On the cover: Parag Shah, MD, MPH, Medical Director, Chronic Illness Transition Program, with 15-year-old patient AJ Williams. AJ suffers from Wegener disease, which causes inflammation of the blood vessels that restricts blood flow to various organs. She has had open heart surgery and is awaiting a kidney transplant. The hospital’s transition program will help medically complex patients like AJ prepare for the adult healthcare system.

Accreditation Statement
Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Hour Statement
Northwestern University Feinberg School of Medicine designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits.™ Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Child's Doctor Editorial Staff

Editor-in-Chief
Edward S. Ogata, MD
Chief Medical Officer

Medical Editor
Joseph R. Hageman, MD
Member, Medical and Dental Staff Association

CME Director
Wayne H. Franklin, MD
Attending Physician, Cardiology

Editor
Vita Lerman
Public Affairs

Editorial Board

Dianna W. Brogan, MD
Member, Medical and Dental Staff Association

James S. Donaldson, MD
Department Head, Medical Imaging

Mina K. Dulcan, MD
Department Head, Child and Adolescent Psychiatry

Thomas P. Green, MD
Department Head, Medicine

Steven C. Hall, MD
Department Head, Anesthesiology

Elizabeth J. Perlman, MD
Department Head, Pathology

Marleta Reynolds, MD
Department Head, Surgery

Ruben J. Rucoba, MD
Member, Medical and Dental Staff Association

Rebecca Unger, MD
Member, Medical and Dental Staff Association

The Child's Doctor

Journal of Children's Memorial Hospital, Chicago

Spring 2010

You can now read CME articles, take quizzes, and receive credit online. View new CME section.

CME ARTICLES

Release date: May 17, 2010. Termination date: May 17, 2011.

Estimated time to complete this educational activity is 2 hours. Adobe Acrobat is required to access this program.

Process for obtaining CME category 1 credit: 1) review the target audience, learning objectives, faculty credentials and disclosure information; 2) read the articles; 3) complete and submit the post-assessment, evaluation form and the registration form in these pages.

Target audience: Community physicians

The Child's Doctor CME program is sponsored by Northwestern University Feinberg School of Medicine.

Author disclosures:

  • Drs. Cicchetti, Gupta, Kim, Mehanna, Raviv, and Shah have no industry relationships to disclose and do not refer to products that are still investigational or not labeled for the use in discussion.
  • Dr. Chamlin has received honoraria from Promius for serving as a speaker.

Editorial disclosures:

  • Drs. Brogan, Donaldson, Franklin, Green, Hageman, Hall, Ogata, Perlman, Reynolds, Rucoba, Unger, and Ms. Lerman have no industry relationships to disclose.
  • Dr. Dulcan has received travel reimbursement as a member of the Eli Lilly Strattera global advisory board; book royalties and travel reimbursements from the American Psychiatric Publishing for serving as author and editor; and an honorarium for serving as editor and advisor to the Care Management Technologies.

CME: Transitioning Youth with Special Needs to Adult Care
Parag Shah, MD, MPH, Medical Director, Chronic Illness Transition Program
Educational Objectives: Describe the challenges faced by youth with chronic conditions entering adult systems of care; discuss the elements of a structured transition program; identify billing options for transition services

CME: Food Allergies in Children
Ruchi S. Gupta, MD, MPH, Attending Physician, General Academic Pediatrics
Educational Objectives: Recognize signs of food allergy and describe appropriate diagnostic evaluation; counsel families on preventing exposure to identified food allergens and correct use of epinephrine; discuss the likelihood of developing tolerance to common food allergens

CME: Impact of Traumatic Exposure and Community Violence: Incorporating a Trauma Lens into Pediatric Practice
Colleen Cicchetti, PhD, Director, Advocacy and Community-Linked Mental Health Services, Child and Adolescent Psychiatry
Tali Raviv, PhD, Staff Psychologist, Community-Linked Mental Health Services, Child and Adolescent Psychiatry

Educational Objectives: Describe the impact of traumatic exposure upon children across the developmental spectrum; provide anticipatory guidance to parents about potential symptoms, strategies for re-establishing a sense of safety, and techniques for dealing with emotional reactions; access resources for additional information and appropriate referrals

CME: Type 2 Diabetes in Pediatrics: A Growing Epidemic
Ellen E. Kim, MD, Attending Physician, Endocrinology
Educational Objectives: Screen children at high risk for type 2 diabetes according to established guidelines; intervene with children who have signs of insulin resistance or pre-diabetes to prevent type 2 diabetes; become familiar with treatment for type 2 diabetes and monitor for complications at recommended intervals

CME: Dermatology Quiz and Case Discussion
Amal Mehanna, MD, Fellow, Pediatric Dermatology
Sarah Chamlin, MD, Attending Physician, Dermatology

Educational Objectives: Recognize the disorder described in the vignette and shown in the photographs; describe clinical features and differential diagnosis; describe management approaches

DEPARTMENTS

Research: Study to Identify Infants at High Risk for Developing Obesity: Metabolic Programming and Effects of Maternal Obesity on Neonatal Body Composition
Jami Josefson, MD, Attending Physician, Endocrinology

News from Children's Memorial

Selected Abstracts from Children's Memorial Investigators

The Child's Doctor (ISSN 0882-2301) is published by the Children's Memorial Hospital, 2300 Children's Plaza, Chicago, Illinois 60614. Copyright 2010 by the Children's Memorial Hospital. All rights reserved. No part of this publication may be reproduced or transmitted by any means or in any form without permission in writing from the publisher.

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