Aubrey Metcalf Award

The Aubrey Metcalf Memorial Fund was created to promote interest in medical trainees towards the pursuit of a career in Child and Adolescent Psychiatry. Priority will be given to trainees who have participated in NCROCAP events or proposals that include returning the educational content of the experience back to the NCROCAP membership, executive council, or local trainees (e.g. following up a national presentation with a local presentation). NC-ROCAP will award at most $1,000 per calendar year from this fund; no more than 2 awards will be granted per year.

Award Categories:

  • Travel funds: up to $500 per meeting. Trainees must disclose other sources of funding they have applied for and those that have been granted.
  • Project funds:  Up to $1000 per project (i.e. research, interventions, teaching initiatives, etc.)

Eligibility: 

  • Medical residents, fellows, and medical students

Application Process:

Applications should be submitted to the Executive Council (EC) of the Northern California Regional Organization of Child and Adolescent Psychiatry (NCROCAP) at ncrocap@gmail.com. Application should include:

  • A write up explaining the purpose of the funding, a breakdown of expected costs for which the funding will be used, and how the applicant expects the award to contribute to his/her pursuit of a career in pediatric mental health
  • CV
  • For project funds, trainees must submit letter from a faculty sponsor or mentor; Preferences will be given if sponsor is a current or immediate past member of the NCROCAP executive committee.
  • Applications accepted on a rolling basis.
  • The EC will vote on the application at the next monthly meeting by rules of quorum, after which, applicant will be notified of award decision.

Requirements for award recipients:

  • Awardees are require to attend one monthly executive committee meeting in full
  • Any project presentation should include acknowledgement of NCROCAP as a funding source

 
Testimonials:
I’m very grateful to the Aubrey Metcalf Award for providing funding that enabled me to attend the Association for Academic Psychiatry’s annual meeting in Milwaukee, WI. I learned so much and got to connect with mentors. One highlight was attending a workshop on embracing vulnerability to enhance teaching and trainee wellness, where I learned a lot about the problem of self-criticism in physicians, the use of self-compassion, and the power of modeling vulnerability to trainees. I look forward to sharing these insights and tools with my home program. Additionally, I presented a poster on the effects of resident rotation schedule on burnout which was awarded runner-up. I really appreciated the opportunity to talk with multiple program directors about my poster and discuss their experiences with rotation schedule changes as well as their thoughts on additional research.

Thank you,

Lauren Schumacher

Executive Committee 2018 Elections

Dear NCROCAP members,

As mandated by law, February 2018 – Ballot & Candidate Statements for the 2018 NCROCAP leadership and Consent to Communicate by Email were sent to everyone in the mail. The election concluded on March 15, 2018.

If you wish to vote by email in the future, please return the Consent to Communicate by Email to: NCROCAP, 432 60th Street Oakland CA 94609.

 

Ethical issues with s329 and AACAP

 

Dear Members,

 

We, your Executive Committee, want to keep you informed about major issues we’re working on, specifically with the Academy around ethical issues in science and publishing. 

A paper was published in JAACAP (Keller et al., 2001) stating the efficacy of paroxetine for major depression for adolescents. However, the data from the original study (Study 329) was altered by GlaxoSmithKlein. They hired a consultant ghost-writer that did not report serious side effects, nor the real result of paroxetine having no significant benefit. GSK was fined $3 billion by the Department of Justice, though the published papers from this data continue unchanged.
We at NC-ROCAP believe that research is integral to clinical practice and have taken action to ensure ethical standards.  We have:

• Corresponded with the AACAP Ethics Committee which was told by Leadership not to investigate this scandal.

• Corresponded with the Editor-in-Chief, Dr. Andres Martin, asking for his reasons for not retracting the fraudulent article. He did not respond to our inquiry nor one from Central California’s ROCAP

 

• Corresponded with the current AACAP President, who described the issue as one of “Editorial 

Independence” at the recent Assembly meeting. We believe it is one of “Editorial Integrity”.

 

• Passed an Action Statement at the Assembly, requesting that Dr. Martin explain to the October Assembly why he has chosen not to retract what the DoJ calls a “false and misleading article.”

 

• Sent a statement outlining the above to AACAP President Joshi, requesting transparency.

A newly written article is expected to be published soon in the British Medical Journal using the original, unaltered data of Study 329 which will confront us and the media with distinctly different versions of hte paper published in our Journal in 2001.  Although the paper has been challenged a number of times in the literature and severely criticized in court by the Attorney General of New York State and the Federal DOJ, it continues to be cited in the professional literature.

 

We are asking for the highest levels of our organization to take ethical actions to ensure the best care for our patients and to improve the public’s view of our profession.

 

Please contact me (Suzan Song, MD, MPH, PhD(c) at suzan.song@post.harvard.eduif you have questions or wish to be a part of this action.
Sincerely,
The Executive Committee of NC-ROCAP 

For additional information:

 

DEPARTMENT OF JUSTICE
GLAXOSMITHKLINE SETTLEMENT FACT SHEET
  •   GSK has agreed to plead guilty and pay $3 billion as part of this criminal and civil resolution.
  •   Largest combined federal and state health care fraud recovery in a single global resolution in the history of theUnited States.CRIMINAL RESOLUTION

 GSK has agreed to plead guilty to three misdemeanor violations of the Food, Drug and Cosmetic Act:

o Regarding Paxil, GSK will plead guilty to distribution of a misbranded drug due to false and misleading labeling, in violation of 21 U.S.C. §§ 331(a), 333(a)(1)

& 352(a).

o Regarding Wellbutrin, GSK will plead guilty to distribution of a misbranded drug due to inadequate directions for use, in violation of 21 U.S.C. §§ 331(a), 333(a)(1) & 352(f)(1).

o Regarding Avandia, GSK will plead guilty to failure to report data to the FDA, in violation of 21 U.S.C. §§ 331(e), 333(a)(1) & 355(k)(1).

 The information, filed in the District of Massachusetts, alleges that:

o Paxil

  • -  The FDA has never approved Paxil for any purpose for treating patients under age 18.
  • -  From 1999 to 2003, during sales calls, dinner meetings, spa programs, lavish weekend conferences to places such as Puerto Rico and Hawaii, through a false and misleading medical journal article, and through the distribution of free samples for patient use, GSK promoted Paxil to doctors for the treatment of depression and, to a lesser extent, obsessive-compulsive disorder in patients under age 18.

GSK conducted three placebo-controlled clinical studies to study Paxil’s safety and efficacy in treating depression in patients under age 18. In all three studies, GSK failed to demonstrate efficacy on the endpoints identified in the study protocols.

Nevertheless, GSK hired a contractor to write an article on one of the studies that was published in July 2001 in the Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP). The article stated that Paxil “is generally well tolerated and effective for major depression in adolescents.” The article did not explicitly state that the study failed to demonstrate efficacy on either of its two primary endpoints or on any of the secondary endpoints that had been identified in the study protocol.

GSK’s marketing team distributed the JAACAP article to all of the Paxil sales representatives with a cover memo that stated that Paxil had demonstrated “REMARKABLE Efficacy and Safety in the treatment of adolescent depression.” Some GSK sales representatives used the article to urge doctors to prescribe Paxil to treat patients under age 18.

GSK did not write a medical journal article about the other two unfavorable studies nor did it inform its sales representatives about the results of those studies.

 

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432 60th Street, Oakland, CA 94609 · (510) 658-3257 · ncrocap@gmail.com