Adverse Childhood Experiences & Trauma Informed Pediatric Care

This continuing medical education (CME) activity on Adverse Childhood Experiences and Trauma Informed Pediatric Care qualifies for up to 4 AMA PRA Category 1 Credit(s)™ + 4.0 American Board of Pediatrics MOC Part 2 points. Participants who complete this ACEs Aware-certified core training are also eligible to self-attest that they have completed the training required to receive Medi-Cal reimbursement for ACE screening with an approved tool. 

Steps 

  1. Review important information about this CME Activity 
  2. View all four lectures listed below

Core Training Lecture #1: Adverse Childhood Experiences and Toxic Stress: Screening and Intervention by Dayna Long, MD

 

Core Training Lecture #2: Trauma-Informed Care & Systems, Vicarious Trauma & Resilience by Saun-Toy Trotter, LMFT & Ken Epstein, LCSW PhD

 

Core Training Lecture #3: ACEs, Trauma, and Mental Health Assessment in Pediatric Primary Care: A Stepped Care Approach by Petra Steinbuchel, MD

Core Training Lecture #4: How Children Heal from Trauma: Applying Trauma-Informed Principles by Alicia F. Lieberman, PhD

 

3. Follow these directions to claim CME and MOC Part 2 credit (Note: this involves going to an external site to complete an evaluation survey and passing the MOC Part 2 quiz with a score of at least 75%). 

4. Complete your attestation after finishing this activity if you want to be eligible for Medi-Cal reimbursement for ACE screening with an approved tool.  

5. For additional CME (but not MOC Part 2) credit, consider viewing the supplementary materials below, then follow these directions to claim CME credit. (Note: not required to attest to completing core training.) 

  • Early Adopter Pediatrician Panel: Lessons learned from a group of pediatricians who have implemented ACEs screening and Trauma Informed Care in their practices
  • Role Play: Model of a sample clinic visit in which a pediatrician and parent have a conversation about ACEs, followed by a short discussion by a pediatrician and leading trauma educator/advocate.
  • Community Resources Panel Discussion: Description of community resources in Alameda and San Francisco Counties helpful for families/children with ACEs

CME Information: Adverse Childhood Experiences & Trauma Informed Pediatric Care 

  • Release date: September 30, 2021 
  • Expiration date: September 29, 2023 
  • Estimated time to complete activity: 4 hours 

Jointly provided by UCSF Benioff Children’s Hospitals: Child & Adolescent Psychiatry Portal, ACEs Aware, and Postgraduate Institute for Medicine  

Target Audience 

This activity is intended for pediatric medical providers engaged in the care of patients with exposure to trauma or other significant childhood adversity. 

Educational Objectives 

After completing this activity, the participant should be better able to: 

  • Define adverse childhood experiences (ACEs) and their prevalence, health disparities in these data, toxic stress physiology, and related impacts on health, including underlying biological mechanisms. 
  • Identify how to introduce and integrate ACEs and toxic stress screening into clinical care, aligning with trauma-informed care principles, and identify Medi-Cal payment requirements to administer ACE screening. 
  • Apply the ACEs and Toxic Stress Risk Assessment Algorithm to assess risk for toxic stress. This includes a combination of screening for ACEs, identifying the presence and extent of ACE-Associated Health Condition(s), and protective factors, in determining an appropriately tailored treatment and follow-up plan, including referrals, if indicated. 
  • To describe trauma-informed care (TIC) principles and how to achieve them in patient care and for staff, including ways to prevent and respond to vicarious trauma and burnout among staff. 

Core Training Faculty 

Dayna Long, MD 

Director, Department of Community Health and Engagement 

UCSF Benioff Children’s Hospital Oakland 

 

Saun-Toy Trotter, MFT 

Director of School-Based Services 

UCSF Benioff Children’s Hospital Oakland 

Trauma Transformed Coach 

 

Ken Epstein, LCSW, PhD 

Former Director 

Children Youth & Families at San Francisco Department of Public Health 

Principal Investigator (PI) Trauma Transformed 

 

Petra Steinbuchel, MD 

Associate Clinical Professor of Psychiatry 

University of California San Francisco (UCSF) 

Child & Adolescent Psychiatry Portal Director of Outreach and Education 

 

Alicia Lieberman, PhD 

Professor of Psychiatry 

University of California San Francisco (UCSF) 

Director 

Child Trauma Research Program 

Supplementary Training Faculty

Jen Leland MFT 

Center Director 

Trauma Transformed 

East Bay Agency for Children 

(playing patient) 

 

Joan Jeung, MD, MPH 

HS Associate Clinical Professor of Pediatrics 

University of California San Francisco (UCSF) 

 

Deirdre Bernard-Pearl, MD 

Medical Director 

Pediatric and Elsie Allen Campuses 

Santa Rosa Community Health 

 

Elizabeth Grady, MD 

Pediatrician 

South San Francisco Clinic 

San Mateo County Health 

 

Omoniyi Omotoso, MD 

Pediatrician and Associate Medical Director 

Lifelong Medical Care 

 

Miriam Rhew, MD 

Medical Director Bancroft Pediatrics 

 

Paul Espinas, MD 

Pediatrician 

Kaiser Permanente Hayward 

Conflicts of Interest Disclosures 

Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies.  

All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high-quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company. 

All faculty have no conflicts to report. 

The PIM planners and others have nothing to disclose. The UCSF Benioff Children’s Hospitals planners and others have nothing to disclose. 

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and UCSF Benioff Children’s Hospitals. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 

Physician Continuing Medical Education 

The Postgraduate Institute for Medicine designates this enduring material for a maximum of 4 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

ABP MOC Credit 

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 4.0 MOC points 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.

Computer System Requirements 

Connection to the internet and current web browser. 

Disclosure of Unlabeled Use 

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. 

Disclaimer 

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities. 

Method of Participation and Request for Credit  

Please follow the steps below at the conclusion of the activity to obtain your CE certificate: 

  1. Go to CME University

  1. Log in or Create a New Account (this takes less than 1 minute) 

  • If you receive a message when creating a new account that “the email you entered is already in use”, please click the Forgot my Username or Password link to have your Username and Password sent to you via email 
  • After logging in, you may be asked to verify/update your information; after doing so, click Save at the bottom of the page 

  1. Click on the activity title when it appears 

  1. Choose the type(s) of credit you desire 

  1. If American Board of Pediatrics Maintenance of Certification (MOC) Part 2 credit is desired (for core training only), complete the post-test with a passing score of 75% or better 

  1. Complete the online evaluation 

  1. Receive an immediate CE Certificate via download and/or print for your files 

Contact PIM 

If you have questions regarding the certification of this activity, please contact PIM via email at [email protected]