Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

Chronic Pain in Children with Neurological Impairment: A Multisource Framework, Grand Rounds Episode!

**Link for MOC Credit
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095649
In this enlightening episode of Pediatrics Now, Host Holly Wayment introduces us to a founder of pediatric palliative care.  This talk, by renowned Harvard pediatrician, Dr. Julie Hauer, highlights the complex world of managing chronic pain in children with severe neurological impairment. Featuring real-life case studies, Dr. Hauer guides us through the intricacies of identifying and treating chronic pain in these specific pediatric cases and attempts to shed more light on the often underrepresented field of pediatric palliative care.
A substantial portion of the conversation revolves around the significance and interpretation of behavioral changes, and the importance of observations in diagnosing pain in neurologically impaired children. We delve into comprehensive screening methods and effective interventions that can contribute to helping the child attain a calmer state.
Steering the conversation beyond known problems, this episode introduces the concept of neuropain, a type of affliction where inflammation and injury of tissues can lead to pain, and discusses how to tackle associated chronic issues via a combination of pharmacological and complementary methods such as music and massage therapy.
Additionally, Dr. Hauer discusses the various tried and tested drugs and their uses for managing neuropathic pain in children, emphasizing the necessity of expertise in handling such medications. She also sheds light on indicators of escalation despite treatment, and shares possible countermeasures.
With a strong commitment to improving the lives of neurologically impaired children, this discussion emphasizes the dire need for an integrated, multipronged approach, taking into account all possible sources of pain, the role of various drugs, constant monitoring, communication with the family, and adjustment of treatments as necessary. This comprehensive episode serves as a much-needed guide to healthcare professionals who strive to provide the best care to this special pediatric population.
Presenter: Julie Hauer, MD, FAAP, FAAHPM
Overview:Chronic Pain in Children with Neurological Impairment: A Multisource Framework
Objectives:To increase awareness and education for pediatric providers
Julie Hauer, MD, FAAP, FAAHPM is faculty at Boston Children’s Hospital. Her clinical expertise is focused on the rare population of children with severe neurological impairment (SNI) who have multiple co-morbidities that impact health and quality of life, resulting in complex medical care and decision-making. Her expertise includes symptom treatment, including pain, feeding intolerance, and dyspnea during acute on chronic respiratory illness. Her work has included innovative symptom treatment protocols targeting the mechanisms of pain generation specific to this population. She has written a book on the medical and palliative care needs of such individuals, with a second book to be published by Oxford University Press.
Financial Disclosures: Julie Hauer, MD, FAAP, FAAHPM has no financial relationships with ineligible companies to disclosure.
The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator.

Measles Madness--A Discussion with Dr. JB Cantey

Episode 24: Measles Madness – A Discussion with Dr. JB Cantey
Links for CME credit:
https://uthscsa.edu/medicine/education/cme/unpacking-the-measles-outbreak-and-the-urgency-of-vaccinations
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095590
FACULTY:
JB Cantey, MD, MPH is an Assistant Professor in Pediatrics at UT Health San Antonio. Dr. Cantey’s bio
 
OVERVIEW:
This episode of Pediatrics Now with host Holly Wayment brings on renowned neonatologist and infectious disease expert, Dr. J.B. Cantey. The focus of this gripping discussion is the recent measles outbreak in 15 U.S. states, with specific attention on Florida. The conversation illuminates the dire outcomes resulting from insufficient vaccination rates across multiple communities. Dr. Cantey provides expert insights into the highly contagious nature of the measles virus. He warns about the grave implications of low vaccination rates and emphasizes the immediate need for increased education on the effectiveness and safety of vaccines.
 
In an effort to arm all listening pediatricians tackling anti-vaccination, Dr. Cantey offers practical advice whilst highlighting the essential role vaccines play in child health and what to say to patients. He outlines the importance of calm, consistent, and positive communication while providing fact-based, impartial information about the advantages and secure safety records of vaccines.
Further expanding the conversation, Dr. Cantey and Wayment discuss the long-term benefits of vaccines, including the prevention of both liver and cervical cancers. The episode concludes with an impassioned plea to all pediatric practitioners to champion the crucial importance of vaccinations in ensuring a healthier future for children globally.
 
Culled from a deep-dive discussion with Dr. J.B. Cantey from the University of Texas Health Science Center, this informative podcast episode offers profound insights into the world of vaccinations. It covers everything from the journey of vaccine trials to the threats posed by declining MMR vaccination rates. The show also highlights the urgent need for post-market surveillance for maintaining vaccine safety, coupled with the responsibility of pediatricians in identifying measles cases amid decreasing vaccination rates. The gravity of measles implications and its rapid contagion are also examined.
 
With Florida being described as the 'tipping point,' this podcast is a wake-up call about the very real threat of measles becoming endemic, potentially negating decades of diligent public health efforts. The episode sends a resounding message- unless vaccination rates improve, measles could be everywhere. This episode is an indispensable listen for pediatricians and health-conscious listeners.  Dr. Cantey and Wayment also discuss protection for you, your clinic, and your patients.
 
DISCLOSURES:
JB Cantey, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (0.50)Non-Physician Participation Credit (0.50)
 
 

How to Identify Sexual Abuse and What to Do

Below is the CME link along with the info for the podcast from Friday, 2/23.
Due to technical difficulties, we are posting this episode again!  
 
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095533
 
How to Identify Sexual Abuse
 
FACULTY:
Dr. Nancy Kellogg, is the Division Chief for Child Abuse Pediatrics at the University of Texas Health Science Center.
 
OVERVIEW:
In this enlightening episode of "Pediatrics Now," host Holly Wayment welcomes Dr. Nancy Kellogg, a respected authority in detecting and reporting child abuse. Dr. Kellogg shares invaluable insights on recognizing abuse signs, the role of Child Protective Services, and the struggles children face when disclosing abuse.
 
Dr. Kellogg talks about sentinel injuries and their relation to young infants who are at the highest risk of life-threatening abuse. This discussion dives into the importance of thorough medical examinations, empathy, and the power of collaboration with CPS. We conclude the episode by highlighting that despite declines in child sexual abuse cases, it remains a silent form of abuse that largely relies on children's disclosures for detection.
 
This thought-provoking episode shifts the conversation towards understanding trauma-informed care, high-risk situations like sleepovers and summer camps, and addressing parents' denial. Dr. Kellogg also provides an inside look into her work at the Center for Miracles, which supports CPS and aids in the fight against child abuse. This episode is a deep dive into the complexities of child sexual abuse and the effective ways to address and prevent it.
 
In an inspiring segment, we share the story of a brave sexual abuse survivor who fought not only for her justice but also sparked a global change in addressing and recognizing sexual violence. This tale of resilience is a beacon of hope for other victims facing similar situations and an illustration of how adversity can be a catalyst for societal change.
 
We wrap up this episode with a focus on children's right to autonomy during checkups, the crucial role of a pediatrician in identifying and responding to sexual abuse, and the rising rates of online-enabled abuse threats. We offer advice on preventive measures, emphasizing the importance of a strong parent-child relationship as a protective tool. Tune in to this enriching episode as we navigate the complexities of child sexual abuse, promote understanding, and advocate for preventive measures.
 
The Center for Miracles: 210-704-3800
 
DISCLOSURES:
Nancy Kellogg, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (1.00)Non-Physician Participation Credit (1.00)
 
 

Treatment-Related Toxicity and Pediatric Cancer In Hispanic Children

A Focused Look at Cancer in Hispanic Children
link for free credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095733
From the Conference: Advancing the Science of Cancer in Latinos Feb. 21-23, 2024
 
 
In this podcast episode, Host Holly Wayment from UT Health San Antonio's Department of Pediatrics delves into the critical disparity in healthcare for Hispanic children, particularly in cancer diagnosis and treatment. Recorded at the enlightening conference 'Advancing the Science of Cancer in Latinos' in San Antonio, Texas, this insightful discussion presents hard-hitting research and findings in this crucial area.
This episode sheds light on the troubling survival differences among children and young adults diagnosed with cancer, revealing how the five-year survival rate among Hispanic patients lags compared to their non-Hispanic peers. It emphasizes the high prevalence of cancers like Acute Lymphoblastic Leukemia (ALL) and testicular cancer in Hispanic communities, exploring interconnected factors such as ethnicity, geographic origin, and genetic predispositions in tackling this complex issue.
The episode brings us a conference talk by Dr. Allison Grimes, where she delves into the harsh realities of treatment-related toxicities in pediatric cancer, uncovering their root causes, immediate impacts and lasting effects. Highlighting the urgent need for systematic and accurate capture of both short-term and late-term therapy toxicities, the discussion also scrutinizes the preferences for devising treatment plans for improved survival rates.
Focusing on the toxicity effects among pediatric patients, Wayment breaks down the data demonstrating how organ toxicity varies based on age, primary cancer types, and ethnicity. She brings attention to the higher rates of advanced-grade toxicities in Hispanic children and delves into determinants such as pubertal status, socioeconomic status, and specific conditions like Ewing sarcoma and acute lymphoblastic leukemia (ALL).
The episode also outlines various strategies to reduce toxicity, advocating for a more individualized approach to survivorship care services. Emphasizing the need for supportive care interventions that target treatment toxicities, it unveils a path forward for treating Hispanic children with cancer. The episode winds up with a Q&A segment highlighting the importance of involving survivors in designing survivorship care services, to give a more personalized approach to care.

Improving Early Relational Health

The Significance of Early Relational Health
Credit Link:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095525
 
FACULTY:
 
Alice Gong, MD is passionate about early relational health.  A practicing pediatrician for 40 years, and President of the Texas Pediatric Society, Dr. Gong is with the University of Texas Health Science Center and sees patients and University Health Women’s and Children’s Hospital. 
 
OVERVIEW:
In this episode, our host and executive editor Holly Wayment discusses mental health, the significance of early relationships, and the pressing pediatric issues impacting us today with Dr. Alice Gong – President of the Texas Pediatric Society and a neonatology expert. Dr. Gong delves into her wealth of knowledge from over 40 years of practice, emphasizing the value of compassion and strong emotional bonds during infancy for optimal mental health outcomes in life.
Dr. Gong highlights the challenging issue of psychiatric treatment shortages and the ensuing cost implications. She offers insights into her role as co-chair for the Texas Collaborative for Healthy Mothers and Babies, shedding light on important initiatives to improve maternal and newborn health. One such focus is combating the congenital syphilis epidemic in Texas.
Listen in for a rich discussion on the understandings of child behavior and the importance of emotional connections including research into prenatal hormonal impacts on mother-child bonding and the detrimental effects of early development isolation. Gain practical strategies to manage child tantrums and foster healthier relationships with patience-driven approaches and alternatives to traditional disciplinary methods.
In this episode, we look at the Nurture Science Program at Columbia's promising research initiatives, where Dr. Gong actively contributes. This conversation covers the importance of early relationships, emotional resilience, and its role in shaping a healthy future for children. Dive in and join us in exploring parenthood, pediatrics, and the neuroscience behind these crucial relationships.
Here is a link for the WECS:  https://nurturescienceprogram.org/wecs/Link to Promoting first relations program:  https://pfrprogram.org/
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.  
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. 
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
 
 

Prescribing Balance: Time Management Strategies for 2024 (for Ethics Credit)!

CME Link:         https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095466
 
Prescribing Balance: Time Management Strategies for 2024
FACULTY:
Dina Tom, MD, is a pediatric hospitalist at University Hospital.  She’s passionate about finding balance and time management strategies and teaches a course on this at the University of Texas Health Science Center.
 
OVERVIEW:
Pediatrics Now Host and Executive Producer Holly Wayment talks with Dina Tom, MD, on how to manage our time effectively while maintaining a healthy work-life balance. Reflecting on concepts from James Clear's highly acclaimed book "Atomic Habits", the conversation underscores the importance of developing habits.
 
Challenging aspects of the medical profession, such as demanding schedules, the expectations of constant availability, and burnout are candidly discussed. Simultaneously, we explore methods to address these challenges by seizing control of your time to accomplish tasks that you truly find meaningful.
 
The episode further chronicles the personal journey of Dr. Tom, a Lozano-Long Presidential Scholar, in juggling her roles as a medical student then, and now, a teaching physician, hospitalist, wife, daughter and mother. We delve into her struggle and success with time management, making this episode a beacon of hope for harmonious personal and professional life.
 
DISCLOSURES:
Dina Tom, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (0.75)Non-Physician Participation Credit (0.75)
Texas Medical Board of Ethics (0.75)

Fighting Fentanyl

Fentanyl Facts
Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095454
 
FACULTY:
Glen Medellin, MD, is double boarded in pediatrics and palliative medicine.  He sees patients at University Hospital
 
 
OVERVIEW:
Pediatrics Now Podcast host Holly Wayment talks with Glen Medillin,  a fentanyl expert at the University of Texas Health Science Center at San Antonio.  Wayment and Medillin delve into the alarming fentanyl crisis,  with a special focus on its devastating effects on children
Medellin shares staggering information about the spike in fentanyl-related deaths among children and young adults and offers important insights on how to confront this critical issue. He stresses the essential role of education about the perils of fentanyl and encourages pediatric practitioners to use specific screening tools
to assess teenagers for potential risk of substance abuse disorders.
The podcast emphasizes the role of mental health professionals and substance abuse therapy programs in supporting at-risk individuals. It also provides valuable information about resources available for affected families, including public helplines, crisis centers, and government programs.
The episode further investigates the causes of substance use disorders, particularly opioid usage, in teenagers. It highlights the potentially fatal nature of fentanyl, a synthetic opioid, due to its potency and undetectable presence. The dangers of over-the-counter medications and the importance of proper medication practices are discussed, with an emphasis on the risk of unintentional overdosing.
The conversation concludes with Dr. Medellin sharing his passion for palliative care and the importance of self-care for healthcare practitioners. His uplifting message underscores the need for a balanced life, emphasizing that despite the challenges professionals face, commitment and enthusiasm, paired with good self-care, can help them overcome any hurdles.
 
 

How to Work Through a Clinical Ethics Problem: One Ethicist's Approach (Grand Rounds Episode for MOC or Ethics Credit)

How to Work Through a Clinical Ethics Problem: One Ethicist's Approach
(Grand Rounds Talk for MOC or Ethics Credit!)
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095284
In this new episode of the Ethics Credit Podcast, Host Holly Wayment brings us neonatology veteran Dr. Brian S. Carter.  In this grand rounds talk, he leads a captivating discussion on the nuanced aspects of pediatric bioethics. He explores the challenging scenarios in neonatology, the complex interaction between pediatric autonomy, parental authority, and virtues, and the dynamic role parents play in the decision-making process.
Dr. Carter shares practical examples underlining the importance of empathy, shared decision-making, and understanding patients' narratives in ethical healthcare. In addition, he delves into critical challenges in perinatal health care ethics, particularly the debated concept of periviability. The episode highlights the significance of an ethically sound approach in pediatric practice, enlightening listeners about myriad ethical considerations in child health care.
FACULTY:
Brian S. Carter, MD, Interim Director, Children’s Mercy Bioethics Center and Division of Neonatology, Children’s Mercy Hospital. He is an academic neonatologist who has been in practice for 40 years.
 
OVERVIEW:
Pediatrics Now Podcast host Holly Wayment presents Brian S. Carter, MD talk regarding how to work through a clinical ethics problem.
 
DISCLOSURES:
Brian S. Carter, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (1.00)Non-Physician Participation Credit (1.00)
Texas Medical Board of Ethics (1.00)
MOC 2 credit (1.00)
 
 

ADHD Update: When Will the Drug Shortage End? What to Do

CME link:          https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095275
ADHD Update: When Will the Drug Shortage End? What to Do
FACULTY:
Giancarlo Ferruzzi, MD, Associate Clinical Professor of Psychiatry and Behavioral Sciences at the University of Texas Health Science Center. He’s been a child psychiatrist for 30 years. 
 
OVERVIEW:
Pediatrics Now Podcast host Holly Wayment interviews Giancarlo Ferruzzi, MD about the ADHD drug shortage and solutions for pediatric practitioners and their patients. Dr. Ferrruzzi and Wayment also talk about CPAN, plus the reason for an uptick in adolescents with facial tics.
Don't forget to tell your patients about our new podcast for parents! Pediatrics Now for Parents: Health News in Small Bites for the Busy Parent.  One less topic you have to cover in the exam room! www.pediatricsnowforparents.com
 
 
DISCLOSURES:
Giancarlo Ferruzzi, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (1.00)Non-Physician Participation Credit (1.00)
 
 

40 Years in Childhood Tuberculosis: My How Things Have Changed (Grand Rounds Episode)

MOC link coming soon!
40 Years in Childhood Tuberculosis: My How Things Have Changed!
FACULTY:
Jeffrey R. Starke, MD, is a Professor of Pediatrics at Baylor College of Medicine in Houston, Texas.
 
OVERVIEW:
Pediatrics Now Podcast host Holly Wayment brings us a talk with Jeffrey R. Starke, MD about 40 years in childhood tuberculosis and how things have changed.  Dr. Starke’s major area of study has been tuberculosis in children, having cared for over 1,100 children with TB disease. He has also authored over 170 papers and given over 100 national and international presentations on childhood tuberculosis,
 
DISCLOSURES:Jeffrey R. Starke, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. 
 
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
 
CONTINUING MEDICAL EDUCATION STATEMENTS:
The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
 
The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.