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CME Evaluation & Post Test: October 6, 2022, Integrative Approach to Abdominal Pain, Dr. Ann Ming Yeh

Evaluation

September 29, 2022 - Evaluation & Post Test, Integrative Approach to Abdominal Pain, Dr. Ann Ming Yeh
ESTIMATED TIME TO COMPLETE: 1.00 HOUR. Activity and content expires: October 6, 2023
STATEMENT OF DISCLOSURE: THE PLANNERS AND FACULTY FOR THIS ACTIVITY HAVE NO RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS. NO OTHERS INDIVIDUALS INVOLVED IN THE PLANNING OR PRESENTATION OF THIS ACTIVITY HAVE ANY RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS TO DISCLOSE.
ACCREDITATION STATEMENT: JOHN MUIR HEALTH IS ACCREDITED BY THE CALIFORNIA MEDICAL ASSOCIATION (CMA) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS.
CREDIT DESIGNATION STATEMENT: JOHN MUIR HEALTH DESIGNATES THIS ENDURING MATERIAL FOR A MAXIMUM OF ONE (1.00) AMA PRA CATEGORY 1 CREDITS™. PHYSICIANS SHOULD CLAIM ONLY THE CREDIT COMMENSURATE WITH THE EXTENT OF THEIR PARTICIPATION IN THE ACTIVITY. 
MINIMUM LEVEL OF ACHIEVEMENT:   MUST SCORE 75% CORRECT ON POSTTEST. 
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CME THAT COUNTS FOR MOC: SUCCESSFUL COMPLETION OF THIS CME ACTIVITY, WHICH INCLUDES PARTICIPATION IN THE EVALUATION COMPONENT, ENABLES THE PARTICIPANT TO EARN UP TO [1] MOC POINTS IN THE AMERICAN BOARD OF PEDIATRICS (ABP) MAINTENANCE OF CERTIFICATION (MOC) PROGRAM.
Please complete and return this evaluation form in order to receive a maximum of  1 AMA PRA Category 1 Credit™ for this session
2. Physician Info
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4. Member ABP
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6. As a result of attending this CME activity, which of these do you plan to implement and/or change in your practice?
Space Cell DefinitelyMaybeNo Change
Formulate and communicate treatment plans for the management of medically and socially complex patients
Apply best practice strategies to overcome co-morbidities in medically and socially complex patients become better informed and more involved in health care decisions.
Utilize EBM Guidelines for a multitude of conditions that are encountered in primary care
Utilize Patient Centered Care skill to help patients become better informed and more involved in their health care decisions.
12. Was there active participation in the case-discussions and of outcomes of cases shared?
13. Was their evidence of commercial bias in this session? ​
14. A 15 year old teen presents with episodic abdominal pain that are intense and last 3-4 hours. Her pain is often preceded by a headache, pallor, and concurrent nausea. After these episodes, she returns to her baseline healthy and pain-free state.  In the last year, she has had 6-7 episodes and they often occur after traveling or after a sleepover. This patient’s symptoms can be best described as
15. About 1/3 of patients with irritable bowel syndrome have lactose intolerance.
16.  A Low FODMAPS diet should be recommended for every patient with irritable bowel syndrome.
17. An otherwise healthy 16 year old boy presents to you for a second opinion about GI discomfort. His symptoms include abdominal pain with constipation and hard stools that occur every other day.
At his previous provider, he has had normal blood and stool tests, including a normal CBCD, CMP, ESR, CRP, fecal calprotectin. He also has had a normal endoscopy and colonoscopy and MR enterography by a local GI provider. On further questioning, the boy endorses significant bullying at school and school avoidance behaviors. He also reports difficulty sleeping at night due to worrying about the bullying. Parents prefer not to start medications for the abdominal pain. In addition to treating his constipation, referring him to a counselor or child psychologist and having parents bring up the bullying issue at school, what other non-pharmacologic intervention may help his abdominal pain?