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CME: The problem with vaccines: public hesitancy and refusal

Activity Description / Statement of Need:

In this online, self-learning activity:

Universal vaccination is one of the most important public health initiatives of the last century. The rates of vaccine-preventable illnesses have dropped precipitously with each introduction of an effective vaccine.  Vaccinations not only protect the public against specific infectious diseases but also reduce future consequences, sequelae, and complications of disease, such as in the cases of: human papilloma virus (HPV) vaccine and cancer; rotavirus vaccine and type 1 diabetes; and the measles vaccine and all-cause mortality. Among people born between 1994 and 2013, vaccination is responsible for the prevention of 322 million illnesses, 21 million hospitalizations, and 732,000 deaths, resulting in a savings of nearly $1.7 trillion in total costs. Extrapolating these predictions across all generations, the benefits of universal vaccination are considerable. Despite the many benefits of vaccination and the relatively low risks, vaccine hesitancy is a growing concern among health care professionals and has led to the resurgence of vaccine-preventable illnesses in pockets of the United States.

Podcast is also available. You may download and listen to the program at your convenience, and then return to this website to complete the post-test, evaluation, and obtain your CME/CE certificate.

Podcast available at: Apple Podcasts or wherever you get your podcasts.

Target Audience:

The following HCPs: primary care physicians, pediatricians, and public health professionals; physician assistants, nurse practitioners, nurses, and pharmacists who practice in adult internal medicine and pediatrics; and any other clinicians who commonly encounter patients eligible for protection against vaccine-preventable diseases.


Commercial Support Disclosure: This activity is supported by an educational grant from Merck.

Learners may participate in this activity free of charge.


Release Date: September 16, 2019 -- Expiration Date: September 16, 2021

Faculty: David Cennimo, MD

Agenda

 

Faculty introduction, disclosures

Status of under-vaccination in the United States

  • CDC documentation and reporting
  • Outbreaks, individual cases, and morbidity and mortality

Vaccine safety and efficacy

  • Recent changes and updates to ACIP vaccine recommendations
  • Efficacy and safety
  • Combination vaccines: improving compliance with fewer injections

Evidence for effective communication about vaccine hesitancy and refusal

  • Provider-driven vs. patient-driven conversations: is there a middle ground?
  • Providing strong recommendations
  • Listening to and addressing patient concerns
  • Decision aids

Systems approaches

  • Effective EMR use
  • Implementing reminder and recall systems

Summary, conclusions, and best practice recap

Learning Objectives

By the end of the session the participant will be able to:

  • Describe common barriers to adherence to recommended vaccination schedules
  • Discuss ways in which to provide strong recommendations for vaccinations while dispelling myths among patients and caregivers
  • Describe vaccination benefits and risks with patients using techniques that have been shown to improve patient satisfaction and vaccine uptake
  • Explain methods to improve vaccination adherence, and implement strategies to improve accessibility, simplify vaccination schedules, and maximize the opportunities for vaccination

Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through ScientiaCME. ScientiaCME is accredited by the ACCME to provide continuing medical education for physicians.

 

Credit Designation: ScientiaCME designates this educational activity for a maximum of  1.00 AMA PRA Category 1 Credit(s)™ toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME-MOC_badge

ABIM MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ABP MOC Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Pediatrics's (ABP) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

PhysiciansFor maintenance of certification (MOC) credit, you must enter your board certification ID # and birth date correctly.  It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive MOC credit for this activity. Please note: not all activities on this site provide MOC credit. If this activity does not specify that it provides MOC credit in this section, then it does NOT provide MOC credit.

Pharmacists

ScientiaCME is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmaceutical education. This activity is approved for 1.00 hours (0.10 CEUs) of continuing education.  Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test.   Participants must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit.  ACPE # 0574-0000-19-032-H01-P.  CPE credit effective 9/16/19 and expires 9/16/21. This is a Knowledge (K)-type activity.

PharmacistsYou must enter your NABP # and birth date correctly so that proof of participation can be posted to your NABP CPE profile. It is the learner's responsibility to provide this information completely and accurately at the completion of the activity. Without providing it, the learner will NOT receive CPE credit for this activity.

Nurse Practitioners (NPs): The American Academy of Nurse Practitioners accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.  ScientiaCME will provide NPs who successfully complete each activity with a certificate of participation indicating that the activity was designated for AMA PRA Category 1 Credit(s)™.

Physician Assistants: The American Academy of Physician Assistants accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.


Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review ScientiaCME.

Faculty Disclosure:  Dr. David Cennimo, MD has no relevant conflicts of interest to disclose.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant conflicts of interest to disclose.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowedge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Take the post-test
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


Additional Courses That Are Related To This Activity

Prevention and management of influenza infection

HIV Prevention: The Role of Pre-Exposure Prophylaxis (HIV-PrEP)

Novel antimicrobials and infectious disease practice: Research updates from ID Week 2019

Updates in vaccine-preventable diseases: meningococcal meningitis