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Health
System History | About
Richmond
Divisions
Medical Division
Acute Inpatient Care
Adolescent Medicine
Pediatric Allergy/Immunology
Pediatric Cardiology
Community Pediatrics
Critical Care Medicine
Developmental Pediatrics
Pediatric Endocrinology
Gasteroenterology
General Pediatrics
Pediatric Hematology/Oncology
Pediatric Infectious Diseases
Neonatal Medicine
Nephrology
Palliative Care and Pain Management
Pulmonology
Pediatric Surgical Services
Pediatric Surgery
Neurosurgery
Orthopaedic Surgery
Otolaryngology
Plastic Surgery
Transplant Surgery
Urology
Additional Pediatric Services
Anesthesiology
Care Connection for Children
Pediatric Dentistry
Dermatology
Emergency Medicine
Human Genetics
Child Neurology
Ophthalmology
Pharmacology and Toxicology
Child Psychiatry/Psychology
Physical Medicine and Rehabilitation
Radiology
Medical Divisions
Acute Inpatient Care
The VCU Children’s Medical Center receives over 4,000 acute care admissions per year. Our 60-bed pediatric floor includes units for children from infancy to 21 years of age. Our pediatric inpatient team serves children with every imaginable diagnosis, such as asthma, cancer, cardiac problems, cystic fibrosis, diabetes, infectious diseases, neurological and gastrointestinal disorders, as well as injuries sustained from traumatic events.
William Koch, M.D., Medical Director
Inpatient Acute Care Pediatrics
Adolescent Medicine
The Adolescent Health Service provides primary care for adolescents and young adults ages 12 to 21 years with an emphasis on comprehensive health education and anticipatory guidance for patients and their parents. Services include physical exams, diagnosis and treatment of acute medical problems, diagnosis and treatment of adolescent gynecologic problems and diagnosis, treatment and prevention of the consequences of adolescent sexual behavior, and assessment of common emotional/behavioral problems. A consultant in Pediatric and Adolescent Gynecology is available and participates in some clinic sessions.
Richard R. Brookman, M.D., Chair
Nicole Karjane, M.D., OB/GYN consultant
Clinic: (804) 828-9449
Allergy and Immunology
When children suffer from acute or chronic conditions such as
asthma, hay fever, eczema, food allergies or drug reactions,
the
skills of a pediatric allergy/immunology specialist are available
at the Children’s Medical Center. Headed by Dr. Ann-Marie
Irani, a leader in clinical research with more than 20 years of experience,
the Division of Allergy and Immunology offers a fully comprehensive
approach to the child with allergies, immune deficiencies and
rheumatologic disorders. Specialists focus on clinical research
areas in pediatric asthma, as well as basic research of the
biology
of mast cells and basophils.
The Division of Pediatric Allergy/Immunology offers diagnostic
expertise in the following areas:
- Allergic rhinitis (hay fever).
- Anaphylaxis.
- Asthma.
- Atopic dermatitis.
- Drug allergy.
- Food allergy.
- Immunodeficiency disorders.
- Insect hypersensitivity.
- Sinusitis.
- Urticaria (hives).
- Eosinophil disorders.
Anne-Marie A. Irani, M.D., Chair
Wei Zhao, M.D., Ph.D.
Donna Mitchell, R.N., M.S.N., C.P.N.P.
Appointments: (804) 628-PEDS
Pediatric Cardiology
The Division of Pediatric Cardiology provides full pediatric cardiology services including preventative and adult congenital heart disease services. The division’s physicians provide transtelephonic echocardiographic services in Richmond, Newport News and Fredericksburg. The Division of Pediatric Cardiology is the only National Triple Accredited pediatric echocardiography laboratory (fetal, trans-thoracic and trans-esophageal) in Virginia. The pediatric cardiac catheterization laboratory continues to provide state of the art diagnostic and interventional services for infants, children and adults with congenital heart defects, using such tools as implantable devices and lasers. Electrophysiology services such as RF ablation and pacemaker therapy are provided in association with the Electrophysiology Division of VCUMC. Cardiothoracic surgery is performed at VCUMC by Dr. Ben Peeler on infants and children with CHD and by Dr. Vig Kasirajan on adults with CHD.
VCUMC cardiology specialists provide outpatient services, including echo and ECG at the Children’s Pavilion as well as at St. Mary’s Hospital, Hanover Medical Park, Stony Point Ambulatory Care Center, Chippenham Hospital Medical Park, St. Francis Medical Park (all in the Richmond area), the Children’s Hospital Pediatric Therapy Center near Mary Washington Hospital in Fredericksburg, VA, and the Riverside Medical Office in Newport News, VA. Fetal cardiology consultations and echocardiographic consultations are performed at VCUMC as well as at the request of perinatologists in the central Virginia area. Pediatric inpatient consultations are provided at all Richmond area hospitals as well as at Riverside and Mary Washington hospitals.
For emergency cases, the VCUMC Life Evac helicopter is available for rapid and safe patient transportation.
The division also is dedicated to training future pediatric cardiologists and has an active ACGME accredited Fellowship Program for 20 years.
Children’s Heart Center Brochure [PDF]
William Moskowitz, M.D., Chair
Douglas Allen, M.D.
Scott Gullquist, M.D.
Sam Lee, M.D.
Louise Robertson, M.D.
Mark Townsend, MD
Naomi Howard, R.N., B.S.N.
Appointments: (804) 628-HRTS
Community Pediatrics
The Division of Community Pediatrics includes every pediatrician
in the community who has a relationship with the department. These
physicians teach medical students in their offices, precept residents
in their offices and clinics and serve on various ad hoc committees
for the department such as search committees and the Bundy Professorship
Committee.
Barry V. Kirkpatrick, M.D., Vice Chairman of Pediatrics,
Academic and Clinical Affairs
Office: (804) 827-1692
Gayle S. Smith, M.D.
Office: (804) 828-8558
Critical Care Medicine
Opened in 1978, the multi-specialty Pediatric Intensive Care
Unit (PICU) is a state-of-the-art facility that accommodates seriously
or critically ill infants, children and adolescents. There is
a physician in the unit 24 hours a day, making it the only Level-1
PICU in Central Virginia. The PICU provides care for children
with conditions, such as acute respiratory failure, status asthmaticus,
circulatory shock, major trauma, head injury, intracranial hypertension,
status epilepticus, diabetic ketoacidosis, renal failure and chemical
intoxication.
The PICU also provides postoperative care for a broad range of
surgical subspecialties such as neurosurgery, cardiac surgery,
general surgery, transplant surgery, orthopedics, urology, plastic
and ear-nose-and-throat surgery. Averaging 950 admissions a year,
the PICU not only receives admissions from the emergency room,
pediatric floors and operating rooms, but is a referral site for
hospitals in the Richmond area and regional hospitals. The PICU
has treated more than 18,000 children since 1978 and is proud
of its team approach to care.
Thanks to a generous gift from Food Lion, the PICU recently unveiled
its new, expanded and completely modernized facilities. The Food
Lion PICU embraces the concept of "family-centered care"
in the management of its patients. The new PICU has 12 critical
care beds that have been configured to provide larger, more private
patient spaces that can accommodate visitation by family 24 hours
a day. The unit also provides a family resource area with Internet
connections and a family shower area. The comfort of both patients
and families figured prominently in the unit's design.
John J.
Mickell, M.D., Chair
Monica Relvas, M.D.
Shamsur Chowdhury, M.D.
Kathy Davis, PNP
Diane Karowitz, PNP
Faith Piechowiak, PNP
PICU: (804) 828-4987
Office: (804) 828-4080
Developmental Pediatrics
Pasquale Accardo, M.D., a developmental pediatrician, offers evaluation and treatment consultation for children of all ages with developmental problems ranging from global developmental concerns to specific diagnoses. Assessments focus on the following diagnoses:
- Attention deficit and hyperactivity disorders (ADHD)
- Autism and pervasive developmental disorders
- Developmental disorders/delay
- Learning disabilities
- Speech, language and communication delay
Pasquale Accardo, M.D., Chair
Appointments: (888) 628-4240
Endocrinology
The Division of Endocrinology provides comprehensive care for children with diabetes and all other endocrine disorders. The VCU Children's Medical Center is the major center in the region for the diagnosis and care of children with diabetes including insulin pump therapy. The Division of Endocrinology provides the only program in Central Virginia for children with endocrine disorders such as growth hormone deficiency, pituitary abnormalities including nodules and prolactinomas, hypothyroidism, hyperthyroidism, goiter, thyroid nodules or cancer, delayed or early puberty, congenital adrenal hyperplasia, polycystic ovary syndrome, metabolic bone disease, obesity, metabolic syndrome, endocrine hypertension, and hypoglycemia. Physicians in the division have great interest in children with Type II diabetes and obesity and have developed a multidisciplinary center for children with obesity and the metabolic syndrome.
Center for Children with Diabetes and Endocrine Disorders (brochure) [PDF]
Gary Francis, M.D., Ph.D., Chair
Anil Kumar, M.D.
Anshu Gupta, M.D.
Raul Ramirez, M.D.
Kerry M. McCray, R.N., M.S., C.P.N.P.
Mary Henck, R.D., M.S., C.D.E.
Matt Bitsko, Ph.D.
Appointments: (804) 828-6703 (all new patients)
(804) 628-7337 (return patients)
VCU Campus: (804) 828-6703
Stony Point: (804) 560-7347
Gastroenterology
Physicians at the Children’s Medical Center currently treat
infants and children of all ages who have gastrointestinal problems,
including reflux, ulcers, swallowing disorders and disorders of
the liver and bowel such as hepatitis, chronic diarrhea, encopresis
and inflammatory bowel disease. Sophisticated diagnostic procedures
including endoscopy and pH testing are available at the Center.
Martin Graham, M.D., Chair
Ann Kessell, M.D.
Ted Williams, M.D.
Juan Villalona, M.D.
Debra Boatwright, M.S., RN, CPNP
Julie Shotwell, RN, CPNP
Appointments: (804) 628-PEDS
General Pediatrics
Our dedicated team of general pediatricians offers preventative
and primary care, such as immunizations and well baby/well child
visits. Our physicians also provide diagnoses and treatment of
acute illnesses in children of all ages while providing anticipatory
guidance for their parents.
The Division of General Pediatrics works in partnership with
our pediatric specialists to provide general pediatric care for
children with chronic diseases or special health care needs. General
Pediatricians play a large role in the Department of Pediatrics’
education and residency programs.
Allan D. Friedman, M.D., Chair
Gauri Gulati, M.D.
Indra Kancitis, M.D.
Philip Kum-Nji, M.D.
Sean McKenna, M.D.
Linda D. Meloy, M.D.
Bill Shaw, M.D.
Nandita Kalahasty, M.D.
N. Romesh Wijesooriya, M.D.
Laura Haskin, N.P.
Appointments: (804) 828-9338
Hematology and Oncology
The mission of the Division of Pediatric Hematology and Oncology is to serve the Commonwealth of Virginia as a nationally recognized entity of clinical, educational, and research excellence. The clinic is dedicated to improving the quality of children’s life through prevention, control and cure of cancer.
The Division of Hematology/Oncology of the Children Medical Center has made, and continues to make, great strides in the battle against cancer. Cancers that were considered incurable 25 years ago now respond to treatments that produce tremendous survival rates. At the Children’s Medical Center, we are fighting the disease alongside children with cancer and their families. Our patients, ranging from infants to adolescents, receive state-of-the-art care from a dedicated multidisciplinary team of professionals in the ASK Pediatric Hematology-Oncology Clinic.
Our Division of Hematology-Oncology is an active member of the Children’s Oncology Group and Pediatric Blood and Marrow Consortium. Members of our staff serve on multiple disease committees of the groups, and help design and implement new therapies for the fight against cancer.
- The division’s COMPREHENSIVE SICKLE CELL CENTER is the medical home for more than 400 children with sickle cell disorders and other hemoglobinopathies. These children and their families face lifelong challenges and greatly benefit from the multidisciplinary team approach available here.
- The HEMOPHILIA PROGRAM, serving children from the metropolitan Richmond area and beyond, provides a wide range of services to young people with hemophilia and other coagulation disorders.
- The LONG TERM FOLLOW-UP PROGRAM was established in 2005 and has already registered approximately 400 patients. This multidisciplinary program focuses on screening and educating patients about late effect of cancer treatment, and improvement of quality of life.
- THE NEURO-ONCOLOGY COMPREHENSIVE CLINIC, established in the spring of 2005, is a team comprised of an oncologist, neurosurgeon and radiation therapist all of whom work together to evaluate children with CNS tumors. This multidisciplinary approach enhances communication and provides comprehensive care from all services involved in the care of those patients
- The PEDIATRIC STEM CELL TRANSPLANT PROGRAM in collaboration with the VCU Bone Marrow Transplant Center provides coordinated care for children requiring transplantation from life-threatening malignant and non-malignant disorders. The transplant program is a recognized COG allogeneic transplant center, a PBMTC member and an NMDP center. .
Members of the division provide consultative services to physicians and other hospitals throughout Richmond and Central Virginia. Pediatric residents are involved in all of the division’s many clinical activities and gain experience in virtually all aspects of hematologic and oncologic diagnosis and care.
A fellowship program was recently approved, and is planned to be operative in 2007. Division members are active participants in research through the Children’s Oncology Group and the Massey Cancer Center, a NIH-designated cancer center.
In collaboration with other centers, they are also involved in clinical research in Sickle cell disease, Hemophilia and stem-cell transplantation. In collaboration with the VCU Department of psychology, members of the division also conduct studies in coping and quality of life of pediatric patients with cancer.
Kamar Godder, M.D. M.P.H., Chair
Asadulla Khan, M.D.
Gita V. Massey, M.D.
E. Clifton Russell, M.D.
Robbie Casper, N.P.
Elizabeth Hall, C.P.N.P.
Anne Mauck, C.P.N.P.
Debra Shockey, C.P.N.P.
Matt Bitsko, Ph.D.
Rose Thune, C.R.A.
Debra Cohen, PNP
ASK Hematology/Oncology Clinic: (804) 828-9300
New patient referrals: (804) 828-9605
Infectious Disease
Services offered include inpatient and outpatient consultation
as well as diagnosis and management of any problems related to
infection including bacterial infections, viral infections, fungal
infections, congenital infections, tick-borne infections, and
tuberculosis. In addition, physicians are available for review
of antibiotic and antiviral therapy, evaluation of Fever of Unknown
Origin (FUO) and evaluation for immunologic conditions predisposing
to infection, infections in catheters and other devices, gastrointestinal
infections and lymphadenopathy.
A travel clinic is also available to address issues of infection
and vaccination for families preparing for international travel.
Suzanne Lavoie, M.D., Chair
Stuart P. Adler, M.D.,
Greg Childress, M.D.
William Koch, M.D.
Beth Marshall, M.D.
Michael McVoy, Ph.D.
David Friedel, M.D.
Division office: (804) 828-1807
Appointments: (804) 628-PEDS
HIV AIDS clinic
Travel clinic (804) 828-4515
Neonatal Medicine
Currently our Neonatal Intensive Care Unit (NICU) is the largest
ICU at the VCU Health System and has the capacity to care for
40 premature infants and newborns. Under the direction of our
neonatologists, fellows-in-training and all other pediatric specialists,
the NICU cares for newborns and infants with a wide range of problems
including all types of respiratory, surgical, cardiac, genetic,
renal, neurological, hematologic and metabolic diseases.
Our physicians employ the latest treatment techniques to help
smaller and smaller infants survive and thrive. In caring for
infants requiring respiratory support, the NICU employs both high
frequency oscillatory and jet ventilation, in addition to conventional
ventilation. Nitric Oxide, Extracorporeal Membrane Oxygenation
(ECMO) and surfactant replacement are also provided.
The physicians, nurses and other personnel in the unit are committed to “environmentally appropriate care” — controlling light, sound and stimulation. This commitment is reflected in the design of the new ICU (opening in 2007), which will consist of 40 stations with 36 rooms (four double suites). The new unit will include space for family “rooming in” with a sleeping area, storage and desk/work space.
Henry J. Rozycki, M.D., Interim chair
Gary R. Gutcher, M.D.
Sharon Cone, M.S., RNC, NNP
Cyndi Kemp, MSN, C.R.N.P.
Marnie Longest, M.S., RNC, NNP
Barbara Reyna, M.S., RNC, NNP
Bobbie Terrell, M.S., RNC, NNP
Kim Williams, M.S., RNC, NNP
NICU: (804) 828-9956
Nephrology
The Division of Pediatric Nephrology is fully geared to provide
services to children suffering from various acute and chronic
renal disorders such as acute renal failure, chronic renal insufficiency,
glomerulonephritidies, simple and complicated urinary tract infections,
congenital renal abnormalities, voiding disorders, nocturnal enuresis,
acid-base and electrolyte disorders, calcium, phosphorus and bone
mineral disorders hypertension, and management of end stage renal
diseases with hemo- and peritoneal dialysis. Facilities are available
for renal transplantation and post-transplant care.
Vimal Chadha, M.D., Chair
Diane Kraynak, M.S., CPNP
Office: (804) 628-KDNY (5369)
Appointments: (804) 628-PEDS
Palliative Care and Pain Management
Pediatric Palliative Care is multidisciplinary care focused on improving the quality of life and reducing distress and suffering of children with a complex or life-limiting condition and their families. This specialized care may be provided, in concert with curative treatments, from the time of diagnosis.
The multidisciplinary Pediatric Palliative Care and Pain Management (PPC) team works with the child’s primary team to provide pain and symptom management, assistance with complex medical decisions, counseling and psychological support. The PPC team is available in both the hospital and the outpatient clinics. By embracing a child friendly, family centered approach, the PPC team promotes healing, comfort and hope.
Services provided by the Pediatric Palliative Care Team
- Therapeutic play and art activities
- Pet visitation
- Music therapy
- Culturally sensitive emotional and spiritual support
- Age and developmentally appropriate grief and bereavement counseling for family members
- End of life care and planning
- Access to compassionate and specialized caregivers focused on treatments that manage pain and symptoms, while maximizing comfort and quality of life for the child
- Connections to school and community resources
- Postoperative pain management
Bob Archuleta, M.D., Medical Director
Deborah Fisher, P.N.P., Clinical Director
Alma Hassell, Pastoral Care
Robyn Dillon, Social Work
Ann Keeler, Dietary
Ilona Scanlon, Child Life
Kate Meilink, Education
Sue Sreedhar, M.D.
Gita Massey, M.D.
Diane Karowitz, P.N.P.
Kimberley Williams, N.N.P.
Pulmonology
The VCUHS Division of Pediatric Pulmonology is the only Pediatric
Pulmonary Group in Central Virginia. Our dedicated pediatric specialists
provide in-depth diagnostic testing for patients who have chronic
pulmonary problems such as asthma and cystic fibrosis. Following
testing and diagnosis, patients of the pulmonary clinic are assured
of expert care from our sub-specialists. Families are then given
clinical and social services support to help them face the daily
challenges of treating the young patient who has a chronic pulmonary
disease.
The division provides multidisciplinary inpatient and outpatient
services for infants and children with acute and chronic respiratory
problems, including:
- Asthma.
- Cystic Fibrosis.
- Bronchopulmonary disease (BPD).
- Congenital lung abnormalities.
- Neuromuscular respiratory diseases.
- Chronic respiratory failure/insufficiency.
- Pulmonary sleep disorders.
Many patients are now referred to the VCUHS Pediatric Pulmonary
Function Laboratory for spirometry, lung volumes and exercise
testing without a pulmonary consult.
Greg R. Elliott, M.D., Chair
Joel Schmidt, M.D.
Ron Williams, M.D.
Mollie V. Anderson, CPNP
Maridel Lee, RN, CPN
Jim Norton, RRT
Clinic: (804) 828-2980
Appointments: (804) 628-PEDS
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