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Acute Flaccid Myelitis in Children: Epidemiology, Diagnosis, Medical Management, and Rehabilitation Outcomes

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Acute Flaccid Myelitis in Children: Epidemiology, Diagnosis, Medical Management, and Rehabilitation Outcomes Acute Flaccid Myelitis in Children: epidemiology, diagnosis, medical management, and rehabilitation outcomes. Friday, April 05, 2019 02:20 PM - 03:20 PM Suzanne Rybczynski, MD Kennedy Krieger Institute CV: Suzanne Venoski Rybczynski, MD Personal Data Business Address: Department of Pediatric Rehabilitation 707 North Broadway Kennedy Krieger Institute Baltimore, Maryland, 21205 Tel: 443-923-9440 Fax: 443-923-9445 E-mail: [email protected] Current Appointments 2017-present Assistant Professor, Department of Pediatrics, Johns Hopkins School of Medicine 2008-2017 Instructor, Department of Pediatrics, Johns Hopkins School of Medicine 2008-present Johns Hopkins Hospital – Courtesy Staff 2008-present Kennedy Krieger Institute – Full Time Medical Staff Education and Training 1991 Bachelors of Arts in History. University of Mississippi, Oxford, MS 1995 Doctorate of Medicine. University of Mississippi School of Medicine, Jackson, MS 1995 Internship in Pediatrics. University of Texas Southwestern School of Medicine, Dallas, TX 1996 Residency in Pediatrics. University of Texas Southwestern School of Medicine, Dallas, TX Board Certification Diplomat of the American Board of Pediatrics 1998 with ongoing maintenance of certification Fellow of the American Academy of Pediatrics 1999-present Member, American Academy of Pediatrics Section on Hospital Medicine 2014-present Professional Experience July 1, 1998 to April 1, 1999: Attending Pediatrician, Children’s Medical Center of Dallas, First Care Clinic, Dallas, Texas April 2, 1999 to December 31, 1999: Consultant Paediatrician/Hospitalist, Mersey Community Hospital, Latrobe, Tasmania, Australia March 1, 2000 to June 2006: General Pediatrician Rochester, General Hospital Wayne Medical Group, Sodus, New York July 1, 2006 to February 16, 2007: General Pediatrician, Dr. Robert Miller, MD, FAAP, PA, Waldorf and Leonardtown, Maryland February 17, 2007 to December 31, 2007: Pediatric Hospitalist, Upper Chesapeake Medical Center, Bel Air, Maryland January 2, 2008 to June 30, 2010: Pediatric Hospitalist, Kennedy Krieger Institute, Inpatient Pediatric Rehabilitation Unit, Baltimore, Maryland July 1, 2010 to present: Medical Director, Kennedy Krieger Institute Inpatient Pediatric Rehabilitation Unit, Baltimore, Maryland. January 1, 2014 to present: Director of Medical Staff Office, Kennedy Krieger Institute, Baltimore, Maryland PUBLICATIONS: Original Research 1 DiPietro E, Prestwich S, Swearingen T. Medical Emergency Team: Transitioning from an external response team to an internal response team. Rehabilitation Nursing, 2014; 39, 94-101. [SI/QI] 2 *Rybczynski S, Katz E, Schultz S, Salorio C. Survey of parental acceptance of massage therapy, energy therapy and acupuncture for their children in the acute pediatric inpatient rehabilitation setting. Complementary Therapies in Medicine, 2016; 27, 102-107. Review Articles: 1 Celedon X, Amari A, Ward C, Prestwich S, Slifer K Children and Adolescents with Chronic Pain and Functional Disability: Use of a Behavioral Rehabilitation Approach, Current Physical Medicine and Rehabilitation Reports, 2014; 2, 86–92 2 *Rybczynski S, Dean J, Melicosta M. Pediatric Spinal Cord Injury Due to Acute Flaccid Myelitis: Epidemiology, Clinical Management, and Implications for Rehabilitation, Current Physical Medicine and Rehabilitation Reports, 2017 Book Chapters 1 Mc-Grath-Morrow S, Prestwich S, Chapter 16: Neuromuscular Disorders, Neonatal and Pediatric Respiratory Care: A Patient Case Method; Editor: Julianne Perretta, MSEd, RRT-NPS, 2014 2 Trovato M, Schultz S, Prestwich S, Graham R, Bosques G, Kramer M, Sadowsky C, Pidcock F. Chapter 13: Rehabilitation of a Child with Critical Illness, Rogers Textbook of Pediatric Intensive Care: 6th edition, Editors: Donald H. Shaffner MD, David G. Nichols MD, 2016 Media Releases 1 Wood, M (2018, April 10) Saving Pediatric Pain Patients from the Opioid Epidemic. Retrieved from https://www.beckersspine.com. 2 Children’s Hospital Today (2018, April 11) A Multidisciplinary Approach to Treating Chronic Pain in Pediatric Patients. Retrieved from https://www.childrenshospitals.org. CLINICAL ACTIVITIES Clinical Focus: Medical Director of Inpatient Pediatric Rehabilitation Co-Medical Director of Respiratory Therapy Attending Physician/Pediatric Hospitalist • Attending Physician providing daily medical care and oversight to patients on the pediatric rehabilitation service including management of medically complicated patients, chronic pain rehabilitation patients and spinal cord injury patients. Average patient load 8-10 patients per day. Lead daily medical rounds with medical team and nursing. • Manage referrals to inpatient rehabilitation unit. Direct outreach to other facilities and physicians as needed related to potential patients. Review records of potential patients. In conjunction with nursing staff, therapy staff and care management, plan for safe and appropriate admissions to the unit. • As Medical Director of Respiratory Therapy, provide medical oversight of Respiratory Therapy program on inpatient unit. Implement and review policies and procedures related to respiratory therapy care. • Provide education and leadership to inpatient faculty and staff to facilitate improved patient care including patient safety, satisfaction and outcomes. • Review events in Healthcare Safety Portal (including Peer review) related to inpatient hospital services and facilitate follow up education and/or remediation when necessary. • Collaborate with Outpatient Medical Director regarding management of On Call Physician Staff for inpatient units including hiring of new providers, orientation to inpatient unit, ongoing evaluations and education. Clinical Program Building / Leadership: Pain Rehabilitation Program Leadership: • I am the physician leader the Kennedy Krieger group working with the state of Maryland (through a pending grant) to develop educational resources for healthcare providers in Maryland regarding chronic pain management with the goal of decreasing the risk of opioid addiction in young adults. • I represent Kennedy Krieger’s pain rehabilitation program to the media in order to promote understanding and educate lay people on chronic pain in children and adolescents. In addition to the above listed media releases, I have been interviewed regarding chronic pain on local news and on nationally syndicated radio news shows: “Health Check with Heidi Godman” May 5, 2018, WSRQ-AM Sarasota, FL “Midwest Opinions” June 4, 2018, WMT-AM Cedar Rapids, IA EDUCATIONAL ACTIVITIES Educational Focus As a pediatric hospitalist, I teach medical students, residents and fellows from a broad range of backgrounds (Pediatric Residents, Physical Medicine and Rehabilitation Residents, Spinal Cord Injury Fellows, Neurodevelopmental Disabilities Fellows, Pediatric Rehabilitation Fellow) about the care of medically complex children and young adults who have had acute or chronic neurological disorders in need of rehabilitation. Classroom instruction “How the Complementary and Alternative Medicine Program started and is administered at Kennedy Krieger Institute” Complementary and Alternative Medicine in Health Care (NE.110.495) Johns Hopkins School of Medicine and School of Nursing May 9, 2011 “Pediatric Chronic Pain Management” Physical Medicine and Rehabilitation Residents Didactic Lecture Johns Hopkins School of Medicine June 26, 2018 CME instruction JHMI March 17, 2011 Role/Level Learner: Medical Staff at Kennedy Krieger Institute and Johns Hopkins School of Medicine; ACGME approved CME Title: Kennedy Krieger Institute Grand Rounds: “Review of Complementary and Alternative Medicine (CAM) at Kennedy Krieger Institute: What is the evidence?” Venue: Kennedy Krieger Institute National November 30, 2012 Role/learner level: Pediatric spinal cord injury physicians, nurses and therapists Title: “We Have Snake Eyes”: Identifying the Dual Diagnoses of Ischemic Spinal Cord Injury and Traumatic Brain Injury in the Acute Pediatric Rehabilitation Setting: A Case Report” Venue: Howard H. Steel Pediatric Spinal Cord Injury Conference, Orlando, Florida July 18, 2017 Role/learner level: Presentation to national audience of rehabilitation medicine physicians, nurses and therapists. Title: “Infection Control in Inpatient Pediatric Rehabilitation: Best Practices Based on Interdisciplinary Team Work” Venue: 5th Annual National Summit on Safety and Quality for Rehabilitation Hospitals, Arlington, VA July 18, 2017 Role/learner level: Presentation to national audience of rehabilitation medicine physicians, nurses and therapists. Title: “Implementing Antibiotic Stewardship in the Acute Pediatric Rehabilitation Setting” Venue: 5th Annual National Summit on Safety and Quality for Rehabilitation Hospitals, Arlington, VA International May 11, 2018 Role/learner level: Presentation to international audience of Autism researchers Title: Suicide Screening in Neurodevelopmental and Autism Clinics: Early Data and Implications Venue: International Society for Autism Research Annual Meeting, Rotterdam, Netherlands. Workshops/Seminars: July 19, 2012 Role/learner level: Primary presenter of 2 hour seminar to a national audience of pediatric hospitalists regarding care of medically complex children. Title: Tales from the Rehab Unit: Case studies in the care of medically complex children Venue: Pediatric Hospital Medicine 2012, Cincinnati, OH July 24, 2015 Role/learner level: Sole presenter of 90 minute seminar discussing the care of medically complex children to a national audience of pediatric
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