Purpose of the PACT Training
Oral health disease poses a significant health threat to many children, yet
many pediatricians report that oral health was not addressed as part of their medical school and residency training. The goal of the PACT curriculum is
to train pediatricians to become more knowledgeable about child oral
health, more competent in providing oral health guidance and preventive
care, and more comfortable sharing the responsibility of oral health with
dental colleagues.

Oral health is an integral part of overall health and, thus, is the responsibility
of pediatricians. As part of providing a medical home, pediatricians are responsible for providing for the patient's health care needs or for appropriately arranging care with other qualified professionals. Coordination
of care for oral health requires a baseline level of knowledge to facilitate communication, referral, collaboration, and ongoing follow up and care. Finally, oral health issues are faced by a majority of children in the United States, so pediatricians must be aware of these issues and be competent in addressing them. According to the Centers for Diseases Control and Prevention, dental caries is the most prevalent infectious disease among US children.


The 13 chapters of the PACT training module comprehensively address issues of oral health promotion, disease prevention, diagnosis, and treatment of oral health disease in children. This module is designed to educate primary care pediatricians, pediatric residents, and other child health professionals about the important role that oral health plays in a child's overall health.

You should participate in this training if you are a(n):
 
Primary care pediatrician
 
Family physician
 
Resident in pediatrics or family practice
 
Allied health professional in a pediatric or family practice office (eg, nurse, nurse practitioner, physician assistant)
 
Any health care provider treating children in rural or underserved communities, where pediatric dental care is more restricted
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Learning Objectives
Upon completion of this training, participants should be able to:
 
Cite the structures of the mouth, their locations and nomenclature, and distinguish between normal and abnormal oral anatomy.
 
Provide anticipatory guidance to families regarding dental development, teething, oral hygiene, dietary practices, and Early Childhood Caries prevention strategies.
 
Assess dental caries risk in young children and discuss referral options for high-risk patients.
 
State the proper ages for initiating routine oral health screening and establishing a dental home.
 
Describe the risk factors associated with Early Childhood Caries, and review the impact this chronic disease has on a child's overall health.
 
Discuss the important role that fluoride plays in preventing dental caries, as well as fluorosis prevention strategies.
 
Cite potential barriers to optimal oral health care and the consequences of poor oral health for patients with special health care needs.
 
Address concerns and provide intervention strategies for unhealthy oral habits, such as nonnutritive sucking, teeth grinding (bruxism), and nail biting.
 
Properly diagnose, manage, and triage common oral pathology, with appropriate reassurance or referral.
 
Distinguish between acquired, congenital and developmental oral findings and recognize the oral manifestations of common systemic diseases.
 
Describe the epidemiology and the complications and consequences of dental injury.
 
Provide the immediate management of an injured tooth, appropriate triage, and anticipatory guidance regarding prevention.
 
Prepare, educate, and empower adolescents to take control of their oral health as they move towards adulthood.
CME Credit
The American Academy of Pediatrics is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AAP designates this educational activity for a maximum of 11.0 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
This activity is acceptable for a maximum of 11.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.
The American Academy of
Physician Assistants accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME
This program is approved for 11.0 NAPNAP contact hours of which 0 contain pharmacology (Rx) content per the National Association of Pediatric Nurse Practitioners Continuing Education Guidelines.
CME Credit for this activity is available from June 1, 2012 to May 31, 2015.
The original release date for this module is June 1, 2009 and revisions were made in May 2012..
To Earn Credit for This Training:
The PACT training consists of 13 chapters. Each chapter includes sample review questions to help you prepare for the final post-test. To earn CME credit for this training, you must correctly answer 75% of the PACT Post-Test (42 questions).
Participants are eligible to receive a maximum of 11.0 AMA PRA Category 1 Credits™, based on the following breakdown:
  Chapter 1: Basic Anatomy - 0.5 credit
Chapter 2: Dental Development - 1.0 credit
Chapter 3: Oral Health Screening - 0.5 credit
Chapter 4: Caries - 1.0 credit
Chapter 5: Preventive Care - 1.0 credit
Chapter 6: Fluoride - 1.0 credit
Chapter 7: Special Needs - 0.5 credit
Chapter 8: Oral Habits - 0.5 credit
Chapter 9: Oral Pathology - 1.0 credit
Chapter 10: Oral Injury - 1.0 credit
Chapter 11: Oral Findings - 1.0 credit
Chapter 12: Systemic Diseases - 1.0 credit
Chapter 13: Adolescent Oral Health - 1.0 credit
As part of this training, you will be asked to complete an online Training Evaluation and answer some questions describing how you intend to incorporate what you have learned into the workplace.
Please allow up to 4 weeks for processing upon completion of the PACT Post-Test. If you do not receive an e-mail within 4 weeks or have questions about the post-test or the module, please e-mail us at oralhealth@aap.org.
Disclosure of Financial Relationships and Resolution of Conflicts of Interest for
AAP CME Activities Grid
 
The AAP CME program aims to develop, maintain, and increase the competency, skills, and professional performance of pediatric healthcare professionals by providing high quality, relevant, accessible, and effective educational experiences. The AAP CME program provides activities to meet the participants' identified educational needs and to support their life-long learning towards a goal of improving care for children and families (AAP CME Program Mission Statement, October 2006).
 
The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The "AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities" is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest.
 
All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity.
 
The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.
Activity Title: Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
Activity Location: Online
Activity Dates: June 1, 2012 - May 31, 2015
Disclosure of Financial Relationships
All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing,
re-selling, or distributing health care goods or services consumed by, or used on, patients.
Name
Relevant Financial Relationship
(Please indicate
Yes or No)
Name of Commercial
Interest(s)*
(Please list name(s) of entity)
AND
Nature of Relevant Financial Relationship(s)
(Please list Research Grant, Speaker's Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)
Disclosure of Off-Label (Unapproved)/Investigational Use of Products
AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or "off-label" use of an approved device or pharmaceutical.
(Do intend to discuss or Do not intend to discuss)
Melinda Clark, MD
(Primary Author)
No
N/A
Do intend to discuss (fluoride varnish)
David Krol, MD, MPH
(Primary Author)
No
N/A
Do intend to discuss (fluoride varnish)
Suzanne Boulter, MD
(Reviewer)
No
N/A
Do intend to discuss (fluoride varnish)
Charles S Czerepak, DMD, MS
(Reviewer)
No
N/A
Do intend to discuss (fluoride varnish)
Martin J Davis, DDS
(Reviewer)
No
N/A
Do not intend to discuss
Joanna Douglass, BDS, DDS
(Reviewer)
No
N/A
Do not intend to discuss

Kevin J Hale, DDS
(Reviewer)

No
N/A
Do intend to discuss (fluoride varnish)

Martha A Keels, DDS, PhD
(Reviewer)

No
N/A
Do not intend to discuss

Jessica Y Lee, DDS, MPH, PhD
(Reviewer)

No
N/A
Do not intend to discuss

Rocio B Quinonez, DMD, MS, MPH
(Reviewer)

No
N/A
Do not intend to discuss

Adriana Segura-Donly, DDS, MS
(Reviewer)

No
N/A
Do not intend to discuss

Jonathan D Shenkin, DDS, MPH
(Reviewer)

No
N/A
Do not intend to discuss

Huw F Thomas, DDS, MS, PhD
(Reviewer)

No
N/A
Do not intend to discuss

Wendy Nelson, Manager,
AAP Oral Health Initiative

No
N/A
Do intend to discuss (fluoride varnish)

Diona L Reeves, Owner,
Content Visionary
(Project Consultant)

No
N/A
Do not intend to discuss

Melissa A Singleton, MEd, President, MAS Consulting, Inc (Project Consultant)

Yes
Husband employed by Walgreen Co as a Workforce Administration Manager (technology position) in the company's call centers. The AAP determined that this financial relationship
does not relate to the educational assignment.
Do not intend to discuss
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