Human Papillomavirus Vaccines: Opportunities and Challenges – Self Assessment – 2 Points


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Step 1 - Review ABP Activity Profile

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

Title: 2017 Human Papillomavirus Vaccines: Opportunities and Challenges

Description: The rate of girls and boys in Ohio receiving the series of the HPV vaccine is extremely low. Kristen Feemster, MD, MPH, MSHPR, FAAP will explain current trends in HPV-related disease, the safety and efficacy of the immunization, key barriers to series completion and important strategies to improve rates in boys and girls

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

MOC Credit Approval Period: Expired (as of July 31, 2018)

MOC Type/Value: None (Previously Part 2 – 1 Point)

CME Available: No

Speciality: General Pediatrics; Pediatric Infectious Diseases

Step 2 - Review Activity Description

2017 MOC Part II Self-Assessment – HPV Vaccines: Opportunities and Challenges

This course will address a broad range of topics relating to pertussis disease and vaccination.

Target Audience: Health care providers who administer vaccines to adolescents and providers-in-training.

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

  1. Review current trends in HPV-related disease, HPV vaccine safety and efficacy and HPV vaccine recommendations
  2. Identify key barriers to HPV vaccine series initiation and completion among males and females
  3. Identify strategies to improve implementation of HPV vaccine recommendations among males and females

Needs Assessment/Gap: 

The 2015 National Immunization Survey shows just 37.8% of Ohio girls received all 3 of their HPV vaccinations, and only 21% of Ohio boys. In addition, according to the Cancers Associated with HPV in Ohio report in 2008-1012, approx 1157 cases of cancer were attributed to HPV each year. Studies show providers can change minds, one study shows a large portion of parents changed their minds about delaying vaccination after assurances from their provider.

Faculty List:

Kristen A. Feemster, MD, MPH, MSHP, FAAP
Research Director, Vaccine Education Center
The Children’s Hospital of Philadelphia

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:

  • Kristen A. Feemster, MD, MPH, MSHP, 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 one hour to review the video and answer the questions.

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

  • Release Date: August 1, 2017
  • Expiration Date: July 31, 2018
  • Revision; Sustained Education Without Credits: August 29, 2018

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

Step 3 - Review Self-Assessment Instructions

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 10 questions.

Step 4 - Launch and Complete Assessment

After watching the video, click the button “Start Quiz” to complete the post-quiz.

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.




Ohio AAP Offers Water Safety Tips After Spike in Child Drownings

The Columbus area has seen a spike in drownings this summer. On June 5, a three year-old boy was critically hurt after nearly drowning in his backyard pool. Three children, all age 4, drowned the weekend prior.

watersafety(Source: Columbus Dispatch)

Research shows 2/3rd of drowning deaths in children under the age of 15 occur between May and August, with the majority occurring on Saturdays and Sundays. The highest drowning rates of any age group occur in children ages 1-4 years and most happen in residential pools.

Parents should remember these tips to keep their families safe during the swimming season:

  • All caregivers should learn CPR
  • Never leave a toy in or around the pool
  • Dump water out of an inflatable pool after each use
  • Never leave children alone in or near water

“Close, active supervision is essential,” says Dr. Sarah Denny, a pediatric expert at Nationwide Children’s Hospital and Medical Director of the Injury Prevention Project at the Ohio Chapter, American Academy of Pediatrics. “Parents on their phone or reading a book are not actively supervision their child near the water. Drowning can happen quickly and silently.”

Dr. Denny makes the following additional suggestions for parents:

  • Basic Safety: All children should learn basic water safety skills.
  • Swim Lessons: Studies show that formal swimming lessons in children 1-4 can prevent drowning.
  • Life Jackets: They should be worn on or around boats EVERY time.

Dr. Denny also says pool owners need to make sure they are preventing drownings by making sure they are supervising their pool at all times and know CPR. A four-sided fence with a self-locking gate that isolates the pool from the house has been shown to decrease drowning deaths.

For additional information, parent resources and a water safety pledge, please go to

You may also read the American Academy of Pediatrics policy statement on the prevention of drowning here.

The following physicians contributed to this article:

Sarah A. Denny, MD, FAAP

Mike A. Gittleman, MD, FAAP

Jill A. Fitch, MD, FAAP

Ohio AAP Voices Disappointment in New Concussion Legislation

On Wednesday, June 4, a House/Senate conference committee on House Bill 487 met and adopted new language that creates a committee within the Ohio Department of Health (ODH) to develop and publish guidelines for (a) the diagnosis, treatment and clearance of concussions and head injuries sustained by athletes in interscholastic and youth sports activities and (b) the minimum education requirements necessary to qualify a physician or other licensed health care professionals to assess and clear those athletes for return to practice or competition.

This amendment passed without full support from either the House or the Senate and had a lot of dissent among legislators. While this legislation does not give chiropractors and other healthcare professionals the authority to independently return youth athletes to play, the Ohio AAP is incredibly disappointed that this legislation was added into a budget document and was not fully discussed.

The ODH committee will consist of 7 members, including: two physicians, two chiropractors, a representative from the State Medical Board, a representative from the State Chiropractic Board, and the Director of the Department of Health.  The committee will be required to solicit input into these recommendations from a number of other health care professionals, including physicians from multiple specialties.

The Ohio AAP has every intention of participating in the new ODH committee process that will create new concussion management recommendations and education requirements. We will be continuing to work to make sure the committee has qualified physicians to represent the viewpoint of our membership.

If the committee is formed fairly, Ohio AAP feels our voice can still be heard with educated representatives on the committee. Once the committee is formed, we’ll be reaching out to our membership to put pressure on the committee to do the right thing for Ohio’s athletes.

If you have questions, contact Ohio AAP Executive Director Melissa Wervey Arnold via email or at 614-846-6258.

You can read more on Ohio’s Return-to-Play law, which was enacted in April 2013, by clicking here.

You can view many more resources on concussions from the Ohio Chapter, American Academy of Pediatrics, along with our national organization by clicking here.

TIES Regional Seminars

ties speakers

Regional Seminars

The Ohio Chapter, American Academy of Pediatrics and Ohio Department of Health present four regional seminars to educate physicians, nurses and other vaccinators in Ohio on adolescent vaccines.

The seminars will feature nationwide experts on adolescent health and immunizations – including Michael T. Brady, MD, Robert W. Frenck, Jr., MD, and Paula K. Braverman, MD and social media expert Angela KrileLarry Pickering, MD from the Centers for Disease Control and Prevention will be our featured guest speaker at the Columbus TIES Seminar! The talks will feature many subjects Ohio health care workers deal with in their workplace every day, including:

  • parental refusal
  • sexual misconceptions
  • HPV-caused cancers
  • reminder/recall strategies
  • connecting with your adolescent patients on social media

Each person who registers for a TIES Regional Seminar is registered to win an iPad Mini! There will be a drawing at EACH seminar!


  • Featured Speakers: Larry Pickering, MD, Robert W. Frenck, Jr., MD, Paula K. Braverman, MD, and Michael Brady, MD
  • Tuesday, September 23, 2014
  • 8:30am-1:30pm (registration begins at 8am)
  • Location: Holiday Inn Worthington (map)
  • Lunch provided by the American Academy of Pediatrics
  • registration closed
  • CME: This Live activity, Teen Immunization Education Sessions (TIES) Regional Training Columbus, with a beginning date of 09/23/2014, has been reviewed and is acceptable for up to 4.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician’s Recognition Award.  When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Nurses will be provided the same certificate of participation as physicians. Keep your certificate on file, as the Ohio Nurses Association will accept CME toward CNE credit.

Bill Introduced to Mandate Child Care Immunizations

(May 14, 2014) — Two Ohio legislators introduced a bill that would require immunizations for children entering licensed child care or preschool facilities.

2014-05-14 11.12.55

Representatives Nickie Antonio, a Democrat from Lakewood, and Ryan Smith, a Bidwell Republican, introduced House Bill 536 during a press conference at the Ohio State House. They were joined by Ohio AAP Executive Director Melissa Wervey Arnold and Ohio AAP board member Jonathan Thackeray, MD, FAAP.

The bill would require that children enrolled in licensed child care facilities be immunized in accordance with a schedule that is based on the schedule recommended by the Advisory Committee on Immunization Practices (ACIP) of the CDC. The bill includes exemptions for medical and parental reasons.

Ohio is the only state that does not require the immunizations for children entering child care or preschool.

Click here to view the ACIP Birth-18 years-old immunization schedule.

Click here to read House Bill 536.


Ohio AAP Wins Ohio Medicaid VFC Policy Reversal Update

The Ohio Chapter, American Academy of Pediatrics, won a reversal of a policy decision by Ohio Medicaid. Ohio Medicaid issued a policy change in December regarding payment for VFC vaccines. Our members were concerned that they were only being paid for one vaccine administration code – even though multiple vaccines were given.

Ohio AAP worked with our members and put pressure on Ohio Medicaid using information gathered from both our members and our national organization. Ohio Medicaid sent a memo to all plans on April 24 letting them know they could not cap payment for the administration of VFC vaccines per encounter and had to pay the enhanced fee per vaccine administered. In addition, Ohio Medicaid said both plans and ODM must make adjustments to make sure qualifiying physicians get the additional reimbursement they are owed. Ohio Medicaid also thanked Ohio AAP and its members for bringing this to their attention.

You can read the memo Ohio Medicaid sent to all Medicaid Coordinators and Contracted Managed Care plans by clicking here: Payment for Vaccines for Children under the Primary Care Rate Increase