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  • Pre-Assessment
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  • Post-Test
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Case Challenge: Colic and the Microbiome

Case Challenge: Colic and the Microbiome



Time to Complete

30 minutes


December 26, 2019


June 30, 2021
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Maximum Credits

0.50 / AMA PRA Category 1 Credit(s)TM
0.50 / CNE Contact Hour
0.50 / CE for Dieticians (0.50 CPEUs)

Accredited Provider

Provided by Haymarket Medical Education in joint providership with AKH Inc., Advancing Knowledge in Healthcare

Commercial Supporter

Supported by an educational grant from Nestlé Nutrition Institute

Program Description

While colic is neither dangerous nor harmful, it is a cause of major concern to parents of infants. Because their baby’s inconsolable crying is distressing both to them and any older sibings, parents are anxious for remedies—and they may be inclined to use probiotic supplements indiscriminately, without a clear understanding of how and when they work. In this video, two experts discuss the science behind a disordered gut microbiome and the facts about probiotics, particularly Lactobaccillus reuteri, in colic.

Intended Audience

Pediatricians, family physicians, pediatric and family nurse practitioners (NPs) and physician assistants (PAs), nurses, dietitians, and other clinicians who advise parents about the nutritional needs of infants and children

Educational Objectives

At the conclusion of this activity, participants should be better able to:
  • Counsel patients about the benefits of breast feeding in relation to promoting a healthy infant gut microbiome.
  • Distinguish infantile colic from other more concerning causes of gastrointestinal distress.
  • Describe how an imbalance in the microbiota in the infant gut may contribute to a propensity for colic.
  • Apply evidence-based decision-making regarding the use of probiotic supplements for treating and preventing colic.

Disclosure of Conflict of Interest Statement

In accordance with the ACCME Standards for Commercial Support, Haymarket Medical Education (HME) and AKH Inc., Advancing Knowledge in Healthcare (AKH) require that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME and AKH resolve all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.


Michael D. Cabana, MD, MPH
The Michael I. Cohen, M.D., University Chair
Department of Pediatrics
Albert Einstein College of Medicine
Physician-in-Chief, The Children’s Hospital at Montefiore

Dr. Cabana is on the speaker’s bureau for Evelo Biosciences, Inc.

John F. Thompson, MD
Chief, Division of Pediatric Gastroenterology, Hepatology, and Nutrition
Children’s Hospital at Montefiore
Professor of Pediatrics
Albert Einstein College of Medicine

Dr. Thompson is a consultant for Takeda Pharmaceutical Co., Ltd.

Accredited Provider Disclosure

Haymarket Medical Education staff involved in the planning and content review of this activity have no relevant financial relationships to disclose.
Dorothy Caputo, MA, BSN, RN: AKH Director of Accreditations has no relevant financial relationships to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)TM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CNE Contact Hour(s)

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 0.50 contact hours.




CPEU Credit

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).

Designation Statement

Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 0.50 continuing professional education unit (CPEU) for completion of this program/material. CDR Accredited Provider #AN008. The focus of this activity is rated Level 2. Learners may submit evaluations of program/materials quality to the CDR at

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)TM   from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 0.50 Category 1 Credits for completing this activity.

Nurse Practitioner Continuing Education
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for education activities certified for AMA PRA Category 1 Credit(s)TM   from organizations accredited by ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Disclosure of Unlabeled Use

This CME/CE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a clinician relative to diagnostic and treatment options for a specific patient's medical condition.


The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education, AKH, Inc., or Nestlé Nutrition Institute. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact HME at

Method of Participation/Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

Privacy Policy


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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