Enduring Material: March 11, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

What Does An Urgent Care Provider Need To Know About COVID-19 And Children with Diabetes?

Speaker:

Sonal Chandratre, MD
Pediatric Endocrinology
Regional Medical Director Primary Care-North
Ascension Medical Group

Objectives:

1. Identify at least one impact of COVID-19 on children with diabetes
2. Identify at least one recommendation to consider in the management of diabetic ketoacidosis (DKA) with COVID-19
3. Identify at least one COVID-19-related possibility in the future in children with diabetes

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* 1. Did the presentation meet your expectations of the following (select all that apply):

Content

Relevance to Urgent Care

Timeliness

Q&A session

Technical and connection issues

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* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all

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* 3. How will attending this webinar affect your future practice? Please select from following (Multiple choice)

I plan to change the way I care for patients

I will make fewer referrals to subspecialists regarding this problem or adjust my referring practices

I plan to make changes in my practice to improve patient experience

I plan to change my practice to improve job satisfaction

I will improve my financial stewardship

I plan to change my antibiotic prescribing practices

I plan to assess for and address social determinants of health while treating my patients

I have gained cultural awareness that will improve treatment of patients

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* 4. Was the webinar free from commercial bias?

Yes

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* 5. Please state what topics you would like to see discussed.

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* 6. Please share any comments about the webinar.

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* 7. The following 3 questions are scored for your CME credit:
You are an emergency medicine physician doing a dayshift in Urgent care. You are managing a Tyler Kirk, a 12-year-old boy in mild diabetic ketoacidosis with known type I diabetes. There are no available beds in the pediatric ICU. You are asked to manage the patient in urgent care. The patient is tolerating oral fluids well. What would be your next step?

A. discharge the patient home

B. start subcutaneous rapid acting insulin 0.15 units/kg Q2 hourly

C. arrange transfer to a tertiary care hospital two hours away

D. order a chest x-ray

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* 8. Tyler's mild DKA is resolved. You start planning for his discharge. What is a vital part of his discharge advice?

A. No school for the next two days

B. Follow-up with pediatrician in one week

C. virtual follow-up with a CDE in 1-2 days

D. follow-up with pediatric endocrinology in one month

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* 9. Tyler's father is interested in knowing if Tyler is at increased risk of getting COVID-19 due to his type I diabetes. Of the options below, what will be the most suitable response given the current data on COVID-19 and diabetes in children?

A. Tyler is at no increased risk of COVID-19 due to his type I diabetes

B. Tyler is at considerably increased risk of contracting COVID-19 due to his type I diabetes

C. Tyler should start taking over-the-counter vitamins C and zinc supplements to decrease his risk of contracting COVID-19

D. Tyler's type I diabetes will, in fact, make him resistant to contracting COVID-19 and he therefore does not need to follow social distancing

Enduring Material: March 11, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

What Does An Urgent Care Provider Need To Know About COVID-19 And Children with Diabetes?

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

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* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Question Title

* 3. How will attending this webinar affect your future practice? Please select from following (Multiple choice)

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* 4. Was the webinar free from commercial bias?

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* 5. Please state what topics you would like to see discussed.

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* 6. Please share any comments about the webinar.

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* 8. Tyler's mild DKA is resolved. You start planning for his discharge. What is a vital part of his discharge advice?

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* 9. Tyler's father is interested in knowing if Tyler is at increased risk of getting COVID-19 due to his type I diabetes. Of the options below, what will be the most suitable response given the current data on COVID-19 and diabetes in children?

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* 10. Name

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* 11. Email Address

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* 12. For CME recording please enter your NPI number below:

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* 13. For ABP MOC 2 credit, please enter your ABP ID here: