Pediatric Grand Rounds Evaluation 11/13/2019 (MOC) Title: Infant Exposure to Breast Milk ContaminantsSpeaker(s):Shinya Ito, MD, FRCPCProfessor and Head, Division of Clinical Pharmacology & Toxicology, Hospital for Sick Children, University of TorontoLearning Objectives:1. Articulate benefits of breastfeeding.2. Describe key principles of infant exposures to drugs in breast milk.3. Name an important knowledge resource for drug safety in breastfeeding. Question Title * 1. Date of Presentation Question Title * 2. Your First and Last Name: Question Title * 3. Your Email Address: Question Title * 4. Month and Day of your Birth Month: Day: Question Title * 5. Your Professional Category MD PhD PA NP RN Other (please specify) Question Title * 6. Please rate the impact of the following course objectivesAs a result of attending this activity, I am better able to: Strongly Agree Agree Disagree Strongly Disagree Articulate benefits of breastfeeding. Articulate benefits of breastfeeding. Strongly Agree Articulate benefits of breastfeeding. Agree Articulate benefits of breastfeeding. Disagree Articulate benefits of breastfeeding. Strongly Disagree Describe key principles of infant exposures to drugs in breast milk. Describe key principles of infant exposures to drugs in breast milk. Strongly Agree Describe key principles of infant exposures to drugs in breast milk. Agree Describe key principles of infant exposures to drugs in breast milk. Disagree Describe key principles of infant exposures to drugs in breast milk. Strongly Disagree Name an important knowledge resource for drug safety in breastfeeding. Name an important knowledge resource for drug safety in breastfeeding. Strongly Agree Name an important knowledge resource for drug safety in breastfeeding. Agree Name an important knowledge resource for drug safety in breastfeeding. Disagree Name an important knowledge resource for drug safety in breastfeeding. Strongly Disagree Question Title * 7. Please rate the projected impact of this activity on your knowledge, competence, performance, and patient outcomes.*Competence is defined as the ability to apply knowledge, skills and judgement in practice (knowing how to do something) Yes No No Change The activity increased my knowledge The activity increased my knowledge Yes The activity increased my knowledge No The activity increased my knowledge No Change The activity increased my competence The activity increased my competence Yes The activity increased my competence No The activity increased my competence No Change The activity improved/will improve my performance The activity improved/will improve my performance Yes The activity improved/will improve my performance No The activity improved/will improve my performance No Change The activity will improve my patient outcome The activity will improve my patient outcome Yes The activity will improve my patient outcome No The activity will improve my patient outcome No Change If you answer "yes" to any of the items above, please describe: Question Title * 8. Please rate the speaker on knowledge/content of the presentation Excellent Above Average Average Below Average Poor Rating: Rating: Excellent Rating: Above Average Rating: Average Rating: Below Average Rating: Poor Comments: Question Title * 9. Do you feel this activity was free of commercial bias or influence?*Commercial bias is defined as a personal judgment in favor of specific product or service of a commercial interest Yes No (please explain) Comment: Question Title * 10. Do you feel this activity was evidence-base? Yes No (please explain) Comment: Question Title * 11. Do you plan to make changes to your practice as a result of attending this activity? Yes No (please explain) N/A (I do not work with patients) If yes, please explain with examples. If no, please indicate any perceived barriers to implementing changes. Question Title * 12. Please list suggestions you have for future topics as well as any addition comments. Question Title * 13. Are you claiming MOC credit? Yes No If you are not requesting MOC, please scroll to the end of the survey. Otherwise, please check the following attestation and provide your ABP ID number below: Question Title * 14. "I give permission to the University of Rochester to share my MOC completion data with the Accreditation Council for Continuing Medical Education (ACCME) and the American Board of Pediatrics (ABP) and transmit the completion data to the ACCME's PARS System on my behalf." Yes No Question Title * 15. Your ABP ID Number: In order to receive MOC credit for Grand Rounds, please fill out the correct answers to the three questions below. Credit will be awarded when two of the three questions have been answered correctly. Question Title * 16. Which of the following infant characteristics is a potential risk factor for high-level exposures to drug in breast milk? 1. Low milk intake 2. Low clearance of drug 3. Low volume of distribution 4. Low plasma protein 5. Low serum creatinine Question Title * 17. Which of the following drug/drug groups requires careful risk assessment, compared to others, if the mother takes it repeatedly during breastfeeding? 1. Penicillin 2. Non-steroidal anti-inflammatory drug 3. Low-dose aspirin 4. Opioids E. Antihistamines AccreditationThe University of Rochester School of Medicine and Dentistry is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physiciansCertificationThe University of Rochester School of Medicine and Dentistry designates this live activity for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Maintenance of Certification(MOC)Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 1 MOC point in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Done