Archives: Courses

Sleep Health Education for Pediatric Providers

(Note: a course evaluation is required to receive credit for this course.)

Judy Owens, MD, MPH

Director, Center for Pediatric Sleep Disorders, Boston Children’s Hospital

Professor of Neurology, Harvard Medical School

This modular course provides an overview of sleep health for primary care pediatric providers working in clinical settings. The course addresses demonstrated provider knowledge gaps regarding pediatric sleep health, in order to inform clinical practice, improve screening for sleep problems, expand and enhance anticipatory guidance in sleep during well child visits, and identify challenges and opportunities in families relevant to promoting healthy sleep practices. While an important focus of the course is on addressing sleep health disparities in vulnerable populations, including families receiving care in community health centers, the scope and content is readily applicable to pediatric providers in other primary care settings.

The six modules in the course are: 1) Basics of Sleep; 2) Normal Sleep Development in Children (4-12 years old); 3) Healthy Sleep Practices; 4) Consequences of Deficient and Poor Sleep; 5) Sleep Health Disparities; and 6) Sleep Screening and Diagnostic Tools. The modules are designed to be viewed sequentially and emphasize practical evidence-based information relevant to the pediatric clinician in real world settings.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Describe the basic components of sleep regulation (sleep drive and circadian system)
  2. List the key developmental changes in sleep across childhood (4-12 years old)
  3. Describe the clinical manifestations of daytime sleepiness in children
  4. Outline the components of the RESTED series of healthy sleep practices
  5. Describe the relationship between deficient sleep and health and functional outcomes. Including obesity risk, impaired immune function, accidental injuries, behavioral and emotional dysregulation and poor academic outcomes
  6. Outline the contributors to sleep health disparities in vulnerable pediatric populations
  7. List 3 methods of screening for sleep problems in the clinical setting

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

MOC II 

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn: 2.0 MOC II points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program 

Physician Assistant

Boston Children’s Hospital has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with AAPA CME Criteria. This activity is designated for 2.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation. 

Nurse

Boston Children’s Hospital designates this activity for 2.0 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.  

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Disclosure
Judith Owens, MDScientific Advisory Board, Sleep Number
Consultant, Apnimed
Independent Safety Board Member, Idorsia
WebMD, Author
Wolters Kluwer, Author

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Copy of Pediatric and Adolescent Gynecology Conference 2023

Click on the Login button in the navigation menu to log in and access the conference content. Your login information can be found in the “Access Information” email.

Target Audience

Specialties – Adolescent Medicine, Family Medicine, Gynecology, Pediatrics

Overview

The Pediatric and Adolescent Gynecology Course is designed for physicians, nurse practitioners, residents [OB/GYN, pediatrics, and family practice], fellows [Reproductive Medicine, Adolescent Medicine] and other health professionals involved in the medical and surgical gynecologic care of girls, adolescents, and young adults. 

The objective is to stimulate the health professional to become more knowledgeable about the diagnosis and management of a wide variety of gynecologic medical, surgical, and social problems and to become more proficient in providing office-based prevention services and counseling to pediatric and adolescent patients relating to gynecologic issues. 

Course Format
This course will be fully digital and presented via Zoom. The dynamic learning format of the course has been optimized for the virtual classroom. 

Presentations will be recorded and available on-demand for all paid attendees for one month after the conference.

Objectives

Upon completion of this course, participants will be better able to: 

  1. Review up-to-date research, guidelines and treatment options and develop strategies to implement in practice.
  2. Identify issues of equity and diversity that may impact clinical care.
  3. Identify and treat common gynecological issues in pediatric and adolescent patients.
  4. Assess and manage medically and psychosocially complicated cases.
  5. Identify quality improvement indicators in your practice setting and develop strategies to meet them.

Accreditation
In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician
Boston Children’s Hospital designates this live activity for a maximum of 17.50 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse
Boston Children’s Hospital designates this activity for 17.50 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Physician Assistant
Boston Children’s Hospital has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with AAPA CME Criteria. This activity is designated for 17.50 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Credits
CME – AMA PRA Category 1 Credits™ (17.50 hours), CNE (Nursing) (17.50 hours), PA (Physician Assistant) (17.50 hours)

Disclosure Policy

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported no relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients.

Course Faculty:

Jessica Shim
Tambudzai Kudze
Danielle Cipres
Elisabeth Quint
Laurie Fishman
Susan Fitzgerald
Sharlay Butler
Maureen Lynch
Frances Grimstad
Carol Cohen
Jessica Addison
Pamela Murray
Caitlin Roberts
Ambreen Sonawalla
Jia Zhu

CME Reviewer
Lesley Niccolini                                                No Relevant Financial Relationships to Disclose

The following course faculty have reported the following disclosures:

NameRelationship
Sarah PittsPI- Organon
Kathryn FayConsultant- Medicine 360
Amy DiVastaInvestigator- Organon
Elizabeth BoskeyEditor- SAGE Publishing
Stacey CroteauBoard of Directors- Hemophilia Alliance Board of Directors- THSNA Research- Sanofi Research- Spark Therapeutics
Areej HassanEducator- Nexplanon
  
  
  
  

Zoom Information

Prior to the start of the webinar, please ensure that you have a zoom account. If you do not, please create one.

How to join and participate in a webinar

Evaluation Information:

At the completion of the live webinar a post-conference email from cmedepartment@childrens.harvard.edu will grant you access to the online evaluation. Once you complete the evaluation, your CE certificate will be automatically generated.

Support

For technical issues with this site, please contact: cmedepartment@childrens.harvard.edu.

You must be registered for the conference and logged in to this website to access course content. If you are having trouble logging in to this conference website, first please make sure:

  • you are logging in to this conference site with the same email address used to register (see your registration confirmation)
  • you are using the password in your access email to log in to this conference website

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Once you are logged in, this page can be accessed at any time from the Modules tab under the My Profile link at the top right of any page.

Introduction to Pediatric Cardiac Disease: Rheumatic Heart Disease

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Faraz Alizadeh, MD Course Director

Pediatric Cardiology Fellow at Boston Children’s Hospital

Emmanuel Kamanzi Rusingiza, MD Speaker

Pediatric Cardiologist
Consultant Pediatric Cardiologist
University Teaching Hospital of Kigali (CHUK)

This course offers a comprehensive overview of Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD), reviewing their epidemiology, causes, treatment, and prevention strategies. Participants will gain insights into the incidence and distribution of these conditions, explore the underlying risk factors, and review current treatment options.

Learning Objectives: 

Acute Rheumatic Fever

Description:  This video reviews the epidemiology, causes, treatment and prevention of Acute Rheumatic Fever (ARF).

At the conclusion of this educational module, learners will be able to:

  1. Identify risk factors that predispose to ARF.
  2. Describe signs and symptoms associated with ARF.
  3. Become familiar with diagnostic criteria, medical evaluation and treatment of ARF.
  4. Identify key aspects of long-term management and prophylaxis for recurrent ARF.

Rheumatic Heart Disease

Description:  This video reviews the epidemiology, causes, treatment and prevention of Rheumatic Heart Disease (RHD).

At the conclusion of this educational module, learners will be able to:

  1. Describe the pathophysiology leading to development of RHD.
  2. Identify signs and symptoms associated with RHD.
  3. Describe physical exam findings associated with RHD.
  4. Review medical evaluation and treatment of RHD
  5. Identify major complications and long term management of patients with RHD.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 0.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 0.75 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Speaker Name, DegreeDisclosure
Faraz Alizadeh, MDNone
Emmanuel Kamanzi Rusingiza, MDNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN,
CCRN
None

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Introduction to Pediatric Cardiac Disease: Congenital Heart Disease

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Faraz Alizadeh, MD Course Director

Pediatric Cardiology Fellow at Boston Children’s Hospital

Michael Freed headshot

Michael Freed, MD Speaker

Senior Associate in Cardiology, Boston Children’s Hospital
Associate Professor of Pediatrics, Harvard Medical School

Thomas Kulik, MD Speaker

Director, Pulmonary Hypertension Program, Boston Children’s Hospital

David Bailly, DO, BS, AA – Speaker

Attending Physician, Cardiac Intensive Care Unit, Primary Children’s Hospital
Instructor, Pediatric Critical Care Division, University of Utah

Mjaye Mazwi, MD – Speaker

Attending Physician, Cardiology, Ann and Robert H. Lurie Children’s Hospital of Chicago
Assistant Professor in Cardiology, Northwestern University Feinberg School of Medicine

This course reviews the basic approach to the diagnosis and treatment of children with congenital heart disease. Highlights of this course include clinical presentation and pathophysiology of various congenital heart diseases, such as murmurs, arrythmias, and cyanosis in the first week of life. It also covers presentation, physiology, and treatment of various cardiac defects, including cyanotic congenital cardiac defects, atrial and ventricular septal defects, and Tetralogy of Fallot.

Learning Objectives: 

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Murmurs

Description:  This video reviews the presentation of congenital heart disease in the first week of life and focuses on the identification of common neonatal murmurs that are associated with congenital heart disease.

At the conclusion of this educational module, learners will be able to:

  1. Explain the pathophysiology and mechanics of heart murmurs.
  2. Distinguish between neonatal murmurs that indicate a benign vs. life-threatening condition.
  3. Differentiate between neonatal murmurs caused by duct-dependent vs duct-independent lesions.

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Arrythmias

Description: Introduction to common newborn arrhythmias.

At the conclusion of this educational module, learners will be able to:

  1. Describe main types of arrhythmias in the newborn period.
  2. Identify the three main types of tachycardia in the newborn.
  3. Identify irregular heart rhythm and typical management.
  4. Discuss the etiology and expected course of bradycardia in the newborn with special attention to how the presence of structural heart disease affects management.

Clinical Presentation of Congenital Heart Disease in the First Week of Life: Cyanosis

Description: Overview on how cyanotic congenital heart disease presents in the first week of life.

At the conclusion of this educational module, learners will be able to:

  1. Identify main types of cyanotic congenital heart lesions.
  2. Describe the blood circulation in each of the cyanotic heart diseases.
  3. Distinguish between the main types of cyanotic congenital heart lesions based on physical exam, ECG, and chest X-ray.

Cyanotic Congenital Cardiac Defects: Physiology of Cyanosis

Description: Review the physiology of cyanotic congenital cardiac defects.

At the conclusion of this educational module, learners will be able to:

  1. Identify the most common causes of cyanosis in newborns.
  2. Describe the variety of causes of cyanosis in congenital heart disease.
  3. Explain the important factors involved in determining arterial oxygen saturation.
  4. Learn over-arching approach to managing neonates with cyanotic congenital cardiac defects.

Atrial Septal Defects

Description: Learn basic anatomy, pathophysiology, and approach to diagnosis/management of atrial septal defects (ASDs).

At the conclusion of this educational module, learners will be able to:

  1. Describe the most common types of ASDs.
  2. Describe the physiology of cardiac blood flow in presence of an ASD.
  3. Discuss the diagnostic work-up and initial management strategies for ASDs.
  4. Identify potential long-term complications from unrepaired ASDs.

Ventricular Septal Defects

Description: Learn basic anatomy, pathophysiology, and approach to diagnosis/management of ventricular septal defects (VSDs)..

At the conclusion of this educational module, learners will be able to:

  1. Describe the different types of VSDs.
  2. Describe the physiology of cardiac blood flow in the presence of a VSD.
  3. Discuss the diagnostic work-up and management strategies for VSDs.
  4. Identify potential long-term complications from unrepaired VSDs.

Tetralogy of Fallot

Description: Brief overview of anatomy and physiology of Tetralogy of Fallot.

At the conclusion of this educational module, learners will be able to:

  1. Describe the anatomy and physiology of patients with Tetralogy of Fallot.
  2. Describe the spectrum of clinical presentation of patients with Tetralogy of Fallot.
  3. Discuss the diagnostic approach to patients with Tetralogy of Fallots.
  4. Summarize effective strategies for management of hypercyanotic (“tet”) spells.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 2.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 2.75 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Speaker Name, DegreeDisclosure
Faraz Alizadeh, MDNone
Michael Freed, MDNone
David Bailly, DO, BS,
AA
None
Thomas Kulik, MDNone
Mjaye Mazwi, MDNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN,
CCRN
None

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Sleep Health Education Bonus Module: Melatonin – a Guide for Pediatric Providers

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Search vimeo transcript Interactive Transcript

References

Appleton RE, Jones AP, Gamble C, et al. (2012). The use of Melatonin in children with Neurodevelopmental Disorders and impaired Sleep: a randomized double-blind, placebo controlled, parallel study (MENDS). Health Technology Assessment.16(40): ISSN 1366-5278

Buckley AW, Hirtz D, Oskoui M, et al. (2020). Practice guideline: Treatment for insomnia and disrupted sleep behavior in children and adolescents with autism spectrum disorder: Report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology. Neurology. 94(9): 392-404.

Chen, Y. C., Tain, Y. L., Sheen, J. M., & Huang, L. T. (2012). Melatonin utility in neonates and children. Journal of the Formosan Medical Association. 111(2), 57-66.

Claustrat, B., & Leston, J. (2015). Melatonin: Physiological effects in humans. Neurochirurgie, 61(2-3), 77-84.

Cohen, P. A., Avula, B., Wang, Y. H., Katragunta, K., & Khan, I. (2023). Quantity of melatonin and CBD in melatonin gummies sold in the US. JAMA, 329(16), 1401-1402.

Cortesi F, Gianotti F, Sebastiani T, et al. (2012). Controlled-release melatonin, singly and combined with cognitive behavioral therapy, for persistent insomnia in children with autism spectrum disorders: a randomized placebo-controlled trial. J Sleep Research; 21(6): 700-09

Cruz-Sanabria, F., Carmassi, C., Bruno, S., Bazzani, A., Carli, M., Scarselli, M., & Faraguna, U. (2023). Melatonin as a chronobiotic with sleep-promoting properties. Current Neuropharmacology, 21(4), 951.

Eckerberg B, Lowden A, Nagai R, Akerstedt T. (2012). Melatonin treatment effects on adolescent students’ sleep timing and sleepiness in a placebo-controlled crossover study. Chronobiol Int. 29(9):1239-48. doi: 10.3109/07420528.2012.719962.

Edemann-Callesen H, Andersen HK, Ussing A, Virring A, Jennum P, Debes NM, Laursen T, Baandrup L, Gade C, Dettmann J, Holm J, Krogh C, Birkefoss K, Tarp S, Händel MN. (2023). Use of melatonin in children and adolescents with idiopathic chronic insomnia: a systematic review, meta-analysis, and clinical recommendation. EClinicalMedicine. 6;61:102048. doi: 10.1016/j.eclinm.2023.102048.

Erland LAE and Saxena PK. (2017). Melatonin natural health products and supplements: presence of serotonin and significant variability of melatonin content.  J Clin Sleep Med; 13(2): 275-81

Freeman, D. I. (2024). Notes from the Field: Emergency Department Visits for Unsupervised Pediatric Melatonin Ingestion—United States, 2019–2022. MMWR. Morbidity and Mortality Weekly Report, 73.

Gringras P, Gamble C, Wiggs L, et al. (2012). Melatonin for sleep problems in children with neurodevelopmental disorders: randomized double mask placebo-controlled trial. British Medical Journal. 345: e6664 doi 10.1136/bmj.

Gringras P, Nir T, Breddy J, et al. (2017). Efficacy and safety of pediatric prolonged-release melatonin for insomnia in children with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 56(11): 948-57

Handel MN, Andersen HK, Ussing A, et al. (2023). The short term and long term effects of melatonin treatment in children and adolescents: a systematic review and GRADE assessment.  eClinical Medicine. 61: 102083

Hartstein, L. E., Garrison, M. M., Lewin, D., Boergers, J., & LeBourgeois, M. K. (2024). Characteristics of melatonin use among US children and adolescents. JAMA pediatrics, 178(1), 91-93.

Hartstein, L. E., Garrison, M. M., Lewin, D., Boergers, J., Hiraki, B. K., Harsh, J. R., & LeBourgeois, M. K. (2024). Factors contributing to US parents’ decisions to administer melatonin to children. Sleep Medicine, 114, 49-54.

Hayashi M, Mishima K, Fukumizu M, et al. (2022). Melatonin treatment and adequate sleep hygiene interventions in children with autism spectrum disorder: a randomized controlled trial. J Autism and Developmental Disorders. 5: 2784-93

International Classification of Sleep Disorders, third edition, text revision, American Academy of Sleep Disorders, 2023.

Kimland, E. E., Bardage, C., Collin, J., Järleborg, A., Ljung, R., & Iliadou, A. N. (2021). Pediatric use of prescribed melatonin in Sweden 2006–2017: a register based study. European Child & Adolescent Psychiatry, 30(9), 1339-1350.

Lee, S. K., Smith, L., Tan, E. C., Cairns, R., Grunstein, R., & Cheung, J. M. (2023). Melatonin use in children and adolescents: A scoping review of caregiver perspectives. Sleep Medicine Reviews, 101808.

Lelak, K. (2022). Pediatric Melatonin Ingestions—United States, 2012–2021. MMWR. Morbidity and Mortality Weekly Report, 71.

Lovegrove, M. C., Weidle, N. J., & Budnitz, D. S. (2015). Trends in emergency department visits for unsupervised pediatric medication exposures, 2004–2013. Pediatrics, 136(4), e821-e829.

Malow BA, Findling RL, Schroeder CM, et al. (2021). Sleep, growth and puberty after 2 years of prolonged release. Melatonin in children with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 60(2): 252-61

Maras A, Schroeder CM, Malow BA, et al. (2018). long-term efficacy and safety of pediatric prolonged-release melatonin for insomnia in chidren with autism spectrum disorder. J Child and Adolescent Psychopharmacology. 20: 1-12

Mombelli, S., Bacaro, V., Curati, S., Berra, F., Sforza, M., Castronovo, V.,Ferini-Strambi, L., Galbiati, A., & Baglioni, C. (2023). Non-pharmacological and melatonin interventions for pediatric sleep initiation and maintenance problems: A systematic review and network meta-analysis. Sleep Medicine Reviews. 101806.

Salanitro M, Wrigley T, Ghabra H, et al. (2022). Efficacy on sleep parameters and tolerability of melatonin in individuals with sleep or mental disorders: a systematic review and meta-analysis. Neuroscience and Behavior Research.139: 104723.

Schroder, C. M., Malow, B. A., Maras, A., Melmed, R. D., Findling, R. L., Breddy, J., … & Gringras, P. (2019). Pediatric prolonged-release melatonin for sleep in children with autism spectrum disorder: impact on child behavior and caregiver’s quality of life. Journal of Autism and Developmental Disorders, 49, 3218-3230.

Schroeder CM, Banaschewski T, Fuentes J, et al. (2021). Pediatric prolonged-release melatonin for insomnia in children and adolescents with autism spectrum disorder. Expert Opinion on Pharmacotherapy.18: 2445-454

Shenoy, P., Etcheverry, A., Ia, J., Witmans, M., & Tablizo, M. A. (2024). Melatonin use in pediatrics: a clinical review on indications, multisystem effects, and toxicity. Children, 11(3), 323.

Skrzelowski, M., Brookhaus, A., Shea, L. A., & Berlau, D. J. (2021). Melatonin use in pediatrics: evaluating the discrepancy in evidence based on country and regulations regarding production. The Journal of Pediatric Pharmacology and Therapeutics, 26(1), 4-20.

Smits, M. G., Nagtegaal, E. E., van der Heijden, J., Coenen, A. M., & Kerkhof, G. A. (2001). Melatonin for chronic sleep onset insomnia in children: a randomized placebo-controlled trial. Journal of Child Neurology, 16(2), 86-92.

Smits MG, van Stel HF, van der Heijden K, Meijer AM, Coenen AM, Kerkhof GA. (2003). Melatonin improves health status and sleep in children with idiopathic chronic sleep-onset insomnia: a randomized placebo-controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 42(11), 1286-1293.

van Maanen, A., Meijer, A. M., Smits, M. G., Van Der Heijden, K. B., & Oort, F. J. (2017). Effects of melatonin and bright light treatment in childhood chronic sleep onset insomnia with late melatonin onset: a randomized controlled study. Sleep, 40(2), zsw038.

Introduction to Pediatric Cardiac Disease: Cardiac Anatomy and Physiology

(Note: a course evaluation is required to receive credit for this course.)

Faraz Alizadeh, MD – Course Director

Pediatric Cardiology Fellow
Boston Children’s Hospital

Nancy Braudis, MS, RN, CPNP, CCRN – Speaker

Pediatric Nurse Practitioner, Cardiac Intensive Care Unit (CICU)
Boston Children’s Hospital

Lisa McCabe, RN, MS, CCRN – Speaker

Clinical Nurse Specialist, Cardiovascular Program
Boston Children’s Hospital

This course offers an in-depth exploration of the anatomical and physiological aspects of fetal and post-natal circulation. Learn about the intricate structures of the heart, including detailed cardiac anatomy and its developmental changes from fetal to post-natal stages. Key components of electrocardiography (ECG) will be introduced, providing a foundational understanding of how to interpret ECG readings. Additionally, the course will cover intracardiac pressures and their significance in maintaining proper circulatory function.

Learning Objectives: 

Basic Cardiac Anatomy and Physiology

At the conclusion of this educational program, learners will be able to:

  1. Understand basic cardiac anatomy
  2. Recognize the flow of blood through the heart and the cardiac conduction system
  3. Understand the heart activity represented on an electrocardiogram

Fetal Circulation

At the conclusion of this educational program, learners will be able to:

  1. Recognize the structures associated with fetal circulation and flow of blood through the developing fetus
  2. Understand the transition from fetal to post-natal circulation

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 0.25 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 0.25 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Faraz Alizadeh, MDNone
Nancy Braudis, MS, RN, CPNP, CCRNNone
Lisa McCabe, RN, MS, CCRNNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN, CCRNNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Michael J. Bresnan Child Neurology Course 2024

Click on the Login button in the navigation menu to log in and access the conference content. Your login information can be found in the “Access Information” email.

Overview

The Michael J. Bresnan Continuing Education Course in Child Neurology is an intensive, comprehensive review of new developments in child neurology, ranging from basic neuroscience to the latest evidence from clinical trials and studies and expert practice guidance for the primary and specialty care of children with neurological disorders. The faculty of the Department of Neurology at Boston Children’s Hospital serves as the core faculty for this course.

For more than three decades, the Bresnan Course has met the varied learning needs of both child neurology specialists and others from related disciplines and professions. We offer a wide array of content organized into thematic packages so participants can choose the most relevant sessions for their practice.

Course Format
In response to feedback from previous years’ evaluations, we have decided to keep this course virtual since this format has received high ratings.

Bresnan 1: Fundamentals of Child Neurology (7.75 credit hours) 

Bresnan 2: Child Neurology in Clinical Practice (8.5 credit hours) 

Bresnan 3: Pediatric Epilepsy, Neurophysiology, and Sleep (7.75 credit hours) 

Bresnan 4: Leading-Edge Specialty Topics in Child Neurology (7.0 credit hours) 

Special Clinical Practice Workshop (4.5 credit hours)  
Join experts from the Boston Children’s Hospital Department of Neurology including our community-based satellite clinics for a deeper dive into the neurological and neurodevelopmental conditions most commonly encountered in primary care and other non-neurology settings: ADHD, headache/concussion, autism spectrum disorder, and developmental delays. Through a highly interactive series of case-based workshops and provision of a suite of resources, participants will increase their ability to care for children with these conditions within the medical home and to coordinate care effectively with specialists.

Objectives

Upon completion of this course, participants will be better able to: 

  1. Identify and implement best practices in the care of children with neurological disorders in both primary and specialty care settings
  2. Incorporate recent advances in neuroscience, therapeutics, and practice guidelines into clinical care
  3. Enhance participants’ ability to deliver high quality patient/family-centered care that incorporates perspectives including health equity, global neurology, and the psychosocial and educational impacts of neurological disease

Accreditation
In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician
Boston Children’s Hospital designates this live activity for a maximum of 37.00 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse
Boston Children’s Hospital designates this activity for 37.00 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Credits
CME – AMA PRA Category 1 Credits™ (38.50 hours), CNE (Nursing) (38.50 hours), Non-Physician (Attendance) (38.50 hours)

Disclosure Policy

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported no relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients.

Course Faculty:

Amy DougreyRonald Jacobson
Peter RaffalliJacob Brodsky
Anna PintoViviana Benitez
David UrionDarius Ebrahimi-Fakhari
Elizabeth BarkoudahMolly Wilson-Murphy
Stephanie DonatelliMark Libenson
William HongChellamani Harini
Karameh KuemmerleJeffrey Bolton
Christina Briscoe AbathAnnapurna Poduri
Christelle Moufawad El AchkarMelissa Tsuboyama
Agnieszka KielianJohn McLaren
Anna Lecticia PintoAnn Bergin
Katrina BoyerMeghann Soby
Clemente VegaChristopher Elitt
Caitlin RollinsMichael Rivkin
Laura Lehman

CME Reviewer
Lesley Niccolini                                                No Relevant Financial Relationships to Disclose

The following course faculty have reported the following disclosures:

Archana Patel: Advisor, ROW Foundation; Consultant, WHO; Research Funding & Project Supports, NIH/NNDS; Peter Davis: Investigator on clinical trial, Noema Pharmaceuticals
Miya Bernson-Leung: Individual Stock Holder, Abbott Labs, Abbvie Inc. Jurriaan Peters: Speaker Bureaus, consultant on Scientific Advisory Board; Neurelis, Inc.
Kinga Tomczak: PI on clinical trial of Ecopipam, EmalexAlex Taylor: Co-founder, Gameify Inc.
Nicole Ullrich: Advisor/speaker for educational symposium for NF providers, non-branded, Alexion Pharmaceuticals; Royalty for article on risky behavior in adolescents, UpToDate; Royalties, discovery of target for brain tumors; University of Alabama Birmingham Research FoundationMustafa Sahin: Grant support, Biogen; Grant support, Astellas; Grant support, Bridgebio; Grant support, Acuta; Member of SAB, Roche
Mark Gorman: Scientific advisory board member, Arialys Therapeutics; Clinical site trial investigator, Roche Genentech; Research funding, PfizerLeslie Benson: Researcher, site PI, Genetech/Roche
Phillip Pearl: Researcher, Speaker, PTC Therapeutics; Honoraria, Elsevier, Springer Demos, Cambridge University Press, Up to Date.Tobias Loddenkemper: Research Grant funding & Device donations, Epitel; Research Grant Funding & Device Donations, MIKU; Device Foundation, Empatica; Device Donation, Neuroelectrics; Device Donation, Smartwatch
Heather Olson: Speaker, EfficientCME; Consultant/advisor, FOXG1 Research Foundation; Michelle Chiu: Individual stocks, Medtronic, Neurospace; Consultant; Ceribell
Kimberly Wiltrout: Consultant, Stoke TherapeuticsAlexander Rotenberg: Co-founder, Galibra; Co-founder, PrevEp; Co-founder, Neuromotion; Consultant, Modulight
Robert Stowe: Medical Advisory Board, Takeda Pharmaceuticals.Kiran Maski: Consulting for all; grant support from Jazz and Harmony, Jazz, Takeda, Alkermes, Harmony Biosciences, Zevra, Eisai, Avadel.
Jonathan Lipton: Paid Consultant, SynchronicityJanet Soul: Research support for an investigator-initiated, multicenter research study on the use of lacosamide to treat neonatal seizures, UCB
Basil T. Darras: Basil T. Darras, MD,(BTD)  has served as an ad hoc scientific advisory board member for AveXis/Novartis Gene Therapies, Biogen,  Sarepta, Scholar Rock, and Roche/Genentech; Steering Committee Chair/Member for Roche FIREFISH and MANATEE studies and DSMB Member for Amicus Inc., argenX BV and Lexeo Therapeutics; he has no financial interests in these companies.
BTD has received research support from the National Institutes of Health/National Institute of Neurological Disorders and Stroke, the Slaney Family Fund for SMA, the Spinal Muscular Atrophy Foundation, CureSMA, and Working on Walking Fund and has received grants from Ionis Pharmaceuticals, Inc., for the ENDEAR, CHERISH, CS1/CS2/CS12 studies; from Biogen for CS11 and ASCEND study; and from Sarepta Pharmaceuticals, Novartis (AveXis), PTC Therapeutics, Roche,  Scholar Rock, and Fibrogen.
BTD has also received royalties for books and online publications from Elsevier and UpToDate, Inc.
Partha Ghosh: Advisor, Sarepta, Pfizer, Catalyst, CVS CaremarkLeslie Hayes: Principal investigator for clinical trials by Novartis, Biohaven, Astellas, and Vertex, Boston Children’s Hospital

Zoom Information

Prior to the start of the webinar, please ensure that you have a zoom account. If you do not, please create one.

How to join and participate in a webinar

Evaluation Information:

At the completion of the live webinar a post-conference email from cmedepartment@childrens.harvard.edu will grant you access to the online evaluation. Once you complete the evaluation, your CE certificate will be automatically generated.

Support

For technical issues with this site, please contact: cmedepartment@childrens.harvard.edu.

You must be registered for the conference and logged in to this website to access course content. If you are having trouble logging in to this conference website, first please make sure:

  • you are logging in to this conference site with the same email address used to register (see your registration confirmation)
  • you are using the password in your access email to log in to this conference website

If you have successfully logged in to this website, but are unable to access content, you may have registered for a different conference package. Please check your registration confirmation email (if you did not receive a registration confirmation, please check your spam email folder).

Once you are logged in, this page can be accessed at any time from the Modules tab under the My Profile link at the top right of any page.

Biocodex

Catalyst Pharmaceuticals

Neurelis

UCB

Introduction to Pediatric Cardiac Disease: Congestive Heart Failure

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Faraz Alizadeh, MD Course Director

Pediatric Cardiology Fellow at Boston Children’s Hospital

Michael Freed headshot

Michael Freed, MD Speaker

Senior Associate in Cardiology
Associate Professor of Pediatrics, Harvard Medical School

Christina J. VanderPluym, MD Speaker

Medical Co-Director, Cardiac Antithrombosis Management Program (CAMP); Medical Director, Ventricular Assist Device Program; Medical Co-Director, Stroke and Cerebrovascular Center; Associate Cardiologist, Department of Cardiology

Associate Professor of Pediatrics, Harvard Medical School

This course reviews the basic approach to diagnosing and treating children with congestive heart failure. Highlights of this course includes a basic overview of the clinical presentation and pathophysiology of congestive heart failure, and the diagnosis and management of congestive heart failure. The course is intended for physicians and nurses who provide care for infants and children with congestive heart failure. It addresses the need for improved healthcare provider education on the pathophysiology and clinical presentations of congenital heart disease to facilitate early detection in infants. Informed healthcare providers will be able to better provide effective treatment and care to this high-risk population of pediatric patients.

Learning Objectives: 

Clinical Presentation Congenital Heart Disease in The First Week of Life: Congestive Heart Failure

At the conclusion of this educational module, learners will be able to:

  1. Develop a differential diagnosis of structural heart lesions that typically present at one week of life versus one month of life.
  2. Explain the key features and pathophysiology of specific cardiac lesions that present as congestive heart failure in the newborn period.

Pathophysiology and Diagnosis of Heart Failure

At the conclusion of this educational module, learners will be able to:

  1. Review the basic concept of how the management of heart failure is linked to the specific cause and pathophysiology of heart failure.
  2. Identify and recognize how non-cardiac factors may contribute to cardiac dysfunction in patients with heart failure.
  3. Become familiar with different pharmacological interventions for both mild-moderate heart failure and advanced heart failure and their mechanisms of action.
  4. Review non-pharmacological therapies for the management of heart failure.
  5. Identify potential complications of heart failure and strategies for prevention.

Management of Congestive Heart Failure

At the conclusion of this educational module, learners will be able to:

  1. Review general causes of heart failure in infants and children.
  2. Become familiar with the various classification systems and staging of heart failure in infants and children.
  3. Review the clinical manifestations (i.e. signs and symptoms) of heart failure in infants and children.
  4. Learn the diagnostic approach to heart failure in infants and children.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 1.0 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Speaker Name, DegreeDisclosure
Faraz Alizadeh, MDNone
Christina VanderPluym, MDMerck Scientific oversight committee for Veriguciat clinical trial
Michael Freed, MDNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN,
CCRN
None

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

The Pre-Travel Visit in Pediatrics

(Note: a course evaluation is required to receive credit for this course.)

Kristin Moffitt, MD

Associate Physician in Pediatrics, Division of Infectious Diseases, Boston Children’s Hospital
Assistant Professor of Pediatrics, Harvard Medical School

In this presentation, Dr. Kristin Moffitt discusses considerations during a pre-travel check-up with pediatric patients and families. She reviews appropriate vaccine and medication schedules, geographic and environmental risk factors, and general travel safety tips. She also covers unique challenges and risks to the pediatric population. This presentation was recorded as part of the Pediatric Practice Seminar series on February 14, 2024.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Discuss preventable causes of travel-related illness and injury in children
  2. Understand general risks to pediatric travelers as well as risks specific to geographic or host factors
  3. Review relevant itinerary-specific immunizations and prophylactic medications
  4. Summarize geographic distribution of preventable infections, available vaccines or prophylactic medications, and resources for safe travel information

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurses

Boston Children’s Hospital designates this activity for 1.0 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

NameDisclosure
Kristin Moffitt, MDGSK – Patent beneficiary; ContraFect – Site PI of phase 3 trial, research funds only
Ben Willwerth, MDNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Introduction to Pediatric Cardiac Disease: Cardiology Assessment

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Faraz Alizadeh, MD – Course Director

Pediatric Cardiology Fellow, Boston Children’s Hospital

Christina Ronai, MD, MSEd – Speaker

Director, Single Ventricle Program
Associate Director, Pediatric Cardiology Fellowship Program
Oregon Health & Science University

George Taylor, MD – Speaker

Staff Radiologist
Boston Children’s Hospital

Douglas Mah, MD – Speaker

Director, Pacemaker and ICD Program
Boston Children’s Hospital
Associate Professor of Pediatrics
Harvard Medical School

This course reviews the exams used to diagnose and treat children with congenital heart disease: cardiac history exam, pediatric chest radiography, including the evaluation of chest radiographs in children with known or suspected heart disease, and ECG.

Learning Objectives: 

Cardiac History Exam

At the conclusion of this educational module, learners will be able to:

  1. To understand the clinical history relevant to heart disease
  2. Recognize features of the clinical exam in heart disease
  3. Understand auscultation and characterization of cardiac murmurs
  4. Recognize features of pathologic versus benign murmurs

Introduction to Pediatric Chest Radiography

At the conclusion of this educational module, learners will be able to:

  1. Discuss the interpretation of the pediatric chest X-Ray with a special focus on how children differ from adults.
  2. Identify the components that make up the systematic approach to the evaluation of the pediatric chest X-Ray.

Evaluation of the Chest Radiograph in Children with Known or Suspected Heart Disease

At the conclusion of this educational module, learners will be able to:

1. Explain the systematic approach to evaluation of the chest x-ray in children
2. Evaluate features of the heart, lung vasculature, and airway
3. Recognize features of bony abnormalities and situs of the chest and abdomen

Introduction to ECG

At the conclusion of this educational module, learners will be able to:

1. Describe the cycle of the cardiac electrical conduction system.
2. Identify proper ECG lead placement and positioning.
3. Calculate the Heart Rate, determine the Rhythm, the Axis, and identify proper ECG intervals.
4. Identify and distinguish between the three types of heart block.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurses

Boston Children’s Hospital designates this activity for 1.25 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Faraz Alizadeh, MDNone
Christina Ronai, MD, MSEdNone
George Taylor, MDNone
Douglas Mah, MDNone
Kathleen Huth, MD, MMScNone
Sara Drumm, RN, CCRNNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Program for Post-Graduate Trainees: Future Academic Clinician-Educators

Congratulations on your acceptance to the Program for Post-Graduate Trainees: Future Academic Clinician Educators (affectionately referred to as PGME). We look forward to welcoming a cohort of 62 scholars from across the U.S. and from 20 different institutions and 25+ different specialties and subspecialties to Boston this December. Your faculty and small group facilitators will include 30+ returning faculty and alumni scholars, a long-standing part of our #MedEd and PGME community from over the years.

This course platform will be your home base for all program information, session materials, readings, and any assigned pre-work. We will always notify you by email of any required actions items. Be sure to bookmark this site for easy reference.

If you have any questions, contact the team at medicaleducation@childrens.harvard.edu.

Venue: Boston Children’s Hospital, Landmark Center, West Lobby Conference Room
Address: 401 Park Drive, Boston, MA (Fenway Area)

Accommodations: See below for a list of hotels near the venue. We recommend booking early.

The Inn at Longwood Medical
https://www.innatlongwood.com/
0.2 miles away; 5 minute walk
342 Longwood Ave, Boston, MA 02115
(617) 731-4700

Arcadian Hotel Brookline
https://www.sonder.com/destinations/boston/bos-beac1200-166/c35887?sleeps=1
0.6 miles away; 12 minute walk
1200 Beacon St, Brookline, MA 02446
(617) 277-1200

Residence Inn by Marriott Boston Back Bay/Fenway
https://www.marriott.com/en-us/hotels/bosfn-residence-inn-boston-back-bay-fenway/overview/?scid=f2ae0541-1279-4f24-b197-a979c79310b0
0.7 miles away; 15 minute walk
125 Brookline Ave, Boston, MA 02215
(617) 236-8787

The Verb Hotel
https://www.theverbhotel.com/
0.9 miles away; 17 minute walk
1271 Boylston St, Boston, MA 02215
(617) 566-4500

Screening and Management of Abnormal Lipids in Youth

(Note: a course evaluation is required to receive credit for this course.)

Jacob Hartz, MD, MPH

Director, Preventive Cardiology Clinic, Boston Children’s Hospital
Cardiologist, Department of Cardiology, Boston Children’s Hospital
Instructor of Pediatrics, Harvard Medical School

In this presentation, Dr. Hartz discusses practical guidelines for abnormal lipid screening in children and adolescents and how to address the various results. He clarifies common points of confusion and covers how to interpret a lipid panel, as well as the efficacy of various lipid-lowering therapies. This presentation was recorded as part of the Pediatric Practice Seminars on April 12, 2023.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Review various guidelines for dyslipidemia screening
  2. Understand the difference between triglycerides and cholesterol
  3. Understand the role of Apo B in atherosclerosis
  4. Be able to interpret a basic lipid panel
  5. Understand basics of lipid-lowering therapy

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurses

Boston Children’s Hospital designates this activity for 1.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Jacob Hartz, MD, MPHNone
Ben Willwerth, MDNone
Fred Mandell, MDNone
Winnie (Su Wen) YuNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Aligning Patient-Provider Expectations for Informed Consent

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Donna Luff, PhD

Associate Director, Institute for Professionalism and Ethical Practice, Boston Children’s Hospital
Instructor in Anesthesia, Harvard Medical School

Craig Lillehei, MD

Senior Associate, Department of Surgery, Boston Children’s Hospital
Transplant Surgeon, Department of Surgery, Boston Children’s Hospital
Associate Professor of Surgery, Harvard Medical School

Rosella A. Micalizzi MSN, RN, CPNP-PC

Pediatric Nurse Practitioner, Colorectal and Pelvic Malformation Center, Boston Children’s Hospital

Stephen Brown, MD

Director, Institute for Professionalism and Ethical Practice
Staff Radiologist, Department of Radiology, Boston Children’s Hospital
Associate Professor of Radiology, Harvard Medical School

Communication for informed consent is vital for patients, families, and providers. Yet, it is often inadequate, resulting in poorly aligned expectations for a surgery, procedure, or course of treatment. The pre-operative encounter represents a particular challenge for surgeons, who often have limited time to establish relationships and trust with patients and families. This can result in misaligned expectations between patients, families, and providers. Such mismatch can lead to frustration, anger, and potentially litigation. This course focuses on improving communication and relational skills during the informed consent process to better align provider and family expectations, with a specific focus on surgical informed consent.

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Articulate patient, family and provider perspectives regarding the importance of enhanced communication around informed consent
  2. Explain the distinction between informed consent as a form to be completed and a process for aligning expectations
  3. Utilize strategies for aligning expectations to enhance the effectiveness of informed consent practices

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 2.25 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 2.25 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Stephen Brown, MDMedtronic – Stock; Johnson & Johnson – Stock; United Health – Stock; CVS – Stock
Donna Luff, PhDNone
Craig Lillehei, MDNone
Rosella A. Micalizzi, MSN, RN, CPNP-PCNone
Luke Sato, MDNone
Melissa Cousino, PhDNone
Adena Cohen-Bearak, MEd, MPHNone
Aimee WilliamsonNone
Valerie FleishmanNone
Lisa BurgessNone
David Diamond, MDNone
Scellig Stone, MD, PhDMicrobot Medical – Consultant; PTC – Consultant
Terry Buchmiller, MDNone
Frances SouthNone
Tyson OrtizCuria Global – Employee
Viviane Nasr, MDNone
Lauren Mednick, PhDNone
Elaine Meyer, PhD, RNTMRW Life Sciences, Inc – Consultant and Advisor
Richard Blum, MDNone
Pamela Varrin, PhDNone
Caleb Nelson, MDNone
Christine Rachwal, RN, MSN, CCRNNone
Erin Ward, MsEd, CASNone
David Waisel, MDNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Recognition of Respiratory Failure and Shock in Children

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

Traci Wolbrink, MD, MPHCourse Director

Co-Director, OPENPediatrics; Senior Associate in Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital
Associate Professor of Anesthesia, Harvard Medical School

Monica Kleinman headshot

Monica Kleinman, MD: Author

Associate Chief, Division of Critical Care Medicine; Chief Safety Officer, Program for Patient Safety and Quality; Co-Chair, Resuscitation Quality Program

Associate Professor of Anesthesia (Pediatrics), Harvard Medical School

Survival after in-hospital pediatric cardiac arrest is only about 40%, and less than10% for out-of-hospital pediatric cardiac arrest. Thus, prevention of cardiac arrest is of paramount importance. This program reviews the clinical signs and symptoms of shock and respiratory failure–the two most common pathways by which children progress to cardiorespiratory failure and cardiac arrest–and describes how early recognition and intervention can help prevent these events and improve patient outcomes. The course is intended for physicians and nurses who are responsible for the care of sick infants and children.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Describe epidemiology of pediatric in-hospital cardiac arrest
  2. Distinguish between respiratory distress and respiratory failure
  3. Classify types of shock (hypovolemic, distributive, and cardiogenic)

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 0.5 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurses

Boston Children’s Hospital designates this activity for 0.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Traci Wolbrink, MD, MPHGrant support for educational content creation; La Fondation – Dassault Systems
Michele DeGrazia, PhD, RN, NNP, FAANDirector Nursing Research: 10% equity; Plagio LLC
Monica Kleinman, MDNone
Emily Hamilton, MSNNone
Kathleen Huth, MDNone
Liza Li, PharmDNone
Dennis Daniel, MDNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

How to Write High-Quality Evaluations Without Bias

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

This course describes ways to recognize and mitigate the use of bias in written evaluations in health professional education. The course is intended for physicians, nurses, pharmacists, social workers, physician assistants and dietitians who provide feedback to trainees in their respective professions related to clinical care. It addresses the need for improved healthcare provider education on delivering effective feedback. Informed healthcare providers will be able to apply a systematic approach to delivering feedback to trainees in a way that mitigates bias.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Describe the ways that implicit bias in evaluations may harm trainees developmentally, personally, and professionally
  2. Label the elements of effective feedback
  3. Apply a systematic approach to written feedback
  4. List strategies to help migrate bias in clinical evaluations

Michael Fishman, MD: Course Director/Author

Pediatrics PGY-3
Boston Combined Residency Program in Pediatrics
Boston Children’s Hospital / Boston Medical Center

Carolyn Marcus, MD: Course Director/Author

Attending Physician, Hospital Medicine
Boston Children’s Hospital

Vector image of faceless woman

Kimiko Dunbar, MD: Course Director/Author

Pediatric Chief Resident PGY-4
Boston Combined Residency Program in Pediatrics
Boston Children’s Hospital / Boston Medical Center

Marcella Luercio, MD: Course Director/Author

Attending Physician, Hospital Medicine
Boston Children’s Hospital

Vector image of faceless woman

Beverly Aiyanyor, MD: Author

Acute Care Physician
Boston Children’s Hospital

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Boston Children’s Hospital designates this live activity for a maximum of 0.5 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurses

Boston Children’s Hospital designates this activity for 0.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity

Physician Assistants

Boston Children’s Hospital has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Pharmacists

This activity carries a maximum of 0.5 contact hours. Pharmacists should only claim credit commensurate with the extent of their participation in the activity.

Social Workers

As a Jointly Accredited Organization, Boston Children’s Hospital is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Boston Children’s Hospital maintains responsibility for this course. Social workers completing this course receive 0.5 ACE CE continuing education credits.

Dietitians

This activity carries a maximum of 0.5 contact hours. Dietitians should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Carolyn Marcus, MDHusband is an attorney; Sanofi
Kimiko Dunbar, MDNone
Marcella Luercio, MDNone
Michael Fishman, MDNone
Kathleen Huth, MDNone
Sara Drumm, RN, CCRNNone
Emily Hamilton, MSN, CCRN, NP-CNone
Liza Li, PharmDNone
Alison Hanson, PharmDNone
Anna Gardner, PA-CNone
Shiva Kashanipour, PA-CNone
Kerry McDonnell, LICSWNone
Emily Hashim, RDNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Strategies for Working Effectively With Interpreters

(Note: a course evaluation is required to receive credit for this course.)

This content was created by OPENPediatrics, a peer-reviewed medical education platform for healthcare professionals. Please see www.openpediatrics.org for more information.

This course reviews indications for interpreter use with patients, scope of practice for Approved Bilingual Providers, limitations and harms of ad-hoc interpretation, and best practices in communication when working with an interpreter. The course is intended for physicians, nurses, pharmacists, physician assistants and social workers who provide care for infants and children who may require interpreter services. It addresses the need for improved healthcare provider education on interpreter services. Informed healthcare providers will be able to better assess and provide effective treatment to pediatric patients who require interpreters as part of their clinical care.

Learning Objectives:

At the conclusion of this educational program, learners will be able to:

  1. Describe the indications for interpreter use with patients and scope of practice for Approved Bilingual Providers
  2. Identify limitations and harms of ad-hoc interpretation
  3. Identify best practices in communication when working with an interpreter

Katherine Douglas, MD: Course Director/Author

PGY-2, Pediatrics
Boston Combined Residency Program
Boston Children’s Hospital

Miriam Fox, MD, MPH: Course Director/Author

PGY-2, Pediatrics
Boston Combined Residency Program
Boston Children’s Hospital

Daniel O’Meara, MD: Author

PGY-2, Pediatrics
Boston Combined Residency Program
Boston Children’s Hospital

Joshua Dodderer, MD, MPH: Author

PGY-2, Pediatrics
Boston Combined Residency Program
Boston Children’s Hospital

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 0.5 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Nurse

Boston Children’s Hospital designates this activity for 0.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.

Physician Assistant

Boston Children’s Hospital has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Social Work

As a Jointly Accredited Organization, Boston Children’s Hospital is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Boston Children’s Hospital maintains responsibility for this course. Social workers completing this course receive 0.5 ACE CE continuing education credits.

Pharmacy

This activity carries a maximum of 0.5 contact hours. Pharmacists should only claim credit commensurate with the extent of their participation in the activity.

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Name, DegreeEntity Name, or None
Michele DeGrazia, PhD, RN, NNP, FAAN10% equity; Plagio LLC
Katherine Douglas, MDNone
Miriam Fox, MD, MPHNone
Kathleen Huth, MDNone
Sara Drumm, RN, CCRNNone
Emily Hamilton, MSN, CCRN, NP-CNone
Liza Li, PharmDNone
Kerry McDonnell, MSW, LICSWNone
Anna Gardner, PA-C, MPASNone
Daniel O’Meara, MDNone
Joshua Dodderer, MD, MPHNone

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

How do navigate this course?

How do I navigate this course?

There are two ways to access and navigate course content with the interactive table of contents: at the bottom of the main course page or in the sidebar on the right side of the page. Select the links in the table of contents to access the corresponding content. Depending on the course, access to content may be linear, in which case each content module or section can only be accessed if the prior ones are completed, or non-linear, in which case modules and sections can be accessed in any order. Use the breadcrumbs at the top of any course page to orient yourself within a course, or return to a previous course section or the main course page.

How do I claim credit for this course?

How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

How do I download a certificate?

How do I download a certificate?

There are two ways to view/download your certificate: from within the course or from the course listing under your profile (select the document icon). In either case, you must have selected at least one available course credit type to generate a certificate.

How do I view/print my transcript?

How do I view/print my transcript?

You must be logged in to view your transcript. Select My Profile at the top of the page. If you do not see the transcript selector, be sure the Courses tab is selected. Select the type of credit and dates to include in your credit report. To include all credits from all time, leave the options blank. Select Download Transcript to view/download your transcript. Note each credit type in your transcripts starts a new page.

How do I request a refund?

How do I request a refund?

Please email the CME Department to request a refund.

Working Effectively With Interpreters

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