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Sleep Health Bonus Module: Melatonin – a Guide for Pediatric Providers
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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.
Michael J. Bresnan Child Neurology Course 2024
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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:
- Identify and implement best practices in the care of children with neurological disorders in both primary and specialty care settings
- Incorporate recent advances in neuroscience, therapeutics, and practice guidelines into clinical care
- 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:
CME Reviewer
Lesley Niccolini No Relevant Financial Relationships to Disclose
The following course faculty have reported the following disclosures:
Zoom Information
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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
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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.
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, 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:
At the conclusion of this educational module, learners will be able to: At the conclusion of this educational module, learners will be able to: At the conclusion of this educational module, learners will be able to:Clinical Presentation Congenital Heart Disease in The First Week of Life: Congestive Heart Failure
Pathophysiology and Diagnosis of Heart Failure
Management of Congestive Heart Failure
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, Degree | Disclosure |
|---|---|
| Faraz Alizadeh, MD | None |
| Christina VanderPluym, MD | Merck Scientific oversight committee for Veriguciat clinical trial |
| Michael Freed, MD | None |
| Kathleen Huth, MD, MMSc | None |
| 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I 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:
- Discuss preventable causes of travel-related illness and injury in children
- Understand general risks to pediatric travelers as well as risks specific to geographic or host factors
- Review relevant itinerary-specific immunizations and prophylactic medications
- 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:
| Name | Disclosure |
|---|---|
| Kristin Moffitt, MD | GSK – Patent beneficiary; ContraFect – Site PI of phase 3 trial, research funds only |
| Ben Willwerth, MD | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Test Course – Padlet
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:
At the conclusion of this educational module, learners will be able to: At the conclusion of this educational module, learners will be able to: 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 At the conclusion of this educational module, learners will be able to: 1. Describe the cycle of the cardiac electrical conduction system.Cardiac History Exam
Introduction to Pediatric Chest Radiography
Evaluation of the Chest Radiograph in Children with Known or Suspected Heart Disease
2. Evaluate features of the heart, lung vasculature, and airway
3. Recognize features of bony abnormalities and situs of the chest and abdomenIntroduction to ECG
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, Degree | Entity Name, or None |
| Faraz Alizadeh, MD | None |
| Christina Ronai, MD, MSEd | None |
| George Taylor, MD | None |
| Douglas Mah, MD | None |
| Kathleen Huth, MD, MMSc | None |
| 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Program for Post-Graduate Trainees: Future Academic Clinician-Educators
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:
- Review various guidelines for dyslipidemia screening
- Understand the difference between triglycerides and cholesterol
- Understand the role of Apo B in atherosclerosis
- Be able to interpret a basic lipid panel
- 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, Degree | Entity Name, or None |
| Jacob Hartz, MD, MPH | None |
| Ben Willwerth, MD | None |
| Fred Mandell, MD | None |
| Winnie (Su Wen) Yu | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I 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:
- Articulate patient, family and provider perspectives regarding the importance of enhanced communication around informed consent
- Explain the distinction between informed consent as a form to be completed and a process for aligning expectations
- 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, Degree | Entity Name, or None |
| Stephen Brown, MD | Medtronic – Stock; Johnson & Johnson – Stock; United Health – Stock; CVS – Stock |
| Donna Luff, PhD | None |
| Craig Lillehei, MD | None |
| Rosella A. Micalizzi, MSN, RN, CPNP-PC | None |
| Luke Sato, MD | None |
| Melissa Cousino, PhD | None |
| Adena Cohen-Bearak, MEd, MPH | None |
| Aimee Williamson | None |
| Valerie Fleishman | None |
| Lisa Burgess | None |
| David Diamond, MD | None |
| Scellig Stone, MD, PhD | Microbot Medical – Consultant; PTC – Consultant |
| Terry Buchmiller, MD | None |
| Frances South | None |
| Tyson Ortiz | Curia Global – Employee |
| Viviane Nasr, MD | None |
| Lauren Mednick, PhD | None |
| Elaine Meyer, PhD, RN | TMRW Life Sciences, Inc – Consultant and Advisor |
| Richard Blum, MD | None |
| Pamela Varrin, PhD | None |
| Caleb Nelson, MD | None |
| Christine Rachwal, RN, MSN, CCRN | None |
| Erin Ward, MsEd, CAS | None |
| David Waisel, MD | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I 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, MPH: Course 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, 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:
- Describe epidemiology of pediatric in-hospital cardiac arrest
- Distinguish between respiratory distress and respiratory failure
- 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, Degree | Entity Name, or None |
| Traci Wolbrink, MD, MPH | Grant support for educational content creation; La Fondation – Dassault Systems |
| Michele DeGrazia, PhD, RN, NNP, FAAN | Director Nursing Research: 10% equity; Plagio LLC |
| Monica Kleinman, MD | None |
| Emily Hamilton, MSN | None |
| Kathleen Huth, MD | None |
| Liza Li, PharmD | None |
| Dennis Daniel, MD | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I 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:
- Describe the ways that implicit bias in evaluations may harm trainees developmentally, personally, and professionally
- Label the elements of effective feedback
- Apply a systematic approach to written feedback
- 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
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
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, Degree | Entity Name, or None |
| Carolyn Marcus, MD | Husband is an attorney; Sanofi |
| Kimiko Dunbar, MD | None |
| Marcella Luercio, MD | None |
| Michael Fishman, MD | None |
| Kathleen Huth, MD | None |
| Sara Drumm, RN, CCRN | None |
| Emily Hamilton, MSN, CCRN, NP-C | None |
| Liza Li, PharmD | None |
| Alison Hanson, PharmD | None |
| Anna Gardner, PA-C | None |
| Shiva Kashanipour, PA-C | None |
| Kerry McDonnell, LICSW | None |
| Emily Hashim, RD | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I 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:
- Describe the indications for interpreter use with patients and scope of practice for Approved Bilingual Providers
- Identify limitations and harms of ad-hoc interpretation
- 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, Degree | Entity Name, or None |
| Michele DeGrazia, PhD, RN, NNP, FAAN | 10% equity; Plagio LLC |
| Katherine Douglas, MD | None |
| Miriam Fox, MD, MPH | None |
| Kathleen Huth, MD | None |
| Sara Drumm, RN, CCRN | None |
| Emily Hamilton, MSN, CCRN, NP-C | None |
| Liza Li, PharmD | None |
| Kerry McDonnell, MSW, LICSW | None |
| Anna Gardner, PA-C, MPAS | None |
| Daniel O’Meara, MD | None |
| Joshua Dodderer, MD, MPH | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Working Effectively With Interpreters
Dummy Course for Testing
(Note: a course evaluation is required to receive credit for this course.)
Aysia Young, MD
Title & Institution
Hello everyone!
Learning Objectives:
At the conclusion of this educational program, learners will be able to:
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_________AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this 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, Degree | Entity Name, or 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Pediatric Palliative Care and End-of-Life Treatment
(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.
The Pediatric Palliative Care and End-of-Life Treatment course is designed to provide information to practitioners who treat pediatric patients in primary care with a subspecialty setting about palliative care for pediatric patients. The course content covers palliative care delivered by designated healthcare teams, primary palliative care delivery, end-of-life symptom treatment, and orders for life-sustaining therapies.
Learning Objectives:
At the conclusion of this educational program, learners will be able to:
- Describe the differences between primary and subspecialty palliative care and how they complement one another.
- Describe the potential limitations of end-of-life decisions.
- Review how to identify patient wishes related to comfort, support, and remembrance at the end-of-life by family and friends.
- Identify routine health care interactions as an opportunity for long-term goals discussion.
- Clarify the family’s understanding of the patient’s illness, identify worries and fears and discuss trade-offs between clinical choices including conditions that would be desirable or unacceptable.
- Conduct a complete pain assessment appropriate for the age of the child.
- Describe the neurobiological mechanisms of normal pain perception.
- Describe the clinical implications of the neurobiological mechanisms of pain perception for treating and preventing pain.
- Design a pain treatment strategy for a child at the end-of-life.
- Describe the different palliative care outcomes.
- Identify concerns regarding current state of advance care planning (ACP) for children with life-threatening diseases.
- Describe the barriers to the use of MOLST.
David Casavant, MD: Course Director/Author/Speaker
Associate in Perioperative Anesthesia, Pain Medicine and Critical Care Medicine, Boston Children’s Hospital
Instructor of Anesthesia, Harvard Medical School
Richard Goldstein, MD: Author/Speaker
Program Director, Robert’s Program on Sudden Unexpected Death in Pediatrics, Boston Children’s Hospital
Attending Physician, Pediatric Advanced Care Team (PACT), Boston Children’s Hospital
Assistant Professor of Pediatrics, Harvard Medical School
Emma Jones, MD: Author/Speaker
Attending Physician, Pediatric Advanced Care Team (PACT), Boston Children’s Hospital
Instructor in Medicine, Harvard Medical School
Amy Sanderson, MD: Author/Speaker
Assistant in Critical Care Medicine, Boston Children’s Hospital
Instructor in Anesthesia, Harvard Medical School
Joanne Wolfe, MD, MPH: Author/Speaker
Chair of Pediatrics and Physician-in-Chief, MassGeneral for Children
Chair of Pediatrics, Brigham and Women’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.
Nurse
Boston Children’s Hospital designates this activity for 3.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.
Pharmacy
This activity carries a maximum of 3.5 contact hours. Pharmacists should only claim credit commensurate with the extent of their participation in the activity.
Physician
Boston Children’s Hospital designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in this activity.
Risk Management
This activity meets the requirements for 3.50 Risk Management Credits as proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. Please check your individual state licensing board requirements before claiming these credits.
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, Degree | Entity Name, or None |
| Course Directors | |
| David Casavant, MD | None |
| Authors | |
| David Casavant, MD | None |
| Richard Goldstein, MD | None |
| Emma Jones, MD | None |
| Amy Sanderson, MD | None |
| Joanne Wolfe, MD | None |
| Course Planners/Reviewers | |
| Dennis Daniel, MD | None |
| Jenna Freitas, CPNP | None |
| Crystal Tom, PharmD | None |
| Traci Wolbrink, MD, MPH | La Fondation – Dassault Systemes: Grant |
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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
BUILDING BRIDGES OF UNDERSTANDING Part II: Updates
Click on the Login To Enroll button above to log in and access the conference content. Your login information can be found in the “Access Information” email.
DESCRIPTION (See the References tab for research citations.) This “Updates” course supplements the core course, Building Bridges of Understanding: Behavioral Health Education for Pediatric Primary Care. In addition to providing updated information, Drs. Walter and DeMaso provide answers to questions they frequently receive from pediatricians in their live course, and illustrate those answers with case vignettes. Building Bridges of Understanding: Behavioral Health Education for Pediatric Primary Care is a prerequisite for this Updates course. Learning Objectives: At the conclusion of this course, participants will be able to: COURSE FORMAT (each session approximates 20-25 minutes in duration) COURSE BACKGROUND (See the References tab for research citations.) Psychiatric disorders are estimated to occur in 15 million children and adolescents in the United States, with annual total costs approximating $12 billion.6 Despite effective treatments, because of the protracted shortage of child-trained behavioral health specialists,7 many youth with psychiatric disorders receive no or untimely services.8 Untreated child and adolescent psychiatric disorders persist over decades, become increasingly intractable to treatment, and incur progressively greater social, educational, occupational, and economic consequences over time.9 More than one-half of pediatric primary care visits address behavioral health problems,and PPCPs write the majority of psychotropic medication prescriptions for youth.10 The psychiatric disorders presenting most commonly in pediatric practices are anxiety, depression, and ADHD, at least three-quarters of which are mild to moderate in severity. If PPCPs can become confident and skilled in identifying, assessing, and managing mild to moderate presentations of these disorders, then child and adolescent psychiatrists and other scarce specialty behavioral health resources could be conserved for the management of severe, complex, unsafe, and treatment-unresponsive disorders. In this way, PPCPs can play a key role in narrowing the gap between the millions of youths needing effective BH services and those receiving them. The Behavioral Health Education for Pediatric Primary Care course was developed by the Boston Children’s Hospital Department of Psychiatry and Behavioral Sciences and the Boston Children’s Hospital Pediatric Physicians’ Organization at Children’s (PPOC). The course was initially created as one of the three components (behavioral health education, child psychiatry consultation, integrated practice transformation) of a behavioral health integration program (BHIP) implemented in Massachusetts among the PPOC’s 500 PPCPs. The published findings from BHIP have demonstrated acquisition of target behavioral health knowledge, skills, and confidence by participating PPCPs, increased access to behavioral health services in the pediatric primary care setting, and high acceptability, feasibility, adoption, penetration, and sustainability of the program.11-13 Since the initial implementation in the PPOC, the educational course has been successfully exported to PPCPs in the Children’s Hospital Los Angeles, Connecticut Children’s Hospital, and Collier County, Florida pediatric practice networks. Suggested Audience: COURSE DIRECTOR Heather J. Walter, MD, MPH Senior Attending Psychiatrist, Boston Children’s Hospital Professor of Psychiatry, Harvard Medical School COURSE FACULTY David R. DeMaso, MD Psychiatrist-in-Chief Emeritus, Boston Children’s Hospital George P. Gardner – Olga E. Monks Professor of Child Psychiatry and Professor of Pediatrics, Harvard Medical School Erica Lee, PhD Attending Psychologist, Boston Children’s Hospital Assistant Professor of Psychology in Psychiatry, Harvard Medical School Keneisha Sinclair-McBride, PhD Attending Psychologist, Boston Children’s Hospital Assistant Professor of Psychology in Psychiatry, Harvard Medical School; Funding Graphic Design Video Production Online Course Development RELEASE DATEDescription
Course Format
Course Background
Faculty
Acknowledgements
Release Date
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 5.00 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 5.00 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 5.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
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.
| Heather J. Walter, MD, MPH | Erica Lee, PhD |
| David R. DeMaso, MD | Keneisha Sinclair-McBride, PhD |
CME Reviewer
Lesley Niccolini No Relevant Financial Relationships to Disclose
Greg Durkin (Nursing) No Relevant Financial Relationships to Disclose or as appropriate
Crystal Tom (Pharmacy) No Relevant Financial Relationships to Disclose or as appropriate
Pamela Charmarro (Social Work) No Relevant Financial Relationships to Disclose or as appropriate
Eugene D’Angelo (Psychology) No Relevant Financial Relationships to Disclose or as appropriate
References
Course Background:
- Foy JM, Green CM, Earls MF, et al. American Academy of Pediatrics Policy Statement. Mental health competencies for pediatric practice. Pediatrics. 2019;144(5):e20192757.
- Walter HJ, Bukstein OG, Abright AR, et al. Clinical practice guideline for the assessment and treatment of children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry. 2020;59(10):1107-1124.
- Walter HJ, Abright AR, Bukstein OG, et al. Clinical practice guideline for the assessment and treatment of children and adolescents with major and persistent depressive disorders. J Am Acad Child Adolesc Psychiatry. In press.
- American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Collaborative and Integrated Care and AACAP Committee on Quality Issues. Clinical Update: Collaborative mental health care for children and adolescents in pediatric primary care. J Am Acad Child Adolesc Psychiatry. 2023;62(2):91-119.
- American Academy of Pediatrics. Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2019;144(4):20192528.
- Perou R, Bitsko RH, Blumberg SJ, et al. Mental health surveillance among children – United States, 2005-2011. MMWR Suppl. 2013;62(2):1-35.
- American Academy of Child and Adolescent Psychiatry. Severe shortage of child and adolescent psychiatrists illustrated in AACAP workforce maps, 2022. Available at: https://www.aacap.org/AACAP/zLatest_News/Severe_Shortage_Child_Adolescent_Psychiatrists_Illustrated_AACAP_Workforce_Maps.aspx.
- Wang PS, Berglund PA, Olfson M, et al. Delays in initial treatment contact after first onset of a mental disorder. Health Serv Res. 2004;39(2):393-415.
- Copeland WE, et al. Adult functional outcomes of common childhood psychiatric problems: a prospective, longitudinal study. JAMA Psychiatry. 2015;72(9):892-899.
- Olfson M, Blanco C, Wang S, et al. National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA Psychiatry. 2014;71:81-90.
- Walter HJ, Kackloudis G, Trudell EK, et al. Enhancing pediatricians’ behavioral health competencies through child psychiatry consultation and education. Clin Pediatr. 2018;57(8):958-969.
- Walter HJ, Vernacchio L, Trudell EK, et al. Five-year outcomes of behavioral health integration in pediatric primary care. Pediatrics. 2019;144(1):e20183243.
- Walter HJ, Vernacchio L, Correa ET, et al. Five-phase replication of behavioral health integration in pediatric primary care. Pediatrics. 2021;148(2):e2020001073.
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 urgent, call the CE office at: 617-919-9908.
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? 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? 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? 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? Please email the CE Department to request a refund.How do I Navigate this Course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Heal Trafficking Train the Trainer Academy 2024 Non-Accredited Course
(Note: a course evaluation is required to receive credit for this course.)
The Application and Pre-Work Part 1 modules are due on Sept. 1. Please contact the Continuing Education Dept. at continuingeducation@childrens.harvard.edu if you have any questions.
Hanni Stoklosa, MD, MPH
Instructor, Department of Emergency Medicine, Harvard Medical School
Emergency Medicine, Women’s Health
Rahel Bosson, MD
Medical Director, Program of Assertive Community Treatment (PACT)
Associate Program Director, MGH/McLean Adult Psychiatry Residency Training Program
Welcome!
A two-day virtual workshop featuring high interactivity with faculty and fellow trainers.
The majority of trafficking victims have contact with a health professional while being trafficked. Yet, most health professionals have never been educated about trafficking. To train millions of practicing clinicians and trainees, more trainers, with content knowledge on human trafficking and teaching skills, are needed.
This academy will equip public health and healthcare educators with the content knowledge and teaching skills to train health professionals in their communities to respond to human trafficking. Trainers who attend this workshop will learn to train on the “Core Competencies for Human Trafficking Response in Health Care and Behavioral Health Systems” established in February 2021 by the U.S. Department of Health and Human Services. Course director, Dr. Hanni Stoklosa, is one of the primary authors of this document.
Workshop
Day 1
October 24, 2024:
- Discuss how to teach a public health approach to human trafficking.
- Explore frameworks for teaching others about human trafficking identification and care as well as exploring their biases.
- Identify barriers that prevent clinicians from identifying potentially trafficked individuals.
- Apply learning principles and curriculum design to your teaching session.
- Develop a group teaching session on a specific topic.
Day 2
October 25, 2024:
- Discuss trauma-informed care and how to teach it.
- Recognize the role of culture in caring for individuals experiencing trafficking.
- Develop a human trafficking protocol at your institution.
- Analyze your community and identify needs for responding to human trafficking.
- Create an action plan to expand the current response in your healthcare community.
- Present your group teaching session to your peers.
Learning Outcomes
- Evaluate personal training strengths and areas in which to improve.
- Define factors that promote adult learning. The workshop will model adult learning strategies being taught, including case analyses, peer feedback, polls, group activities, and games.
- Broaden your community of clinician-educators within human trafficking education.
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 15.0 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 15.0 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 15.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Social Worker
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 15.0 ACE CE continuing education credits.
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:
Hanni Stoklosa, MD, MPH
None
Rahel Bosson, MD
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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Please see click the link below to access the Resource folder for the course.
Link: https://drive.google.com/drive/folders/11lZS-Na4unYVIVxDmMkyImhlR2yLi6e9?usp=drive_link
Heal Trafficking Train the Trainer Academy 2024 Accredited Course
(Note: a course evaluation is required to receive credit for this course.)
Pre-Work Part 1 is due on Sept. 1. Please contact the Continuing Education Dept. at continuingeducation@childrens.harvard.edu if you have any questions.
Hanni Stoklosa, MD, MPH
Instructor, Department of Emergency Medicine, Harvard Medical School
Emergency Medicine, Women’s Health
Rahel Bosson, MD
Medical Director, Program of Assertive Community Treatment (PACT)
Associate Program Director, MGH/McLean Adult Psychiatry Residency Training Program
Welcome!
A two-day virtual workshop featuring high interactivity with faculty and fellow trainers.
The majority of trafficking victims have contact with a health professional while being trafficked. Yet, most health professionals have never been educated about trafficking. To train millions of practicing clinicians and trainees, more trainers, with content knowledge on human trafficking and teaching skills, are needed.
This academy will equip public health and healthcare educators with the content knowledge and teaching skills to train health professionals in their communities to respond to human trafficking. Trainers who attend this workshop will learn to train on the “Core Competencies for Human Trafficking Response in Health Care and Behavioral Health Systems” established in February 2021 by the U.S. Department of Health and Human Services. Course director, Dr. Hanni Stoklosa, is one of the primary authors of this document.
Workshop
Day 1
October 24, 2024:
- Discuss how to teach a public health approach to human trafficking.
- Explore frameworks for teaching others about human trafficking identification and care as well as exploring their biases.
- Identify barriers that prevent clinicians from identifying potentially trafficked individuals.
- Apply learning principles and curriculum design to your teaching session.
- Develop a group teaching session on a specific topic.
Day 2
October 25, 2024:
- Discuss trauma-informed care and how to teach it.
- Recognize the role of culture in caring for individuals experiencing trafficking.
- Develop a human trafficking protocol at your institution.
- Analyze your community and identify needs for responding to human trafficking.
- Create an action plan to expand the current response in your healthcare community.
- Present your group teaching session to your peers.
Learning Outcomes
- Evaluate personal training strengths and areas in which to improve.
- Define factors that promote adult learning. The workshop will model adult learning strategies being taught, including case analyses, peer feedback, polls, group activities, and games.
- Broaden your community of clinician-educators within human trafficking education.
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 15.0 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 15.0 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 15.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Social Worker
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 15.0 ACE CE continuing education credits.
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:
Hanni Stoklosa, MD, MPH
None
Rahel Bosson, MD
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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
How do I claim credit for this course?
How do I download a certificate?
How do I view/print my transcript?
How do I request a refund?
Please see click the link below to access the Resource folder for the course.
Link: https://drive.google.com/drive/folders/11lZS-Na4unYVIVxDmMkyImhlR2yLi6e9?usp=drive_link
Health Affairs Elective Program (HAEP)
Welcome!
The “Health Affairs Elective Program for Residents & Fellows” is designed to provide residents and fellows with direct experience and exposure to the core principles of hospital administrative leadership. This program is sponsored by the Health Affairs department.
Through mentoring with senior leadership and interaction with various high-level committees, program participants will observe the processes of hospital operations from a variety of disciplines. This program will offer customized programs based on the specific interests of the resident. Program offerings include a 2-week basic curriculum as well as a **4-week intensive curriculum.
This online course will serve as a companion tool to your experience in the program. Your goals and interests expressed in the course will be summarized and shared with your mentor. The feedback you provide will be used for program improvement, and your identity will be withheld in any related discussions.
Overview
The Health Affairs Elective Program (HAEP) was developed to provide an introduction to healthcare administration from the perspective of both high level governance as well as direct program and project work. The purpose of this is to view the industry from a non-clinical perspective, thus providing a well-rounded to the top down mechanics of a high-reliability organization.
Sidney Hilker, MD
Chief Resident, Boston Combined Residency Program
Jay Joynes, CCEP, CHC
Program Manager, Health Affairs & Program Manager, HAEP
Jennifer Kesselheim, MD, M.Ed, MBE
Designated Institutional Official, Graduate Medical Education
Alan Leichtner, MD, MSHPEd
Chief Education Officer
Joan Li, MD
Clinical Fellow, Pediatrics
Tery Noseworthy, C-TAGME
Program Director, Graduate Medical Education
Theodore Sectish, MD
Program Director and Vice Chair, Education
Sharon Silk, MPH
Vice President, Health Affairs
Mentors are an essential part of the HAEP. You will be paired with a mentor based on the response received in your application statement of interest as well as your initial intake assessment. Participants in the 2-week basic course will have a single mentor for the duration of the program. Participants in the extended program will have a second mentor for the second half of their program.
| Mentor | Title | Administrative Support |
|---|---|---|
| Dick Argys | EVP, Hospital, Satellite, & Ambulatory Operations and Chief Culture Officer | Leslie Robbins |
| Dr. John Brownstein | Chief Innovation Officer | Armine Gulbankian |
| Donna Casey | SVP, Strategic Business Planning | Denira Gomes |
| Dr. Vincent Chiang | SVP & Chief Medical Officer | Skyler Stewart |
| Randy Cook | VP, Enterprise Contracting & Pricing | Jillian Allston |
| Dr. Gary Fleisher | Physician-in-Chief | Cindy Chow |
| Dr. Margaret Fry | President & CEO, PPOC | Justine Zozula |
| Marcia Gutsche | VP, MA Alliances | Perla Gonzalez |
| Tim Hogan | SVP & Chief Compliance Officer | Susan Levesque |
| Dr. Peter Laussen | EVP, Health Affairs | Joni D’Annolfo |
| Dr. Michael Lee | Medical Director, Department of Accountable Care & Clinical Integration | Erika Norkus |
| Dr. Chase Parsons | Chief Medical Information Officer | N/A |
| Dr. Sara Toomey | EVP & Chief Safety & Quality Officer | Robert Nguyen |
| Doug Vanderslice | EVP, Enterprise Systems & System CFO | Denira Gomes |
| Laura Wood | EVP, Patient Care Operations & System CNO | Julie Myers |
If you are having difficulty navigating this course, please contact:
medicaleducation@childrens.harvard.edu
Once you are logged in, there are two ways to access this course: You can review any submissions you’ve made by selecting the arrow next to the BCH Teaching Certificate Program title in the course list under your profile. From the list of completed activities, select the clipboard icon under the statistics column. If you are logged in, you can edit your profile at any time. Select My Profile in the upper right corner of any page, the select “Edit” under the “Profile” tab.How do I Access this Course?
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Pediatric Concussions
(Note: a course evaluation is required to receive credit for this course.)
William Meehan, MD
Physician, Orthopedics and Sports Medicine Department
Director, The Micheli Center for Sports Injury Prevention
Director, Emerging Physician Leadership Program, Boston Children’s Hospital
Professor of Pediatrics, Orthopedic Surgery, Harvard Medical School
Director, Neurologic Function across the Lifespan: a LONGitudinal, Translational Study for Former National Football League Players (NFL LONG study)
In this presentation, Dr. William Meehan addresses diagnosis and treatment of pediatric concussion, particularly among child athletes. He covers the assessment and management of concussion as well as recommendations for return to play and potential complications. The presentation was recorded at the Shamberger’s Frontiers in Pediatric Surgery Conference on April 10, 2024.
Learning Objectives:
At the conclusion of this educational program, learners will be able to:
- Understand the mechanisms of concussion and criteria for diagnosis.
- Describe the risks, consequences, and best practices around Chronic Traumatic Encephalopathy (CTE).
- Advise patients and families on measures to minimize risk of concussion in sports.
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 0.75 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, Degree | Entity name, or None |
| William Meehan, MD | ABC-Clio Publishing company – Royalties for the books, Kids, Sports, and Concussion: A guide for coaches and parents and Concussions. Wolters-Kluwer – Royalties for UpToDate, Sport-Related Concussion and Chronic Exertional Compartment Syndrome. Springer International Publishing –Royalties for the book, Head and Neck Injuries in Young Athletes. |
| Christopher Weldon, MD, PhD | 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 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? 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? 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? 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? Please email the CME Department to request a refund.How do navigate this course?
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Adolescent Medicine Conference 2024
Overview
This course is designed for physicians, nurses, nurse practitioners, physician assistants, mental health providers and other healthcare professionals involved in the care of adolescents and young adults. This course is designed to stimulate the health professional to become more knowledgeable about the diagnosis and management of a wide variety of adolescent medical, emotional and social problems and to become more proficient in providing office-based preventive services and counseling to adolescents.
Course Format
The Adolescent Medicine 2024 course will be fully digital and presented via Zoom. The dynamic learning format of the course has been optimized for the virtual classroom. It will include lectures, hot topics with question and answer sessions.
Objectives
Upon completion of this course, participants will be better able to:
- Integrate findings from research and clinical innovations with the delivery of adolescent patient-centered care
- Apply the principles of quality improvement, addressing systems and practice issues, into clinical activities
- Model communication skills with adolescents and their families
- Identify the newest recommendations for topics such as adolescent vaccinations, sexually transmitted infections, HIV pre-exposure prophylaxis (PrEP), and treatment of chronic pain and anxiety and depression.
- Develop strategies to diagnose, treat or manage adolescent conditions, including sports injuries, chronic disease, and substance abuse.
AccreditationIn 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 12.25 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 12.25 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity.
Dietician
This activity has been approved for 12.25 CPEUs. Completion of this RD/DTR profession specific or IPCE activity awards CPEUs (One IPCE=One CPEU). RDs and DTRs are to select activity type 102 in their activity log. Sphere and Competency selection is at the learners discretion.
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 12.25 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Psychology
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibly for the content of the programs.
This course has been approved for 12.25 continuing education credits.
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 12.25 ACE CE continuing education credits.
Risk Management
This activity meets the requirement for 12.25 Risk Management Credits as proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. Please check your individual state licensing board requirements before claiming these credits.
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:
12.25 MOC points in the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program.
12.25 MOC points with the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.
Credits
CME – AMA PRA Category 1 Credits™ (12.25 hours), American Board of Internal Medicicine MOC (12.25 hours), American Board of Pediatrics MOC (12.25 hours), American Psychology Association (APA) Psychology Credits (12.25 hours), Association of Social Work Boards (ASWB) Social Work Credits (12.25 hours), CNE (Nursing) (12.25 hours), PA (Physician Assistant) (12.25 hours), RD (Registered Dietician) (12.25 hours), Risk Management (12.25 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:
CME Reviewer
Lesley Niccolini No Relevant Financial Relationships to Disclose
Greg Durkin (Nursing) No Relevant Financial Relationships to Disclose or as appropriate
Crystal Tom (Pharmacy) No Relevant Financial Relationships to Disclose or as appropriate
Pamela Charmarro (Social Work) No Relevant Financial Relationships to Disclose or as appropriate
Eugene D’Angelo (Psychology) No Relevant Financial Relationships to Disclose or as appropriate
The following course faculty have reported the following disclosures:
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.
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