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Neonatal Nutrition in Resource-Limited Settings

Course Description | Faculty | Accreditation | General Information

Course Description

This program is an online module discussing selected neonatal nutrition topics that are relevant to practitioners in resource-limited settings. In particular, the module will discuss the benefits and relative contraindications to breastfeeding; recommendations regarding assisting mothers with initiating and sustaining breastfeeding; and recommendations regarding screening for, diagnosis of, and management of neonatal hypoglycemia.

The module will be structured around two teaching cases. The first case will center on the mother of a healthy newborn who is resistant to breastfeeding, and will educate the user regarding the medical benefits of and relative contraindications to breastfeeding. The second case will focus on a newborn infant of a diabetic mother who experiences hypoglycemia soon after birth, and will guide the user through a discussion of the indications for testing and routine monitoring of blood glucose levels in neonates; common clinical manifestations of hypoglycemia in neonates; and management of hypoglycemia in neonates.

Original Release: 5/21/2014
Most Recent Update: 5/21/2014
Termination Date: 5/21/2017

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

COST: COST: $25.00

OVERALL LEARNING OBJECTIVES:
Upon completion of this activity, participants will be able to:

  1. Describe the benefits of and relative contraindications to breastfeeding
  2. Summarize how hospitals can achieve a greater success rate at helping mothers initiate and sustain breastfeeding
  3. Utilize protocols for screening and treatment of neonatal hypoglycemia

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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Faculty
JAMES HUDSPETH, MD
Course Director
Dr Hudspeth has been active in global health since his medical school training at Washington University School of Medicine, both locally and nationally with organizations such as AMSA and PHR. He performed a Fogarty Fellowship during medical school in South Africa researching HIV/TB coinfections, and subsequently did clinical rotations in South Africa and Rwanda during his internal medicine residency at the Brigham and Women's Hospital.

Since 2011 he has been a hospitalist at Boston Medical Center, with an interest in medical education (both in the US and abroad) and global health, serving as the coordinator for global health for the BMC internal medicine residency. He is also a founding member, a board member, and the chair of curriculum development for the NGO Physicians for Haiti, which works on improving access for medical education for Haitian clinicians.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ZADOK SACKS, MD
Course Director
Dr. Sacks currently practices hospitalist medicine at Faulkner and Brigham and Women's Hospitals and serves as Co-Chair and Founding Director of Physicians for Haiti. He is a graduate of the Harvard Brigham and Women's/Boston Children's Hospital Medicine-Pediatrics Residency Program, and served as Chief Resident for the program in his final year of residency, during which he was awarded a Harvard Medical School Resident Teaching Award by the graduating class of students.

During his residency, he also co-founded Physicians for Haiti, an organization dedicated to providing Haitian health care professionals with medical educational and leadership training opportunities

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



SARAH MORTON, MD, PhD
Course Contributor
Dr. Sarah Morton is a neonatologist in Boston, Massachusetts and is affiliated with Boston Children's Hospital. She received her medical degree from UCSF School of Medicine and has been in practice for 4 years. She is one of 53 doctors at Boston Children's Hospital who specialize in Neonatal-Perinatal Medicine.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Reviewers
ANNE HANSEN, MD, MPH
Reviewer
Dr Hansen is currently the medical director of the Neonatal Intensive Care Unit at Boston Children’s Hospital. Since 2010, she has also worked closely with both Partners in Health (PIH) and the Rwandan Ministry of Health (MOH) in the field of Newborn Medicine. Through collaborations between BCH NICU staff, PIH and the Rwandan MOH, Dr. Hansen has helped to write the first National Protocol for Newborn Medicine published by the Rwandan MOH. She is currently assisting in writing the second edition of The Protocol and organizing a national training with representation from all provincial hospitals. She is also collaborating with PIH, the Rwandan MOH and the Lawrence Berkeley Laboratory’s Institute for Globally Transformative Technologies (LIGGT) to create a simple, inexpensive non-electric infant warmer that will be designed for use in home births, clinic resuscitations, transports and for low birth weight/premature infants.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



H. WILLIAM TAEUSCH, MD
Reviewer
Dr. H. William Taeusch is currently an attending neonatologist at San Francisco General Hospital. After training in Cleveland, Baltimore, and Montreal, and two years of Army service, he became the first division chief (founder) of the Joint Program in Neonatology at Children’s Hospital, Beth Israel Hospital, and Brigham and Women’s Hospital in Boston. Later he moved as chief of neonatology to King/Drew University and Martin Luther King County Hospital in inner city Los Angeles for 6 years. He then moved to become chief of Pediatrics at San Francisco General Hospital, a post he held for 14 years. Throughout his career he has researched translational aspects of pulmonary surfactant function under the mentorship of Mary Ellen Avery and John Clements.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Course Planners
SANJIV CHOPRA, MD
Planner
Dr. Sanjiv Chopra is Professor of Medicine at Harvard Medical School. He is also the the James Tullis Firm Chief in the Department of Medicine and a Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. He served as Faculty Dean for Continuing Education at HMS for 12 years. Dr. Chopra has more than 150 publications and seven books to his credit. Dr. Chopra is Editor-in-Chief of the Hepatology Section of UpToDate, the most widely used electronic textbook in the world subscribed to by more than 850,000 physicians in 149 countries. He is also the recipient of numerous awards and accolades. For a complete bio, click here.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



CHRISTOPHER DRURY, MA
Planner
Mr. Drury is founder of The Quill Consulting, LLC, a privately-owned medical writing and editing company. With graduate degrees in both English and biology, Chris has written and edited professionally for over a decade in areas that span medicine, pharmaceuticals, marketing, outcomes research, health devices, and several others. He has also worked extensively in CME by planning and building CME programs; reviewing, writing, and editing proposals and CME content; moderating programs; and following through on outcomes deliverables. Chris currently operates out of his home in Mount Pleasant, South Carolina.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



ANDI LONG, EdM
Planner
Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development.

DISCLOSURE:
Reported no relevant financial relationships with commercial entities.



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Accreditation

NUMBER OF CREDITS: 1 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate


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General Information

HARDWARE/SOFTWARE REQUIREMENTS

Computers
Any computer running Windows, Mac OS, or Unix machines are supported.


Internet Connection
Your computer should be configured to access the Internet. A high speed internet connection may be required to view some of the large multimedia files.

Browsers
Firefox or Internet Explorer 5.5 or higher are recommended. JavaScript and cookies must be enabled.

Plugins
Some of the multimedia resources in this course require Apple Quicktime, RealMedia, or a Flash player. You will be prompted to download the appropriate plugin when necessary. No plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.


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