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Report of Activities

 

As an organization of 66,000, members and 450 staff, the American Academy of Pediatrics (AAP) dedicates its efforts and resources to the health, safety and well-being of infants, children, adolescents and young adults. Visit www.aap.org for more information on AAP priorities, www.aap.org/subspecialty, and the AAP site targeted to parents www.healthychildren.org. The AAP President is Dr Fernando Stein; President-Elect, Dr Colleen Kraft; CEO, Dr Karen Remley. AAP accomplishments are “Monumental.” 

The Section on Urology currently has 171 members and 34 affiliates. The influence of the Section on the AAP is much larger than would be predicted by its small size. Increasing the size of the section membership can only increase the effectiveness of the Section in carrying out its mission to help our patients and thereby our members. 

Socioeconomic Activities 

The Section continues to monitor managed care advocacy efforts via the AAP Washington Office and the Department of Community, Chapter, and State Affairs. 

  • The AAP is poised to work with health plans and payers to help improve the quality of care and manage costs in a manner that ensures children and families have access to appropriate care. The Section on Urology worked with AAP President Benard Dreyer, MD, FAAP, to write letters that urologists can send to any carrier when they need to advocate for appropriate benefits coverage and payment for children. Letters have been written for three conditions: Testicular prosthesis placement; Biofeedback treatment for lower urinary tract dysfunction; and Deflux treatment for vesicoureteral reflux. These letters can be downloaded from the AAP Section on Urology website to send to carriers when needed. 
  • The Section on Urology works with the AAP Committee on Coding and Nomenclature (COCN) to resolve issues with existing CPT codes, comment on proposals for new CPT codes, etc. Dr. David Ewalt and Dr. Jeffrey Campbell are the Section representatives. 
  • As part of AAP private payer advocacy, pediatrician input is facilitated on carrier medical policies to address variations from AAP recommendations. Coverage policies from the two largest private carriers, Anthem and UnitedHealthcare, are shared with appropriate AAP councils, committees and sections for individual member review and comments. If necessary, the council, committee or section may recommend a formal response from the AAP to address variation from AAP policy. 
​Education 

The Section on Urology sponsors seminars for general pediatricians at the AAP National Conference and Exhibition. The following sessions will be held in October 2017: 

    • Evaluation and Management of the Acute Scrotum: Groans from the Groin – Dr. Douglass Clayton 
    • Management of UTIs in Infants and Young Children – Dr. Christopher Cooper 
    • Penile Anomalies – Dr. Edward Gong 
  • The Urology Medal, presented at the Fall Congress, is sponsored by the Section on Urology. The 2017 Urology Medal will be presented posthumously to Dr. Gordon McLorie 
  • The Section sponsors an article in the “Focus on Subspecialties” column of AAP News every June. “Consensus statement aids in classifying, managing urinary tract dilation” was authored by Dr. Anthony Herndon in June 2016. 
  • The Section sponsors a networking luncheon for Training Fellows every year during the Fall Congress. In addition, the Section sponsored a lunch for Training Fellows at the Nationwide Colorectal Conference in November 2016. Dr. Mark Cain spoke on "Finance and Pediatric Urology:101". 
Policy 

AAP Policy Statement in progress (with review by Section on Urology) 

  • Ethical Issues in Disorders of Sexual Differentiation  Ensuring Comprehensive Care and Support for Transgender and Gender Diverse Children and Adolescents 
  • Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care 
  • Health Supervision for Children with William Syndrome
  • Preservation of Fertility in Pediatric and Adolescent Cancer Patients 
  • Progress in Optimizing Resources in Children’s Surgical Care 
AAP Policy Statements, recently published (with review by Section on Urology) 

  • Off-Label Use of Medical Devices in Children 
  • Responsible Innovation in Children's Surgical Care
  • Expert Witness Participation in Civil and Criminal Proceedings
  • Physician’s Role in Coordinating Care of Hospitalized Children 
  • Disclosure of Adverse Events in Pediatrics 
Collaboration 
The AAP Surgical Advisory Panel (SAP) is comprised of a chair/representative from each of the Surgical Sections – anesthesiology, neurosurgery, ophthalmology, otolaryngology, oral health, orthopaedics, plastic surgery, radiology, surgery, and urology. During the SAP meeting, the surgical chairs discuss matters of common interest. Dr. Christopher Cooper and Dr. Saul Greenfield are the Section representatives to SAP.
  • Transitions of Care from Pediatric to Adult Surgery
    There is a growing cohort of patients needing structured and anticipatory guidance on long-term care for their surgically corrected anomalies that are now survivable. The pediatric surgical community needs to better define the need; define best practices; develop guidelines with input from all stakeholders to effect coherent transitional care plans in a timely fashion; better understand the workforce; and establish the value of formalizing the transition of care. Dr. Rosalie Misseri has been appointed the Section representative to this task force. 
  • AAP Response to FDA Warning on General Anesthesia in Infants and Young Children
    The AAP has received many emails asking for help on how to answer questions from an increasing number of parents of young children worried about anesthesia neurotoxicity because of the FDA Drug Safety Communication that was released in December. The AAP Section on Anesthesiology and Pain Medicine authored an article in the January AAP News about this issue and AAP has endorsed a combined statement from the Society for Pediatric Anesthesia, American Society of Anesthesiologists and several other groups urging that parents not delay important procedures based on this incomplete data. In addition, Parent FAQ’s about anesthesia safety were recently published. Meanwhile, the AAP surgical sections have begun work on an Optimal Timing policy statement. Dr. Saul Greenfield has been appointed as the Section’s representative to the SAP’s new Subcommittee on Optimal Timing for Surgery 
AAP Federal and State Advocacy
The AAP Washington Office, Department of Federal Affairs, and Department of State Government Affairs is dedicated to advocacy on behalf of children and its members (read more about AAP advocacy efforts.) An Academic and Subspecialty Advocacy Report is provided to AAP members regularly to summarize AAP’s federal advocacy efforts on behalf of academic and pediatric subspecialists and surgical specialists. The AAP provides testimony and regular press statements in support of legislation. 
  • The American Academy of Pediatrics is holding a Legislative Conference that will take place April 23 – 25, in Washington, DC. For the second year, the conference will include a Pediatric Subspecialty Advocacy Track of specific legislative and skills building workshops uniquely focused on the interests and needs of pediatric medical and surgical subspecialists. The Section provided Dr. Audrey Rhee with a travel grant to attend this conference. 
  • AAP Blue Print for Children To assist the next presidential administration in putting children and families at the center of its policy agenda, the AAP produced the Blueprint for Children: How the Next President Can Build aFoundation for a Healthy Future. The Blueprint presents specific policy recommendations for the federal government to align its activities to promote healthy children, support secure families, build strong communities, and ensure that the U.S. is a leading nation for children. 
  • 21st Century Cures Act The U.S. House of Representatives passed the 21st Century Cures Act, a sweeping piece of legislation that includes several strong protections for children across a range of issues, from mental health screening to pediatric research to health information technology. The American Academy of Pediatrics (AAP) has long championed the bill's requirement for the National Institutes of Health (NIH) to track and report on the number of children enrolled in clinical trials so that we can better understand diseases and treatments impacting children and improve their health. The AAP also supports the bill's increased funding for NIH and for expanding access to opioid treatment, training and prevention. See AAP Press release​ for more details

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