The Prevention of Childhood Lead Poisoning: 
Why Physicians Should Counsel on Lead and Screen for Lead Exposure

Fee
There is no fee for this activity.

The Prevention of Childhood Lead Poisoning - Why Physicians Should Counsel on Lead and Screen for Lead Exposure has met the MOC requirements as a MOC Part II CME Activity (apply toward general CME requirement) by the following ABMS Member Boards:

MOC Part II CME Activity
American Board of Family Medicine
American Board of Preventive Medicine
American Board of Psychiatry and Neurology
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Updated activity approved: December 31, 2015
Content updated: August 11, 2016
CME Expires: December 31, 2018
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Target Audience
The intended audience consists of primary care physicians and other health care professionals.
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Lead poisoning is one of the most common and preventable environmental diseases among California children and there are no known safe levels. Lead is a potent neurotoxin in children. Early screening, evaluation, and referral are the best approach to prevent the effects of childhood lead poisoning. This course provides information on the scope of the problem in California, common risk factors, most recent CDC guidelines, the role of anticipatory guidance and preventive measures, and screening, follow-up and management for children at risk for lead exposure including the importance of testing at both 12 and 24 months of age. Information on CDC guidelines for screening refugee children, and on identification, follow-up and management for pregnant and breastfeeding women are included.


Goals:

• Increase awareness of the most recent Centers for Disease Control guidelines for evaluating increased blood lead levels in children between 6 months and 6 years of age
• Increase physician and mid-level providers’ ability to provide anticipatory guidance
• Increase mandated screening and assessment at both 1 and 2 years of age for children at risk for lead exposure  
• Increase identification and testing of children of all ages and socioeconomic groups who may be at risk for lead exposure
• Increase awareness of the risks, effects, and potential sources of lead exposure  
• Increase awareness of preventive measures including nutritional approaches to reducing potential lead absorption through the GI tract

Learning Objectives:
Upon completion of this course, learners should be able to:

1. Describe the scope of childhood lead poisoning in California
2. Describe California’s Childhood Lead Screening regulations and the role of anticipatory guidance in preventing childhood lead exposure
3. Discuss risk factors, clinical effects and management of childhood lead exposure
4. Describe recent changes to the California Childhood Lead Poisoning Prevention case definition and expanded public health services available to children with lower levels of lead     
5. Describe appropriate health and environmental interventions for children with lead exposure and services provided by the State of California and local Childhood Lead Poisoning Prevention Programs

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Online course consists of the following elements:

Self-paced slide presentation
   (Slides will open up in full screen - click ESC button to reduce/close)

Test and Evaluation Questions
Participation is accomplished through self-directed viewing of the web-based material. CME credit is obtained upon completion of the program content, passing the test with 75% or better and submission of the program evaluation. An electronic CME certificate will be available after successfully completing the evaluation. Please be patient while certificate is processing, system will need to refresh your test score and results. This CME course should take approximately 1 hour to complete.
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Receipt of Credit
Once you have completed a course, test and evaluation, you will receive your Statement of Credit and your "My Transcript" page will be updated to reflect the credits earned along with a link to a printable version of the official certificate for that course. You may then submit this certificate to the appropriate accrediting body.
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Accreditation  
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 providership of the University of California, Davis, Health, and the California Department of Public Health. The University of California, Davis, Health, is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit: The University of California, Davis, Health, designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Credits acceptable for multidisciplinary team members

Nursing: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME.  For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report hours of credit and fill in "CME Category 1" for the provider number).

Physician Assistant: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.


MOC Part II CME Activity

Through the American Board of Medical Specialties (“ABMS”) and Association of American Medical Colleges’ (“AAMC”) joint initiative (ABMS MOC Directory) to create a wide array of Maintenance of Certification (“MOC”) Activities, The Prevention of Childhood Lead Poisoning - Why Physicians Should Counsel on Lead and Screen for Lead Exposure has met the MOC requirements as a MOC Part II CME Activity (apply toward general CME requirement) by the following ABMS Member Boards:

MOC Part II CME Activity
American Board of Family Medicine
American Board of Preventive Medicine
American Board of Psychiatry and Neurology

Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement (only). Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

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Disclosures
Planning Committee
California Department of Public Health
Childhood Lead Poisoning Prevention Branch

Jean Woo MD MPH MBA – Author, CLPPB
Carrie Jones MD MPH – Planning Committee, CLPPB
Peter Budinger, Planning Committee, CLPPB
Margaret Mossman PHN JD, Planning Committee, CLPPB

Content Reviewer
Linda Crebbin MD MPH, Content Reviewer, CLPPB

All have reported that they have no conflicts of interest. _______________________________________________________________________________

Software Requirements
Adobe Reader