Pediatric Stroke Champions

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Welcome and Orientation


Stroke is among the top ten causes of child mortality and may cause lifelong disability. Rapid recognition and the institution of new hyperacute treatments can improve outcomes, yet the diagnosis is often delayed or missed. 

This course was created by expert faculty from the Boston Children’s Hospital Stroke and Cerebrovascular Center to support your development as an institutional champion for improving the care of children with pediatric stroke. You will leave with an action plan for an educational or clinical practice/quality improvement intervention and a certificate of successful completion. “Pediatric Stroke Champions” utilizes highly engaging learning methods that have been proven effective in promoting long-term knowledge gains.

Course Format
This highly interactive and personalized format combines an engaging live/synchronous online workshop component with flexible asynchronous opportunities for self-directed learning and interaction with subject matter experts. This course will empower participants to become “pediatric stroke champions” who will then disseminate knowledge and practice changes back to their home institutions through developing educational resources for their teams or creating stroke rapid response pathways.

Participants will first develop core background knowledge with self-paced pre-course learning through a combination of key references in multiple media, reflection on current practice and goals, and self-assessment knowledge questions. The live/synchronous portion of the course will be interactive and discussion-based with case examples, small group exercises, and panel discussions with faculty subject matter experts. Following the course, participants will continue to engage with faculty in a community of practice as they return to their home institutions to implement their action plans and consolidate their learning through periodic knowledge checks.


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

  1. Recognize the presenting signs and symptoms of possible pediatric stroke, particularly in high-risk populations such as children with sickle cell disease or congenital heart disease
  2. Initiate optimal evaluation, management, and possible referral of suspected pediatric stroke in response to presentations in various locations and contexts, including in-hospital, out-of-hospital, and emergency care
  3. Demonstrate awareness of long-term management and outcomes of pediatric stroke
  4. Partner with colleagues and systems at their home institution to raise awareness of pediatric stroke and plan responses to possible stroke presentations


Miya Bernson-Leung, MD, EdM

Instructor in Neurology, Harvard Medical School; Program Director, Child Neurology Residency Training Program, Associate Medical Director, Continuing Medical Education, Boston Children’s Hospital

Hillary Horte, MS, FNP-C, SCRN

Nurse Practitioner, Department of Neurology, Boston Children’s Hospital

Riten Kumar, MD, MSc

Director, Thrombosis and Anticoagulation Program Associate Professor of Pediatrics, Harvard Medical School

Laura Lehman, MD

Outpatient Medical Director, Stroke and Cerebrovascular Center; Assistant, Department of Neurology, Boston Children’s Hospital; Assistant Professor of Neurology, Harvard Medical School

Rebekah Mannix, MD, MPH

Senior Associate Physician in Medicine, Division of Emergency Medicine, Associate Professor of Pediatrics and Emergency Medicine, Harvard Medical School

Michael Rivkin, MD

Senior Associate Physician in Medicine, Division of Emergency Medicine, Co-Director (and Founder) of the Stroke and Cerebrovascular Center; Director, Developmental Neuroimaging Laboratory, Boston Children’s Hospital; Professor of Neurology, Harvard Medical School

Christina VanderPluym, MD

Co-Director, Stroke and Cerebrovascular Center; Medical Director, Cardiac Antithrombosis Management and Monitoring Program (CAMP); Medical Director, Ventricular Assistive Device Program, Boston Children’s Hospital; Assistant Professor of Pediatrics, Harvard Medical School

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.

Boston Children’s Hospital designates this live activity for a maximum of 12.00 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Boston Children’s Hospital designates this activity for 12.00 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 12.00 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 12.00  ACE CE continuing education credits.

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 MOC points in the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program.

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

Christina VanderPluymLaura Lehman
Riten KumarHillary Horte
Nicole DowningJustin Downing
Michael Rivkin

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 Chamorro (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 disclosures:

NameCompany and Relationship
Miya Bernson-LeungAbbott Laboratories, stockholder; Abvie Inc, stockholder
Rebekah MannixAbbott Laboratories, Payments to Institution for Research Activities
Monica KleinmanAmerican Heart Association, Consultant


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