John Robert Rocchi, M.D.*.480 E. Jefferson St.*.Butler, PA 16001-0531

Heather Ruddock, M.D.3402 W. Penn St.Philadelphia, PA 19129

*.Renee Valach, M.D.3650 Forbes Trail Dr.Murrysville, PA 15668

West Virginia

Paul Sagerman, M.D..P.O. Box 1146Martinsburg, VW\ 25402-1146

.Florida

*.Marc Bedrin, M.D.5314 SW 33 Ave.

*.Ft. Lauderdale, FL 33312

Magdi Emara, M.D.15210 Amberly Dr., #1627Tampa, FL 33647

*.Bethany Gardiner, M.D.*.846 Lake Howell RoadMaitland, FL 32751

Steven Restler, M.D.9120 A-Wiles Rd.Coral Springs, FL 33067

Julia Retureta-Soler, M.D.*.12834 SW 74th Terr.*.Miami, FL33183

..Georgia

*.Karen Broder, M.D.6504 Wedgewood WayTucker, GA 30084

*.Laureen J. Laughnan, M.D.*.1807 Honey Creek Commons,*.SuiteBConyers, GA 30013

Mabel Njoku, M.D.1629 Crittenden Ln.Lawrenceville, GA 30043

*.Atieno Alice Reggy, M.D.531 Forest Parkway, Suite 200Forest Park, GA 30297-2184

.*Kentucky

*.Thomas Zegarski, M.D.923 Augusta Ct.Union, KY41091-8024

Christopher Paul Cooper, M.D.*.Acton Medical Associates, PC321 Main St.Acton, MA 01720

Philip Doherty, M.D.125 Liberty St., Ste. 101

*.Springfield, MA 01 103

Jacqueline Meryl Evans, M.D.*.60 Phyllis Ln.Franklin, MA 02038-2872

;Karen Resnik Godoy, M.D.4 Irving St.Winchester, MA 01890

*.Deborah Louise Marsden, M.D.Lahey Hitchcock Pediatric

*.One Essex Ctr. Dr.Peabody, MA 01960

Kevin P. Moriarty, M.D.125 Liberty St.

*.Springfield, MA 01 103-1 109

Dana Rubin, M.D.38 Boylston Apt #2

*.Jamaica Plains, MA 02130

Colleen E. Ryan, M.D.20 Loeffler Ln.Medfield, MA02052-3144

Ann E. Velie, M.D.15-B S. Commons RoadLincoln, MA 01773

Mark Lawrence Waltzman, M.D.*. 11 Aletha RdNeedham, MA02192

*.Nova Scotia

Alexandra Anne Howlett, M.D.*IWK-Grace Health Centre*.P.O. Box 30705850/5980 University Ave.Halifax, NS B3M 2E4.Canada

Rhode Island

Andrew Mark Snyder, M.D.*.The Kids Health Team, Phys.Office Blda, #230

*. 110 Lockwood Street*.Providence, RI 02903

Uniformed Services-East

Kevin E. Clegg, M.D.PSC 77 Box 4614APO AP, 96325

.*JAPAN

Gregory Milroy, M.D.1071 Biltmore PI.Clarksville, TN 37042

.LindaJones-Hicks, D.O.331 Green Street

*.Edgewater Park, NJ 08010-1729

*.Rita Lin, M.D.*.6 Winthrop Drive*Woodcliff Lake, NJ 07675

*.James Mahon, M.D.*.Pediatric Professional.Associates*.330 Ratzer Rd., Suite D-20Wayne, NJ 07470

Maria Pineda, M.D.20 Diane Dr.

*.Brick, NJ 08724-1187

Racine Beth Zechowy, M.D.*.105 Renaissance DrCherry Hill, NJ 08003-5104

.Pennsylvania

Anthony Dimick, M.D.*.6649.Chrisphalt Dr.*.Bath, PA 18014

*.David Goldberg, M.D.*.206 S. Sixth Ave.*.West Reading, PA 1961 1

Hilary Jones, M.D.111 Evergreen St., #12Ellwood City, PA 161 17

*.Johanna Kelly, M.D.1 80 SummitKittanning, PA 16201-2046

.Wendy Lee, M.D.

.4040 Presidential Blvd, #2222*.Philadelphia, PA 19131-1730

Marisha Agana Lucero, M.D.632 Tara Ct.

*.Pittsburgh, PA 15237

Maria Lourdes Niool Munoz, M.D.*.335 West Oak St*.Titusville, PA 16354

.Karen Pinsky, M.D.CHOP ConnectionThe Chester County Hospital.701 E. Marshall St.West Chester, PA 19380

*.LesterT. Proctor, M.D.Milton S. Hershey Med. Ct

*.Dept. Of Anesthesiology*Rm. 62830, P. O. Box 850Hershey, PA 17033-0850

*.Kathleen Reeves, M.D.Crozer-Chester Medical Center

*.One Medical Center Blvd.Suite 402

*.Upland, PA 19013-3995

Dear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to:Carefully review the following list of new applicants for Academy membership; and relay your reactionsdirectly to your District Chairperson, whose name and address is at the end of this list.

In submitting these names of board-certified pediatricians to you, it is understood that academic and pedi-atric credentials are not in question. Comments are requested concerning possible legal and/or ethicalsituations of which you might have personal knowledge.Send any comments on the following list of new applicants to your Distnct Chairperson byJanuary 15.

Susan Mary Stuart, D.O.267 Worden St.Portsmouth, RI 02871-6214

Elizabeth Hailu, M.D.Apt. 11-G3103 Fairfield Ave.Bronx, NY 10463

Neal Hoffman, M.D.Montefiore Medical CenterDiv. of Adolescent Medicine111 E. 21Oth St.Bronx, NY 10467-2490

Jessica J. Kandel, M.D.Babies Hospital214 N. 3959 BroadwayNewYork,NY10032

Shantanu Rastogi, M.D.3935 Blackstone Ave., #9ARiverdale, NY 10471

Kim Rutherford, M.D.250 W. 78th St., #3-CFNew York, NY 10024-6519

Ellen Sandoval, M.D.299 Crane Rd.Carmel, NY 10512

Thomas Berger, M.D.Kinderspital LuzernNeonatal and PediatricIntensive CareLuzern, CH-6000Switzerland

Susan S. Chiu, M.D.Queen Mary HospitalDept. of PediatricsPokfulam, SAR,Hong Kong

Venkataraman Krishnan, M.D.D 659 Lake GardensCalcutta, 700045India

Shimshon P.O.rat, M.D.47 Jerusalem St., Apt. 6Kfar Saba, 44369Israel

Virgilio Gilbert Saldajeno, M.D.Critical Care University ofFlorida Health/Jacksonville7707 N.T. Garcia St.Paranaque City, Metro Manila,Philippines

New York 1

Tyrone G. Bristol, M.D.151 B. Eagle StAlbany, NY 12202

Roberta Chao, M.D.15 Dutch Village, Apt.1AAlbany, NY 12204

James Gilbert, M.D.Children's Hospital of Buffalo219 Bryant St.Buffalo, NY 14222

Kristina Hingre, M.D.3441 Mellenbrook Ct.Baldwinsville, NY 13027

New York 2

Bindu Bennuri, M.D.144 Evans Ave.Elmont, NY 11003

Thomas K. Lee, M.D.Bsk Pediatric Surgical As1300 Union TurnpikeNew Hyde Pk., NY 1 1040

Sylvia Lim, M.D.32-71 46th St.Long Island City, NY 1 1 103

Yei Hwei Lin, M.D.1 10-17 70th Rd.Forest Hills, NY 11375

Patricia Marie Mullings, M.D.2081 Schenectady Ave.Brooklyn, NY 11234

Stella Ocampo, M.D.254-59 75th Ave. #1Glen Oaks, NY 1 1004-1 107

Bolanle Olajide, M.D.753 Classon Ave., #3DBrooklyn, NY 11238

Margaret Parker, M.D.Dept. of PediatricsSUNY at Stony BrookStony Brook, NY 1 1794-81 1 1

Anup Singh, M.D.450 Clarkson Ave., Box 49Brooklyn, NY 11203

New York 3

Frank Duff, M.D.445W. 23rd St.,#15ENew York, NY 1001 1

1_.1 ="d I

.go ol

-m I b_L1: 3t

0 1

Di P- Ia. m&N.,Delaware

Jamie Mc Elrath, M.D.713 Port Penn Rd.Middleton, DE 19709

Maryland

Matthew Bruce Picard, M.D.Div. of Neonatology1500 Forest Glen Rd.Silver Spring, M.D. 20910

Josephine Vergara, M.D.10705 Bailey Dr.Cheltenham, M.D. 20623

Patience A. Williams, M.D.1600 Angelwing Dr.Silver Spring, M.D. 20904

New Jersey

Sarwat Azhar, M.D.309 Woodbridge ComnmonsWayIselin, NJ 08830

Bebi Bacchus, M.D.286 Willits WayGlen Mills, PA 19342

Dalya Chefitz, M.D.1 1 Perry RoadEdison, NJ 08817-2967

Luis Garay, M.D.32 HornblowerAve., 2nd Fl.Belleville, NJ 07109

Connecticut

Diana Lebron, M.D.50 Pemberwick Rd., Apt 2Greenwich, CT 06830

Marc Legris, M.D.25 Mine Hall Rd.New Milford, CT 06776-3936

Nicholas Peter Mongillo, M.D.7365 Main St.Stratford, CT 06497

Maine

Jonathn T. Fanburg, M.D., M.PH.P.O. Box 290Surry, ME 04684

Adnan Youssef, M.D.193 Main St., Suite 9Norway, ME 04268

Massachusetts

Lisa Albers, M.D., M.P.H.51 Anderson St., #3Boston, MA 021 14-3656

Samuel Borden, M.D.43 Thorndyke St.Springfield, MA 01 1 18-21 17

Elizabeth Calmar, M.D.24 Lovers LaneSouth Borough, MA 01772

34 AASPNX</ December 1998

7) iF iF i,j {D{g

Texas

OmarAbuzaitoun, M.D.6621 Fannin St. MC1-3291Houston, TX 77030-2399

Miriam Bauer, M.D.1 6642 WorthingtonSan Antonio, TX 78248

Adrienne Wallace Carmack, M.D.9155 Ridge PostSan Antonio, TX 78250

Diane Garza, M.D.10203 Colonial Club Dr.Austin, TX 78747

Elizabeth Gordon, M.D.1488 Old Creek Dr.Tyler, TX 75703

Juan Jasso-Magdaleno, M.D.6900 N. 10Oth St., Suite10McAllen, TX 78504

Lori Johnson, M.D., Ph.D.4226 Tall Elm WoodsSan Antonio, TX 78249

Shakila Khan, M.D.6621 Fannin St., MC 3-3320Houston, TX 77030

Danny Kim, M.D.4595 W. Spring Creek Pkwy.,#3221Plano, TX 75024

Jaime Medrano, M.D.604 Bluebird Ave.McAllen, TX 78504

Mousumi Moulik, M.D.5525 N. Stanton St., #31-BEl Paso, TX 79912

Nancy Ting Ngo, M.D.2141 4th St.Port Neches, TX 77651

Jeffrey Robert Warman, M.D.4499 Medicine Dr., Ste. 235San Antonio, TX 78229

May HazelZamu-aw0B, M.D.5510 N. 15th St., #5McAllen, TX 78504

.Arizona

Harry Broome, Jr, M.D...4700 N. 51 st Ave., Ste. 4Phoenix, AZ 85031

Janelle Brown, M.D.P.O. Box 2348Whiteriver, AZ 85941

*Robert Hom, M.D.630 Alvernon Way

*.P.O. Box 12650Tucson, AZ 85732

tI_i :\- 7r , ,-\L-.) /---,&,-\ zJ,--

_flR^l;4C_~~~~~~~~~~~~~~~~~~~--mo _..ai

North Carolina

Keith Lawrence Hassan, M.D.4109 High Mountain Dr.Raleigh, NC 27603

James Kurz, Jr, M.D.New Hanover Com. Health Ctr.925 N. 4th St.Wilmington, NC 28401

Veresa Troutman Myers, M.D.80 Laurel Dr.Brevard, NC 28712

Sharon Sevilla, M.D.24 Kateler PlaceLouisburg, NC 27549

Siegfried Chang-Rong Yeh, M.D.2706 Medical Office PlazaWayne Memorial Dr.Goldsboro, NC 27534-8659

South Carolina

Rebecca S. Eglen, M.D.4 Bay CourtIsle of Palms, SC 29451

Reynald Garma, M.D.Rt. 4 Cypress Pointe, Box 31Manning, SC 29102

Christine Sellers, M.D.415 Pine StreetCamden, SC 29020

Tennessee

Amy Elizabeth Bentley, M.D.924 Ashbrooke Way #1025Knoxville, TN 37923

Ronald Ford, M.D.630 Riverbend Rd.Clinton, TN 37716-3413

Virginia

Teresa Fahrney Clawson, M.D.173 Masterpiece Ln.Winchester, VA 22602-2125

Elizabeth Dillman, M.D.1 16 Manassas LoopYorktown, VA 23693-2738

Susan Gawalt, M.D.1002-C Amherst St.Winchester, VA 22601

Gebrehiwot Gebru, M.D.Apt. 20411605 Waterview Dr.Chester, VA 23831

Clifton Lee, M.D.4831 Lippingham Dr.Chester, VA 23831

Vishwanath Prabhu, M.D.8910 Lake Braddock Dr.Burke, VA 22044

Ohio

Julie Dunlea, M.D.1310 Hill Rd. N.Pickerington, OH 43147

Brenda Hartley, M.D.2121 Hughes Dr., Suite 300Toledo, OH 43606

Michelle Mc Milian, M.D.33001 Solon Rd., Rm. 206Solon, OH 44139

Julie Miller, D.O.5750 W. Erie Rd.Ottawa Lake, MI 49267-9726

John Mitchiner, M.D.1602 NinelIron Dr.Akron, OH 44312-5829

Willie A. Ng, M.D.3330 Erie Ave.Cincinnati, OH 45208-1656

Michael Dennis Patrick, M.D.6270 Riverstone Dr.Columbus, OH 43228

Anthony Stallion, M.D.Rainbow Babies& Children HospitalSte. 122Cleveland, OH 44106

Ontario

Tan uja Kodeeswaran , M.D.#1 60177 Gerrard St., WestToronto, ON M5G 2A1Canada

Shirley M. Sit, M.D.Unit 1 108744 Wonderland Rd., S.London, ON N6K 4K3Canada

Anthony Mancini, M.D.Children's Memorial Hospital *2300 Children's Plaza, #107Chicago, IL 60614

Shanti Nair, M.D.8909 Brandon Rd.Darien, IL 60561

David Oppenheim, M.D.211 E. Ohio Ave. #1814Chicago, IL 60611

Michelle Reinstein, M.D.2290 Madiera Ln.Buffalo Grove, IL 60089

Zeba Shakir, M.D.17851 Brookfield CircleOrland Park, IL 60462

Humberto Soriano, M.D.Children's Memorial HospitalGastro. Hepatologyand Nutrition Section2300 Children's Plaza Box 57Chicago,IL60614

Lisa Tybor-Jaraczewski, M.D.633 Plymouth Ct.Gurnee, IL 60031-3229

SamirWassef, M.D.1 1786 Lighthouse Ln.Palos Heights, IL 60463

Mark Weiss, M.D.Oakbrook Terrace Medical Ctr.1 S. 224 Summit Ave.Suite 304Oakbrook Terrace, IL 60181

Kirsten E. Zeitler, M.D.140 S. Hawthorne Ave.Elmhurst, IL 60126

Minnesota

Timothy John Probst, M.D.1158 - 141st Ln., NWAndover, MN 55304-8454

Missouri

Gary Gottesman, M.D.Division of Medical Genetics1465 S. Grand Blvd.St. Louis, MO 63104

Charles A. Kline, D.O.RR 4, Box 152

*.Kirksville, MO 63501

*.Jennifer Ladage, M.D.*.4610 Don Ron Dr.St. Louis, MO 63123-5732

..Melissa Lemp, D.O.*.6327 DevonshireSt. Louis, MO 63109-2216

*.Leonard Pittala, D.O.*.2700 Clay Edwards Dr.North Kansas City, MO 641 16

Nebraska

Casey Ellen Drake, M.D.601 North 30th Steet,Ste. 6820Omaha, NE 68131

Paige L GroppeGiselmann, M.D.2539 E. 21st St.Fremont, NE 68025-2892

Wisconsin

Robert Perzigian, D.O.P.O. Box 342945 N. 1 2th St.Milwaukee, WI 53201-0342

1__.-v4 _u Ei4k kd,I

Indiana

Lanette C. Brown-Jones, M.D.6717 Silver Tree DriveIndianapolis, IN 46236-3820

Robert J. Havlik, M.D.Riley 2514702 Barnhill Dr.Indianapolis, IN 46202

lmtnHinasedtKsh, M.D.5870 Forest Ln.Indianapolis, IN 46220-2673

Andrew Landrigan, M.D.7910 W. Jefferson Ste. 201Fort Wayne, IN 46804

Jay P. Schwartz, M.D.Hendricks Pediatrics8244 E US Hwy. 36Suite 100Avon, IN 46168

Charles J. Sprague, M.D.3506 S. La FountainKokomo, IN 46902-9598

Michigan

AshrafM. Aly, M.D., Ph.D.208 Romain Road, Apt. 203Caro, MI 48726

Laura Clark, M.D.2008 NorwoodGrosse Pointe Woods, Ml 48236

John Frohna, M.D.Univ. of MichiganDept. of Internal Medicine4260 Plymouth Rd.Ann Arbor, MI 48109

Charles Goddard, M.D.7722 Stout St.Grosse Ile, MI 48138

Shakeela Mirza, M.D.1916 Prestwick Rd.Grosse Pointe Woods, MI 48236

Mary Ording, M.D.3639 W. Howell Rd.Mason, Ml 48854

Kelly A. Orringer, M.D.*.2130 Ardenne Dr.Ann Arbor, MI 48105

Jayashree Rao, M.D.508 Georgian Ct.Troy, MI 48098

Lora Rodriguez, M.OD.9088 Silver Pine Dr.

*.South Lyon, MI 48178

Alabama

David Atchley, M.D.4200 Ashington Dr.Birmingham, AL 35242

Joseph Jolly, M.D.231 1 Russet Meadows Terr.Birmingham, AL 35244

Louisiana

Marilyn Grisham Bivens, M.D.1033 Garland Gin Rd.Downsville, LA 71234

John D'Antoni, M.D.323 E. William DavidMetairie, LA 70005

Michelle Flechas, MA.D.9191 Bluebonnet Blvd.Baton Rouge, LA 70810

William Andrew Loe, Jr., M.D.200 Henry Clay Ave.New Orleans, LA 701 15

Cynthia Rome, M.D.6544 Louisville St.New Orleans, LA 70124-3224

Mississippi

Anthony Adeosun, MBBS455 Eastwvood St.Meridian, MS 39305

Kola Ologunja, M.D.4501 Highway 39 N. #11 CMeridian, MS 39301

Patricia Alum Tibbs, M.D.2717 Old Amy Rd.Laurel, MS 39440

*.Oklahoma

*.Martha Barrera Arambula, M.D.*.6601 NW 1 35th St.*.Oklahoma City, OK 73142-5904

Illinois

Patrick Almond, M.D.Children's Memorial Hospital2300 Children's Plaza, Box 63Chicago, IL 60614

Hannah S. Chow, M.D.7251 Randolph St., Apt. #6DForest Park, IL 60130-1332

Lance Cordoni, M.D.St. Francis Med. Ctr.530 NE Glen Oak Ave.Peoria, IL 61637

Nancy La Mear, M.D.1S240 Addison Ave.Lombard, IL 60148-4188

December 1998 AAP 6ttVS35

GO7~~~ m

mmmmppppl-

Kolleen Dillard, M.D.I39930 Golfers Dr.*Palmdale, CA 93551

*.Kimberly Klausner, M.D.11908 Dorothy St. #108

*. Los Angeles, CA 90049

J. Duncan Phillips, M.D.Children's Hospital Of La

*.Dept. Of Surgery4650 Sunset Blvd.

*. Los Angeles, CA 90027

YolandaYvette Quam, M.D.6003 Kylie Ct.Chino Hills, CA 91709

Bonnie R. Rachman, M.D.*. 11413 EtiwandaAve.Northridge, CA 91326-2013

ITammy September Chi, M.D.Los Robles Ped Med Group, Inc.227 W. Janss Rd., Suite 220Tliand Oaks, CA91360-1885

Lance M. Siegel, M.D.*.1310 Esplanade, #305 SouthRedondo Beach, CA 90277

*.NailaTariq, M.D.I2729 W. 235th St. #A

*. Torrance, CA 90505-4256

I Califomia 3

*.BinaAdigopula, M.D.Building 1, Ste. 210

..5565 Grossmont Center*.La Mesa, CA 91942

Graham Bernstein, M.D.3020 Children's Way, MC 5008

ISan Diego, CA 92123-4282

David B. Granet, M.D.*. Ucsd Shiley Eye Ctr.9415 Campus Point Dr.La Jolla, CA 92093-0946

ICindy Greenberg, M.D..2210Mesa Dr.Oceanside, CA92122

I

Washington

Anne Garvey, M.D.911 S.32ndAve.Yakima, WA 98902-4023

Katherine F. Mc Gowan, M.D.5829 NE 75th St., #329Seattle, WA 98115

Maria Stanley, M.D.4912 3rd Ave. NWSeattle, WA 98117

Califomia 4

Ronald Bronicki, M.D.1534 Skyline Dr.Laguna Beach, CA 92651

Odochi Nwagwu, M.D.25104 Palm Dr.Loma Linda, CA 92354-1477I

Stuart Pearlman, M.D.320 Dardanelli Lane, Ste. 16Los Gatos, CA 95032

DISTRICT I

Eileen M. Ouellette, M.D., J.D.Pediatric NeurologyNorth Shore Children's Hospital57 Highland Ave.Salem, AAA 01970

DISTRICr II

Louis Z. Cooper, M.D.Department of PediatricsColumbia UniversityRoom BHS 114630 W. 168th St.NewYork,NY 10032

DISTRICT III

ISusan S. Aronson, M.D.605 Moreno Rd.INarbeth, PA 19072-1618

IDISTRICT IV

IE. Stephen Edwards, M.D.2800 Blue Ridge Blvd.

ISuite 501Raleigh, NC 27607-6496

DISTRICT V

Stanford A. Singer, M.D.36700 Woodward Ave.

ISuite 300*.Bbornfield Hills, MI 48304-00

Ronald Matthew Serbin, M.D.8115 N 1 8th Street, #236Phoenix, AZ 85023

Deborah Tom, M.D.Neonatology Associates300 West Clarendon, Ste. 375Phoenix, AZ 85013

MonicaVakdes-De La Cruz, M.D.12460 N. WayfarerWayOro Valley, AZ 85737-8968

Colorado

John Craig Bosley, M.D.8200 E. Belleview, Ste. 204Englewood, CO 80111

Laura Ramsey, M.D.c/o Westside Family Health Ctr.Dept. of PediatncsDenver, CO 80204.

RitaThieme, M.D.9184 S. Roadrunner St.Highland Ranch, CO 80126

Hawaii

Corinne Chan-Nishina, M.D.46-321 Nahewai St.Kaneohe, HI 96744

Amy Ebisutani Tamashiro, M.D.550 S. Beretania St.Honolulu, HI 96813

Idaho

Lloyd R. Jensen, M.D.Pocatello Children andAdolescent Clinic500 S. 11th Ave., Box 4730Pocatello, ID 83205

Nevada

Kathleen A. Chsboxn, M.D.5700 TannerwoodReno, NV 89511-9029

Jane Hadley-Smith, M.D.2575 North 5th St.Elko, NV 89801

Syed Anwar Kamal, M.D.P.O. Box 368Caliente, NV 89008-0368

Stanley Benjamin Wright, M.D.700 Shadow Lane, Ste 160Las Vegas, NV 89106

New Mexico

Sandy Jun, M.D.1018 Tramway Ln., NEAlbuquerque, NM 87122-1317I

Marsha Thompson, M.D.3212 Calle de Laura, NWAlbuquerque, NM 87104-3004

Felipe Zanghellini, M.D.3017 Alhambra Dr.Roswell, NM 88201

Oregon

Ann Haugen, M.D.La Grande Pediatrics Clinic612 Sunset Dr.La Grande, OR 97850

Steven Robert Kaufman, D.O.18676 Willamette Dr.Suite 301West Linn, OR 97068-1718

Unifornned Services-West

Karie Faye Anderson, M.D.2409 Worden St.San Diego, CA 92110

Joel W. Steelman, M.D.1972 Timberline Dr.Colorado Springs, CO 80920

Derek Wheeler, M.D.USNH GuamPSC 490 Box 221FPO, AP 96538-1600

Utah

IRebecka Meyers, M.D.Div. of Peds. SurgeryI100 N. Medical Dr., Ste. 2600ISalt Lake City, UT 84113-1100

DISTRICT VIOrdean L. Torstenson, M.D.Dean Medical Center, SC1313 Fish Hatchery Rd.Madison, WI 53715-1911

DISTRICT Vll

L. Leighton Hill, M.D.Office of AdmissionsBaylor College of MedicineOne Baylor PlazaHouston, TX 77030DISTRICT Vill

Jon R. Almquist, M.D.Virginia Mason Medical CenterDepartment of Pediatrics33501 First Way SouthFederal Way, WA 98003-6208

DISTRICT IX

Lucy S. Crain, M.D., M.P.H.UCSF Box 0374400 Pamassus Ave.San Francisco, CA 94143-0374

AmericanAcademy ofPediatrics

Califomia 1

Fareeda Adeeb, M.D.2030 Forest Ave. Ste. 1 10San Jose, CA 95128

Bryan J. Drucker, M.D.Pediatric Associates250 Blossom Hill Rd.Los Gatos, CA 95032

Diana Farmer, M.D.Fetal Treatment Ctr.,Dept. of Ped. SurgeyUniv. of CA San Francisco513 PanasAve, Rm.1601 HSWSan Francisco, CA 94143-0570

Jennifer Skillman, M.D.Ste. 2051720 El Camino RealBurlingame, CA 94010

Andrew Turk, M.D.NC104, Stanford UniversityMedical CenterDiv. of PI. & Recons. Sgy.Stanford, CA 94305

Elizabeth Zimmerman, M.D.475 Alvarado, #2San Francisco, CA 94114

Califomia 2

Aninda Das, M.D.4646 Los Feliz Blvd. #310Los Angeles, CA 90027-2029

36 AAP News December 1998

(.d. ;3 1 1 9)wwlwwow.

EAcH PROGRAM CONSISTS OF IWO CASSETTES, $22,UNLESS OTHERWISE NOTED

FRIDAY, OCTOBER 160AAPS170 (H70S)SectiononSurgery-Pediatric

Oticology Group Cfiilaren's CancerroupCuffent Therapy and Results inPediatric LymphomaSurgical Issues in Manalernent ofLymphorna of the MediastinumSurgical Issues in Managenient ofLymphoma of the AbdoinenS ical Coinplications in AcuteL emia

SVURDAY, OCTOBER 1 7ELtAP &171 (HI22) Section on School Health and

the Ccxnmittee on School HealthThe Pediatrician and the School:Are You Involved?. School Health 101: What is SchoolHealth and How Do I Get Involved?

. School Health 201 Now That I'mInvolved, How Do I Use My Time?

. School Health 301: Advanced SchoolHealth

.Discussion and Questions13AAP 8 1 72 (H 1 16) Resident Section3 "a., $33 o Keynote Address; Residents as

Advocates Learning to Help Childreninto the 2 1 st Century

. Question-and-AnswerSession

. Speeches and Election for NationalOfficers

GAAP 8 173 AM Diatogue Session: Leplixation andI cms., si I Medical Use of filepi Dfup

Decriminalization and Leplization:Where the Nation Stands

OAAP $174 (SI04) Getting Involved in CommunityHealth Through Public Policy

13AAP 6 175 (SIOS) Diabetes Mellitus: The Future isNow

EIAAP 8 176 (S106) Indications for Cosmetic FacialSurgery in Adolescents

CLkAP 8 1 77 (H I I8) Section on Perinatal Ptdiatrics(Combined Session with the Sectionon Surgery)

GAAP $200 (S331) Mentoring: A How-to Guideand Ways to Find a Mentor

OAAP $201 (S337) Recent Advances in InfectiousDiseases and Antimicrobial Therapy

13AAP $202 (S338) New Developments inImmunology

ELkAP $203 (F34&/F349) Case StudiesI cau., $11 Managing Headaches in ChildrenOAAP $204 (F350) FISHing for Answers: NewI cass., $11 Genetic Technologies and Common

DisordersDA.AP 8205 (F35 I/F352) Update on AmericanI cass., $11 Heart Au"iation GuidelinesOAAP $206 (F354) Down Syndrome: AI cdss., $11 Practitioner's Guide to Medical and

Preventive CareOAAP $207 (F355) Office Managtment of BumsI Cass., $1113AAP $208 (F356) An Update on ScoliosisI can., $11

TuEsDAY, OCTOBER20GAAP3209 AMPlenarySessionI cgss., $11 aFetoscopy

. Minimally lnvasive Surgery in theNewborn

.Newborn Screenin; for CysticFibrosis: Has the Time Come?

.History of NeonatolW.Pediatrics in San Francisco

13AAPA210 (S401) Evaluation and Managementof Neonatal and InfantileMusculoskeletal Probitms

OAAP $211 (S402) ADHD: Guidelints for OfficePractice

OAAP $212 (S403) Birthmarks: Where Do WeStand?

13AAP 8213 .S404) Asthnia ManagementOAAP 82141 Ca".. $11 r the

GAAP 8215 ssaultI and HIV: to G HIV

ProphylaxisOAAP 8216 (F422) The Role of Home HealthI cdu.. $11 Care in Asthma ManagementOAAPU 17 (F425/F426) Bask EKGI can.. $11 lnterpmutionGAAP$219 (F423) New Applications forI cms., $11 Pediatric lmaging- How It Can Help

Your Practice

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FebruaryAdolescent Medicine Seminar- (Seventh Annual Lloyd Noland), at theBuena Vista Palace, Wait Disney Wodd, Fla., Feb. 3-6, 1999. Faculty: Drs.Joffe, Micheii, Schonberg, Slap and Strasburger. Call, fax or write: GeorgeM. Converse 111, M.D., FAAP, Department of Medical Education, LloydNoland Foundation, P.O. Box 925, Fairfield, AL 35064-0925; (205) 783-5276 (voice and fax).

Pediatric Potpourri.: State of the Art 1999 - Maui, Hawaii Feb.13-19, 1999. Sponsored by University Children's Medical Group andCalifornia Chapter 2 AAP. Contact: Laura Thomas, 6430 Sunset Blvd.,Suite 600, Los Angeles, CA 90028. Phone (800) 3-KID-CME, e-mailIthomas.chlais.usc.edu, web: www.ucmg.org.

9th Dartmouth Waterville Conference- Waterville Valley, N. H. Feb.25-28, 1999. Sponsored by Children's Hospital at Dartmouth and theAmerican Academy of Pediatrics. Contact: ConferenceManagement Associates, 45 Lyme Road, Suite 304, Hanover, NH 03755,(603) 643-2325, fax (603) 643-1444, e-mail: cb4cma.aol.com.

Mamh

Pediatrics Seminar "Advances & Changing Trends"- (Tenth Annual LloydNoland), at the Buena Vista Palace, Walt Disney WoHd, Fla., March 17-20,1999. Faculty: Drs. Balistred, Hansen, Rosman, Rupp and Shaw. Call, fax or

write: George M. Converse 111, M.D., FAAP, Department of MedicalEducation, Lloyd Noland Foundation, P.O. Box 925, Fairfield, AL 35064-0925; (205) 783-5276 (voice and fax).

CARD # EXPIRATION DATE

SIGNATURE

NAME

ORGANIZATION

ADDRESS (NO PO BOXES)

CITY, STATE, ZIP

tWILTIrli

Califomia

BC/BE pediatrician required for rural Southern Califomia County -Competibve salary package. Send resume to Box #1 2981, AAP News, 141Northwest Point Blvd., Elk Grove Village, IL 60007.

Colomdo

Nonprofit pediabic dinic serving indigent population- seeks BC/BE pedi-atddan for full-bme posibon. 403 (b) and pension plan. College town in thefoothills of the Front Range. Contact Jeremy Erdley, M.D., 400 Remington,Fort Collins, CO 80524, fax (970) 484-8891.

Florida

The Department of Pediatdcs, University of Flodda Health Science Center- Jacksonville, is seeking 2 BC/BE pediatricians to join the Division ofGeneral Pediatrics in a unique network of urban pediatric practices jointlysponsored by the University and Department of Health. Offices are man-

aged as "private practices" and provide comprehensive care as well as

teaching and research. Pediatricians with expertise in chronic disease man-agement, adolescent or behavioral pediatrics, and those with generalpediatrics fellowship training are encouraged to apply. Jacksonville islocated in the warmth and beauty of North Flodda on the St. Johns Riverand the Atlantic Ocean. Faculty receive excellent benefits and salary. Theseare nontenure, clinical track appointments at the level of clinical instruc-tor/clinical assistant professor/clinical associate professor. Applicationdeadline is March 30, 1999 with an anbcipated start date of June 1, 1999.Forward letter of intent, curriculum vitae and the names and addresses ofthree references to: James Gentry, M.D., Chairman, Code Page Search

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April19th Annual National Pediatric Infectious Disease Seminar- Apdl 7-1 0,1999, Hyaft Regency Hotel, San Diego, Calif. The seminar is joinfly spon-sored by the University of Texas Southwestern Medical Center at Dallas,Texas, the accrediting institution, and the National Pediatdc InfectiousDiseases Foundabon. CME/AAP credit offered. For information, you mayconsult the Web Site: http://www.cwiweb.com/npids or call (214) 648-2166; fax (214) 648-2317.

Pediabics Update -(Sixth Annual Lloyd Noland) Hilton Head Island, S.C.,April 21-24, 1999. Faculty: Drs. Busch, Cofton, Gartner, Stein andTunnessen. Call, fax or write: George M. Converse III, M.D., FAAP,Department of Medical Educabon, Lloyd Noland Foundabon, PO. Box 925,Fairfield, AL 35064-0925, (205) 783-5276 (voice & fax).

1999 Pediabic Update For The Primary Care Physidan - Apdl 30 May 1(the last weekend of the internationally acclaimed "Jazz & HeritageFesbval"), New Odeans, La. Presented by Tulane University Medical Centerand Ochsner Medical Institutions. Contact: TUMCs Center for ContinuingEducabon, (504) 588-5466 or (800) 588-5300; fax (504) 584-1779, e-mail:cme.mailhost.tcs.tulane.edu.

May"Management of Common Pediatric Problems" May 20 22,1999, Inn at Loretto, Santa Fe, New Mexico. Featured speakers:Ronald Hansen, MD, Dermatology; David Skaggs, MD, PediatricOrthopaedics; Gary Overturf, MD, Infectious Disease; VictorStrasburger, MD, children and the Media. Contact UNM Office ofContnuing Medical Educaton, Campus Box 713, Albuquerque, NM87131-5126, Phone (505) 272-3942, Fax (505) 272-8604.

OAAPSISS 0248) Treatment for SubstanceAbuse: It's About More ThanBlunts,'Shrooms, and Ecstasy

OAAP 9 199 PM Dialogue Session: Hot or Not?Evaluation of Abdominal Pain inChildren and Adolescents

CLAAP A 190 (S23,6) Resident Education in a

Community SettingEIAAP 3191 7) Introduction to ImmunologyOAAP$192 9) Adoption Today: lntemational

Domestic Issues for the PracticingPediauician

MONDAY, OcTosER 19CIA,AP 8244 (H320) Section on Spons MedicineI can., $11 Breakfast: Evaluation of the Acutely

Injured AnkleGAAP 8245 (ID20) Section on Spons MedicineI cda., $11 Breakfast: Prepanipation Physical Exam

19"ELkAP $193 (H321) Dennatology Breakfast I -I cau.. $11 Potpourri of Pediatric Dtrmatology13AAP 8194 (HU22) Dermatology Breakfast 11I can., $11 Potpourri of Pediatric DermatologyCLk" 3195 A

Zanpnoy

ry re t Cs the2luCentuuThe Role of the Ptdiatrkian inViolence Prevention

C1A,AP 3 196 (S301) A Case-Based Approach toCommon Cardiology ProblemsEncountered in the Office

0AAP6242 (S304) Adolescent GynecologyClA,AP 8197 PM Plenary Seuion

Opening RtmarksRSV Prevention: An UpdatePacemakers and ImplantableDefibrillators: Evolving Technologyand Indications for Use in PediatricPatienuMarfan Syndroine: Advances inDiagnosis, Etiology, and ManagementSmoking Intervention: ETS an-Othtr Issues

OAAP 8 198 (S333) Case-Based Problems in theNewbom Nursery

DAAP31199 (S334) Clinical Challenges in OfficeBased Behavioral and DevelopmentalPediatrics

OAAP $229 (S501) Office Approach to CoinmonHematologic Problems

CAAP 9230 (SS02) Chronic Condition Manage-ment in Primary Care: Coordina-tion is the Key

13AAP $243 (SS04) An Approach to InfectiousArthritis

OAAP $231 (FS14)What Every PediatricianI Should Know About Abdominal

Wall and Inguinal HemiasOAAP 8232 CFSIS) Case Studies EarlyI Discharge and Neonatal Jaundice:

The Pediatrician's NeinesisOAAP $233 (FS 16) Kawanki's Disease UpdateI can., $11E3AAP $234 (FS 17) How Do You Mea3ureI Quality? Pmctical Tools for the

Practicing PhysicianOAAP 8235 (FS20/FS21) Management ofI cau.. $11 Anorexia and Bulimia in AdolescenuDAAP8236 (F518) Choosing First Line TherapyI CASS.. $11 for AsthmaOAAP $237 (FS19) Case Studies Doping inI can., $11 Sports: The Pediatric PerspectiveOAAP $239 PM Pitnary SessionI cau.. $11 9 Opening Remarks

. Perinatal Tranunission of HIV: AnUpdate

. Current Strategies for Anti-Retroviral Therapy of HIVInfection in Children

. Inhaled Influenza Cold UpdateVaccint

. Succ roach to Chronic/Stv in Inner City

Chgdrtn[3AAP 8239 (SS43) The Child With C u IhOAAP$240 (IF529)SortingOutElbo:lraumaI cgu., $11OAAP $241 (F530) What Mendel Didn't Know:I cau., $11 Non-Traditional lahtritanct

BEcAusE YOU CANtBEEvERYwHEp.E ... TAKE THisMEETING ROME WITH YOUONAVD10 CASSE77E.

AMERicAN AcADEMYOF PEDIATRICS

cll.

ANNUALMEETINGOctober 17 - 21Son Francisco. CA

.Respiratory Sup on of theNewbom with EngenitalDisphragmtic Hemia

.Pain in the Neonateand the

Short Gut SyndromeNutritional Support of NeonatalPatienuSpecial Prmntation: The Second25 Yean of the Section on Surgery

CIJALAP $178 PM Dialogue Session: Managementof the FebrOe Infant with No Focusof ldection

QAAP I179 (S133) Breastfeeding 201: Beyond theBasics

CIAAP I 180 (SI35) What's New in Coding: CPTand ICD-9-CM in 1999

CIA&AP &III (HI41) Section an Chdd Abuse andNeeca and the Committee on ChildAbuse and Neeect The Au PairTrial in Perspective: An Analysis ofForensic Evkkwe in Shaken BabySyndrome

SUNDAY, OCTOUR 18CIA.AP8182 0=)SectiononOnhopaedicsI cass.. $11 Keynote: Limb Salvage Technol-

oU tor the Treatment of High.Gnde Sarcomas of the ExtremitiesOk-jab,wom MD)

ELkAP 8183 M Dialogue Seuion: AnaphylaxisClinical Presentations of

ing

CLAAP 8 184 (S20 t CommonChg Injuries: Keep It inYou

OAAP 3 185 (S203) Advances in the Diagnosis,Prevention, and Treatment ofPediatric HIV Infection

GAAPSI" (S204) Approach to the Diagnosis3 cda., $33 and Treatment of Juvenile

Rheumatoid ArthritisOAAP $187 (15206) Neonatal Nutrition

OAAP $219 (F424) lntersex: Controversies inI can.. $11 Present Day ManagementOAAP $220 (H431) Section on Community

Pediatrics, the Section on Epidemiol-ogy, and the Provisional Section onMed-Peds Effective CME.Stewarding Your Resources

0AAP322I PM Plenary SeuionOpening RemarksHome Technologies for the

Disabled Chad- Athletes with Physical Disabilities:Peads for the Practitioner. Performance Enhancing Drugs andSupplemeau

. The Incarcerated Tetn: A HealthCare Crisis

. Growing Up in America: AreAdoltscent Girls Worse Off ThanBoys?

. Pediatric Assessment of Acute Kneelnwws

OAAP $222 (S435) ABCs of Difficult Devel?pment:Autism, Behavior, and Convulsions

CLkAP $223 (S437) Imaging Assessment of SurgicAlvemis Non-Surgical Disease of theChest and Abdomen

CLkAP 8224 (S439) What's New and ControN ersialin Pediatric Urology

EMAP 8225 (F445) Dentistry for the Pediatrician1 C4".. $11E3AAP $226 (F44I/F449) Pediatric Telephont Care.I cm., $11 Vint Do You Need to Know in

Practice- An OverviewOAAPU27 r45O) Cuffent Treatment ApproachesI can., $11 or Exercise Induced Asthma

WEDNESMY. OCTOISER 21EIAAP 8228 AM Plenary Session

Opent RemarksEthicsnJ CapitationHemangiomits: Which Ones to Treatand HowType 2 Diabetes: More than MODYPirents As Pe"rators: When isCovert Surveillance ApprWnate?Non-Accidentd Trauma. What toLook for in ImagingPotential Appikations of AdhesionMoleculesChildren and the FDA

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December 1998 AAP News 37

(10, i i 31 3 L-..3 L-- i:-i,-Z.E.

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Committee, Department of Pediatrics, University of Florida Health ScienceCenter-Jacksonville, 653-1 West Eighth St., LRC 3rd Floor, Jacksonville, FL32209, (904) 549-3050. The University of Florida is an AffirmativeAction/Equal Opportunity Employer.

Georgia

BC/BE Pediatrician For A Busy 3 Doctor Practice North Of Atlanta-Competitive salary/bonus/benefit package. Send CV to: Jonathan Cheek,M.D., 205 Waleska Road 1A, Canton, GA 30114.

Hawaii

Pediatrician for Hawaii -A dynamic 60 physician multi-specialty clinicseeks a full-time BC/BE pediatrician to service the beautiful island of Kauai.Interview and relocation package available along with competitive salaryand benefits. Send/Fax CV to Robert Wotring, M.D., Kauai Medical Clinic,3-3420 Kuhio Highway, Suite B, Lihue, Hi 96766-1098. Fax (808) 246-1625.

Massachusetts

Scenic Cape Cod - Four Day Work Week -One hour to Boston and toProvidence. Enjoy fishing, boating, the beaches and surround yourself withthe ocean. Work 9 a.m.-5 p.m. just four days a week. Excellent benefits

include three weeks vacaffon, CME and a six-figure salary. Residents or prac-ticing Med-Peds call now to enjoy an excellent quality of life. ContactJonathan Opas, Weatherby Health Care, (800) 365-8900, ext. 221.(CT18321)

Michigan

Half Hour To Lake Michigan -Enjoy the wonders of the outdoors whilepracticing in this 60-physician, well-established financially sound primarycare delivery system. You will have an option to practice in one of severalsites that surround the local hospital. Excellent salary and benefits packageincluding five weeks vacation, 1-1/2 weeks CME with $3K stipend and relo-cation assistance. Thriving area with new businesses downtown andexcellent restaurants. Contact Jonathan Opas, Weatherby Health Care,(800) 365-8900, ext. 221. (CT20012)

Lansing - IMMEDIATE OPENING-Pediatrician is retiring. Busy well-estab-lished practice available immediately in Lansing. Ready for you now! Pleasecall Dr. Thaden at (517) 332-8205 or (517) 332-8939.

Ohio

Fifth Neonatologist Needed - Practice in a Level III NICU.Optional teaching through academic affiliation. Enjoy a 1:4

call (no in-house call), strong six-figure salary and excellent benefits. Idealcandidate is quality-care oriented, well-trained and energetic. Live in thissparkling Ohio city known for its museums, symphonies, sports teams,restaurants, nightlife and low cost of living. Contact Deborah McLeod,Weatherby Health Care, (800) 365-8900, ext. 206. (CT19495)

PennsylvaniaState College: Penn State Geisinger Health System is currently seekingBC/BE pediat-rician to join its multispecialty group practice in State College,Pa. Call is shared with its sister clinic in Philipsburg and is 1:5. The area offersa tremendous amount of educational, cultural and recreational activities toenjoy as well as an excellent business climate and a superior quality of life.State College is the home of Penn State University. We offer a competiffvesalary and excellent benefit package. For addibonal information, please con-tact: Penn State Geisinger Professional Staffing (PP-AB), 100 NorthAcademy Ave., Danville, PA 17822-1528; phone (800) 845-7112; fax (800)622-2515. E.O.E. M/F/HN. Sorry, no Jl visa opportunities available.

Pediatrician - Board-Certified -for busy practice in northeastern Pa.Excellent financial package including incentive plan. Two hours from NewYork and Philadelphia. Reply, Box 0828, 141 Northwest Point Blvd., ElkGrove \/illage, IL 60007.

1999 West Coast Child andAdolescentPsychiatry Conference

Critical Issues in Child and AdolescentMental Health

February 18-21, 1999Wyndham Emerald Plaza Hotel, San Diego, CA

This conference, comprised ofpapers, presentations, work-shops and symposia, for practicing psychiatrists, primarycare physicians, all mental health professionals, teachers,lawyers, and others working with this population, will ad-

dress critical issues in child and adolescent psychiatric, psy-chological, social and legal ramifications of diagnosis and

treatment.

The Sisters of the Third Order of St. Francis (OSF) have been provid-ing medical care for residents of Illinois, Iowa and Michigan for morethan 120 years. Their corporation, now known as OSF HealthCare,includes seven hospitals, two extended care facilities, an insurancecompany with its own managed care products, more than one dozenaffiliated companies providing medical products and services, andOSF AAedical Group, a multi-specialty physician group with morethan 220 providers in its multi-state service area. We now have gen-eral pediatrics opportunities in:

Peoria, IllinoisFor more information, please contact:

Wendy Bass at (800) 462-3621; Fax (309) 685-2574; Email:wendy.bass@osfhealthcare.org

For more information contact:Patticia TurpinUCSD Psychiatry9500 Gilman DriveLa Jolla, CA 92093-0603

Phone: (619)534-2541Fax: (619)534-4484E-Mail: pturpingucsd.edu

The Hospital for Sick Children,Itheonlypediatricrehabilitabon

and transibonal care hospitalfi 5 ~~~~~inthe Washington Metropoli-Z ~~~~~~~~tanArea, cares for a diverse,

_ ~~~~~~~medically complex populabonin rehabilitation and comprehensive pediatric care. We arecurrently seeking two Physicians with board certification oreligibility in pediatrics, and licensed in the District of Columbia.One requires experience in NICU, PICU or infectious disease;and the other, thie care of children with special healthicare needsor Pediatric Rehabilitation. We offera competfive salary,independence, and an 0excellent benefits package, includingfully-paid malpracbce insurance. *PleasesendC.UV in confidence to:The Hospital for Sick Children THE HOSPITALAttn: HR FOR SICKCHILDE1731 Bunker Hill Road, N.E. -DEWashington, DC 20017 An Eqval Oppotmity Eniployer.

'Mhe Hospital for Sick Child=e iSFax: (202) 635-6121 comnniiedto a dkugfi-eeworkplace

CLASSIFIEDADVERTISING POLICY

Whenyou need to contactpediatricians, contactAAPNews. Each month more than 55,000pediatricians,pediatric specialists, third-year pediatric residents and other subscribers turn toAAPNewsfor child healthinformation they cannotget elsewhere. With a classified ad, you can speak directly to those readers.

Although the Academy believes these classified ads are fromreputable sources, the Academy does not investigate theoffers made and assumes no responsibility concernling them.

Occassionally, it is necessary to modify the wording of classi-fied ads. These changes are generally made in compliancewith the reguldations ofvarious federal and/or state commis-sions against discrimination or because they might beinterpreted as being unlawful or in conflict with accepted pro-fessional standards ofmedical practice.These advertising modifications are made to maintain a clas-sified section that is professionally responsible, lawful,scientific and free of discrimination.

Published MonthlyAmerican Academy of Pediatrics 1t <P.O. Box 927 j,-;Elk Grove Vllage, IL 60009-0927

Publication ofan advertisement inAAP News neither consti-tutes nor implies a guarantee or endorsement byAAP Newsor theAmerican Academy of Pediatrics ofthe product or ser-vice advertised or of the claims made for the product orservice by the advertiser.

Classification: Classified ads are accepted under BusinessServices, General Announcements, Medical Meetings,Physicians Wanted, Positions Wanted, Practices Available,Publications, Real Estate and Residencies/FellowshipsAvailable.

Display Classified Ads: Carnera-ready, 4-color, 3-color and2-color display classified ads are accepted under GeneralAnnouncements, Medical Meetings, Physicians Wanted,Positions Wanted, Practices Available and Residencies/Fellowships Available. ContactAAPNewvsfor display classifedad sizes and rates.

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7667. Ad copy and payments may be sent to: Classified Ads,AAPNews, PO. Box 927, Elk Grove Vilage, IL 60009-0927.

38 AAP Ne<-ws December 1998

ol$ O,ECSF sm

"VVedo theRight Thing...

VVell."F

(3@l11 70e /'\:,~~~~~~~~~~~~~~~~~-- ; -I ,95,,i'.... 01 D i--

ReseamhStudy Children and Adolescents being recruited for Childhood-onset SCHIZOPHRENIA STUDYAs part of our ongoing study of childhood-onset schizophrenia, the Child Psychiatry Branch at the NIH is recruiting children 6 -18 years old who havebeen diagnosed with a psychotic disorder, had onset of psychotic symptoms by age 12, and have (pre-psychotic) IQ above 70. We are interested in respon-ders as well as non-responders to current treatments. We offer an intensive 3-week inpatient diagnostic evaluation for all patients who meet criteria. Fortreatment-resistant children and adolescents, we offer an inpatient drug washout for diagnostic confirmation and a medication trial (total of 3 months).All care is free. Transportation and housing are provided. For more information or to make a referral, contact: Gale Germain; Building 10, Room 3N202; 10Center Drive, MSC 1600; Bethesda, MD 20892-1600; phone: (301) 435-4504; fax: (301) 402-0296; e-mail: GEI@CU.NIH.GOV.

Olympia-BC/BE pediatrician for 6-physician, thriving,established practice. State capital area ranked as one ofthe top places to live and work. Area offers a variety ofoutdoor recreational activities. Close to Portland andSeattle for cultural activities. Excellent compensation pro-gram and early partnership. Send CV to Pamela Hyre,Office Manager, 3525 Ensign Road, Suite K, Olympia,WA 98506; or fax to (360) 456-3827.

Wisconsin

Delavan -The Dean Medical Center is recruiting aBC/BE pediatrician to join its pediatric department andbe based at the Delavan Clinic. Call is shared with 7pediatfic department members at the Riverview Clinic inJanesville, Wis. The admitting hospital is Mercy Hospital,a 200-bed facility also located in Janesville, Wis.Delavan, population 6,000, is a small town in beautifulsouth central Wisconsin, 40 minutes from Janesville, 1hour to Milwaukee and 1 1/2 hours to Chicago.Competitive salary and benefits are being offered withemployment leading to shareholder status in two years.Contact Scott Lindblom, Dean Medical Center, 1808West Beltline Hwy., Madison, WI 53715; call (608) 250-1550 or (800) 279-9966; or fax (608) 250-1441

Mid-Atlantic

Combined Medicine/Pediatrics: Kaiser Permanente:The Mid-Atlantic Permanente Medical Group, P.C.-isa 700 physician owned and operated multi-specialtygroup practice with facilities in Virginia, Maryland andWashington, D.C. We are currently seeking medi-cine/pediatric trained physicians to serve in an innovativerole as Clinical Leader of a Med-Peds Residency practice.These practices are based at two of the flagship centersof Kaiser Permanente in the Washington, D.C. area. Thepositions include clinical faculty appointments atGeorgetown University and offer a comprehensive andcompetitive benefits package. Interested candidatesshould fax a CV to Lisa Craft, Physician RecruitmentCoordinator, (301) 816-7472, or mail to AAAPMG, 2102

*E. Jefferson St., Box 6649, Rockville, MD 20849.

L -i

Lancaster-Outstanding opportunity for I3C/BE pediatrician to j'oin six-physician group in highly respected practice established in 1965. Physicianspractice general pediatrics with special interest and participation in DiabetesClinic for Children and Adolescents, Sexual Assault Clinic, and treatment ofAttention Deficit Disorder. Pediatric teaching component for Family Practiceresidency at Lancaster General Hospital, a 500-bed community hospital,provided by the physician group. Ideal location with easy access toPhiladelphia, N.Y.C., and Baltimore. Highly competitive salary, excellent ben-efit package. Please reply to Roseville Pediatrics, 160 North Pointe Blvd.,Suite 1 10, Lancaster, PA 17601 or fax CV to (717) 569-5213.

Washington

A well-established solo pediatric practice in the San Francisco Bay area-Owner retiring. Respond to: Thomas J. Fisher, M.D., FAAR Phone: (650)877-0857, fax (650) 570-5500.

mouse lymphoma assay, human lymphocyte clastogenic assay, and mouse bone marrow clastogenic assay.No evidence of impaired fertility due to azithromycin was found.Pregnancy: Teratogenic Effects. Pregnancy Category B: Reproduction studies have been performed in rats and miceat doses up to moderately maternally toxic dose levels (i.e., 200 mg/kg/day). These doses, based on a mg/m2 basis,are estimated to be 4 and 2 times, respectively, the human daily dose of 500 mg. In the animal studies, no evidenceof harm to the fetus due to azithromycin was found. There are, however, no adequate and well-controlled studies inpregnant women. Because animal reproduction studies are not always predictive of human response, azithromycinshould be used during pregnancy only if clearly needed.Nursing Mothers: It is not known whether azithromycin is excreted in human milk. Because many drugs are excretedin human milk, caution should be exercised when azithromycin is administered to a nursing woman.Pediatric Use: (INDICATIONS AND USAGE.)

Acute Otitis Media (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safety andeffectiveness in the treatment of children with otitis media under 6 months of age have not been established.

Community-Acquired Pneumonia (dosage regimen: 10 mg/kg on Day 1 followed by 5 mg/kg on Days 2-5): Safetyand effectiveness in the treatment of children with community-acquired pneumonia under 6 months of age have notbeen established. Safety and effectiveness for pneumonia due to Chlamydia pneumoniae and Mycoplasma pneumoniaewere documented in pediatric clinical trials. Safety and effectiveness for pneumonia due to Haemophilus influenzaeand Streptococcus pneumoniae were not documented bacteriologically in the pediatric clinical trial due to difficultyin obtaining specimens. Use of azithromycin for these two microorganisms is supported, however, by evidence fromadequate and well-controlled studies in adults.

Pharyngitis/Tonsillitis (dosage regimen: 12 mg/kg on Days 1-5): Safety and effectiveness in the treatment ofchildren with pharyngitis/tonsillitis under 2 years of age have not been established.

Studies evaluating the use of repeated courses of therapy have not been conducted.Geriatric Use: Pharmacokinetic parameters in older volunteers (65-85 years old) were similar to those in youngervolunteers (18-40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessaryfor older patients with normal renal and hepatic function receiving treatment with this dosage regimen.

ADVERSE REACTIONSIn clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upondiscontinuation of the drug. Approximately 0.7% of the patients (adults and children) from the multiple-dose clinicaltrials discontinued ZITHROMAXI(azithromycin) therapy because of treatment-related side effects. Most of the sideeffects leading to discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, orabdominal pain. Potentially serious side effects of angioedema and cholestatic jaundice were reported rarely.Clinical: Adults: Multiple-dose regimen: Overall, the most common side effects in adult patients receiving amultiple-dose regimen of ZITHROMAXIwere related to the gastrointestinal system with diarrhea/loose stools (5%),nausea (3%), and abdominal pain (3%) being the most frequently reported.

No other side effects occurred in patients on the multiple-dose regimen of ZITHROMAXIwith a frequency greaterthan 1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular: Palpitations, chest pain.Gastrointestinal: Dyspepsia, flatulence, vomiting, melena, and cholestatic jaundice.Genitourinary: Monilia, vaginitis, and nephritis.Nervous System: Dizziness, headache, vertigo, and somnolence.General: Fatigue.Allergic: Rash, photosensitivity, and angioedema.Single 1-gram dose regimen: Overall, the most common side effects in patients receiving a single-dose regimen of1 gram of ZITHROMAX"were related to the gastrointestinal system and were more frequently reported than inpatients receiving the multiple-dose regimen.

Side effects that occurred in patients on the single one-gram dosing regimen of ZITHROMAXIwith a frequency of1% or greater included diarrhea/loose stools (7%), nausea (5%), abdominal pain (5%), vomiting (2%), dyspepsia (1%),and vaginitis (1%).Single 2-gram dose regimen: Overall, the most common side effects in patients receiving a single 2-gram dose ofZITHROMAXIwere related to the gastrointestinal system. Side effects that occurred in patients in this study with afrequency of 1% or greater included nausea (18%), diarrhea/loose stools (14%), vomiting (7%), abdominal pain (7%),vaginitis (2%), dyspepsia (1 %), and dizziness (1%). The majority of these complaints were mild in nature.Children: Multiple-dose regimens,The types of side effects in children were comparable to those seen in adults,with different incidence rates for the two dosage regimens recommended in children.

Acute Otitis Media: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by 5 mg/kg onDays 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stools (2%), abdominal pain (2%),vomiting (1%), and nausea (1%).

Community-Acquired Pneumonia: For the recommended dosage regimen of 10 mg/kg on Day 1 followed by5 mg/kg on Days 2-5, the most frequent side effects attributed to treatment were diarrhea/loose stools (5.8%),abdominal pain, vomiting, and nausea (1.9% each), and rash (1.6%).

Pharyngitis/tonsillitis: For the recommended dosage regimen of 12 mg/kg on Days 1-5, the most frequent sideeffects attributed to treatment were diarrhea/loose stools (6%), vomiting (5%), abdominal pain (3%), nausea (2%),and headache(1%).

With either treatment regimen, no other side effects occurred in children treated with ZITHROMAXIwith afrequency of greater than 1%. Side effects that occurred with a frequency of 1% or less included the following:Cardiovascular Chest pain.Gastrointestinal: Dyspepsia, constipation, anorexia, flatulence, and gastritis.Nervous System: Headache (otitis media dosage), hyperkinesia, dizziness, agitation, nervousness, insomnia.General: Fever, fatigue, malaise.Allergic: Rash.Skin and Appendages: Pruritus, urticaria.Special Senses: Conjunctivitis.Post-Marketing Experience: Adverse events reported with azithromycin during the post-marketing period in adultand/or pediatric patients for which a causal relationship may not be established include:Allergic: Arthralgia, edema, urticaria.Cardiovascular: Arrhythmias including ventricular tachycardia.Gastrointestinal: Anorexia, constipation, dyspepsia, flatulence, vomiting/diarrhea rarely resulting in dehydration.General: Asthenia, paresthesia.Genitourinary: Interstitial nephritis and acute renal failure.Liver/Biliary: Abnormal liver function including hepatitis and cholestatic jaundice.Nervous System: Convulsions.Skin/Appendages: Rarely serious skin reactions including erythema multiforme, Stevens Johnson Syndrome, andtoxic epidermal necrolysis.Special Senses: Hearing disturbances including hearing loss, deafness, and/or tinnitus, rare reports of tastedisturbances.Laboratory Abnormalities: Adults: Significant abnormalities (irrespective of drug relationship)occurring duringthe clinical trials were reported as follows: with an incidence of 1-2%, elevated serum creatine phosphokinase,potassium, ALT (SGPT), GGT, and AST (SGOT); with an incidence of less than 1%, leukopenia, neutropenia,decreased platelet count, elevated serum alkaline phosphatase, bilirubin, BUN, creatinine, blood glucose, LDH,and phosphate.

When follow-up was provided, changes in laboratory tests appeared to be reversible.In multiple-dose clinical trials involving more than 3000 patients, 3 patients discontinued therapy because of

treatment-related liver enzyme abnormalities and 1 because of a renal function abnormality.Children: Significant abnormalities (irrespective of drug relationship) occurring during clinical trials were allreported at a frequency of less than 1%, but were similar in type to the adult pattern.

DOSAGE AND AOMINISTRATION (See INDICATIONS AND USAGE.)Acute Otitis Media and Community-Acquired Pneumonia: The recommended dose of ZITHROMAXIfor oralsuspension for the treatment of children with acute otitis media and community-acquired pneumonia is 10 mg/kg asa single dose on the first day (not to exceed 500 mg/day)followed by 5 mg/kg on days 2 through 5 (not to exceed250 mg/day).Pharyngitis/Tonsillitis: The recommended dose for children with pharyngitis/tonsillitis is 12 mg/kg once a day for5 days (not to exceed 500 mg/day).ZITHROMAX"for oral suspension should be given at least 1 hour before or 2 hours after a meal.ZITHROMAX"for oral suspension should not be taken with food.More detailed professional information available on request.Revised January 1997

(r 1998, Pfizer Inc ZC21 9A98

Decemberl1998 AAPNews 39

Califomia

References: 1. Greenberg RN. Overview of patient compliance with medication dosing: a literature review. Clin Ther1984;6:592-599. 2. RedBook' Update, Montvale, NJ: Medical Economics Co Inc, July 1998:22,24,26,27,71.

ZITHROMAX"(azithromycin for oral suspension)

BRIEF SUMMARY

INDICATIONS AND USAGEZITHROMAX' (azithromycin) is indicated for the treatment of patients with mild to moderate infections (pneumonia:see WARNINGS) caused by susceptible strains of the designated microorganisms in the specific conditions listedbelow. As recommended dosages, durations of therapy, and applicable gatient populations vary amona theseinfections, please see DOSAGE AND ADMINISTRATION for specific dosing recommendations,

Acute otitis media caused by Haemophilus influenzae, Moraxella catarrhalis, or Streptococcus pneumoniae.(For specific dosage recommendation, see DOSAGE AND ADMINISTRATION.)

Community-acquired pneumonia due to Chlamydia pneumoniae, Haemophilus influenzae, Mycoplasmapneumoniae, or Streptococcus pneumoniae in patients appropriate for oral therapy. (For specific dosagerecommendation, see DOSAGE AND ADMINISTRATION.)

NOTE: Azithromycin should not be used in pediatric patients with pneumonia who are judged to beinappropriate for oral therapy because of moderate to severe illness or risk factors such asany of the following: patients with cysatic fibrosis, patients with nosocomially acquiredinfections, patients with known or suspected bacteremia, patients requiring hospitalization,or patients with significant underlying health problems that may compromise their ability torespond to their illness (including immunodeficiency or functional asplenia).

Pharyngitis/tonsillitis caused by Streptococcus pyogenes as an alternative to first-line therapy in individualswho cannot use first-line therapy. (For specific dosage recommendations, see DOSAGE AND ADMINISTRATION.)

NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcuspyogenes infection and the prophylaxis of rheumatic fever. ZITHROMA)(& is often effective in the eradication ofsusceptible strains of Streptococcus pyogenes from the nasopharynx. Because some strains are resistant toZITHROMAXI, susceptibility tests should be performed when patients are treated with ZITHROMAXI. Dataestablishing efficacy of azithromycin in subsequent prevention of rheumatic fever are not available.

Appropriate culture and susceptibility tests should be performed before treatment to determine the causativeorganism and its susceptibility to azithromycin. Therapy with ZITHROMAXImay be initiated before results of thesetests are known, once the results become available, antimicrobial therapy should be adjusted accordingly.

CONTRAINDICATIONSZITHROMAXI is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or anymacrolide antibiotic.

WARNINGSSerious allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions including StevensJohnson Syndrome and toxic epidermal necrolysis have been reported rarely in patients on azithromycin therapy.Although rare, fatalities have been reported. (See CONTRAINDICATIONS.} Despite initially successfulsymptomatic treatment of the allergic symptoms, when symptomatic therapy was discontinued, the allergicsymptoms recurred soon thereafter in some patients without turther azithromycin exposure. These patientsrequired prolonged periods of observation and symptomatic treatment. The relationship of these episodes to thelong tissue half-life of azithromycin and subsequent prolonged exposure to antigen is unknown at present.

If an allergic reaction occurs, the drug should be discontinued and appropriate therapy should be instituted.Physicians should be aware that reappearance of the allergic symptoms may occur when symptomatic therapyis discontinued.

In the treatment of pneumonia, azithromycin has only been shown to be safe and effective in thetreatment of community-acquired pneumonia due to Chlamydia pneumonise, Haemophilus influenzae,Mycoplasma pneumonise, or Streptococcus pneumoniae in patients appropriate for oral therapy.Azithromycin should not be used in patients with pneumonia who are judged to be inappropriate for oraltherapy because of moderate to severe illness or risk factors such as any of the following: patients withcystic fibrosis, patients with nosocomially acquired infections, patients with known or suspectedbacteremia, patients requiring hospitalization, elderly or debilitated patients, or patients with significantunderlying health problems that may compromise their abilityto respond to their illness (includingimmunodeficiency or functional asplenia).

Pseudomembranous colitis has been reported with nearly all antibacterial agents and may range inseverity from mild to life-threatening. Therefore, it is important to consider this diagnosis in patientswho present with diaffhea subsequent to the administration of antibacterial agents.

Treatment with antibacterial agents alters the normal flora of the colon and may permit overgrowth of clostridia.Studies indicate that a toxin produced by Clostridium difficile is a primary cause of "antibiotic-associated colitis."

After the diagnosis of pseudomembranous colitis has been established, therapeutic measures should be initiated.Mild cases of pseudomembranous colitis usually respond to discontinuation of the drug alone. In moderate to severecases, consideration should be given to management with fluids and electrolytes, protein supplementation, andtreatment with an antibacterial drug clinically effective against Clostridium difficile colitis.

PRECAUTIONSGeneral: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycinis administered to patients with impaired hepatic function.

There are no data regarding azithromycin usage in patients with renal impairment,thus, caution should beexercised when prescribing azithromycin in these patients.

The following adverse events have not been reported in clinical trials with azithromycin, an azalide; however,they have been reported with macrolide products: ventricular arrhythmias, including ventricular tachycardia andtorsades de pointes, in individuals with prolonged QT intervals.

There has been a spontaneous report from the post-marketing experience of a patient with previous history ofarrhythmias who experienced torsades de pointes and subsequent myocardial infarction following a course ofazithromycin therapy.Information for Patients: Patients should be cautioned to take ZITHROMAXIsuspension at least one hour prior toa meal or at least two hours after a meal. This medication should not be taken with food.

Patients should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycinsimultaneously.

The patient should be directed to discontinue azithromycin immediately and contact a physician if any signs of anallergic reaction occur.Drug Interactions: Aluminum- and magnesium-containing antacids reduce the peak serum levels (rate) but not theAUC (extent) of azithromycin absorpt'ion.

Administration of cimetidine (800 mg) two hours prior to azithromycin had no effect on azithromycin absorption.Azithromycin did not affect the plasma levels or pharmacokinetics of theophylline administered as a single

intravenous dose. The effect of azithromycin on the plasma levels or pharmacokinetics of theophylline administeredin multiple doses resulting in therapeutic steady-state levels of theophylline is not known. However, concurrent useof macrolides and theophylline has been associated with increases in the serum concentrations of theophylline.Therefore, until further data are available, prudent medical practice dictates careful monitoring of plasmatheophylline levels in patients receiving azithromycin and theophylline concomitantly.

Azithromycin did not affect the prothrombin time response to a single dose of warfarin. However, prudent medicalpractice dictates careful monitoring of prothrombin time in all patients treated with azithromycin and warfarinconcomitantly. Concurrent use of macrolides and warfarin in clinical practice has been associated with increasedanticoagulant effects.

The following drug interactions have not been reported in clinical trials with azithromycin; however, no specificdrug interaction studies have been performed to evaluate potential drug-drug interaction. Nonetheless, they havebeen observed with macrolide products. Until further data are developed regarding drug interactions whenazithromycin and these drugs are used concomitantly, careful monitoring of patients is advised:

Digoxin-elevated digoxin levels.Ergotamine or dihydroergotamine-acute ergot toxicity characterized by severe peripheral vasospasmand dysesthesia.Triazolam-decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam.Drugs metabolized by the cytochrome P450 system-elevations of serum carbamazepine, terfenadine, cyclosporine,hexobarbital, and phenytoin levels.

Laboratory Test Interactions: There are no reported laboratory test interactions.Carcinogenesis, Mutagenesis, Impairment of Fertility: Long-term studies in animals have not been performedto evaluate carcinogenic potential. Azithromycin has shown no mutagenic potential in standard laboratory tests:t t-~Access the best in pediatrics...

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COVERAGE OF KEY RESPIRATORY PATHOGENS

Streptocooccus pneumoniae | Chlamydia pneumoniaeHaemophilus i'n7lezae m rau :Moraxellacatarrhalis-- X:; :VX - ;:

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. BETTER COMPLIANCE MAY IMPROVE PATIENT OUTCOMES'* COSTS LESS THAN MOST BRANO-NAME ANTIBIOTICS'* PROVEN TOLERABILITY

In acute otitis media, the most common side effects are diarrhea/loose stools (2%) abdominal pain (2%),vomiting (1 %/), and nausea (1 %). In community-acquired pneumonia, the most common side effects arediarrhea/loose stools (5.8%), abdominal pain, vomiting, and nausea (1.9% each), and rash (1.6%).ZithromaxO (azithromycin for oral suspension) is contraindicated in patients with known hypersensitivityto azithromycin, erythromycin, or any macrolide antibiotic.

Zithromax is indicated for pediatric infections such as acute otitis media due to Hinfluenzae, Mcatarrhalis, orS pneumoniae, and community-acquired pneumonia due to C pneumoniae, H influenzae, M pneumoniae, orS pneumoniae.Oral azithromycin should not be used in pediatric patients with pneumonia who are judged to be inappropriatefor oral therapy because of moderate to severe illness or risk factors such as any of the following: patients withcystic fibrosis, patients with nosocomially acquired infections, patients with known or suspected bacteremia,patients requiring hospitalization, or patients with significant underlying health problems that may compromisetheir ability to respond to their illness (including immunodeficiency or functional asplenia).

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