MOC Part II – Adolescent Immunizations – Self-Assessment



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Step 1 - Review ABP Activity Profile

Sponsor(s): American Academy of Pediatrics – Ohio Chapter

Title: 2015 Adolescent Immunizations Self-Assessment

Description: This course will address a broad range of topics relating to immunization of children and adolescents. These areas are: epidemiology, study design, issues related to vaccine avoidance and ways to improve compliance with vaccine schedules, discussion of vaccines in the adolescent platform and updates on vaccines in development.

Completion Criteria: Please allow for 2 to 3 hours to read the reference material and answer the questions. Once you begin the assessment, you have until the end of the calendar year to complete it, but are not required to complete it in one sitting. Please note: answers will not save when exiting an incomplete assessment; if concerned about ability to return, we recommend that you keep a list of the answers that your provided to enter later should your answers not save. You must answer all of the items AND answer 80% of them correctly in order to receive credit for this assessment.

Credit Assignment Criteria: Upon completion of the activity, you will be required to enter your American Board of Pediatrics (ABP) Diplomate number*, state and birthdate (MM/DD). Your ABP Diplomate number can be found in your ABP online profile. If you are unable to locate this number, you may look it up by clicking here or please contact the American Board of Pediatrics [Telephone: (919) 929-0461, Business Hours: (8:30 am – 5:00 pm ET Monday – Friday), E-mail:].

  • You will be prompted to pay a $15 activity fee if you are non-Ohio AAP member.

*Please note that your American Academy of Pediatrics member ID number is not accepted for MOC Part II credit reporting.

Please allow up to 7 business days for MOC Part II and CME credit to be accessible in your ABP Diplomate Profile.

Your credit will be entered into the ACCME’s Program and Activity Reporting System (PARS), this system will transfer your credit into your ABP profile.

Resources: Reviewing the resources is a requirement to complete this assessment.To visit the resources and slides associated with this activity, click here.

Activity Contact: Elizabeth Dawson, Phone Number: 614-846-6258,

MOC Credit Approval Period: 9/1/2015 – 9/1/2018

MOC Type/Value: Part 2 – 20 Points

CME Available: Yes

Fee for Non-Ohio AAP Member: $15.

Speciality: Adolescent Medicine; General Pediatrics; Pediatric Infectious Diseases

Step 2 - Review Enduring CME Information

2015 MOC Part II Self-Assessment – Adolescent Immunizations

This course will address a broad range of topics relating to adolescent immunizations.These areas are: epidemiology, study design, issues related to vaccine avoidance and ways to improve compliance with vaccine schedules, discussion of vaccines in the adolescent platform and updates on vaccines in development.

Target Audience: The target audience is pediatric healthcare providers, the majority of whom are general pediatricians and subspecialty pediatric physicians.

Objectives: Following completion of this educational activity, learners should be able to:

  1. Explain barriers to immunization of adolescents and strategies found to minimize the barriers.
  2. Discuss updates in immunizations in adolescent boys and girls against HPV.
  3. Review immunization against influenza and discuss new strategies toward a universal flu vaccine.
  4. Improve understanding of immunity after immunization of adolescents with Tdap.
  5. Review of tactics to allay parental fears and questions about immunizations, specifically HPV.

Needs Assessment/Gap: Vaccination rates among Ohio’s adolescents are currently below National averages; the numbers have consistently been low with little improvement, and it is especially low in the urban areas of Ohio. For example, according to the 2013 National Immunization Survey (NIS) released September 2014, the national coverage rate for Tdap is 86%, Ohio is currently at 84.4%. HPV doses 2 & 3 fall below the national averages in females and the percentages are extremely low in males, with the third dose being 14.7%.

HPV compliance also continues to lag in both male and female populations, below all other immunizations. Even though media, both electronic and print, have been widespread and in favor of the immunization, there are still staggeringly low rates.

As stated in the Ohio Adolescent Health Partnership Strategic Plan 2013-2020, characteristics of neighborhoods where adolescents spend their time significantly impact their health status and health decisions. Residents of low-income neighborhoods are disproportionately affected by negative environmental factors such as poor air quality, poorly maintained homes, and lack of healthy food choices. Built environments also contribute to how an adolescent interacts with their community. The availability of safe spaces for youth to convene, the existence of sidewalks, and the availability of public transportation all present unique challenges or opportunities for youth to connect with community services and institutions as well as build positive connections with their community. Ultimately, healthy places equal healthy adolescents.

Currently, the Ohio AAP offers two programs designed to address immunizations. Maximizing Office Based Immunization (MOBI) is a statewide provider immunization education and training program developed for health-care providers. This continuing education program, which trains practices in techniques to improve immunization rates in their practice. MOBI is a one hour in-office continuing education program provided by trained vaccine experts. Target offices include pediatric and family medicine practices throughout Ohio. Ohio AAP annually trains more than 100 experts to conduct these programs. MOBI aims to raise immunization rates among Ohio’s children by teaching physicians and their entire staff evidence-based strategies to overcome barriers to immunization. New to this year, Teen Immunization Education Sessions (TIES) Program is a statewide program to educate physicians and vaccine providers on ways to improve adolescent vaccine rates, with a special focus on HPV. It aims to raise immunization rates among Ohio’s adolescents by teaching physicians and their entire staff evidence-based strategies to overcome barriers to immunization. The long-term goal of the program is to lower the occurrence of vaccine-preventable disease among Ohio’s adolescent population. Local educators are trained by the Ohio AAP to provide this education to 170 practices, focusing on missed opportunities, reducing barriers, and conducting reminders and recall. TIES educators will support providers before, during, and after the educational presentation.

In Ohio, several barriers to achieve optimal adolescent vaccine rates have been identified and are outlined below:

  • Continued fear and refusal of immunizations in general, specifically HPV.
  • Parental denial of sexual activity of their adolescent children and their peers.
  • Lack of clinical knowledge of the vaccine and subsequent benefits.
  • Physicians creating a barrier by providing too many details about the vaccine that may bring more questions by parents/patients to the surface.
  • Misinformation provided by the media leading to patient fear of the vaccine.
  • Lack of awareness of the additional health issues that HPV can cause, such as penile, cervical, vaginal, anal, oropharyngeal, and other head and neck cancers.

Accreditation Statement:

The Ohio Chapter, American Academy of Pediatrics (Ohio AAP) is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

The Ohio AAP designates this enduring activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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 20 MOC points 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.

Faculty List:

Robert Frenck, Jr., MD, FAAP
Medical Director, Department of Infectious Diseases
Cincinnati Children’s Hospital Medical Center

Disclosure: It is the policy of the Ohio Chapter, American Academy of Pediatrics to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual’s control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. This information is used to plan future activities.

The following faculty have no financial relationships other than listed above with commercial interests relevant to the content of this activity:

  • Robert Frenck, Jr., MD, FAAP

The CME staff, meeting planners, editorial staff, planning committee, and CME committee reviewers other than listed above do not have any relevant financial relationships to disclose.

Off-label Disclosure: This educational activity does not contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product.

Medium & Education Instructions for Internet/On-Demand Learning:

Please allow for 5 to 7 hours to review the power point, read reference materials and answer the questions.

You must answer all of the items AND answer 80% correctly in order to receive credit for this assessment.

Dates of original release, most recent review or update, and termination date:  

  • Release Date: November 1, 2015
  • Expiration Date: October 31, 2018

Commercial Support Acknowledgement: There is no financial support to acknowledge for this activity.

CME Credit for this activity is available as a member benefit for individuals who are current members of the Ohio AAP. Individuals who are not current Ohio AAP Members will be asked to join the Chapter, or pay a $15 CME Administration Fee. Additional information will be provided on the confirmation page after completing this activity, as well as in the follow-up email that will be sent to you. 

Want to become an Ohio AAP Member and receive free CME, along with many other member benefits? Click here! Not sure yet? Click here to learn about all of the benefits enjoyed by members of the Ohio AAP.

Step 3 - Review Self-Assessment Instructions

To visit the resources and slides associated with this activity, click here.

You will have two chances to correctly answer each question. Please be aware that by clicking on the circle to the left of your desired response, you are submitting that response to be graded by the system. If you are not prepared to have your response to a particular question submitted to the system, do not select any of the answers.

If you fail to answer the question correctly on your first attempt, you will be given the link to the reference where additional information can be found on that particular question. Clicking on the link will open this resource in a new window/tab. When you are ready to provide your second response to the question, please select the “Retry” button, and then proceed to select the answer that you believe is correct.

Following a correct response or your second response to a question, whichever comes first, you will select the “Next” button to advance to the next question. You can review previous questions by selecting the “Previous” button, however you will be unable to modify your answer if you have already provided 2 responses to that particular question.

This activity consists of 53 questions; successful completion will result in earning 20 Points of ABP MOC Part II Credit.

Step 4 - Launch and Complete Assessment

To watch the video and complete the self-assessment simultaneously, we recommend opening the video in a new window or a new tab within your internet browser.

  • The following link is designed to open in a new tab when you click on it:
  • Once you have the video opened in a new tab/window, you should be able to watch the video and then select pause when it comes time to answer the questions.
  • After pausing the video, return to the other tab/window within your internet browser and select the “Start Quiz!” button. After beginning the assessment, you will be able to easily toggle between the assessment tab/window and the video tab/window.

Please be advised that once you begin the quiz questions, you cannot save your progress. Do not close your browser, as your work will be lost.

If you do not achieve a score of 80% or higher, you have the option to re-test by going back to this pagePlease feel free to send any questions/comments/concerns to Elizabeth Dawson.