April 2012: Adolescent Development - Front Matter

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As children near puberty, the provider must also track pubertal development and any pubertal disorders.&nbsp; The "/><meta id="metaKeywords" name="keywords" content="Education Lab | CME,Pediatrics,Adolescent Medicine,Practice Management,Healthy Development,Adolescent Medicine,General Pediatrics"/><meta id="Meta1" name="scID"/><meta id="scID" name="scID"/><meta name="designator" content="cme"/> <meta name="designators" content="cme"/> <meta name="PostedDate" content="2012-05-25"/> <meta name="specialties" content="Pediatrics,Adolescent Medicine"/> <meta name="specialty" content="Pediatrics"/> <meta name="specialty" content="Adolescent Medicine"/> <meta name="primary_specialty" content="Pediatrics"/> <meta name="subspecialties" content="Practice Management,Healthy Development,Adolescent Medicine,General Pediatrics"/> <meta name="subspecialty" content="Practice Management"/> <meta name="subspecialty" content="Healthy Development"/> <meta name="subspecialty" content="Adolescent Medicine"/> <meta name="subspecialty" content="General Pediatrics"/> <meta name="content_type" content="Education Lab"/> <meta name="additional_info" content="Vindico Medical Education and Pediatric Annals"/> <meta name="pageid" content="{89DD81D2-6CD9-4F7A-8AA7-071FF4D5CF82}"/> <meta property="og:image" content="https://web.archive.org/web/20130909183238im_/http://213a1ca8842e5e699a80-05ce35571e92a3f7383a191aa5840bba.r66.cf1.rackcdn.com/healio_safe_image.png"/><meta name="authors" content="Andrew A. Bremer MD PhD, Evan Graber DO, Robert Rapaport MD, Lindsey A. Loomba-Albrecht MD, Dennis M. Styne MD, Ganka Douglas MD, Marni E. Axelrad PhD, Mary L. Brandt MD, Elizabeth Crabtree MPH, Jennifer E. Dietrich MD MSc, Shannon French MD, Sheila Gunn MD, Lefkothea Karaviti MD PhD, Monica E. Lopez MD, Charles G. Macias MD MPH, Laurence B. McCullough PhD, Deepa Suresh MD, Elise Austin MS, V. Reid Sutton MD, Ashley H. Shoemaker MD, Andrew A. Bremer MD PhD"/><meta name="activityid" content="{89DD81D2-6CD9-4F7A-8AA7-071FF4D5CF82}"/><meta name="legacyactivityid" content=""/><meta name="edu-acitivity-title" content="April 2012: Adolescent Development"/><meta name="edu-activity-link" content="/pediatrics/education-lab/2012/04_april/adolescent-development"/><meta name="edu-source" content="Pediatrics Annals 41:4"/><meta name="edu-activity-type" content="Journal"/><meta name="edu-number-of-articles" content="5"/><meta name="author" content="Andrew A. Bremer , MD, PhD"/><meta name="author" content=" Evan Graber, DO"/><meta name="author" content=" Robert Rapaport, MD"/><meta name="author" content=" Lindsey A. Loomba-Albrecht, MD"/><meta name="author" content=" Dennis M. Styne, MD"/><meta name="author" content=" Ganka Douglas, MD"/><meta name="author" content=" Marni E. Axelrad, PhD"/><meta name="author" content=" Mary L. Brandt, MD"/><meta name="author" content=" Elizabeth Crabtree, MPH"/><meta name="author" content=" Jennifer E. Dietrich, MD, MSc"/><meta name="author" content=" Shannon French, MD"/><meta name="author" content=" Sheila Gunn, MD"/><meta name="author" content=" Lefkothea Karaviti, MD, PhD"/><meta name="author" content=" Monica E. Lopez, MD"/><meta name="author" content=" Charles G. Macias, MD, MPH"/><meta name="author" content=" Laurence B. McCullough, PhD"/><meta name="author" content=" Deepa Suresh, MD"/><meta name="author" content=" Elise Austin, MS"/><meta name="author" content=" V. Reid Sutton, MD"/><meta name="author" content=" Ashley H. Shoemaker, MD"/><meta name="author" content=" Andrew A. 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<span>›</span> <a href="/web/20130909183238/http://www.healio.com/pediatrics/education-lab"> Education Lab/CME</a> </p>  <ul xmlns="http://www.w3.org/1999/xhtml" class="ed-lab-list">  <li class="img"><img src="/web/20130909183238im_/http://www.healio.com/~/media/Images/Education Lab/Covers/2012/04_April/2012_04_April.jpg" alt="Pediatric Annals April 2012" width="120" height="160"/></li> <li><span class="cme-flag-med">CME</span></li> <li><h4>April 2012: Adolescent Development</h4>  <span class="earn-cme-btn"><a id="layout_0_maincontent_0_ctl00_EarnCMECreditLink" href="/web/20130909183238/http://www.healio.com/pediatrics/education-lab/2012/04_april/adolescent-development/test">Earn CME Credit »</a></span> </li> <li> <table cellspacing="0" cellpadding="0" border="0" width="650" style=""> <tbody> <tr> <td colspan="2"> <strong>Author(s)/Faculty: </strong> Andrew A. Bremer , MD, PhD; Evan Graber, DO; Robert Rapaport, MD; Lindsey A. Loomba-Albrecht, MD; Dennis M. Styne, MD; Ganka Douglas, MD; Marni E. Axelrad, PhD; Mary L. Brandt, MD; Elizabeth Crabtree, MPH; Jennifer E. Dietrich, MD, MSc; Shannon French, MD; Sheila Gunn, MD; Lefkothea Karaviti, MD, PhD; Monica E. Lopez, MD; Charles G. Macias, MD, MPH; Laurence B. McCullough, PhD; Deepa Suresh, MD; Elise Austin, MS; V. Reid Sutton, MD; Ashley H. Shoemaker, MD; Andrew A. Bremer, MD, PhD </td> </tr> <tr> <td colspan="2"> <strong>Source: </strong> Pediatrics Annals 41:4 </td> </tr> <tr> <td width="195"> <strong>Type: </strong> Journal </td> <td width="195"> <strong>Articles/Items: </strong> 5 </td> </tr> <tr> <td width="195"> <strong>Release Date: </strong> 4/1/2012 </td> <td width="195"> <strong>Expiration Date: </strong> 4/30/2015 </td> </tr> <tr> <td width="195"> <strong>Credit Type: </strong> CME </td> <td width="195"> <strong>Number of Credit(s): </strong> 3 </td> </tr> <tr> <td width="195" class="last"> <strong>Cost: </strong> $25 </td> <td width="195" class="last"> Provider: <img src="/web/20130909183238im_/http://www.healio.com/~/media/Images/Education Lab/Provider Logos/VindicoLogo4web.gif" alt="Vindico Medical Education" width="77" height="19"/> </td> </tr> </tbody> </table> </li> <li class="overview" style=""><p><span style="font-size: 12pt; font-family: times new roman,serif;">Perhaps one of the most commonly addressed issues in any pediatric practice is that of adolescent growth and development.  Indeed, the growth curve review at every visit often proves to be the most reassuring piece of information the physician can share with concerned parents. As children near puberty, the provider must also track pubertal development and any pubertal disorders.  The importance of each is reflected in the emphasis placed upon them during board certification. </span></p></li> <li class="sponsor">Vindico Medical Education and Pediatric Annals</li> </ul> <script type="text/javascript"> </script> <div class="cme-tab-group"> <ul id="layout_0_maincontent_1_ctl00_tabs" class="cme-tabs"><li><a class="current" href="javascript:void(0)">Front Matter</a></li> <li><a class="disabled" href="javascript:void(0)">Pretest</a></li> <li><a class="disabled" href="javascript:void(0)">Article 1</a></li> <li><a class="disabled" href="javascript:void(0)">Article 2</a></li> <li><a class="disabled" href="javascript:void(0)">Article 3</a></li> <li><a class="disabled" href="javascript:void(0)">Article 4</a></li> <li><a class="disabled" href="javascript:void(0)">Test</a></li> <li><a class="disabled" href="javascript:void(0)">Evaluation</a></li> </ul> </div> <a name="content"></a><div class="content"><p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Table of Contents</span></strong> </p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Growth and Growth Disorders in Children and Adolescents </span></strong></p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;">Evan Graber, DO; and Robert Rapaport, MD           </span></em></p> <p> </p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">The Physiology of Puberty and its Disorders </span></strong></p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;">Lindsey A. Loomba-Albrecht, MD; and Dennis M. Styne, MD</span></em></p> <p> </p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Guidelines for Evaluating and Managing Children Born with Disorders of Sexual Development</span></strong><em><span style="font-size: 12pt; font-family: times new roman,serif;"></span></em></p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;">Ganka Douglas, PhD; Marni E. Axelrad, PhD; Mary L. Brandt, MD; Elizabeth Crabtree, MPH; Jennifer E. Dietrich, MD, MSc; Shannon French, MD; Sheila Gunn, MD; Lefkothea Karaviti, MD, PhD; MonicaEe. Lopez, MD; Charles G. Macias, MD, MPH; Laurence B. McCullough, PhD; Deepa Suresh, MD; Elise Austin, MS; and V. Reid Sutton, MD</span></em></p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;"> </span></em></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Two Teenage Males with Hypocalcemia and Elevated Parathyroid Hormone Levels</span></strong></p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;">Ashley H. Shoemaker, MD; and Andrew A. Bremer, MD, PhD</span></em></p> <p> </p> <p><em><span style="font-size: 12pt; font-family: times new roman,serif;"></span></em><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Sponsorship Statement</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">:  This continuing medical education activity is jointly sponsored by Vindico Medical Education and Pediatric Annals.</span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Support Statement:</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;"> There is no commercial support for this activity. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Learning Objectives:</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">  Learning objectives are found at the beginning of each CME article. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Faculty names and affiliations</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">: See Table of Contents </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Reviewer name</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">s: <em>Thomas J. Selva, MD, CME Director, Pediatric Annals; Stanford T. Shulman, Editor-in-chief, Pediatric Annals</em></span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Guest Editor:  </span></strong><em><span style="font-size: 12pt; font-family: times new roman,serif;">Andrew A. Bremer, MD, PhD</span></em> </p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Disclosure statement</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">: <br/> In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the <strong>relevant financial relationships </strong>of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of each CME-accredited article in this issue and also on this page. </span></p> <p><strong>Faculty, reviewer and staff disclosures</strong>: </p> <p> </p> <p><span style="font-size: 12pt; line-height: 115%; font-family: times new roman,serif;">Irwin Benuck, MD, has disclosed no relevant financial relationships.</span></p> <p><span style="font-size: 12pt; line-height: 115%; font-family: times new roman,serif;">Joel Charrow, MD, has disclosed the following relevant financial relationships: Genzyme:  Consultant.</span></p> <p><span style="font-size: 12pt; line-height: 115%; font-family: times new roman,serif;">Susan Donlevy, RN, MSN, CPNP, has disclosed no relevant financial relationships.<br/> Deepak Kamat, MD, PhD, has disclosed no relevant financial relationships. <br/> Leonard R. Krilov, MD, PhD, has disclosed the following relevant financial relationships: Medimmune and Merck: Consultant; GlaxoSmithKline, Medimmune, and Novartis: Grant recipient; and GSK, Medimmune, and Merck: Member of speakers’ bureau.</span></p> <p><span style="font-size: 12pt; line-height: 115%; font-family: times new roman,serif;">John Lavigne, MD, has disclosed no relevant financial relationships.</span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Faculty members report the following financial relationships:</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;"> <br/> Robert Listernick, MD, has disclosed no relevant financial relationships. <br/> Thomas J. Selva, MD, has disclosed no relevant financial relationships. <br/> Stanford T. Shulman, MD, has disclosed the following relevant financial relationships: Merck Vaccines, Novartis Vaccines: Consultant. <br/> Robert R. Tanz, MD, has disclosed no relevant financial relationships.</span></p> <p><span style="font-size: 12pt; font-family: times new roman,serif;">The staffs of Vindico Medical Education and <span style="font-variant: small-caps;">Pediatric Annals</span> have disclosed no relevant financial relationships. </span></p> <p><span style="font-size: 12pt; font-family: times new roman,serif;">Signed disclosures are on file at Vindico Medical Education. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Accreditation statement(s): </span></strong><span style="font-size: 12pt; font-family: times new roman,serif;"><br/> This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Vindico Medical Education and <span style="font-variant: small-caps;">Pediatric Annals</span>. Vindico Medical Education is accredited by the ACCME to provide continuing medical education for physicians. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Credit designation</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">:  Vindico Medical Education designates this Journal-based CME activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.</span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Release date</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">: April 1, 2012. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Expiration Date</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">: April 30, 2015. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">How to participate</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">:  To participate in this CME activity, you must read the learning objectives, answer the pretest questions, read the articles, complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 80% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, Vindico Medical Education will issue an <em>AMA PRA Category 1 Credit(s)</em>™ certificate.   </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Target audience</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">:   This CME activity is primarily targeted to pediatricians, osteopathic physicians, pediatric nurse practitioners, and others allied to the field. There are no specific background requirements for participants taking this activity. Learning objectives are found at the beginning of each CME article. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Unlabeled and Investigational Usage Statement</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">:  The audience is advised that this continuing medical education activity may contain references to unlabeled uses of FDA-approved products or to products not approved by the FDA for use in the United States. The faculty members have been made aware of their obligation to disclose such usage. </span></p> <p><strong><span style="font-size: 12pt; font-family: times new roman,serif;">Copyright Statement</span></strong><span style="font-size: 12pt; font-family: times new roman,serif;">: Copyright © 2012 by SLACK Incorporated. All rights reserved. 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April 2012: Adolescent Development - Front Matter | Pediatrics Education Lab