Case Based Webinar 4: Application of CPG in Real-World Settings, CME/MOC 2 Questions

Please complete the following quiz. You can view your score at the end of this quiz. If you do not earn a score of 75% or higher, please review the presentation and submit the quiz again. CME and MOC points will be awarded on a 30-day basis. If you have any questions, please contact obesity@aap.org.

Question Title

1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

First and Last Name

AAP ID

Credential (MD, DO, RN)

Email Address

City/Town

State/Province

ZIP/Postal Code

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2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

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3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

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4. Were the individual learning objectives of this CME activity achieved? (Required.)

Yes

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5. You are evaluating a 13 year old girl for severe obesity who has not yet menstruated, What option is best for this patient? (Required.)

Delay MBS until she achieves menarche to assure skeletal maturity.

Obtain a bone age to evaluate her remaining growth potential since growth velocity is potentially slowed post MBS.

Refer for MBS evaluation because she meets guidelines for MBS.

Schedule MBS now because it is preferred to complete MBS before menarche.

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6. You are tuning up your practice’s evaluation and assessment of patients with obesity and considering instituting a social assessment. You are primarily concerned with: (Required.)

Assessing for history of physical and/or sexual abuse.

Identifying eating disorder risk.

Supporting your team/patient in a patient centered whole child approach to care.

Offering food resources.

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7. What is the best way to help a patient and family develop a sense of self-efficacy through obesity treatment? (Required.)

Offering obesity medications to attain weight loss goals.

Combined assessment and treatment of medical needs, behavioral supports, and attainment of personal health goals.

Addressing internalized weight bias.

Teaching patients to exercise, eat right, and sleep well.

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8. What is the correct approach as a patient receiving advanced therapies including obesity medications nears the 85th percentile? (Required.)

Discontinue obesity medications and monitor response, asking them to maintain lifestyle changes.

Change from a higher intensity medication, like a GLP1 to an oral medication like phentermine/topiramate.

Continue the medications and lifestyle treatments as current dose and spread out follow up to 4-6 months.

Reassess again for eating schedule, fluid goals, eating disorder/body image, and concerns like dizziness or muscle mass and use a patient centered approach to adjust treatments to attain maintenance.

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9. You are seeing a 14 year old patient. When should you consider discussing advanced weight management therapies, including intensive lifestyle and possible obesity medication? (Required.)

At your first visit with a new patient who has class 3 severe obesity and worries about their weight.

With a patient you have seen for many years who is now 14 years old and weight has increased from the 60th percentile for BMI to the 85th percentile.

At all visits for all patients 12 and older with a BMI at the 95th percentile or above.

Only when a patient comes to you asking for discussion of weight loss and obesity medication, and has a BMI over the 95th percentile.

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10. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

Yes

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11. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

Yes

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12. If YES to either of the above questions, please identify any changes in practice that you plan to make:

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13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)

Systems-related barriers internal to your organization

The activity reinforced what I am already doing in practice

No practice changes were recommended

Other (please specify)

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14. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

Yes - if yes, please comment

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15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

Yes - If yes, please comment

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16. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)

	1 - Low Return	2	3	4 - Medium Return	5	6	7 - High Return
Scale	Scale 1 - Low Return	Scale 2	Scale 3	Scale 4 - Medium Return	Scale 5	Scale 6	Scale 7 - High Return

Question Title

* 1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

Question Title

* 2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 4. Were the individual learning objectives of this CME activity achieved? (Required.)

Question Title

* 5. You are evaluating a 13 year old girl for severe obesity who has not yet menstruated, What option is best for this patient? (Required.)

Question Title

* 6. You are tuning up your practice’s evaluation and assessment of patients with obesity and considering instituting a social assessment. You are primarily concerned with: (Required.)

Question Title

* 7. What is the best way to help a patient and family develop a sense of self-efficacy through obesity treatment? (Required.)

Question Title

* 8. What is the correct approach as a patient receiving advanced therapies including obesity medications nears the 85th percentile? (Required.)

Question Title

* 9. You are seeing a 14 year old patient. When should you consider discussing advanced weight management therapies, including intensive lifestyle and possible obesity medication? (Required.)

Question Title

* 10. Based on what you learned in this activity, do you plan to change:The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

Question Title

* 11. Based on what you learned in this activity, do you plan to change:What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

Question Title

* 12. If YES to either of the above questions, please identify any changes in practice that you plan to make:

Question Title

* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

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* 14. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

Question Title

* 15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

Question Title

* 16. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)

1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

4. Were the individual learning objectives of this CME activity achieved? (Required.)

5. You are evaluating a 13 year old girl for severe obesity who has not yet menstruated, What option is best for this patient? (Required.)

6. You are tuning up your practice’s evaluation and assessment of patients with obesity and considering instituting a social assessment. You are primarily concerned with: (Required.)

7. What is the best way to help a patient and family develop a sense of self-efficacy through obesity treatment? (Required.)

8. What is the correct approach as a patient receiving advanced therapies including obesity medications nears the 85th percentile? (Required.)

9. You are seeing a 14 year old patient. When should you consider discussing advanced weight management therapies, including intensive lifestyle and possible obesity medication? (Required.)

10. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

11. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

12. If YES to either of the above questions, please identify any changes in practice that you plan to make:

13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)

14. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

16. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)