Ohio AAP CME Outcomes Dashboard

CME Evaluation Form (V.2)

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Specialty

Activity Evaluation

How did you participate in an educational activity?
Which activity are you claiming credit for?
Which activity are you claiming credit for?
As a result of this activity, do you plan to make changes in practice?
Based on what you learned in this session, which of the following changes will you make to your practice?
Assess your level of commitment to making the modification to your practice stated above:
Please select the reason (or reasons) that you chose to access this activity:
Please rate the following statements based on your opinion following this education session.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
N/A
The content matched my current or potential scope of practice
The speaker was knowledgeable and able to effectively teach the content
I was satisfied with this learning activity
This activity was free of bias and promotes the values of belonging, respect and fairness.
This activity was free of commercial bias.
Faculty disclosures were made.
In order to assist us in measuring the outcomes of this educational activity, would you be willing to participate in a brief post-activity questionnaire?

At the conclusion of this activity are you able to:

Identify common presentations of anxiety in pre-teen children
Describe the workup for anxiety in pre-teen children
List treatment approaches for anxiety in pre-teen children

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is the most common mental health problem in pre-adolescent youth?
Which of the following is felt to be influencing increases in loneliness and friendlessness in youth since the 2010’s?
Which of the following is characterized by persistent and excessive worry about losing major attachment figures or about possible harm such as illness, injury, disasters, or death?
Which of the following screening tools can be most helpful in determining if a child is experiencing significant anxiety?
Which of the following treatment approaches for anxiety is preferred as front line?

At the conclusion of this activity are you able to:

Identify common presentations of anxiety in pre-teen children
Describe the workup for anxiety in pre-teen children
List treatment approaches for anxiety in pre-teen children

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is the most common mental health problem in pre-adolescent youth?
Which of the following is felt to be influencing increases in loneliness and friendlessness in youth since the 2010’s?
Which of the following is characterized by persistent and excessive worry about losing major attachment figures or about possible harm such as illness, injury, disasters, or death?
Which of the following screening tools can be most helpful in determining if a child is experiencing significant anxiety?
Which of the following treatment approaches for anxiety is preferred as front line?

At the conclusion of this activity are you able to:

Identify key components of high quality asthma care
Acknowledge challenges to providing this care
Describe strategies that can be used in the office to overcome these challenges and make care more consistent
Recognize the important roles schools, and especially school nurses, can play in optimizing asthma care

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following are key components of high-quality asthma care?
According to the 2020 NHLBI/NAEPP update, which type of therapy is the preferred treatment for a 10-year-old whose asthma that is not controlled by low-dose inhaled corticosteroids (ICS)?
Which of the following is true regarding the role school nurses play in student care?

At the conclusion of this activity are you able to:

Apply new skills in discussions to address vaccine hesitancy with healthcare workers
Utilize proper techniques demonstrated in PPE use in primary care, including training, fit, and supply limitations
Recommend opportunities for primary care and school-based health providers to collaborate on infection control
I have increased knowledge regarding healthcare infection prevention and control (IPC).​

Additional Evaluation Questions:

Would you recommend this activity to others?

Please answer these additional assessment questions:

True or False: The HIPAA Privacy Rule allows a health care provider to disclose protected health information (PHI) about a student to a school nurse.
Preventative care for international travel includes:
True or False: Measles requires droplet precautions.

At the conclusion of this activity are you able to:

Outline approaches to asthma management in the community and in the hospital
Identify action steps we all can take for (and with) patients and communities in the pursuit of health equity and justice
Consider population health approaches that elevate action on social, economic, and environmental determinants of health (SDH)

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

A 5-year-old boy is admitted to the hospital. He is having difficulty breathing and cannot seem to catch his breath. You hear wheezes on your physical examination, and you make the decision to treat him for an acute asthma exacerbation with inhaled bronchodilators, inhaled corticosteroids, and systemic corticosteroids. Prior to discharge from the hospital, what do you make sure to ask about and intervene upon (if appropriate)?
The use of maps in health care could support a better understanding of place-based social determinants of health for populations, and if incorporated more directly into patient-centered care, it could also:
Population health is defined as:

At the conclusion of this activity are you able to:

Understand of both the positive and negative effects of social media on adolescents' health and well-being.
Strengthen your ability to recognize, assess, and address medical misinformation in both the digital and clinical space.
Develop a structured approach to guiding patients in identifying and avoiding misinformation online.
Discuss responsible social media use and promoting digital literacy with adolescent patients and their families during clinical encounters.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is a positive effect of social media on adolescent health?
When assessing medical misinformation online, which of the following strategies is the most effective?
What is a key component of educating patients and families about identifying online misinformation?

At the conclusion of this activity are you able to:

Describe the top three micronutrient deficiencies for children living in Ohio
Apply clinical best practices in addressing micronutrient deficiencies.
Educate families on how to supplement meals to include more nutrients.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Please select the three main micronutrient deficiencies in children in Ohio. Select all that apply.
Which of the following is a good source of iron?
True or False: A diet can be supplemented with fortified foods or vitamins.
Which of the following may be considered as risk factors for low calcium levels?

At the conclusion of this activity are you able to:

Identify young patients (2-6 years of age) presenting with behavioral challenges who require further evaluation.
Differentiate among the presentations of ADHD, anxiety, learning disabilities and oppositional defiant disorder in children aged two to six years.
List parenting techniques that can be employed to help manage common behavioral challenges in children aged two to six years.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Executive function deficits include all of the following except:
Boys and girls present ADHD differences how:
Collaborative and proactive solutions therapeutic model includes all of the following except:
Which of the following is not an ADHD Screening tool:
Individualized Education Programs and 504 plans are:

At the conclusion of this activity are you able to:

Apply clinical and coverage resources to prescribe guideline-recommended medications and avoid insurance barriers
Resolve prior authorization barriers associated with SMART
Describe best practices for improving asthma medication ratio (AMR)

Please answer these additional assessment questions:

An inhaler needs to contain which long acting beta-2 agonist (LABA) if using as a single maintenance and reliever therapy (SMART)?
Asthma medication ratio is calculated using the following equation?
Which of the following statement is true regarding dry powder inhalers (DPIs)?

At the conclusion of this activity are you able to:

Plan to implement two actionable steps that can help prevent the progression of Type 2 diabetes with patients
Appropriately refer patients to endocrinology when screening suggests further evaluation and management is medically indicated

Please answer these additional assessment questions:

Which of the following defines Stage 2 type 1 diabetes?
What does C-peptide determine as part of lab work?
A 10-year-old male presents for his well visit with his mother. Mom has a medical history of type 1 diabetes and expresses concerns about her son’s risk for developing type 1 diabetes. Which of the following would be the best course of action?
Which of the following is not considered a risk factor for youth onset t2d?
Which of the following statements about youth onset t2d (compared to adult onset t2d) is incorrect?

At the conclusion of this activity are you able to:

Plan to implement two actionable steps that can help prevent the progression of Type 2 diabetes with patients
Appropriately refer patients to endocrinology when screening suggests further evaluation and management is medically indicated

Please answer these additional assessment questions:

Which of the following defines Stage 2 type 1 diabetes?
What does C-peptide determine as part of lab work?
A 10-year-old male presents for his well visit with his mother. Mom has a medical history of type 1 diabetes and expresses concerns about her son’s risk for developing type 1 diabetes. Which of the following would be the best course of action?
Which of the following is not considered a risk factor for youth onset t2d?
Which of the following statements about youth onset t2d (compared to adult onset t2d) is incorrect?

At the conclusion of this activity are you able to:

Communicate effectively with the Ohio Department of Health regarding abnormal test results
Order appropriate testing for congenital CMV infection following an abnormal newborn hearing screen
Respond effectively to abnormal thyroid screening
Manage and follow a patient with an abnormal newborn screening for Duchenne muscular dystrophy

Please answer these additional assessment questions:

Which of the following is true about the Ohio Revised Code regarding newborn screening?
Which of the following is true when screening for critical congenital heart disease?
The following is true regarding Ohio’s new screening on Duchenne Muscular Dystrophy (DMD):
Which of the following is true about congenital cytomegalovirus (CMV) infection?
The following is an example of a criterion used by the Ohio Department of Health to determine if a test should be added to the newborn blood spot test:

At the conclusion of this activity are you able to:

Communicate effectively with the Ohio Department of Health regarding abnormal test results
Order appropriate testing for congenital CMV infection following an abnormal newborn hearing screen
Respond effectively to abnormal thyroid screening
Manage and follow a patient with an abnormal newborn screening for Duchenne muscular dystrophy

Please answer these additional assessment questions:

Which of the following is true about the Ohio Revised Code regarding newborn screening?
Which of the following is true when screening for critical congenital heart disease?
The following is true regarding Ohio’s new screening on Duchenne Muscular Dystrophy (DMD):
Which of the following is true about congenital cytomegalovirus (CMV) infection?
The following is an example of a criterion used by the Ohio Department of Health to determine if a test should be added to the newborn blood spot test:

At the conclusion of this activity, are you able to:

Explain the impact of early literacy on kindergarten readiness and lifelong learning.
Discuss the resources available for Ohio's families from Reach Out and Read, and the Imagination Library.

PLEASE COMPLETE THESE QUESTIONS IF SEEKING MOC PART II CREDIT OR IF YOU ARE CLAIMING ENDURING CREDIT (DID NOT PARTICIPATE IN THE LIVE TRAINING):

How do we achieve reading comprehension?
A published population study showed that participants in a combined Reach Out and Read and Imagination Library program showed significant improvement in:

At the conclusion of this activity, are you able to:

Describe how the homeless crisis response system is organized, how people access assistance, what different programs do, and who they serve.
Discuss the guiding principles of our systems and best practices in serving people experiencing homelessness.
Anticipate how homelessness impacts youth and young adults.

At the conclusion of this activity, are you able to:

Perform an oral health assessment including recognition of signs of early childhood caries (ECC).
Explain the ABC’s of safe sleep for infants, advise parents about good sleep hygiene and help with sleep related concerns.
Recognize the opportunity to integrate and promote relational health during routine pediatric visits and anticipatory guidance.

PLEASE COMPLETE THESE QUESTIONS IF SEEKING MOC PART II CREDIT OR IF YOU ARE CLAIMING ENDURING CREDIT (DID NOT PARTICIPATE IN THE LIVE TRAINING):

Which of the following is the most important reason that pediatric clinicians should assess the oral hygiene of the mother of a newborn?
Which of the following is true?
Early childhood literacy promotion may improve both kindergarten readiness and relational health. What two programs in Ohio have evidence of effectiveness and are easy to implement in community practice?

At the conclusion of this activity, are you able to:

Identify which clinical features in the well child visit raise concerns for postpartum depression.
Implement methods to increase screening and appropriate billing for postpartum depression in well child visits.

Please answer these additional assessment questions:

Approximately what percentage of women experience postpartum depression?
Maternal perinatal depression is associated with the following adverse outcomes in children?
Which of the following outcomes are associated with screening or treatment of depression in women during the first 3 months following childbirth?
When can I use CPT code 96161 to bill for caregiver screening for depression in Ohio?

At the conclusion of this activity are you able to:

Define food insecurity and identify federal, state, and local resources
Document the prevalence of food insecurity
Demonstrate the impact of food insecurity on children
Highlight the importance of universal screening for food insecurity

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Food insecurity is defined as:
In Ohio, what proportion of children are affected by food insecurity?
What impact can food insecurity have on children
What federal programs support children with food insecurity?

At the conclusion of this activity are you able to:

Implement appropriate new skills for the allied health professional in maternal depression screening and treatment
Apply case study examples to help identify families in need of screening or resources

Please answer these additional assessment questions:

Approximately what percentage of women experience postpartum depression?
Maternal perinatal depression is associated with the following adverse outcomes in children?
Which of the following outcomes are associated with screening or treatment of depression in women during the first 3 months following childbirth?

At the conclusion of this activity are you able to:

Explore the impact of nutrient-rich foods and physical activity on mood regulation and stress response in adolescents.
Learn how to promote psychological flexibility and values-based decision-making around food, movement, and social connections.
Help adolescents cultivate a healthy relationship with food and movement by enhancing self-awareness, promoting self-compassion, and aligning choices with personal values
Support adolescents in identifying and aligning their values with choices about food and movement, emphasizing autonomy, modeling value-driven behaviors, and helping them navigate challenges.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1. Which of the following nutrients is most associated with improved mood and stress regulation in adolescents?
2. True or False: Teaching adolescents to pause and notice their physical sensations, like hunger or stress, can help them make more mindful choices around eating and movement.
3. What is one effective way for parents and pediatricians to support an adolescent's autonomy in making healthy food choices while still providing necessary guidance?

At the conclusion of this activity are you able to:

Review the clinical features of Duchenne Muscular Dystrophy
Apply a systematic approach to the handling of an inconclusive newborn screen
Explain the rationale for adding DMD to the Ohio newborn screen
Discuss current therapies available for DMD

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1. A 5-year-old boy presents to his pediatrician with arm and shoulder pain. This pain began after he tripped while walking up the stairs and tried to break the fall with his arms. A review of systems reveals that he walks on his tiptoes and supports himself with his hands on his knees when standing up from a seated position. His vital signs are normal. Physical examination reveals tenderness to palpation of his left elbow and reduced range of motion. There is enlargement of both thighs and a waddling gait. Which of the following best describes the inheritance pattern of this disorder?
2. A 9-year-old boy is brought to his pediatrician for a well-child visit. His father explains that the boy is doing well, although there is some decline in mobility. He is now using a wheelchair to move around their home. His medical history is significant for an inherited disorder that causes deletion of the dystrophin gene. His vital signs are stable. Physical examination shows large calves with decreased muscle power. Which of the following is a common feature of this disease?
3. You are a pediatrician seeing a 7-day-old male infant for his initial newborn visit. He was born premature at 35 weeks gestation. He was small for gestational age with a 1920-gram birth weight. He was admitted to the NICU where he required a few hours of supplemental oxygen and one day of dextrose-containing fluids for hypoglycemia. The remainder of his NICU course was unremarkable, and he was discharged yesterday on an appropriate feeding regimen. His Ohio newborn screen was collected at 25 hours of life. If the newborn screen lab measures a CK-MM level of 241 ng/mL, which of the following interpretations do you expect to see on the final newborn screen report?
4. This same 7-day-old male infant weighs 2095 grams in your office today. Which of the following follow-up actions should be taken?
5. Which of the following individuals would be eligible for Elevidys (delandistrogene moxeparvovec-rokl), the FDA approved gene therapy for Duchenne Muscular Dystrophy?

At the conclusion of this activity are you able to:

Explore changes in prognosis for babies with CF with early treatment
Understand the limitations of the Ohio CF newborn screen
Review next steps for abnormal newborn screen results

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1. A 2 week-old term infant is new to your practice. Your office has been notified by the Ohio Department of Health (ODH) about an abnormal newborn screen for CF. The Immunoreactive Trypsinogen (IRT) was abnormally high and DNA mutation analysis revealed 2 mutations in CFTR. There is no family history of CF. You are meeting with the family to go over test results. What is the next step this child’s care?
2. During the well-child visit of a 3 year-old patient, his pregnant mother discloses her current fetus has been diagnosed with CF by amniocentesis. Parents are upset and worried about what this means for their baby. Which of the following statements is false?
3. You are seeing a 2-year-old patient during an ill visit. Parents report several illnesses with cough since about 6 months of age. Further questioning reveals the cough does not fully resolve between illness. Family identifies as Hispanic, and an interpreter is needed for the visit. Weight is in the 2nd %-tile but steadily following the growth curve. Family denies any loose stools or diarrhea. Birth history was uncomplicated. You review the NBS, and it appears to be low risk for CF. IRT is 55 and in the normal range for that day. Chest x-ray revealed peribronchial thickening. Which of the following statements is true?
4. Your clinic nurse has heard there are new changes to Ohio’s CF NBS process. She has questions about how this will change the way your office will respond to abnormal CF NBS. Which of the following statements are true about the new system?
5. Which of the following is a reason that a baby with CF may have a falsely low IRT? Select all that apply.

At the conclusion of this activity are you able to:

State AAP guidelines and recommendations for adolescent safe sleep.
Discuss the importance of sleep and impacts it has on areas of life.
Examine practical tips for adolescents to obtain a good night’s sleep.
Screen for Obstructive Sleep Apnea during a clinic visit.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What is the recommended amount of nighttime sleep for a teenager?
True or False: Lack of nighttime sleep increases ghrelin production
True or False: Although duration of sleep is important to physical and mental health, the timing of sleep is inconsequential

At the conclusion of this activity are you able to:

Summarize data from Ohio related to sleep related deaths, and identify sources for data such as Child Fatality Review
Apply new harm reduction strategies in safe sleep conversations with families of infants
Select, compare and use appropriate resources to provide safe sleep education to families

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Following this training, how confident are you in addressing safe sleep and sleep related fatalities with families of infants?

At the conclusion of this activity are you able to:

Review screening guidelines for refugee health, including RHS-15.
Examine differences between US-based lead screening and international lead screening efforts.
Utilize motivational interviewing to identify the patient and family’s social and medical needs.
Discuss potential persistent lead poisoning sources in the home from cultural humility lens.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

In addition to lead-based paint, immigrants may have experienced environmental exposure to lead in their country of origin in the form of:
Refugees should receive a comprehensive domestic medical examination within _____ days of arrival to the US.
The comprehensive domestic medical examination should include a blood lead test for:

At the conclusion of this activity are you able to:

Review current data related to lead contamination in shelf-stable foods.
Examine comorbidities associated with lead poisoning and food insecurity.
Differentiate between state and local resources available for safe, quality food sources for children in Ohio.
Determine appropriate considerations and cautions when preparing food in the home.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What is one way food insecurity increases the risk of lead exposure in children?
Which of the following foods can help reduce lead absorption when included in the diet?
What is a primary source of lead exposure that disproportionately affects low-income families?

At the conclusion of this activity are you able to:

Define prediabetes in youth
Understand what is known regarding risk factors for progression from prediabetes to type 2 diabetes in youth, and how the DISCOVERY study is hoping to better define these risk factors
Discuss treatment options for prediabetes

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What is the estimated prevalence of prediabetes in children 12-18 years of age?
  What is the lowest limit of A1C for diagnosing prediabetes?
Which of the below medications are FDA-approved for a diagnosis of prediabetes?

At the conclusion of this activity are you able to:

Discuss appropriate methods to assess weight status and the strengths and weaknesses of BMI as a measure.
Explore the impacts of social determinants of health on obesity in your patients, as a risk factor and considerations for treatment.
Discuss medical evaluation of comorbidities, including those identifiable by labs and patient family history such as sleep, mental health, skin, and eating disorders.
Identify how to exclude hormonal or genetic causes of obesity.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

A 12-year-old girl with an unremarkable past medical history and normal development is seen for severe obesity. Her body mass index is 138% of the 95th percentile. The growth chart shows BMI percentile increasing sharply starting at age 10 years. The height percentile during this time decreased from the 50th percentile to the 10th percentile, and the growth velocity decreased from normal to around 1.5 cm/yr. The child is Tanner stage 1 for breast development and pubic hair. At this point additional screening tests should include: 
Which of the following would not be an acceptable classification or way to identify a child and adolescent with overweight or obesity, in current practice. 
Which of the following would not be a risk factor for a child to develop obesity? be an acceptable classification or way to identify overweight or obesity in a children and adolescents. 

At the conclusion of this activity are you able to:

Discuss strategies to promote healthy active living for the family unit.
Identify how to address and avoid weight bias while integrating compassionate care.
Explore motivational interviewing skills to navigate difficult or uncomfortable conversations around weight.
Discuss how to promote healthy feeding habits with patients and their families

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What is weight bias?
Weight bias can be both implicit and explicit
The AAP’s statement on The Role of the Pediatrician in the Promotion of Healthy Active Living emphasizes guidance in these four areas:

At the conclusion of this activity are you able to:

Guide families in creating balance, boundaries, and communication
Apply the 5 Cs of Healthy Digital Habits
Collaborate with families to model positive digital behavior
Define media use and its impact on children’s lives

PLEASE ANSWER THIS ADDITIONAL ASSESSMENT QUESTIONS:

At the conclusion of this activity are you able to:

Understand common eating behavior phenotypes in childhood obesity.
Utilize practical assessment strategies.
Apply evidence-based interventions in primary care.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Fast eating is a common eating behavior in children who have obesity. It can lead to overeating and weight gain. What is also true about fast eating in children?
Food fussiness can be a barrier to adopting healthier eating patterns. It is associated with:
Children who eat more when stressed, bored or fatigued can be helped by focusing on which of the following?

At the conclusion of this activity are you able to:

Describe reasons to use OPPAL
Describe a “typical” clinic workflow utilizing OPPAL
Understand TRAYT workflows related to OPPAL cases

At the conclusion of this activity are you able to:

Outline anticipatory guidance around lead poisoning prevention.
Describe ODH lead screening/testing guidelines.
Compare different sample collection methods.
Determine your practice’s next steps in increasing your lead screening rates.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Anticipatory guidance around lead poisoning prevention should include recommendations on _____
According to Ohio Revised Code and ODH screening and testing guidelines, a child warrants a lead test at 12 and 24 months of age if they ____
Of the available sample collection methods for lead testing, the only option that does not require a confirmatory test is ____
Question 4

At the conclusion of this activity are you able to:

Describe the "spirit" of motivational interviewing
Explain the four processes (tasks) of motivational interviewing
Use open-ended questions at a 3:1 ratio in clinical encounters when addressing behavior change

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1) Which of these refers to a patient or family giving a signal that they are ready to move forward?
2) Which of these is the central issue of change?
3) Which of these is NOT one of the fundamental processes of Motivational Interviewing?

At the conclusion of this activity are you able to:

Identify when to use the readiness ruler and values sheet in clinical encounters
Use the readiness ruler to address patient importance and confidence to change behavior
Use a values assessment in clinical encounters

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1) Which of the following can rulers and scaling questions help to determine?
2) When asking a question using a readiness ruler, which of these is important to do?
3) What should you do after a patient identifies “their number on a scale?”
Question 4

At the conclusion of this activity are you able to:

Compare and contrast ADHD medication classes, reviewing newer preparations and formulations.
Increase comfort level with at least two additional stimulant preparations​.
Distinguish between ADHD and other conditions presenting with similar symptoms, including comorbidities.
Diagnose medication side effects and manage them effectively.

At the conclusion of this activity are you able to:

Apply discussions of harm reduction strategies in safe sleep conversations with families and caregivers of infants.
Identify and discuss recommendations for family planning based upon individual patient needs.
Develop plan to consistently screen for and discuss risks associated with smoke exposure for infants.
Compare and utilize appropriate resources to provide education and resources to families for each topic.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Goals of discussing smoking cessation with caregivers should include:
True or false: Most sleep related infant deaths in Ohio occur between 1 and 3 months of age.
Which of the following risks are NOT increased by short interpregnancy intervals?

At the conclusion of this activity are you able to:

Explain the principles of reflective statements
Use reflective statements in clinical settings
Reflect on content, feeling and meaning in patient statements

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1) Which of these is true of reflections?
2) Which of these is the type of reflection that adds meaning or emotion?
3) What type of complex reflection “provides understanding for the client’s situation and diffuses discord?”

At the conclusion of this activity are you able to:

Ask for permission when providing health information
Use the technique of elicit-provide-elicit (ask-offer-ask) effectively in clinical encounters
Demonstrate multiple motivational interviewing techniques in one encounter

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

1) What is the primary purpose of the first “Ask” in the Ask–Offer–Ask approach?
2) During the “Offer” phase of Ask–Offer–Ask, which action best aligns with Motivational Interviewing principles?
3) What is the main goal of the second “Ask” in the ask-offer-ask model?

At the conclusion of this activity are you able to:

Explain how the Youth Risk Behavior Assessment is administered in the state of Ohio.
Identify trends and emerging issues from data gathered by the Youth Risk Behavior Assessment.
Identify trends and emerging issues from data gathered by the Youth Tobacco Survey.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

The YRBS is an initiative from which of these government departments?
What percentage of high school students in Ohio reported feeling sad or hopeless in 2023?
What percentage of high school students reported having used marijuana?

At the conclusion of this activity are you able to:

Gain understanding in the optimal utilization of 1st line pharmacotherapy in pediatric anxiety disorders
Gain understanding in the optimal utilization of 1st line pharmacotherapy in pediatric depressive disorders
Recognize adverse effect of SSRI medications
Address adverse effects of SSRI medications

At the conclusion of this activity are you able to:

Apply core principles of Functional Nutrition—including a whole-foods, gut-supportive approach—to promote optimal health in patients ages 10-18
Evaluate popular diet trends (ketogenic, carnivore, intermittent fasting) using current evidence to provide balanced guidance to adolescent patients and their families
Identify practical, food-based strategies to support gut health and address common nutritional gaps in tweens and adolescents
Determine when to refer to a registered dietitian and establish collaborative care frameworks that optimize outcomes for pediatric patients

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which dietary factor is most strongly associated with decreased microbial diversity in adolescents?
Which statement best reflects the role of functional nutrition in pediatric practice?
Which popular diet trend poses the highest risk for nutrient deficiency in growing teens?

At the conclusion of this activity are you able to:

Identify and understand youth suicide statistics
Identify and understand sub-groups at high risk
Describe the role of primary care medical providers in suicide prevention
Describe strategies to support youth struggling with suicidal ideation, specifically safety planning

At the conclusion of this activity are you able to:

Define interconception care and explain data to support incorporating it into well-child visits.
Use discussion techniques for common scenarios addressing interconception care with caregivers.
Apply data collection plan to evaluate incorporation of interconception care into practice.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

True or false: 40-57% of women do not attend post-partum OR primary care visits in their 1st year after giving birth.
The recommended birth spacing for the optimal health of mom, future children and families is how long?

At the conclusion of this activity are you able to:

Explore the benefits of school lunch and the guidelines and requirements of school meals.
Identify the role of the pediatrician in ensuring school meals for children with special dietary needs.
Review best practices for prioritizing family-centered mealtimes.
Discuss the changes to the Dietary Guidelines for Americans.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What are the five required food components for a reimbursable National School Lunch Program (NSLP) lunch?
Who is eligible to receive free or reduced-price school meals?
What is the most appropriate role of the pediatric provider in supporting school meals for children with special dietary needs?
Which recommendation is consistent with the most recent Dietary Guidelines for Americans and best practices for family-centered mealtimes?

At the conclusion of this activity are you able to:

Explain the age-related recommended time sequence for preparing pediatric patients for transition to an adult medical care provider.
Describe the unique challenges of transitioning care for children with special healthcare needs.
Differentiate among the needs for transitioning to adult care within a practice and to a different practice.
List healthcare strategies for patients going away to college.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

At what age does the American Academy of Pediatrics recommend beginning the discussion of transition to adult care with patients and families?
Dependents are covered through their guardian’s health insurance through which age?
Which of the following best describes the purpose of developing a medical summary when transitioning a patient from pediatric to adult care?

At the conclusion of this activity are you able to:

Apply current pediatric hypertension guidelines to classify blood pressure and identify abnormal readings in children and adolescents.
Evaluate elevated blood pressure in children, including appropriate follow-up, initial workup, and use of ambulatory blood pressure monitoring.
Recognize the long-term cardiovascular implications of elevated blood pressure in youth and the role of early lifestyle intervention.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is the most appropriate technique for measuring blood pressure in a pediatric patient?
What is the gold standard for confirming a diagnosis of hypertension in children and adolescents?
Why is early identification of elevated blood pressure in children important?

At the conclusion of this activity are you able to:

The learner will identify the importance of screening for substance use disorder and what screening tools to incorporate in their practice
The learner will incorporate conversation strategies to use with patients with SUD and their parents.
The learner will identify medication options to treat substance use disorders.
The learner will identify harm reduction strategies to use with their patients with substance use

At the conclusion of this activity are you able to:

Identify common drivers of vaccine hesitancy and misinformation
Apply evidence-based communication strategies to address concerns and reduce vaccine resistance 
Develop effective responses to common vaccine myths

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

What percentage of Ohio’s kindergartners have had 2 doses of MMR?
Which of these motivational interviewing tools what may help when discussing vaccine hesitancy?
Which of the following IS NOT a common driver of vaccine hesitancy?

At the conclusion of this activity are you able to:

Describe the relationship between food insecurity and disordered eating behaviors in children and adolescents
Identify early signs of disordered eating that may emerge in food-insecure households and differentiate between adaptive survival behaviors and concerning patterns
Apply a trauma-informed approach when discussing eating behaviors with families
Encourage collaboration among pediatricians, caregivers, and the healthcare team to optimize outcomes

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following could be signs of disordered eating?
Which of the following tools and resources can be used to identify and support individuals and families living with food insecurity?
Which of the following screening tools that can be used to identify eating disorder concerns?

At the conclusion of this activity are you able to:

Understand the connection between health and education.
Review the scope of mental health concerns in school-aged children and the link to absenteeism and poor educational outcomes.
Explore opportunities and roles for pediatricians to partner with schools regarding mental health care access and treatment.
Learn how SBHCs support care and connection.

At the conclusion of this activity are you able to:

Review the landscape of sleep related injuries and fatalities in Ohio with a focus on Toledo-Lucas County
Define models for fatality review with a focus on the MassPIER or Kendi-Macy framework
Apply lessons learned from ongoing efforts in Toledo-Lucas county to reduce death related to unsafe sleep practices

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Following this training, how confident are you in your understanding of fatality review and the fatality review landscape in Ohio?
Following this training, how confident are you in discussing safe sleep related interventions for Ohio communities?

At the conclusion of this activity are you able to:

Explain the health effects of elevated blood lead levels in children.
Identify environmental sources of lead exposure and risk factors for lead poisoning in children.
Describe interventions by local health departments following the identification of lead poisoning.
Apply mandated lead testing requirements for children.

At the conclusion of this activity are you able to:

Define adherence and self-management utilizing an evidence-based pediatric self-management model
Describe the prevalence and implications of pediatric adherence
Identify psychosocial factors and social drivers impacting adherence and self-management
Describe clinical exemplars for pediatric adherence and self-management

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which options best reflect the dynamic nature of adherence behaviors?
Which statement best reflects typical adherence patterns over time?
Which option reflects a clinical strategy targeting the community domain?

At the conclusion of this activity are you able to:

Explain the impact of routine disruption on children during school breaks
Describe common behavioral and emotional changes that may occur during breaks
Identify anticipatory guidance strategies to support families around routines including screen time
Prepare to provide anticipatory guidance on healthy sleep routines with parents of young children

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Loss of routines in early childhood can lead to increases in which behavior?
The recommended screen time for early childhood is no more than 1 hour per day
Better sleep quality in early childhood leads to improved:

At the conclusion of this activity are you able to:

Recognize the importance of rigorous medication adherence assessment.
Apply practical strategies to implement adherence assessment in clinical practice.
Employ family-centered questions to identify barriers and facilitators to guide intervention delivery.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Why is it not reliable to depend only on a provider’s judgment to identify medication non adherence?
Which question is most likely to improve the accuracy of self reported medication adherence?
Which approach best supports family centered medication adherence assessment?

At the conclusion of this activity are you able to:

Describe the stages of early‑stage Type 1 diabetes and recognize key clinical features associated with each stage.
Explain the importance of screening for T1D, including who should be screened and the evidence supporting early detection.
Identify available T1D screening options and outline the steps involved in the screening process.
Discuss how early identification of T1D can improve outcomes and guide timely referral or intervention.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following best defines Stage 2 Type 1 Diabetes?
What is one major clinical benefit of screening individuals at risk for Type 1 Diabetes?
According to the presentation, which patients should be considered for Type 1 Diabetes screening?
Which statement about teplizumab (Tzield) is accurate based on the session content?

At the conclusion of this activity are you able to:

Recall the barriers to adherence management
Determine which adherence interventions are the most effective
Utilize strategies for translating research into practical practice

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

A 12-year-old patient with asthma reports frequent missed doses of a controller medication. Which of the following best reflects why routine assessment of adherence barriers is clinically important?
Which statement best reflects current evidence regarding adherence promotion interventions in pediatric care?
14-year-old adolescent with depression reports missing approximately 50% of fluoxetine doses due to forgetting and low motivation. Which is the most appropriate first step in management?

At the conclusion of this activity are you able to:

Participants will learn to apply evidence-based screening and staging strategies to identify and risk-stratify children with early Type 1 Diabetes.
Describe how to implement appropriate monitoring approaches for Early stage T1D to track progression and reduce risk of Diabetic Ketoacidosis.
Describe how to incorporate disease-modifying therapies, including Teplizumab, into early T1D management.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is considered the gold standard for detecting dysglycemia in early-stage Type 1 Diabetes?
Which factor is most strongly associated with faster progression to clinical Type 1 Diabetes?
According to the presentation, what is one important benefit of screening and monitoring children at risk for Type 1 Diabetes?
Which patient would meet FDA-approved eligibility criteria for teplizumab (Tzield) therapy?

At the conclusion of this activity are you able to:

Introduce the SEEK model and its purpose in practice
Review core concepts of the SEEK model for both new and returning participants
Highlight available resources to support participants and their staff in implementation

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which statement best describes the primary goal of the Ohio AAP Injury Prevention + SEEK Program?
According to the presentation, which outcome was reported by providers completing the Wave 6 exit survey?
Which of the following is an example of applying an equity lens in pediatric care, as discussed in the session?
Which topic is included in the SEEK screening tools for both birth–1 year and 1–5  year old age groups?

At the conclusion of this activity, do you feel the following goals were met:

Provide real-time feedback on issues and barriers as providers are experiencing them
Cultivate a collaborative environment for participating providers

At the conclusion of this activity, do you feel the following objectives were met:

Assess practice's current office workflow and gaps in care.
Collaboratively discuss ideas and next steps for improvement.

At the conclusion of this activity are you able to:

Apply concepts of interconception care in discussions with families of young children at pediatric well-child visits
Use best practices for discussing the 18-month birth spacing recommendation and family planning options
Offer appropriate resources for interconception care topics to families with identified needs, based upon provider type

At the conclusion of this activity are you able to:

Describe new products available to children and teens that deliver cannabis-based and nicotine containing compounds
Explain the hazards of cannabis and nicotine containing products to adolescence
Employ strategies that help prevent teen use of cannabis and nicotine containing products

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following is NOT a comorbidity of long-term use of THC?
At what age should early intervention begin for nicotine and THC use?
Which of these is an example of warm parenting?

At the conclusion of this activity are you able to:

Review implementation outcomes from SEEK QI Initiative.
Identify strategies that supported sustainability.
Describe practical approaches to EHR integration.
Apply workflow lessons to own clinical setting.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which strategy was identified as the most important factor for sustaining SEEK implementation over time?
What was one of the key outcomes achieved during the SEEK Quality Improvement Initiative?
Which EHR integration strategy was associated with the most successful SEEK implementation?
According to the SEEK initiative findings, what contributed most to improved provider confidence and efficiency?

At the conclusion of this activity are you able to:

Determine how to elicit a detailed lead history to assess occupational and soil-based sources of lead.
Explore patient-centered ways to counsel families to address these sources of lead poisoning.
Examine what the medical literature says about the prevalence about occupational and soil-based sources of lead.
Identify state and local resources for support and help in this area.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

Which of the following are important considerations for environmental exposures of lead?
Which kinds of plants are likely to have lead contamination from lead-exposed soil?
Which occupations are highest risk for lead exposure?

At the conclusion of this activity are you able to:

Describe current evidence regarding adolescent social media use and its impact on health and well-being.
Integrate developmentally appropriate screening and anticipatory guidance related to digital media use into clinical practice.
Identify and apply family-centered resources that promote healthy digital habits and online safety.

PLEASE ANSWER THESE ADDITIONAL ASSESSMENT QUESTIONS:

True or False: Every teen has the same risks or benefits to social media use.
Heavy social media use in adolescents can lead to high rates of:
Which of the following is not one of the 5 Cs of Media Use?

At the conclusion of this activity are you able to:

Determine how to close preventive care gaps.
Identify strategies to incorporate opportunistic scheduling scripts into workflows.
Apply current Bright Future guidelines to implement the latest screening recommendations from AAP.
Discuss practice challenges and ideas for opportunities to improve adolescent care.