Fall CME Webinar Series - Tuesday Evenings at 7pm

Pediatrics in Maine: Fall 2021 Educational Webinar Series

The Maine Medical Education Trust designates this live internet activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM per session in the series. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This is a fourteen session series. CME credit is available at $125. for the entire series. You can view all sessions for $50 if you don't need the CME credit.

This activity has been planned and implemented in accordance with the Essentials and Standards of the Maine Medical Association Committee on Continuing Medical Education and Accreditation through the partnership of Maine Medical Education Trust and the Maine Chapter, American Academy of Pediatrics. The Maine Medical Education Trust is accredited by the Maine Medical Association to provide CME activities for physicians.

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Sessions

September 14, 2021

Infant Noisy Breathing

  • Stephen Maturo, MD MaineHealth and SMMC - Department of Otolaryngology

    Dr. Stephen Maturo is a board certified otolaryngologist with subspecialty fellowship training in Pediatric ENT from Massachusetts Eye and Ear Infirmary/Harvard Medical School. He spent 10 years in the US Air Force as a pediatric ENT. He is an associate professor at the Uniformed Services University and former program director of ENT residency at Walter Reed Military Medical Center.

Attendees will learn about the difference between stridor and stertor; learn about the most common causes of stridor, and how to identify and concerning symptoms of noisy breathing.

September 21, 2021

Advancing Early Relational Health

Attendees will learn about early relational health and its importance to pediatrics. They will be able to reflect on their own current mindset about foundational relationships that are essential to promotion and prevention activities for population-based efforts in child health care and early childhood communities. This session will expand your knowledge of evidence-based practices that advance early relational health in child health care transformation and place-based, early childhood systems building.

September 28, 2021

Supporting Youth Re-Engagement and Resilience after the Pandemic

  • Greg Marley, LCSW NAMI Maine

    Greg Marley is the Clinical Director of NAMI Maine. He has practiced in the field of community mental health and prevention in Maine for over 25 years. Since 2007, Greg has developed and presented training and education supporting the needs of a diverse set of partners in suicide prevention and systems integration of prevention activities. He comes to this work from a background in crisis and emergency services, clinical treatment, substance abuse prevention, and program management. Greg has presented across Maine and New England to a variety of audiences in suicide prevention, substance abuse prevention, mental health and other topics. Greg lives in Rockland with his family and spends considerable time messing about with wild and medicinal mushrooms as an author, teacher and forager.

Attendees will be able to: recognize and describe mental health trends and suicide risk profile in this time and recognize the diversity of needs and responses relating to the following: • Kids who went from virtual to disappeared/disengaged and how to support their re-engagement • The introverted/shy kids who thrived with the limited social stresses and positive home environment during the pandemic • Those youth whose mental health suffered from isolation, increased anxiety, depression, disordered eating, substance use • Youth who express or feel the loss of hope/vision for their future. This session will also explore practice options for response to support youth and families and underscore the opportunities for practice management, community partnering, and more to address patient/family needs.

October 5, 2021

Reducing the Burden of Influenza on Children: An Exploration of Novel and Emerging Antiviral Therapy

  • Jesse Papenburg, MDCM MSc FRCPC McGill University

    Dr. Jesse Papenburg is an Assistant Professor of Pediatrics and an Associate Member of the Department of Epidemiology, Biostatistics and Occupational Health at McGill University. He practices Pediatric Infectious Diseases and Medical Microbiology at the Montreal Children’s Hospital of the McGill University Health Centre.

    Dr. Papenburg obtained his medical degree from McGill University and completed residency and subspecialty training at the Montreal Children’s Hospital. He then completed a research fellowship on the molecular virology of RNA respiratory viruses at Laval University and a MSc in epidemiology at McGill. As a clinician scientist, Dr. Papenburg’s research is on the epidemiology of viral respiratory infections, with a focus on diagnostics to improve treatment and outcomes. He actively contributes to national and provincial guidelines on RSV immunoprophylaxis and influenza antiviral treatment. Since 2019, Dr. Papenburg is also a voting member of the National Advisory Committee on Immunization, developing vaccine recommendations in Canada.

In this talk we will discuss the underutilization of antiviral treatment for both adult and pediatric patients in the management of influenza, despite recommendations from practice guidelines. Dr. Papenburg will describe the benefits and shortcomings associated with the use of diagnostic assays in detecting influenza in terms of sensitivity, specificity, and convenience. Attendees will be able to assess currently available and novel/emerging antiviral therapies for the treatment of pediatric patients with influenza, based on the latest clinical data concerning efficacy, safety, tolerability, dosing, and routes of administration and be able to select antiviral treatment for pediatric patients with influenza, based on the latest clinical evidence and current guideline recommendations.

October 12, 2021

Pediatric Cardiology Referrals: Common Concerns and Workup

  • Kirsten Graff, MD Northern Light Health Care

    Dr. Graff joined the pediatric cardiology team at Northern Light Health in Bangor in April of 2021. She is familiar with the northeast, having completed her undergraduate education at Dartmouth College in Hanover, NH. She majored in government and economics there, and spent a year working in economic consulting in New York City before pursuing a post-baccalaureate in pre-medical studies at Columbia University. Following completion of her post-bacc studies, she earned her medical degree from Wake Forest University School of Medicine in Winston-Salem, NC and completed pediatrics residency at the University of Utah in Salt Lake City, UT. Dr. Graff then completed a categorical fellowship in pediatric cardiology at the Medical University of South Carolina in Charleston, SC. This was followed by an advanced fellowship in non-invasive cardiac imaging with a focus on fetal echocardiography and congenital cardiac CT and MRI, which she completed early in March 2021 to join the team at Northern Light.

    Dr. Graff is a member of the American Academy of Pediatrics, Society for Cardiovascular Magnetic Resonance, and American Society of Echocardiography. Her clinical interests include early diagnosis of congenital heart disease in the fetus, understanding complex anatomy using pediatric cardiac CT, and obtaining anatomical and functional data from cardiac MRI.

    Dr Graff lives with her husband and two children and enjoys hiking, biking, and kayaking.

Attendees will learn about the scope of pediatric cardiology referrals, understand the initial workup for common referrals, and we'll review Maine’s COVID return to play guidelines.

October 19, 2021

Pediatric Urinary Tract Infections - What to Do and What to Expect

  • David Chalmers, MD Maine Medical Center

    Dr. Chalmers was raised in Baltimore, MD and moved to Maine with his wife - a native of Bath - and three kids. He was drawn to Maine for his love of the outdoors and snowy winters, but also because MMC is an excellent place to work. He specializes in congenital anomalies of the genitourinary tract and is thrilled with the kind, conscientious, and attentive staff and personnel at MMC who help with every patient. He feels privileged to help children and families navigate these challenges. In their free time, Dr. Chalmers and his family love running, hiking, skiing and everything else outdoors!

    Clinical Interests include: Congenital Genitourinary Tract Anomalies, Hernia Surgery, Hydronephrosis, Hypospadias Repair, Laparoscopic Surgery, Plastic Penile Surgery, Spina Bifida, Undescended Testicle

Attend this talk to learn when UTIs represent something serious, when a referral is recommended and appropriate and what kind of studies would be useful up front, and what families can expect for further evaluation.

October 26, 2021

New Recommendations for the Assessment and Treatment of Childhood Obesity

  • Victoria Rogers, MD Medical Director, Let’s Go!

    Dr. Victoria W. Rogers is a Pediatrician and the Senior Director of Let’s Go! at The Barbara Bush Children’s Hospital at Maine Medical Center. There, she oversees the development, coordination and promotion of childhood obesity prevention and treatment initiatives. She is also an Assistant Clinical Professor of Pediatrics at Tufts University School of Medicine and Associate Director for the AAP’s Institute for Healthy Childhood Weight.

    She is on the board of Good Shepherd Food Bank – the statewide food bank for Maine. And she serves on her local city bike and pedestrian committee.

    Dr. Rogers graduated from Dartmouth College and the University of Vermont College Of Medicine. She lives in Saco with her husband, Guy, and has 2 amazing children – Max and Katie Rose.

  • Valerie O'Hara, DO WOW Clinic - PCHC

    Dr. Valerie M. O’Hara, FAAP, ABOM, Medical Director of WOW 4 Wellness Clinic, Obesity Specialist: Dr. O’Hara brings 20 years of pediatric weight management experience to her families and community. She received her board certification in Obesity Medicine in 2013 via the American Board of Obesity Medicine. She began this focused work as part of the Maine Youth Overweight Collaborative in 2000. She has been involved with Let’s Go as a Physician Champion, visiting the Primary Care Practices in the EMHS region since 2010, Dr.O’Hara presented research data at multiple National conferences, including OMA, AAP, The Obesity Society. WOW shared their Telemedicine Poster at Obesity Week/TOS/ASMBS conference, Summer Camp poster at the National AAP Fall conference in Chicago and Poster at the 2017 OMA re: The Cardiometabolic Disease Burden in Children presenting to a Rural Pediatric Stage 3 Weight Management Clinic – earning 1st Place honor. She has had numerous publications including Obesity and ADHD, Barriers to Pediatric Obesity Care, Sleep Dysregulation and Obesity, and is a co-author of the OMA Pediatric Obesity Algorithm 2018-2020. As an advocate for her patients, she shared her WOW experience with the Dept. of Defense in Washington, DC and with former Gov. Baldacci. She is a member of The Obesity Society, The Obesity Medicine Association, and the Obesity Section of the American Academy of Pediatrics. Dr. O’Hara graduated from the University of New England College of Osteopathic Medicine in 1996 and completed her Pediatric Residency at the Barbara Bush Children’s Hospital at Maine Medical Center in 1999. Dr. O’Hara is passionate about her patients and is dedicated to improving the health of the families with whom she works.

In this talk, we will briefly review the pathophysiology of obesity, discuss the new Let’s Go! Recommendations for healthcare provider and their teams and discuss treatment options for children and adolescents with obesity.

November 2, 2021

Differential Diagnosis between Atopic Dermatitis and Psoriasis

  • Peter A. Lio, MD Clinical Assistant Professor, Dermatology and Pediatrics, Northwestern University, Feinberg School of Medicine

    Peter Lio, MD is a Clinical Assistant Professor of Dermatology & Pediatrics at Northwestern University Feinberg School of Medicine. Dr. Lio received his medical degree from Harvard Medical School, completed his internship in Pediatrics at Boston Children’s Hospital, and his Dermatology training at Harvard where he served as Chief Resident in Dermatology. While at Harvard, he received formal training in acupuncture. Dr. Lio is the founding director of the Chicago Integrative Eczema Center and a founding partner of Medical Dermatology Associates of Chicago. He currently serves as a board member and scientific advisory committee member for the National Eczema Association. He is a member of the American Academy of Dermatology’s Atopic Dermatitis Expert Resource Group and a founding faculty member of the Integrative Dermatology Certificate Program. He has over 200 publications and 3 textbooks.

Attend this talk to learn about the clinical, histological, and molecular differences between atopic dermatitis and psoriasis. Learn how to identify key features and testing for distinguishing between the two, along with important other differential diagnoses and how to categorize treatment options for both disorders.

November 9, 2021

Get Their Moves On: Improving Efficiency and Effectiveness in Physical Activity Counseling

  • Michele LaBotz, MD InterMed

    Michele LaBotz MD FAAP, is a sports medicine physician at InterMed in Yarmouth and South Portland. She is on the board of directors for the Maine Chapter of the AAP, and previously served as policy coordinator for the AAP’s Executive Council on Sports Medicine and Fitness. She is particularly interested in the principles of physical literacy, nutrition and supplement use, and mental health in young athletes. She serves as a consultant on an HRSA preventive medicine grant to implement physical literacy screening in pediatric provider offices and is a member of the Barbara Bush Children’s Hospital Scholarship Academy. She currently serves on the editorial board for Pediatrics, and the board of directors for the Taylor Hooton Foundation.

  • Emily Keller, MD, MPH Western Maine Pediatrics, MMP

    Dr. Emily Keller is general pediatrician working at Western Maine Pediatrics and Maine Medical Center, where she sees patients ranging from newborns to young adults. She is board certified in General Pediatrics and in Public Health and General Preventive Medicine. She is passionate about promoting healthy lifestyle habits to empower kids and families to live happy healthy lives. She is a board member for the Maine Chapter of the AAP and an instructor in the Department of Public Health and Community Medicine at Tufts University. She is also a faculty member in the Maine Medical Center Leadership in Preventive Medicine program, and is working on a project to incorporate culinary medicine into medical learner training.

  • Sarah Hoffman, DO Maine Medical Partners Orthopedics and Sports Medicine, South Portland

    After growing up in Maine and attending Colby College while playing sports herself, Dr. Hoffman pursued training in pediatrics and sports medicine in Delaware and Philadelphia with the goal to help children stay active and healthy. She has a particular interest in physical literacy and helping improve activity levels in Maine children. She serves as a consultant on an HRSA preventative medicine grant to implement physical literacy screening in pediatric provider offices. She also works as a pediatric hospital medicine physician caring for children at the Barbara Bush Children's Hospital in Portland. Sarah enjoys spending time on Maine's coast and mountains with her young boys and husband hiking, skiing and basically doing anything outside!

The speakers in this session will outline how to develop an effective strategy for physical activity counseling in school age children; how to screen for physical literacy in the pediatric office setting; and how to implement a referral strategy for children with low physical literacy.

November 16, 2021

Cannabis in Maine: Diagnosis and Management of Pediatric Accidental Exposures and Intentional Use Resulting in Complications and Toxicity

  • Christopher Motyl, DO Maine Medical Center, Barbara Bush Children's Hospital

    Christopher Motyl, DO, is a pediatric hospitalist and newborn attending at The Barbara Bush Children’s Hospital (BBCH) at Maine Medical Center. He completed his pediatric residency in 2013 and a chief resident year in 2014 at BBCH. He received his doctor of osteopathic medicine from Michigan State University College of Osteopathic Medicine in 2010. His academic interests include medical student education, simulation instruction, and quality improvement in the areas of newborn nutrition and management of neonatal opiate withdrawal syndrome.

  • Logan Murray, MD Maine Medical Center, Barbara Bush Children's Hospital

    Logan Murray MD, is a pediatric hospitalist at The Barbara Bush Children’s Hospital (BBCH) at Maine Medical Center. He completed his pediatric residency in 2009 and a chief resident year in 2010 at BBCH. He graduated from the Larner College of Medicine at the University of Vermont in 2006. His academic interests include medical student and resident education, inter-facility transfers, and the care of children with medical complexity.

Speakers will review historical timeline for medical and recreational cannabis and give an overview of the current regulatory status of cannabis in Maine. Attendees will develop skills in recognition and management of cannabis intoxication and hyperemesis syndrome and become familiar with products that pose special risk of ingestion by children. We'll also review potential advocacy opportunities.

November 23, 2021

Beyond Toxic Stress: Why Preventing Adversity is NOT Enough

  • Andrew Garner, MD University Hospitals - Cleveland, OH

    Andrew Garner, MD, PhD, FAAP, is a product of Swarthmore College (B.A. in Psychobiology), the Medical Scientist Training Program at Case Western Reserve University (M.D., Ph.D. in Developmental Neuroscience), and the Pediatric Residency Training Program at the Children's Hospital of Philadelphia. He is a Clinical Professor of Pediatrics at Case Western Reserve University, and he has practiced primary care pediatrics with University Hospitals Medical Practices in Cleveland since 2000.

    Dr. Garner is an active member of the American Academy of Pediatrics (AAP). He has served as the President of the Ohio Chapter, and he has been a member of several of the Academy’s Leadership Workgroups, including Epigenetics, Poverty, and Early Brain and Child Development. Dr. Garner is the co-author of the AAP’s 2021 Policy Statement on “Preventing Childhood Toxic Stress.” He is also the co-author of an AAP-published book, Thinking Developmentally: Nurturing Wellness in Childhood to Promote Lifelong Health.

Learn how to define toxic stress and describe how it helps to elucidate “the problem.” Learn about relational health and describe how it helps to elucidate “the solution.” Learn about at least 3 components of a public health approach to build relational health.

November 30, 2021

Technology Advancements for Type 1 Diabetes Management

  • Mahmuda Ahmed, MD Northern Light Health

    Mahmuda M Ahmed, MD, FAAP is a Pediatric Endocrinologist who has been part of the medical staff at Northern Light, Eastern Maine Medical Center since August 2016.

    She was born and raised in Canada to a trilingual Indian family. She received her medical degree at the Universidad Iberoamericana in Dominican Republic in 2007, completed her pediatrics residency at Nassau University Medical Center in East Meadow, NY in 2013 and finished her pediatric endocrinology fellowship Baystate Children’s Hospital in Springfield, MA in 2016.

    Since moving to Maine, she has been passionate about building the northern Maine pediatric gender management clinic, has started the pediatric lipid disorder clinic, and has tried to increase communication between primary care providers the pediatric endocrinology department.

    Dr. Ahmed lives in Bangor with her husband and their young son who was born in Bangor, Maine.

Attend this session to learn about updates in the advancement of type 1 diabetes management. We'll discuss the differences between insulin pumps and continuous glucose monitors and introduce the algorithms used for insulin delivery. We'll also learn about ongoing research in type 1 diabetes management.

December 7, 2021

Food Protein Induced Enterocolitis of Infancy

  • Noah Hoffman, MD Maine Medical Center

    Dr. Hoffman is a Pediatric Gastroenterologist at Maine Medical Center. He did residency and fellowship training at The Children’s Hospital of Philadelphia and received a Master’s Degree in Health Policy Research from The University of Pennsylvania during his fellowship. Clinically, my biggest interests are liver disease, IBD, endoscopic procedures, and the intersection of Gastroenterology and Mental Health. He maintains an interest in quality, innovation, and healthcare delivery science and coordinates MaineHealth Children’s Health Service Line’s Project ECHO. Outside of work, he spends as much time as possible outdoors with his wife (AAP member Dr. Sarah Hoffman) and 2 wild boys Max and James.

This talk will cover how to recognize symptoms in infants that might represent food protein intolerance and understand when to recommend changes to the infant diet. We'll discuss the differences between available hypoallergenic formulas. Learn about how to develop a management strategy for infant reflux and learn when it is appropriate to incorporate specific dietary protein eliminations.

December 14, 2021

Best Practices Caring for LGBTQ Youth in Maine

  • Brock Libby, MD Maine Medical Center

    Dr Brock Libby is originally from Cornville, ME and is very happy to be practicing in his home state. He went to the University of Maine for undergrad where he got a BA in sociology. He then went to UVM College of Medicine in Burlington, VT and that was when he first started to work with LGBTQ youth in the community. Following his experiences working with these youth, he decided he wanted to pursue a career in adolescent/young adult medicine. Following UVM, he went to UVA in Charlottesville, VA for his pediatrics residency and chief residency. His training culminated in completing his adolescent/young adult fellowship at the Children’s Hospital of Philadelphia in 2019. Since then, he has been practicing full time adolescent medicine in Portland, ME at Maine Medical Center.

Attendees of this session will gain an understanding of evidence based care for LGBT youth and the best approach to screening for STIs in LGBTQ Youth. This talk will cover the appropriate information on how to access adolescent medicine care in the state of Maine and what services are best provided in a primary care setting and when a referral to one of the Gender Clinics is recommended.