Fall 1997

FROM THE EDITOR'S DESK PRESIDENT'S MESSAGE AWARDS INTERIM MEETING NOMINATIONS FOR THE LOTTE STRAUSS PRIZE INTERIM RAFFLE A GREAT SUCCESS FROM THE RESEARCH COMMITTEE PROGRAM FOR THE ANNUAL MEETING A. JAMES MCADAMS SHORT TERM STUDY STIPEND GUIDELINES AND INSTRUCTIONS FOR PREPARATION OF MATERIALS FOR PLATFORM AND POSTER PRESENTATIONS AT SPP MEETINGS IN MEMORIAM ANNOUNCEMENTS POSITIONS AVAILABLE FUTURE PEDIATRIC PATHOLOGY MEETINGS WELCOME TO OUR NEW MEMBERS

I am certainly sorry that I missed what sounds like an excellent educational program and social event in Minneapolis. As always it does appear that there was much “Networking” of pathologists—some of it over cheese and beer. Despite all of the fun, a lot of business was accomplished, moving the Society closer to the goals established during the Long Range Planning Meeting only one year ago in Houston. The raffle was very successful. A number of members have already donated books for next year’s raffle, but let’s not limit it just to text books and original art—use some imagination.

We are at a significant cross-roads with the Society’s journal. I, and I am sure that others of you have received a renewal notice from Taylor & Francis for their journal. Remember that the SPP’s journal is Pediatric and Developmental Pathology, published by Springer-Verlag, NY, and the subscription cost is included with your Society membership. The first volume will be published in January 1998.

Manuscripts should be sent to: 

Denis R. Benjamin MB, BCh. BSc
Department of Laboratories
Children’s Hospital & Medical Center
4800 Sandpoint Way, N.E.
Seattle, WA 98105

The interim meeting was from all reports a great success, with excellent scientific presentations and very enjoyable socializing. To Susan Simonton and her colleagues a “thank you” from the Society.

The Council and Long Term Planning Committee met in a new format prior to the meeting. We had a two hour “early bird” session to update on the initiatives arising from the Houston planning meeting. From this, issues went to the various committees and then returned later in the day to Council for action. The process worked so well that it was agreed to repeat this format at the interim meetings in the future. The format also provided time for new issues to be “brain stormed”, again a suggestion that was promoted at the planning session.

The Ad Hoc Committee initiatives are taking form thanks to the work of the many involved. Membership was given the mandate to put in place a plan to expand the membership, especially to include pathologists who now must include an increasing amount of pediatric pathology in their practice. Accordingly there will be a mail-out to other societies’ members with a letter from the president outlining the scope of pediatric pathology and the advantages of membership, an updated brochure of our Society with its many excellent education activities and an application form. The brochure is being revamped by the Publications Committee (incoming chair - Bev Rogers), and the whole process is being put in place by the Membership Committee (chair - Virginia Baldwin) with the assistance of President-elect Tom Stocker. The brochure, with its attached application form will be available to you and will be distributed at meetings, etc.

The Practice Committee (chair - David Zwick) has moved very smartly to put in place a plan to formalize the Slide Survey as a CME sanctioned procedure that also can be more broadly applied. The Society is indebted to Bob Novak for operating the survey, since 1994. Bob will return to the Practice Committee to lend his expertise.

The Extracurricular Education Ad Hoc Committee (chair - Joe Rutledge) deliberations will be taken up by the Education Committee (chair - Henry Krous) that will expand its membership specifically to define and plan what additional events will occur.

Electronic communications for consultation and education will continue to expand. Paul Dickman chaired the ad hoc committee on this subject and has outlined the direction we should take. These directions will be acted upon by the Publications Committee. To facilitate the process the Publications Committee will undertake to formalize the editorship for electronic telecommunications.

Fellowship education in pediatric pathology in the USA and Canada continues to be a matter of our concern because of activities by the American Board of Pathology and the accrediting bodies in the USA and Canada. Two issues at least demand our immediate attention. The length of the fellowship program (one or two years) needs to be addressed. Some of us favor the two year program within which there is attention to research; some expect a one year program will suffice. Our Society has had considerable input into fellowship programs and their curricula and we expect to again have a strong voice. In addition, accreditation of fellowship programs is an issue. There needs to be bilateral, USA-Canada acceptance of each others' programs by the accrediting bodies of both nations. Many of us, including myself, have benefited significantly from being educated in pediatric pathology in both countries. To deal with these two very important matters a Fellowship Ad Hoc Committee has been established (actually re-established) and will be chaired by Joe Rutledge. He will be assisted by members who were initially involved in the fellowship and curriculum issues and there will be members from both USA and Canada.

I continue to be impressed by the existing and growing world presence of pediatric pathology. At the recent Australian Pathology meeting in Singapore a full day of the four day meeting was dedicated to pediatric pathology (organized by Dr. T. Bourne of Adelaide), and was well attended by pathologists from Singapore, Malaysia, Indonesia, Hong Kong, New Zealand and Australia. A symposium on metabolic disease was followed by a slide seminar. Equally impressive is the very new Women’s and Children’s 800 bed hospital in Singapore, where they have had sufficient concern for the unique medical requirements of this segment of the population to aggregate their pediatric and women’s care beds and clinics in one institution. The Head of Pathology is Dr. H-K Ang, an SPP member. She has a large and busy department.

The Spring meeting in Boston will feature among other presentations and good short courses, a symposium on molecular pathology that promises to be very interesting for its basic and practical perspective.

Remember the arrival of our new journal is imminent. Your contributions are important for its success.   

Gordon F. Vawter Award

The Gordon F. Vawter Award for trainees was awarded to Dr. Anirban Maitra for his paper, Expression of the RNA Component of Telomerase in Neuroblastic Tumors in Children. Coauthors are Drs. Kazuo Yashima, Charles F. Timmons, Jerry W. Shay, and Adi F.Gazdar, from the University of Texas Southwestern Medical Center, Dallas, TX.

Neustein Award

The Neustein award for work involving electron microscopy was not presented.  

David Witte, MD
Chair, Awards Committee

The Awards Committee would like to remind and encourage members of the Society to consider submitting nominations for the Lotte Strauss Prize for the spring meeting in Boston. This award recognizes meritorious work by an individual 40 years of age or younger in a subject germane to pediatric pathology. The work to be recognized must be published (or accepted for publication) during the year preceding the annual meeting at which the award is presented.

Submit four copies of the completed paper and of the nominee’s curriculum vitae by January 1, 1998. Nominations (or inquires about the award) should be submitted to: David Witte MD, Chair, Awards Committee, Department of Pathology, Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229. Phone: (513) 636-4261; FAX: (513) 636-3924 and E-mail: david.witte@uc.edu.   

The first raffle to raise money for the endowment fund for the Young Investigator Award was very successful (raising over $1,800) and was also great fun - a least for the winners and those of us collecting the money. We want to thank again the member donors of books (Cheryl Coffin, Enid Gilbert-Barness, Hart Isaacs, David Parham) and art (Art Weinberg). Their generosity was deeply appreciated and allowed all the money collected to go directly into the fund. (There were no administrative expenses). A last minute gift of an Atlas of Artifacts donated by a friendly publisher’s rep was a welcome addition to the prizes. The 6 winners were - Gloria Kohut, Glenn Taylor, Bruce Beckwith, Henry Krous, Ed Ballard, and Cindy Kaplan.

A number of people indicated that they would like to have another raffle (Raffle II) at the next interim meeting in Toronto. In addition a couple of people have already offered to donate prizes. But, a couple is not enough. Soooo, if there is anyone out there who has written or collected a book (scientific or otherwise), painted a picture, crafted a craft, etc. who would be willing to donate it for a prize for Raffle II, please notify one of the members of the subcommittee for raising money for the Young Investigator Award endowment fund (John Buchino, Susan Simonton, Edith Hawkins). This year, all the winners got a real bargain, and the rest of us had a good time and went home with a warm fuzzy feeling that we had, at least, contributed to a good cause.   

YOUNG INVESTIGATOR RESEARCH GRANT

Application Process: To obtain an application contact the SPP Executive Office, Degnon Associates, Inc., 6728 Old McLean Village Drive, McLean, VA 22101, (703) 556-9222 or FAX (703) 556-8729, or E-Mail SocPedPath@degnon.org. The guidelines for the award are as follows:

Goals:

1. To foster research within the SPP by providing seed money to young investigators.
2. To fund a pilot project following which the investigator can apply to other granting agencies.

Amount of Award: There will be (1) award up to a maximum of $10,000. This is a non-renewable, one term award.

Who May Apply: 

• All applicants must have an MD, MD/PhD, DO degree.
• Residents or fellows, full-time in an accredited pathology training program.
• Faculty and staff who have been in Pediatric Pathology less than 5 years and are regular members.
• The applicant must be a member of the SPP or sponsored by a member.

Selection Process: Completed applications must be received by the Chair of the Research Committee no later than February 2, 1998. They will be reviewed by the Research Committee of the SPP, and awards will be announced at the February SPP meeting. Award will begin on July 1, 1998.

Applications: Please submit a completed application form to Chairman of the Research Committee, David M. Parham, MD, Chief of Pediatric Pathology, Arkansas Children’s Hospital, 800 Marshall Street, Little Rock AR 72202-3591. Be sure to fill out all segments. In addition, an approval from either Institutional Review Board (if human subjects are involved) and/or Animal Care Committee should be included as appropriate.

Expectations: It is expected that the recipient of this award will present the results of the research at the meeting of the Society for Pediatric Pathology and submit one or more manuscripts to Pediatric and Developmental Pathology for consideration.   

SYMPOSIA

MOLECULAR DIAGNOSTICS: A PEDIATRIC PATHOLOGIST’S PERSPECTIVE
Director: Beverly Rogers, MD

While the “bells and whistles” of the molecular genetic revolution are fascinating the practical questions are frequently left out of the discussion. With this symposium, we hope to answer questions pediatric pathologists and clinical laboratory scientists encounter in their day-to-day activities, with an emphasis on where molecular diagnostics would be valuable and how to get the testing you need. Examples would include: How do you obtain genetic testing on macerated fetuses and when is it cost effective to do so? When faced with an undifferentiated small cell tumor what tests, if any, should you do to determine the diagnosis? When do you really need the PCR to diagnose pediatric infectious diseases vs. other techniques? There will also be an introductory discussion about molecular diagnostic techniques to establish a glossary of terms and methods to which the audience can refer.

Molecular Diagnostics: What Tools are Available Now? David Witte, MD

Molecular Diagnostic Testing and Fetal Pathology: Raj Kapur, MD

Molecular Genetics in the Diagnosis of Small Round Cell Tumors of Childhood: Poul Sorensen, MD

Pediatric Infectious Diseases - The Nucleic Acid Approach to Diagnosis: Beverly Rogers, MD

WORKSHOPS

Fine Needle Aspiration in Pediatrics: Ricardo Drut, MD and John Buchino, MD

New Advances in Pediatric Muscle Pathology: Harvey B. Sarnat, MD

Iatrogenic Pathology in the Neonatal Period: Don Singer, MD and Halit Pinar, MD

Pediatric Lung Biopsy Pathology: Claire Langston, MD

Pediatric Bone Marrow Disorders: Lila Penchansky, MD

Pediatric Surgical Neurosurgical Pathology: Mark Cohen, MD and Richard A. Prayson, MD

NOTE: Entry into the Workshops will require an admission card which will be collected by Convention Staff at the door. The Education Committee requests that Society members respect this policy and not attempt to “crash” attendance without paying.   

The Society for Pediatric Pathology and Children’s Hospital Medical Center, Cincinnati Ohio, has established the A. James McAdams Short Term Study Stipend. The purpose is to honor A. James McAdams, MD, by supporting and promoting opportunities for any member of the SPP or fellow in training in an accredited program in pediatric pathology and sponsored by a member of the SPP to learn specific investigative techniques not available at their institution. This opportunity may be used to learn and develop new research skills related to either clinical or laboratory investigations from experts with the Society or outside the Society. One annual award of up to $2,000 will be made to support travel and living expenses of a pediatric pathologist for study for up to one month. The application request should include the following:

1. An abbreviated CV including name and current position, training, and/or professional experience, and brief description of current research interests and activities.
2. A letter from the applicant’s chief in support of the training experience.
3. A letter from the chief or laboratory director at the institution that the applicant wants to visit indicating approval of the proposed training experience.
4. A brief description (less than one-half typed page) of the type of training to be pursued and how it will promote the applicant’s investigative career in pediatric pathology

Interested parties should contact: David M. Parham, MD, Chair, SPP Research Committee, Chief of Pediatric Pathology, Arkansas Children’s Hospital, 800 Marshall Street, Little Rock AR 72202-3591.   

PROJECTION SLIDES 

• Maximal contrast between text and background achieves the best results.
• Charter BT and Ariel are especially good fonts.
• Use the largest font available for “best fit”.
• Limit text to 6 or 7 lines.
• Background color should be very dark, such as navy blue.
• Optimal text colors are white, yellow or bright green; colors such as pink, magenta, pale blue project very poorly, especially to the back of large rooms.
• The number of colors in a slide should be limited to two or three; complex, multicolored slides are often confusing and slow to read.
• Graph text legends and axes should be labeled with letters of similar size and font to text slides.
• Text in tables should be comparable to that used in other text slides.
• Simple, intuitive graphs are preferred to complex ones. It is preferable to have no more than 3 or 4 lines/bars on graphs.
• Photographs showing gross and microscopic findings should be simple. (Editor’s note: never apologize for a bad photograph, we can all see that it is too light, dark or poorly fo- cused. You are using it because it’s the best you’ve got—or don’t use it at all. The same goes for typos; don’t bring them to everyone’s attendion unless the typo changes the meaning, many of us wouldn’t have even noticed.)
• Do not leave empty space around text and objects; fill the frame.

• Poster board size must be provided to presenters when notified of acceptance of their abstract. Confirm the size of poster board prior to making poster layout.
• Posters may be prepared for individual backed pieces or photo copies on a single sheet.
• Prepare a sign for the top of the poster space and indicate title, authors and institutions with lettering at least 1" high.
• Post a reproduction of your abstract in the right upper corner or the board.
• Illustrations and text must be readable from at least 3 feet.
• Text should be block letters in bold and at least 3/8" high. Shade block letters where possible.
• Charts, drawings and illustrations should be prepared in a manner similar to that described for slides. Keep them simple.
• Mounting material for illustrations or poster segments should be firm, but not so heavy that they will be difficult to secure in place on the poster board. (Editor’s note: most poster board mounting surfaces are a woven burlap type of substance that is especially adherent to the hook portion of Velcro-type tape. Small “dots” of only the hook portion can be purchased at art supply stores. They often are self-sticking or can be attached to the four corners of the back of the poster pieces with a glue gun - larger pieces such as the headboard will need more hook tape. This negates the need for pins and makes rearranging poster parts easy).
• Paper tablet and felt marking pens should be available.
• (Editor’s note: It is also nice to provide copies of your card and a place where interested parties may also drop off their cards).

On October 18th the Society for Pediatric Pathology lost one of its finest members, Dr. Stephen A. Heifetz, to lung cancer. The speed at which it advanced was tremendous. He likened it to a “juggernaut,” having only been diagnosed on September 26th. There was too little time for him to contact all the people that he would have liked to contact, and the extensive pulmonary lymphatic spread made talking on the phone very difficult. He did appreciate all the cards and well wishes that he received. Although a very stressful task, I was happy he asked me to make phone calls for him and to inform him of the replies and read the messages received. It was very moving to know that he made a true impact on the lives of so many. Nothing could be a greater legacy. His life was full, and he was brillant to the end.

Steve’s life journey began in Brooklyn, New York where his boundless energy, endless curiosity and thirst for knowledge was revealed. His mother and father taught him the importance of education, tradition, patience and humility. He graduated from Bronx High School of Science at age 16 and entered Swarthmore College where he graduated from in 1967 with a Bachelor of Arts in Zoology. During this time in college his interests broadened to include history, literature and the theater arts. Although he had thoughts of pursuing an acting career, medicine seemed the logical choice and he graduated from State University of New York, Downstate Medical Center in 1971. During medical school he married Phebe Wheeler, and together they were blessed with Jennifer Ruth in 1970 and Joshua Barnett in 1972. With a known interest in pediatric pathology, Steven did an internship in pediatrics, a short residency in obstetrics and gynecology and then completed a residency in anatomical and clinical pathology. This combination of training gave him an ideal background for a distinguished career in pediatric pathology.

After completing his residency in 1977 he was appointed chief, Department of Pathology at U.S. Army Hospitals in Nuremberg, Germany. His next assignment was Chairman of the Department of Pediatric Pathology at the Armed Forces Institute of Pathology. While in Maryland he met Issac Bateman, his life partner for 18 years. Together with son Joshua, they moved to Nova Scotia where Steve was Associate Director of the Department of Pathology and Laboratory Medicine at Grace Maternity Hospital and the Isaak Walton Killam Hospital for Children in Halifax from 1985 to 1988. In October of 1988, Steve became the Director of Pediatric Pathology at J. W. Riley Hospital for Children in Indianapolis where he supervised renovation of the pediatric surgical pathology laboratory that by his guidance contains an extraordinary pediatric pathology library which will be names after him.

Throughout his professional career he dedicated many hours to hospital, regional and national committees. He was nationally known for his expertise in placental pathology and childhood germ cell tumors. He was a founding member of the Mid-America Placental Study Group and held many committee seats in the Children’s Cancer Study Group, in additional to being the pathology reviewer for germ cell tumors. Locally he was involved with the Indianapolis Campaign for Healthy Babies, Marion County Fetal and Infant Mortiality Review, Indiana State SIDS Task Force and Marion County SIDS Parental Support Group. His ability to communicate both by the written and the spoken word was one of his greatest talents, which is shown by his numerous papers, presentations and membership on editorial boards and journal review panels. He gave so much of himself in each task that he undertook. His methodical and thorough approach yielded quality and his creativity and appreciation for the dramatic added flair to his product. He had a passion for life and lived it with such vigor that his energy became contagious not only in his professional like, in the teaching of residents, but also in his personal life. His love for family, art, music, theater and acting, stamps, photography and gardening were pursued in the same single mindedness for uncompromised quality. Last winter, he garnered rave reviews for his role of the Jewish father in a local play, “The Destiny of Me.” Although very giving of his talents, he was a very private person and let very few people into his wonderfully brilliant soul. To those who loved him, he will be forever missed, but having had their lives touched by his spirit he will live on.

Steve wanted a Children’s Cancer Research Fund set up in his name at J.W. Riley Hospital for Children. Contribution’s can be made through The Riley Memorial Association, Riley Hospital for Children, 702 Barnhill Drive, Indianapolis, IN 46202, (317) 634-4474.

We hope to have a plaque dedicated to him in the new Cancer Research Building, for his future grandchildren to visit. In addition, we are dedicating the Division of Pediatric Pathology’s library to him and placing his name upon a brick on the “Riley Wall, “ which honors individuals and groups that have helped make Riley Hospital fulfill its mission to help Indiana’s children and families in their time of suffering.   

NEXT MEETING OF THE INTERNATIONAL PLACENTAL PATHOLOGY GROUP
Dr. Jorge Las Heras, Founder

As you probably know, in a new European Journal (Annals of Diagnostic Paediatric Pathology) they published a one page announcement of the International Placental Pathology Group. I also have similar publications in Latin American journals. So far we have 68 members and I am sure that we will reach about a hundred people before the end of the year. I still have to work the page in the web but I promise you to have it before the Boston meeting.

We currently plan to have the next meeting on Friday, February 27, 1998. Tentative time is 7:30-10:00. Suggestions for a short Symposium of 2-3 speakers are being solicited. One suggestion is the Placental Pathology of Intrauterine Growth Retardation. This will be followed by a short Business Meeting, that may be followed by some type of informal social event. The latter depends upon receiving some monetary donation. Interested individuals, especially those who know where we might find some financial support please contact: Dr. Jorge Las Heras Bonetto, Vicedecano, Facultad de Medicina, Universidad de Chile, Santiago - Chile, Casilla 13898 Correo 21, Phone: 56-2-737-6655, Fax: 56-2-777-4890, E-mail: jlashera@machi.med.uchile.cl

PEDIATRIC PATHOLOGIST
DETROIT, MICHIGAN

The Children’s Hospital of Michigan, a growing, free standing constituent of the Detroit Medical Center, is seeking a third Pediatric Pathologist to complement its staff. The applicant should be board certified (or qualified in anatomic pathology, and pediatric pathology). Additional qualification in diagnostic renal pathology is desirable. Responsibilities are primarily diagnostic anatomic pathology service but include research appropriate to a university based Children’s Hospital Laboratory, and teaching in the Department of Pathology at the Wayne State University School of Medicine. The incumbent will be appointed to the pathology faculty at an appropriate level. The Children’s Hospital of Michigan and the Wayne State University are equal opportunity employers. For further information contact: Joel Haas, MD, Chief of Pathology and Laboratory Medicine, Children’s Hospital Michigan, 3901 Beaubien Boulevard, Detroit, MI 48201, (313) 745-5315, FAX (313) 993-8754, E-mail: JEHAAS@med.wayne.edu

PEDIATRIC RESEARCH PATHOLOGIST
CINCINNATI, OHIO

The Division of Pathology, Children’s Hospital Research Foundation, Cincinnati, Ohio, has an open position for a pathologist (75% research, 25% service) with faculty appointment at the appropriate level in the Department of Pathology, University of Cincinnati, to expand a three person staff responsible for 7,000 surgicals plus 60 autopsies and pediatric pathology fellowship training (2 fellows). We invite inquiries from persons who have or would like to develop a strong research interest in normal or abnormal development and in a corresponding area of disease. Substantial departmental resources, including molecular technology are available to support traditional human tissue based research. AP or AP-CP certification by the American Board of Pathology is required. Preference will be given to candidates who have completed a pediatric pathology fellowship or have equivalent experience, Children’s Hospital Medical Center is an equal opportunity employer. For additional information please contact: Dr. Kevin E. Bove, Interim Director, Department of Pathology, Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, (513) 636-4261, FAX (513) 636-3924, E-mail: boveke@ucbeh.san.uc.edu

SPP Meetings

• 1998 - Annual Meeting, Boston, MA, February 28-March 1
• 1998 - Interim Meeting, Toronto, ON, September 18-19

The XXII International Congress of the IAP

1998 - Nice, France, October 18 - 23

PPS Annual Meeting

44th Annual Meeting, Lorient, France, September 17-19, 1998

IPPA Advanced Course in Paediatric Pathology

1998 - Guidel, France, September 19-25
(Local organizer, F. Labbe).

Pediatric Forensic Issues: Pathology, Diagnosis, Imaging and Investigation

The Institute for Pediatric Medical Education and the Society for Pediatric Pathology (SPP) will jointly sponsor a course on the Pathology, Diagnosis, Imaging and Investigation of Pediatric Forensic issues. The four day seminar will be held at the Coronado Springs Resort at Walt Disney World in Orlando, FL from December 1 - 4, 1997 under the direction of Drs. Henry F. Krous, Tracey Corey Handy, and Roger W. Byard.

The course is designed primarily for general and pediatric pathologists but will be of interest to forensic pathologists/medical examiners, pediatricians, emergency room personnel, pediatric nurses, attorneys and law enforcement officials. Presentations will include discussions of scene investigation, child abuse, accidental, unnatural and natural causes of sudden death in infancy and childhood, poisoning and toxicology, concealment of birth infanticide, medical/legal importance of the placenta, DNA analysis in pediatric forensic pathology, and the “expert witness and court pitfalls.” The radiological aspects of non-accidental injury will also be discussed along with a discussion on how to establish a forensic medicine program. Daily case presentations will be used to involve the participants in “real life” situations. Faculty members include Drs. R. Alexander, R. W. Byard, M. Case, S. Cohle, G. J. Davis, M. Fierro, R. C. Froede, T. C. Handy, R. L Hanzlick, C. G. Kaplan, P. Kleinman, and H. F. Krous. Course participants will also receive a 250-300 page syllabus including conference presentations and case discussions. This course, through the SPP, is accredited by the Accreditation Council for Continuing Medical Education (ACCME). The SPP certifies that this CME activity meets the criteria for 29 credit hours in category 1 for the Physician’s Recognition Award for the American Medical Association.

For further information, contact the Institute for Pediatric Medical Education, 6604 Landon Lane, Bethesda, MD 20817. Telephone and FAX: 301/229-8338   

 

Regular Carole Brathwaite, MD Cooper City, FL Wildredo Chamizo, MD Seminole, FL Barbara Jo Doss, MD Detroit, MI Marcus A. Erling, MD Las Vegas, NV Paula Kovarik, MD Chicago, IL Mark A. Lovell, MD Charlottesville, VA James M. Okamura, MD Honolulu, HI Philippe Vielh, MD, PhD Paris, France Junior Deirdre Bailey, MD Littleton, CO Elbio Martin Flores-Stadler, MD Chicago, IL Thomas S. Haas, DO Ft. Thomas, KY

Gratiana Hermann, MD Zerifin Israel Dana Ashley Hill, MD St. Louis, MO Kristen Lancaster, MD San Antonio, TX Grael Marie O’Brien, MD, PhD Cleveland Heights, OH Judy Mae C. Pascasio, MD Groveport, OH Ranganathan Sarangarajan MBBS, MD, BC(ABP) Ballwin, MO Affiliate Jacques Patrick Barbet, MD Paris, France Ann Maes MD Rotterdam, The Netherlands Michael B. McDermott MB, MRCPI, MRCPath Dublin, Ireland Stanislaw W. Sadowinski-Pine, MD Mexico City, Mexico