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CME: Attention Deficit Hyperactivity Disorder (ADHD) in Children and Adolescents: Updates from APA 2019


Activity Description / Statement of Need:

In this online CME self-learning activity:

ADHD is a common neuropsychiatric disorder, estimated to affect 7.2% of school age children worldwide and 11% in the US. The presence of the disorder is often not detectable until school workload increases, and it has a significant impact on child and adolescent development, health, education, and family situations. There is evidence of a wide variability in clinicians’ ability to diagnose ADHD, suggesting opportunities for improvement and a gap in care that might be remedied by CME.

Although ADHD may be linked to a variety of social and environmental factors, including maternal smoking, fetal alcohol syndrome, lead poisoning, and meningitis, genetics also play a large role, with heritability studies showing the likelihood of passing the condition on between 40% and 90%. The exact pathophysiology is unclear, but there is some evidence of decreased brain volume, which may affect executive functioning needed for prioritizing, decision making, motor control, and awareness of space and time. Alterations in dopaminergic, cholinergic, and serontonergic functions have been documented in ADHD, which may impair the ability to delay gratification, resist distractions, regulate arousal, and focus on uninteresting tasks.

The stimulant drug class presently represents first-line pharmacotherapy. There had previously been concern about the health risks of pharmacotherapy. However, time has brought additional experience with the medication, as ADHD medication use has risen by over 35% overall. Another concern in recent years that may have been addressed is prescription drug abuse in children and young adults; research is now finding a significant gap between perceptions of abuse of ADHD stimulant medications and actual rates of misuse and abuse. This activity is intended to be a one-hour learning activity focused on ADHD and its complications, designed to bring healthcare providers up to date in their practice and give them a sense of coming changes to practice and the literature.

Target Audience:

The following healthcare professionals: psychiatrists, primary care physicians, pediatricians; physician assistants, nurse practitioners, nurses, and pharmacists who practice in psychiatry; and any other healthcare professionals with an interest in or who clinically encounter pediatric patients with ADHD.

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

Learners may participate in this activity free of charge.

Release Date: October 06, 2019 -- Expiration Date: October 06, 2021

Faculty: Michael Enenbach, MD


- Faculty member introduction, disclosures, overview of pediatric ADHD

- Major findings from APA 2019, including clinical trial data relevant to both community and health-system practice and recognized barriers to implementing those findings in practice (specific content contingent upon conference content)

- Predicted of applicability to clinical practice and patient cases, where relevant

- Concluding remarks


Learning Objectives

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

  • Summarize the most impactful findings presented at the APA 2019 meeting relating to pediatric ADHD related to disease diagnosis and apply them to patient cases.
  • Summarize the most impactful findings presented at the APA 2019 meeting relating to pediatric ADHD related to evaluation of degree therapeutic success and apply them to patient cases.
  • Summarize the most impactful findings presented at the APA 2019 meeting relating to pediatric ADHD related to emerging therapies and apply them to patient cases.
  • Summarize the most impactful findings presented at the APA 2019 meeting relating to pediatric ADHD related to quantifying benefit and risk of disease progression and apply them to patient cases.


ACCME Activity #201349349


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: Michael Enenbach, MD , Associate Clinical Professor, UCLA, has no relevant financial disclosures.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.


  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge 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.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
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.

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Attention Deficit Hyperactivity Disorder (ADHD) in Adults: Updates from APA 2019

Opioid dependence and opioid use disorder: Best practices, barriers in care, and the role of long-acting injectable medication