Physician Resources

Please click on the topics below to access information, materials, and resources for each of the following subjects:

Articles Infectious Disease - RSV, Zika, and Flu Information
Autism Medical Eduation
ADHD Resources Medical Home
Border Refugee Information Miscellaneous Information (find a physician)
Community Access to Child Health (CATCH) Newborn Screening
Child Abuse Obesity
Diabetes Patient Safety
Disaster Preparedness Practice Management
Disease Reporting/Notifiable Conditions Safe Sleep Environment
Early Hearing Detection and Intervention Vaccination 
Forms Velocardialfacial Syndrome
Human Papillomavirus (HPV)  

Articles:

The National Academy of State Health Policy and The Commonwealth Fund has issued the report, Improving the Delivery of Health Care that Supports Young Children's Healthy Mental Development: Update on Accomplishments and Lessons from a Five-State Consortium. The Commonwealth Fund provided grant money to NASHP to implement pilot programs in five states to test ways to improve mental health services for children.; This report updates information on the results of those pilots.

Autism:

Healing Thresholds is a website dedicated to surveying the scientific literature for peer-reviewed studies on autism therapies. Please visit their website at http://autism.healingthresholds.com/ to see a summary of the contents of these papers or to sign up for weekly eBriefs.

ADHD Resources:

Bibliography for Providers dealing with comorbidities and help with medication management
  • Sleep Better! A Guide to Improving Sleep for Children with Special Needs - V. Mark Durand
  • Child & Adolescent Clinical Psychopharmacology - 4th ed. - Wayne Hugo Green
  • The Kazdin Method for Parenting the Defiant Child” - Alan E. Kazdin, Ph.D.
  • Educational Care: A System for Understanding and Helping Children with Learning Problems at home and in school - Dr. Mel Levine
  • Identifying & Addressing Developmental-Behavioral Problems: A Practical Guide for Medical and Non-Medical Professionals, Trainees, Researchers, and Advocates - Editors Glascoe, Marks, Poon, and Macias 

Border Refugee Information:

Recent News (updated 12/9/16):

The Refugee and Immigrant Center for Education and Legal Services (RAICES) released a statement that, "Over the weekend, Immigration and Customs Enforcement (ICE) hurriedly released over 460 mothers and children from Karnes and Dilley Family Detention Center to Casa RAICES in San Antonio, Texas. This massive release to our shelter came after an Austin judge sided with Texas advocates and detained families and ruled against the Texas Department of Family and Protective Services, as well as GEO and CoreCivic, the two private prison companies that operate Karnes and Dilley, by issuing a final judgement which prevented the Texas DFPS from issuing child care licenses to ICE controlled family detention centers."

According to RAICES' statement, "The families released over the weekend were in various stages of the legal processes that normally take place in detention, which stands against ICE’s long standing claim that detention is necessary for families to undertake legal processing prior to release. Approximately 25% of families were released without a credible fear interview. The majority of families were released without travel plans, forcing RAICES staff and volunteers to work until 4:00 AM on Saturday night to communicate with families and arrange travel. RAICES has opened additional shelter space at a local church and convent in San Antonio to accommodate the overflow from our shelter."

To read the full statement from RAICES and for contact information to find out more, click here

Previous TPS Activities:

During the 2015 Annual Leadership and Planning Summit (ALPS) guest speakers, Dr. Kenneth Smith Ph.D. and Dr. Rebecca Hester MA, Ph.D. from UTMB presented, “Addressing the Health Needs of Child Refugees from Central America”  which discussed the crisis of immigrant children in Texas. For access to that presentation click here.

TPS released a statement on the increasing number of refugee children at the southern Texas boarder. TPS urgently calls upon state and federal agencies to come together wtih charitable organization to assist these children.  

In December 2015, four TPS members visited a family residential center in Karnes City: Dr. Kim Avila Edwards, Dr. Lauren Gambill, Dr. Jim Lukefahr, and Dr. Joyce Mauk. This issue has also been a priority for the AAP.

Resources on this issue for pediatricians include:

CATCH - Community Access to Child Health:

CATCH is a national program of the American Academy of Pediatrics (AAP) designed to improve access to health care through community-based efforts. The program began in 1991 and receives funding from a variety of sources.

The mission of CATCH is to support pediatricians who work with communities to ensure that all children have medical homes and access to other needed health caservices. To achieve this goal, the CATCH Program provides pediatricians with training, technical assistance, peer support, networking opportunities, and funding opportunities for project development.

For more information on CATCH, grant funding, and projects that have been previously awarded funding, please click here..

Child Abuse:

Child and Family Safety:

In times of national tension, children may experience increased exposure to violence, racial bias or other adverse events in their social environments. The American Academy of Pediatrics shared the following links in order to help physicians and parents support children when faced with these complex and difficult circumstances. 

Diabetes

TPS and Beyond Type 1 partnered for an educational campaign on Type 1 diabetes in November and December of 2016. Read more here.

Disaster Preparedness

Texas is prone to disasters of all kinds, from severe weather events to industrial accidents. Many of the victims of humanitarian emergencies and natural disasters are children, and pediatric expertise in responding to the needs of children in these situations is important. In support of our members, TPS has compiled a list of resources to help prepare for emergencies and natural disasters.

Disease Reporting/Notifiable Conditions

The Disease Reporting/Notifiable Conditions page of the DSHS web site is a handy reference for physicians. The page includes notifiable conditions, investigation and surveillance forms, reporting forms, epi case criteria, CDC case definitions, antibiotic resistant isolate, blood lead level reporting, cancer reporting, contaminated sharps injury, electronic reporting (NEDSS), HIV/STD reporting, laboratory reporting, and TB forms. Please click on the links above to access information on a particular topic or vist the website at: http://www.dshs.state.tx.us/idcu/investigation/conditions/default.asp.

Please click on the links above to access information on a particular topic or vist the website at:

http://www.dshs.state.tx.us/idcu/investigation/conditions/default.asp.

Early Hearing Detection and Intervention:

Forms:

Human Papillomavirus (HPV): Visit the TPS HPV webpage for additional information on the HPV vaccine.

Infectious Disease:

Zika: Learn more about Zika in Texas by clicking on the TPS Zika page here

Other Zika Resources:
DSHS Zika website: http://texaszika.org/
AAP Zika Information: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Children-and-Disasters/Pages/ZikaVirus.aspx
CDC Zika Information: https://www.cdc.gov/zika/

RSV: The Texas Pediatric Society Infectious Diseases Committee is pleased to provide information on respiratory viral surveillance in children in our state.  

RSV activity is shown by number of test performed, number of tests positive, and the percent of tests positive.  A line indicates a cutoff of 10% for the percent positive RSV tests.  The CDC definition of the start of the RSV season is the first of 2 consecutive weeks with greater than 10% positive tests.  The definition of the end of the RSV season is the last of 2 consecutive weeks with over 10% positive tests. 

This information is submitted by an increasing numbers of clinical microbiology labs that serve large numbers of children around the state.  This began as a voluntary unfunded program with the Centers for Disease Control, Texas Department of State Health Services, and the Texas Pediatric Society with 8 labs representing larger pediatric centers around the state.  It expanded with the addition of many more hospital laboratories with some support from MedImmune, via SDI.  All of this data is combined at the CDC, in the NREVSS database.  It is returned to us to clean up and present.  The sites are grouped into regions and the data from those areas are combined.  A list of the current sites and their grouping is provided.  This was done for several years by Diana Newton and Dr. Don Murphey at Cook Children’s Medical Center in Fort Worth.  It is now done by Ms. Lesley Bullion at DSHS in Austin with assistance by Dr. Murphey and the TPS Infectious Disease Committee members.  If you have questions about the project contact Dr. Don Murphey at dmurphey@cookchildrens.org, 682-885-1485.

Update as of 2/14/17: RSV activity in Texas this winter peaked around January 1 and is declining.  At present there are no signs indicating a late end to the RSV season this year.

View RSV Information

For additional respiratory viral surveillance information see the websites listed below: http://www.cdc.gov/flu/weekly/fluactivity.htm http://www.dshs.state.tx.us/idcu/disease/influenza/surveillance/2009/ http://www.flustar.com/

Immunization Opt-out Registry (2017 Legislative One-Pager)

Parents’ Right to Know Vaccine Exemptions (2017 Legislative One-Pager)

Medical Education:

CME Opportunities

Medical Home:

 

Newborn Screening:

  • Major Insurers to Cover Higher Newborn Screening Fee
  • The Department of State Health Services (DSHS) has begun screening newborns for 27 genetic disorders with an additional screen beginning February 5, 2007. DSHS and the Newborn Screening program have developed a Newborn Screening Online Training Module which is now available. The Module includes information on the program's expansion. There is no fee for taking the online module and continuing education units are available. The module can be accessed at: http://txhealthsteps.com/

Obesity:

The Texas Pediatric Society Obesity Toolkit offers practical guidelines to aid pediatric practitioners in the prevention, early recognition, and clinical care of children and adolescents who are overweight or obese.

Patient Safety:

  • Doctors. Saving Lives. Campaign
  • Hard Hats for Little Heads promotes fun exercise, and teaches parents and children the importance of wearing a properly fitted helmet. The Texas Pediatric Society, the Texas Chapter of the American Academy of Pediatrics (TPS) offers its members a unique benefit. TPS will cover the cost of up to 25 helmets for its members who host a helmet giveaway. TMA provides an equal match of free helmets on these purchases, so TPS members can get up to 50 helmets to give away at no cost.
  • TheLearn the Signs. Act Early campaign has developed a free resource kit of materials on child development and autism for day care providers and teachers to share with parents of children in their care. The Child Care Provider Resource Kit, along with resources for parents and pediatricians, are available for free at http://www.cdc.gov/actearly
  • The Texas Academy of Family Physicians has recently teamed up with the Texas Department of State Health Services to bring Tar Wars to Texas. This vital program has helped many kids stay tobacco-free through its innovative and interactive lesson plan in elementary schools throughout Texas and the U.S. Tar Wars invites doctors, dentists, nurse practitioners, students/ residents and other community health advocates to present a one-time, one-hour scripted and interactive lesson plan to 4th and 5th graders to discourage youth taobacco use. Since its inception in 1988, Tar Wars has reached over 7 million kids worldwide. More information and a place to sign-up as a presenter is available at www.tafp.org/tarwars

Practice Management:

AAP Coding Resources

  • Please submit all coding questions to the AAP Coding Hotline  aapcodinghotline@aap.org
  • The AAP has a collection of coding resources listed on www.aap.org/coding. We encourage you to bookmark this page and refer to it as often as needed. Most are free resources or member benefit. 
  • Also, there is a collection of coding news articles from AAP News. There is a monthly column called “Coding Corner” so feel free to look over the past year’s articles: http://www.aappublications.org/collection/coding-corner

Safe Sleep Environment:

Velocardialfacial Syndrome:

SB 1612 was passed in 2009 to increase awareness of Velocarardialfacial Syndrome(a.k.a. DiGeorge or 22q11.2 deletion) in Texas. As a result parents whose children are receiving services for developmental delays through the state’s Early Childhood Intervention (ECI) programs may be contacting their pediatricians to ask whether their child may need genetic testing for the 22q11.2 deletion. For more information, please visit: http://www.txpeds.org/sites/txpeds.org/files/documents/vcfs.pdf.

Miscellaneous Information:

Find a Pediatrician - VIA the American Academy of Pediatrics

Use this tool to search for an AAP member pediatrician, pediatric sub-specialist, or pediatric surgical specialist.

Texas Medical Board

TPS does not provide a referral service. However, we are pleased to refer you to the Texas Medical Board, the State agency which licenses all physicians in Texas.

The TMB website we are referring you to will allow you to search for a physician by name or by city.

On the TMB website you must first "Accept the Terms and Conditions." Then ‘Enter Search Criteria’ page, click on ‘License Type’ and then select Physician. It will then display a ‘Specialty’ drop box and you may enter the ‘pediatric specialty’ and the city to receive the names and background information of pediatricians in the area you are searching for.

Texas Physician Education Loan Repayment Program
  • The 81st Texas Legislature passed a bill creating a new physician loan repayment program that will pay up to $160,000 to physicians who agree to practice for four years in primary care Health Professional Shortage Areas, many of which are located in rural communities as well as urban centers.
  • The Texas Higher Education Coordinating Board approved the final rules in October 2009. This page will be updated as the program is implemented. Please note that official information about the program can be accessed through the Texas Higher Education Coordinating Board or the Texas Department of State Health Services
  • The Health Resources and Services Administration is now accepting new applications to support loan repayment for bonafide educational debt for primary care medical, dental and certain behavioral/mental health clinicians who want to work at National Health Service Corps (NHSC) sites. In exchange for the loan repayment assistance, clinicians serve for two years with the Corps. The new funds, totaling almost $200 million, are expected to support about 3,300 clinicians that will serve in health centers, rural health clinics and other health outpatient/ambulatory care sites that care for uninsured and underserved people.

Resource Links