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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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
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 (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The AAP designates this enduring material for a maximum of 11.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 
This activity is acceptable for a maximum of 11.00 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 (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 11.00 hours of Category 1 credit for completing this program.
This program is accredited for 11.00 NAPNAP CE contact hours of which 0 contain pharmacology (Rx), (0 related to psychopharmacology) (0 related to controlled substances), content per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.
Method of Participation & Credit Information
Participants will participate in the online course. Upon completion of all modules of the course participants may complete a 56 question test based on the content of the training to obtain CME credit.To earn CME credit for this training, you must correctly answer 75% of the PACT Post-Test (42 questions).
A minimum passing score of 75% or higher is required to receive CME credit for this activity. (42 questions).

Upon submission of the test and verification of the 75% minimum passing score requirement, participants will receive a CME certificate via e-mail (please allow 4 weeks for processing and contact for assistance).

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
Minimum Performance Level
Bullet Point
Per the 2010 revision of the American Medical Association (AMA) Physician's Recognition Award (PRA) and credit system, a minimum performance level must be established on enduring material and journal-based CME activities that are certified for AMA PRA Category 1 Credit™. In order to successfully complete this Protecting All Children's Teeth Online CME activity for AMA PRA Category 1 Credit™, learners must demonstrate a minimum performance level of 75% or higher on the post-activity assessment, which measures achievement of the educational purpose and objectives of the activity.
Bullet Point
To record your AMA PRA Category 1 Credit(s)™ in the AAP transcript system, physicians need to directly access the transcript system on PediaLink® at, within one year of the activity. AAP members and PediaLink® subscribers may access their transcripts free of charge; non-members may choose to access their transcripts for a fee. The subscription fees are posted at AAP Members, PediaLink® subscribers or non-members who want the AAP to record their credit for them must return this form and a check for $25.00 payable to the AAP. Your credits will be recorded and a transcript sent to you. AAP Members and PediaLink® subscribers, please make sure to include your AAP ID number.
Disclosure of Financial Relationships and Resolution of
Conflicts of Interest for AAP CME Activities Grid
The AAP CME/CPD program develops, maintains, and improves the competence, skills, and professional performance of pediatricians and pediatric healthcare professionals by providing quality, relevant, accessible, and effective educational experiences that address gaps in professional practice.  The AAP CME/CPD program strives to meet the educational needs of pediatricians and pediatric healthcare professionals and support their lifelong learning with a goal of improving care for children and families.  (AAP CME/CPD Program Mission Statement, October 2013)
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: May 31, 2015 - May 30, 2018
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 / Role
Relevant Financial Relationship
(Please indicate
Yes or No)
Name of Commercial

(Please list name(s) of entity)
Nature of Relevant Financial Relationship(s)
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.
Lauren Barone
AAP Manager, Oral Health
Do intend to discuss
Melinda Clark, MD
Do intend to discuss
D. Michael Foulds, MD, AAP
(AAP Reviewer)
Do intend to discuss
Zoey Goore, MD, AAP
(AAP Reviewer)
Spouse has relationship with Evenflo.
Do intend to discuss
Ivor Hill, MD, AAP
(AAP Reviewer)
I have a paid Consultant relationship with Abbvie Inc.
Do not intend to discuss
Patricia Treadwell, MD
(AAP Reviewer)
Spouse has stocks/bonds relationship with Eli Lilly & Co.
Do not intend to discuss
Robert Wiebe, MD
(AAP Reviewer)
Do not intend to discuss

Rickey Williams, MD
(AAP Reviewer)

Do not intend to discuss

D. Corey Lachman, MD
(AAP Reviewer)

Do not intend to discuss

Commercial Supporters
There is no commercial support associated with this course.

Product-Specific Advertising / Links to Product Websites
No product-specific advertising of any type appears in this activity. No links to product websites appear in this activity.

List of Principal Faculty and Credentials
Melinda B. Clark, MD, FAAP

Name of Medium or Combination of Media Used
Online Course - Enduring Material

List of hardware/software requirements
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