OPIOIDS Sponsored by the Andrulonis Child Mental Health Lecture Series

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CONNECTICUT CHILDREN S MEDICAL CENTER Continuing Medical Education Newsletter Connecticut Children s Medical Center is accredited by the Connecticut State Medical Society to sponsor Continuing Medical Education for Physicians MAY 2018 Connecticut Children s CME activities are designed to enhance physician competence and performance, improve patient outcomes, and better equip physicians to practice in a changing healthcare environment. We look forward to seeing you at an upcoming lecture. Brenda McCauliff Diane Mouradjian CME Operations Coordinator CME Operations Coordinator 860.837.6281 Bmccauliff@connecticutchildrens.org 860.837.6264 Dmouradjian@connecticutchildrens.org Topics are subject to change. Contact the CME office or check the CME website for the most up-to-date schedule. Half-Day Mental Health Symposium: OPIOIDS Sponsored by the Andrulonis Child Mental Health Lecture Series Tuesday, May 15, 2018 Lecture and Question / Answer Pond House Café, 1555 Asylum Ave., West Hartford, CT 4-8 pm Buffet dinner Fee: $90 To register, contact: Diane Mouradjian at 860.837.6264 or Dmouradjian@connecticutchildrens.org Ilana Waynik, MD Attending, Inpatient Management, Connecticut Children s Medical Center; Assistant Professor, UConn School of Medicine Christopher Morosky, MD Attending, Department of Obstetrics and Gynecology, UConn Health; Assistant Professor, UConn School of Medicine Jonathan Craig Allen, MD Medical Director at Rushford and Assistant Professor of Psychiatry; Quinnipiac University School of Medicine 1. Neonatal Abstinence Syndrome. 2. Panel Discussion Primer on Addiction in Pediatrics.

Friday, June 1, 2018 Lecture and Question / Answer Danbury Hospital - Creasy Auditorium, 24 Hospital Ave., Danbury, CT 8 am - 3 pm Breakfast and Lunch provided Fee: $100 (Physicians) $50 (Non-Physicians) Medical Students must contact Diane Mouradjian to register at 860.837.6264 or Dmouradjian@connecticutchildrens.org Click Here to Register 1. Develop new skill sets based on recent pediatric advances in a wide variety of specialties. 2. Identify evidence-based data to support improved outcomes in pediatric healthcare delivery. 3. Improve the management of a variety of diseases with implications for clinical practice. The Explosion of Inflammatory Bowel Disease in Children: Why and What We Are Doing About it? Jeffrey Hyams, MD, Mandell-Braunstein Family Endowed Chair in Pediatric Inflammatory Bowel Disease, Head, Division of Digestive Diseases, Hepatology, and Nutrition, Connecticut Children s Medical Center; Professor of Pediatrics, University of Connecticut School of Medicine Lost in Translation: Language Barriers in Healthcare and How to Eliminate Them Glenn Flores, MD, FAAP, Chief Research Officer, Director, Health Services Research Institute, Connecticut Children s Medical Center; Professor of Pediatrics and Associate Chair of Research, Department of Pediatrics, UConn School of Medicine Genes For You and Me: Essential Genetics in Primary and Specialty Care Joseph Tucker, MD, Interim Head, Division of Medical Genetics, UConn Health Center; Assistant Professor of Pediatrics, Genetics and Developmental Biology, and Genetics and Genome Sciences, UConn School of Medicine Evaluation of Physical Abuse in Infants and Young Children: When to Worry, When to Transfer, and Common Pitfalls to Avoid Rebecca Moles, MD, Attending, Suspected Child Abuse and Neglect (SCAN) Program, Connecticut Children s Medical Center; Associate Professor of Pediatrics, UConn School of Medicine Lipid Screening and Management in Children and Adolescents Sunitha Sura, MD, Attending, Endocrinology and Diabetes, Connecticut Children s Medical Center; Assistant Professor of Pediatrics, UConn School of Medicine Head, Shoulders, Knees, Toes and Bellies Chronic Pain in Children William Zempsky, MD, Division Head, Pain and Palliative Medicine, Connecticut Children s Medical Center; Professor of Pediatrics, UConn School of Medicine

PEDIATRIC GRAND ROUNDS Lecture and Question / Answer Hartford Hospital Conklin Building Auditorium 8-9 am GENERAL OBJECTIVE At the conclusion of this CME 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. 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 up to 1 MOC point in the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit. Grand Rounds are also broadcast live to several satellite locations: UCONN Health Center: Video Link B, CG-079B (in Video Communications Dept.); Tel: 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 Norwalk Hospital: Pediatric Conference Room NEW! For cancellations due to inclement weather: Listen to WFSB Channel 3 or WVIT Channel 30 Visit Connecticut Children s website Call 860.837.6281 LIVE WEB STREAMING 1. Visit http://cme.connecticutchildrens.org/ 2. Click on View Live Stream 3. Select and watch the 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 ON DEMAND 1. Visit http://cme.connecticutchildrens.org. 2. Go to Our Programs tab 3. Under Online Presentations, click Grand Rounds to login

PEDIATRIC GRAND ROUNDS Lecture and Question / Answer Hartford Hospital Conklin Building Auditorium 8-9 am May 1, 2018 THE HIDDEN QUALITY METRIC: BURN OUT, PHYSICIAN WELLNESS AND THE SECOND VICTIM SYNDROME HONORARY COOKE LECTURE May 15, 2018 TO PIXAR AND BEYOND: AN UNCONVENTIONAL LOOK AT BURNOUT IN THE MEDICAL PROFESSION CHIEF S CHOICE LECTURE Kurt F. Heiss, MD, Professor of Surgery and Pediatrics, Emory University School of Medicine; Medical Director of Quality - Surgical Services, Children s Healthcare of Atlanta 1. Identify 3 contemporary causes of burn out in the professional lives of physicians and surgeons. 2. Describe the 6 phases experienced by Second Victims following an adverse event. 3. Determine one person that they will talk with today to share something that they learned about physician wellness and burn out prevention. May 8, 2018 OFFICE FOR COMMUNITY CHILD HEALTH - KOHL S START CHILDHOOD OFF RIGHT: OBESITY PREVENTION IN INFANCY AND EARLY CHILDHOOD Lawrence Levy, JD, Co-founder Juniper Foundation; Former CFO, Board Member and Member of Office of President, Pixar Animation Studios 1. Apply lessons from start-up culture to the problem of physician burnout. 2. Identify specific ideas for improving levels of self-care and nurturing. 3. Detect where the narrative of medicine is out of sync with the realities of medicine. May 22, 2018 #1 CAUSE OF MEDICAL ERRORS--DIAGNOSTIC ERRORS Nancy Trout, MD, MPH, Assistant Professor, UConn School of Medicine; Primary Care Physician and Co-Director of Start Childhood Off Right, Connecticut Children s Medical Center Stacy Chandna, MS, CIP, Director of the Human Research Protection Program and Co-Director of Start Childhood Off Right, Connecticut Children s Medical Center 1. Recommend responsive approach to feeding infants and young toddlers. 2. Identify opportunities to modify obesogenic behaviors leading to abnormal weight gain in the first two years of life. 3. Identify maternal and child risk factors for developing obesity. For additional Pediatric Grand Rounds information, contact Brenda McCauliff at 860.837.6281 or bmccauliff@connecticutchildrens.org Gordon D. Schiff, MD, Associate Professor of Medicine, Harvard Medical School; General Internist and Quality and Safety Director, Harvard Medical School Center for Primary Care; Attending Physician, Division of General Internal Medicine and Primary Care and Associate Director, Patient Safety Research and Practice at Brigham and Women s Hospital 1. Differentiate Missed, Wrong, Delayed diagnosis from errors in the diagnostic process and patient harm. 2. List 3 ways EMRs can either aid or get in the way of reliable diagnosis. 3. Explain what is a diagnostic pitfall and give 2 disease specific examples of potential. May 29, 2018 RESIDENT AND FELLOW RESEARCH DAY Moderators: Glenn Flores, MD, FAAP, Professor of Pediatrics and Associate Chair of Research, UConn School of Medicine; Chief Research Officer and Director, Health Services Research Institute, Connecticut Children s Medical Center Justin Radolf, MD, Professor of Medicine; UConn School of Medicine; Senior Scientific Advisor, Connecticut Children s Medical Center

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 The Practice Quality Improvement Program bridges sustained improvements in care from Connecticut Children s to community pediatricians. For additional information, contact moc@connecticutchildrens.org or 860.837.6254.

THE 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 a public, charitable foundation and a supporting organization of Connecticut Children s Medical Center. PSYCHIATRIC GRAND ROUNDS INSTITUTE OF LIVING Mid-September through June, the Institute of Living (IOL) holds Psychiatric Grand Rounds every Thursday from 12-1:15 pm in the Hartford Room, Commons Building. This professional education activity supports the Institute s goal of clinical excellence, and presents clinically relevant information from a variety of mental health disciplines. Areas of focus include new research and treatments, evidence-based practices, current issues and controversies. 282 Washington Street, Hartford, CT 06106, 2018 Connecticut Children s Medical Center. All rights reserved. 18-375 New 5-18 connecticutchildrens.org