Continuing Medical Education Newsletter

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CONNECTICUT CHILDREN S MEDICAL CENTER Continuing Medical Education Newsletter is accredited by the Connecticut State Medical Society to sponsor Continuing Medical Education for Physicians Brenda McCauliff Diane Mouradjian CME Operations Coordinator CME Operations Coordinator 860.837.6281 Bmccauliff@connecticutchildrens.org 860.837.6264 Dmouradjian@connecticutchildrens.org We are excited to kick off our 2017-2018 academic year by offering Connecticut Children s CME activities designed to enhance physician competence and performance, improve patient outcomes, and better equip physicians to practice in a changing healthcare environment. The Office of Continuing Medical Education s September 2017 newsletter showcases a few of the many CME programs that will be offered this year, including Pediatric Grand Rounds, Mental Health and Pediatric Evening Lectures, our Practice Quality Improvement Program, and the Child Health and Development Institute s EPIC Program. We look forward to seeing you at an upcoming lecture series. Your attendance is both noticed and appreciated. Juan C. Salazar, MD, MPH, FAAP Executive Vice President of Academic Affairs and Physician in Chief Professor and Chair, Department of Pediatrics UConn School of Medicine PEDIATRIC GRAND ROUNDS Lecture and Question / Answer Hartford Hospital Conklin Building Auditorium 8-9 am TARGET AUDIENCE Connecticut Children s Medical Staff, House Staff, Advanced Practice RNs, Community Pediatricians, and Physician Assistants GENERAL OBJECTIVE At the conclusion of this activity, participants will be able to identify, assess, and manage common clinical issues based on updated evidenced-based data and will be able to identify key areas of research in pediatric medicine. CONFLICT OF INTEREST POLICY All faculty participating in CME activities sponsored by Connecticut Children s are required to disclose to the program audience any actual or apparent conflict of interest related to the content of their presentations. Program planners have an obligation to resolve any actual conflicts of interest and share with the audience any safeguards put in place to prevent commercial bias from influencing the content. Unless otherwise noted, the lecturers listed here do not have a financial interest/arrangement or affiliation with any organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentations. In cases where the lecturer discusses off-label or investigational uses of commercial products, he/she will identify such uses as off-label. ACCREDITATION This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through Connecticut Children s. Connecticut Children s takes responsibility for the content, quality and scientific integrity of this CME activity. Connecticut Children s designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s) TM per lecture. Grand Rounds is also broadcast live to several satellite locations: UCONN Health Center: Video Link B, CG-079B (in Video Communications Dept.); 860.679.2119 Henry Low MD Learning Center: Room# CG-076 St. Francis Hospital & Medical Center: Medical Library The Hospital of Central Connecticut: T-1 Conference Community Health Center: Conference Room LIVE WEB STREAMING 1. Visit http://cme.connecticutchildrens.org/ 2. Scroll down and click 3. Select and watch live presentation 4. Click Post Test and Login 5. View Enduring Activity 6. Take post-test/evaluation 7. Click Complete You may need to install Microsoft Silverlight and Windows Mediasite. MAC users may need to restart computers after installing Silverlight. PODCASTS Accessible through any of the following: 1. Download and listen at http:// podcast.connecticutchildrens.org. 2. Download the Podbean app and search for CT Children s Grand Rounds. For cancellations due to inclement weather: Listen to WFSB Channel 3 or WVIT Channel 30. Visit Connecticut Children s website. Call 860.837.6281.

PEDIATRIC GRAND ROUNDS Lecture and Question / Answer Hartford Hospital Conklin Building Auditorium 8-9 am SEPTEMBER 12, 2017 WHEN WORDS AND ACTIONS MATTER MOST Timothy McDonald, MD, JD, Director for the Center for Open and Honest Communication, MedStar Institute for Quality and Safety 1. List the benefits of a comprehensive and rapid response to patient harm. 2. Describe the components of CANDOR [Communication and Optimal Resolution]. 3. Explain the importance of empathic patient and family centered communication following unexpected harm events. SEPTEMBER 19, 2017 ANTIMICROBIAL STEWARDSHIP; IMPORTANT INFORMATION AND UPDATES FOR THE PEDIATRICIAN SEPTEMBER 26, 2017 PEDIATRIC URINARY INCONTINENCE: A RATIONAL APPROACH TO DIAGNOSIS AND INITIAL MANAGEMENT FROM THE INTERNATIONAL CHILDREN S CONTINENCE SOCIETY Jennifer Girotto, PharmD, BCPPS, Clinical Associate Professor of Pharmacy Practice & Pediatrics, University of Connecticut; Co-Director of Antimicrobial Stewardship, 1. Explain the current state of antimicrobial concerns and regulatory requirements for antimicrobial stewardship. 2. Identify antimicrobial stewardship resources that can be used to improve clinical practice. 3. Utilizing clinical cases explain how a collaborative antimicrobial stewardship program can assist in the improvement of patient care. Anne Dudley, MD, Staff Pediatric Urologist, Connecticut Children s Medical Center; Assistant Professor of Urology, University of Connecticut School of Medicine 1. Define common causes of urinary incontinence in children 2. Identify common comorbid conditions associated with urinary incontinence 3. Describe standard urotherapy and initial management of urinary incontinence 4. Identify patients who may benefit from early referral to Pediatric Urology

PEDIATRIC EVENING LECTURE Lecture and Question / Answer Pond House Café, 1555 Asylum Ave., West Hartford, CT 5:30-8 pm SEPTEMBER 26, 2017 WHAT S NEW IN THE EVALUATION OF NEWBORN HEARING LOSS Christopher Grindle, MD, Attending Otolaryngologist, THE GOOD, THE BAD, AND THE UGLY: BEYOND OTITIS MEDIA Schott Schoem, MD, Division Head, Otolaryngology, 1. List the methods for newborn screening and follow-up evaluation and management for infants with hearing loss. 2. Describe the role and process of cytomegalovirum (CMV) in newborns who refer on newborn hearing screen. 3. Distinguish on the physical exam between myringosclerosis and cholesteatoma, and differences in treatment. MENTAL HEALTH EVENING LECTURE Lecture and Question / Answer Pond House Café, 1555 Asylum Ave., West Hartford, CT 5:30-8 pm OCTOBER 24, 2017 KNOW THE SIGNS: CREATING SAFER SCHOOLS AND COMMUNITIES Tim Makris, Managing Director and Co-Founder, Sandy Hook Promise 1. D escribe the signs and signals of a person in need of help before they can hurt themselves, or before a crisis.

PRACTICE QUALITY IMPROVEMENT PROGRAM Want to incorporate continuous quality improvement (QI) into your practice s culture? Need Maintenance of Certification (MOC) Part 4 Credits or AMA PRA Category 1 Credits? Need to conduct QI projects for NCQA PCMH recognition? Earn 25 MOC Part 4 Credits & AMA PRA Category 1 Credits Connecticut Children s Practice Quality Improvement Program is approved as a Portfolio Sponsor by the American Board of Pediatrics (ABP) under the Pediatric Portfolio Sponsor Program. Our Portfolio Projects include: Community-Based Projects Co-Management of Anxiety and Depression Co-Management of Concussion Co-Management of Migraine Developmental Surveillance, Screening and Linking Children to Services: Help Me Grow Easy Breathing (Asthma Management) Engaging Pediatricians in Early Identification of Children with Autism Spectrum Disorders (ASD) Engaging Pediatricians in Promoting Socio-Emotional Development and Identifying Children at Risk for Poor Socio-Emotional Outcomes as a Result of Mothers Depression Lead Screening in Pediatric Primary Care Practice Coaching to Improve Connection of Children with Hearing Loss to Essential Services Referral Guideline for Pediatric Obesity Co-Morbidities Regional Access Collaborative: Improving Diagnosis, Treatment and Services for Children and Youths with Epilepsy Adoption of CLASP Referral Guidelines (RGs) to Improve Referral Process, Reduce Referral Rates, and Improve Access to Care Chemotherapy-Induced Nausea and Vomiting (CINV) Connecticut Perinatal Quality Collaborative (CPQC): Healthy Infants with Mother s Milk (HI-MOM) Practice Coaching to Improve Connection of Children with Hearing Loss to Essential Services Hospital-Based Projects Beyond the Core Measures: Use of an Inpatient Asthma Clinical Pathway to Drive Optimal Outpatient Asthma Care Improvements in Appropriate Antimicrobial Usage Improving Arrival to Provider Time Indirect Hyperbilirubinemia in the Neonate: Clinical Care Pathway to Improve Breastfeeding Outcomes and Standardize Care Early Recognition and Treatment of Sepsis Efficacy of a Thyroid Lab Result Algorithm in Improving Patient Care Identification of Sentinel Injuries in the Pediatric Emergency Department Implementation of Suspected Physical Abuse Clinical Pathway Longitudinal Ambulatory Clinic Quality Improvement Project with Resident Physician Engagement Management of Teratogenic Medications in Ambulatory Clinics: Improving Education and Communication to Patients and Enhancing Screening Practices Family-Centered Rounding Improvement We are always adding to our Portfolio. If our current projects do not pertain to your professional goals or practice, please contact us. We are experienced in identifying gaps in practice and developing relevant QI projects. Due to our ABP Portfolio Sponsor status, we can develop and approve our own MOC/QI projects against ABP standards. We provide ongoing assistance and the technical support you may need as you conduct QI in your practice. Our process is outlined below. Register at: http://moc.connecticutchildrens.org/portal/ account/register Pay the registration fee Complete any project-specific training (if applicable) Complete Quality Improvement Methodology Training Complete required number of data cycles Participate in at least four team meetings to discuss project data and plan changes for improvement Complete and submit Attestation Form (if enrolled in MOC project) Website link: http://moc.connecticutchildrens.org

CHILD HEALTH AND DEVELOPMENT INSTITUTE S EPIC Program http://www.chdi.org/our-work/health/educating-practices-community-epic/ Free, in-office training for child health providers. All EPIC presentations now offer 1 CME credit upon completion of in-office or web training (for some modules). MOC credits are available for the following EPIC modules: Autism; Developmental Surveillance and Screening; Maternal Depression & Infant Mental Health; Lead Screening and Early Hearing follow-up. RECOGNIZING TRAUMA IN CHILDREN Learn practical strategies for easily determining which children may be suffering from trauma exposure, follow up screening tools to use when there is a concern and how to connect these children to specialized trauma services. INJECTION PROTECTION Learn new strategies to reduce pain and anxiety during immunizations. BEHAVIORAL HEALTH SCREENING Learn how to implement a mental health screening in your practice. EARLY HEARING DETECTION & INTERVENTION Learn how to ensure that infants who do not pass hospital newborn screening are connected to follow-up services and that your practice appropriately monitors hearing for all children. CONNECTING CHILDREN TO BEHAVIORAL HEALTH PARTNERSHIP Meet the service providers in your area and learn about all behavioral health services, including private practices, in your community. MATERNAL DEPRESSION (POSTPARTUM DEPRESSION) Increase your knowledge about postpartum depression; its prevalence, symptoms and possible effects on infant and child development. Learn how to use, and get paid for, screening to identify postpartum depression and meet the mental health service providers in your area who specialize in maternal depression. LEAD SCREENING Learn the health effects of lead, implement current AAP and CTDPH screening requirements and maximize reimbursement for screening. Receive information on local resources for physicians and families. INFANT MENTAL HEALTH Learn how to counsel parents on promoting socio-emotional development in infants. 12 additional CME credits are awarded upon completion of MOC activities. For details or to set-up a presentation contact: Maggy Morales at 860.679.1527 or mamorales@uchc.edu Child Health and Development Institute of CT, Inc. 270 Farmington Ave., Suite 367, Farmington, CT 06032 The Child Health and Development Institute (CHDI) of Connecticut is a subsidiary of the Children s Fund. The Children s Fund is public, charitable foundation and a supporting organization of. 282 Washington Street, Hartford, CT 06106, 2017. All rights reserved. 17-455 New 8-17 #allinforkids connecticutchildrens.org