"My participation in this MOC project has transformed my approach to adolescent well care."
- Dr. Rudy Medina Mountainview Pediatrics

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Comprehensive Adolescent Health Screening

Welcome to the Comprehensive Adolescent Health Screening Maintenance of Certification Part IV (MOC IV) activity. This activity satisfies the3 entire MOC Part IV Performance in Practice requirement. Therefore, it is important that you allow up to three to six months to complete this activity.

The aim of this project is to improve the delivery of care for adolescent patients in pediatric and family practices. It is critical to integrate adolescents into pediatric and family practices in order to ensure regular, annual visits and screenings for these patients. This intervention will assess the various practices and protocols in place for working with the adolescent population. This activity has been approved by the AAFP for 20 prescribed credits. This activity has been approved by both the ABFM and the ABP as a MOC Part IV Activity.

Learning Objectives

  1. Increase the Diplomate awareness of how often they are discussing confidentiality policies with adolescent patients and their families.
  2. Improve the Diplomate understanding and utilization of a comprehensive screening tool, such as Bright Futures or GAPS.
  3. Increase the Diplomate's comfort in using techniques to follow up with adolescent on social emotional health risks, specifically motivational interviewing and SBIRT.
  4. Enhance the Diplomate's understanding of the benefits of having a recall system for annual adolescent well checks.
  5. Increase the Diplomate's understanding of how many of their adolescent patients are administered the recommended immunizations.
  6. Deepen the Diplomate's understanding of how often they are routinely measuring and documenting BMI.
  7. Implement the appropriate techniques, policies and procedures related to comprehensive adolescent screening.
  8. Demonstrate improved knowledge on comprehensive adolescent screening.

Target Audience

This activity is intended for primary care physicians and geared towards family physicians and pediatricians.

Sponsorship & Accreditation

This activity is made possible because of funding provided by Community Care of North Carolina’s CHIPRA funding to the NC Academy of Family Physicians and the NC Pediatric Society.

In February 2012, this activity was approved as a Maintenance of Certification IV Performance in Practice activity by both the ABFM and the ABP.

Presenting Faculty

The following faculty are presenting this program:

Richard Chung, MD

Dr. Richard J. Chung is the Director of Adolescent Medicine at Duke University Medical Center in Durham, NC, and is an assistant professor of pediatrics and internal medicine. Dr. Chung earned his medical degree at Yale University School of Medicine and trained in pediatrics and internal medicine at Duke prior to training in Adolescent and Young Adult Medicine at Children's Hospital Boston. Dr. Chung's clinical and research interests center on preventive and chronic disease care of adolescents and young adults. Dr. Chung is a Fellow of the American Academy of Pediatrics and a member of the Society for Adolescent Health and Medicine.

Marian F. Earls, MD, FAAP

Marian Earls is the Medical Director of Guilford Child Health., a large, non-profit, private Pediatric practice that is the pediatric division of Triad Adult and Pediatric Medicine in Greensboro, North Carolina. She is also a Developmental and Behavioral Pediatrician. Guilford Child Health is a public-private partnership between two community health systems and the department of public health, and serves families at or below 200% of the Federal Poverty Level. She is a Clinical Professor of Pediatrics for the University of North Carolina Medical School. Dr. Earls has a developmental consult clinic within GCH, and also is Medical Director of the Neonatal Follow-up Clinic (multidisciplinary) for the Level III NICU at Women’s Hospital in Greensboro. Dr. Earls is Immediate Past President of the North Carolina Pediatric Society (President 2008-2010). She is chair of the Mental Health/School Health Committee for NCPS. She has been a member of the Committee on the Psychosocial Aspects of Child and Family Health of the AAP, and was the lead author on the committees Clinical Report “Incorporating Recognition and Management of perinatal and postpartum Depression into Pediatric Practice,” (PEDIATRICS, November 2010). She is a liaison from the AAP to AACAP (American Academy of Child and Adolescent Psychiatry). She has been elected to the Executive Committee of the AAP’s Section on Early Education and Child Care. She is a member of the Mental Health Integration Leadership Group of the AAP that is charged with national implementation. She has been a member of the board of the Family Support Network of Greater Greensboro for families who have children with special needs, and was on the state advisory board for Family Support Network. The Association for Retarded Citizens of Greensboro awarded her the professional of the Year Award for 2000, and she was a member of that board from 2004-2010. She was Co-chair of the North Carolina Institute of Medicine Task Force for the Prevention of Child Maltreatment in 2005 and is currently co-chair of the IOM Task Force on Early Childhood Mental Health. Dr. Earls has been one of the Clinical Directors for Community Care of North Carolina (CCNC) since its inception by NC Medicaid in 1998. Currently she is also the physician lead for NC’s CHIPRA Quality Demonstration Grant. Guilford Child Health was the pilot site for the ABCD (Assuring Better Child Health and Development) Project (funded by the Commonwealth Fund) and Dr. Earls is the clinical director of that project, which is now state-wide. The purpose of ABCD has been to integrate developmental services (screening, surveillance, parent education) into pediatric practice. North Carolina State Medicaid Policy has now changed to be consistent with the process of developmental and behavioral screening implemented in this program and is requiring the use of validated, formal screens at EPSDT visits. The Commonwealth Fund had an ABCD II project in several new states, and Dr. Earls did training and consulting for this initiative focused on early childhood mental health. She provided technical assistance to five states for implementation of developmental and behavioral screening and surveillance through her Setting the Stage for Success grant from the Commonwealth Fund in 2006-2007. She was faculty on the Healthy Development Learning Collaborative for pediatric practices in NC and Vermont in 2004. From 2007 to 2010 she was the faculty chair for EDSI (Early Developmental Screening and Intervention) learning collaborative through UCLA. Recently she was faculty for the AAP Bright Futures Preventive Services Improvement Project Learning Collaborative (2011). Dr. Earls received her A.B. in Biology in 1976 from the College of the Holy Cross in Worcester, Massachusetts, her Master of Theological Studies (MTS) in 1978 from Harvard Divinity School, Harvard University, and her M.D. from the University of Massachusetts in 1984. She completed her Pediatric Residency at Moses Cone Hospital (UNC AHEC) in Greensboro in 1987, and her Fellowship in Developmental & Behavioral Pediatrics in 1988.

J. Carson Rounds, MD

Dr. Rounds graduated from the East Carolina University School of Medicine and completed his residency training at Carolinas Medical Center. He completed a Faculty Development Fellowship at the University of North Carolina School of Medicine and a Family Practice-Obstetrics Fellowship at Carolinas Medical Center. He was the Site Coordinator for the ECU Rural Family Medicine Residency at Clinton Medical Clinic. Dr. Rounds currently practices in the town of Wake Forest with Village Family Care, part of Novant Medical Group. They were recently certified as a Level III Patient Centered Medical Home. Dr. Rounds is a Past President of the NCAFP and currently serves as President of the NCAFP Foundation. He is fortunate to serve as a Master Preceptor in the Family Medicine Interest and Scholars Program.

Marla Corynn Satterfield, MA, LPC, NCC

Marla Satterfield received her Bachelor of Arts in Psychology at the University of North Carolina at Chapel Hill. After working in various fields, she returned to school to earn her Master of Arts in Clinical-Counseling Psychology at La Salle University in Philadelphia. Since completing her graduate education and moving to North Carolina, Marla has worked as an Intensive In-Home Therapist, Multisystemic Therapist, as well as Outpatient Therapy in a private setting. Marla has extensive experience working with families and adolescents with behavioral disorders and depression. In 2007, she became a Licensed Professional Counselor and also a National Certified Counselor. Currently, she is the CHIPRA Connect Pediatric Program Manager at the NC Center of Excellence for Integrated Care.

Robert P. Schwartz, MD, FAAP

Robert Schwartz, MD, FAAP, is Professor Emeritus of Pediatrics at Wake Forest School of Medicine in Winston-Salem, NC. He received his Bachelor of Science and MD degrees from the University of Florida. He completed his residency in Pediatrics at Carolinas Medical Center, and a fellowship in Pediatric Endocrinology and Metabolism at Duke University Medical Center. Among Dr. Schwartz's state and national activities, he has served as President of the North Carolina Chapter of the American Academy of Pediatrics (AAP); the Residency Review Committee for Pediatrics; the Maintenance of Certification in Pediatrics Examination Committee of the American Board of Pediatrics; and Chairperson of the Section on Endocrinology of the AAP. He was a member of the Executive Committee and Medical Advisor for the North Carolina Task Force for Healthy Weight in Children and Youth and a member of the Consensus Panel for Developing Nutritional Standards for Schools in North Carolina. He served as a member of the North Carolina Health and Wellness Trust Fund Study Committee on Childhood Obesity. Dr. Schwartz is a member of the Executive Committee of the AAP Provisional Section on Obesity. Dr. Schwartz's research interest has been in the area of childhood obesity prevention. He was a primary investigator in the Healthy Lifestyles Pilot Study on obesity prevention in young children. Dr. Schwartz is co-investigator for an NIH funded national expansion of this study using office-based motivational interviewing by pediatricians and dietitians as the primary intervention to prevent childhood obesity. He directed a statewide family centered YMCA-based obesity prevention study. Dr. Schwartz received the Denny, Katz, Simon, Tingelstad Academic Service Award in 2002 and the NC Health and Wellness Trust Fund Leadership Award in Preventive Health in 2005. In 2008 Dr. Schwartz received the Outstanding Achievement Award for childhood obesity prevention from the North Carolina Pediatric Society. He is the author of over 40 publications. Dr. Schwartz has been recognized by Castle Connolly's America's Top Doctors, Best Doctors in America, and America's Top Pediatricians.

Faculty Disclosures

This presenter has returned a disclosure form indicating that he has does not have a financial interest in or affiliation with a commercial supporter or providers discussed during this program. No content of material in this activity will include the discussion of unapproved or investigational uses of products or devices.

Suggested Schedule for Activity Completion

Register for the activity. Save your username and password in a place you can reference it if you forget.

Month 1: Complete Pre-Assessment -

Complete the *first 10 chart extractions (the Baseline Chart Extraction)
View Session 1: Intro to Adolescent Wellcare webinar

Month 2: View Session 2: Risky Behaviors

Month 3: View Session 3: Depression Screening -

- Complete the *second 10 chart extractions (the Midline Chart Extractions)
- Complete a proposed PDSA cycle from one of the previous 3 webinars.

Month 4: View Session 4: Changing Behavior Through Motivational Interviewing

Month 5: View Session 5: Improving Adolescent Immunizations

Complete the *third (and final) set of 10 chart extractions (the Final Chart Extractions)
Complete the Post Assessment

Month 6: View Session 6: Provider Showcase and Adolescent Health Perspectives-

- Complete the Activity Evaluation
- Complete the necessary Attestation Form; send to *Cameron Graham (cameron@camerongrahamconsulting.com)

If you have questions, please contact Cameron Graham at cameron@camerongrahamconsulting.com

Conflicts of Interest

A conflict of interest occurs when an individual has an opportunity to affect educational content about healthcare products or services of a commercial company with which she/he has a financial relationship.

The planners and presenter of this CNE activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.

Commercial Company Support

There is no commercial company support for this MOC IV activity.

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