Continuing Education Credit Form

Asthma in Children
 

The American Association of Colleges of Nursing will award 1.5 contact hours of continuing education (up to a total of 15 hours for the entire Bench to Bedside series) for viewing this tape/CD-ROM as an educational activity.  This Continuing Education Credit (CEC) Form must be submitted to verify you viewed the tape/CD-ROM and earned the credit. 

Steps

1.      Print this copy of the Continuing Education Credit Form

2.      View the videotape or CD-ROM

3.      Complete all information requested

4.      Copy the completed form for your records of contact hours earned.  No additional verification will be sent to you.

5.      Send original copy of completed form to:  CenterNet/HMTV,  529 14th Street, N.W., Suite 1292, Washington, DC 20045

Asthma in Children is part of the Bench to Bedside Video/CD-ROM Series for clinicians.  At the conclusion of this activity, the learner will be able to:
• Describe the different phenotypes of wheezy syndromes during the first fives years of life
• Explain how early onset of asthma affects symptoms during childhood and into early adult life
• Explain the background and rationale for The Childhood Asthma Management Program (CAMP) clinical trial
• Describe the results of CAMP for both asthma symptoms and pulmonary function
• Describe the unexpected finding of CAMP and the implications of the result for clinical practice
• Describe growth velocity differences between CAMP children treated with inhaled steroid compare to placebo
• Explain the safety profile of asthma therapy regarding somatic development including growth, sexual maturation and bone density
• List some common barriers to clinician-patient communication and to patient adherence to treatment
• Use ten communication skills that enhance patient teaching and identification of barriers to adherence

(Please print)

 

Name________________________________________________ RN License # and state______________________
                        (Last)                         (M.I.)                        (First)

Address______________________________________________ City/State/Zip_____________________________

 

Date tape viewed______________ CE form printed on:    Signature  _____________________________

 

 

1.   Relationship to program purpose. Learning objectives for “Asthma in Children” support the overall purpose for which the series is designed.
___Yes   ___Partially   ___No
       

2.  Objectives   Has this program enabled you to have a better understanding of the objectives  listed above:
___Yes   ___Partially   ___No       

   

3.   Presenters

Please rate effectiveness of each presenter:

Fernando Martinez, MD	_____Somewhat Effective	_____Effective	_____Very Effective
David Evans, PhD	_____Somewhat Effective	_____Effective	_____Very Effective
Robert Strunk, MD	_____Somewhat Effective	_____Effective	_____Very Effective
Gail Shapiro, MD	_____Somewhat Effective	_____Effective	_____Very Effective

4.   Overall Program

Overall this educational activity was:   _____Marginal                       _____Good               _____Excellent

      Comments: