INSTRUCTIONS FOR NURSES REGARGING CONTINUING EDUCATION (Please also see instructions on Certificate of Completion )

American Cleft Palate-Craniofacial Association 72 nd Annual Meeting and Symposium: Journey to the Oasis-Explore the World of Cleft and Craniofacial Care Palm Springs, California April 20 25, 2015 INSTRUCTIONS FOR NURSES REGARGING CONTINUING EDUCATION (Please also see instructions on Certificate of Completion ) The following sessions have been approved as continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation MONDAY and TUESDAY, APRIL 20-21, 2015 Pre-Conference Symposium: What Is The Ideal Treatment Outcome For A Child With A Cleft? (9.75 hours) April 20: 9:00AM-5:30PM & April 21-8:00AM-11:45AM 1. Describe the role of key participants of a cleft team. 2. Discuss 2 strategies to help navigate team dynamics in order to achieve "ideal" patient outcomes 3. Identify 2 strategies to improve or begin outcome based studies at a team level TUESDAY, APRIL 21, 2015 ACPA Primer For Cleft Care Providers (3.75 hours) 8:00AM 1:00PM 1. Describe 5 fundamental principals of leadership and teamwork as they apply to craniofacial team dynamics. 2. Discuss the Parameters of care and the Commission on Approval of Teams (CAT) WEDNESDAY, APRIL 22, 2015 Eye Opener Group 1: Session 4: The Americleft Project: Progress and guidelines for participation in collaborative intercenter outcomes studies ( hour) 7:00AM 8:00AM Objective: Discuss 4 ways of improving standardized data collection at the local team level in order to participate in outcome studies The Birth, Development and Future Prospects for Craniofacial Biology ( hours) 9:00 AM 10:00 AM Objective: Discuss three issues affecting priorities of biological or behavioral research related to craniofacial birth defects. 1

THURSDAY, APRIL 23, 2015 Eye Openers Group 2 (choose one) 7:00AM - 8:00AM ( hour) Eye Opener 7: Feeding problems and solutions in babies with cleft palate 1. Describe the differences between commercially available bottles for cleft palate 2. Identify signs of readiness for oral feeding trials in infants 3. Identify signs of distress during feedings in infants 4. Describe 3 techniques to facilitate efficient intake by bottle in babies with cleft palate. Eye Opener 9: Making the most of prenatal counseling opportunities 1. Describe 3 aspects of families readiness to learn 2. Discuss 4 basic prenatal counseling topics Eye Opener 11: Preparing your patient for jaw surgery-a multidisciplinary approach to patient centered jaw surgery workshop Objective: Discuss 4 key components that should be included in designing a pre-operative education workshop for teen and adults anticipating jaw surgery General Session III: Patient outcomes and adult needs, in Cleft and Craniofacial Care 10:30AM 11:45PM (1.25 hours) 1. Identify two patient outcomes related to cleft and craniofacial care. 2. Explain identified needs of adults affected by cleft and craniofacial conditions. Study Session Group 1 (choose one) 2:30PM - 4:00PM (1.5 hours) Study Session C: Narrative video therapy: Psychotherapy workshops for children, adolescent and adults 1. Restate 2 ways that narratives are useful in a psychotherapeutic setting 2. List 4 important themes or narrative topics Study Session E: Practical guidelines for managing patients with 22Q11.2 Deletion Syndrome 1. Recognize the complexities of the 22q11.2DS 2. Discuss the utility of interdisciplinary care for children with 22q11.2DS related to palatal anomalies speech/language, developmental and behavioral issues Study Session F: How to tell the difference between non-adherence and risk: Assessing neglect and abuse in the craniofacial population 1. Define abuse and neglect in the context of care of children with craniofacial conditions 2. Describe team members legal responsibilities as statutory mandatory reporters 2

Study Session Group 2 (choose one) 4:30PM - 6:00PM (1.5 hours) Study Session L: Multidisciplinary strategies to avoid and to treat short and long-term complications of neonatal mandibular distraction 1. Recognize indications and workup for neonatal mandible distraction. 2. Identify early and late complications associated with distraction, and the contributing factors. 3. Relate how to avoid and how to care for early and late complications. 4. Recognize the importance of a multidisciplinary approach. Study Session O: Nasopharyngoscopy: Methods for obtaining a successful examination with preschool children and interpretation of findings for surgical planning 1. Discuss methods for performing a nasopharyngoscopy examination. 2. Relate various strategies for achieving cooperation from children as young as age three. 3. Identify size, shape, location, and cause of a velopharyngeal opening, as seen through nasopharyngoscopy. 4. Describe how nasopharyngoscopy findings can be used to determine the surgical procedure. Study Session Q: Feeding and swallowing concerns in the child with cleft palate or craniofacial syndromes: Introduction, training, and discussion 1. Identify 3 feeding and swallowing difficulties that may be associated with CLP and cleft related syndromes and disorders. 2. Identify 3 feeding and swallowing compensations that may be needed for infants with CLP and cleft related syndromes. 3. Describe when referral for a more extensive feeding evaluation or modified barium swallow study would be appropriate. Study Session S: Patient treatment burnout for individuals with cleft and craniofacial conditions Objective: Discuss patient perspectives and contributors to patient treatment burnout. Study Session T: Cleft care for internationally adopted children: Challenges and strategies 1. Identify 2 common challenges presented by international adoption of a child with a cleft 2. Discuss anticipated developmental or speech-language delays in internationally adopted children with cleft conditions 3. Describe one strategies to help prepare cleft teams and adoptive families to manage these children more effectively 3

CERTIFICATE OF COMPLETION American Cleft Palate-Craniofacial Association 72 nd Annual Meeting and Symposium: Journey to the Oasis Explore the World of Cleft and Craniofacial Care Palm Springs, California April 20 25, 2015 Activity No: 8850 Name: Badge ID# Address: Phone: Indicate each session you attend by entering # of contact hours (CH) earned. Return original copy of this completed and signed form to the ACPA desk. Date/Time Session CH Earned April 20, 2015 9:00am-5:30pm April 21, 2015 8:00am-11:45am April 21, 2015 8:00am-12:00noon April 22, 2015 7:00am-8:00am What is the Ideal Treatment Outcome for a Child with a cleft? *This continuing nursing education activity was approved by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Wendy-Jo Toyama, MBA, CAE Executive Director, American Cleft Palate-Craniofacial Association 1504 East Franklin Street Suite102, Chapel Hill, NC 27514 I affirm by my signature below that I have attended the full sessions, and have completed a Participant Feedback Tool, for the educational activities marked. I understand that 1) I am to return the completed and signed original copy to the ACPA registration desk at the end of my participation in the meeting, 2) the copy of this document is my Certificate of Completion, 3) that the ACPA will not be able to provide me with this certificate once the 72 nd annual meeting is over, and 4) the maximum credit that a participant can earn is 20.75 contact hours. 9.75 ACPA Primer For Cleft Care Providers 3.75 The Americleft Project: Progress and Guidelines April 22, 2015 The Birth, Development and Future Prospects 9:00am-10:00am for Craniofacial Biology April 23, 2015 Eye Openers Group 2 7:00am-8:00am Circle one: 7 9 11 April 23, 2015 Patient outcomes and adult needs in Cleft 10:30am-11:45am and Craniofacial Care April 23, 2015 Study Session Group 1 2:30pm-4:00pm Circle one: C E F April 23, 2015 Study Session Group 2 4:30pm-6:00pm Circle one: L O Q S T Total contact hours earned: (A maximum of 20.75 contact hours will be awarded) 1.25 1.5 1.5 Participant Signature Date

Attendance Certificate For Nurses 72nd Annual Meeting & Symposia of the American Cleft Palate-Craniofacial Association April 20-25, 2015 Palm Springs, CA Monday and Tuesday, April 20-21, 2015 CH Earned Pre-Conference Symposium - What is the Ideal Treatment Outcome For A Child With Cleft? 9.75 Wednesday, April 22 CH Earned Eye Openers I: 7AM-8AM [#s 1, 2, 3, 4 ] (circle one) 0 General Session I: 10:30AM-12:30PM 2.00 General Session II - Panel: 2:00PM-3:00 PM 0 Ideas & Innovations 5:00PM-6:45PM 1.75 Thursday, April 23 CH Earned Eye Openers II: 7AM-8AM [#s 6, 7, 8, 9, 10] (circle one) 0 Junior Investigators 8AM-10AM 2.00 General Session III: 10:30AM-12Noon 1.50 Short Courses I: [A-J] Session Letter 2:30PM-4PM 1.50 Short Courses II: [K-T] Session Letter 4:30PM-6PM 1.50 Friday, April 24 CH Earned General Concurrent Sessions 8AM-9AM [Panels A, B, C] 0 (Circle one) Concurrent General Sessions 1 10:30AM-12PM [1, 2, 3, 4, 5 ] 1.50 Concurrent General Sessions 2 1:30PM-3PM [6, 7, 8, 9, 10] 1.50 Concurrent General Sessions 3 3:30PM-5PM [11, 12, 13, 14, 15] 1.50 Saturday, April 25 CH Earned General Concurrent Session D- First Year Care Panel 7:30AM- 8:30AM 0 General Concurrent Sessions E Cleft Care in Developing World Panel 8:30AM-9:30AM 0 General Concurrent Sessions F - ASFCS Panel 7:30AM-9:30AM 2.00 Personal Data Name: Badge ID# Address: City State Zip Phone: H/W Email: Are You an ACPA member? Yes Instructions No Fill out the personal data section of this form. Complete online participant feedback tools for each session you attended. Indicate each session you attend by entering # of hours earned. Circle the session letter or numeral if there is a choice. Add total CHs for each day, and the total for the meeting in the box provided. Retain a copy of your Attendance Certificate for your own records. There will be no other copy available to you. The American Cleft Palate-Craniofacial Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians. AMA Credit Designation Statement: The American Cleft Palate-Craniofacial Association designates this educational activity for a maximum of 30 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. The American Cleft Palate-Craniofacial Association certifies that the above named physician/practitioner has participated in the educational activity titled 72nd Annual Meeting & Symposium in Palm Springs, CA from April 20-25, 2015 and may claim AMA PRA Category 1 Credit(s) TM. Wendy-Jo Toyama, MBA, CAE, Executive Director American Cleft Palate-Craniofacial Association I affirm by my signature below that I have attended these sessions and that I will complete a Participant Feedback Tool within three (3) weeks of the meeting. I understand: 1) that I am to return the completed and signed original copy to the ACPA registration desk at the end of my stay; 2) that this form is a certificate of my attendance and may not be counted towards Continuing Nursing Education Credit; 3) and that the ACPA will not be able to provide me with this certificate once the 72 nd annual meeting is over. Participant Signature Date