MOC Part II – Foster Care – Self-Assessment


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Step 1 - Review ABP Activity Profile

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

Title: The Foster Care Self-Assessment

Description: The Foster Care Self-Assessment contains 53 items that address a broad range of topics relating to the care of foster and out of home care children and adolescents. These areas are; epidemiology, consent, mental health, adverse childhood experiences, adolescent-specific concerns, care coordination, medical issues, developmental considerations, health risk behaviors, and patient outcomes. References were current at the time of publication. Physicians are expected to read the reference material and apply the information obtained to respond to the questions. All needed reference materials to the user. The self-assessment is internet based and is available to sub-specialists and general pediatricians.

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

Activity Contact: Hayley Southworth, Phone Number: 614-846-6258,

MOC Credit Approval Period: Expired

MOC Type/Value: None

CME Available: No

Speciality: Adolescent Medicine; Child Abuse Pediatrics; General Pediatrics; Pediatric Critical Care Medicine

Step 2 - Review Enduring CME Information

2015 MOC Part II Self-Assessment – Foster Care

This course is designed to provide resources for physicians to improve delivery of care for children in foster and out-of-home care at routine well child visits of all ages using developmentally-, age-, and behavior-appropriate counseling strategies to improve the physical and behavioral health care of these children.

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 common terminology in the process of foster care, specifically the role of the biological family.
  2. Develop practices to treat mental health issues/toxic stress in children/youth in the foster care setting.
  3. Apply trauma-informed treatment modalities to children/youth in foster care.
  4. Assess risky health behaviors of patients in foster care and address them with the patient.
  5. Distinguish between all psychotropic medications and how they can be best used to address mental health in adolescents in foster care settings.

Needs Assessment/Gap: As of 2010, nearly 12,000 children in Ohio lived apart from their families in out-of-home care. Approximately 70% of these children were placed in foster care due to issues related to child abuse or neglect. Children in care experience higher rates of medical and behavioral health issues than other children. Many of these issues are exacerbated by trauma experienced prior to entering foster care.

What makes circumstances even less safe for these children are systemic barriers that inhibit optimal medical and behavioral health care. Medicaid access is difficult and time-consuming for case managers and foster parents. Disruptions in placement result in subsequent disruptions in medical care, with no clear paths for child welfare workers to communicate with health care providers, nor for health care providers to communicate with one another to ensure that the child experiences continuity in care.

An issue unique to Ohio is that children in foster care are often placed in counties up to 2 hours away from their home county due to severe limitations on number of foster care families. In Hamilton County, for example, 30 % of children are placed out of that county. This, coupled with frequent placement changes, means children could live in many different geographical areas in a short amount of time, and therefore receive coverage by several different medical providers. As of now, there is no statewide approach to medical care for children in foster care so the end result is often deficient and delinquent care or redundant and inefficient care.

Pediatricians who are not specialized in foster care may frequently see these children, but not be well aware of best practices to provide optimal care.

Faculty List:

Mary Greiner, MD, FAAP
Director of CHECK Foster Care Clinic
Cincinnati Children’s Hospital Medical Center
Assistant Professor, UC Department of Pediatrics
Cincinnati, Ohio

Jonathan Thackeray, MD, FAAP
Dayton Children’s Hospital
Dayton, Ohio

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

  • Mary Greiner, MD, FAAP
  • Jonathan Thackeray, MD, FAAP

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.

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.

Step 4 - Launch and Complete Assessment

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 page. Please feel free to send any questions/comments/concerns to Elizabeth Dawson.