L

Ophthalmology Specalty FellowBruce Alan Miller, M.D.1476 Lantana Ct.Weston, FL 33326

Georgia

Joseph Sewell Bresee, M.D.1754Vickers CircleDecatur,GA 30030-1034

Hilda Marian DeGaetano, D.O.4781 Brookgreen Rd.Martinez, GA 30907

Kimberly Buchanan Jester, M.D.4205 Knollcrest CirdeMartinez, GA 30907-1641

Anita Singh Khichi, M.D.106 Kay Ln.Carrolfton, GA 3011 7

Anjali Malkani, M.D.2040 Ridgewood Dr., NEAtlanta, GA 30322

Denise J. Nakos, M.D.1220 Parldand RunSmyrna, GA 30082-4738

Noelle E. Ruddock-Solomon, M.D.2190 Foxboro Ln.Atlanta,GA 30360-1607

KentuckyShahid Ijaz Sheikh, M.D.233 E. Gray St., #201Louisville, KY 40202

North Carolina

Lucia Criveanu, M.D.4484 Penhurst Ct.Fayetteville, NC 28311-6945

Jay Merritt Gillenwater, M.D.2605 Blue Ridge Rd., Suite 240Raleigh, NC 27607

lTahmida Jahangir, M.D.l341 9-B Melrose Rd.IFayetteville, NC 28304

Marcella Saylor Schwalbe, M.D.851 Craigmont Ln.Concord, NC 28027-442

Tennessee

Pansy Hayes Davis, M.D.2580 Shady Hill Rd.Lexington, TN 38351

Virginia

ChristopherAllanAshton, M.D.RR#1 Box 378Timberville,VA 22853-9824

Joseph Donald Gunn, M.D.3300 Gallows Rd.FallsChurch,VA 22042-3300

Andrew Frost Hawkins, M.D.21193 Sophie Dr.Abingdon,VA 24211-7088

BuuThat Lien, M.D.2305 Lafayette Blvd.Norfolk,VA 23509-1917

Lisa A. Pauls, M.D.5980 Richmond Hwy, #405Alexandria, VA 22303-2741

Kenneth GibsonTilghman, M.D.41 07Tweedsmuir Rd.Moseley,VA 23120

MichiganAlicia Franco Imperial, M.D.2384Westem Meadows Dr.Flushing, MI 48433

Ohio

Sarah A.Tellalian Adams, M.D.6838 St. Ives Blvd.Hudson, OH 44236

Amy Claire Lakritz, M.D.2175 Cottington St., NWNorth Canton, OH 44720

AndrewJohn Lee, M.D.2981 West 4th St.P.O. Box 170Ontario,OH 44862-0170

Siga Matulaitis Lenkauskas, M.D.10535 Montgomery Rd.Cincinnati, OH 45242

Marianne Nga Nguyen, M.D.2426VillageView Ct.Miamisburg, OH 45342-5272

Caroline DuYaphockun, M.D.6615 W. Bancroft, #61 HToledo,OH 43615

Ontario

CPSIAAP Dual FellowDonna A. Goldenberg, M.D.2227 S. Millway, #301Mississauga,ON 1-51-3R6Canada

Iowa

Susan G. Mac Lellan-Tobert, M.D.1823 Partridge Ln.Waterloo, IA 50701

Illinois

Michelle Murphy Babb, M.D.One Professional Dr.Afton, IL 62002

Francesca M. Eajaj, M.D.3524W. Saymore Ln.Peoria, IL 61515-3942

Edwin Rey-Matias Ballelos, M.D.2324 S. Euclid, #2Berwyn, IL 60402-2488

Asuncion Reazo-Jugueta Claveria, M.D.875Valley Rd.Lake Forest, IL 60045

In submitting these names of board-certified pediatricians to you, it is understood that academic and pediatric cre-dentials are not in question. Comments are requested concerning possible legal and/or ethical situations of whichyou might have personal knowledge. Send any comments on the following list of new applicants to your DistrictChairperson by December 15.

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 your DistrictChairperson, whose name and address is at the end of this list.

Timothy Patrick Stevens, M.D.6930 Colonial Dr.Fayetteville, NY 13066

Dermnatology Specialty FellowSteven David Resnick, M.D.1 1 South Ave.Cooperstown, NY 13326

NewYork 2

SylviaT.Chen, M.D.142-12 29th Ave.Flushing, NY 11354-1348

Marina Levin, M.D.123-25 82nd Ave., #3-GKewGardens,NY 11415-1220

Michael Anthony Maza, M.D.121 DekalbAve.Brooklyn, NY 11201

NewYork 3

Haydee L Bujman-Lancman, M.D.48 Sherwood Dr.Larchmont, NY 10538

Edith Jacobson Chemoff, M.D.1155 Pierce Ave.Bronx, NY 10461-2015

Macrine S. lonescu, M.D.410 N. BroadwayWhite Plains,NY 10603

Amitha K. Kadakol, M.D.357 Brittany Farms Rd., #326New Britain, CT 06053

Sabitha S. Rao, M.D.81 Portsmouth Ave.Staten Island, NY 10301

Mindy Ellen Steinholz, M.D.77 Carpenter Ave., Apt. 5PMt. Kisco,NY 10549

Christina K. Sullivan, M.D.2 Claiborne Rd.Harrison, NY 10528

DorothyJaneTaylor, M.D.600 West 246th St., #806Riverdale, NY 10471

Nghia H. Nguyen, M.D.7305 Baltimore Ave., #104College Park, MD 20740

New Jersey

Manuela Carmen Almaguer, M.D.2 Ivy Ct.East Hanover, NJ 07936

Sunita Goil, M.D.JSMC1945 Coriles Ave.Neptune, NJ 07754

Irene Carnacho Lintag, M.D.417Vanderbilt Ave.Somerset, NJ 08873-3305

Madhavi N. Parikh Maniar, M.D.90 Washington St.EastOrange,NJ 07017

Steven Eric Miller, D.O.194 Hwy. 35Red Bank, NJ 07701

PennsylvaniaMichael A. Barone, M.D.6025 Helen Dr.Allentown, PA 18104-9536

Stacie M. Marrie, M.D.176 S. Coldbrook Ave.Chambersburg, PA 17201

Marylee Mundell, D.O.318 Meadowbrook DriveHuntingdonValley, PA 19006

Ramakrishnan Raguraman, M.D.7901 Henry Ave., #G-304Philadelphia, PA 19125

WestVirginia

Joseph Ebitenbo Goin, M.D.P.O.Box1416Welch,WV 24801

Minnesota

Claire S. Neely, M.D.960 SherwoodShoreview, MN 55126-9113

Missouri

Kari Halverson Beesley, M.D.5810 N.W. Barry Rd.Kansas City,MO 64154

North Dakota

Mark Marvin Zittergruen, M.D.MERITCARE Medical Group737 BroadwayFargo, ND 58123

Wisconsin

Kimberly Mc Elroy, M.D.4245 N. Woodburn St.Shorewood,WI 53211

Anne C. Means, M.D.1 00 SitveradoStoughton,WI 53589

Sharyl Levine Paley, M.D.4971 N. Diversey Blvd.Milwaukee, WI 53217-5922

Connecticut

Rosa Anna Fini, M.D.4 August Ln.Trumbull, CT 06611

Janet Dang Geiger, M.D.2200 Whitney Ave., #240Hamden,CT 06518

Edward William Lenard, M.D.Pediatric Healthcare Assoc.15 Corporate Dr.Trumbull, CT 06611

Laurence N. Stiefel, M.D.160 Fairfield Woods Dr., #50Fairfield, CT 06432-3346

Pnina Gail Weiss, M.D.Bridgeport Hospital267 Grant St.Bridgeport, CT 06610

Uniformed Services East

Howard G. Oaks, M.D.211 Timberlake Dr.Fayetteville, NC 28314-1241

Massachusetts

JanetTieng Chua, M.D.15 Nichols Rd.Lexington, MA 02173

Sally H. Ginsburg, M.D.224Tanglewood DrLongmeadow, MA 01106-1667

Mark D.Weinreb, M.D.250 Green St., #207Gardner, MA 01440

New Hampshire

Manjapra R. Akilesh, M.D.24 Greensboro Rd.Hanover, NH 03755-3101

Kristin Lyn Bicocca, M.D.8 Crown Hill Rd.Atkinson, NH 03811

Louis Jay Nadkman, M.D.9 W.Woodbine Dr.Londonderry, NH 03053-3052

Ouebec

Chantal Gagne, M.D.28-8 RueRouyn Noranda, PQ J9X 2A4Canada

Arkansas

Marsha J. Salman, M.D.904 Autumn Rd., #100Little Rock, AR 72211-3702

Louisiana

Eduardo J. Hemandez-Moreno, M.D.P.O. Box 1143Slidell, LA 70459

Janie Elizabeth Hoft, M.D.520 Parks Rd.Benton, LA 71006-9641

Texas

Monica Jean Beamer, M.D.3740 N. Josey Ln., #230Carrollton,TX 75007

Deborah Kay Bryant, M.D.16803 Sandypike CircleSpring,TX 77379

Gloria P. Heresi, M.D.Pediatric Infectious Disease6431 Fannin, JFB 1739Houston,TX 77030

Lanna Brooke McClain, M.D.140 W. Lamrberth Rd., #CSherrnan,TX 75092

Carlos A. Melendez, M.D.P.O. Box 2154Laredo,TX 78044-2154

BethYanYanYip, M.D.7917 Knight Rd.Houston,TX 77054-3021

Florida

Faris M.AI-Mousily, M.D.1125 Highway Al1A, #802Satellifte Beach, FL 32937

Victor Francisoo Coloso, M.D.12364 S.W. 143rd Ln.Miami, FL 33186

Sudha Gupta Doshi, M.D.916 S.E.5thCt.Ft. Lauderdale, FL 33301

MariselaJaquez, M.D.University of MiamiSchool of MedicineDept. of PediatricsP.O. Box 016960 (D 8-1 )Miami, FL 33101

Mudra Kohli Kumar, M.D.440 Lucerne Ave.Tampa, FL 33606

Mario R. Sanchez, M.D.155 N.W. 1 56th St.Miami, FL 33169

Maryland

Russell Joseph Bunai, M.D.3704 Falling Green Rd.Olney, MD 20832-1019

Kenneth J. Cohen, M.D.960 Fell St., #311Baltimore, MD 21231-3551

Valerie Sharon Curry, M.D.8432 Charles Valley Ct., #ETowson, MD 21204

Claire Mare Del Signore, M.D.1813 South Rd., #2WBaltimore, MD 21209-4533

Upender Krishen Munshi, M.D.22053 St. Gabriel's Cr.Great Mills, MD 20634-2110

NewYork I

Carol Jean Buzzard, M.D.601 Elmwood Ave.Box 631Rochester, NY 14642-8679

Joel A. Snitzer, M.D.605 Grover Cleveland Hwy.Amherst, NY 14226-2925

November AAPNews 43

9

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I

Alberta

John C.Teoh, M.D.#507 1 1010 101 st St.Edmonton, AB T5K 2S6Canada

Alaska

George S. Tsao-Wu, M.D.1200 Airport Heights Dr.,#140Anchorage, AK 99508

Arizona

Shivarani Conjeevaram-Rajaram, M.D.2045 South 1 4th Ave., #23Yuma, AZ 85364-6286

Martha L. Eicher, M.D.6433 N. Shadowbluff Dr.Tucson, AZ 85704-6949

Mehdi David Salek, M.D.Puebio Pediatrics2175 N. Alma School, C-104Chandler, AZ 85224

Colorado

Deanne M. L. Fujii, M.D.1076 Lincoln PI.Boulder, CO 80302

Yvonne Shizue Otani, M.D.391 S. Gilpin St.Denver, CO 80209

Mary Louise Vader-Hammes, D.O.947 South 5th St.Montrose,CO 81401-5716

Neurology Specialty FellowMichael David Partington, M.D.The Children's Hospital1056 E. 1 9th Ave., B467Denver, CO 80218

Hawaii

Brenda Michiko Nishikawa, M.D.148 Niuiki CircleHonolulu, HI 96821-2349

Idaho

Kathryn MicheleWells, M.D.222 E. LoganCaldwell, ID 83605

Montana

Kimberly Jean Caruso, M.D.2831 Fort Missoula Rd., #104Missoula, MT 59804

OregonRita M. Cortese, M.D.2709 S.E. 71 st Ave.Portland, OR 97206-1124

Laurel Jeanne Mehler, M.D.196 Sherwood Dr.Santa Barbara, CA 931 10

Bothyna F. Sedrak, M.D.3650 South St., #209Lakewood, CA 90712

JoannaTukaj, M.D.P.O. Box 4187West Covina, CA 91 791-0187

Derek Alan Wong, M.D.1940 Las Flores Dr.Glendale, CA 91207-1216

California 4

Liem Phuoc Ngo, M.D.722 N. Clovis Ave., #151Clovis, CA 93611

DISTRICT 11

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

DISTRICT III

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

DISTRICT IV

E. Stephen Edwards,M.D.2800 Blue Ridge Blvd.Suite 501Raleigh, NC 27607-6496

DISTRICTV

Stanford A. Singer, M.D.16800W.Twelve Mills Rd.Suite 205Southfield, MI 48076-2138

DISTRICT VI

OrdeanTorstenson,M.D.1313 Fish Hatchery Rd.Madison,WI 53715

DISTRICT VII

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

DISTRICT VIII

Donald E. Cook, M.D.1710 21stAvenueGreeley, CO 80631

DISTRICT IX

Leonard A. Kutnik, M.D.4690 Genesee AvenueSan Diego, CA 92117

AmericanAcademy ofPediatrics

California 1

Meera Narayanan, M.D.6 Lyonridge Ln. #6San Mateo, CA 94402

Surgery Specialty FellowMichael James Allshouse, D.O.3707 E. ShieldsFresno, CA 93726

Orthopaedics Speafalty FellowJeffrey Scott Kanel, M.D.2512 Samaritan Ct., #KSan Jose,CA 95124

California 2

Shamel A. Abd-Allah, M.D.7433 Langham Pi.RanchoCucamonga,CA 91730

Sahar Saad Al-Dossary, M.D.5144 Calatrana Dr.Woodland Hills, CA 91364-1809

Veeraiah Chundu, M.D.Citrus Valley Medical Center210 W. San BernardinoCovina,CA 91723-1515

Rolanda Renee Everett, M.D.21 Kendall Ave.Redlands, CA 92373-4627

I=

DISTRICT I

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

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ational and cultural opportunities. Mini-mal market penetration by managedcare. Please send c.v. to: Pediatric Asso-ciates of Alexander City, Attn.: Dr. Tyler,P.O. Box 1269, Alexander City, AL35011 .

Colorado

BE/13C Pediatrician -to join a busypractioe in the Colorado foothills. 1:4 callschedule, practice conveniently locatednext to the hospital. Pleasant communityof 30-35,000. Fax resume to RogerNoland (719) 269-1730.

District of Columbia

Primary Care Pediatricians -Wash-ington, D.C., Maryland and VirginiaSuburbs: The George Washington Uni-

versity Medical Center is seeking Pri-mary Care Pediatricians to join GWPrimary Care Associates, a multidiscipli-nary primary care group with offices onthe Medical Center campus and in Mary-land and Virginia suburbs. Qualifiedcandidates must be board certified inpediatrics (or board-eligible if within twoyears of residency oompletion). Primarycare and managed care experiencedesired. Selected candidates receivefaculty appointments and participate inprimary care educational programs asclinical preceptors. Excellent benefitspackage includes opportunity foradvanced degree with tuition benefits.Applications accepted and reviewed onan ongoing basis until each vacancy inthis academic year is filled. Send c.v. andcover letter indicating interest in Wash-ington, D.C., suburban Maryland and/or

FebruaryAdolescent Medicine Seminar (SeventhAnnual Lloyd Noland) -Buena VistaPalace, Wait Disney World, Fla., Febru-ary 4-7, 1998. Faculty: Drs. Jean Emans,MacKenzie, Lynch, Biro and JohnEmans. Call/wrfte: George M. Converse,M.D., FAAP, Department of Medical Edu-cation, Lloyd Noland Foundation, P.O.Box 925, Fairfield, AL 35064, (205) 783-5276.

March

Pediatrics Seminar: "Advances &Changing Trends" (Ninth Annual LloydNoland) -at the Buena Vista Palaoe,Walt Disney World, Fla., March 18-21,1998. Faculty: Drs. Duffner, Redding,Reiter, Ruley and Treadwell. Call/write:George M. Converse, M.D., FAAP,Department of Medical Education, UoydNoland Foundation, P.O. Box 925, Fair-field, AL 35064, (205) 783-5276.

AprilPediatrics Update (Fifth Annual LloydNoland), Hilton Head Island, S.C., April22-25, 1998. Faculty: Drs. Howard,Senac, Smith, Stockman and Weston.Call/write: Department of Medical Edu-cation, Lloyd Noland Foundation, P.O.Box 925, Fairfield, AL 35064, (205) 783-5276.

to join a three-pediatrician system-owned practice.Located three bouTs east of Pittsburgh and two bours northwest

ffi 1} ~~of Washington, D.C., Chambersburg prospers in a beautifuli ~~~~~~semi-rural setting offering a superior famnily-centered

\ ~~~~~~~~~~~lifestyleat a -reasonable cost of living.\ 1 ~~~Come live where arts and culture abound, where skiing andxy f ~~~~~trout fishing are in your backyard. Public or

~~i6< ___,5> ... private schools and local universities\^~~~~~~~provide educational excellence.

For more infornnation, call or sendyour C. V. to:Marie Royce, DirectoT of Physician Relations, Sununit Health,

IVn rit. P.O. Box 308, Chambersburg, PA 17201HaMs (800) 758-8835 FAX: (717) 267-7769

1998 E. Mead Johnson Awardfor Research in Pediatrics

Call for NonminationsNominations are invited for the 1998 E. Mead JohnsonAward for Research in Pediatrics. Each of two recipients9will receive an honorarium of $10,000 plus travel expensesto attend the 1998 annual meeting of the PediatricAcademic Societies (APS/SPR/APA) in New Orleans,Louisiana where recipients will present their research.

Elisibility for the 1998 award*Nominees must have received their rirst doctoral degree

in 1978 or later. Exceptions to the stipulation may bemade by the committee for individuals who haveinterrupted their research career for 2 or more years butwho are otherwise eligible.

* Limited to investigators in the Americas.

* Research must be related to pediatric-s and publishedrecently, perhaps coming to fruition or attainingrecognition during the past few years.

* Candidates are nominated by their Department Chair,past E. Mead Johnson Award recipients, any scientificcolleague or members of the pediatric academic societies.

The deadline for receipt of nominations i-s December 6,1997. For further information/nomination forms contact:

The Society for Pediatric Research8400 Research Forest Dr., Ste. B7

The Woodlands, TX 77381(281) 296-0244 Fax (281) 296-0255

E-Mail: info0Daps-spr.org URL: www.aps-spr.org

1~~~~~~~~~~~~ I I~~~~~~~~~

Alabama

Three Board-Certified Pediatricians-in private General Pediatric practice

are seeking a fourth BC/BE pediatrician.This practice offers a versable and chal-lenging environment as it maintains twooffices in rural Alabama with abundantoutpatient visits, over 200 hospitaladmissions and over 300 newborns ayear. Screening is provided for after-hourphone calls Monday through Thursday.Shared call would be 1:4 weekdays and1 weekend a month. JCAHO hospitalwith dedicated pediatric area. Within 1hour of Birmingham, 1 hour of Mont-gomery and 2 1/2 hours of Atlanta, thislakeside oommunity offers many recre- 92%o of all parentcs ask their .Now, when your patients

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*-*@@.*.*@*.*...........*..*.....-...

oNow you')ve got a goo one,

din TMri ges o

Childret'gsU | C The University of Illinois

College of Medicine at Peoria

PEDIATRIC: FACULTY-CR1T1ICAL CoAREThe department of Pediatrics, University of Illinois College of Medicine at Peoria

(UICOM-P) is offering a full time position in Pediatric Critical Care at the Assistant Pro-fessor, Associate Professor or Professor level.Active regional outreach and transport system and cardiac surgery programs. Signifi-

cant opportunities exist for teaching, patient care, and clinical research.Must be Board certified or Board eligible in Pediatric Critical Care Medicine. Rank and

Salary commensurate with prior experience and qualifications.The University of Illinois is an Affirmative Acti'on/Equal Opportunity employer. Applica-

tions will be received until a qualified applicant -is identified. Position availableimmediately. Send Curriculum vitae and three letters of reference to:

G. Kris Bysani, M.D.Director and Chief, Section of Pediatric Critical CareUniversity of Illinois College of Medicine at Peoria

Children's Hospital of Illino'is530 N.E. Glen Oak Avenue, Peoria, IL 61637

Phone 1-800-438-3745 or FAX 1-309-685-2574

Virginia and full-time or part-time to Eliz-abeth Callender, MHSA, ExecutiveCoordinator, GW Primary Care Associ-ates, Room G-202, 2150 PennsylvaniaAve., N.W., Washington, D.C. 20037.The George Washington University isan affirmative action/equal opportunityemployer.

Illinois

MED/PEDs -needed to join fellowMed/Peds. Located on the outskirts ofPeoria. Only on call for ICU and whenthe primary care physicians need a con-sult. Call 1:4, loan repayment andacademic appointment available withUniversity of Illinois. Contact: Jill Winter,(800) 546-0954, ID#, 541 1 A3; fax: (314)726-3009; e-mail careersZ?cejka.com.

MarylandBE/BC pediatrician to join gr-oup of 6pediatricians. 1:7 call. 1.25 hours to Balti-more, D.C. Fax c.v.: Dr. Jacobs (914)833-171 1; voice: (914) 833-1700; (800)333-2999. Ref. 61 64c.

MichiganBE/BC Pediatrician needed to join a BCpediatrician in his well-established, busypractice in Escanaba, Mich., population15,000, located on lake Michigan. Youwould be expected to see an estimated25-30 patients per day and be oomfort-able with neonatal resuscitation, as therewill be nursery coverage. Many intensiveprocedures are referred out to hospitalsin Green Bay, Milwaukee, and Marshfield,Wis.The offioe is in the $6 million MedicalClinic that opened in January 1995 and isconnected to OSF St. Francis Hospital, a110-bed facility, located on an 82-acre

wooded site. Most lab and x-ray work isdone in the hospital, however there iscasting equipment in the office. Escan-aba's recreation seems unlimited with theEscanaba Municipal Marina offering 145boat slips for seasonal and transientboaters, public swimming beach, fishingfrom miles of publicly owned shoreline,charter fishing, water skiing, and muchmore. There are 412 acres of parks andrecreation facilities, picnic grounds, play-grounds, soccer and baseball/softballfields, golf courses, and a communityrecreation center for young and old. Thisposition is employed by OSF MedicalGroup with a salary starting at $120,000and a comprehensive benefits package.Please contact: Wendy Bass at (800)462-3621 or fax c.v. to (309) 685-2574.

Nebraska

Lincoln -Acute care, after hours pedi-atric clinic seeks BE/BC pediatrician.Clinic is hospital-based; some emer-gency pediatrics is involved. Scheduleallows time for personal pursuits. Goodschools, low crime rate, cultural advan-tages of a university city. No J-1 visaapplications at this time. Contact StevePetruconis, (402) 486-7700, Saint Eliza-beth Community Health Center, 555South 70th, Lincoln, NE 68510.

New JerseyNorthwestern New Jer-sey -Practiceopportunities with competitive compen-sation package available for BE/BCpediatricians. Send CV to: Ellen Pelka,Northwest Covenant Medical Center,SSM Ambulatory Care CorporateOffices. 715 Route 10 East, Randolph,NJ 07869. Fax (973) 442-2330; phone(973) 442-2376.

community practices, and the nation'slargest rural HMO. Penn State GeisingerHealth System has created a managedcare system that fosters the kind ofhuman atmosphere that makes medicinea rewarding career for people who viewhealthcare as a calling, not a job. Foradditional information regarding our pedi-atric opportunities, please oontact PennState Geisinger Heafth Syjstem, Profes-sional Staffing and Credentialing (PD-AB)at (800) 845-7112. C.V.'s can be for-warded to 100 N. Academy Ave.,Danville, PA 17822-1528; fax (800) 622-2515. E.O.E. M/F/H/\/

Penn State Geisinger Health System-is currently seeldng a BC/BE pediatri-

cian to join its multispecialty grouppractice in State College, PA. Join twoother pediatric physicians in this busymedical practice. Call is shared with

nearby sister clinic and is 1:5. Adminis-trative opportunity available if desired.State College, located in the heart ofPennsylvania, is home to Penn StateUniversity. The area offers a tremendousamount of educational, cultural andrecreaffonal activities to enjoy. State Col-lege provides an excellent businessclimate and offers a superior quality oflife. We offer a competitive salary andexcellent benefit package. For addiffonalinformation, please oontact: Penn StateGeisinger Professional Staffing (PD-AB),100 North Academy Ave., Danville, PA17822-1528. Phone (800) 845-7112; fax(800) 622-2515. E.O.E. M/F/H/\/

VirginiaRichmond area -Part- /full-timeBC/BE pediatrician for dynamic, growingpractice. Competitive salary with even-

North Carolina

FT or PIT -Join group of four in family ori-ented communfty with more Fortune 500oompanies per population square milethan any other county in the state! Com-petitiv compensation package, includingresidency loans. Melisa Ciarrocca, (800)764-7497; fax (910) 291-7499; e-mailmciarroccaZ?nconline.com.

PennsylvaniaLancaster-Dynamic 6-member pedi-atric practice seeks to add recentlytrained BC/BE pediatrician by July 1998.Nursery/teaching opportun-Ries included.Competitive salary/benefits, etc. Contactthe offioe manager (717) 291-5931.

Penn State Gelsinger Health System-in oentral Pennsylvania is recruiting for

primary care pediatricians with strongeducational and mentoring skills for cdini-cal practice opportunities in StateCollege, Lock Haven and Mon-toursville. These practices refer to ourDanville-based Children's Hospital andGeneral Pediatrics Department. Opportu-nities for office based student/residentrotations, shared night, weekend and call,hospital attending opportunities. And, andat the main campus continuing educa-tional opportunities make these positionsparticularly appealing. Penn StateGeisinger Health System is a physician-led, not-for-profit health care organization.The system provides tertiary, primary,and preventative care to more than 3 mil-lion people through a system of hospitals,

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_ . _ n~Te offcila newspaper of the American Academy of Pediatrics, AAP,<~~~~~~Nw is'-4';dt......S(edicated to informmig, educating and inspiring readers on

Test project eases N.Y. resident cuts* ***t~rt+s*J- *-~4 +r fmatters relatedl to pedilatiic health care.

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To order a gift subscription contact Pete Petersen, AAPNews, by phone (800) 433-9016, ext.7667;FAX (847) 228-5097; or e-mail aapnewsEaap.org. The- Department of Pediatrics at Gundersen Clinic, Ltd., is

currently recruiting a full-time Pediatric Hematologist/ Oncologistfor summer/fall 1997. Our current Pediatric Hematologist/Oncologist will be retiring December 31, 1997. We are aff'iliatedwith'the Children's Cancer Group and we are a funded satellitecenter of the Great Lakes Hemophilia Center. A universityacademic7 affiliation for this position is available.'Me Department of Pediatrics consists of seventeen pediatricians,six nurse practitioners, three neonatal nurse practitioners, onephysician assistant and a nurse clinician in pediatrichematology/oncology Subspecialties include pediatric orthopaedicsurgery, pediatric neurology, pediatric surgery, pediatricophthalmology, pediatric anesthesiology', pediatric intensive careand neonatology.Gundersen Clinic, Ltd., is a multi-specialty group practice withover 300 physicians. Our main campus -is attached to an affiliated402-bed acute care hospital with a Level II Neonatal ICU and aPediatric ICU. The Gundersen Clinic, Ltd., system includes 36regional community clinics in western Wisconsin, easternMinnesota and northeastern Iowa.We offer competitive salaries and excellent fringe benefits.Interested candidates should send a letter of application andcurriculum vitae to Frank Perez-Gueffa, Manager, Recruitment,Retention and Resource Planning, Gundersen Clinic, Ltd., 1836South Avenue, La Crosse, WI 54601 oesenor call 1-800-362-9567, extension U L

6325. ~~~~~~~Carefor t*e wayyou liv.Equal Opportunity Employer

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These advertising modifications are made to maintain a classifiedsection that is professionally responsible, lawful, scientific and fireeof discrimination.

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46 AAPNews November1997

Wright State University School of MedicineDayton, Ohio

Wright State University School of Medicine, a community-basedinstitution, seeks a visionary leader with considerable academic expe-rience to chair the Department of Pediatrics upon retirement of thecurrent chairman. Based in the Children's Medical Center of Daytonwith an intimate working relationship with the Department of Pediatricsat Wright Patterson Air Force Base, the successful candidate will haveresponsibilities for undergraduate and graduate education, facultydevelopment, and clinical and laboratory research. Opportunities existfor the development of new clinical programs and expansion of ambu-latory education. The Department seeks a candidate with stronginterpersonal and clinical skills, a commitment to education, and arecord of scholarly activity.The Chair must qualify for a faculty appointment at the associate

professor or professor level, be board-certified in Pediatrics, andlicensable to practice in Ohio. Prior medical school experience withcommunity-based clinical facilities and government institutions is desir-able. Applications and nominations should be sent to:

Barbara L. Schuster, M.D., M.A.C.P.Chair, Department of Pediatrics Search CommitteeWright State University School of Medicine28 E. Apple Street, CHE Bldg. 2nd FloorDayton, Ohio 45409.

All applications received by December 1, 1997 will be considered. If the posi-tion is not filled with the initial responses, applications will continue to beconsidered until the position is filled. Wright State University is an AffirmativeAction/Equal Opportunity Employer.

A- AAVPzw-A"I-A,

CLASSIFIED ADVERTISING POLICY

When you need to contact pediatricians, contact AAP News. Each month more than 53,000 pediatricians,pediatric specialist, third-yearpediatric residents and other subscribers turn to AAP Newsfor child health informa-tion they cannot get elsewhere. With a classified ad, you can speak directly to those readers.

tual partnership. Hospitals with full service pedi-atrics, NICU, PICU. Attractive planned communities.Excellent schools and recreational facilities. NearbyMedical College of Virginia. Extremely light call.Send C.V. or call Judith F. McGhee, M.D., 4902 Mill-ridge Pkwy., Midlothian, VA 231 12. (804) 744-1231or fax (804) 744-9521.

Culpeper -Terrific opportunity for Board Certi-fied/Board Qualified pediatrician to join threeestablished pediatricians and two nurse practition-ers in a thirteen physician primary care

multi-specialty group. Applicant will provide highquality outpatient care and general pediatric hospi-tal coverage. Full-time or part-time position available.Competitive salary with productivity incentive andexcellent benefits. This practice is located inCulpeper, a pastoral, family-oriented town locatedbetween Washington, D.C. and Charlottesville, VA,and positioned at the foot of the Blue Ridge Moun-tains. Culpeper has also been named one ofAmerica's top 10 small towns. Recognized in 1996as one of America's top 100 performing hospitals,Culpeper Memorial is constantly expanding, andoffers a diversit,v of services plus a young medicalstaff. Contact Yevonne Childers, Culpeper MedicalAssociates, P.O. Box 220, Culpeper, VA 22701;(540) 825-5595; fax (540)825-5272.

Washington

Vancouver -Experience the best of the North-west! Practice in a stimulating professionalenvironment in one of the most successful man-aged care systems in the country and enjoy aquality lifestyle inherent to the beautiful PacificNorthwest! Our physician-managed multispecialtygroup, providing care for 415,000 Kaiser Perma-nente members, has an 80% position available for aBC/BE pediatrician in our medical offices in Van-couver, Wash. In addition to general pediatrics, thepractice will include some urgent care call. We offerour physicians a competitive salary and a benefitspackage which includes a generous retirement pro-gram, professional liability coverage, sabbaticalleave and more. For information regarding this excit-ing opportunity, please forward CV to: A.P. Weiland,M.D, Regional Medical Director, Northwest Perma-nente, P.C., 500 N.E. Multnomah, Suite 100,Portland, OR 97232-2099. EOE.

West VirginiaWheeling -Busy two-person pediatric practiceseeks associate; partnership two years; no buy-in.Office on campus.Wheeling Hospital well run.Requirements: BC/BE; relate well with professionalcolleagues and patients. Excellent benefits. Con-tact: Joseph Lindner,M.D.,31 Old Fort Drive,Hilton Head, SC 29926. (803) 681-6442; fax (803)681 -6866.

Wisconsin

Milwaukee -Newly expanded multi-specialtyconmmuinitv he-alth cente-r with a 28-year history nf

serving the near southside is seeking a Board Cer-tified/Eligible Pediatrician to join its staff. This 16provider community health center indAudes 5 FamilyPractitioners, 4 Pediatricians, 2 Nurse Midwives, 1

OB/GYN Nurse Practitioner, 1 FP Nurse Practitionerand 1 Physician Assistant. Reasonable call sched-ule with competitive salary and benefits includingloan repayment. Spanish speaking a plus. If you are New Jerseya BC/BE Pediatrician and interested in joining ateam of dedicated physicians who are committed to Central New Jersey -25+ years established solothe delivery of quality community health care, send pediatric practice/office for sale. Average gross over

CV and a letter of interest to: Sharon Fleischfresser, $200,000.00 Respond to AAP News, Box 090197,M.D., M.P.H., 1032 South 16th St., Milwaukee, WI 141 Northwest Point Blvd., Elk Grove Village, IL.53204; fax (414) 672-9190, or call (414) 672-1315 60007.ext. 367.

Texas

Dallas Suburb -busy general pediatric practicefor sale. Associated with expanding modern Level 11community hospital. Medical School teaching (clin-ics) available. Flexible terms. Inquires to AAP News,Box 08017, 141 Northwest Point Blvd., Elk GroveVillage, IL 60007.

aorgy. 1995;50(suppl

7-- - --

y erythroblast

References: 1. Johnson M. The anti-inflarnmatory profile of fluticasone propionate. Alle23):11-14. 2. Global Nasal MAT, March 1996-1997.

FLONASP(fluticasone propionate)Nasal Spray, 0.05YO w/w

For Intranasal Use Only.

The following is a brief summary only; see full prescribing information for c(information.

CONTRAINDICATIONS: FLONASE Nasal Spray is contraindicated in patientstivity to any of its ingredients.

WARNINGS: The replacement of a systemic glucocorticoid with a topical gILaccompanied by signs of adrenal insufficiency, and in addition some patientsymptoms of withdrawal, e.g., joint and/or muscular pain, lassitude, and delpreviously treated for prolonged periods with systemic glucocorticoids and ttopical glucocorticoids should be carefully monitored for acute adrenal insulresponse to stress. In those patients who have asthma or other clinical conclong-term systemic glucocorticoid treatment, too rapid a decrease in systernmay cause a severe exacerbation of their symptoms.

The use of FLONASE Nasal Spray with alternate-day systemic prednisothe likelihood of hypothalamic-pituitary-adrenal (HPA) suppression comparetic dose of either one alone. Therefore, FLONASE Nasal Spray should be usepatients already receiving alternate-day prednisone treatment for any disea.concomitant use of FLONASE Nasal Spray with other inhaled glucocorticoidcthe risk of signs or symptoms of hypercorticism and/or suppression of the I-

Patients who are on immunosuppressant drugs are more susceptible t(healthy individuals. Chickenpox and measles, for example, can have a morefatal course in patients on immunosuppressant doses of corticosteroids. Inhave not had these diseases, particular care should be taken to avoid expoEroute, and duration of corticosteroid administration affects the risk of develced infection is not known. The contribution of the underlying disease and/ortreatment to the risk is also not known. If exposed to chickenpox, prophylaxzoster immune globulin (\/ZIG) may be indicated. If exposed to measles, prolpooled intramuscular immunoglobulin (IG) may be indicated. (See the respfinserts for complete VZIG and IG prescribing information.) If chickenpox devwith antiviral agents may be considered.

PRECAUTIONS:General: Rarely, immediate hypersensitivity reactions or contact dermatitisintranasal administration of fluticasone propionate. Rare instances of Mwheperforation, cataracts, glaucoma, and increased intraocular pressure have tfollowing the intranasal application of glucocorticoids.

Use of excessive doses of glucocorticoids may lead to signs or symptornsuppression of HPA function, and/or suppression of growth in children or teenstudies in asthmatic children on orally inhaled glucocorticoids showed inhibit(short-term growth rate. The relationship between short-term changes in lowelong-term effects on growth is unclear at this time. Physicians should closelyof adolescents taking glucocorticoids, by any route, and weigh the benefits oftherapy against the possibility of growth suppression if an adolescent's grow

Although systemic effects have been minimal with recommended dos(Nasal Spray, potential risk increases with larger doses. Therefore, larger thEdoses of FLONASE Nasal Spray should be avoided.

When used at larger doses, systemic glucocorticoid effects such as hyadrenal suppression may appear. If such changes occur, the dosage of FLOshould be discontinued slowly consistent with accepted procedures for dis(glucocorticoid therapy.

In clinical studies with fluticasone propionate administered intranasalllof localized infections of the nose and pharynx with Candida albicans has cWhen such an infection develops, it may require treatment with appropriat(discontinuation of treatment with FLONASE Nasal Spray. Patients using FLCover several months or longer should be examined periodically for evidenciinfection or other signs of adverse effects on the nasal mucosa.

FLONASE Nasal Spray should be used with caution, if at all, in patientcquiescent tuberculous infections; untreated fungal, bacterial, or systemic viocular herpes simplex.

Because of the inhibitory effect of glucocorticoids on wound healing, ,experienced recent nasal septal ulcers, nasal surgery, or nasal trauma shotglucocorticoid until healing has occurred.Information for Patients: Patients being treated with FLONASE Nasal Spra)following information and instructions. This information is intended to aid thieffective use of this medication. It is not a disclosure of all possible adverse

Patients should be warned to avoid exposure to chickenpox or measleconsult their physician without delay.

Patients should use FLONASE Nasal Spray at regular intervals as direceffectiveness depends on its regular use. A decrease in nasal symptoms mn12 hours after starting therapy with FLONASE Nasal Spray. Results in seveiindicate statistically significant improvement within the first day or two of Ithe full benefit of FLONASE Nasal Spray may not be achieved until treatmeistered for several days. The patient should not increase the prescribed do,,-contact the physician if symptoms do not improve or if the condition worstuse of the nasal spray and to attain maximum improvement, the patient shlow carefully the patient's instructions accompanying the product.Carcinogenesis, Mutagenesis, Impairment of Fertility: Fluticasone propino tumorigenic Dotential in studies of oral doses up) to 1.0 mg/kg (3 mcg/rmsurface area basis) for 78 weeks in the mouse or inhalation of up to 57 mlfor 104 weeks in the rat.

Fluticasone propionate did not induce gene mutation in prokaryotic orcells in vitro. No significant cdastogenic effect was seen in cuftured humanlymphocytes in vitro or in the mouse micronudeus test when administeredthe oral or subcutaneous routes. Furthermore, the compound did not delaydivision in bone marrow.

FLONASE" (fluticasone proplonate) Nasal Spray, 0.05YO.

BRIEF SUMMARY No evidence of impairment of fertility was observed in reproductive studies conducted inrats dosed subcutaneously with doses up to 50 mcg/kg (295 mcg/m27 in males and females.However, prostate weight was significantly reduced in rats.

SHAKYE GENTLY Pregnancy: Teratogenic Effects:- Pregnancy Category C:- Subcutaneous studies in theBEFORE USE. mouse and rat at 45 and 100 mcg/kg, respectively (135 and 590 mcg/ml, respectively, as cal-

culated on a surface area basis), revealed fetal toxicity characteristic of potent glucocorticoidomplete product compounds, including embryonic growth retardation, omphalocele, cleft palate, and retarded

cranial ossification.In the rabbit, fetal weight reduction and cleft palate were observed following subcuta-

with a hypersensi- neous doses of 4 mcg/kg (48 mcg/m27.However, following oral administration of up to 300 mcg/kg (3.6 mg/ml of fluticasone

propionate to the rabbit, there were no maternal effects nor increased incidence of external,ucocorticoid can be visceral, or skeletal fetal defects. No fluticasone propionate was detected in the plasma in thists may experience study, consistent with the established low bioavailability following oral administration (seepression. Patients CLINICAL PHARMACOLOGY section of full prescribing information).transferred to Less than 0.008% of the dose crosses the placenta following oral administration to ratsIfficiency in (100 mcg/kg, 590 mcg/m7 or rabbits (300 mcg/kg, 3.6 mg/ml.ditions requiring There are no adequate and well-controlled studies in pregnant women. Fluticasone propi-nic glucocorticoids onate should be used during pregnancy only if the potential benefit justifies the potential risk

to the fetus. Experience with oral glucocorticoids since their introduction in pharmacologic, as)ne could increase opposed to physiologic, doses suggests that rodents are more prone to teratogenic effects.d with a therapeu- from glucocorticoids than humans. In addition, because there is a natural increase in glucocor-ed with caution in ticoid production during pregnancy, most women will require a lower exogenous glucocorticoidise. In addition, the dose and many will not need glucocorticoid treatment during pregnancy.Is could increase Nursing Mothiers: ft is not known whether fluticasone propionate is excreted in human breastHPA axis. milk. Subcutaneous administration of tritiated drug to lactating rats (10 mcg/kg, 59 mcg/ml)to infections than resulted in measurable radioactivity in both plasma and milk. Because other glucocorticoidsserious or even are excreted in human milk, caution should be exercised when FLONASE Nasal Spray is

such patients who administered to a nursing woman.sure. How the dose, Pediatric Use: The safety and effectiveness of FLONASE Nasal Spray in children below 12oping a disseminat- years of age have not been established. Oral glucocorticoids have been shown to causer prior corticosteroid growth suppression in children and teenagers with extended use. If a child or teenager on anyKiS with varicella glucocorticoid appears to have growth suppression, the possibility that they are particularlyiphylaxis with sensitive to this effect of glucocorticoids should be considered (see PRECAUTIONS).ective package Geriatric Use: A limited number of patients above 60 years of age (n=132) have been treated/elops, treatment with FLONASE Nasal Spray in US and non-US clinical trials. While the number of patients is too

small to permit separate analysis of efficacy and safety, the adverse reactions reported in thispopulation were similar to those reported by younger patients.

may occur after the ADVERSE REACTIONS: In controlled US studies, 2,427 patients received treatment withzing, nasal septum intranasal fluticasone propionate. In general, adverse reactions in clinical studies have beenbeen reported primarily associated with irritation of the nasal mucous membranes, and the adverse reactions

were reporited with approximately the same frequency by patients treated with the vehicleiS of hypercorticism, itself. The complaints did not usually interfere with treatment. Less than 2% of patients innagers. Knemometry clinical trials discontinued because of adverse events; this rate was similar for vehicle andtory effects on active comparators.er leg growth and Systemic glucocorticoid side effects were not reported during controlled dinical studiesfollow the growth up to 6 months' duration with FLONASE Nasal Spray. If recommended doses are exceeded,Ifglucocorticoid however, or if individuals are particularly sensitive or if in conjunction with systemically admin-tth appears slowed. istered glucocorticoids, symptoms of hypercorticism, e.g., Cushing's syndrome, could occur.es of FLONASE The following incidence of common adverse reactions is based upon seven controlledan recommended clinical trials in which 536 patients (57 girls and 108 boys aged 4 to 1 1 years, 137 female and

234 male adolescents and adults) were treated with FLONASE Nasal Spray 200 mcg once

ypercorticism and daily over 2 to 4 weeks and two controlled dinical trials in which 246 patients (119 female)NASE Nasal Spray and 127 male adolescents and adults) were treated with FLONASE Nasal Spray 200 mcg oncecontinuing oral daily over 6 months.

Incidence Greater than 11% (Causal Relationship Possible): Respiratory:- Epistaxis, nasaly, the development burning (incidence 3% to 6%); blood in nasal mucus, pharyngitis, nasal irritation (incidenceDccurred only rarely. 1% to 3%).e local therapy and ANeurological:- Headache (incidence 1% to 3%).ONASE Nasal Spray Incidence Less thian 1% (Causal Relationship Possible): Respiratory:- Sneezing, runny:e of Candida nose, nasal dryness, sinusitis, nasal congestion, bronchitis, nasal ulcer, nasal septum

excoriation.s with active or Neurological:- Dizziness.,iral infections; or Special Senses:- Eye disorder, unpleasant taste.

Digestive:- Nausea and vomiting, xerostomia.patients who have Skin andAppendages:- Urticaria.uld not use a nasal Postmarketing Experience: In addition to the events from clinical trials, the following have

been reported during postmarketing experience.y should receive the Hypersensitivity reactions, including angioedema, skin rash, edema of the face andiem in the safe and tongue, pruritus, urticaria, bronchospasm, wheezing, dyspnea, and anaphylaxis/anaphylactoid!or intended effects. reactions, which in rare instances were severe.asand,ifexpoed, to Alteration or loss of sense of taste and/or smell and, rarely, nasal septal perforation.

ctedsineitsOERDOSAGE: There are no data available on the effects of acute or chronic overdosage with

ayctd asincenItS FLONASE Nasal Spray. Intranasal administration of 2 mg (10 times the recommended dose) of

ralycliical atr.ioals fluticasone propionate twice daily for 7 days to healthy human volunteers was well tolerated.treatcment; however

Single oral doses up to 16 mg have been studied in human volunteers with no acute toxic

mtreatmbent adminer effects reported. Repeat oral doses up to 80 mg daily for 10 days in volunteers and repeat oralanthabeen dmin- doses up to 10 mg daily for 14 days in patients were well tolerated. Adverse reactions were of

isage but should mild or moderate severity, and incidences were similar in active and placebo treatmentens. For the proper groups. Acute overdosage with this dosage form is unlikely since one bottle of FLONASE Nasalhould read and fol- Spray contains approximately 8 mg of fluticasone propionate. Chronic overdosage may result

)ionaedeonstatedin signs/symptoms of hypercorticism (see PRECAUTIONS).

,2 as calculated on a l IA I^cg/kg (336 mcg/m7) GlaxoWelicome

Glaxo Wellcome Inc. October 1996

peukryoiphra Research Triangle Park, NC 27709 RL-367J at high doses byGl-107

on your VLsa orMasterCard credit cards.

So aXaedwith r to-^ A A:D At., t711 {Q

01997 Glaxo Wellcome Inc. All rights reserved.Printed in USA. FLN665RO October 1997

November AAP News 47

CHARGE ITYou can now charge your

AAPNewvs dassified advertising COStS

FLONASE offers an excellent safety profil.*Hgh selectivilty for the glucocorticoid receptor'* Undetectable plasma levels at- recommended doses,* No significant effect oh HPA axis at four times therecommended dose

FLONASE lasts.*It provides 24-hour relief fro all nasal allergy symptomswith a single daily dose

Please advise patients that effectiveness depends on regular use.Maximum benefit may take several days. Onset of action anddegree of relief may vary among patients.Caution: Adrenal insuffilciency may occur when patients aretranlsferred fErom systemic steroids. See Prescribing Information,including Warnings. FLONASE is indicated for patients 12 yearsof age and older.

,Itober 1 997

bnmAn%JIO^UV VILIMU1111L

NASAL SPRAY, 0.05%Works fas ..wit relief tat lasts.

Please see references and brief summary of Prescribing Information on adjacent side.t 1997 Glaxo Wellcome Inc. All rights reserved.Printed in USA. FLN665RO Oc,

Web site: www.glaxowellcome.com r-Uw l imnS llraGlobal leader in nasal steroid

prescriptions dispensed.'