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Fine Pediatric Recertification Review
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Release Date
March 1, 2008
AccreditationLippincott CME Institute, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit DesignationLippincott CME Institute, Inc. designates this educational activity for a maximum of 30 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Back to Top of PageThis CME activity is intended for pediatricians (both domestic and foreign medical graduates) with an interest in studying for the American Board of Pediatrics recertification examination. It is also appropriate for resident physicians who are studying for their initial certification, as well as for additional practitioners (family practice physicians, nurse practitioners, and physician assistants) interested in the diagnosis, management, and prevention of pediatric disease.
Each year, approximately 3,000 physicians take the American Board of Pediatrics (ABP) Recertification Examination; another 3,000 take the initial Certification Examination. Recertification is required every 7 years. Board certification is required for participation in most insurance plans and admitting privileges at the majority of US hospitals. In addition, pediatricians must be board-certified in order to obtain the rank of American Academy of Pediatrics Fellow (FAAP).
Although the test is not exceedingly difficult, there is a core body of knowledge that must be mastered and maintained in order to pass the exam. According to the American Board of pediatrics web site (www.abp.org), “pass rates...range from 88% to 100%.” Failure to pass the examination can result in loss of certification by the board, which negatively affects the individual’s employment opportunities.
The overall goal of this CME activity is to improve the clinical knowledge of participants, which will allow them to be well prepared for the board certification examination or recertification examinations and achieve board recertification as well as help them improve their care of patients. This activity provides the participant with a feel for the formal examination through the use of questions written in the format of those presented on the actual board examination. The topics that are covered by the activity content are those detailed by the American Board of Pediatrics; minimum competency requirements are provided in each general and specialty area. Thus, this content also provides concise, targeted, yet thorough review of all diagnostic, management, primary care, and prevention information deemed essential for the practice of pediatrics by the American Board of Pediatrics.
Participants will be required to complete a CME quiz that helps assess their learning of the activity’s content. Participants will also be asked to complete an evaluation assessment questionnaire that gauges: 1) participants’ ability to meet of the learning objectives; 2) participants’ rating of the activity’s overall quality; 3) participants’ rating of the activity for its effectiveness in preparing them for the certification or recertification exam; 4) participants’ intention to change his/her practice behavior in a manner that would improve patient care and health; 5) participants’ perception of commercial bias; and 6) length of time spent in the activity.
In addition, the continuing medical education (CME) credit earned from completion of this review will allow the participant to report 30 hours of dedicated medical review time while preparing for the examination. Individual states generally require an average of 25 hours of CME credit per year to maintain licensure to practice.
American Academy of Pediatrics, Committee on Pediatric Workforce. Pediatrician workforce statement. Pediatrics. 2005;116:263-269.
American Board of Pediatrics PMCP Content Outline 2007 (www.abp.org/ABPWebSite/pmcp/outlines/pmcpoutline.pdf)
American Board of Pediatrics website (www.abp.org)
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. JAMA. 2006;295:905-912.
PREP® The Curriculum. 2007 Content Specifications and PREP® Study Guide.
After completing this CME activity, the physician will be able to:
1. Identify normal and abnormal growth patterns in children and adolescents, and describe the diagnosis and management of conditions associated with disordered growth.
2. Differentiate normal from abnormal development in children and adolescents, and discuss the diagnosis and management of developmental delay and developmental deviancy.
3. Discuss with parents the specialized nutritional requirements of infants, children, and adolescents.
4. Describe the diagnosis and management of caloric and vitamin deficiency and excess.
5. Explain how chronic disease impacts the growth, nutrition, and development of the pediatric patient.
6. Recall the current ACIP recommendations regarding immunization schedules for primary vaccinations, boosters, inoculation against influenza and pneumococcal disease, and catch-up immunizations, including new recommendations regarding vaccinations against human papillomavirus and rotavirus.
7. Outline the age-appropriate anticipatory guidance, preventive care, and appropriate screening at each routine health maintenance visit.
8. Identify the signs and symptoms of accidental and intentional ingestions and environmental exposures.
9. Outline the routine care of the newborn, as well as the disease processes and emergencies in this age group.
10. Recall how prenatal exposures and congenital infections present, and outline their management accordingly, including limitation of long-term sequelae.
11. State the fluid, electrolyte, and acid-base requirements of the healthy pediatric patient; identify systemic disorders which result in imbalance and their management.
12. Define the clinical manifestations of genetic and metabolic disease, including presentations and dysmorphisms, as well as modes of inheritance and methods of pre- and postnatal diagnosis.
13. Recall the pathophysiology of pediatric allergic and immunologic disorders, their typical presentations, and management.
14. Describe the organisms associated with pediatric infectious disease, including bacteria, viruses, fungi, parasites, and atypical organisms; identify their various disease presentations; discuss their appropriate management; and predict complications and long-term sequelae.
15. Point out the presentation of pediatric disorders of the endocrine system and describe appropriate diagnostic studies and management.
16. Identify the presentation of pediatric disorders of the upper and lower respiratory system and describe their diagnostic evaluation and appropriate management.
17. Describe the presentation of pediatric disorders of the gastrointestinal system; summarize the diagnostic evaluation and appropriate management of gastrointestinal symptoms (emesis, abdominal pain, etc).
18. Discuss the presentation of pediatric disorders of the cardiovascular system, including but not limited to congenital heart disease; plan the appropriate diagnostic evaluation.
19. Cite the pathophysiology of pediatric disorders of the blood, including hemoglobinopathies, coagulopathies, membrane defects, anemias, leukocytic disorders, platelet disorders, and neoplasms; describe their diagnostic evaluation and appropriate management.
20. Recall the presentation of pediatric disorders of the kidneys and upper and lower genitourinary system; discuss the diagnostic evaluation and appropriate management of typical symptoms.
21. Define the significance of neurologic signs and symptoms in the pediatric patient and evaluate accordingly; recall the presentation and management of infection, congenital malformations, seizures, strokes, spinal cord disease, peripheral neuropathies, muscular dystrophies, and central nervous system trauma.
22. Recognize the presentation of pediatric musculoskeletal and collagen-vascular disorders; describe the diagnostic evaluation; manage appropriately; and predict complications and long-term sequelae.
23. Describe common pediatric skin lesions, associated findings, and treatment.
24. Discuss the developmentally-appropriate screening, diagnosis and management of congenital and pediatric eye disorders; point out indications for referral.
25. Summarize the presentation of pediatric disorders of the ear, nose, and throat, as well as recommended diagnostic evaluations, therapies, and complications.
26. Describe normal and abnormal physical, psychosocial, and cognitive development in the adolescent.
27. Identify the presentations and managements of gynecologic disorders, substance use and abuse, and psychiatric conditions in adolescent patients.
28. Discuss disorders of cognition, language, learning, attention, and behavior in children and adolescents.
29. Identify the psychological issues and problems that present during specific developmental stages in the child and adolescent, and describe their appropriate management.
30. Plan for emergency and critical care interventions in the pediatric patient, including abuse, burns, wounds, trauma, life support, and cardiopulmonary resuscitation.
31. State the principles of pharmacology relating to pediatric medication, including risks, benefits, adverse effects, conscious sedation, and pain management.
Katie Fine, MD, is in private pediatric practice in Charlotte, N.C.
Dr. Fine has disclosed that she has no financial interests in or relationships with any commercial companies pertaining to this educational activity.
Other Staff (LCMEI, WKH, Other)
All other persons in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.
Identification and Resolution of Conflict of InterestsLippincott CME Institute, Inc. has identified and resolved any faculty conflicts of interest regarding this educational activity.
Method of Physician ParticipationTo earn CME credit, participants must first read the text and complete the CME examination and evaluation assessment questionnaire. Participants can mail a photocopy of the Exam Answer Sheet and Evaluation Assessment Form, along with a check or money order for the $20 processing fee, to Lippincott CME Institute, Inc., 770 Township Line Road, Suite 300, Yardley, PA 19067. Entries must be received by LCMEI by the expiration date of February 28, 2011. Acknowledgment will be sent to participants within 6 to 8 weeks of participation. For more information, call (267) 757-3531.
Evaluation MethodsSix evaluation assessment questions will be included as part of the CME Quiz. These questions ensure that LCMEI determines that each activity's learning objectives have been met, that the activity was of educational value to the target audience and was unbiased, and offer participants a method of feedback.
Participation Expiration DateFebruary 28, 2011
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