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The Short Child Normal Growth Variant or Something More?

The Short Child Normal Growth Variant or Something More?

Format

Slide Lecture Series

Time to Complete

1 hour

Released

February 7, 2014

Expires

February 7, 2015

Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / CE for Nurses

Accredited Provider

This educational initiative is jointly sponsored/co-provided by American Academy of CME Inc. and Scherer Clinical Communications.

                 

Commercial Supporter

Supported by an educational grant from Novo Nordisk Inc.

Program Description

Growth–including linear growth and growth velocity–is an important indicator of infant, child, and adolescent health. Therefore, accurate growth assessment is essential for evaluating a pediatric patient’s overall health, as well as identifying a growth variant associated with short stature. Despite its importance, many pediatricians and pediatric nursing professionals are unfamiliar with best practices for measuring and documenting growth. In addition to using equipment and techniques that result in inaccurate measurements, pediatric clinicians may not be using the most appropriate growth charts to track growth data.

This activity will review the optimal ways of assessing and managing a child with a possible growth variant. It will help clinicians to differentiate between the child with a normal growth variant, such as familial short stature, and a variant linked to a disorder, such as hypothyroidism or Turner syndrome. The faculty will discuss how to distinguish between the child who requires little more than a thorough history, measurement, and physical examination, followed by careful monitoring, and the patient who requires additional diagnostic tests. The program will review the content of clinical practice guidelines that provide valuable, detailed direction about the assessment and management of children with growth variants.

Most children with growth variants can be managed successfully within a pediatric practice, although those whose variants are linked to a disorder may require co-management by pediatric subspecialists, such as endocrinologists or gastroenterologists. Even when a child has a complex disorder that requires management by a large specialty team, the pediatrician and pediatric nursing professional continue to play a key role in patient care. Again, clinical practice guidelines provide valuable, practical information about effective co-management approaches. While successful collaboration between pediatricians/pediatric nursing professionals and subspecialists is often challenging, it is critical for optimizing patient outcomes.

Intended Audience

The target audience for this educational activity includes pediatricians, pediatric nurses, and pediatric subspecialists.

Educational Objectives

Upon completion of this activity, participants should be better able to:

  • Adopt accepted methods for assessing growth and identifying growth variants associated with short stature in infants, children, and adolescents
  • Integrate best practices for managing infants, children, and adolescents with short stature within a general pediatric practice
  • Explain the process of referring infants, children, and adolescents with a possible growth disorder to one or more pediatric subspecialists
  • Initiate the co-management of infants, children, or adolescents with pathologic short stature by a generalist pediatrician/pediatric nurse and one or more pediatric subspecialists

Faculty

Mark J. Mendelsohn, MD
Associate Professor of Pediatrics
University of Virginia
Charlottesville, VA

Mark J. Mendelsohn, MD, has no relevant financial relationships or affiliations to disclose.
Adda Grimberg, MD
Associate Professor of Pediatrics
Perelman School of Medicine
University of Pennsylvania
&
Scientific Director
Diagnostic and Research Growth Center
Children’s Hospital of Philadelphia
Philadelphia, PA

Adda Grimberg, MD, reports that she is has received Grant/research support (PI) from Genentech. In addition she discloses that Endocrine Division of Children's Hospital of Philadelphia has been participating in the growth hormone and insulin-like growth factor registries, which are supported by all major growth hormone and insulin-like growth factor manufacturers.

Planner Disclosures

Alan D. Rogol MD, PhD, reports that he is on Advisory Boards for Scientific Information for Novo Nordisk Inc and SOV Therapeutics; he also serves as a Consultant for Clinical Trial Design for the National Football League.

John JD Juchniewicz, MCIS, CCMEP, from American Academy of CME, Inc., has no relevant financial relationships or affiliations to disclose.

Natalie Kirkwood, JD, BSN, RN, (Lead Nurse Planner) from American Academy of CME, Inc., has no relevant financial relationships or affiliations to disclose.

Peter Macholdt, from Scherer Clinical Communications, has no relevant financial relationships or affiliations to disclose.

Marguerite K. York, PhD, from Scherer Clinical Communications, has no relevant financial relationships or affiliations to disclose.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of American Academy of CME, Inc. and Scherer Clinical Communications. American Academy of CME, Inc. is accredited by the ACCME to provide continuing medical education for physicians.

Designation Statement

American Academy of CME, Inc. designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

1.00

Type

CE for Nurses

Accreditation Statement

American Academy of CME, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

American Academy of CME, Inc. designates this educational activity for 1.00 contact hours.

Disclosure of Unlabeled Use

This activity will not review off-label or investigational information.

Disclaimer

According to the disclosure policy of the Academy, faculty, editors, managers, and other individuals who are in a position to control content are required to disclose any significant relationships with relevant commercial companies related to this activity. All relevant conflicts of interest that are identified are reviewed. If a conflict is identified, it is the responsibility of the Academy to initiate a mechanism to resolve the conflict(s). The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the activity.

All educational materials are reviewed for fair balance, scientific objectivity of studies reported, and levels of evidence.

The opinions expressed in this educational activity are those of the faculty, and do not represent those of Academy, Scherer Clinical Communications, or American Nurses Credentialing Center’s Commission on Accreditation. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.

Instructions

There are no fees to participate in the activity. Participants must review the CME/CNE information including the learning objectives and disclosure statements, as well as the content of the activity. To receive CME/CNE credit for your participation, please complete the post-test (achieving a passing grade of 70% or greater), and program evaluation.

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© 2014. This CME/CNE-certified activity is held as copyrighted © by American Academy of CME and Scherer Clinical Communications.

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SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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