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.

Completion Criteria: Please allow for 5 to 7 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 may 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: 5/1/2015 – 4/30/2018

MOC Type/Value: Part 2 – 20 Points

CME Available: Yes

Fee for Non-Ohio AAP Member: $15.

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.

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:

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
Associate Medical Director
Ohio Department of Medicaid
Columbus, Ohio

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:

  • Mary Greiner, MD, FAAP
  • Jonathan Thackeray, 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

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.