Quality & Performance Improvement Case Review: A Not-So-Average Case of Teenage Syncope

Needs Statement

Faculty, fellows, and other healthcare professionals in the section of Pediatric Emergency Medicine need to be regularly updated with evidence-based strategies for managing patients, particularly those who present with challenging characteristics. The series aims to increase knowledge of the learners, and to improve their clinical decision-making skills and their ability to overcome health system barriers to enhance patient outcomes.

Educational Objectives

At the conclusion of the sessions, the participants should be able to:

• Identify cognitive biases in physicians that affect clinical decision-making.
• Identify system barriers that must be overcome to achieve acceptable patient outcomes.
• Recognize and disseminate resilient provider behaviors to promote desirable patient outcomes.
• Review and discuss the common causes, complications, treatment, and management of pulmonary embolism in children.
• Review indications, contraindications, process of initiating, mechanics, and complications of extracorporeal membrane oxygenation (ECMO).

Target Audience

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.