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WEBCAST DATE


Thursday, September 19, 2013
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6:37 PM Eastern 5:37 PM Central
4:37 PM Mountain 3:37 PM Pacific

Origination date: 1-21-14
Review Date: 12-11-2015
Termination date: 12-11-2017

WEBCAST DESCRIPTION

Nearly 1 million of Georgia's children are overweight or obese. Physicians are treating more and more children with diseases once seen only in adults such as hypertension and type 2 diabetes.

The Strong4Life Program brings you this enduring webcast with in-depth coverage of diagnosis and treatment.

PRESENTERS

Speakers include Jack Stevens, M.D., Stephanie Walsh, M.D., and Brad Weselman, M.D.

Approved Credit

Children's Healthcare of Atlanta is accredited by the Medical Association of Georgia to provide continuing medical education for physicians.

Children's designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SPEAKERS and PLANNERS DISCLOSURE

Speakers
The speakers for this activity, Jack Stevens, M.D., Stephanie Walsh, M.D. and Brad Weselman, M.D., have declared no financial affiliation related to the topic.

Planners Disclosure
The planners for this activity, Wendy Palmer, Cagney Stigger and Cheryl Williams, R.D., have declared no financial affiliation related to the topic.

The following planners who have control of the content have disclosed an affiliation or financial interest:
Julius Sherwinter, M.D.- Sponsored Research for Alexion Pharmaceuticals, Inc.- receives honorarium
Anne Symons, C.C.M.E.P. - husband is consultant for Pfizer - receives consulting fees

INSTRUCTIONS FOR PARTICIPATION AND CREDIT

This activity is designed to be completed within the time designated below; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted below. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 80% on the post-test.

FOLLOW THESE STEPS TO EARN CME/CE CREDIT*

At the end of the event, registered participants will be able to take the post-event evaluation and test in order to receive a certificate. The certificate will be sent via email.

OBJECTIVES

Upon completion of this activity the learner will be able to:

TARGET AUDIENCE

Pediatricians, nurse practitioners, physicians assistants, others involved in managing care of children.

CME VALUE

In order to meet STARK regulatory requirements that allow Children's to provide a limited amount of non-monetary compensation to physicians, we must note your participation in this online CME at a value of $10 per credit. This amount will be applied to your non-monetary compensation allowance. No action is required on your part. Thank you for your interest in the CME opportunities.

PRIVACY POLICY:

This web site has security measures in place to protect loss, misuse and altercation of the information under our control. Personal information collected from participants from our online CME activities will not be shared with any third party. This web site does not use any type of system (e.g., cookies) to track a user's movements throughout the site.

Children's Healthcare of Atlanta CME program will perform periodic basic demographics analysis, such as website user surveys, to determine the greatest needs and interest for future CME activities and events.

Hardware/Software Requirements

Browser: This program can be viewed in Internet Explorer 6 or later, Firefox, Chrome or Safari with JavaScript enabled. For optimal viewing quality please insure your screen resolution is set above 800x600.
Internet: 56K or faster Internet connection (high-speed recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices

WEBCAST REGISTRATION

All attendees must register to earn credit. If you do not register you will not have access to the evaluation and post test which are required in order to earn credit. After the webcast you will receive an email with the link to the evaluation and post test.

If you are interested in participating in this CME activity, please complete the pre-survey and registration form below. You are required to take the pre-survey. You will not be graded on the pre-survey. The pre-survey is a baseline assessment of the knowledge of our learners. Your pre-survey will not be tracked on an individual basis.

If you are unable to register online or do not receive your confirmation email after registering (don't forget to check your Junk email folder), please contact our Registration Desk at 866-872-5840 (international callers please dial 617-502-2061). You can also contact us by email Send Email


Pre-Activity Survey



1. What risk factor(s) contributes to lipid abnormalities in the pediatric population?

A) High fat diet
B) Regular physical activity
C) High fiber diet
D) High consumption of sugar sweetened beverages




2. In your office you see an 11-year-old patient that has a physical exam positive for a BMI greater than the 95th percentile and blood pressure within the 75th percentile. The patient is mostly sedentary. There is also a family history of high cholesterol.

a) What screening labs are generally not ordered to further assess for lipid abnormalities?

A) Serum Lipid Panel
B) Fasting Glucose
C) Oral Glucose Tolerance Test




b) What treatment protocol should be followed upon identification of the following lipid abnormalities in the patient above: TC=172, HDL-C=40, TG= 120.

A) Provide lifestyle modification counseling focused on regular physical activity, and dietary modifications
B) Begin pharmacologic treatment regiment
C) Refer pediatric patient to the care of a pediatric cardiologist specializing in lipid management




3. In your office you see a 10-year-old female patient that has a BMI above the 97th percentile, TG=130, HDL-C=35, and is high risk for Type II diabetes. What protocol should be followed upon identification of lipid abnormalities?

A) Provide lifestyle modification counseling focused on regular physical activity, and dietary modifications
B) Begin statin treatment regiment
C) Refer pediatric patient to the care of a pediatric cardiologist specializing in lipid management




4. In your office you see the following three patients:

Patient #1: 11-year-old girl with a BMI in the 87th percentile with normal serum lipids
Patient #2: 12-year-old boy with a BMI above the 95th percentile, TC=237, HDL-C= 30, with no improvement after 6 months of lifestyle changes
Patient #3: 13-year-old boy with TC=220, HDL-C=32, and early family history of coronary artery disease (father had heart attack at age of 37).

Which of the following patients would you refer to the care of a cardiologist?




5. I am confident in my ability to identify lipid abnormalities and/or associated risk factors among pediatric patients.
6. I am confident in my ability to provide evidence-based management to pediatric patients that have been identified as having lipid abnormalities or being at risk for lipid abnormalities.
7. When appropriate, I will identify and treat pediatric patients with lipid abnormalities or associated risk factors within my practice, rather than refer.
8. Have you participated in a Strong4Life Provider Training in Motivational Interviewing?
9. Have you participated in any other Strong4Life Webcast?
10. Sex: (optional)
11. Do you consider yourself to be Hispanic, Latino, or of Spanish origin?
(If YES, skip to 13) (optional)
12. Would you describe yourself as... (optional)
13. Years since medical school completed: (optional)
14. How did you hear about the webcast?

First Name* Address*
Last Name* City*
Job/Role Title* State/Province*
Email* County*
Secondary Email Zip*
Phone* Country*
Medical Provider?* Credentials*
CHOA Employee?* Years In Practice*
*Required field

Copyright Children's owns the copyright for, or has received permissions for use of, materials within this CME activity.

References Additional resources for further study, contact askmedlib@choa.org to contact our Clinical Information Librarian.

Estimated time to complete activity: 45 minutes.

For questions related to this activity please email continuinged@choa.org.