanDenBerghe, M.D. David Okubo, M.D. Art Gardiner, M.D. Kay Walker, M.D. Julia Ozbolt, M.D. Orthopedics Douglas T. Hutchinson, M.D. Gordon B. Glade, M.D. Adjunct Assoc Professor Leslie Webster, M.D. Lisa D. Palmieri, M.D. John T. Smith, M.D. W. M. Gooch, III, M.D. Rodney A. Pollary, M.D. Adjunct Professor David Harris, M.D. Assistant Professor Keith P. Ramsey, D.O. Kevin L. Havlik, M.D. R. Mitchell Adams, D.O. Jamie Rubin, D.O. Otolaryngology Johannes Fredrik Grimmer, MD David Hurley, M.D. Letha C. Archer, M.D. Timothy W. Ryschon, M.D. Adjunct Assistant Professor Joseph Jopling, M.D. Jeremy D. Meier, M.D. Sylvie Backman, M.D., Ph.D. John Shakula, M.D. Adjunct Assistant Professor Earl A. Lloyd, M.D. Timothy D. Bancroft, M.D. Mary Shapiro, M.D. Harlan R. Muntz, M.D. Douglas B. Nielsen, M.D. David Boettger, M.D. Daniel G. Simmons, M.D. Adjunct Professor Gwen Nilsson Cannon, M.D. Paula Bowers, M.D. Gregory L. Staker, M.D. Albert H. Park, M.D. Mary Jane Pennington, M.D. Lesley Brodie, M.D. Shannon R. Staker, M.D. Adjunct Professor L. Harper Randall, M.D. Clough Shelton, M.D. Mary D. Burton, M.D. Veronica Szalkowski-Lehane, M.D. Adjunct Professor Charles W. Ralston, M.D. Eric Chenworth, M.D. Henry R. Thompson, M.D. Marshall E. Smith, M.D. Jeffrey C. Schmidt, M.D. Charlene G. Clawson, M.D. Adjunct Associate Professor Richard Strong, M.D. Cynthia Coor, M.D. Instructor Paul Swensen, M.D. Wendy Cotting, M.D. Jeffrey W. Cline, M.D. Pathology Sherrie Perkins, M.D. Ph.D. Robert Terashima, M.D. Adjunct Associate Professor Matthew N. Cox, M.D. Michael Flynn, M.D. Theodore J. Pysher, M.D. Mark Valentine, M.D. Florence DalCanto, M.D. Cynthia Gellner, M.D. Adjunct Professor Paul Wirkus, M.D. Tim Duffy, M.D. Phil Isenberg, M.D. Allison R. Ellzey, M.D. Peter Moskowitz, M.D. Psychiatry Rich Ferre, M.D. Associate Professor James A. Fennell, II, M.D. Bryan Lee Nelson, M.D. Adjunct Associate Professor Judith Ahrano, M.D. Doug Gray, M.D. Claudia Fruin, M.D. Anna Orchard, M.D. Adjunct Associate Professor Tazeem Aizad, M.D. John N. Galian, M.D. Sarah Petersen, M.D. Janet E. Lainhart, M.D., Louis Allen, M.D. Lawrence Grandy, M.D. Kathryn Piercy, M.D. Adjunct Associate Professor Craig Armstrong, M.D. Kimberly Hansen, M.D. Jim Ryan, M.D. William M. McMahon, M.D. Deryk Anderson, M.D. G. Greg Haroutunion, M.D. Allyson Salek, M.D. Adjunct Professor Gregory V. Bart, M.D. Michelle Moskos, Ph.D., M.P.H. Duane Harris, M.D. Margaret H. Solomon, M.D. Adjunct Assistant Professor Jan Bernhisel-Broadbent, M.D. Richard Hendershot, M.D. Poonam Soni, M.D. Alan Bitner, M.D. Laurie Hilyer, M.D. Adjunct Assistant Professor Anna Bodnar, M.D. Mark R. Briesacher, M.D. Children’s Environmental Health William McDonnell, M.D., J.D. Ellie Brownstein, M.D. Assistant Professor and Director Robert W. Alder, J.D. Brent Burdett, M.D. Adjunct Professor Douglas Coombs, M.D. William E. Cosgrove, M.D. Surgery Douglas C. Barnhart, M.D. Jennifer Cox, M.D. Adjunct Associate Professor Sarah Croskell, M.D., M.P.H. Richard E. Black, M.D. Adjunct Professor Richard Y. Farnsworth, M.D. Patrick C. Cartwright, M.D. Rita Fox, M.D. Adjunct Professor Michael Goldstein, M.D. Amalia L. Cochran, M.D. David Gourley, M.D. Adjunct Assistant Professor James R. Grua, M.D. Earl C. Downey, M.D. Adjunct Professor Julie Gustin, M.D. Roger J. Jones, M.D. Ross Hightower, M.D. Adjunct Assoc Professor Jeff Jackson, M.D. A.K. Kaza, M.D. Dorian Jankowski, M.D. Adjunct Assistant Professor Toan Lam, M.D. Rebecka L. Meyers, M.D. Adjunct Professor Michael D. Rollins, II, M.D. Adjunct Assistant Professor Eric R. Scaife, M.D. Adjunct Associate Professor David E. Skarda, M.D. Adjunct Assistant Professor Brent W. Snow, M.D. Professor entertainment

r e c r e a t i o n

Photo Credits: Park City Chamber Bureau, Salt Lake Convention and Visitors Bureau, Utah Arts Council, Utah Travel Council, Lori Adamski-Peek, James Bale, M.D., John Christenson, Ty Dickerson, M.D., Carol Edison, Frank Jensen, Marilou Kundmueller, S.A. Meyer, Bradley R. Nelson, Tom Till, Fred Wright. Design: Visual Communications and Education Support. “the greatest snow on earth”

great environment

n a t u r e

site of the 2002 Olympics http://medicine.utah.edu/pediatrics/pedsresidency/index.html

Research Enterprise

Pediatric Research Enterprise

Overview

The Research Enterprise, directed by Dr. Carrie Byington, is supported by the department’s 19 medical divisions and engages in multiple collaborations with other basic and clinical Departments, including Biochemistry, Human Genetics, Neurobiology and Anatomy, and the Huntsman Cancer Institute. Our strongest affiliation is with the Department of Obstetrics & Gynecology and together we have formed the Woman and Child Institute. The Department’s robust research environment includes basic laboratory- clinical-, translational-, comparative effectiveness-, and health services- research. These are reflected by our participation in a number of NIH research networks, including the Pediatric Emergency Care Applied Research Network and Central Data Management Coordinating Center, Pediatric Heart Network, Collaborative Pediatric Critical Care Research Network, and the Pediatric Research Inpatient Services Network (PRIS). The Department also is a member of the Centers for Birth Defects Research and Prevention Network, Center for Juvenile Arthritis, Inflammatory Bowel Disease Center, Intermountain Injury Control Research Center..

The Department’s research infrastructure provides core support for investigators interested in child health research including career and scientific mentoring. The research infrastructure also supports multiple career development programs such as the Pediatric Clinical and Translational Research Scholars Program (PCAT), The Translational and Comparative Effectiveness Research Scholars Program, the Native American Summer Research Internships, and the Child Health Research Career Development Award K12 (CHRCDA). The Department is closely aligned with the Utah Center for Clinical and Translational Science (CCTS/CTSA) to enhance our resources and research opportunities. Our rich, scientific environment measures success by collaborative efforts that result in improved health care for children.

Success of its clinician-scientists is a core value within the mission of the Department of Pediatrics. Pediatrics upholds a culture of collaborative scientific research that bridges barriers and enables clinician-scientists to work with colleagues in various subspecialties, departments and colleges, and with community health care providers, hospitals and organizations. Over the last decade, the Department of Pediatrics has developed a rich scientific environment that measures success by collaborative efforts resulting in improvements in children’s lives, rather than individual achievements.

07/01/2012 Pediatric Research Excellence Partnership (PREP Office)

Your “Point of Contact” for Grants and Research Support

The PREP Office is the point of contact for multiple, pediatric research-related programs in Career Development, Research Education, Grant Support Services, and Seminars, Workshops, and Conferences. The office is led by Director, Carrie L. Byington, MD, H.A. and Edna Benning Presidential Professor and Vice Chair of the Pediatric Research Enterprise. Dr. Byington is supported by the following Associate Program Directors:

Career Development: Heather Keenan, MD, PhD, MPH, Associate Professor, Pediatric Critical Care Research Education: Maija Holsti, MD, MPH Assistant Professor, Pediatric Emergency Medicine Grant Support: David Stevenson, MD, PhD, Assistant Professor, Pediatric Genetics

The office is guided by three distinct Research Missions: 1. Maintain a sustainable infrastructure for the Department of Pediatrics, supporting all phases of the research cycle 2. Support models of Team Science • Prepare a core of investigators and staff able to work in a team environment and to share knowledge and resources related to the research continuum. 3. Train and mentor investigators engaged in all types of pediatric research • Prepare investigators to move from “how to do research” to “how to conduct and manage research.” • Encourage PI responsibility by showing them how to “work with staff” rather than “relying on staff.”o Teach investigators how to navigate the research process . Help investigators know what questions to ask . Serve as a translator/interpreter for research guidelines at the U of U and extramural funding agencies

Research and Grant Support Services:

We provide grants and research support services to all faculty within the Department of Pediatrics to 1) support clinical and basic science investigators, 2) enhance the quality of research conducted in the Department of Pediatrics, and 3) increase the grant funding available to pediatric investigators.

Research and Grant support services include the following: • Help faculty interpret Funding Opportunity Announcements from agencies • Help faculty establish a proposal development timeline • Help faculty know when and how to connect with statisticians for study design and biostatistical support • Help faculty know when and how to connect with data analysts to identify appropriate study design data • Help faculty know when and how to connect with University compliance entities [Office of Sponsored Projects (OSP); Institutional Review Board (IRB); and Technology Commercialization Office (TCO)] • Help faculty identify a primary mentor and develop a scientific mentoring team • Help faculty identify and address compliance issues within their proposals • Help faculty develop a project budget and budget justification • Provide proposal review and editing for writing clarity • Provide training opportunities in proposal development fundamentals (grant writing, budgeting, compliance, etc.) submit proposals to OSP

07/01/2012 PREP Office

Faculty and Staff Contacts

Program Faculty: Carrie Byington, MD Heather Keenan, MDCM, MPH, PhD Director and Vice Chair Associate Director Career Development 801-585-2372 Division of Critical Care fax 801-581-3899 801-587-7611 [email protected] [email protected] Maija Holsti, MD, MPH David Stevenson, MD, PhD Associate Director Research Education Associate Director Grant Support Services Division of Emergency Medicine Division of Pediatric Genetics [email protected] [email protected]

Program Support: Kim Clark Gina Bacon Career Development Program Career Development Program Coordinator Coordinator 801-213-3757 801-213-3511 [email protected] [email protected]

Kim Bloom Richard White Daniel Freed Program Manager Program Coordinator Program Coordinator Research Education Native American Research Internship Research Education 801-587-8901 801-213-3499 801-213-3758 [email protected] [email protected] [email protected]

Grants & Contracts Support: Becky Childs Erin Wachs Kathy Smith Grants & Contracts Manager Grants Specialist Grants Specialist 801-581-6264 801-213-3756 801-213-3788 [email protected] [email protected] [email protected]

Data Support: Kent Korgenski, MT, MS Jacob Wilkes Data Analyst Manager Data Analyst 801-213-3293 801-213-4161 [email protected] [email protected]

Biostatistical Support: Xiaoming Sheng, PhD Cindy Weng, MS Tyler Bardsley, MS Statistician Statistician Statistician 801-213-3729 801-213-3753 801-213-4101 [email protected] [email protected] [email protected]

07/01/2012 Pediatric Research Support Services

The mission of the Department of Pediatrics is to offer Research Support Services to all Department faculty to promote and assist pediatric research and extramural funding. Our goal is to foster a team approach to research development, implementation, and management. We assist faculty in establishing contacts with all necessary resources and staff for the effective and efficient administration of their research and funding, including: • research coordinator and assistant pools • grant submission and reporting • budgeting and funding management • Human Subjects IRBs and Animal Welfare IACUC • data development and analysis • biostatistical support • clinical trials and network expertise • proposal editing and formatting

Contacts: Becky Childs Stefanie Bjerregaard Aaron Bell Grants Manager Clinical Trials Manager Accounting Manager 801-581-6264 801-587-7484 801-587-7401 [email protected] [email protected] [email protected]

Programs and Resources:

PREP - The PREP office provides research and grant support services to clinical investigators, including: • Data Development and Analysis • Biostatistical Support

ISIS - Integrative Scientific Investigative Services provides support services for investigators performing bench and integrative research.

PCTO - The Pediatric Clinical Trails Office provides support for research coordinator/assistant pools,clinical budgeting, industry negotiation, IRBs, etc.

WCI - The Woman and Child Institute facilitates the integration of support services across all disciplines and entities involved in maternal and child research.

Grant Administration and Accounting - Departmental support is provided for pre and post award budgeting and grant administration.

Center for Clinical and Translational Science (CCTS) Core Services, University of Utah - biomedical informatics, biostatistics, research ethics, clinical service center, community engagement, translational technologies, etc.

07/01/2012

Pediatric Data and Biostatistical Analysis Support Services

The PREP office provides data and biostatistical support to all faculty within the Department of Pediatrics.

Data Support:

The goal of the data support team is to assist investigators in data extraction, collection, management and analysis using a wide variety of different databases and tools. Data support includes: 1. Data extraction and analysis from the Intermountain Healthcare enterprise data warehouse (EDW) 2. Data extraction and analysis from the Pediatric Health Information System (PHIS) database 3. Data extraction and analysis from other available and accessible databases such as the Utah Department of Health (UDOH), Centers for Disease Control and Prevention (CDC), or Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) databases. 4. Assist with University of Utah and/or Intermountain Healthcare Institutional Review Board (IRB) application and submission. 5. Assist with data management in a secure and safe environment following the Privacy Rule and Health Insurance Portability and Accountability Act (HIPPA) regulations. 6. Assist with creation of forms for data input into a database. 7. Assist with creation of a geodatabase and maps utilizing geographical information systems for spatial data analysis.

Kent Korgenski, MT, MS Jacob Wilkes Data Support Team Manager Data Analyst Pediatric Research Enterprise/Intermountain Pediatric Research Enterprise/Intermountain 295 Chipeta Way 295 Chipeta Way 801.213.3293 801.213.4161 [email protected] [email protected]

Biostatistical Support:

Xiaoming Sheng, PhD Cindy Weng, MS Tyler Bardsley, MS Manager, Statistician Statistician Statistician 295 Chipeta Way 295 Chipeta Way 295 Chipeta Way 801-213-3729 801-213-3753 801-213-4101 [email protected] [email protected] [email protected]

07/01/2012 Pediatric Intramural Funding Programs

Career Development Research Grant - Primary Children’s Medical Center Foundation (PCMCF)

The PCMCF Early Career Development Research Grant helps launch pediatric junior investigator careers in child health and human development. Applicants must have a faculty appointment with a junior rank (Instructor or Assistant Professor), or be a pediatric post-doctoral fellow. Awards are based upon the project’s scientific merit and relevance to current program goals, i.e. basic-, clinical-, translational-, and health services research projects. The program supports pilot research that evidences a clear relationship to pediatrics and/or child health and that will lead to extramural funding. Applicants must demonstrate ongoing research mentorship. Applicants can apply for up to $25,000 in direct costs each year for up to two years during two funding cycles. Preliminary applications must be invited to submit a full proposal. Application Guidelines and Forms: http://medicine.utah.edu/pediatrics/research/intramural_funding.htm

Program Contact: Kim Clark [email protected] 801-213-3757

Integrated Science Grant - Primary Children’s Medical Center (PCMC) Foundation

Integrated Science Award is sponsored by the Primary Children’s Medical Center Foundation and is managed by the Division of Neonatology on behalf of the Department of Pediatrics. Proposals for this yearly competition should have a single theme related to pediatric health and disease. The projects within each theme should be synergistic and related, but not interdependent. An aim in each proposal should include how this integrated approach develops junior faculty careers. Preference will be given to proposals that integrate two or more established programs, particularly a bench and a clinical. Application Guidelines and Forms: http://medicine.utah.edu/pediatrics/neonatology/research/index.htm

Program Contacts:

Robert Lane, MD August L. Jung Presidential Professor and Neonatology Division Chief [email protected] 801-587-7495

Tara Henderson Grants & Information Officer Division of Neonatology (801) 587-7501 [email protected]

07/01/2012 Pediatric Career Development and Training Programs

The Pediatric Clinical and Translational (PCAT) Research Scholars Program PCAT is an intensive two-year research training program for investigators who conduct clinical and translational research. Developed in 2007 by Carrie L. Byington, MD, the program is led by Director Heather Keenan, MD, MPH, PhD. The PCAT director carefully monitors the progress of each scholar providing scientific and career mentorship. They meet frequently with scholars and their mentoring teams and enable peer mentorship opportunities. The program gives scholars access to critical services including biostatistical consultation, research coordination, research database support, proposal review and editing, and grants management. Scholars receive peer mentoring through monthly PCAT seminars. They interact with basic scientists at weekly Research in Progress seminars, the annual Woman and Child Research Conference, bi- annual Pediatric Grant Writing Workshops, and K Clubs within the Division of Neonatology and the Center for Clinical and Translational Science. From 2007-2011, the program has mentored 36 scholars and graduated 29 scholars. All graduates have received extramural funding through foundations, AHRQ, the CDC, or NIH. To date, PCAT scholars have been awarded in excess of $14 million, and 93% of those who applied for federal early career development awards (K mechanisms), have received funding. The Department of Pediatrics (1 of 22 departments), now has 54% of all K awards within the School of Medicine. Director: Heather Keenan, MD,MPH,PhD Program Contact: Kim Clark, Coordinator, [email protected], 801-213-3757

Child Health Research Career Development Award (CHRCDA) K12 Program This NIH K12 award titled Genetic and Developmental Mechanisms of Pediatric Disease, funds 4-6 junior faculty per year ensuring them 75-80% protected time for research. Program Director is Carrie L. Byington, MD, H.A. and Edna Benning Presidential Professor of Pediatrics and Vice Chair of the Pediatrics Research Enterprise. The day-to-day management, mentoring, and monitoring of trainees in this program occurs under scholars’ primary mentors and their mentoring teams. Dr. Byington meets at least once a year with scholars and as needed to review their research progress and career development. PREP Office staff provides support for program administration, and trainees’ progress is monitored by an Advisory Committee comprised of clinician scientists from various pediatric subspecialties. The Advisory Committee meets twice a year to review scholars’ progress and to guide the program’s development. Director: Carrie Byington, MD Program Contact: Gina Bacon, [email protected], 801-213-3511

Translational Comparative Effectiveness Research (T-CER) Scholars Program The purpose of CER research is to improve health outcomes by developing and disseminating evidence- based information to patients, clinicians, and other decision-makers so that they can better respond to expressed needs about which interventions are most effective for which patients under specific circumstances. Carrie L. Byington, MD developed this training program in collaboration with the Utah CCTS including an established Masters of Science in Clinical Investigation (MSCI) degree program. She was able to access nationally and internationally recognized experts in CER methods, clinical and translational research, community engagement, economics, statistics, and career development. In 2010, fifteen scholars were recruited to the program including 6 women (40%). One scholar (6.7%) is a Native Hawaiian. Eleven scholars (73%) are MD clinical investigators and 4 (27%) are PhD investigators. These scholars represent a cohesive cohort of scientists who will lead the University’s efforts in CER. Several faculty members are working to expand CER course offerings across the University. The University of Utah MSCI program also has been expanded to include a new track in CER in recognition of this emerging field and the expertise of the University and our research partners across the CCTS. Three (3) new CER courses created for this program, combined with existing MSCI courses, has enabled us to apply for a new 12-hour graduate certificate in CER that will benefit the current and future scholars. Director: Carrie Byington, MD Program Contact: Gina Bacon, [email protected], 801-213-3511

07/01/2012

Primary Children’s Medical Center Foundation (PCMCF) Early Career Development Award The PCMC Foundation gifts the Department of Pediatrics $300,000 annually to fund an early career development grant program and the bi-annual Grant Writing Workshop. The award helps launch junior investigators’ careers in child health and human development. The program supports pilot research projects that generate preliminary data and lead to future extramural funding. Grant funds support basic, clinical, translational, and health services-research that emphasizes scientific investigation relevant to diseases and disorders of infants and children. Projects must evidence a clear relationship to pediatrics and applicants must demonstrate evidence of ongoing research mentorship. Applicants must have a faculty appointment with a junior rank (Instructor or Assistant Professor) or be a postdoctoral Fellow at the University of Utah. Applicants can apply for up to $25,000 each year for two years. One no-cost extension is allowed when justified. A Call for Preliminary Proposals goes out in February and August of each year for two, separate funding cycles. Applicants who are invited to submit a full proposal also are required to attend a 2 ½ day grant writing workshop. Director: Carrie Byington, MD Program Contact: Kim Clark, Coordinator, [email protected], 801-213-3757

Center for Clinical and Translational Science (CCTS) K12 Program As Associate Director of the CCTS, Carrie L. Byington, MD administers this Institutional K12 program for clinical and translational research. This program was developed in 2008 as part of the CCTS Education Core’s growth. Based upon available funding, a Call for Proposals goes out in January to department chairs and colleges within the School of Medicine. Administrators nominate their strongest candidates to go through the application process. Scholars are selected in April by the CCTS Internal Advisory Committee. Director: Carrie Byington, MD Program Contact: Gina Bacon, [email protected], 801-213-3511

Center for Clinical and Translational Science (CCTS) K Award Development Club The CCTS K Club provides support to investigators interested in clinical and translational, and comparative effectiveness research. K Club meets on the 2nd Wednesday of each month at noon. Investigators, at any clinical research level are encouraged to attend and/or present their work for peer and senior faculty feedback. Faculty from Pediatrics, Internal Medicine, Obstetrics and Gynecology, and Psychiatry are regular participants. A Basic Science K Club also is offered through the Office of the Assistant Vice President for Basic Science, Dr. Jerry Kaplan. Program Contact: Lynette Holman, CCTS, [email protected]

07/01/2012 Pediatric Research Education Programs

Welcome to the Pediatric Research Education Office. We develop and support basic and clinical research opportunities for undergraduate students, medical students, residents, fellows, and faculty. Our programs include: • Pediatrics 5900/5901 (clinical research; undergraduate juniors and seniors) • Native American Summer Research Internship (basic or clinical research; undergraduate juniors and seniors) • Pediatrics 7260 (basic or clinical research; 4th year medical students) • Research in Progress (opportunity to present basic or clinical research works in progress; medical students, residents, fellows, faculty) • Annual Research Conference (opportunity to learn about and/or present basic or clinical research; all clinicians, practioners, and researchers)

Maija Holsti, MD Associate Director Division of Emergency Medicine [email protected]

Academic Associate Program (PED 5900/5901/5902) Clinical Research Methods and Practice Pediatrics 5900 is open to junior- and senior-level students of all majors. The course is offered all semesters (spring, summer, and fall), and may be repeated. Students receive credit for conducting clinical research designed by University of Utah and Primary Children’s Medical Center clinicians. Each student must attend a mandatory orientation (always the Friday before classes begin), a weekly class meeting, and 6-12 hours/week of clinical shifts enrolling patients into research studies. Students who participate in this course work in a clinical setting, gain exposure to clinical research, interact with pediatric patients and their families, and develop relationships with Department of Pediatrics faculty. At the end of the course, the student will have gained experience in many aspects of pediatric clinical research, including, but not limited to: professionalism in the clinical setting, study design, Institutional Review Board, informed consent/assent, Good Clinical Practice, ethics, basic statistics, and scientific journals. Investigators can apply for the use of the students’ services at no charge. Program Contact: Kim Bloom [email protected]

Native American Summer Research Internship The Native American Research Internship is a dynamic summer research opportunity for Native American Undergraduate Junior and Senior students who are interested in Health Science research. The internship is located at the University of Utah in Salt Lake City, Utah. It is a 10-week, paid summer internship, funded by the National Institutes of Health. The internship focus is to provide Native American students an outstanding laboratory or clinically based research experience working alongside world class research faculty at the University of Utah. The goal of the internship is to support the academic, career, and personal development of Native American students who are interested in Health Science careers. Each student will participate in approximately 40 hours/week of internship activities. Approximately 30 hours/week will be for research related activities, and approximately 10 hours/week will be for academic/professional development. Students will work closely with research mentors as well as Native American faculty and staff mentors, develop meaningful relationships within the Health Science and Native American research communities, attend a Native American Health conference, and have opportunities to shadow physicians at their clinical practice. Students will also gain insightful knowledge in the areas of: graduate/medical school preparation, career development, additional academic opportunities, community engagement, professionalism, creating scientific posters, and presenting research material. Additionally, students who successfully complete a summer internship have the option of participating again during the following summer, essentially being able to participate for two summers. The Native American Research Internship provides students a stipend as well as housing at the University of Utah.

07/01/2012 Both University of Utah students and non-University of Utah undergraduate students are encouraged to apply. No previous research experience is required. Program Contact: Richard White, Program Coordinator [email protected]

Mentored Program in Pediatric Research (PED 7260) The goal of the Mentored Program in Pediatric Research is to pair 4th year medical students interested in a pediatric career with experienced academicians and mentors with expertise in pediatric research. The in- depth, mentored experience will provide the student with the opportunity to: 1. Develop a relationship with the mentor 2. Develop skills in pediatric research methods and scientific oral and written presentation 3. Enhance their pediatric career development The Program will provide students with a list of potential mentors and research projects. Students are expected to contact and meet with potential mentors to identify a research project and develop a timeline for its completion. Students who have already identified a mentor and a project are also encouraged to participate (i.e. the mentor and project do not have to be on the list provided by the Program). Directors: Nicole Mihalopoulos, M.D. [email protected] Catherine Sherwin, Ph.D. [email protected] Daniel Freed, Program Coordinator [email protected]

Research-in-Progress Research-in-Progress (RIP) sponsored by the Department of Pediatrics, and Primary Children’s Medical Center, is a weekly, interdisciplinary presentation of ongoing basic, clinical, and translational research. Participants include faculty, fellows, residents, and staff. Program Contact: Daniel Freed [email protected]

Annual University of Utah Health Sciences and Intermountain Health Care's Joint Conference on Personalized Health Care for Women and Children The objective of this conference is to build recognition and understanding of developments in personalized health care research and practice, with an emphasis on women and children’s health. The event will include plenaries, breakout sessions, panel discussions, and networking. This is held annually around May of each year and is free of charge. Program Contact: Kim Bloom [email protected]

07/01/2012

Pediatric Clinical Trials Office (PCTO)

The Department of Pediatrics at the University of Utah created the Pediatric Clinical Trials Office (PCTO) in 2009 to assist investigators and clinical research coordinators with the administration of their clinical research projects. Dr. Michael Spigarelli is the Director of the PCTO. By providing this administrative infrastructure, the Department of Pediatrics assists investigators in conducting high quality, compliant clinical research. Services provided by the PCTO for all pediatrics investigators include:

Funding and Contract Development and Negotiation • Research cost calculations • Industry contract negotiation and management

Assistance with University of Utah clinical research requirements: • Protocol Billing Grid (PBG) • completion of UTRAC application • Ascertainment of technical (procedure) and professional prices from Primary Children’s Medical Center • budget development, budget negotiation and finalization • Study charge clearance after subject study visits • Tracking of subject visits, assistance with Sponsor invoicing and bill payment • Final financial reconciliation

PCTO offers Clinical Research Coordinators on a contract basis to assist with: • Regulatory submissions (IRB, CCTS, CCIC etc) • Execution of subject study visits, data collection or other hands-on research activities • Completion of monitoring visits and/or study audits • Study close-out and archiving

The PCTO staff is committed to serving Investigators and Clinical Research Coordinators within the Department of Pediatrics provide high quality, compliant research.

Contacts:

Mike Spigarelli, MD, PhD Stefanie Bjerregaard Jason Clawson Director, PCTO PCTO Manager Clinical Trials Specialist 295 Chipeta Way 295 Chipeta Way 295 Chipeta Way 801-581-7513 801-587-7484 801-213-3765 [email protected] [email protected] [email protected]

07/01/2012 University Of Utah Research Resources

University of Utah Research Handbook www.osp.utah.edu/help/index.html

Vice President for Research Thomas Parks, Ph.D. 801.581.7236 http://www.research.utah.edu

Office of Sponsored Projects (OSP) (F&A rate agreement) 801.581.8949 www.osp.utah.edu

Research Administration Training Series Special classes are offered to investigators. www.education.research.utah.edu

Research Integrity and Compliance 801.581.7170 http://www.research.utah.edu/integrity

Conflict of Interest Disclosures are made through the ERICA system: 801.581.6351 https://erica.research.utah.edu/erica

Institutional Review Board (IRB) Protecting rights and welfare of human subjects in research. 801.581.3655 http://www.research.utah.edu/irb

Institutional Animal Use and Care Committee (IACUC) 801.581.5950 http://www.iacuc.utah.edu

Environmental Health & Safety Hazardous Materials, Biosafety, r-DNA 801.581.6590 www.ehs.utah.edu

Technology Commercialization Office (TCO) The TCO evaluates, manages, protects, and licenses the University's intellectual property. http://www.tco.utah.edu

University of Utah Identification Codes • Federal Interagency Committee on Education (FICE) Code for the U: 003675 • EIN. TAX ID/TIN: 87-6000525 • DUNS Num: 009095365 • Cage Code: 3T 624 • NSF Institutional Code: 36756000 • NIH Institutional Code: 514002 • Congressional District: Utah 2nd • Type of Organization: State Institution of Higher Education • AAALAC Accreditation:(Animal Resource Center Facilities and Programs Accreditation) Health Science Accreditation: 10/30/2008; College of Science Accreditation: 10/24/2008 • USDA Registration Number (Animal Subject): 87-R-0001 • PHS Animal Welfare Assurance ID Number: A3031-01 • Human Subjects Federal wide Assurance: FWA00003745 (expires 10.05.2013) • Effective Date of Cost Accounting Statement: Disclosure Statement submitted 12.31.97

07/01/2012

Computer Support

Depart of Pediatrics Website Privacy Statement

http://www.ped.med.utah.edu/pedsintranet/docs/webpriv.doc

Computer Access Request Form

http://www.ped.med.utah.edu/pedsintranet/docs/cmptraccess.pdf

UUHSC Confidentiality and Information Security Agreement http://www.ped.med.utah.edu/pedsintranet/docs/confidentialsecurity.pdf

Primary Children’s Medical Center (PCMC) Computer Support Forms:

Contact the Pediatrics IS Office for PCMC computer, network and application access forms.

PCMC Information Systems Administration 801.662.6600 PCMC IS Help Desk/Tech Support 801.662.3456

Computer Support Information Department of Pediatrics University of Utah School of Medicine

Department IS Support Phone Pager Email Danny Smith (801) 581-4075 (801) 339-3537 [email protected] Zach McMullin (801) 581-5141 (801) 339-3461 [email protected] Michelle Tingey (801) 581-6016 (801) 339-4214 [email protected] Jason Genovesi (801) 213-3202 (801) 339-0778 [email protected] Tyler Thompson (801) 213-3487 (801) 339-1810 [email protected] Peds IS Tech Line (801) 587-7075

Department of Pediatrics Websites

Internet: http://www.ped.med.utah.edu/ • Division Pages • Faculty & Faculty Bios • Faculty Recruitment • Research • Residency Program • General Information • National Children’s Study Intranet: http://www.ped.med.utah.edu/pedsintranet/ • Employee Lists • Department Contacts • Mailing Lists • Resident Information • Resources/Useful Hyperlinks • General Information • Policies/Guidelines & Forms

University of Utah Information Technology Services (ITS)

HSC Help Desk – (801) 587-6000 Main Campus Help Desk – (801) 581-4000

PCMC Information Systems

PCMC Help Desk – (801) 662-3456

Remote Access to e-Mail:

E-mail accounts can be accessed from home or any other remote location via the internet through http://www.umail.utah.edu or through the Applications Portal, http://applications.med.utah.edu using the same username and password you use when accessing e-mail at work.

Contact the IS Office if you do not know your username and password.

Encryption:

The University of Utah is committed to the protection of confidential information. Confidential information includes protected health information (PHI), financial identifiers (SSN, driver’s license number, etc.) and other personally identifiable information that, if lost or stolen, create the potential for identity theft or risk of harm to the individual. Any mobile device or media, such as laptops, USB drives, or portable electronic devices (PEDS) used for University business must be encrypted. Contact the IS Office for instructions on how to encrypt mobile devices.

Benefits/Human Resources

WellU Program (participants receive up to $40 per month off their health care coverage premiums) http://www.hr.utah.edu/wellu/

University of Utah Policy & Procedures Manual https://www.hr.utah.edu/CAS- DEV/login?service=http%3A%2F%2Fwww.educat.utah.edu%2Flogin.php

School of Medicine Parental Leave of Absence Policy http://medicine.utah.edu/facultyadmin/policy/loa/parental.htm

University of Utah Faculty Handbook http://www.admin.utah.edu/fhb/

Pediatrics Employee Policies/Guidelines and Forms http://www.ped.med.utah.edu/pedsintranet/resources/policyforms.htm

Human Resources Home Page http://www.hr.utah.edu/ Pediatrics’ Human Resources Office

The Department of Pediatrics’ centralized Human Resources (HR) office provides a full spectrum of support and services to the divisions. Pediatrics’ HR office acts as the department’s liaison with the University’s HR department, Faculty Administration, Medical Staff Office, Primary Children’s Medical Center (PCMC) Credentialing office, and other offices. All HR processes for staff are centralized, which ensures consistency; adherence to policies, procedures and laws; and fair treatment of employees. Faculty support is centralized in the areas of licensing and credentialing, new recruitment, faculty orientation (includes benefits), and compliance training.

HR support is provided in the following areas, but is not limited to:

• Faculty Recruitment (advertising and recruitment) • Faculty Appointments (offer letters, appointment packets) • Licensing and Credentialing (full-service support provided) • Faculty Orientation (one-on-one meeting with new faculty) • Staff Recruitment, (advertising, applicant screening/interviewing, reference checks) • Faculty and Staff Hiring Process (pre-employment checks, new hire paperwork, development of orientation plans) • Salary Recommendations/Issues (for staff) • Staff Orientation (held monthly) • Performance Management (staff evaluation process, consultation on corrective actions) • Policy Interpretation/Compliance • Resource Utilization (realignment of duties, restructuring) • Employee Coaching • Confidential Advising • Training (workshops offered on-site) • Workplace Issues (help in identifying resolutions)

Pediatrics’ HR office is located in the Williams Building in Pediatric Administration at 295 Chipeta Way, Salt Lake City, Utah 84108

Debbie Gabaldon Shauna Maxwell Nick Snow Amber Nielsen (part-time) Associate Director Credentialing & Academic HR / Payroll Representative HR Administrator Faculty & Staff Administration Representative 801-587-7465 801-587-7405 801-587-7403 801-213-3469 [email protected] [email protected] [email protected] [email protected]

• Faculty recruitment and • Licensing and • Staff recruitment & new • Training and compliance appointments (primary credentialing hire process tracking contact) • Faculty recruitment • Staff orientation • Staff evaluation • Faculty orientation (advertising, collecting • Payroll (includes reminders/tracking • Employee relations letters of processing of CIP • Special Projects • Primary contact for faculty recommendation, payments) • Back-up support and staff issues/activities initiating relocation that do not fall under the process) representatives • Compliance tracking

University of Utah On-Line Faculty Orientation

The University of Utah’s New Faculty Orientation is on-line and consists of a series of self-paced modules. The modules can be accessed through the Internet from any location. The orientation modules include benefits overview and enrollment forms, safety, anti-discrimination/sexual harassment, and other areas that are relevant to the position. Benefit enrollment forms must be received by the Benefits Department within the first 90 days of hire.

How to access the on-line Faculty Orientation Modules:

Go to http://www.hr.utah.edu/training/orientation Click on “Faculty, Post Doctoral Fellows and Academic Staff Orientation” Log onto the “Online Orientation” with uNID and CIS password.

For questions about Faculty Benefits contact Benefits at:

Benefits Department, Division of Human Resources 420 Wakara Way, Suite 105 (Research Park) Phone: 801-581-7447 Fax: 801-585-7375 http://www.hr.utah.edu/ben/

Department of Pediatrics ______

BENEFIT SUMMARY – FACULTY (0.5 FTE or greater) Additional Information Available at http://www.hr.utah.edu/ben/

Retirement Plans • 401(a) Retirement Plan (can invest with TIAA-CREF and/or Fidelity) . University contribution equal to 14.2% of salary . Immediate vesting . Employee cannot contribute to this plan

• Medical Practice Plan 403(b) (Pediatric Department Faculty Benefit) . Additional retirement contribution of 6% (total retirement contributions: 20.2% of salary)

• Supplemental 403(b) and 457(b) Retirement Plans . Employee contributions only (through pre-tax payroll deductions) . Maximum determined by Internal Revenue Code (catch-up options available) . After tax Roth option under the 403(b) plan http://www.hr.utah.edu/ben/retirement/employee.php

Utah Education Savings Plan (UESP) 529 College Savings Plan • After tax payroll deduction (for any beneficiary you choose) • Can be used at any college of University • Earnings grow tax free – Utah taxpayers receive a state tax deduction

Health Care and Dental Plan • Choice from two Network Options: BlueCross BlueShield (ValueCare) and University Health Care Plus. . Providers under each network are divided into three categories with different reimbursement levels in each category • Three Plan Design Options: . Advantage  $0 plan year deductible, $1,500 max coinsurance per member ($4,500 family) . Comprehensive  $250 deductible per member ($750 family), $2,000 coinsurance max ($6,000 family) . High Deductible Health Plan (HDHP)  $1,500 deductible ($3,000 family), $3,500 coinsurance max ($7,000 family) • Dental option • Employee Assistance Program (EAP) and Behavioral Health Benefits • Enrollment in the Employee Wellness Program will reduce monthly health premiums up to $40 (reduction in premiums will occur after enrollment requirements are met) Summary Comparison of Medical Plan Options Available at http://www.hr.utah.edu/forms/lib/Summary-Comparison-Employee-HCP.pdf

SOM (School of Medicine) Long Term Disability (LTD) Insurance • Up to 60% salary replacement up to $15,000/month (less income from certain other sources) • Retirement benefits continue to accrue (15% of monthly wage contributed to TIAA-CREF annuities) • Occupation specific • 180 day elimination period before benefits begin • May enroll at any time. Evidence of insurability is required if you enroll after your Initial Enrollment Period (within 3 months of your date of hire)

Short Term Disability (STD) Insurance • Income replacement of 60% up to $15,000 per month (less income from certain other sources). • 90-day waiting period before benefits begin • Benefit payable for up to a maximum of 90 days when LTD begins • Must be enrolled in SOM LTD to enroll in STD

Paid Leave Time (prorated according to FTE) • Holidays . 10 days per year, including Pioneer Day (July 24) and the day after Thanksgiving • Vacation . 25 days per year . Do not roll over and are not paid out at termination • Personal Preference Days . Two days per year (Jan 2nd – Jun 1st get 1.5 days; Jun 2nd – Nov 1st get 1 day; none if hired after November 1st) . Do not roll over and are not paid out at termination • Sick Leave (must be 75% FTE or greater) . Eight hours per month . Roll over to maximum of 1040 hours . Not paid out at termination • Funeral Leave for death of immediate family member (up to 3 days) • Jury or Witness Duty • Annual Military Reserve Training (up to 15 days - active military duty is unpaid)

Flexible Spending Accounts • Health Care FSA . Reimbursement of health care expenses (including over-the-counter medications) . Minimum election $5/paycheck up to maximum of $2,500 per plan year • Dependent Care FSA . Reimbursement of dependent care expenses required so the employee can work . Minimum election $5/paycheck up to maximum of $5,000 per calendar year per family (IRS regs.) • May make changes to elections within three months after a status change event (e.g., marriage, divorce, birth or adoption of a child; defined by the Internal Revenue Code) • Funds must be used for eligible expenses incurred during the plan year or they are forfeited

Life Insurance • Part I – Employee Coverage (Basic Coverage Provided by the University) . Equal to annual salary up to $25,000 . Includes Travel Assistance Program - program brochure available at . http://www.hr.utah.edu/forms/lib/travel-assistance-program-brochure.pdf . Part II – Additional Employee Coverage . Equal to amount of Part I coverage • Part III – Spouse/Dependent Child Coverage . $2,000 per dependent (spouse and eligible dependent children) • Supplemental Term Life – Employee . Coverage minimum $20,000 up to maximum $500,000 (employees who are making over $100,000 per year can apply for up to 5 times their annual salary or $750,000, whichever is less) • Supplemental Term Life – Spouse . Coverage minimum $20,000 up to maximum $250,000 • Supplemental Term Life – Dependent Child . Coverage of $5,000 or $10,000 on each dependent child

Accidental Death & Dismemberment Insurance • Coverage minimum $10,000 up to maximum $500,000 • Includes travel assistance coverage - program Brochure available at • http://www.hr.utah.edu/forms/lib/TravelAssistanceBrochure.pdf

50% Tuition Reduction (must be 75% FTE or greater) • Available for Employee after six months, for employee’s spouse after one year, and for employee’s dependent children after three years

Hyatt Legal Plans • Gives access to legal representation or advice for a wide range of legal matters. For a list of covered legal services visit: http://www.hr.utah.edu/ben/summ/standard/hyattlegal.php

Long Term Care Insurance • Provides coverage for nursing home, adult day care, and home-based care • Available for employee, spouse, parents, parents-in-law, grandparents and grandparent-in- laws • Different options available at a variety of coverage levels. • May enroll or change coverage at any time (evidence of insurability is required if you enroll after first three months after being hired).

Auto and Home Insurance (not a benefit, but the University gets group rates) • Met Life group insurance rates available

Compliance/HIPAA

Ethical Standards and Code of Conduct http://www.hr.utah.edu/ethicalstandards

University of Utah Health Sciences Center

DEPARTMENT OF PEDIATRICS COMPLIANCE PLAN

May 2006

Table of Contents

PREAMBLE ...... 1

OVERVIEW...... 1

DEPARTMENTAL COMPLIANCE OVERSIGHT ...... 1 Department Compliance Liaison...... 1 Departmental Compliance Committee ...... 1 DEPARTMENTAL COMPLIANCE ACTIVITIES...... 2 Ensuring Faculty & Resident Compliance with Regulations...... 2 Audits ...... 2 Education and Training ...... 3 Investigating Reports for Possible Compliance Issues...... 3 DEPARTMENTAL GUIDING PRINCIPLE ...... 4

DEFINITIONS ...... 4 Ancillary Staff ...... 4 Attending Physician...... 4 Countersignature...... 5 CMS ...... 5 CPT ...... 5 Critical or Key Portion ...... 5 Documentation ...... 5 Encounter...... 6 E/M – Evaluation/Management...... 6 Faculty...... 6 H&P – History and Physical ...... 6 House Staff ...... 6 ICD-9...... 7 Immediate Availability ...... 7 Key Elements/Components...... 7 Modifiers...... 8 PATH – Physicians at Teaching Hospitals...... 8 Physically Present...... 9 Same Room ...... 9 Referral...... 9 Supervising Physician...... 9 Supervision ...... 10 General Supervision...... 10 Direct Supervision ...... 10 Personal Supervision ...... 10 Teaching Physician ...... 10 Resident Moonlighting...... 10 DEPARTMENTAL POLICY GUIDELINES ...... 10

GENERAL DOCUMENTATION POLICIES ...... 11 Departmental Recognized Fundamentals of Documentation ...... 11 Definition, Terms and Tools Associated with E/M Services...... 11 New Patient...... 12 Established Patient ...... 12

Level of Service...... 12 History ...... 12 Chief Complaint (CC) ...... 12 History of the Presenting Illness or Problem (HPI) ...... 13 Review of Systems (ROS) ...... 13 Past, Family and/or Social History (PFSH) ...... 14 Selection Table: Type of History ...... 15 Examination ...... 15 Selection Table: Type of Examination ...... 16 Medical Decision Making ...... 16 Selection Table: Type of Medical Decision Making (MDM) ...... 17 Counseling ...... 17 Nature of Presenting Problem/Illness ...... 18 Selection Table: Type of Nature of Presenting Problem...... 18 Time ...... 19 Site of Service ...... 19 Site of Service Differential...... 19 Incident to Services...... 19 Shared Services...... 20 General Documentation Requirements...... 20 Key Elements ...... 20 Level of Service...... 21 Medical Necessity ...... 21 Teaching Physician Documentation...... 21 Teaching Physician’s Presence ...... 21 Exception for E/M Services Furnished in Certain Primary Care Centers ...... 21

PREAMBLE

The Department of Pediatrics at the University of Utah Health Sciences Center (UUHSC) wishes to ensure that its documentation, professional fee coding and billing are conducted in accordance with all applicable laws. The purpose of this document is to provide the faculty and staff with guidelines regarding medical record documentation, the professional fee coding and billing of clinical services.

OVERVIEW

The policies and procedures set forth in this document are based upon applicable governmental regulations and other appropriates sources.

DEPARTMENTAL COMPLIANCE OVERSIGHT

Department Compliance Liaison

The Department of Pediatrics at the University of Utah Health Sciences Center appointed Dr. John Bohnsack as Departmental Compliance Liaison (single-point-of- contact with the Compliance Office) and Chairman of the Departmental Committee.

Dr. Bohnsack will have authority to direct and require (with support of the Department Chairman and the Departmental Compliance Committee) any activity necessary to assure compliance with Departmental, UUHSC and/or federal regulations concerning any departmental personnel, to include faculty, non- physician practitioners, residents and ancillary staff.

Compliance issues should be directed to the Compliance Committee Chairman for immediate attention. Every report of a potential violation will be immediately reviewed and evaluated.

Departmental Compliance Committee

The Department of Pediatrics established a Compliance Committee to oversee and supervise compliance related activities. The responsibilities of the departmental compliance committee include:

• Administer the department's compliance plan • Review, revise and formulate policies to guide professional fee billing • Supervise prospective internal audits to evaluate compliance • Assist in addressing compliance issues arising from audits • Provide overall compliance leadership for the Department

The Department of Pediatrics Compliance Committee consists of the following members:

1) John Bohnsack, MD Chairman, Compliance Committee 2) Richard Lemons, MD, PhD Faculty Provider 3) Patty McCarroll, MBA Department Administrative Director 4) Rose Poll, MSHA,CPC Manager, Revenue Cycle 5) Yvonne Rawlins, CPC Coding & Scheduling Supervisor 6) Raoul Nelson, MD, PhD Faculty Provider 7) Shari Combe, PA Ancillary Provider

DEPARTMENTAL COMPLIANCE ACTIVITIES

Department of Pediatrics compliance activities include: medical record documentation, professional fee coding, internal reviews, monitoring, education and training, investigation and corrective action plans when areas of risk have been identified.

The following activities will be conducted and supervised by the Departmental Compliance Committee and coordinated with the Health Sciences Center Compliance Office.

Ensuring Faculty & Resident Compliance with Regulations

The Compliance Committee will keep the Departmental Chairman informed of current regulations relative to billing and will monitor compliance with these regulations.

Audits

• Annual audits will be mandatory for every clinician who performs billable work. These audits will be performed by the UUHSC’s Compliance Office. • Audits will be done using the guidance provided by the Compliance Office for New Clinician, Phase I and Phase II. • The number of encounters (E/M or procedures) audited will vary from clinician to clinician depending on the type and/or location in which encounters are performed. • The findings from these audits will be shared with the Department Compliance Committee in order to establish an appropriate corrective action plan specific to the identified areas of risk. • Upon implementation of the corrective action plan, follow-up efforts will be made to assure that all requirements are understood and carried out. • Areas of risk identified on a consistent basis will be reviewed by the Department Chairman for further action. • Regular meetings will be held for the professional fee billing staff to provide billing updates and to answer any billing questions.

Education and Training

• All departmental personnel involved in delivering clinical care, medical record documentation, and professional fee billing will be required to undertake a mandatory job specific training program. Completion of the training will be tracked to assure that employees receive proper training. • Additional re-training may be required as a result of the audit process or when re-credentialing takes place. • All training will be coordinated with the UUHSC Compliance Office.

Investigating Reports for Possible Compliance Issues

• Any employee may raise concerns about possible compliance issues. These questions should be brought to the attention of the Department Compliance Chairman. • Due to the sensitivity of these issues, the Department Compliance Chairman will initiate an investigation into the problem by assigning an investigator and coordinating the plan for the investigation. The Department Compliance Chairman also has the authority to ask for assistance from the UUHSC Compliance Office if necessary. • In the event of any confirmed problems, corrective action will be developed and implemented as quickly as possible.

The corrective actions could be but are not limited to the following:

o Education sessions o Refund of payments

The circumstances and corrective action will be disclosed to the UUHSC Compliance Office in all cases.

DEPARTMENTAL GUIDING PRINCIPLE

The Department Policies and Guidance will be used by faculty members, ancillary staff and other personnel performing documentation, professional fee coding and billing of medical services.

The primary focus of the Department of Pediatrics' Compliance Plan will be on the Centers for Medicare and Medicaid (CMS) documentation guidelines which (by reference) include but are not limited to guidelines found in Current Procedural Terminology (CPT) for evaluation and management (E/M) services, procedures and other services.

As CMS uses other tools that are incorporated (by reference) into their regulations (International Classification of Diseases (ICD-9-CM), the Health Care Financing Common Procedure Coding System Level II (HCPCS) and the National Correct Coding Manual, formerly called the National Correct Coding Initiative (CCI), the Department will also follow these documentation, coding and billing guidelines.

These recognized coding systems have documentation standards and guidelines that are used by Medical Records Departments, Medical Schools, CPC & CPC-H Coders, Medicare, Medicaid, and most third party payers as the recognized way to document any service or procedure provided to any patient.

DEFINITIONS

Ancillary Staff

Ancillary staff includes any personnel who collect and record basic clinical information about the patient (e.g. vital signs and other information including, weight, height, etc.).

Attending Physician

An “attending” physician means a physician who is the major contributor of patient care and who renders sufficient personal and identifiable medical services to a patient in such a manner as to exercise full, “personal” control over the management of that patient. These would be services similar to those provided by a private physician in a private office and would be billable on a fee-for-service basis.

If the physician does not meet the “attending” physician criteria, as mentioned above, his/her activities would be considered “supervisory” only and therefore not a billable service.

Countersignature

CMS has indicated that a countersignature by a “teaching” physician does not justify the billability of a service to the Medicare Part B program.

CMS

CMS is the Centers for Medicare and Medicaid Services, formerly known as HCFA.

CPT

CPT is the Current Procedural Terminology manual published by the American Medical Association (AMA) annually.

Critical or Key Portion

For an E/M service the critical or key portions means the history, physical and medical decision making components of an E/M service.

For a procedure, the critical or key portion means that part (or parts) of a procedure determined by the teaching physician to be the critical or key portion(s) of a procedure characterizing the essential tasks necessary for the completion of that procedure.

Documentation

Documentation is a chronological record of the patient’s medical condition, care, responses to treatment, and provider rationale for treatment.

• It is a legal document that affects reimbursement from health plans and quality of care issues in a court of law. • If it is not written and signed, it was not done.

The documentation may be dictated and typed, hand-written or computer-generated and must include the legible signature or identity the person taking the information as well as the legible signature of the attending physician, who is responsible for that record.

The medical record must provide pertinent facts, findings and observations about an individual’s health history including past and present illnesses, examinations, tests, treatments and outcomes.

Encounter

Each encounter must be a stand-alone document and must facilitate:

• The ability of the physician and other health care professionals to evaluate and plan a patient’s immediate treatment, and to monitor the patient’s health care over time; • Communication and continuity of care among physicians and other health care professionals involved in a patient’s care; • Accurate and timely claims review and payment; and • Appropriate utilization review and quality of care evaluations

E/M – Evaluation/Management

These services include office visits, in-patient hospital visits, outpatient hospital visits, emergency department visits, consultations, nursing home visits, and other non-hospital visits.

E/M codes encompass a wide variation of skill, effort, time, responsibility, and medical knowledge that is required for the promotion of optimal health and the prevention or diagnosis and treatment of an illness or injury.

Faculty

A faculty member is defined as an individual with a faculty appointment in the School of Medicine.

H&P – History and Physical

The term H&P is to include all components of the E/M service as defined in the CPT manual. An H&P, includes a description of the provisional diagnosis, chief complaint, present illness or injury, impression and treatment plan and a history and a physical exam to the appropriate level, based on the presenting illness/problem.

House Staff

The term house staff is interchangeable with a house officer. Interns, residents, and clinical fellows are other terms for house staff/house officer. The house staff is an individual at any level of graduate medical education (GME) in a program accredited by the ACGME.

For the purpose of this manual, this term shall apply to all trainees appointed as residents and fellows in any accredited training program or to any trainee in a subspecialty program.

ICD-9

International Classification of Diseases, Version 9, Clinical Modification (also known as ICD-9-CM).

The term “clinical” is used to emphasize the modification’s intent:

• To serve as a useful tool to classify morbidity data • To index medical records • To assist in medical care reviews and ambulatory and other medical care programs and • To identify a patient’s basic health status

To describe the clinical picture of the patient, the ICD-9-CM code must be more precise, to the fourth of fifth digit when applicable, than those needed only for statistical groupings and trend analysis.

Immediate Availability

Although CMS has not defined immediate availability in terms of geographic location vis-à-vis, the operating room, patient care room or office/clinic examination room, UUHSC considers immediately available to mean, “within easy walking distance of the patient care unit.”

Key Elements/Components

The CPT recognizes seven specific element or components that make up an E/M service, six of which are used in defining the level of E/M service. These components are:

• history • examination • medical decision making • counseling • coordination of care • nature of presenting problem; and • time

Of the seven elements that make up any level of E/M service, the HISTORY, the EXAMINATION and the MEDICAL DECISION MAKING are considered the “key components.”

To determine the level of service, it is the key components that drive the selection unless the visit consists predominantly of counseling or coordination of care. In these cases, the time spent with the patient must be documented.

Medical Record

The medical record is a composite of information detailing a patient’s medical care, including both paper and electronic records.

Modifiers

For coding and billing purposes, a modifier provides the means by which the reporting physician can indicate that a service has been altered by some specific circumstance but not changed in definition or code.

The documentation must show why the modifier was used. Modifiers can be found in the CPT and HCPCS coding manuals.

CPT Modifiers – These are two digit modifiers, recognized by most third party payers and usually have some kind of payment consideration attached.

Examples: -22 Unusual Procedural Services – When the service(s) provided is greater than that usually required for the listed procedure.

-52 Reduced Services – When a service or procedure is partially reduced or eliminated at the physician discretion.

-59 Distinct Procedural Service – When a service or procedure was distinct or independent from other services performed on the same day.

HCPCS Modifiers – These modifiers are two digit alpha or alpha-numeric and are also recognized by most third party payers. However, these codes, unlike the CPT modifiers, are primarily informative in nature and have no payment consideration.

Examples: -LT Left -RT Right -F&R Right hand, third digit -GC A service has been performed in part by a resident under the direction of a teaching physician

PATH – Physicians at Teaching Hospitals

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced what is described as “a series of nationwide reviews of compliance with rules governing physicians at teaching hospital (PATH) and other Medicare payment rules.”

As described by the OIG these PATH audits focused on two issues: 1) compliance with the Medicare rule affecting payment for physician service provided by resident; and 2) whether the level of the physician services was coded properly.

Currently, no new PATH audits have been initiated by the OIG. Institutions remain vulnerable to whistleblower suits being filed on “PATH-like” issues, such as whether the teaching physician was present for a service or procedure and whether services were properly coded.

It is the Policy of the Department of Pediatrics to comply with Supervising Physicians in Teaching Setting regulations.

Physically Present

Physically present means that the teaching physician must be in the same room and directly involved in providing or supervising the patient care.

Same Room

This term is defined as a patient’s room partitioned or curtained or any patient subdivided area that can accommodate multiple patients.

Referral

A referral is a transfer of the care of a patient from one health care professional to another. Some general rules that may help identify a transfer of care patient:

• The diagnosis of the patient is usually known upon referral; • When referred, the referring doctor generally asks the receiving physician to assume the management of the patient’s care; • An encounter is provided with a course of treatment or management already in mind for the patient; • The patient will return for additional management and treatment; and • The receiving physician assumes complete care of the patient and need not discuss the case further with the referring physician.

A transfer and acceptance note must be written in the medical record and must contain the names of the responsible attending physicians approving the transfer and the acceptance of the patient.

Supervising Physician

A “supervising” physician is one who “signs off” on the work ancillary personnel provides to patients in medical settings. These include, but are not limited to, medical assistants, physician assistants, nurses, medical students, interns and residents.

By countersigning the patient record, the “supervising” physician assures that appropriate medical treatment has taken place, meets the necessary requirements for Graduate Medical Education (GME) funding, meets the necessary ACGME certification for the teaching programs and meets the necessary JCAHO requirements for hospital accreditation.

Supervision

Physician “supervision” has various degrees of responsibility, depending on the actual service provided.

General Supervision

General supervision means that a service or procedure is furnished under the overall direction and control of a teaching physician but his/her presence is not required during the performance of the procedure or service.

Direct Supervision

Direct supervision means that the teaching physician must be present in the office suite or patient care area and must remain “immediately available” to furnish assistance and/or direction throughout the performance of the service or procedure.

Personal Supervision

Personal supervision means that the teaching physician must be in the room during the performance of the service or procedure.

Teaching Physician

A teaching physician is a physician (other than another resident) who involves residents in the care of his/her patients.

Resident Moonlighting

Residents are not approved to moonlight in the subspecialty of training. Residents may moonlight in general pediatric clinics with the approval of the GME Director.

DEPARTMENTAL POLICY GUIDELINES

These guidelines establish departmental policy and procedures that will be followed by faculty members, ancillary staff and any other personnel working with issues that relate to documentation, professional fee coding and billing of medical services.

The standards for documentation, professional fee coding and billing should be equally important as quality of care standards.

GENERAL DOCUMENTATION POLICIES

Adequate documentation in the patient medical record is mandatory. It must contain all details regarding a patient’s plan and treatment of care for a particular disease or injury.

Departmental Recognized Fundamentals of Documentation

1. The medical record must be complete and legible.

2. The documentation of each patient encounter should include:

a. The reason for the encounter (chief complaint); b. A relevant (pertinent) history of the presenting problem or illness; c. A relevant (pertinent) physical examination and findings; d. A review of diagnostic tests, if applicable; e. The assessment, clinical impression, diagnosis; f. The plan of care; and g. The date and the legible identity of the observer.

3. If not specifically documented, the rationale for ordering diagnostic or other ancillary services should be easily inferred.

4. The past and present diagnoses should be accessible to the treating and/or consulting physician.

5. Appropriate health risk factors should be identified.

6. The patient’s progress, response to and changes in treatments, or any revision of diagnosis should be documented.

7. The CPT and ICD-9-CM codes reported on the health insurance claim form or billing statement should be supported by the documentation in the medical record.

8. Specific tests or procedures ordered or provided, while necessary to the physician for excellence of care, must be clearly identified as medically necessary within the documentation of that encounter.

Definition, Terms and Tools Associated with E/M Services

The definitions and terms used in this section have been compiled using the CPT, HCFA newsletters and updates (Medicare & Medicaid) and Specialty Societies with their published interpretations of Evaluation and Management services.

New Patient

A new patient is one who has not received any professional services from the physician or another physician of the same subspecialty (who belongs to the same group practice), within the past three years.

Established Patient

An established patient is one who has received professional services from the physician or another physician of the same subspecialty (who belongs to the same group practice), within the past three years.

Level of Service

Each level of service is intended to reflect the work involved in providing the evaluation and management (E/M) service.

Due to the fact that each level of service is dependent on two or three “key” components, the performance and the documentation of one (e.g. medical decision making) at the highest level does not necessarily mean that the encounter entirely qualifies for the billing of the highest level of service.

History

This KEY component encompasses the identification of the chief complaint (CC) (the reason for the encounter), the history of the presenting illness or problem (HPI), a review of the patient’s history as related to each body system (ROS), a past personal history (medical and social) and a family history (PFSH).

The following explains each of these elements and how they are used in the four types of history that make up the HISTORY component as defined in CPT.

Chief Complaint (CC)

The chief complaint (CC) (reason for the encounter) is a concise statement describing the symptom(s), problem(s), condition(s), diagnosis or other reason for the patient encounter and is required for each type of history.

History of the Presenting Illness or Problem (HPI)

The history of the presenting illness or problem (HPI) is a chronological description of the development of the patient’s presenting illness/problem. It includes all the signs, symptoms and conditions that significantly relate to the presenting illness/problem. The following are identified in CPT as the HPI.

• Location (position or site of the presenting problem) • Quality (characteristics of the presenting problem) • Severity (the precise condition) • Duration (the length of time the patient has had this problem) • Timing (precise moment of the presenting problem began) • Context (circumstances about the presenting problem) • Modifying factors • Associated signs and symptoms

A Brief HPI is the documentation of 1-3 of the above items in the patient record. An Extended HPI is the documentation of 4 or more of the above items in the patient record.

Review of Systems (ROS)

A review of systems (ROS) is an inventory of the patient body systems obtained through a series of questions. This is NOT the examination; it is the patient’s history concerning their body systems.

The review of systems (ROS) helps define the problem, clarify the differential diagnosis, identify needed testing or serves as baseline data on other systems that might be affected by any possible management options.

For documentation purposes the following are recognized as part of the ROS:

• Constitutional symptoms (fever, weight loss, etc.) • Eyes • Ears, Nose, Mouth, Throat • Cardiovascular • Respiratory • Gastrointestinal • Genitourinary • Musculoskeletal • Integumentary (skin and/or breast) • Neurological • Psychiatric • Endocrine • Hematologic/Lymphatic • Allergic/Immunologic

A Problem Pertinent ROS is the documentation of a review of a single system directly related to the problem or illness identified in the HPI. Document the patient’s positive or negatives for the system related to the presenting problem or illness.

An Extended ROS is the documentation of the patient’s positive responses and the pertinent negatives of 2 –9 of the above body systems.

A Complete ROS requires documented inquiries about the system(s) that are directly related to the presenting problem(s) or illness identified in the HPI plus all additional body systems. Document the ROS of at least 10 organ systems with individually documented positive or pertinent negative responses. For the remaining systems, a notation indicating “all other systems are negative” is permissible.

Past, Family and/or Social History (PFSH)

The past, family and/or social history (PFHS) is the documented review of three different areas:

• The patient’s past history with illness, injury, trauma, hospitalization, operations, allergies, medications, growth and/or development and functional status. It may include other elements when applicable. • The patient’s family history which is a review of medical events in the patient’s family including diseases which may be hereditary or place the patient at risk. • The patient’s social history is an age specific appropriate review of his/her past and current activities that may include marital status, tobacco/alcohol/drug use, employment status, housing or home environment or other relevant social factors.

A Pertinent PFSH is a documented review of the history area(s) directly related to the problem or illness identified in the HPI. For any new patient encounter, 2 of the 3 PFSH (patients past, social, family history) must be documented. For any established patient encounter, only 1 PFSH (patients past, social, family history) must be documented.

A Complete PFSH is a documented review of at least two or in some cases all three of the PFSH areas. A documented review of all three of these areas is required for services that by their nature include a comprehensive assessment or re- assessment of a patient. For any new patient encounter, at least one notation is required in all three PFSH areas. For any established patient encounter, at least one notation is required in any two PFSH areas.

Selection Table: Type of History

Type of History Definitions CC HPI ROS PFSH A brief history of Problem the present illness Required Brief N/A N/A Focused or problem A brief history of Expanded the present illness Required Brief Problem N/A Problem or problem and a Pertinent Focused problem pertinent system review A pertinent (directly Detailed related to the Required Extended Extended Pertinent patient’s problem) past, family and/or social history An extended history Comprehensive of the present Required Extended Complete Complete illness or problem and a complete past, family and social history

Examination The extent of the examination is dependent on the clinical judgment and on the nature of the patient’s presenting problem(s). An examination can be performed on any of the following body areas: • Head, including the face • Neck • Chest, including breast and axilla • Abdomen • Genitalia, groin, buttocks • Back • Each extremity

The following organ systems are recognized: • Eyes • Ears, Nose, Mouth, and Throat • Cardiovascular • Respiratory • Gastrointestinal • Genitourinary • Musculoskeletal • Skin • Neurologic • Psychiatric • Hematologic/Lymphatic/Immunologic

Selection Table: Type of Examination

Type of Definition Systems Examination Problem A limited examination of the affected body area 1-5 Focused or organ system Expanded A limited examination of the affected body area Problem or organ system and any other symptomatic or 2-4 Focused related body area or organ system Detailed An extended examination of the affected body area(s) or organ system(s) and any other 5-7 symptomatic or related body area(s) or organ system(s) Comprehensive A general multi-system examination or complete examination of a single organ system 8 or more and other symptomatic or related body area(s) or organ system(s)

Medical Decision Making

Medical decision making refers to the complexity of establishing a diagnosis and/or selecting a management option for the patient as measured by the following:

1. The documentation of the number of possible diagnoses and/or the number of management options that must be considered for this patient during or directly related to this encounter.

2. The documentation of the amount and/or complexity of the medical records, diagnostic tests, and/or any other information that must be obtained, reviewed and analyzed that must be considered for this patient during or directly related to this encounter.

3. The documentation of the risk of significant complications, morbidity and/or mortality, as well as co-morbidities, associated with the patient’s presenting problem(s), the diagnostic procedure(s) and/or the possible management options that must be considered for this patient during or directly related to the encounter.

Selection Table: Type of Medical Decision Making (MDM)

Type of MDM Description Amount of Data Straight Number of diagnoses or management options -Minimal forward Amount and complexity of data to be reviewed -None/Minimal Risk of complications &/or co-morbidity or -Minimal mortality Low Number of diagnoses or management options -Limited Complexity Amount and complexity of data to be reviewed -Limited Risk of complications &/or co-morbidity or -Low mortality Moderate Number of diagnoses or management options -Multiple Complexity Amount and complexity of data to be reviewed -Moderate Risk of complications &/or co-morbidity or -Moderate mortality High Number of diagnoses or management options -Extensive Complexity Amount and complexity of data to be reviewed -Extensive Risk of complications &/or co-morbidity or -High mortality

Counseling

Counseling is a discussing with a patient and/or family concerning one or more of the following areas:

• Diagnostic results, impressions, and/or recommended diagnostic studies • Prognosis • Risks and benefits of management options • Instructions for management and/or follow-ups • Importance of compliance with chosen management options • Risk factor reduction • Patient and family education

Nature of Presenting Problem/Illness

A presenting problem is a disease, condition, illness, injury, symptom, sign, finding, complaint, or other reason for an encounter with or without a diagnosis being established at the time of the encounter.

Selection Table: Type of Nature of Presenting Problem

Type of Nature of Description Presenting Problem Minimal A problem that may not require the presence of the physician, but is a service provided under the physician’s supervision Self Limited or A problem that runs a definite and prescribed course, is transient Minor in nature and is not likely to permanently alter the health status of the patient. This patient has a good prognosis with management and/or compliance. Low Severity A problem where the risk of morbidity (dreadful outcome) without treatment is low. A problem that has little to no risk of mortality (death) without treatment. A patient is expected to have a full recovery without functional impairment. Moderate Severity A problem where the risk of morbidity (dreadful outcome) without treatment is moderate. A problem that has a moderate risk of mortality (death) without treatment. The patient has an uncertain prognosis or an increased probability of prolonged functional impairment. High Severity A problem where the risk of morbidity (dreadful outcome) without treatment is high to extreme. A problem that has a moderate to high risk of mortality (death) without treatment or has a high probability of severe, prolonged functional impairment.

Although CPT has only defined five types of presenting problems, the AAMC has expanded this list to include terms associated with emergency and inpatient conditions.

• Stable or Recovering • Responding Poorly • Significant Complication(s) or Unstable • Urgent Evaluation Required • Life Threatening Problem(s)

Time

The time element of an E/M service is difficult to define as the specific times identified in the CPT descriptors for E/M services are averages, and therefore represent a range of times which may be higher or lower depending on actual clinical circumstances.

To incorporate time as a defining element of the E/M service this department defines time to be face-to-face time for office and other outpatient visits and as unit/floor time for hospital and other inpatient visits.

This distinction is necessary because most of the work of typical office visits takes place during the face-to-face time with the patient, while most of the work of typical hospital visits takes place during the time spent on the patient’s floor or unit.

When time is used as an element of billing, documentation of the amount of time spent is required. When the majority of time is spent counseling and/or coordinating care, the note must reflect the time spent. In order to bill by time, the note must also state that greater than 50% of the visit was spent counseling and/or coordinating care.

Site of Service

A site of service is identified by CMS and other third party payers as the location in which a service or procedure is provided. (Examples: -11 physician office; -21 hospital; -22 hospital outpatient; -23 emergency department)

This is an important issue when it comes to Medicare patients due to the fact that 1) CMS reduces the physician payment by the “site of service differential”; and 2) incident to services are not billable by physicians when services are provided in a - 22 hospital outpatient area.

Site of Service Differential

When a physician service or procedure which is routinely furnished in a physician’s office is performed in a hospital outpatient location, CMS will reduce the physician reimbursement by what is defined as a site of service differential which is approximately 50% of the practice expense RVU.

Incident to Services

An incident to service is defined as any service or supply furnished as an integral, although incidental part of the physician’s personal professional service which is provided in the course of diagnosis or treatment of an illness or injury.

In order to bill for this type of service it must be provided in an 11 site of service, the personnel performing these services must be employed by the department (SOM) and the service must be performed under the direct supervision of the billing physician.

The highest level of services that may be billed by nurses (Not NP’s or PA/s) is a 99211. NP’s or PA’s are licensed providers that can bill for documented services under their own provider numbers. The Department of Pediatrics policy is for mid- level providers to bill "incident to" the physician in a SOS 11, or, in a SOS 22 setting, to bill shared services (see below). Medicare does not allow for NPs or PAs to see any new patients without direct involvement of the physician. New patient visits and consultations require face-to-face contact between the physician and patient. Follow-up care may be provided by the NP or PA without physician face-to- face contact if the treatment is carried out according to an established care plan for the patient’s condition(s). Physician contact is also required at an encounter where a treatment plan for a new condition is initiated. Medicaid requires the physicians be immediately available by pager, but do not require them to be in the suite.

Shared Services

Shared services require the physician to have face to face service with the patient. The patient can see the patient before, during or later than the visit by the NP/PA. Without face to face service with the physician the billing is submitted under the NP/PA’s number. The notes may be combined for the physician and the NP/PA to select the level of service. Shared services should be billed in the hospital, inpatient, outpatient or emergency department (SOS 22). The MD and NP/PA must be in the same provider group with the same tax ID. The services for a shared visit can be billed using the physician number and paid at 100% of fee schedule.

General Documentation Requirements

The documentation of an E/M service must be in accordance with CPT documentation standards.

Key Elements

When providing a new or initial patient encounter the “key” components, of the seven that make up an E/M service (history, examination medical decision making, counseling, coordination of care, mature of presenting problem and time), are the HISTORY, the EXAMINATION and the MEDICAL DECISION-MAKING.

When providing a subsequent, follow-up or an established patient encounter, two (2) of the three (3) key components (HISTORY, EXAMINATION and MEDICAL DECISION-MAKING) are required.

Level of Service

It is the combination of the house staff note and the teaching physician note that must support the medical necessity of the level of service selected and billed.

Medical Necessity

To prove the medical necessity of any E/M service, the documentation in the patient medical record must identify the sign(s), symptom(s) or condition(s) of the presenting illness or problem, specific to this particular encounter. Based on the documentation found in the patient medical record, the appropriate ICD-9-CM diagnostic code should be selected. It should be to the greatest specificity (4th or 5th digit).

Teaching Physician Documentation

The physical presence of the teaching physician during the “key” elements of E/M visits can only be demonstrated by personally written or dictated notes done by the teaching physician that briefly describe his/her direct involvement in the encounter.

Teaching Physician’s Presence

In order to bill for an E/M service, the teaching physician must be in the same room and directly involved in providing or supervising the patient care.

Exception for E/M Services Furnished in Certain Primary Care Centers

Teaching physicians who provide E/M services with a GME program granted a Primary Care exception may bill Medicare for lower and mid-level E/M services provided by residents. For the E/M listed below, teaching physicians may submit claims for services furnished by a resident in the absence of a teaching physician.

New Patient Established Patient 99201 99211 99202 99212 99203 99213

If a service, other than those listed above needs to be furnished, then the general teaching physician policy applies. For this exception to apply, a Center must attest in writing that all the following conditions are met for a particular residency program. Prior approval is not necessary, but Centers exercising the Primary Care exception must maintain records demonstrating that they qualify for the exception.

The services must be furnished in a Center located in the outpatient department of a hospital or another ambulatory care entity in which the time spent by the resident in patient care activities is included in determining direct GME payment to a teaching hospital by the hospital's fiscal intermediary. This requirement is not met when a resident is assigned to a physician's office away from the center or makes home visits.

Teaching physicians submitting claims under this exception may not supervise more than four residents at any given time and must direct the care from such proximity as to constitute immediate availability.

22 Compliance Trainings that must be Completed by Pediatric Providers

1. Attending Physician Coding and Billing Compliance Training (includes Health Care Fraud Waste and Abuse Training) • Training is a federal requirement for all providers that bill. • U of U requires all providers that bill under a University TIN complete this training, regardless of the facility where they are practicing. • Training must be completed annually.

2. HIPAA Privacy 3. HIPAA Security • Trainings are federal requirements based on federal privacy and security rules. • Modules were created specific to the U of U and must be completed by anyone that has direct or indirect access to protected health information. • Both trainings must be completed annually.

4. Auxiliary Aids • Training is a federal requirement from the U.S. Department of Health and Human Services, ADA/Section 504. • U of U requires all employees that work in a health care setting to complete this training. • One-time training required at the time of hire.

How to access the training:

Go to www.educat.utah.edu. Log in with uNID and CIS password. Complete lesson modules by assigned due date.

Pediatrics’ Points of Contact:

Shauna Maxwell – Manages the Process Debbie C. Gabaldon Credentialing & Academic Representative Associate Director 801-213-3469 Faculty & Staff Administration [email protected] 801-587-7403 [email protected]

University of Utah

University of Utah Home Page http://www.utah.edu/portal/site/uuhome/

University of Utah Organizational Chart http://admin.utah.edu/wp-content/uploads/2012/05/University-Org-Chart.pdf

University Health Care Home Page http://healthcare.utah.edu/index.cfm

Health Sciences Organizational Chart http://healthcare.utah.edu/about/Sr_VP_HS_Org_Chart.pdf

University of Utah School of Medicine Home Page http://medicine.utah.edu/

Primary Children’s Medical Center

https://intermountainhealthcare.org/hospitals/primary

childrens/Pages/home.aspx Frequently Asked Questions

Department of Pediatrics Intranet (includes Administration, Division and Miscellaneous Contact Information)

http://www.ped.med.utah.edu/pedsintranet

Shuttle Routes and Schedules

http://www.parking.utah.edu/transportation/shuttles/index.html

TRAX Map

http://www.rideuta.com/uploads/Aug2011traxmapnewlarge.jpg

Positively U – Employee Services and Discounts

http://healthcare.utah.edu/rewards/

Health, Wellness and Fitness/Recreation Services

http://www.hr.utah.edu/ben/worklife/wlwellness.php