Dear Academy Fellow:In order to fulfill the admission requirements of AAP Bylaws, you are requested to 1 ) Carefully reviewthe following list of new applicants for Academy membership, and 2) relay your reactions directly to yourDistrict 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 pediatriccredentials are not in question. Comments are requested concerning possible legal and/or ethical situations ofwhich you might have personal knowledge.Send any comments on the following list of new applicants to your District Chairperson by February IS.

GeorgiaDonna L. Cothran, M.D.5023 Barrington Dr.Albany, GA 31707

Anissa Sharifi, M.D.673 Pepperwood Ln.Stone Mountain, GA 30087-5731

KentuckcySally J. Wheeler, M.D.328 Zom Ave.Louisville, KY 40206 1518

North CarolinaOphthalmnology Specilt FellowErin Booher Goshom, M.D.2015 Randolph Rd., #108Charlotte, NC 28207

TennesseeMichael Andrew Springer, M.D.801 Weisgarber, #200Knoxville, TN 37909

VirginiaMichael David Dwyer, M.D.8515 Heron Pond Ln.Fairfax Station, VA 22039

Sharon Seiler Jellinek, M.D.6120 Brandon Ave.Springfield, VA 22150

Shellie Ann Russell, M.D.7737 SW Freeway, #420Houston,TX 77074-1800

Zehra A. Sinnar, M.D.6111 Triangle Dr.Columbia, MD 21044-4712

New JerseyEric S. Lesser, M.D.240 E. Palisade Ave., #H-17Englewood, NJ 07631-3150

Indu Madhok, M.D.22 Visco Dr.Edison, NJ 08820

PennsylvaniaSamina Ahmed, M.D.2716 Willowood Dr.Erie, PA 1 6506-5107

Michel Elias Akl, M.D.Lyons St., PO Box 609Shinglehouse, PA 16748

Nancy L. Belser, M.D.813 Bethlehem PikeErdenheim,PA 19038-8112

Barry Alan Hench, M.D.Lancaster Pediatric Assoc, LTDPO Box 3200Lancaster, PA 17604-3200

Douglas Sprague, M.D.Gateway Area Medical Assoc.PO Box 348Du Bois, PA 15801-0348

Illinois

Phillip A. Jacobson, M.D.Rush-Presbyterian-St. LukesPediatric- 622 Murdock1653 W. Congress Pkwy.Chicago, IL 60612-3833

Kevin Earl Krarner, M.D.500 Health Ctr. Dr., #208Mattoon, IL 61938

Lisa Menasse-Palmer, M.D.5050 S. Lakeshore Dr., #2602Chicago, IL 60615

Orfopaedics Specialty FellowKama] N. Ibrahim, M.D.I S. 224 Summit Ave., #203OakbrookTerrace, IL 60181

MinnesotaDina Elizabeth Curran, M.D.11752 Thomhill Rd.Eden Prairie, MN 55344-7804

Kathleen Jill Muffy, M.D.5345 Pleasant Ave., So.Minneapolis, MN 55419-1368

Missouri

Bradley A. Becker, M.D.St. Louis Univ. School of Med1465 S. Grand Blvd.St. Louis, MO 63104-1003

Connie D. Simmons, M.D.5486 State Hwy.VJadkson, MO 63755-7902

NebraskaAmy E. Lacroix, M.D.Univ. of Nebraska Med. Ctr.Dept. of Pediatric600 S. 42nd St.Omaha, NE 68198-2167

Wisconsin

Amy D. Pe-rson, M.D.Teen Pregancy Services2040 W. Wisconsin Ave., #350Milwaukee, WI 53233

Uniformed Services EastJohn S. Scott, M.D.PO Box 2136, CMR 402APO,AE 09180-5000

MassachusettsAlena Ashenberg, M.D.PO Box 606North Chelmsiord,MA 01863

Hilary J. Branch, M.D.WMiB-W4 Dept of PediatricssBaystate Med. Ctr.140 High St.Springfield, MA 01199

Ruth M. Uberfarb, M.D.55 Montrose St.Newton, MA 02158

Sheila L. Morehouse, M.D.25 Davis Rd.Chelmsford, MA 01824-1301

MaineDonald R. Burgess, M.D.Kennebunk Pe-diatric Ctr.62 Portland Rd., Bldg. 5Kennebunk, ME 04043

ArizonaDenise Anne Ahearn, M.D.El Rio Health Ctr.839 W. Congress St.Tucson, AZ 85745-2891

ColoradoLori Fewin, M.D.14485 E. Evans Ln.Aurora,CO 80014

HawaiiJana Morisada, M.D.98-1238 Kaahumanu St., #200Pearl City, Hi 96782-3250

OregonMarc B. Lande, M.D.14363 Camden Ln.Lake Oswego, OR 97035-8745

UtahPaul Harding Swensen, M.D.508 E. South Temple, #310SaltLake City,UT 84102

Uniformed Services WestEdward R. Carter, M.D.5322 43rd Ave., NWGig Harbor,WA 98335-8170

JanetTerese Punyko Goodwin, M.D.9998-B St. Onge Ave.Ellsworth AFB, SD 57706

NewYork 2David Paul Cabbad, M.D.8304 1 Oth Ave.-Brooklyn,NY II1228-2908

Mireille Constant, M.D.107 W. Main St.East Islip,NY 11730

Wlffrid Florvil, M.D.92-42 212th PI.QueensVillage,NY 11428

NewYork 3Thomas Bojko, M.D.11 Lylewood Dr.Tenafly, NJ 0767G-1906

FloridaKenneth J. Budowsky, M.D.Children's Medical Center1051 N.35Ave.Hollywood, FL 33021

Renee A. Jankowski, M.D.3758 NW 53rd Ln.Gainesville, FL 32653

Frances Morales, M.D.9534 Sugar Hollow Ln.Jacksonville, FL 32256

Rajendra Kochikar Pai, M.D.4818 Alcantarra Ave.Sebring, FL 33872-1996

Cindie P. Plymire, M.D.1400 S. Homestead Pt.Inverness, FL 34450

Antonio Vazquez, M.D.1900 N. University Dr., #108Pembroke Pines, FL 33024

Frances M.Vega, M.D.2101 Brickell Ave., #302Miami, FL 33129-2125

MichiganRaffat Anis Siddiqi, M.D.17135 Summit Dr.Northville,Ml 48167-3201

Michael A. Wood, M.D.6134 Adacroft Dr., SEGrand Rapids, Ml 49546-9633

OhioNarges Daliri, M.D.2432 Deepridge Cr.Akron,OH 44313-4608

John F. Ginger, M.D.Wright Health Assoc.1222 S. Patterson Blvd.Dayton, OH 45402

Vincent Wade Weatherington, M.D.5428 Polo Woods Ct.Fairfield, OH 45014

Orthopaedics Specialty FellowWilliam Charles Scrader, M.D.300 Locust St., #170Akron,OH 44302-1800

Califomia 2Debra E. Bright, M.D.17075 Devonshire St., #300Northridge, CA 91325

TexasAnnie Philip, M.D.4433 N. Stanton, T-18El Paso, TX 79902

DISTRICT I

Gilbert L. Fuld, M.D.The Hitchcock Clinic590 Court St.Keene, NH 03431-1719

MarylandStacy D. Scott, M.D.4117 Waterbuck WayBurtonsville, MD 20866-1334

L

Sia~~~~~cn Scao(em2 o Se(h;lrirzs 1996 S47maro(sf Cxceffence hn ke8Ci eseirci6;'iF~~~~~~~~~~~~~~~~~~~~~01

I~ ~~ mrican Academy of Pediatrics Awards for Excellence in Pediatric Research will be made available by the American Academy of Pediatrics and are awarded under the following stipulations:ward prov~ides an honorarium of $5,000, a plaque, and travel expenses for the recipient and his/her spouse to and from the Annual Meeting of the American Academy of Pediatrics at which the Award is presented.ards shall be given only at times when an individual's research work is considered outstanding and worthy of Academy recognition.

1To be eligible for the 1996 Award, nominees-must have been graduated from medical school within the twenty year period prior to July 1, 1996.iThe Awards shall not be limited to members of the Academy, but to physicians in the Americas who have completed a pediatncs residency, or have passed the Pediatric Board Examination, or have fellowship in~te Academy, or hold a full-time primary academic position in a Department of Pediatrics for at least two years pnor to the nomination, and have demonstrated a continuing commitment to pediatric research.

5. The Awards shall be made for research work currently published, preferably coming to fruition or recognition during the past three years.6. The Awards shall be presented at the Annual Meeting of the American Academy of Pediatrics by the President of the Academy or his/her designee.K, Selection of the Awards recipients shall be the sole responsibility of the American Academy of Pediatrics Committee on Awards for Excellence in Pediatric Research and the Board of Directors.Each year in September, deans of medical schools, heads of departments of pediatric education, and chiefs of hospital staff are informed of the stipulations for the American Academy of Pediatrics Awards forExcellence in Pediatric Research and are asked to submit nominations for these Awards. Individual nominators are encouraged to limit their nomination to one individual.hfe Director, Department of Maternal, Child, and Adolescent Health of the American Academy of Pediatrics will prepare and distribute such notices and will receive the nominations for the Awards Committee.Il nominations must be received prior to January 31, 1996. The committee will select the Award winners prior to May 1, 1996 so that the announcement may appear in the program for the Annual Meeting.nominatiorL letter, nomination form, curriculum vitae, reprints, and five letters of support for each nominee should be mailed to Edgar 0. Ledbetter, M.D., Director, Department of Maternal, Child, and Adoles-! p merican Academy of Pediatrics, PO Box 927, Elk Grove Village, IL 60009-0927. To obtain a copy of written stipulations and a nomination form, please call (708) 228-5005, ext. 6785.

20 AAP News/January 1996

DISTRICT II

Louis Z. Cooper, M.D.St Lukes Roosevelt Hospital1000 Tenth Ave.NewYork, NY 10019

DISTRICT IIISusan Aronson, M.D.605 Moreno RoadNarberth, PA 19072-1618

DISTRICT IVE. Stephen Edwards, M.D.2800 Blue Ridge BlvdSuite 501Raleigh, NC 27607-6496

DISTRICTVStanford A. Singer, M.D.16800 W. Twelve Mills RdSuite 205Southfield, MI 48076-2138

DISTRICTVIOrdean Torstenson, M.D.1313 Fish Hatchery RoadMadison, WI 53715

DISTRICT VIICarden Johnston, M.D.Children's Hospital of Alabama1600 7th Ave., SouthSuite 001Birmingham, AL 35233-1711

DISTRICT VIIIDonald E. Cook, M.D.1710 21st Ave.Greeley, CO 80631

DISTRICT IXLeonard A. Kutnik, M.D.4690 Genesee Ave.San Diego, CA 92117

AmericanAcademy ofPediatrics

CFIARGE ITYou can now charge yourAAPNews classified advertising costs

on your Visa or MasterCard credit cards.So charge ahead with your plans to advertise inAAP News. CaU (800) "VISA433-9016, ext. 7667, $r class&d v- rates and deaMnes.

When you need to contact pediatricians, contact AAPNews. Each month more than 50,000 pediatricians, third-yearpediatric residents and other subscribers turn to AAP News forchild health information they cannot get elsewhere. With aclassified ad, you can speak directly to those readers.

Rates: The one-time cost for placing a classified ad is $140for 30 or fewer words and $2 for each additional word. A $20discount per month is allowed for ads that are published inthree or more consecutive issues. The three ads must be pur-chased at the same time. Ads may be boxed for a one-timecost of $90.

Blind Box Returns: Available for a $35 service charge perad insertion. To reply to a box number, send your response to:Box Number, AAP News, Classified Ads, RO. Box 927, ElkGrove Village, IL 60009-0927.

Classification: Classified ads are accepted under BusinessServices, General Announcements, Medical Meetings, Physi-cians Wanted, Positions Wanted, Practices Available,

Publications, Real Estate and Residencies/Fellowships Available.Display Classified Ads: Camera-ready and 2-color display

classified ads are accepted under General Announcements,Medical Meetings, Physicians Wanted, Positions Wanted,Practices Available and Residencies/Fellowships Available.Contact AAP News for display classifed ad sizes and rates.

For more information, contact: Pete Petersen, ClassifiedAd Coordinator, at (800) 433-9016, ext. 7667. In Illinois,(708) 981-7667. Ad copy and payments may be sent to: Clas-sified Ads, AAP News, RO. Box 927, Elk Grove Village, IL60009-0927.

Advertising Policy: Although the Academy believes theseclassified ads are from reputable sources, the Academy doesnot investigate the offers made and assumes no responsibilityconcerning them.

Frequently, it is necessary to modify the wording of classi-fied ads. These changes are generally made in compliancewith the regulations of various federal and/or state commis-

sions against discrimination or because they might be inter-preted as being unlawful or in conflict with professionalstandards of medical practice.

Advertisements for employment containing specificationsas to race, creed, color, age, religion, gender, ethnic originor national origin may be unlawful and professionally improper.Accordingly, discriminatory wording is not acceptable inAAP News.

Other phrases for publication in various advertising classifi-cations which might be interpreted as being unlawful and inconflict with professional standards of medical practice couldinclude: "Complete list of patients'records for sale:'the offer ofrebates or "kickbacks:'wording that could be interpreted as

derogatory or defamatory to other physicians, the misrepre-sentation of skills expected or job requirements.These advertising modifications are made to maintain

a classified section that is professionally responsible, lawful,scientific and free of discrimination.

ATLANTA - Suburban medicalgroup seeks BC/BE pediatricians.Private practice, clinic, urgent care,and locum tenens opportunities avail-able. Competitive salaried positions,with generous benefits. Reply withCV: Hicks and Associates, 1530 Dun-woody Village Parkway, Suite 204,Atlanta 30338. (770)804-0043.

IllinoisHOFFMAN ESTATES - Seeking aPediatric Critical Care Physician todirect and staff a Pediatric ICU for this356-bed community hospital. ThePICU is under construction and willhave 5 beds with an admission rate of400 annually. Excellent compensationand benefit package. Contact: Jen-nifer Hymes, EMSA, (800)422-3672,ext. 7260;. FAX (305)424-3270.EOE/AA/M/F.

ARLINGTON HEIGHTS - Wanted:Caring Pediatrician, BC/BE to share ingrowing, enjoyable practice located inArlington Heights, IL, northwest ofChicago. If interested, please call(708)670-0704.

IowaBE/BC Pediatrician to join group ofsix pediatricians in thriving BIG 10 uni-versity town. Level 11 private hospital,large university hospital in community.FT/PT, early partnership. Contact:Patricia Rivers, Pediatric Associates,605 E. Jefferson, Iowa City, IA 52245,(319)351-1448.

MarylandBC/BE Pediatrician - Well estab-lished, expanding 3 Pediatricianprivate practice. Suburban Baltimore(Towson). Staff Privilege 4 major hos-pitals including Level IV nurseries andteaching Pediatric services. Academicaffiliation with Johns Hopkins MedicalSchool. Attractive competitive salary/benefits pkg. Partnership track possi-ble after two years. Send CV to: Drs.Klein and Bittar, 7801 York Road, Suite309, Towson, MD 21204.

Kaiser Permanente - The country'slargest, most experienced pre-paidgroup practice HMO, has a FT oppor-tunity available in Pediatrics at our

Gaithersburg, MD facility beginningFebruary 1. Qualifications includeboard eligibility, board certificationpreferred. Maryland license preferredor must be obtained within threemonths. Our excellent benefits pack-age includes retirement, disability/life insurance and shareholder oppor-tunity as well as quality time offto spend with family/leisure activi-ties. Enjoy the challenge offered byour large patient population whileyou work with an exceptional groupof physician colleagues, talentedmid-level staff and state-of-the-artmedical technology. For confidentialconsideration send your CV to:George H. Fettus, MD, Mid-AtlanticPermanente Medical Group, P.C.,21 01 East Jefferson Street, Box 6649,Rockville, MD 20849, fax: (301)816-7472, or call Dorothy Houlihan at:(800)227-6472. EOE.

BC/BE pediatrician needed for uniqueposition at Anne Arundel MedicalCenter in Annapolis, MD. Excellentsalary and benefits package, plusequity opportunity. For more informa-tion, call Dwight Fortier, MD, at(410)263-1054, or Ken Gummerson,MD, at (410)267-1290.

April16TH ANNUAL NATIONAL PEDI-ATRIC INFECTIOUS DISEASE SEMI-NAR, April 10-13, 1996, HyattRegency Hotel, New Orleans, LA. Theseminar is jointly sponsored by theUniversity of Texas SouthwesternMedical Center at Dallas, TX, theaccrediting institution, and the Nation-al Pediatric Infectious DiseasesFoundation. CME credit offered. Forinformation call (317)578-3075; Tele-fax: (317)578-3802.

June

Pediatric Infectious Disease Seminar(Fourteenth Annual Lloyd Noland),Hilton Head Island, SC June 18-22,1996. Faculty: Drs. Ambrosino,Edwards, Feder, Marks, Sawyer.Call/write: Department/Medical Educa-tion, Lloyd Noland Hospital, P.O. Box538, Fairfield, AL 35064 (205)783-5276.

FebruaryPEDIATRIC POTPOURRI: STATE OFTHE ART 1996, Maui, HI, February17-23, 1996. Sponsored by UniversityChildren's Medical Group & CaliforniaDistrict IX, Chapter 2, AAP. Contact:Wendy Fukamaki, 6430 Sunset Boule-vard, Suite #600, Los Angeles, CA90028.(800)354-3263.

March

Call for Abstracts: The SOCIETYFOR DEVELOPMENTAL AND BE-HAVIORAL PEDIATRICS will conductits 14th Annual Scientific Meeting andWorkshops on September 26-30,1996 at the Hyatt Fisherman'sWharf in San Francisco, California.We invite you to submit abstractsof research papers for considerationfor presentation at the scientific ses-sions. ABSTRACTS MUST BE RE-CEIVED BY MARCH 1, 1996. Forfurther information and abstractforms, please contact Noreen Spota at(215) 248-9168.

Pediatrics Seminar "Advances &Changing Trends" (Sixth Annual LloydNoland), at the Buena Vista Palace,Walt Disney World, Florida, March 13-16,1996. Drs. Coleman, Erenberg,Schidlow, Senec, Sinatra. Call/writeDepartmenVMedical Education, LloydNoland Hospital, P.O. Box 538, Fair-field, AL 35064 (205)783-5276.PERINATAL UPDATE 1996: "Strivingto Meet the Challenges of Tomorrow"-March 27, 28 & 29, 1996 at SavannahMarriott, Savannah, Georgia. GUESTFACULTY INCLUDES: Billy S. Arant,Jr., MD; Ware Branch, MD; M. Shan-non Burke, MD; Terri D. McFadden,MD, FAAP; Jeffrey Pomerance, MD,MPH; Cecele Quaintance, RN, MS;Jack Stem, CRNA. For informationcontact: Betsi Egan (912)350-5920.

Arizona

Pediatric position with CIGNAHealthCare. Sharedcall. Excellentcompensation/benefits. Contact:Cheryl McFall, 222 S. Central Ave.#400, St. Louis, MO 63105. Phone(800)678-7858. FAX: (314)726-0026.

Florida

Opportunities for BE/BC Pediatriciansto provide care in the Hospital Pedi-atric Fast Tracks with annual volumesof 8,000 to 1 1,000. Minor care treat-ment areas, flexible hours andoutstanding compensation/benefitspackage. Attractive locations. ContactDebbie Rosenberg at EMSA, (800)422-3672, ext. 7397 or fax CV to(305)424-3270.

GeorgiaATLANTA - BC/BE Pediatrician to joinbusy private suburban practice. Gen-erous salary, benefits and partnershiptrack. Send CV and references toPediatric Physicians, P.C., 11050Crabapple Road, Roswell, GA 30075,(770)518-9277, Fax (770)518-8718.

AprilPediatrics Update (Third Annual LloydNoland), Hilton Head Island, SC,April 24-27, 1996. Faculty: Drs.Gross, Honig, Lovejoy, Mauro,Rupp. CaIV write: Department/MedicalEducation, Lloyd Noland Hospital, RO.Box 538, Fairfield, AL 35064. (205)783-5276.

i

AAP News/January 1996 21

Missouri

Kansas City - Pediatric position withCIGNA HealthCare. Shared call.Excellent compensation/benefits.Contact: Cheryl McFall, 222 S. CentralAve., #400, St. Louis, MO., 63150.Phone (800)678-7858; FAX (314)726-0026.

New HampshireSouthwestern New Hampshire -

Seventh pediatrician to join 58 physi-cian multispecialty group practicewhich includes academic affiliationwith Dartmouth-Hitchcock MedicalCenter. Excellent community hospital,progressive college community nearMt. Monadnock and many beautifullakes, with an abundance of yearround cultural and recreational activi-ties. Send CV or call: Tricia Powers,Lahey Hitchcock Clinic, 294 D.W.Highway, Merrimack, NH 03054.Phone (603)424-781 1 or fax (603)424-3315. Committed to equal opportunityemployment.

AAP POUCY REFERENCE GUIDETo purchase copies ($49.95 for AAPmembers) contact: AAP Publications,141 Northwest Point Blvd., Elk GroveVillage, IL 60007; (800) 433-9016.

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North CarolinaImmediate opening for BC/BE Pedia-trician needed full-time to join rapidlygrowing medical group. This physician-owned and managed group of 26primary care phnysicians serves adiverse managed care population in thegreater Charlotte, NC area. Affiliationwith major local teaching hospital.Competitive compensation and benefitpackage, shareholdership potential,relocation assistance, modern facilitiesand a comfortable work schedule makethis an ideal practice situation. Call(704)365-0214 for further informationor fax CV to Cynthia Orengo (704)365-9959. The Carolina Health Care Groupis an equal opportunity employer.

OregonNORTHWEST PERMANENTE, P.C.,a physician managed multispecialtygroup providing care for 380,000members of Kaiser Permanente, isseeking BC/BE Pediatricians for fu!l-time and part-time positions in thePortland/Vancouver area to staffgeneral pediatric clinics (includesurgent care call). Will also considergeneral pediatricians with NICU/PICUskills to attend at city-wide children'shospital. We offer a stimulating profes-sional environment, a beautifulrecreation area with easy access tomountains and beaches, a competitivesalary and benefits package includingpaid malpractice, sabbatical, two pen-sion plans and more. Please forwardCV to A.P. Weiland, M.D., RegionalMedical Director, Northwest Perma-nente, P.C., 2701 N.W. Vaughn, Ste300, Portland, OR 97210-5394. EOE.

GENERAL PEDIATRICIANS-TexasTech University HealthServices Center-EIPaso,Department of Pediatrics,is seeking BC/BE generalpediatricians for clinical andtraditional teaching tracks. Weoffer an extremely competitivesalary, loan repayment, excel-lent benefits, and myriadcultural activities native to theTexas/New Mexico/Mexicoborder. For more information,contact Gilbert A. Handal,M.D., Chairman of Pedi-atrics,TexasTech UniversityHealth Services Center-ElPaso, 4800 Alberta Ave., ElPaso, Texas 79905, (915)545-6787, Fax (915)545-6976.Texas Tech is an EOE.

22 AAP News/January 1996

PennsylvaniaThe Department of General Pedi-atrics at the Geisinger MedicalCenter is currently seeking a BC/BEPediatrician. The opportunity includesmedical student and resident educationwith a wide range of ambulatory andinpatient clinical activities at the new86-bed Janet Weis Children's Hospitalat Geisinger. The hospital is the firstacute care children's hospital located ina rural area in the United States. Pedi-atric services on site include a fullcomplement of pediatric subspecialistsand supportive surgical services.The Geisinger Medical Center is thetertiary hub of an integral health caresystem located in beautiful rural north-eastern and central PA. Enjoy a familycentered lifestyle with the opportunityfor personal growth. Interested individ-uals should contact William Malone,M.D., Geisinger PD-AB, 100 N. Acade-my Avenue, Danville, PA 17822-1528,or call (800)845-71 12. CV's may befaxed to (800)622-2515. E.O.E. MIFIHN.

Philadelphia Suburb- BC/BE Pedia-trician needed to join well establ-ished practice. Great growth poten-tial with competitive salary leading tofull partnership. Contact (610)272-4214 or (610)277-3479, or FAX(61 0)272-41 60.

Texas

Austin - BC/BE pediatricians neededfor rapidly expanding primary carenetwork. Physician-directed and man-aged. Call 1:4 or better. Salary, bonus,benefits. Priority considerationgiven to candidate able to relocatein 2-6 months. Call or send CV withcover to Jane Vogt, (800)765-3055,222 S. Central, Ste. 700, St. Louis, MO63105. FAX (314)726-3009.

ACADEMIC GENERALIST - The divi-sion of Community and GeneralPediatrics at the University of Texas atHouston is recruiting faculty for ourbusy teaching and research program.Various clinical sites. New problem-based curriculum. Active research inpatient education, injury control,health services, and health outcomes.Rank commensurate with experience.Please contact Dr. Virginia Moyer,Department of Pediatrics, 5656 KelleyStreet, Houston, TX 77026. Phone:(713)636-4540; FAX: (713)636-5844.The University of Texas is an EqualOpportunity Employer. Women andminorities are encouraged to apply.

CHAMBERSBURG HEALTH SERVICESLocated three hours east ofPittsburgh and tvvo hours northwest ofWashington,

D.C., Chambersburg prospers in a beautiful semi-rural setting offering a superiorfamily-centered lifestyle at a reasonable cost of living.Come live where arts and culture abound, where skiing and trout fishing are

in your back yard. Public or private schools and local universities provideeducational excellence.

BC/BE PEDIATRICIAN NEEDEDto join afour-pediatrician system-owned practice

Ah t ~~~~Formore information, call or send your C.V. to:\ ~~~~~Marie Royce, Director of Physician Relations

\s ~~~~Chambersburg Healt Services, P.O. Box 6005>g ~~~~~~Chambersburg, PA 17201

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THE WESTERN PERINATAL CLUB PRESENTS A PERINATAL BRIEFING BY

David K. Stevenson, M.D.PROFESSOR OF PEDIATRICS

STANFORD UNIVERSITY SCHOOL OF MEDICINE; PALO ALTO, CALIF.

Wednesday, February 14, 1996LA PLAYA HOTEL, POSEIDON ROOM; CARMEL, CAIFIR

6:00 pm reception followed at 6:45 by Perinatal Briefingon the birth and first year of the California Association ofNeonatologists and the AAP District IX Perinatal Section.

Presentation includes a progress report on theDirectory of United States Neonatologists/1966.

0

The Handbook ofCommon Poisonings in Cbildrengives you the information you need to act whencurious kids are accidentally exposed to medicinesand household chemicals, even spider bites, beestings, or poisonous plants. Revised by the AAPCommittee on Injury and Poison Preventiontogether with toxicology experts, the Handbookwill help you assess poison exposure and initiateaction. Order your copy today.

UseVISA or MasterCard to charge your order:call toll-free 800/433-9016 or faxyour information to708/228-1281 or mailyour order withi check or moneyorderto:American Academy of Pediatrics/Pubfications,PO Box 927Elk Grove Village, IL60009-0927

Please allow 2 to 3weeks forUPS delivery.

American Academyof Pediatrics

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Registration fees:AAP Section Affiliate MemberAllied Health ProfessionalPhysician

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based Pediatricians and Neona-tologists for fulfilling and gratifyingcareers. Very attractive call schedulesoffering participation in all areas ofpediatric or neonatology practice. Highquality subspeciality support. Opportu-nities in areas of high geographicdesirability. Children's Hospital Ser-vices offers an outstanding employeecompensation package, including fullbenefits and professional liability insur-ance. Contact: Dee Crum, Children'sHospital Services, Inc., 21644 StateRoad 7, Boca Raton, FL 33428. (800)300-5232. Fax: (407)488-8279.AAIEOE, M/F.

Plan now to join us in San Diego for this excitingeducational offering!

[l Please send me a brochure for the1996 Conference on Pediatric Critical Care Transport

CME RegistrationAmerican Academy of Pediatrics141 Northwest Point Blvd, PO Box 927Elk Grove Village, IL 60009-0927(800) 433-9016, ext 7657 or 6796Outside the United States and Canada,call (708) 228-5088, ext 7657 or 6796

AAP News/January 1996 23

VirginiaRiverside Regional Medical Centerin Newport News,Virginia, is current-ly recruiting for a Board Eligible/BoardCertified pediatrician to join RiversidePediatrics, a group of eight physicians.Responsibilities include clinical prac-tice in one of the three newly-constructed Pediatric AmbulatoryCenters and inpatient coverage forthese patients. Additionally, this groupprovides the pediatric education forthe hospital-based Family Medicineand Transitional Residency programs.This is an excellent opportunity forsomeone interested in combining acareer in clinical and academic medi-cine while living in one of Virginia'smost attractive areas. Contact: RosaFuste, M.D., Riverside Pediatric Cen-ter, 316 Main Street, Newport News,VA 23601; (804)594-3324.

Wisconsin

CHAIR, DEPARTMENT OF PEDI-ATRICS, The University of WisconsinMedical School, Madison, Wisconsininvites applications and nominationsfor the position of Chair of the Depart-ment of Pediatrics and MedicalDirector of the UW Children's Hospital,to succeed Philip M. Farrell, M.D.,Ph.D., who has assumed the positionof Dean, University of Wisconsin Med-ical School. We seek a recognizedleader with an outstanding academicbackground, including strong clinicaland research credentials, demonstrat-ed commitment to education andoutreach, experience in mentoringjunior faculty, and proven leadershipand management skills, to continue thestrong tradition of the Department ofPediatrics. Candidates must have anM.D. degree or equivalent, must beBoard Certified in Pediatrics, and musthave academic credentials for atenured faculty appointment at the Uni-versity of Wisconsin-Madison. Send aletter of application or nomination, withcurriculum vitae, to Professor JosephF. Sackett, Pediatric Chair SearchCommittee, c/o Margie Martin, 1205Medical Sciences Center, 1300 Univer-sity Avenue, Madison, Wisconsin53706. Fax: (608)265-3286. E-mail:margie.martin@ mail.admin. wisc.edu.Application from minorities and womenare encouraged. To ensure full consid-eration, send applications by March 1,1996. Unless confidentiality is request-ed in writing, information regardingapplicants must be released uponrequest. Finalists cannot be guaran-teed confidentiality. The University ofWisconsin is an equal opportunity, affir-mative action employer.

1 996 Conferenceon Pediatric CriticalCare TransportJointly sponsored bythe AAP Section on _

Transport Medicine and the X ! JAmerican Academy of Pediatrics _

May 171 919 1996 < |Doubletree HotelSan Diego, California

Designed for the transport medicine professional, the1996 Conference features an expert faculty of physicianand nursing leaders discussing the most recent advancesin transport medicine. A variety of interactive educationalformats will be offered so that attendees are actively par-ticipating throughout the conference. There will benumerous opportunities throughout the conference tonetwork with your colleagues.Topics include:

* Managed Care/Reimbursement* Telemedicine* Infectious Disease Issues* Medical Legal Issues* Sedation/Paralytics during Transport* New Team Issues Workshop* Air vs. Ground Transport* Transport Effects on Team* Technological Advances* Team Relationships

Conference features:* Networking luncheon* Poster session on "Tricks of the Trade"* Technical exhibits* "First Annual Transport College Bowl"(Matchwits with your colleagues on transport issues!)

BOSTON UNIVERSITY SCHOOL OF MEEDICINECONTINNG MEDICAL EDUCATION PROGRAMS

IN PEDIATRICS 1995 - 1996

PEDIATRIC CHALLENGES F'OR THE 1990'S AND BEYONDCopley Plaza Hotel, Boston, MA November 9-11, 1995

BEHAVIORAL PEDIATRICS: CLINICAL PROBLEMS IN PREIMARY CARERoyal Sonesta Hotel, Cambridge, MA March 8 -9, 1996

RECENT ADVANCES IN THE DIAGNOSIS AND MANAGEMENT OFINFECTIOUS DISEASES IN CHELDREN

Copley Plaza Hotel, Boston, MA March 30, 1996

CURRENT CLINICAL PEDIATRICSHilton Resort, Hilton Head, S.C. April 22-26, 1996

PEDLiTRIC EMEERGENCIESCopley Plaza Hotel, Boston, MA June 5 -7, 1996

For further informnation, please contact:

Boston University School of MedicineDepartment of Continuing Medical Education80 East Conc-ord Street, Bldg. A, Room 305

Boston, MA 02118Telephone: (617) 638 - 4605

Fax: (617) 638 - 4905email: cme,Xmed-mai1.bu.edu

AmericanAcademy ofPediatrics

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New Robitussin Pediatric Drops provides effective cough/coldsymptom relief in a formula that's antihistamilne-free andalcohol-free. It combines the maximum single OTC doses ofdextromethorphan (5mg/2.5mL), guaifenesin (100mg/2.5mL), andpseudoephedrine (15mg/2.5mL). And the calibrated oral syringeassures parents of easy, yet accurate dosing.

Trust Robitussin, the #1 recommended name in cough/cold therapty,0)1995 Whitehall-Robins Healthcare

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References: 1. Data on file. Pfizer Inc, New York, NY. 2. McLinn S, Williams D. High incidence ofSti-eptococcus pneumoniae and Haemophilus ilnQuenzae (beta-lactamase) resistance in recent otitis mediaclinical trial isolates. Presented at the 35th Interscience Conference on Antimicrobial Agents andChemotherapy; September 17-20, 1995; San Francisco, Calif. Abstract. 3. Hardy DJ, Hensey DM, BeyerJM, Vojtko C, McDonald EJ, Fernandes PB. Comparative in vitro activities of new 14-, 15-, and 16-membered macrolides. Antimicr-obAgents Chernother. 1988;32:1710-1719. 4. Retsema J, Girard A,Schelkly W, et al. Spectrum and mode of action of azithromycin (CP-62,993), a new 15-membered-ringmacrolide with improved potency against gram-negative organisms. Antimicr-ob Agents Chemother.1987;31:1939-1947. S. McLinn S. Double blind and open label studies of azithromycin in themanagement of acute otitis media in children: a review. Pediati- Infect Dis J. 1995;14:S62-S66.6. Khurana C, McLinn S, Block S, Pichichero M. Trial of azithromycin (AZ) vs Augmentin (AUG) fortreatment of acute otitis media (AOM). Presented at the 34th Interscience Conference on AntimicrobialAgents and Chemotherapy; October 4-7, 1994; Orlando, Fla. Abstract.

Augmentin (amoxicillin/clavulanate potassium) is a registered trademark of SmithKline BeechamPharmaceuticals.

ZITHROMAX (zithromydin for oral suspension)BRIEF SUMMIARY

INDICATIONS AND USAGEZITHROMAX(@ (azithromycin) is indicated for the treatment of patients with mild to moderate infections caused by susceptiblestrains of the designated microorganisms in the specific conditions listed below. As recommended dosages, durations of therapy,and applicable patient populations vary among these infections. please see DOSAGE AND ADMINISTRATION for specificdosing recommendations.Children:Acute otitis media caused by Haemophilus influenzae, Moraxella catarrhalis or Streptococcus pneumoniae. (For specific

dosage recommendation, see DOSAGE AND ADMINISTRATION.)Pharyngitis/tonsillitis caused by Streptococcus pyogenes as an alternative to first line therapy in individuals who cannot use

first-line therapy. (For specific dosage recommendation, see DOSAGE AND ADMINISTRATION.)NOTE: Penicillin by the intramuscular route is the usual drug of choice in the treatment of Streptococcus pyogenes infection and

the prophylaxis of rheumatic fever. ZITHROMAX(@ is often effective in the eradication of susceptible strains of Streptococcuspyogenes from the nasopharynx. Because some strains are resistant to ZITHROMA)(@, susceptibility tests should be performedwhen patients are treated with ZITHROMAXO. Data establishing efficacy of azithromycin in subsequent prevention of rheumaticfever are not available.Appropriate culture and susceptibility tests should be performed before treatment to determine the causative organism and its

susceptibility to azithromycin. Therapy with ZITHROMAXS may be initiated before results of these tests are known;- once theresults become available, antimicrobial therapy should be adjusted accordingly.

CONTItINDICATIONSZITHROMAXO is contraindicated in patients with known hypersensitivity to azithromycin, erythromycin, or any macrolideantibiotic.

WARNINGSSerious allergic reactions, including angioedema and anaphylaxis, have been reported rarely in patients on azithromycin therapy.(See CONTRAINDICATIONS.) Despite initially successful symptomatic treatment of the allergic symptoms, when symptomatictherapy was discontinued, the allergic symptoms recurred soon thereafter in some patients without further azithromycinexposure. These patients required prolonged periods of observation and symptomatic treatment. The relationship of theseepisodes to the long 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 beaware that reappearance of the allergic symptoms may occur when symptomatic therapy is discontinued.Pseudomembranous colitis has been reported with nearly all antibacterial agents and may range in severity from mild to life-

threatening. Therefore, it is important to consider this diagnosis in patients who present with diarrhea subsequent to theadministration 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 severe cases, considerationshould be given to management wvith fluids and electrolytes, protein supplementation, and treatment with an antibacterial drugclinically effective against Clostridium difficile colitis.

PRECAUTIONSGeneral: Because azithromycin is principally eliminated via the liver, caution should be exercised when azithromycin isadministered to patients with impaired hepatic function. There are no data regarding azithromycin usage in patients with renalimpairment;- thus, caution should be exercised 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 and torsades de pointes, inindividuals with prolonged QT intervals.There has been a spontaneous report from the post-marketing experience of a patient with previous history of arrhythmias who

experienced torsades de pointes and subsequent myocardial infarction following a course of azithromycin therapy.Information for Patients:Patients should be cautioned to take ZITHROMAX8 suspension at least one hour prior to a meal or at least two hours after ameal. This medication should not be taken with food.Patients should also be cautioned not to take aluminum- and magnesium-containing antacids and azithromycin simultaneously.The patient should be directed to discontinue azithromycin immediately and contact a physician if any signs of an allergic

reaction occur.Drug Interactions: Aluminum- and magnesium-containing antacids reduce the peak serum levels (rate) but not the AUC (extent)of azithromycin absorption.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 administered in multiple doses resulting intherapeutic steady-state levels of theophylline is not known. However, concurrent use of macrolides and theophylline has beenassociated with increases in the serum concentrations of theophylline. Therefore, until further data are available, prudent medicalpractice dictates careful monitoring of plasma theophylline levels in patients receiving azithromycin and theophyllineconcomitantly.Azithromycin did not affect the prothrombin time response to a single dose of warfarin. However, prudent medical practice

use of macrolides and warfarin' in clinical practice has been associated with increased anticoagulant effects.The following drug interactions have not been reported in clinical trials with azithromycin;- however, no specific drug interaction

studies have been performed to evaluate potential drug-drug interaction. Nonetheless, they have been observed with macrolideproducts. Until further data are developed regarding drug interactions when azithromycin and these drugs are used concomitantly,

I Iz

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Staphylococcus aureusStreptococcus pneumoniaeStreptococcus pyogenes(group A)

In vitro susceptibility does not necessarily correlate with in vivo results.

careful monitoring of patients is advised:Digoxin - elevated digoxin levels.Ergotamine or dihydroergotamine - acute ergot toxicity characterized by severe peripheral vasospasm and dysesthesia.Triazolam - decrease the clearance of triazolam and thus may increase the pharmacologic effect of triazolam.Drugs metabolized by the cytochrome [3450 system - elevations of serum carbamazepine, terfenadine, cyclosporine,

hexobarbital, and phenytoin levels.Laboratory Test Interactions: There are no reported laboratory test interactions.Carcinogenesis, Mutagenesis, Impainment of Fertility: long-term studies in animals have not been performed to evaluatecarcinogenic potential. Azithromycin has shown no mutagenic potential in standard laboratory tests: mouse lymphoma assay,human lymphocyte clastogenic assay, and mouse bone marrow clastogenic assay. No evidence of impaired fertility due toazithromycin was found.Pregnancy: Teratogenic Effects. Pregnancy Category B: Reproduction studies have been performed in rats and mice at doses upto moderately maternally toxic dose levels (i.e., 200 mg/kg/day). These doses, based on a Mg/M2 basis, are estimated to be 4 and2 times, respectively, the human daily dose of 500 mg. In the animal studies, no evidence of harm to the fetus due to azithromycinwas found. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproductionstudies are not always predictive of human response, azithromycin should 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 excreted in humanmilk, caution should be exercised when azithromycin is administered to a nursing woman.Pediatric Use:Acute Otitis Media: Safety and effectiveness in the treatment of children with otitis media (dosage regimen: 10 mg/kg on Day 1

followed by 5 mg/kg on Days 2-5) under 6 months of age have not been established.Pharyngitis/Tonsillitis: Safety and effectiveness in the treatment of children with pharyngitis/tonsillitis (dosage regimen:

12 mg/kg on Days 1-5) 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 younger volunteers(18-40 years old) for the 5-day therapeutic regimen. Dosage adjustment does not appear to be necessary for older patients withnormal renal and hepatic function receiving treatment with this dosage regimen.

ADVERtSE REACTIONSIn clinical trials, most of the reported side effects were mild to moderate in severity and were reversible upon discontinuationof the drug. Approximately 0.7% of the patients (adults and children) from the multiple-dose clinical trials discontinuedZITHROMAX(9 (azithromycin) therapy because of treatment-related side effects. Most of the side effects leading todiscontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting, diarrhea, or abdominal pain. Potentially seriousside effects of angioedema and cholestatic j'aundice were reported rarely.Clinical:Children:Multiple-dose regimens: The types of side effects in children were comparable to those seen in adults, with different incidencerates 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 on Days 2-5, the most

frequent side effects were diarrhea/loose stools (2%), abdominal pain (2%), vomiting (1%), and nausea (1 %).Pharyngitis/tonsillitis: For the recommended dosage regimen of 12 mg/kg on Days 1-5, the most frequent side effects 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 ZITHROMAX('! with a frequency 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.Special Senses: Conjunctivitis.Laboratory Abnormalities:Children:Significant abnormalities (irrespective of drug relationship) occurring during clinical trials were all reported at a frequency of lessthan 1%, but were similar in type to the adult pattern.

In multiple-dose clinical trials involving almost 3000 pediatric patients, no patients discontinued therapy because of treatment-related abnormalities.

DOSAGE AND ADMIINISTRATIONChildren:Acute Otitis Media: The recommended dose of ZITHROMAX(( for oral suspension for the treatment of children with acute otitismedia is 10 mg/kg as a single dose on the first day (not to exceed 500 mg/day) followed by 5 mg/kg on days 2 through 5 (not toexceed 250 mg/day).Pharyngitis/Tonsillitis: The recommended dose for children with pharyngitis/tonsillitis is 12 mg/kg once a day for 5 days (not toexceed 500 mg/day).ZITHROMAX'9 for oral suspension should be given at least I hour before or 2 hours after a meal.ZITHROMAXt' for oral suspension should not be taken with food.

More detailedprofessional information available on request.

Issued October 1995

(D 1995, Pfizer Inc ZC066A95

Predictable in vitro activity against important pathogens'

Haemophilus influenzaeMoraxella catarrhalisLegionella pneumophila

Chlamydia trachomatisBorrelia burgdorferiMycoplasma pneumoniae

V441 NOmx(uIthoy oorulsuspension)l

Labs - NHO - Pratt *Roerig - Specialty%7U.S. Pharmaceuticalls Group

Thoe antibiotic solutionwith predictable results in

unpredictable patients

Predictable Coverage of

Key Pathogens:H influenzae, S pneurmoniae, and

M4 catarrhalisl-4

Predictable Results:

Proven as effect-ive as

AugrnentinO' 5 6--

Predictable Convenience:

The only 5-day, once-da'ilytreatrnient

Predictably VVell Tolerated:

Only 0.3% discontinuation dueto side effects

The most frequent side effects are

diarrhea/loose stools (2%), abdominal pain (2%),vomiting (1%), and nausea (1%). ZithromaxO

(azithromycin) is contraindicated in patients withknown hypersensitivity to macrolides.

ZItrmx(uzithromycin fororulsuspension) ua

Please see brief summary of prescribing information on adjacent page.

TH E PREDICTABI|LITY YOU N EE D IN PE DIATRIC'! , .

NEVV 5-DAY,ONCE_DAILY THERAPYFOR A1CUTE OTITIS

MEDIA