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Release Date: July 2014
Expiration Date:
July 2015
Estimated time to complete the educational activity:
30 minutes

Target Audience: This activity has been designed to meet the educational needs of primary-care physicians, pediatricians, physician assistants, nurse practitioners, and dietitians.

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Physician Credit: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of MER and HME. MER is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: MER designates this educational activity for a maximum of 0.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Dietitian Credit: Medical Education Resources (Provider Number ME110) is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). 

Nursing Credit: Nurse Practitioner Associates for Continuing Education (NPACE) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC).

Credit Designation: NPACE designates this educational activity for a 
maximum of 0.5 contact hour of credit. Participants should only claim credit commensurate with the extent of their participation in the activity.

This activity is supported by an educational grant from Mead Johnson and jointly sponsored by Medical Education Resources (MER), Nurse Practitioner Associates for Continuing Education (NPACE), and Haymarket Medical Education (HME).


Irving Zoltan, MD
Assistant Clinical Professor of Pediatrics
Albert Einstein College of Medicine Children’s Health Service 
Jacobi Medical Center
Albert Einstein College of Medicine
Bronx, N.Y.

Disclosure Policy—MER 
MER ensures balance, independence, objectivity, and scientific rigor in all our educational programs. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers, and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported, or used in a CME activity conforms to the generally accepted standards of experimental design, data collection, and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in health care and not the business interest of a commercial interest.

Disclosure Policy—NPACE
NPACE is committed to ensuring all educational activities are balanced and free from bias. All faculty participating in our programs disclose any relationships they may have with a commercial interest whose products or services are related to the content of the activity. NPACE’s status as an accredited provider of continuing nursing education does not imply endorsement by NPACE or ANCC of any commercial products discussed in conjunction with this program.

NPACE maintains content integrity and prevents bias in the presence of commercial support through: 1) disclosing relevant relationships of activity planners, authors, and content reviewers with any commercial interest, or lack thereof; 2) disclosing commercial support; 3) removing individuals with conflict of interest from the activity; 4) revising the role of the individual with the conflict so that the relationship is no longer relevant to the activity; 5) not awarding contact hours for a portion or all of the activity; 6) undertaking review of the activity by a content reviewer to evaluate for bias, balance, evidence-based content or other indicators of integrity; 7) monitoring the activity to evaluate for bias; and/or 8) reviewing participant feedback.

The faculty reported the following financial relationships with commercial
interests whose products or services may be mentioned in this CME/CE activity:

Faculty Disclosures
Irving Zoltan, MD, is on the Speakers’ Bureau for Sanofi Pasteur and is a shareholder in Bristol-Myers Squibb.

Staff/Planners’ Disclosures
Krista Sierra, Susan Basilico, and Marjorie Hale, all of HME, have no financial relationships to disclose.

MER Content Manager has no financial relationships to disclose.

NPACE Content Manager has no financial relationships to disclose.

Method of Participation: There are no fees for participating in and receiving CME/CE credit for this activity. During the period of July 2014 through July 2015, participants must: 

  1. Read the learning objectives and faculty disclosures
  2. Study the educational activity
  3. Complete the posttest and submit it online. Physicians may register at (July 2014)
  4. Complete the evaluation form online.

A statement of credit will be issued only upon receipt of a completed activity evaluation form and a completed posttest with a score of 70% or better.

Disclaimer: The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of MER, NPACE, or HME. The authors have disclosed if there is any discussion of published and/or investigational uses of agents that are not indicated by the FDA in their presentations. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of MER, NPACE, or HME. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

HOW TO TAKE THE POST-TEST: Click here after reading the article to take the post-test on