MOBI TIES MOC Part II CME Evaluation MOC Part II - CME Evaluation - Master Please complete the form below to claim your CME. Please select the Ohio AAP MOC Part II Activity that you most recently completed: * Safe Sleep/Infant Mortality Article of the Month Adolescent Health 101 Webinar Men B Online Learning Activity Smoke Free Families Online Activity Smoke Free Families Online Vaping Activity Adolescent E-Cigarette Regional Training Activity Brush, Book, Bed Regional Training Activity Child Abuse and Neglect Training: Sentinel Injuries Lead Prevention Regional Training Child Abuse and Neglect Training: Implicit Bias Atopic Dermatitis Training Power of Play Online Activity Child Abuse and Neglect Training: Human Trafficking Summer Meeting (Lead and Vaping Trainings) Child Abuse and Neglect Training: Social Determinants of Health Supporting Well Child Visit Series: Navigating Through Flu Season and COVID-19 Healthy Mom, Healthy Family Series: Maternal Mental Health Healthy Mom, Healthy Family Series: Family Planning/Birth Spacing Wellness During a Pandemic: Rising Importance and Unique Opportunities Coping with New Challenges of the COVID-19 Pandemic How to Use Social Media to Engage Families Training Name * First and Last Name (This is the name that will appear on your CME Certificate) Credentials Practice/Organization * Email Address * Phone Number * Address * Address 2 City * State * ------ Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Specialty * Primary Care Medical Subspecialty Surgeon Hospitalist Urgent Care OtherOther What is your practice's patient population? This is the total number of unique patients in your practice. Typically, this number is based on patients that have attended a visit in your practice within the last three years (or less if you have a more transient patient population). How may providers are in your practice? End Year for Current MOC Cycle If seeking MOC Part 2 credit, please enter your ABP diplomate number: If seeking MOC Part 2 credit, please enter your date of birth (MM/DD/YY): How can the Ohio AAP Assist in meeting your education needs? At the conclusion of this activity, are you able to: Describe how nutrition, activity and mental health can be adversely affected by the global COVID-19 pandemic. * Yes No List three ways the COVID-19 pandemic has afforded unique opportunities to positively address nutrition, activity and mental health habits. * Yes No List three ways the COVID-19 pandemic has afforded unique opportunities to positively address nutrition, activity and mental health habits. * Yes No Explain the role of nature in child development. * Yes No Demonstrate use of two nutrition resources that promote culinary skills in families. * Yes No # of CME Hours: # of MOC Part II Points: Please answer these knowledge assessment questions, required for MOC Part II credit through the ABP. True or False: Children's nutrition, activity, and mental health is being adversely affected by COVID 19. True False Examples of adverse childhood experiences include: Housing Instability Homelessness Food Insecurity All of the Above True or False: Well visit are still critical during COVID-19. True False Learning Questions (Required for MOC Part II) True or False: “Would you like to become pregnant in the next year?” is known as One Key Question. True False Closely spaced pregnancies increase all of the following except: Increased incidence of low birth weight Increased rate of preterm birth Increased breastfeeding rates Increased risk of maternal death True or False: Most women who breastfeed will not ovulate for about 12 months. True False At the conclusion of this activity, are you able to: Better understand the importance of interpartum contraception counseling at the well child visit? * Yes No Review evidence-based contraceptive guidelines (and useful resources)? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Discuss contributing risk factors for infant mortality? * Yes No Review methods to screen and counsel patients and families? * Yes No Identify outcomes from Wave 1 of Smoke Free QI program? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Review meningococcal ACWY vaccines * Yes No Review meningococcal B vaccines * Yes No Share best practices from Ohio QI2U - MenB for increased immunization rates * Yes No Discuss Neisseria meningitidis (meningococcus) and its associated diseases * Yes No # of CME Hours # of MOC Part II Points At the conclusion of this activity, are you able to: Explain barriers to immunization of adolescents and strategies found to minimize the barriers? * Yes No Discuss updates in immunizations in adolescent boys and girls against HPV? * Yes No Review immunization against influenza and discuss new strategies toward a universal flu vaccine? * Yes No Improve understanding of immunity after immunization of adolescents with Tdap? * Yes No Review of tactics to allay parental fears and questions about immunizations, specifically HPV? * Yes No Learning Questions (required for MOC Part II Credit) True or False: Prevention is key to limiting the spread of flu and COVID-19. True False True or False: It is important to practice other healthy habits to prevent COVID-19 and the flu. True False What are some recommended ways to stay healthy during this time? Eat a balanced diet Keep moving/be physically active Stay calm/reduce stress All of the above At the conclusion of this activity, are you able to: Explain the difference between the flu and COVID-19? * Yes No Give more information on the flu vaccine and provide office support/toolkits? * Yes No Understand examples and scenarios related to COVID-19 impacts on flu vaccination? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Describe four behavioral risks that affect birth outcomes. Understand the scope of the problem, evidence for improved outcomes and best screening and intervention. Describe the IMPLICIT model of Interconception care and its practical implementation in a primary care office. Please rate your overall confidence in discussing interconception care with patients/families after this presentation: Very confident Confident Somewhat confident Not at all confident Unsure Do you plan to perform any of these tasks over the next 6 months as a result of this education (select all that apply)? Identify a champion provider and leadership team for ICC care. Educate staff about the importance of the IMPLICIT ICC Model. Develop a workflow for each patient visit to incorporate ICC care. Develop a procedure for collecting and documenting data collected during ICC care. Do not plan to make any changes in next 6 months. OtherOther # of CME Hours: # of MOC Part II MOC Points: At the conclusion of this activity, are you able to: Explain common terminology in the process of foster care, specifically the role of the biological family? * Yes No Develop practices to treat mental health issues/toxic stress in children/youth in the foster care setting? * Yes No Apply trauma-informed treatment modalities to children/youth in foster care? * Yes No Assess risky health behaviors of patients in foster care and address them with the patient? * Yes No Distinguish between all psychotropic medications and how they can be best used to address mental health in adolescents in foster care settings? * Yes No At the conclusion of this activity, are you able to: Describe the pediatric research showing the connection between early life adverse childhood events, toxic stress, and social-emotional skills in terms of health, mental health, academic achievement and economic outcomes? * Yes No Outline the ways of supporting the parent-child relationship in primary care practice, based on attachment theory principles? * Yes No Characterize the benefits of using shared creative play as a means of enhancing parent-child interactions and using purposeful play as a means to enhance the fundamental motor skill development of the child? * Yes No Define alternate strategies to help address problem cases in which basic parenting support is not working? * Yes No At the conclusion of this activity, are you able to: Identify the top causes of severe injuries to adolescents? * Yes No Understand the common mechanisms that cause severe injury and successful methods for prevention? * Yes No Discuss recommendations for injury prevention counseling in the office setting as it relates to teen driving, water safety, firearms, bullying, sports injuries and concussions, internet/media safety, pedestrian safety, and suicide prevention? * Yes No At the conclusion of this activity, are you able to: Identify the top causes of severe injuries to children aged 0 – 4 years of age? * Yes No Understand the importance of discussing injury prevention by pediatricians in the office setting? * Yes No Discuss recommendations for injury prevention counseling as it relates to child passenger, firearm, water, sleep, and home safety as well as non-accidental trauma? * Yes No At the conclusion of this activity, are you able to: Define the provider’s role in obesity prevention based on the Expert Committee Recommendations endorsed by the American Academy of Pediatrics? * Yes No Identify the reason for and importance of screening for, assessing, and managing excessive weight trajectories starting from birth? * Yes No Identify the Parenting at Mealtime and Playtime (PMP) strategies that will enhance your pediatric obesity prevention efforts? * Yes No Describe the concepts that make PMP an effective way to build sound nutrition and activity foundations through developmentally appropriate parenting techniques? * Yes No At the conclusion of this activity, are you able to: Define Bullying and uniform definitions among public health? * Yes No Explain prevention of bullying and school violence? * Yes No Explain school culture around Anti-Bullying and what schools can do today? * Yes No Describe the medical implications and treatment of bullying? * Yes No At the conclusion of this activity, are you able to: Explain the importance of mental health screening and which screening tools should be implemented in primary care? * Yes No Apply information from literature to support clinicians in the diagnosis and management of depression, anxiety and ADHD? * Yes No At the conclusion of this activity, are you able to: Explain the frequency and extent of exposure to different forms of violence by children and adolescents according to developmental stage? * Yes No Describe possible behavioral or emotional responses by children exposed to community violence, strategies to identify children at risk for prolonged or maladaptive reactions, and interventions that are supported by evidence? * Yes No Apply the concepts of trauma-informed pediatric practice, including interviewing techniques, staff development and office policies to avoid repeat or continued trauma experienced by children previously exposed to community violence? * Yes No At the conclusion of this activity, are you able to: Utilize common terminology in the process of child abuse and neglect prevention and treatment in pediatric practice? * Yes No Utilize guidance for the primary practitioner on specific topics and terminology in sexual abuse, human trafficking, physical assessments? * Yes No Present best practices for the evaluation of risks for child abuse and neglect in pediatric healthcare settings? * Yes No Provide education to parents and caregivers on methods to prevent child abuse and neglect? * Yes No Apply primary and secondary prevention techniques for child abuse and neglect in pediatric healthcare settings? * Yes No Assess family need and make appropriate referrals to necessary resources to reduce risks for abuse and neglect? * Yes No Utilize the protective factors of Knowledge of Parenting and Child Development and Concrete Support in Times of Need? * Yes No At the conclusion of this activity, are you able to: Review Immunization Schedules * Yes No Discuss MOBI Best Practices * Yes No Discuss Strategies to Improve Immunization Rates * Yes No Introduce Plan-Do-Study-Act (PDSA) Worksheet * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Describe diseases prevented through adolescent immunization * Yes No Review immunization schedules for adolescents * Yes No Review issues related to vaccinating adolescents, such as strategies and safety * Yes No Discuss TIES Best Practices * Yes No Introduce Plan-Do-Study-Act (PDSA) Worksheet * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Review the epidemiology of Bordetella pertussis, especially recent outbreaks. * Yes No Discuss DTaP vaccines, including their safety and effectiveness. * Yes No Examine fourth dose DTaP vaccination rates among 24-month old children in Ohio and the US. * Yes No Address barriers and formulate strategies to increase timely receipt of DTaP vaccine doses * Yes No At the conclusion of this activity, are you able to: Review the epidemiology of Bordetella pertussis, especially recent outbreaks. * Yes No Discuss DTaP vaccines, including their safety and effectiveness. * Yes No Examine fourth dose DTaP vaccination rates among 24-month old children in Ohio and the US. * Yes No Address barriers and formulate strategies to increase timely receipt of DTaP vaccine doses * Yes No At the conclusion of this activity, are you able to: Understand the importance of obesity prevention at an early age? * Yes No Identify healthy weight messages to encourage healthy habit development? * Yes No Identify the Parenting at Mealtime and Playtime (PMP) strategies that will enhance your pediatric obesity prevention efforts? * Yes No At the conclusion of this activity, are you able to: Review current trends in HPV-related disease, HPV vaccine safety and efficacy and HPV vaccine recommendations * Yes No Identify key barriers to HPV vaccine series initiation and completion among males and females * Yes No Identify strategies to improve implementation of HPV vaccine recommendations among males and females * Yes No Learning Questions for Adolescent E-cigarette Training Please answer these questions to help evaluate and improve program effectiveness; answers are required for those claiming MOC Part II credit. Because of this program, do you have an increased understanding of the dangers of vaping and e-cig use? Yes No Unsure Youth vaping has been declared an epidemic. True False Safer = Safe when it comes to vaping. True False Adolescents who use e-cigarettes are more likely to: Binge drink alcohol Use marijuana Use other illicit drugs All of the above At the conclusion of this activity, are you able to: Articulate knowledge regarding basics of adolescent e-cigarette use and health crisis? * Yes No Share knowledge regarding screening and discussions of e-cigarette use with adolescents? * Yes No Use knowledge of prevention and treatment resources of e-cigarette use among adolescents? * Yes No As a result of participating in this learning activity, what is your 90 day plan in changes you will make in the work you do with teens regarding vaping? * What was the total number of youth (0-18) that participated in/were served by your program/organization in the last year? What was the total number of adults (18+) that participated in/were served by your program/organization in the last year? How can Ohio AAP continue to educate the community on vaping dangers? Please describe any additional comments or anecdotal feedback regarding the knowledge and/or value you received from participating in this education. # of CME Hours: # of MOC Part II Points: AT THE CONCLUSION OF THIS ACTIVITY, ARE YOU ABLE TO: Explain common terminology in safe sleep and SIDS? * Yes No Increase discussion of safe sleep guidelines with caregivers of infants? * Yes No Increase knowledge of safe sleep recommendations and evidence-based research on safe sleep/SIDS? * Yes No Increase utilization of safe sleep practices modeled in pediatric hospital settings? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Identify the top causes of severe injuries to children aged 0 - 4 years? * Yes No Understand the importance of discussing injury prevention by pediatricians in the office setting? * Yes No Explain interventions for abuse, safe sleep, home safety, and child passenger safety? * Yes No Utilize best practice strategies to prevent common pediatric injuries? * Yes No Identify methods to advocate for patients and families in the legislature at the state and local level. * Yes No Identify Ohio AAP advocacy priorities and opportunities for involvement in 2019. * Yes No At the conclusion of this activity, are you able to: Discuss the known and potential risks of e-cigarettes, vape devices, and pod systems (i.e. JUUL)? * Yes No Review methods to screen and counsel patients and families? * Yes No Identify resources to help patients understand risks? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Improve confidence and competence in delivering healthcare for adolescents * Yes No Develop a better understanding of the unique needs of adolescents * Yes No Understand strategies to more effectively engage adolescents in care * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Better recognize and further assess for possible sentinel injuries in infants? * Yes No Utilize resources available to address risks with families when identified? * Yes No Better recognize and address risks for child abuse and neglect? * Yes No Utilize best practice strategies to prevent common abusive injuries in infants? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Promote positive oral health routines with patients beginning at 6 months of age? * Yes No Understand and implement fluoride varnish procedures? * Yes No Discuss early literacy with families during pediatric well visits and other encounters? * Yes No Improve knowledge of appropriate sleep habits and advise patients with sleep related concerns? * Yes No # of CME Hours: # of MOC Part II Points: Learning Questions for Lead Prevention Training Please answer these questions to help evaluate and improve program effectiveness; answers are required for those claiming MOC Part II credit. 80% of children in Ohio are exposed to lead-based paint, dust/chips. True False There is no safe level of lead. True False What is included in the Ohio State law regarding lead testing? High risk zip code Age Medicaid insurance Both high risk zip code and Medicaid Insurance Both high risk zip code and age At the conclusion of this activity, are you able to: Describe current trends in lead poisoning epidemiology and adherence to medical management guidelines * Yes No Explain resources to families * Yes No Integrate counseling on lead poisoning prevention into anticipatory guidance * Yes No Identify opportunities to increase lead screening and testing rates and referral to appropriate resources * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Understand and lessen the impact of bias in recognizing and addressing child maltreatment? * Yes No Utilize resources available to address risks with families when identified? * Yes No Better recognize and address risks for child abuse and neglect? * Yes No Utilize best practice strategies to prevent negative impacts of implicit bias? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Identify the top causes of severe injuries to children aged 0 – 4 years of age? * Yes No Understand the importance of discussing injury prevention by pediatricians in the office setting? * Yes No Explain interventions for abuse, safe sleep, home safety and child passenger safety? * Yes No Utilize best practice strategies to prevent common pediatric injuries? * Yes No At the conclusion of this activity, are you able to: Improve knowledge on the importance of play throughout all ages of a child’s life? * Yes No Improve ability to encourage play with families? * Yes No Increase utilization of resources available to address nutrition and activity goals with families? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Discuss implementation of dermatology-focused best practices in AD management in primary care? * Yes No Develop skills in the mental health and primary care implementation of AD in pediatric patients? * Yes No Discuss implementation of strategies to promote patient adherence to treatment for AD? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Better recognize, understand and assess vulnerable populations for human trafficking risks? * Yes No Utilize resources available to address risks with families and victims when identified? * Yes No Better recognize and address risks for child abuse and neglect? * Yes No Utilize best practice strategies to prevent human trafficking? * Yes No Would you like to claim Social Work CEU's ( counselors, social workers, marriage and family therapists) for this training? (3 CEU's available) Yes No What is your license number for claiming Social Work CEUs? # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Better recognize and understand the impacts of social determinants of health on lifelong outcomes? * Yes No Increase your knowledge and use of screening tools to identify social determinants needs? * Yes No Examine and address risks for social determinants of health? * Yes No Better recognize and address risks for child abuse and neglect? * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Label and acknowledge the stressors faced in pediatric primary care during the pandemic. * Yes No Examine the impact of chronic stress on the body and mind. * Yes No Discuss adaptive and maladaptive stress management. * Yes No Review adaptations and innovations made to mental healthcare. * Yes No Address psychological challenges associated with vaccinating the public. * Yes No Explore applications from post traumatic growth literature. * Yes No Discuss strategies to build resilience as we move forward. * Yes No # of CME Hours: # of MOC Part II Points: Please answer these knowledge assessment questions, required for MOC Part II credit through the ABP. True or False: Mental health impacts of COVID-19 will outlast the virus. True False Changes needed to support MH needs during and after COVID include: Social support systems, emergency funds Home-based services Infection control in psychiatric hospitals None of the above All of the above True or False: Moral Foundations Theory is not responding in a way that affirms a person’s moral values. True False Learning Questions (Required for MOC Part II) True or False: Sleep disturbances are the only impact of maternal depression seen in young children. True False Maternal risk factors for postpartum depression include: Teen pregnancy Minority race Infant in the NICU All of the above True or False: Both the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire-2 (PHQ-2) are commonly used tools to screen for maternal depression. True False At the conclusion of this activity, are you able to: Better recognize and understand the impacts of maternal mental health on family health? * Yes No Increase your knowledge of screening tools to identify and address family needs related to maternal mental health? * Yes No # of CME Hours: # of MOC Part II Points: Learning Questions (required for MOC Part II Credit) True or False: Platform does not depend on when and how content is posted. True False Benefits of social media include: Education or learning opportunities Connecting with others Improved business All of the above True or False: There is no need to reinvent the wheel when using social media messages and platforms. True False At the conclusion of this activity, are you able to: Understand the importance of social media and using it to engage patients and families? * Yes No Utilize the different social media platforms to share information? * Yes No Use tips and tricks on how to post specific content? * Yes No Be familiar with resources on how to further skills and education? * Yes No # of CME Hours: # of MOC Part II Points: On a scale of 1-5, with 1 being Strongly Disagree and 5 being Strongly Agree, please rate the following statements. The content matched my current or potential scope of practice. * 1 2 3 4 5 6 7 8 9 10 The speaker was knowledgeable and able to effectively teach the content. * 1 2 3 4 5 6 7 8 9 10 As a result of participating in this learning activity, do you intend to make changes in your practice? * Yes No If yes to the previous question: Please describe what you will do differently in practice [performance]. How will you accomplish this change in practice [competence]? How would you rate your overall satisfaction with this activity? * Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Please select the reason (or reasons) that you chose to access this activity: MOC Part II Credit CME Credit Educational Content How can the Ohio AAP improve our delivery and your experience with our virtual learning activities? Are you interested in learning more about any topic or program area at this time? (Select any/all that apply) Adolescent Health Atopic Dermatitis Child Abuse and Neglect Early Literacy Firearm Safety Food Insecurity Immunizations Infant Mortality Injury Prevention Obesity/Nutrition Tobacco or Vaping Cessation OtherOther Pediatrician and Practice Characteristics These demographic questions are optional; data will not be shared and is used to help the Ohio AAP evaluate and improve future educational offerings and outcomes. What is your gender? Male Female Prefer to self-describe With what racial or cultural group(s) do you identify yourself? Select all that apply. White, non-Hispanic/Latino Hispanic/Latino Black/African American Asian Native Hawaiian/other Pacific Islander American Indian/Alaska Native OtherOther Which of the following best represents how you think of yourself? Lesbian or gay Straight, that is, not lesbian or gay Bisexual Something else Please describe the community in which your primary practice/position is located. Please select only ONE response. Urban, inner city Urban, not inner city Suburban Rural What racial or cultural group(s) describe your patient population? Select all that apply. White, non-Hispanic/Latino Hispanic/Latino Black/African American Asian Native Hawaiian/other Pacific Islander American Indian/Alaska Native OtherOther Please indicate your primary employment setting, that is, the setting where you spend most of your time. Please select only ONE response Self-employed solo practice Two physician practice Pediatric group practice, 3-10 pediatricians Pediatric group practice, >10 pediatricians Multispecialty group practice with primary care only Multispecialty group practice with specialty care only Multispecialty group practice with primary and specialty care Health Maintenance Organization (staff model) Medical School or parent university Non-government hospital/clinic Non-profit community health center City/county/state government hospital or clinic US government hospital or clinic OtherOther By signing or typing your name, you confirm your identity and agree to the conditions and disclosures of this survey. * Clear Number of Hours of CME for this Activity: Number of MOC Part II Points for this Activity: If you are human, leave this field blank.
